Clinical trial • Phase III • Dermatology|Musculoskeletal
RISANKIZUMAB for Juvenile psoriatic arthritis
Phase III trial of RISANKIZUMAB for Juvenile psoriatic arthritis.
Overview
- Trial Therapeutic Area
- Dermatology|Musculoskeletal
- Trial Disease
- Juvenile psoriatic arthritis
- Trial Stage
- Phase III
- Drug Modality
- Monoclonal antibody
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 17-11-2023
- First CTIS Authorization Date
- 18-03-2024
Trial design
Randomised, open-label, humira (adalimumab) reference arm: humira 20 mg solution for injection in pre-filled syringe and humira 40 mg solution for injection in pre-filled syringe (subcutaneous use); schedule not specified in available data.-controlled Phase III trial in Germany, Italy, France and others.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Humira (adalimumab) reference arm: Humira 20 mg solution for injection in pre-filled syringe and Humira 40 mg solution for injection in pre-filled syringe (subcutaneous use); schedule not specified in available data.
- Target Sample Size
- 16
- Trial Duration For Participant
- 168
Eligibility
Recruits 16 paediatric patients.
- Vulnerable Population
- Pediatric subjects aged 5 to <18 years. Parental/guardian informed consent is required. Age-tailored assent forms are used (documents available for assent 7–11 years and assent 12–16 years, and an ICF for main age 17+). Country-specific parent/guardian ICFs and assent forms are provided (documents available in German, Italian, French, Spanish, Polish). CTTP addenda and age‑appropriate materials are included.
Inclusion criteria
- {"criterion_text":"- Subjects must have a diagnosis of jPsA according to ILAR criteria for at least 3 months prior to Screening.\n- Active disease in ≥ 3 joints at screening and at Baseline (swelling not due to deformity, or limitation of motion with pain, tenderness, or both). Swelling alone meets the criteria for an active arthritic joint. In the absence of swelling, limitation of motion with pain or tenderness or both meet the criteria for an active arthritic joint.\n- Subject must have demonstrated an inadequate response (lack of efficacy after minimum 2-month duration of therapy at maximally tolerated dose), or intolerance to previous or current treatment with at least 1 of the following csDMARDs: MTX, sulfasalazine, leflunomide, or hydroxychloroquine."}
Exclusion criteria
- {"criterion_text":"- Subjects have any other autoimmune disease, rheumatic disease (including systemic JIA, rheumatoid factor-positive or rheumatoid factor-negative polyarticular JIA, extended oligoarticular JIA, persistent oligoarticular JIA, enthesitis-related arthritis, and undifferentiated JIA), or overlap syndrome."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The primary endpoint is the achievement of JIA-ACR 30 response at Week 24.","definition_or_measurement_approach":"Achievement of JIA-ACR 30 response at Week 24 (as stated)."}
Secondary endpoints
- {"endpoint_text":"- Achievement of JIA-ACR 50/70/90 response at Week 24","definition_or_measurement_approach":"Achievement of JIA-ACR 50/70/90 response at Week 24 (as stated)."}
- {"endpoint_text":"- Percent change from Baseline in individual components of JIA-CRV at Week 24.","definition_or_measurement_approach":"Percent change from Baseline in individual components of JIA-CRV at Week 24 (as stated)."}
