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An Investigational Study to Evaluate Experimental Medication BMS-986165 Compared to Placebo in Participants With Plaque Psoriasis (POETYK-PSO-3) in Mainland China, Taiwan, and South Korea

A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Phase 3 Study to Evaluate the Efficacy and Safety of BMS-986165 in Subjects With Moderate-to-Severe Plaque Psoriasis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04167462
Acronym
POETYK-PSO-3
Enrollment
220
Registered
2019-11-18
Start date
2019-11-25
Completion date
2022-01-07
Last updated
2023-03-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psoriasis

Brief summary

The purpose of this study is to investigate the experimental medication BMS-986165 compared to placebo in participants with moderate to severe plaque psoriasis in mainland China, Taiwan, and South Korea

Interventions

DRUGBMS-986165

Specified dose on Specified Days

OTHERPlacebo

Specified dose on Specified days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Plaque psoriasis for at least 6 months * Moderate to severe disease * Candidate for phototherapy or systemic therapy

Exclusion criteria

* Other forms of psoriasis * History of recent infection * Prior exposure to BMS-986165 Other inclusion/

Design outcomes

Primary

MeasureTime frameDescription
The Percentage of Participants With sPGA Response of 0 or 1At week 16static Physician Global Assessment (sPGA) 0 or 1 response assessed as a percentage of participants with a sPGA score of 0 or 1 as assessed at week 16 with at least a 2-point improvement from baseline. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.
The Percentage of Participants With PASI 75 ResponseAt week 16Psoriasis Area and Severity Index (PASI) 75 response is an assessment defined as the percentage of participants who experience at least a 75% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Secondary

MeasureTime frameDescription
The Percentage of Participants With sPGA 0 ResponseAt week 16static Physician Global Assessment (sPGA) 0 response is defined as the percentage of participants with a sPGA score of 0 with at least 2-point improvement from baseline as assessed at Week 16. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.
The Percentage of Participants With Pp-PGA Score of 0 or 1At week 16Palmoplantar PGA (pp-PGA) 0/1 assessed as a percentage of participants with a pp-PGA score of 0 or 1 among participants with a baseline pp-PGA score ≥3. This measure will be used for participants with palmoplantar (finger and toe surfaces) involvement at baseline. Only participants with baseline palmoplantar involvement will continue to have these assessments at each subsequent visit throughout the study. The pp-PGA uses a 5-point (0-4) overall severity scale: 0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; and 4 = severe.
Change From Baseline in PSSD Symptom ScoreBaseline and at Week 16Change from baseline in Psoriasis Symptoms and Signs Diary (PSSD) symptom score is defined as the percentage of participants with a PSSD score of 0 among participants with a baseline PSSD symptom score ≥ 1. The PSSD is an 11-item participant-reported instrument that assesses severity of symptoms and participant-observed signs commonly associated in plaque psoriasis. The PSSD assesses severity of 5 symptoms (itch, pain, stinging, burning, skin tightness) and 6 participant-observed signs (skin dryness, cracking, scaling, shedding or flaking, redness, bleeding) using 0-10 numerical ratings. The severity of each item is rated on an 11-point numeric rating scale ranging from 0 (absent) to 10 (worst imaginable). A symptom score will be derived by averaging the 5 questions and multiplying by 10. A sign score will be derived by averaging the 6 questions and multiplying by 10. A total PSSD score with range 0-100 will be derived from taking the average of the symptom and sign scores.
The Percentage of Participants With Ss-PGA Score of 0 or 1At week 16Scalp specific Physician's Global Assessment (ss-PGA) 0 or 1 assessed at Week 16 as a percentage of participants with a ss-PGA score 0 or 1 among participants with a baseline ss-PGA score ≥3. The ss-PGA is assessed at each visit throughout the study in participants that have evidence of scalp psoriasis at baseline. If there is evidence of scalp involvement, scalp lesions are evaluated in terms of clinical signs of redness, thickness, and scaliness and scored on the following 5-point ss-PGA scale: 0 = absence of disease, 1 = very mild disease, 2 = mild disease, 3 = moderate disease, 4 = severe disease.
The Percentage of Participants With PASI 90 ResponseAt week 16Psoriasis Area and Severity Index (PASI) 90 response is an assessment defined as the percentage of participants who experience at least a 90% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.
The Percentage of Participants With PGA-F Score of 0 or 1At week 16Physician's Global Assessment of Fingernail Psoriasis (PGA-F) score of 0 or 1 assessed at Week 16 as a percentage of participants with a PGA-F score of 0 or 1 with at least a 2-point improvement from baseline among participants with a baseline PGA-F score ≥3. If a participant shows evidence of psoriatic fingernail involvement, the assessment will be performed at each subsequent visit to assess severity and improvement over time. Only participants with a PGA-F score at baseline will be assessed throughout the study. The overall condition of the fingernails is rated on a 5-point scale: 0 = clear, 1 = minimal, 2 = mild, 3 = moderate, and 4 = severe
The Percentage of Participants With PSSD Symptom Score of 0At week 16Psoriasis Symptoms and Signs Diary (PSSD) symptom score of 0 assessed as a percentage of participants with a PSSD symptom score of 0 among participants with a baseline PSSD symptom score ≥1. The PSSD is an 11-item participant-reported instrument that assesses severity of symptoms and participant-observed signs commonly associated in plaque psoriasis. The PSSD assesses severity of 5 symptoms (itch, pain, stinging, burning, skin tightness) and 6 participant-observed signs (skin dryness, cracking, scaling, shedding or flaking, redness, bleeding) using 0-10 numerical ratings. The severity of each item is rated on an 11-point numeric rating scale ranging from 0 (absent) to 10 (worst imaginable). A symptom score will be derived by averaging the 5 questions included in the symptom score and multiplying by 10. scores range from 0-100, where 0 representing the least severe symptom and 100 the most severe.
The Percentage of Participants With PASI 75 Response at Week 52At week 52Psoriasis Area and Severity Index (PASI) 75 response is an assessment defined as the percentage of participants who experience at least a 75% improvement in PASI score at Week 52 as compared with participants that are PASI 75 responders at Week 16. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.
The Percentage of Participants With sPGA Response of 0 or 1 at Week 52At week 52static Physician Global Assessment (sPGA) 0 or 1 response assessed as a percentage of participants with a sPGA score of 0 or 1 as assessed at week 52 among participants that are sPGA 0 or 1 responders at Week 16. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.
The Percentage of Participants With DLQI Score of 0 or 1At week 16Dermatology Life Quality Index 0 or 1 assessed at Week 16 as a percentage of participants with a DLQI score of 0 or 1 among participants with a baseline DLQI score ≥2. The DLQI is a participant-reported quality of life index which consists of 10 questions concerning symptoms and feelings, daily activities, leisure, work, school, personal relationships, and treatment during the last week. Each question is scored on a scale of 0 to 3 where a higher value signifies higher severity, with 0=not at all, 1=a little, 2=a lot, or 3=very much. The scores are summed, giving a range from 0 (no impairment of life quality) to 30 (maximum impairment). Interpretation of DLQI scores is as follows: 1. 0-1 = no effect at all on participant's life 2. 2-5 = small effect on participant's life 3. 6-10 = moderate effect on participant's life 4. 11-20 = very large effect on participant's life 5. 21-30 = extremely large effect on participant's life
The Percentage of Participants With PASI 100 ResponseAt week 16Psoriasis Area and Severity Index (PASI) 100 response is an assessment defined as the percentage of participants who experience at least a 100% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Countries

