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    Clinical Trial Results:
    A 64-Week, Phase 3, Randomized, Placebo-Controlled, Parallel Design Study to Evaluate the Efficacy and Safety/Tolerability of Subcutaneous Tildrakizumab (SCH 900222/MK-3222), Followed by an Optional Long-Term Safety Extension Study, in Subjects With Moderate-to-Severe Chronic Plaque Psoriasis (Protocol No. MK-3222-010)

    Summary
    EudraCT number
    2012-002255-42
    Trial protocol
    GB  
    Global end of trial date
    10 Nov 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Oct 2023
    First version publication date
    15 Oct 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    MK-3222-010
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01722331
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Sun Pharmaceutical Industries Limited
    Sponsor organisation address
    Sun House, 201 B/1, Western Express Highway, Goregaon (E), Mumbai, India, 400063
    Public contact
    Head-Clinical Development, Sun Pharmaceutical Industries Limited, +91 2266455645 ext. 5689, Clinical.Trial@sunpharma.com
    Scientific contact
    Head-Clinical Development, Sun Pharmaceutical Industries Limited, +91 2266455645 ext. 5689, Clinical.Trial@sunpharma.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Oct 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    28 Oct 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Nov 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Primary Efficacy Objective: To assess the efficacy of tildrakizumab (SCH-900222/MK-3222) (hereafter referred to as MK-3222) compared to placebo in the treatment of moderate-to-severe chronic plaque psoriasis as measured by the proportion of subjects with at least 75% improvement in the Psoriasis Area and Severity Index from baseline (PASI 75 response), and the proportion of subjects with a Physician’s Global Assessment (PGA) score of “clear” or “minimal”, with at least a 2 grade reduction from baseline, at Week 12. Primary Safety/Tolerability Objective: To assess the safety/tolerability of tildrakizumab (MK-3222) in subjects with moderate-to-severe chronic plaque psoriasis at Week 12. Extension Study: To assess long-term safety and tolerability of tildrakizumab (MK-3222) in subjects with moderate-to-severe chronic plaque psoriasis for a minimum of 4 years.
    Protection of trial subjects
    The following provisions are within the study protocol to ensure adequate protection of subjects: 1. Each subject will be monitored for the occurence of SAEs immediately after signing informed consent and will be followed up for adverse events (AEs, SAEs, ECIs) for upto 20 weeks after the last visit in the treatment period (base or extension) 2. Subject’s right to withdraw his/her consent at any time during the trial with or without a stated reason 3. It is the right and the duty of the investigator or subinvestigator to stop treatment in any case in which emerging effects are of unacceptable risk to the individual subject 4. All subjects were screened for presence of latent or untreated TB infections, HIV, hepatitis B surface antigen, hepatitis C virus, chronic disease, organ dysfunction, use of prohibited medications and presence of any other such conditions to ensure to minimize the potential risk to study subjects prior to enrollment -Every subject will be monitored for the occurrence of SAEs immediately after the subject has signed informed consent form 5. The study has constituted a DSMB for monitoring the safety of the trial subjects during the study
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    10 Dec 2012
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    4 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 88
    Country: Number of subjects enrolled
    Canada: 192
    Country: Number of subjects enrolled
    United Kingdom: 8
    Country: Number of subjects enrolled
    Japan: 158
    Country: Number of subjects enrolled
    United States: 326
    Worldwide total number of subjects
    772
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    697
    From 65 to 84 years
    75
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 977 subjects were screened for the study, of which 205 were not randomized.

    Period 1
    Period 1 title
    Base study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Placebo
    Arm description
    Placebo administered SC once a week at Weeks 0 and 4
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Matching placebo to tildrakizumab administered SC

    Arm title
    Tildrakizumab 100
    Arm description
    Tildrakizumab 100 mg administered SC once a week at Weeks 0 and 4 and then every 12 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    Tildrakizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Tildrakizumab 100 mg administered SC

    Arm title
    Tildrakizumab 200
    Arm description
    Tildrakizumab 200 mg administered subcutaneously (SC) once a week at Weeks 0 and 4 and then every 12 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Tildrakizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Tildrakizumab 200 mg administered SC

    Number of subjects in period 1
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Started
    155
    309
    308
    Completed
    124
    250
    264
    Not completed
    31
    59
    44
         Adverse event, serious fatal
    -
    -
    1
         Physician decision
    2
    6
    1
         Consent withdrawn by subject
    10
    14
    11
         Non-Compliance with Study Drug
    -
    2
    1
         Adverse event, non-fatal
    1
    3
    10
         Progressive Disease
    1
    1
    -
         Pregnancy
    1
    -
    1
         Protocol Violation
    1
    1
    4
         Other Protocol Specified Criteria
    3
    11
    7
         Lost to follow-up
    4
    9
    4
         Lack of efficacy
    8
    12
    4

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Placebo administered SC once a week at Weeks 0 and 4

    Reporting group title
    Tildrakizumab 100
    Reporting group description
    Tildrakizumab 100 mg administered SC once a week at Weeks 0 and 4 and then every 12 weeks

    Reporting group title
    Tildrakizumab 200
    Reporting group description
    Tildrakizumab 200 mg administered subcutaneously (SC) once a week at Weeks 0 and 4 and then every 12 weeks.

