ClinicalTrials.gg
CompletedNCT01729754reSURFACE 2Updated Mar 8, 2022Results posted

A Study to Evaluate the Efficacy and Safety/Tolerability of Subcutaneous Tildrakizumab (SCH 900222/MK-3222) in Participants With Moderate-to-Severe Chronic Plaque Psoriasis Followed by a Long-term Extension Study (MK-3222-011)

A Phase 3 interventional study of Tildrakizumab 200 mg and Tildrakizumab 100 mg in Plaque Psoriasis, sponsored by Sun Pharmaceutical Industries Limited. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-08.

Sponsored by Sun Pharmaceutical Industries Limited · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,090
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is being conducted to evaluate the efficacy and safety/tolerability of tildrakizumab (SCH 900222/MK-3222) in a population of participants with moderate-to-severe plaque psoriasis. The primary hypotheses of the study are that tildrakizumab is superior to placebo in the treatment of moderate-to-severe chronic plaque psoriasis as measured by the proportion of participants achieving >= Psoriasis Area Sensitivity Index of 75% (PASI-75) response and the proportion 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.

Read the detailed description

The base study consists of a screening phase of up to 4 weeks followed by a treatment period of 52 weeks, and a 20-week follow-up period. The base study treatment period is divided into 3 sequential parts.

In Part 1 of the base study (Week 0 to Week 12), participants will be randomized to one of 4 study arms (Arm A: tildrakizumab 200 mg + matching placebo to etanercept; Arm B: tildrakizumab 100 mg + matching placebo to etanercept; Arm C: matching placebo to tildrakizumab + matching placebo to etanercept; Arm D: matching placebo to tildrakizumab + etanercept 50 mg).

In Part 2 of the base study (Week 12 to Week 28), participants in Arm A and Arm B will receive matching placebo to tildrakizumab to maintain blinding at Week 12 and will receive either tildrakizumab 200 mg (Arm A) or tildrakizumab 100 mg (Arm B) at Weeks 12 and 16. Participants in Arm A and Arm B will also receive matching placebo to etanercept once weekly through study Week 28. At study Week 12, Arm C participants will be re-randomized to receive their first dose of tildrakizumab 200 mg or tildrakizumab 100 mg, and will receive additional doses of study medication according to their re-randomized treatment assignment at Week 16. Participants in Arm C will also receive matching placebo to etanercept through treatment Week 28. Participants in Arm D will continue with once weekly doses of etanercept through study Week 28 in combination with matching placebo to tildrakizumab.

In Part 3 of the base study (Week 28 to Week 52), participants in Arm A with >= PASI-75 response at Week 28 will be re-randomized to either continue tildrakizumab 200 mg or receive tildrakizumab 100 mg at study Weeks 28, 40, and 52. Participants with >= PASI-50 response but \< PASI-75 response will continue to receive tildrakizumab 200 mg every 12 weeks and those participants with \< PASI-50 response will be discontinued from the study. Participants in Arm B with >= PASI-75 response at Week 28 will continue to receive tildrakizumab 100 mg every 12 weeks. Those with >= PASI-50 response but \< PASI-75 response will be re-randomized to receive continued tildrakizumab 100 mg or tildrakizumab 200 mg every 12 weeks. Participants in Arm B with \< PASI-50 response will be discontinued from the study. Participants in Arm C will continue to receive treatment every 12 weeks according to their re-randomized treatment assignment. Participants in Arm D that achieve >= PASI-75 response at Week 28 will be discontinued from the study. Those participants with \< PASI-75 response at Week 28 will be crossed over to tildrakizumab 200 mg to receive doses at Weeks 32, 36 and 48.

Eligible participants that choose to enroll in the extension study will have an additional treatment period of up to 192 weeks and will be monitored for an additional 20 weeks in the follow-up period. Each participant will receive tildrakizumab 200 mg or tildrakizumab 100 mg every 12 weeks up to study Week 244 according to their treatment assignment at the conclusion of Part 3 of the base study.

02

Conditions studied

  • Plaque Psoriasis
03

In context

Lead sponsor

Sun Pharmaceutical Industries Limited is the lead sponsor of 60 studies on the registry; 5 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 22 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Clinical diagnosis of moderate-to-severe plaque psoriasis for at least 6 months prior to enrollment;
  • Candidate for phototherapy or systemic therapy;
  • Premenopausal female participants must agree to abstain from heterosexual activity or use a medically approved method of contraception or use appropriate effective contraception as per local regulations or guidelines
  • For the extension study: must have completed Part 3 of the base study
  • For the extension study: must have achieved at least a PASI-50 response by the end of Part 3 of the base study

Exclusion criteria

Exclusion Criteria:

  • Non-plaque forms of psoriasis
  • Presence or history of severe psoriatic arthritis and is well-controlled on current treatment regimen
  • Women of childbearing potential who are pregnant, intend to become pregnant, or are lactating
  • Participant is expected to require topical therapy, phototherapy, or systemic therapy during the trial
  • Presence of any infection or history of recurrent infection requiring treatment with systemic antibiotics
  • Previous use of entanercept, tildrakizumab (MK-3222), or other interleukin-23 (IL-23)/T- helper cell 17 (Th-17) pathway inhibitors including p40, p19, and IL-17 antagonists
  • Latex allergy or sensitivity
  • Active or untreated latent tuberculosis (TB)
  • For the extension study: women of child-bearing potential who are pregnant, intend to become pregnant within 6 months of completing the trial, or are breast feeding
  • For the extension study: active or uncontrolled significant organ dysfunction or clinically significant laboratory abnormalities
  • For the extension study: expected to require topical treatment, phototherapy, or systemic treatment during the extension study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,090 participants (actual)

Study arms

  • Experimental
    Tildrakizumab 200 mg

    Participants receive tildrakizumab 200 mg subcutaneously (SC) on Weeks 0, 4, 16, 28, 40 and 52 and, optionally, every 12 weeks thereafter until Week 244, plus etanercept placebo (PBO) twice weekly until Week 12 and once weekly from Week 12 to Week 28.

    Drug: Tildrakizumab 200 mg · Drug: Etanercept Placebo

  • Experimental
    Tildrakizumab 100 mg

    Participants receive tildrakizumab 100 mg SC on Weeks 0, 4, 16, 28, 40 and 52 and, optionally, every 12 weeks thereafter until Week 244, plus etanercept placebo twice weekly until Week 12 and once weekly from Week 12 to Week 28.

    Drug: Tildrakizumab 100 mg · Drug: Etanercept Placebo

  • Placebo comparator
    Placebo

    Participants receive matching placebo to tildrakizumab SC on Weeks 0 and 4 plus etanercept placebo twice weekly up to Week 12 and once weekly from Week 12 to Week 28. Participants will be re-randomized 1:1 at Week 12 to receive tildrakizumab 200 mg or tildrakizumab 100 mg on Weeks 12, 16, 28, 40 and 52 and, optionally, every 12 weeks thereafter until Week 244.

    Drug: Tildrakizumab Placebo · Drug: Etanercept Placebo

  • Active comparator
    Etanercept 50 mg

    Participants receive matching placebo to tildrakizumab SC on Weeks 0 and 4 and etanercept 50 mg twice weekly up to Week 12 and once weekly from Week 12 to Week 28. Participants who don't achieve PASI-75, receive tildrakizumab 200 mg after Week 28 (Weeks 32, 36 and 48) and, optionally, every 12 weeks thereafter until Week 244.

    Drug: Tildrakizumab Placebo · Drug: Etanercept 50 mg

Interventions

  • Tildrakizumab 200 mg administered SC. Each pre-filled syringe (PFS) or autoinjector (AI) contains 1 mL of solution, tildrakizumab 100 mg/mL.

    Also known as: SCH 900222, MK-3222

  • Tildrakizumab 100 mg administered SC. Each PFS or AI contains 1 mL of solution, tildrakizumab 100 mg/mL.

    Also known as: SCH 900222, MK-3222

  • DrugTildrakizumab Placebo

    Matching placebo to tildrakizumab administered SC

  • DrugEtanercept Placebo

    Matching placebo to etanercept administered SC

  • Etanercept 50 mg administered SC

    Also known as: Embrel

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving a Psoriasis Area Sensitivity Index 75% (PASI-75) Response at Week 12 (Part 1)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Statistical analyses presented below compare tildrakizumab to placebo to support the primary hypothesis of the study.

    Time frame: Week 12

  2. 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 (Part 1)

    The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Statistical analyses presented below compare tildrakizumab to placebo to support the primary hypothesis of the study.

    Time frame: Week 12

  3. Percentage of Participants Experiencing an Adverse Event (AE) Up to Week 12 (Part 1)

    An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

    Time frame: Up to Week 12

  4. Percentage of Participants Discontinuing Study Treatment Due to an AE Up to Week 12 (Part 1)

    An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

    Time frame: Up to Week 12

Secondary outcomes

  1. Percentage of Participants Achieving a PASI-75 Response at Week 28 (Part 2)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Primary analysis for this endpoint is for participants randomized to tildrakizumab 200 mg, tildrakizumab 100 mg, or etanercept in Part 1.

    Time frame: Week 28

  2. Percentage of Participants Achieving a PASI-75 Response at Week 40 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 40

  3. Percentage of Participants Achieving a PASI-75 Response at Week 52 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 52

  4. Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 28 (Part 2)

    The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5.

    Time frame: Week 28

  5. Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 40 (Part 3)

    The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 40

  6. Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 52 (Part 3)

    The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 52

  7. Percentage of Participants Achieving a PASI-90 Response at Week 12 (Part 1)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline.

    Time frame: Week 12

  8. Percentage of Participants Achieving a PASI-90 Response at Week 28 (Part 2)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline.

    Time frame: Week 28

  9. Percentage of Participants Achieving a PASI-90 Response at Week 40 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 40

  10. Percentage of Participants Achieving a PASI-90 Response at Week 52 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 52

  11. Percentage of Participants Achieving a PASI-100 Response at Week 12 (Part 1)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline.