- {"endpoint_text":"- Change from Baseline in JADAS-10 and JADAS-27 at Week 24.","definition_or_measurement_approach":"Change from Baseline in JADAS-10 and JADAS-27 at Week 24 (as stated)."}
- {"endpoint_text":"- Achievement of MDA at Week 24 (defined as JADAS-10 of ≤6)","definition_or_measurement_approach":"MDA at Week 24 defined as JADAS-10 ≤ 6 (definition provided in endpoint)."}
- {"endpoint_text":"- Achievement of inactive disease at Week 24 (defined as JADAS-10 of ≤2.7)","definition_or_measurement_approach":"Inactive disease at Week 24 defined as JADAS-10 ≤ 2.7 (definition provided in endpoint)."}
- {"endpoint_text":"- Change from Baseline in cJADAS-10 and cJADAS-27 at Week 24.","definition_or_measurement_approach":"Change from Baseline in cJADAS-10 and cJADAS-27 at Week 24 (as stated)."}
- {"endpoint_text":"- Change from Baseline in the Pain-VAS at Week 24","definition_or_measurement_approach":"Change from Baseline in the Pain-VAS at Week 24 (as stated)."}
- {"endpoint_text":"- In subjects with PsO (at least 3% BSA at Baseline), achievement of PASI 75/90 at Week 24","definition_or_measurement_approach":"For subjects with PsO (≥3% BSA at Baseline), achievement of PASI 75/90 at Week 24 (population restriction noted in endpoint)."}
- {"endpoint_text":"- In subjects with PsO (at least 3% BSA at Baseline), achievement of the sPGA of PsO of 'clear' or 'almost clear' (0/1) at Week 24.","definition_or_measurement_approach":"For subjects with PsO (≥3% BSA at Baseline), achievement of sPGA 0/1 at Week 24 (population restriction noted)."}
- {"endpoint_text":"- In subjects with PsO (at least 3% BSA at Baseline), change from Baseline in CDLQI at Week 24.","definition_or_measurement_approach":"For subjects with PsO (≥3% BSA at Baseline), change from Baseline in CDLQI at Week 24 (population restriction noted)."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 24
- Recruitment Window Months
- 54
- Consent Approach
- Informed consent is obtained from parent(s)/legal guardian(s). Age-appropriate assent is obtained from paediatric participants with dedicated assent forms (documents listed for assent 7–11 years and assent 12–16 years). Separate ICF documents exist for parents/guardians and for participants aged 17+. Country-specific ICFs and assent forms are provided (examples available in German, Italian, French, Spanish, Polish). CTTP addenda and pregnant participant ICFs are included where applicable.
Methods
- Doctor-to-caregiver email templates (country-specific) — documents exist for Germany, Italy, France, Spain indicating recruitment via clinicians contacting caregivers.
- Doctor-to-caregiver letter templates (country-specific) — country-specific letter templates for clinician-to-caregiver recruitment.
- Patient–caregiver brochures (country-specific) — educational brochures for patients/caregivers in multiple countries (Germany, Italy, France, Poland, Spain).
- Patient flyers (country-specific) — short recruitment flyers for patients/caregivers.
- Informational study website (country-specific) — documented informational study website materials for recruitment.
- Animated ICF video/frames with script (German and Spanish documented) — use of animated video materials to inform subjects/caregivers.
- Centralized recruitment support by Qd Solutions Inc. (listed with duty 'Recruitment').
- E-PRO tools (Medable) and electronic recruitment/communication platforms (Veeva, Medable) referenced in third‑party roles.