China, South Korea, Taiwan

Participant flow

Participants by arm

ArmCount
Arm 1: BMS-986165
Participants received a 6 mg tablet of BMS-986165 once daily
146
Arm 2: Placebo
Participants received a placebo tablet once daily
74
Total220

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event40
Overall StudyLack of Efficacy01
Overall StudyOther reasons32
Overall StudyPregnancy10
Overall StudyWithdrawal by Subject67

Baseline characteristics

CharacteristicArm 2: PlaceboTotalArm 1: BMS-986165
Age, Continuous41.2 Years
STANDARD_DEVIATION 12.33
40.6 Years
STANDARD_DEVIATION 12.22
40.3 Years
STANDARD_DEVIATION 12.19
Race/Ethnicity, Customized
Asian - Chinese
62 Participants180 Participants118 Participants
Race/Ethnicity, Customized
Asian - Korean
12 Participants40 Participants28 Participants
Sex: Female, Male
Female
17 Participants40 Participants23 Participants
Sex: Female, Male
Male
57 Participants180 Participants123 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 740 / 1460 / 68
other
Total, other adverse events
29 / 7455 / 14619 / 68
serious
Total, serious adverse events
3 / 744 / 1460 / 68

Outcome results

Primary

The Percentage of Participants With PASI 75 Response

Psoriasis Area and Severity Index (PASI) 75 response is an assessment defined as the percentage of participants who experience at least a 75% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Time frame: At week 16

Population: All treated participants. Participants missing results at week 16 due to COVID-19 are excluded.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PASI 75 Response68.8 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PASI 75 Response8.1 Percentage of participants
p-value: <0.000195% CI: [9.6, 61.46]Cochran-Mantel-Haenszel
Primary

The Percentage of Participants With sPGA Response of 0 or 1

static Physician Global Assessment (sPGA) 0 or 1 response assessed as a percentage of participants with a sPGA score of 0 or 1 as assessed at week 16 with at least a 2-point improvement from baseline. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.

