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Trial ยท NCT03818035

A Study to Evaluate Further Therapeutic Strategies With Guselkumab in Participants With Moderate-to-Severe Plaque-Type Psoriasis

NCT03818035, Phase 3, Completed, Janssen-Cilag International NV; results first posted 2023-05-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate Further Therapeutic Strategies With Guselkumab in Participants With Moderate-to-Severe Plaque-Type Psoriasis. Trials, record NCT03818035. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03818035

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate Further Therapeutic Strategies With Guselkumab in Participants With Moderate-to-Severe Plaque-Type Psoriasis
NCT number
NCT03818035
Status
Completed
Phases
Phase 3
Enrollment
880 participants, actual
Lead sponsor
Janssen-Cilag International NV
Conditions
Psoriasis
Interventions
Guselkumab, Placebo Injection
First posted
2019-01-28
Last updated
2026-01-23
Other registries' IDs
eudract:2018-001238-16
Results first posted
2023-05-10
Limitations and caveats
There was an interruption of enrollment due to Corona Pandemic.

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryGroup 2a and Group 2b: Percentage of Participants Who Achieved an Absolute Psoriasis Area and Severity Index (PASI) Score Less Than (<) 3 at Week 68Week 68
Percentage of participants who achieved an absolute PASI \<3 at Week 68 were reported. The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the body surface area involved, which translates to a numeric score that ranged from 0 (indicated no involvement) to 6 (90 percent \[%\]-100% involvement), and for erythema, induration and scaling, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated greater severity of psoriasis.
SecondaryGroups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScoreGroup 1: Week 0 up to Week 28; Group 2c: Week 28 up to Week 68
Time to improvement from baseline in PASI 75/90/100 response for participants with short disease duration (SDD) and longer disease duration (LDD) was reported. PASI was used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translates to numeric score that ranged from 0 (no involvement) to 6 (90-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced numeric score ranging from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease. PASI responders were participants with \>=75%, \>=90%, 100% improvement in PASI respectively. For Part 2, data is reported only for those groups in which participants had PASI improvement post Week 28.
Secondary
Groups 1, 2a, 2b, 2c, 3a and 3b: Percentage of Participants With Short (<=2 Years) and Longer (>2 Years) Disease Duration Who Achieved an Absolute PASI Score of 0, <=1 and <3 at Weeks 20, 28, 68, 116, 164 and 220
Group 1: Weeks 20 and 28; Groups 2a, 2b, 2c: Week 68; Groups 3a and 3b: Weeks 116, 164 and 220
Percentage of participants with short (\<=2 years) and longer (\>2 years) disease duration who achieved an absolute PASI Score of 0, \<=1 and less than (\<) 3 was reported. PASI was a system used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translated to numeric score that ranged from 0 (indicated no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease.
SecondaryGroup 3a and Group 3b: Percentage of Participants With Short (<=2 Years) and Longer (>2 Years) Disease Duration Who Retain Disease Control (Absolute PASI Score < 3)From Week 68 up to Week 220
Percentage of participants who retain disease control (that is, absolute PASI score \<3 from Week 68 through Week 220 for participants with short (\<= 2 years) and longer (\>2 years) disease duration was reported. Control of disease was defined as participants with a PASI score \<3. PASI was a system used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translated to numeric score that ranged from 0 (indicated no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease
SecondaryGroups 1, 2a, 2b, 2c, 3a and 3b: Percentage of Participants Who Achieved a PASI 75/90/100 Response at Weeks 20, 28, 68, 116, 164, and 220Group 1: Weeks 20, 28; Groups 2a, 2b, 2c: Week 68; Groups 3a, 3b: Weeks 116, 164 and 220
Percentage of participants who achieved PASI 75/90/100 response were reported. PASI was a system used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translated to numeric score that ranged from 0 (indicated no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease. PASI 75 responders were defined as participants with \>= 75% improvement in PASI from baseline. PASI 90 responders were defined as participants with \>= 90% improvement in PASI from baseline. PASI 100 responders were defined as participants with 100% improvement in PASI from baseline.
SecondaryGroup 3a and Group 3b: Time to Loss of Disease Control (Absolute PASI Score >5) After Treatment WithdrawalFrom Week 68 up to Week 220
Time to loss of disease control (absolute PASI score \>5) after treatment withdrawal beyond Week 68 up to Week 220 were reported. PASI was a system used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translated to numeric score that ranged from 0 (indicated no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease.
SecondaryGroup 1: Percentage of Participants With an Absolute PASI Score = 0 at Weeks 12, 16, 20 and 28Weeks 12, 16, 20 and 28
Percentage of participants with an absolute PASI score = 0 at Weeks 12, 16, 20 and 28 were reported. PASI was a system used for assessing and grading severity of psoriatic lesions and their response to therapy. In PASI, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translated to numeric score that ranged from 0 (indicated no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. PASI produced a numeric score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated more severe disease.
SecondaryGroups 1, 2a, 2b, 2c, 3a, 3b and 3c: Change From Baseline (Week 0) in Dermatology Life Quality Index (DLQI) Score
Group 1: Baseline (Week 0), Week 28; Group 2a, 2b, 2c: Baseline (Week 0), Week 68; Group 3a and Group 3b:Baseline (Week 0), Week 116, 164 and 220; Group 3c: Baseline (Re-Treatment [R] Week 0), Week R24
Change from baseline (Week 0) in DLQI score were reported. DLQI was a 10-item instrument questionnaire designed to assess the impact of the disease on a participant's quality of life. Each question was evaluated on a 4-point scale ranged from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions added up to give DLQI total score ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of participants.
SecondaryGroups 1, 2a, 2b, 2c, 3a, 3b and 3c: Percentage of Participants Who Achieved a DLQI Score 0/1 and <5Group 1: Week 28; Groups 2a, 2b, 2c: Week 68; Groups 3a and 3b: Week 116, 164 and 220; Group 3c: Week R24
Percentage of participants who achieved a DLQI score 0/1 and \<5 was reported. DLQI was a 10-item instrument questionnaire designed to assess the impact of the disease on a participant's quality of life. Each question was evaluated on a 4-point scale ranged from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions added up to give DLQI total score ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of participants.
SecondaryGroups 1, 2a, 2b, 2c, 3a, and 3b: Percent Change From Baseline (Week 0) in Psoriasis- Affected Body Surface Area (BSA)Group 1: Baseline (Week 0), Week 12, 28; Group 2a, 2b, 2c: Baseline (Week 0), Week 52 and 68, Group 3a, 3b: Baseline (Week 0), Week 80, 104, 116, 140, 164, 188, 212 and 220
Percent change from baseline in the psoriasis affected BSA (%) was reported. The percentage of the psoriasis-affected BSA percentage is a system used for assessing the severity of psoriasis. The plaque coverage is estimated using the rule of palm (1 palm of the hand = 1% BSA)