Geography
- Total Number Of Sites
- 15
- Total Number Of Participants
- 24
Germany
- Earliest CTIS Part Ii Submission Date
- 19-02-2024
- Latest Decision Or Authorization Date
- 19-02-2026
- Processing Time Days
- 731
- Number Of Sites
- 3
- Number Of Participants
- 4
Sites
- Site Name
- Hamburger Zentrum fuer Kinder- und Jugendrheumatologie
- Principal Investigator Name
- Ivan Foeldvari
- Principal Investigator Email
- sprechstunde@kinderrheumatologie.de
- Contact Person Name
- Ivan Foeldvari
- Contact Person Email
- sprechstunde@kinderrheumatologie.de
- Site Name
- HELIOS Klinikum Berlin-Buch GmbH
- Department Name
- Klinik fuer Kinder und Jugendmedizin
- Principal Investigator Name
- Ralf Trauzeddel
- Principal Investigator Email
- ralf.trauzeddel@helios-gesundheit.de
- Contact Person Name
- Ralf Trauzeddel
- Contact Person Email
- ralf.trauzeddel@helios-gesundheit.de
- Site Name
- Asklepios Klinik Sankt Augustin GmbH
- Principal Investigator Name
- Gerd Horneff
- Principal Investigator Email
- g.horneff@asklepios.com
- Contact Person Name
- Gerd Horneff
- Contact Person Email
- g.horneff@asklepios.com
Italy
- Earliest CTIS Part Ii Submission Date
- 19-02-2024
- Latest Decision Or Authorization Date
- 19-02-2026
- Processing Time Days
- 731
- Number Of Sites
- 3
- Number Of Participants
- 4
Sites
- Site Name
- Azienda Ospedaliera Universitaria Meyer IRCCS
- Department Name
- SOSa Pediatric Rheumatology
- Principal Investigator Name
- Ilaria Pagnini
- Principal Investigator Email
- ilaria.pagnini@meyer.it
- Contact Person Name
- Ilaria Pagnini
- Contact Person Email
- ilaria.pagnini@meyer.it
- Site Name
- Bambino Gesu Childrens Hospital
- Principal Investigator Name
- Silvia Magni Manzoni
- Principal Investigator Email
- silvia.magnimanzoni@opbg.net
- Contact Person Name
- Silvia Magni Manzoni
- Contact Person Email
- silvia.magnimanzoni@opbg.net
- Site Name
- Asst Centro Specialistico Ortopedologico Traumatologico Gaetano Pini Cto
- Department Name
- Paediatric Rheumathology
- Principal Investigator Name
- Achille Marino
- Principal Investigator Email
- achille.marino@asst-pini-cto.it
- Contact Person Name
- Achille Marino
- Contact Person Email
- achille.marino@asst-pini-cto.it
France
- Earliest CTIS Part Ii Submission Date
- 02-02-2024
- Latest Decision Or Authorization Date
- 17-03-2026
- Processing Time Days
- 774
- Number Of Sites
- 2
- Number Of Participants
- 4
Sites
- Site Name
- Pellegrin Hospital
- Principal Investigator Name
- Pascal Pillet
- Principal Investigator Email
- pascal.pillet@chu-bordeaux.fr
- Contact Person Name
- Pascal Pillet
- Contact Person Email
- pascal.pillet@chu-bordeaux.fr
- Site Name
- Bicetre Hospital
- Principal Investigator Name
- Isabelle Kone Paut
- Principal Investigator Email
- isabelle.kone-paut@aphp.fr
- Contact Person Name
- Isabelle Kone Paut
- Contact Person Email
- isabelle.kone-paut@aphp.fr
Poland
- Earliest CTIS Part Ii Submission Date
- 23-02-2024
- Latest Decision Or Authorization Date
- 22-02-2026
- Processing Time Days
- 730
- Number Of Sites
- 5
- Number Of Participants
- 6
Sites
- Site Name
- Malopolskie Badania Kliniczne Sp. z o.o. S.K.
- Principal Investigator Name
- Zbignew Zuber
- Principal Investigator Email
- biuro@mbk.clinic
- Contact Person Name
- Zbignew Zuber
- Contact Person Email
- biuro@mbk.clinic
- Site Name
- Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher
- Department Name
- Centrum Wsparcia Badan Klinicznych
- Principal Investigator Name
- Piotr Gietka
- Principal Investigator Email
- piotr.gietka@spartanska.pl
- Contact Person Name
- Piotr Gietka
- Contact Person Email
- piotr.gietka@spartanska.pl
- Site Name
- Uniwersytecki Szpital Dzieciecy W Lublinie
- Principal Investigator Name
- Violetta Opoka-Winiarska
- Principal Investigator Email
- violetta.opoka-winiarska@uszd.lublin.pl
- Contact Person Name
- Violetta Opoka-Winiarska
- Contact Person Email
- violetta.opoka-winiarska@uszd.lublin.pl
- Site Name
- Centrum Zdrowia Dziecka I Rodziny Im. Jana Pawla II W Sosnowcu Sp. z o.o.