Time frame: At week 16

Population: All treated participants. Participants missing results at week 16 due to COVID-19 are excluded.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With sPGA Response of 0 or 155.6 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With sPGA Response of 0 or 16.8 Percentage of participants
p-value: <0.000195% CI: [6.33, 42.98]Cochran-Mantel-Haenszel
Secondary

Change From Baseline in PSSD Symptom Score

Change from baseline in Psoriasis Symptoms and Signs Diary (PSSD) symptom score is defined as the percentage of participants with a PSSD score of 0 among participants with a baseline PSSD symptom score ≥ 1. The PSSD is an 11-item participant-reported instrument that assesses severity of symptoms and participant-observed signs commonly associated in plaque psoriasis. The PSSD assesses severity of 5 symptoms (itch, pain, stinging, burning, skin tightness) and 6 participant-observed signs (skin dryness, cracking, scaling, shedding or flaking, redness, bleeding) using 0-10 numerical ratings. The severity of each item is rated on an 11-point numeric rating scale ranging from 0 (absent) to 10 (worst imaginable). A symptom score will be derived by averaging the 5 questions and multiplying by 10. A sign score will be derived by averaging the 6 questions and multiplying by 10. A total PSSD score with range 0-100 will be derived from taking the average of the symptom and sign scores.

Time frame: Baseline and at Week 16

Population: Participants with a baseline PSSD symptom score ≥ 1. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (MEAN)Dispersion
Arm 1: BMS-986165Change From Baseline in PSSD Symptom Score-29.4 Score on a scaleStandard Deviation 23.21
Arm 2: PlaceboChange From Baseline in PSSD Symptom Score-1.8 Score on a scaleStandard Deviation 25.32
Secondary

The Percentage of Participants With DLQI Score of 0 or 1

Dermatology Life Quality Index 0 or 1 assessed at Week 16 as a percentage of participants with a DLQI score of 0 or 1 among participants with a baseline DLQI score ≥2. The DLQI is a participant-reported quality of life index which consists of 10 questions concerning symptoms and feelings, daily activities, leisure, work, school, personal relationships, and treatment during the last week. Each question is scored on a scale of 0 to 3 where a higher value signifies higher severity, with 0=not at all, 1=a little, 2=a lot, or 3=very much. The scores are summed, giving a range from 0 (no impairment of life quality) to 30 (maximum impairment). Interpretation of DLQI scores is as follows: 1. 0-1 = no effect at all on participant's life 2. 2-5 = small effect on participant's life 3. 6-10 = moderate effect on participant's life 4. 11-20 = very large effect on participant's life 5. 21-30 = extremely large effect on participant's life

Time frame: At week 16

Population: Participants with a baseline DLQI score ≥2. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With DLQI Score of 0 or 136.4 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With DLQI Score of 0 or 111.6 Percentage of participants
p-value: <0.000195% CI: [2.19, 11.91]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With PASI 100 Response

Psoriasis Area and Severity Index (PASI) 100 response is an assessment defined as the percentage of participants who experience at least a 100% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Time frame: At week 16

Population: All treated participants. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PASI 100 Response4.2 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PASI 100 Response0 Percentage of participants
Secondary

The Percentage of Participants With PASI 75 Response at Week 52

Psoriasis Area and Severity Index (PASI) 75 response is an assessment defined as the percentage of participants who experience at least a 75% improvement in PASI score at Week 52 as compared with participants that are PASI 75 responders at Week 16. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Time frame: At week 52

Population: All treated participants. Data is represented from participants original randomization arm.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PASI 75 Response at Week 5271.0 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PASI 75 Response at Week 5270.3 Percentage of participants
Secondary

The Percentage of Participants With PASI 90 Response

Psoriasis Area and Severity Index (PASI) 90 response is an assessment defined as the percentage of participants who experience at least a 90% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Time frame: At week 16

Population: All treated participants. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PASI 90 Response38.2 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PASI 90 Response1.4 Percentage of participants
p-value: <0.000195% CI: [5.82, 291.26]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With PGA-F Score of 0 or 1