Outcomes17

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYGroup 2a and Group 2b: Percentage of Participants Who Achieved an Absolute Psoriasis Area and Severity Index (PASI) Score Less Than (<) 3 at Week 68Week 68For part 2, ITT analysis set included all randomized participants at week 28 or treated with at least one dose of study agent within study part 2 (study group 2c).Percentage of participantsNUMBER
SECONDARYGroups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScoreGroup 1: Week 0 up to Week 28; Group 2c: Week 28 up to Week 68
ITT analysis set for part 1 included all participants treated with at least one dose of study agent. For part 2, ITT analysis set included all randomized participants at week 28 or treated with at least one dose of study agent within study part 2 (study group 2c).
DaysMEDIAN
SECONDARY
Groups 1, 2a, 2b, 2c, 3a and 3b: Percentage of Participants With Short (<=2 Years) and Longer (>2 Years) Disease Duration Who Achieved an Absolute PASI Score of 0, <=1 and <3 at Weeks 20, 28, 68, 116, 164 and 220
Group 1: Weeks 20 and 28; Groups 2a, 2b, 2c: Week 68; Groups 3a and 3b: Weeks 116, 164 and 220
ITT analysis set for part 1 included all participants treated with at least one dose of study agent. For part 2, ITT analysis set was used. Part 3, ITT set=all participants entering Part 3. N (overall number of participants analyzed)= number of participants evaluable for this outcome measure and 'n' (number analyzed)=number of participants analyzed at specified timepoints. n=0 signifies that timepoint was not applicable for that arm.
Percentage of participantsNUMBER
SECONDARYGroup 3a and Group 3b: Percentage of Participants With Short (<=2 Years) and Longer (>2 Years) Disease Duration Who Retain Disease Control (Absolute PASI Score < 3)From Week 68 up to Week 220For part 3, ITT analysis set included all participants entering study part 3 (either group 3a or 3b).Percentage of participantsNUMBER
SECONDARYGroups 1, 2a, 2b, 2c, 3a and 3b: Percentage of Participants Who Achieved a PASI 75/90/100 Response at Weeks 20, 28, 68, 116, 164, and 220Group 1: Weeks 20, 28; Groups 2a, 2b, 2c: Week 68; Groups 3a, 3b: Weeks 116, 164 and 220
For part 1 and 2, ITT analysis set was used. For part 3, ITT analysis set included all participants entering study part 3. n=0 signifies that specific timepoint was not applicable for that arm. Here 'n' (number analyzed) signifies number of participants analyzed at specified timepoints
Percentage of participantsNUMBER
SECONDARYGroup 3a and Group 3b: Time to Loss of Disease Control (Absolute PASI Score >5) After Treatment WithdrawalFrom Week 68 up to Week 220For part 3, ITT analysis set included all participants entering study part 3 (either group 3a or 3b).DaysMEDIAN
SECONDARYGroup 1: Percentage of Participants With an Absolute PASI Score = 0 at Weeks 12, 16, 20 and 28Weeks 12, 16, 20 and 28ITT analysis set for part 1 included all participants treated with at least one dose of study agent.Percentage of participantsNUMBER
SECONDARYGroups 1, 2a, 2b, 2c, 3a, 3b and 3c: Change From Baseline (Week 0) in Dermatology Life Quality Index (DLQI) Score
Group 1: Baseline (Week 0), Week 28; Group 2a, 2b, 2c: Baseline (Week 0), Week 68; Group 3a and Group 3b:Baseline (Week 0), Week 116, 164 and 220; Group 3c: Baseline (Re-Treatment [R] Week 0), Week R24
For part 1 and 2 ITT analysis set was used. For part 3, ITT analysis set included all participants entering study part 3. Here 'n' (number analyzed) signifies number of participants analyzed at specified timepoints. n=0, signifies that specified timepoint was not applicable for that arm.
Score on scaleMEAN
SECONDARYGroups 1, 2a, 2b, 2c, 3a, 3b and 3c: Percentage of Participants Who Achieved a DLQI Score 0/1 and <5Group 1: Week 28; Groups 2a, 2b, 2c: Week 68; Groups 3a and 3b: Week 116, 164 and 220; Group 3c: Week R24
For part 1, 2 and 3 ITT analysis set was used. Here 'n' (number analyzed) signifies number of participants analyzed at specified timepoints. n=0 signifies that timepoint was not applicable for that arm.
Percentage of participantsNUMBER
SECONDARYGroups 1, 2a, 2b, 2c, 3a, and 3b: Percent Change From Baseline (Week 0) in Psoriasis- Affected Body Surface Area (BSA)Group 1: Baseline (Week 0), Week 12, 28; Group 2a, 2b, 2c: Baseline (Week 0), Week 52 and 68, Group 3a, 3b: Baseline (Week 0), Week 80, 104, 116, 140, 164, 188, 212 and 220
For part 1, 2 and 3 ITT analysis set was used. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here 'n' (number analyzed) signifies number of participants analyzed at specified timepoints. n=0, signifies that specified timepoint was not applicable for that arm..
Percent ChangeMEAN

