A Study to Evaluate the Efficacy and Safety of Bimekizumab Compared to Ustekinumab in Children and Adolescents From 6 Years to Less Than 18 Years of Age With Moderate to Severe Plaque Psoriasis
bimekizumab: Study participants receive bimekizumab (BKZ) administered as subcutaneous injection at pre-specified timepoints and dosage regimen during the study.
ustekinumab: Study participants receive ustekinumab (USTE) administered as subcutaneous injection at pre-specified timepoints during the study.
placebo: Study participants receive placebo at pre-specified timepoints during the study to maintain the blinding.
Study summary
The primary purpose of this study is to evaluate the efficacy of bimekizumab administered subcutaneously (sc) compared to active control (ustekinumab) in children and adolescents aged 6 to \<18 years of age with moderate to severe plaque psoriasis (PSO).
Eligibility
Sex
ALL
Min age
6 Years
Max age
17 Years
Healthy volunteers
No
Inclusion Criteria:
* Study participant must be 6 to \<18 years of age, inclusive, at the time of signing the informed consent/assent according to local regulation
* Study participant has had a diagnosis of moderate to severe plaque psoriasis (PSO) for at least 3 months prior to the Screening Visit
* Study participant meets the following at both the Screening and Baseline Visits:
1. Body surface area (BSA) affected by PSO ≥10%
2. . Investigator's Global Assessment (IGA) score ≥3 (on a scale from 0 to 4)
3. . Psoriasis Area and Severity Index (PASI) score ≥12 OR
PASI score ≥10 plus at least 1 of the following:
i) Clinically relevant facial involvement ii) Clinically relevant genital involvement iii) Clinically relevant hand and foot involvement
* Study participant is a candidate for systemic PSO therapy and/or photo/chemotherapy and for treatment with ustekinumab per labeling
* Study participant has body weight ≥15 kg and body mass index for age percentile of ≥5 at Screening
Exclusion Criteria:
* Primary failure (no response within 12 weeks) to 1 or more interleukin-17 (IL-17) biologic response modifiers (eg, brodalumab, ixekizumab, secukinumab) OR more than 1 biologic response modifier other than an IL-17
* Study participant has a presence of guttate, inverse, pustular, or erythrodermic PSO or other dermatological condition that may impact the clinical assessment of PSO
* Study participant has a history of inflammatory bowel disease (IBD) or symptoms suggestive of IBD
* History of active tuberculosis unless successfully treated, latent TB unless prophylactically treated
* Study participant has an active infection or history of infections (such as serious infection, chronic infections, opportunistic infections, unusually severe infections)
* Study participant has previously received bimekizumab
* Study participant has previously received ustekinumab
* Study participant has received drugs outside the specified timeframes relative to the Baseline Visit or receives prohibited concomitant treatments
* Study participant has the presence of active suicidal ideation, or positive suicide behavior
* Study participant diagnosed with severe depression in the past 6 months (prior to Screening) should be excluded
* Study participant has a history of psychiatric inpatient hospitalization within the past year before enrolling into the study
Primary outcome measure(s)
Psoriasis Area Severity Index 90 (PASI90) response at Week 16 — Week 16 The PASI90 response assessments are based on at least 90% improvement in the PASI score from Baseline. This is a scoring system that averages the redness, thickness, and scaliness of the psoriatic lesions (on a 0-4 scale), and weights the resulting score by the area of skin involved. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Investigator´s Global Assessment (IGA) 0/1 response at Week 16 — Week 16 The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild, just detectable to mild thickening; pink to light red coloration; predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red; moderate scaling and 4= severe, severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions.
IGA response (Clear or Almost Clear) is defined as clear \[0\] or almost clear \[1\] with at least a two-category improvement from Baseline.
Trial sites (42)
Facility
City
Region
Status
Ps0021 50162
Fountain Valley
California
Ps0021 50161
Los Angeles
California
Ps0021 50196
Northridge
California
Ps0021 50344
Indianapolis
Indiana
Ps0021 50084
Charleston
South Carolina
Ps0021 50201
Arlington
Texas
Ps0021 50355
Dallas
Texas
Ps0021 40121
Brussels
Belgium
Ps0021 50618
Mississauga
Canada
Ps0021 50357
St. John's
Canada
Ps0021 40748
Plzen-bory
Czechia
Ps0021 40740
Bad Bentheim
Germany
Ps0021 40515
Berlin
Germany
Ps0021 40138
Bonn
Germany
Ps0021 40356
Dresden
Germany
Ps0021 40023
Erlangen
Germany
Ps0021 40645
Frankfurt am Main
Germany
Ps0021 40758
Hamburg
Germany
Ps0021 40249
Kiel
Germany
Ps0021 40747
Mainz
Germany
Ps0021 40177
Münster
Germany
Ps0021 40746
Debrecen
Hungary
Ps0021 40744
Kaposvár
Hungary
Ps0021 40745
Szeged
Hungary
Ps0021 40440
Ancona, Località Torrette
Italy
Ps0021 40749
Catania
Italy
Ps0021 40085
Pisa
Italy
Ps0021 40567
Roma
Italy
Ps0021 20071
Nagasaki
Japan
Ps0021 20033
Nagoya
Japan
Ps0021 20337
Shimotsuga-gun
Japan
Ps0021 40741
Bialystok
Poland
Ps0021 40625
Lodz
Poland
Ps0021 40832
Lodz
Poland
Ps0021 40091
Nowa Sól
Poland
Ps0021 40737
Rzeszów
Poland
Ps0021 40743
Szczecin
Poland
Ps0021 40334
Wroclaw
Poland
Ps0021 40738
Wroclaw
Poland
Ps0021 40750
Alicante
Spain
+ 2 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time on our Cookie Policy page. See also our Privacy Policy.