    Reporting group values
    Placebo Tildrakizumab 100 Tildrakizumab 200 Total
    Number of subjects
    155 309 308
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        median (full range (min-max))
    47.5 (19 to 76) 46.0 (18 to 82) 48.0 (18 to 76) -
    Gender categorical
    Units: Subjects
        Female
    55 102 82 239
        Male
    100 207 226 533

    End points

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    End points reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Placebo administered SC once a week at Weeks 0 and 4

    Reporting group title
    Tildrakizumab 100
    Reporting group description
    Tildrakizumab 100 mg administered SC once a week at Weeks 0 and 4 and then every 12 weeks

    Reporting group title
    Tildrakizumab 200
    Reporting group description
    Tildrakizumab 200 mg administered subcutaneously (SC) once a week at Weeks 0 and 4 and then every 12 weeks.

    Primary: Percentage of Participants With Psoriasis Area Sensitivity Index 75 (PASI-75) Response at Week 12

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    End point title
    Percentage of Participants With Psoriasis Area Sensitivity Index 75 (PASI-75) Response at Week 12
    End point description
    End point type
    Primary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    154
    309
    308
    Units: Percentage of Participant
        number (not applicable)
    5.8
    63.8
    62.3
    Statistical analysis title
    CMH analysis of PASI75 Response at Week 12
    Comparison groups
    Tildrakizumab 100 v Placebo
    Number of subjects included in analysis
    463
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Cochran-Mantel-Haenszel
    Confidence interval
    Statistical analysis title
    CMH analysis of PASI75 Response at Week 12
    Comparison groups
    Tildrakizumab 200 v Placebo
    Number of subjects included in analysis
    462
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Cochran-Mantel-Haenszel
    Confidence interval

    Secondary: Percentage of Participants With a Physician's Global Assessment (PGA) Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 12

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    End point title
    Percentage of Participants With a Physician's Global Assessment (PGA) Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 12
    End point description
    End point type
    Secondary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    154
    309
    308
    Units: Percentage of Participant
        number (not applicable)
    7.1
    57.9
    59.1
    No statistical analyses for this end point

    Secondary: Percentage of Participants With PASI-90 Response At Week 12

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    End point title
    Percentage of Participants With PASI-90 Response At Week 12
    End point description
    End point type
    Secondary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    154
    309
    308
    Units: Percentage of Participants
        number (not applicable)
    2.6
    34.6
    35.4
    No statistical analyses for this end point

    Secondary: Percentage of Participants with PASI-100 Response at Week 12

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    End point title
    Percentage of Participants with PASI-100 Response at Week 12
    End point description
    End point type
    Secondary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    154
    309
    308
    Units: Percentage of Participants With PASI-100
        number (not applicable)
    1.3
    13.9
    14.0
    No statistical analyses for this end point

    Secondary: Change From Baseline in the Participant DLQI Score at Week 12

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    End point title
    Change From Baseline in the Participant DLQI Score at Week 12
    End point description
    End point type
    Secondary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    154
    309
    308
    Units: Score on a scale
        least squares mean (confidence interval 95%)
    -2.3 (-3.1 to -1.5)
    -9.8 (-10.4 to -9.1)
    -10.0 (-10.7 to -9.4)
    No statistical analyses for this end point

    Secondary: Percentage of Participants with DLQI Score of 0 or 1 at Week 12

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    End point title
    Percentage of Participants with DLQI Score of 0 or 1 at Week 12
    End point description
    End point type
    Secondary
    End point timeframe
    Week 12
    End point values
    Placebo Tildrakizumab 100 Tildrakizumab 200
    Number of subjects analysed
    150
    304
    299
    Units: Percentage of Participants
        number (not applicable)
    5.3
    41.5
    44.2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 84 weeks including a 20-week follow-up period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    Tildrakizumab 200 mg (Part 1)
    Reporting group description
    Tildrakizumab 200 mg administered once a week at Weeks 0 and 4.

    Reporting group title
    Tildrakizumab 200 mg (Part 2)
    Reporting group description
    Tildrakizumab 200 mg administered once a week at Week 16 (includes placebo participants re-randomized at Week 12 to receive tildrakizumab 200 mg)

    Reporting group title
    Tildrakizumab 100 mg (Part 2)
    Reporting group description
    Tildrakizumab 100 mg administered once a week at Week 16 (includes placebo participants re-randomized at Week 12 to receive Tildrakizumab 100 mg). Includes 1 participant who did not enter Part 2, but received an unscheduled dose at Week 12.