Physician's Global Assessment of Fingernail Psoriasis (PGA-F) score of 0 or 1 assessed at Week 16 as a percentage of participants with a PGA-F score of 0 or 1 with at least a 2-point improvement from baseline among participants with a baseline PGA-F score ≥3. If a participant shows evidence of psoriatic fingernail involvement, the assessment will be performed at each subsequent visit to assess severity and improvement over time. Only participants with a PGA-F score at baseline will be assessed throughout the study. The overall condition of the fingernails is rated on a 5-point scale: 0 = clear, 1 = minimal, 2 = mild, 3 = moderate, and 4 = severe

Time frame: At week 16

Population: Participants with a baseline PGA-F score ≥3. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PGA-F Score of 0 or 119.6 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PGA-F Score of 0 or 14.2 Percentage of participants
p-value: 0.094795% CI: [0.64, 53.28]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With Pp-PGA Score of 0 or 1

Palmoplantar PGA (pp-PGA) 0/1 assessed as a percentage of participants with a pp-PGA score of 0 or 1 among participants with a baseline pp-PGA score ≥3. This measure will be used for participants with palmoplantar (finger and toe surfaces) involvement at baseline. Only participants with baseline palmoplantar involvement will continue to have these assessments at each subsequent visit throughout the study. The pp-PGA uses a 5-point (0-4) overall severity scale: 0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; and 4 = severe.

Time frame: At week 16

Population: Participants with a baseline pp-PGA score ≥3. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With Pp-PGA Score of 0 or 166.7 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With Pp-PGA Score of 0 or 10 Percentage of participants
Secondary

The Percentage of Participants With PSSD Symptom Score of 0

Psoriasis Symptoms and Signs Diary (PSSD) symptom score of 0 assessed as a percentage of participants with a PSSD symptom score of 0 among participants with a baseline PSSD symptom score ≥1. The PSSD is an 11-item participant-reported instrument that assesses severity of symptoms and participant-observed signs commonly associated in plaque psoriasis. The PSSD assesses severity of 5 symptoms (itch, pain, stinging, burning, skin tightness) and 6 participant-observed signs (skin dryness, cracking, scaling, shedding or flaking, redness, bleeding) using 0-10 numerical ratings. The severity of each item is rated on an 11-point numeric rating scale ranging from 0 (absent) to 10 (worst imaginable). A symptom score will be derived by averaging the 5 questions included in the symptom score and multiplying by 10. scores range from 0-100, where 0 representing the least severe symptom and 100 the most severe.

Time frame: At week 16

Population: Participants with a baseline PSSD symptom score ≥1. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With PSSD Symptom Score of 04.9 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With PSSD Symptom Score of 01.4 Percentage of participants
p-value: 0.174195% CI: [0.47, 35.74]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With sPGA 0 Response

static Physician Global Assessment (sPGA) 0 response is defined as the percentage of participants with a sPGA score of 0 with at least 2-point improvement from baseline as assessed at Week 16. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.

Time frame: At week 16

Population: All treated participants. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With sPGA 0 Response13.9 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With sPGA 0 Response0 Percentage of participants
Secondary

The Percentage of Participants With sPGA Response of 0 or 1 at Week 52

static Physician Global Assessment (sPGA) 0 or 1 response assessed as a percentage of participants with a sPGA score of 0 or 1 as assessed at week 52 among participants that are sPGA 0 or 1 responders at Week 16. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.

Time frame: At week 52

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With sPGA Response of 0 or 1 at Week 5251.0 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With sPGA Response of 0 or 1 at Week 5252.7 Percentage of participants
Secondary

The Percentage of Participants With Ss-PGA Score of 0 or 1

Scalp specific Physician's Global Assessment (ss-PGA) 0 or 1 assessed at Week 16 as a percentage of participants with a ss-PGA score 0 or 1 among participants with a baseline ss-PGA score ≥3. The ss-PGA is assessed at each visit throughout the study in participants that have evidence of scalp psoriasis at baseline. If there is evidence of scalp involvement, scalp lesions are evaluated in terms of clinical signs of redness, thickness, and scaliness and scored on the following 5-point ss-PGA scale: 0 = absence of disease, 1 = very mild disease, 2 = mild disease, 3 = moderate disease, 4 = severe disease.

Time frame: At week 16

Population: Participants with a baseline ss-PGA score ≥3. Participants missing results at week 16 due to COVID-19 are excluded. Pre-specified data collected for Arms 1 and 2 at Week 16.

ArmMeasureValue (NUMBER)
Arm 1: BMS-986165The Percentage of Participants With Ss-PGA Score of 0 or 162.9 Percentage of participants
Arm 2: PlaceboThe Percentage of Participants With Ss-PGA Score of 0 or 19.8 Percentage of participants
p-value: <0.000195% CI: [6.06, 49.25]Cochran-Mantel-Haenszel

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026