- Department Name
- Osrodek Badan Klinicznych
- Principal Investigator Name
- Anna Gruenpeter
- Principal Investigator Email
- anna.gruenpeter@gmail.com
- Contact Person Name
- Anna Gruenpeter
- Contact Person Email
- anna.gruenpeter@gmail.com
- Site Name
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Centralny Szpital Kliniczny Uniwersytetu Medycznego W Lodzi
- Principal Investigator Name
- Elzbieta Smolewska
- Principal Investigator Email
- e.smolewska@wp.pl
- Contact Person Name
- Elzbieta Smolewska
- Contact Person Email
- e.smolewska@wp.pl
Spain
- Earliest CTIS Part Ii Submission Date
- 16-02-2024
- Latest Decision Or Authorization Date
- 20-02-2026
- Processing Time Days
- 735
- Number Of Sites
- 2
- Number Of Participants
- 6
Sites
- Site Name
- Hospital Universitario Y Politecnico La Fe
- Department Name
- Servicio Reumatologia Pediatrica
- Principal Investigator Name
- Lucia Lacruz Perez
- Principal Investigator Email
- lacruz_lucper@gva.es
- Contact Person Name
- Lucia Lacruz Perez
- Contact Person Email
- lacruz_lucper@gva.es
- Site Name
- Sant Joan De Deu Barcelona Hospital
- Department Name
- Unitat de Recerca Clínica
- Principal Investigator Name
- Jordi Anton Lopez
- Principal Investigator Email
- jordi.anton@sjd.es
- Contact Person Name
- Jordi Anton Lopez
- Contact Person Email
- jordi.anton@sjd.es
Sponsor
Primary sponsor
- Full Name
- AbbVie Deutschland GmbH & Co. KG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Germany
Contract research organisations
- Name
- Iqvia Biotech Limited
- Responsibilities
- sponsorDuties code 3 (clinical trial services/CTMS); contact eu_clinical_trials_information@iqvia.com
- Name
- Qd Solutions Inc.
- Responsibilities
- Recruitment
- Name
- WCG Clinical Inc.
- Responsibilities
- Adjudication
- Name
- Labcorp Central Laboratory Services LP / S.a.r.l.
- Responsibilities
- Central laboratory services; contacts provided
Third parties
- {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"sponsorDuties code 4 (contact and laboratory services); email rachael.lydon@labcorp.com","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"sponsorDuties code 4 (laboratory services); email ctasubmissions@labcorp.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Qd Solutions Inc.","duties_or_roles":"Recruitment","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"sponsorDuties codes 6 and 7 (data/platform support)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medable Inc.","duties_or_roles":"E-PRO and platform services (E-PRO); sponsorDuties code 7","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"Iqvia Biotech Limited","duties_or_roles":"sponsorDuties code 3 (clinical trial services/CTMS); email eu_clinical_trials_information@iqvia.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Adjudication","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Risankizumab
- Active Substance
- RISANKIZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Not authorised / Investigational (prodAuthStatus 1)
- Investigational Product Name
- ABBV-066
- Active Substance
- RISANKIZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Investigational / sponsor product (prodAuthStatus 1)
- Starting Dose
- 150 mg
- Dose Levels
- max daily 150 mg; max total 1800 mg
- Maximum Dose
- 150 mg (maxDailyDoseAmount)
- Investigational Product Name
- Humira 20 mg solution for injection in pre-filled syringe
- Active Substance
- ADALIMUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Authorised (marketing authorisation present)
- Starting Dose
- 20 mg
- Dose Levels
- max daily 20 mg; max total 2480 mg
- Maximum Dose
- 20 mg (maxDailyDoseAmount)
- Investigational Product Name
- Humira 40 mg solution for injection in pre-filled syringe
- Active Substance
- ADALIMUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Authorised (marketing authorisation present)
- Starting Dose
- 40 mg
- Dose Levels
- max daily 40 mg; max total 4960 mg
- Maximum Dose
- 40 mg (maxDailyDoseAmount)
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