Results by group254

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Group 2a and Group 2b: Percentage of Participants Who Achieved an Absolute Psoriasis Area and Severity Index (PASI) Score Less Than (<) 3 at Week 68Part 2 Group 2a: Guselkumab 100 mg Q8W92.690% Confidence Interval 88.0 to 95.8Percentage of participants
Group 2a and Group 2b: Percentage of Participants Who Achieved an Absolute Psoriasis Area and Severity Index (PASI) Score Less Than (<) 3 at Week 68Part 2 Group 2b: Guselkumab 100 mg Q16W91.990% Confidence Interval 87.3 to 95.3Percentage of participants
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 1 Group 1: Participants With Disease Duration <= 2 YearsPASI 7584.0Inter-Quartile Range 81.0 to 89.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 1 Group 1: Participants With Disease Duration > 2 YearsPASI 7584.0Inter-Quartile Range 81.0 to 90.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 2 Group 2c: Participants With Disease Duration <= 2 YearsPASI 7584.0Inter-Quartile Range 83.0 to 112.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 2 Group 2c: Participants With Duration > 2 YearsPASI 7584.0Inter-Quartile Range 83.0 to 105.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 1 Group 1: Participants With Disease Duration <= 2 YearsPASI 9089.0Inter-Quartile Range 84.0 to 134.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 1 Group 1: Participants With Disease Duration > 2 YearsPASI 90106.0Inter-Quartile Range 84.0 to 140.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 2 Group 2c: Participants With Disease Duration <= 2 YearsPASI 90112.0Inter-Quartile Range 84.0 to 153.0Days
Groups 1 and 2c: Time to Improvement From Baseline (Week 0) in PASI ScorePart 2 Group 2c: Participants With Duration > 2 YearsPASI 90114.0Inter-Quartile Range 84.0 to 196.0Days

Participant flow104

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 1 Group 1: Guselkumab 100mg880
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 2 Group 2a: Guselkumab 100 mg Q8W0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 2 Group 2b: Guselkumab 100 mg Q16W0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 2 Group 2c: Guselkumab 100 mg Q8W0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 2 Group 2d: Re-Treatment Guselkumab 100mg0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 3 Group 3a: Withdrawal (Q8W)0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 3 Group 3b: Withdrawal (Q16W)0
Part 1: Open-label (Week 0 to Week 8)STARTEDPart 3 Group 3c: Re-Treatment Guselkumab 100mg0
Part 1: Open-label (Week 0 to Week 8)COMPLETEDPart 1 Group 1: Guselkumab 100mg822
Part 1: Open-label (Week 0 to Week 8)COMPLETEDPart 2 Group 2a: Guselkumab 100 mg Q8W0

Adverse events5,968

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherIron Deficiency AnaemiaBlood and lymphatic system disordersPart 1 Group 1: Guselkumab 100mg0880
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 2a: Guselkumab 100 mg Q8W0148
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 2b: Guselkumab 100 mg Q16W0149
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 2c: Guselkumab 100 mg Q8W1525
otherIron Deficiency AnaemiaBlood and lymphatic system disordersPart 2 Group 2d: Re-Treatment Guselkumab 100mg09
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 3a Guselkumab 100 mg Q8W0136
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 3b Guselkumab 100 mg Q16W0137
otherIron Deficiency AnaemiaBlood and lymphatic system disordersGroup 3c Guselkumab 100 mg0227
otherLeukopeniaBlood and lymphatic system disordersPart 1 Group 1: Guselkumab 100mg0880
otherLeukopeniaBlood and lymphatic system disordersGroup 2a: Guselkumab 100 mg Q8W0148

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart 1 Group 1: Guselkumab 100mg1880
Total, all-cause mortalityGroup 2a: Guselkumab 100 mg Q8W0148
Total, all-cause mortalityGroup 2b: Guselkumab 100 mg Q16W0150
Total, all-cause mortalityGroup 2c: Guselkumab 100 mg Q8W1525
Total, all-cause mortalityPart 2 Group 2d: Re-Treatment Guselkumab 100mg09
Total, all-cause mortalityGroup 3a Guselkumab 100 mg Q8W0136
Total, all-cause mortalityGroup 3b Guselkumab 100 mg Q16W0137
Total, all-cause mortalityGroup 3c Guselkumab 100 mg0227
Total, other adverse eventsPart 1 Group 1: Guselkumab 100mg631880
Total, other adverse eventsGroup 2a: Guselkumab 100 mg Q8W101148

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34518264DERIVEDPubMed
39083288DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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