    Reporting group title
    Tildrakizumab 200 mg (Part 3)
    Reporting group description
    -

    Reporting group title
    Tildrakizumab 100 mg (Part 3)
    Reporting group description
    -

    Reporting group title
    Placebo (Part 1)
    Reporting group description
    Placebo administered once a week at Weeks 0 and 4.

    Reporting group title
    Tildrakizumab 100 mg (Part 1)
    Reporting group description
    Tildrakizumab 100 mg administered once a week at Weeks 0 and 4.

    Serious adverse events
    Tildrakizumab 200 mg (Part 1) Tildrakizumab 200 mg (Part 2) Tildrakizumab 100 mg (Part 2) Tildrakizumab 200 mg (Part 3) Tildrakizumab 100 mg (Part 3) Placebo (Part 1) Tildrakizumab 100 mg (Part 1)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    8 / 308 (2.60%)
    8 / 370 (2.16%)
    7 / 374 (1.87%)
    21 / 360 (5.83%)
    14 / 316 (4.43%)
    1 / 154 (0.65%)
    5 / 309 (1.62%)
         number of deaths (all causes)
    0
    0
    0
    0
    1
    0
    0
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Benign biliary neoplasm
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Basal cell carcinoma
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    1 / 374 (0.27%)
    0 / 360 (0.00%)
    2 / 316 (0.63%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bowen's disease
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Carcinoma in situ of skin
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatic carcinoma
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma of skin
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    2 / 360 (0.56%)
    2 / 316 (0.63%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Aneurysm
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    1 / 308 (0.32%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    2 / 360 (0.56%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Anaphylactic reaction
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Uterine haemorrhage
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    1 / 309 (0.32%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sleep apnoea syndrome
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Suicide attempt
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Lower limb fracture
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    1 / 309 (0.32%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    1 / 308 (0.32%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tachycardia
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebellar infarction
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lacunar infarction
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Presyncope
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    1 / 154 (0.65%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sciatica
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia neonatal
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Macular fibrosis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulum
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Food poisoning
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis acute
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Salivary gland enlargement
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Psoriasis
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    1 / 309 (0.32%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    1 / 309 (0.32%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Rotator cuff syndrome
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Epiglottitis
         subjects affected / exposed
    1 / 308 (0.32%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    2 / 360 (0.56%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    1 / 309 (0.32%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bone tuberculosis
         subjects affected / exposed
    0 / 308 (0.00%)
    1 / 370 (0.27%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    1 / 374 (0.27%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis salmonella
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    1 / 360 (0.28%)
    0 / 316 (0.00%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sinusitis
         subjects affected / exposed
    0 / 308 (0.00%)
    0 / 370 (0.00%)
    0 / 374 (0.00%)
    0 / 360 (0.00%)
    1 / 316 (0.32%)
    0 / 154 (0.00%)
    0 / 309 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Tildrakizumab 200 mg (Part 1) Tildrakizumab 200 mg (Part 2) Tildrakizumab 100 mg (Part 2) Tildrakizumab 200 mg (Part 3) Tildrakizumab 100 mg (Part 3) Placebo (Part 1) Tildrakizumab 100 mg (Part 1)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    35 / 308 (11.36%)
    38 / 370 (10.27%)
    42 / 374 (11.23%)
    86 / 360 (23.89%)
    78 / 316 (24.68%)
    23 / 154 (14.94%)
    36 / 309 (11.65%)
    Skin and subcutaneous tissue disorders
    Psoriasis
         subjects affected / exposed
    0 / 308 (0.00%)
    3 / 370 (0.81%)
    2 / 374 (0.53%)
    9 / 360 (2.50%)
    9 / 316 (2.85%)
    8 / 154 (5.19%)
    2 / 309 (0.65%)
         occurrences all number
    0
    4
    2
    9
    9
    8
    2
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    20 / 308 (6.49%)
    17 / 370 (4.59%)
    24 / 374 (6.42%)
    44 / 360 (12.22%)
    48 / 316 (15.19%)
    8 / 154 (5.19%)
    24 / 309 (7.77%)
         occurrences all number
    20
    18
    24
    55
    66
    8
    26
    Upper respiratory tract infection
         subjects affected / exposed
    15 / 308 (4.87%)
    20 / 370 (5.41%)
    16 / 374 (4.28%)
    37 / 360 (10.28%)
    26 / 316 (8.23%)
    9 / 154 (5.84%)
    10 / 309 (3.24%)
         occurrences all number
    15
    21
    17
    43
    32
    10
    10

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    12 Sep 2012
    Tier 2 endpoints revised, PK, ADA timepoints revised
    14 Jan 2014
    New objectives were added
    08 Jan 2018
    Other secondary objectives and endpoints were added

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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