    Time frame: Week 12

  12. Percentage of Participants Achieving a PASI-100 Response at Week 28 (Part 2)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline.

    Time frame: Week 28

  13. Percentage of Participants Achieving a PASI-100 Response at Week 40 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 40

  14. Percentage of Participants Achieving a PASI-100 Response at Week 52 (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 52

  15. Baseline Dermatology Life Quality Index (DLQI)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

    Time frame: Baseline

  16. Change From Baseline in the DLQI at Week 12 (Part 1)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

    Time frame: Baseline and Week 12

  17. Change From Baseline in the DLQI at Week 28 (Part 2)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

    Time frame: Baseline and Week 28

  18. Change From Baseline in the DLQI at Week 40 (Part 3)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Baseline and Week 40

  19. Change From Baseline in the DLQI at Week 52 (Part 3)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Baseline and Week 52

  20. Percentage of Participants With a DLQI Score of 0 or 1 at Week 12 (Part 1)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

    Time frame: Week 12

  21. Percentage of Participants With a DLQI Score of 0 or 1 at Week 28 (Part 2)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

    Time frame: Week 28

  22. Percentage of Participants With a DLQI Score of 0 or 1 at Week 40 (Part 3)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 40

  23. Percentage of Participants With a DLQI Score of 0 or 1 at Week 52 (Part 3)

    The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Week 52

  24. Mean Change From Baseline in PASI Score Over Time (Part 1)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

    Time frame: Baseline and Week 4, Week 8 or Week 12

  25. Mean Change From Baseline in PASI Score Over Time (Part 2)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

    Time frame: Baseline and Week 16, Week 22 or Week 28

  26. Mean Change From Baseline in PASI Score Over Time (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Baseline and Week 32, Week 36, Week 40, Week 46 and Week 52

  27. Mean Percent Change From Baseline in PASI Score Over Time (Part 1)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

    Time frame: Baseline and Week 4, Week 8 or Week 12

  28. Mean Percent Change From Baseline in PASI Score Over Time (Part 2)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

    Time frame: Baseline and Week 16, Week 22 or Week 28

  29. Mean Percent Change From Baseline in PASI Score Over Time (Part 3)

    The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

    Time frame: Baseline and Week 32, Week 36, Week 40, Week 46 and Week 52

07

Results

Posted Jun 27, 2018

Participant flow

Part 1
Participant flow — Part 1
MilestoneTildrakizumab 200 mg (Parts 1 & 2)Tildrakizumab 200 mg (Parts 1, 2, & 3)Tildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3)Tildrakizumab 100 mg (Parts 1 & 2)Tildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3)Tildrakizumab 100 mg (Parts 1, 2, & 3)Placebo (Part 1)Placebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Started201841101821268147270313
Completed618411062126807270289
Not completed14001200140024
Withdrew: Adverse event2001002005
Withdrew: Lack of efficacy1000002000
Withdrew: Lost to follow-up1002003003
Withdrew: Non-compliance with study drug1000000000
Withdrew: Physician decision0000000004
Withdrew: Pregnancy0001000001
Withdrew: Progressive disease0000000001
Withdrew: Protocol violation2001001000
Withdrew: Withdrawal by subject5007005006
Withdrew: Other protocol specified criteria2000001004
Part 2
Participant flow — Part 2
MilestoneTildrakizumab 200 mg (Parts 1 & 2)Tildrakizumab 200 mg (Parts 1, 2, & 3)Tildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3)Tildrakizumab 100 mg (Parts 1 & 2)Tildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3)Tildrakizumab 100 mg (Parts 1, 2, & 3)Placebo (Part 1)Placebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Started618411052126807270289
Completed018411002126806966277
Not completed60050003412
Withdrew: Adverse event2000000012
Withdrew: Lack of efficacy0000000022
Withdrew: Lost to follow-up0002000102
Withdrew: Non-compliance with study drug0000000001
Withdrew: Pregnancy0001000001
Withdrew: Withdrawal by subject3002000114
Withdrew: Other protocol specified criteria1000000100
Part 3
Participant flow — Part 3
MilestoneTildrakizumab 200 mg (Parts 1 & 2)Tildrakizumab 200 mg (Parts 1, 2, & 3)Tildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3)Tildrakizumab 100 mg (Parts 1 & 2)Tildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3)Tildrakizumab 100 mg (Parts 1, 2, & 3)Placebo (Part 1)Placebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Started017011002123706966121
Completed016510501722406665114
Not completed05504130317
Withdrew: Adverse event0010050003
Withdrew: Death0000020000
Withdrew: Lack of efficacy0000200004
Withdrew: Lost to follow-up0120030010
Withdrew: Physician decision0010000000
Withdrew: Withdrawal by subject0410210200
Withdrew: Other protocol specified criteria0000020100

Outcome measures

PrimaryPercentage of Participants Achieving a Psoriasis Area Sensitivity Index 75% (PASI-75) Response at Week 12 (Part 1)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Statistical analyses presented below compare tildrakizumab to placebo to support the primary hypothesis of the study.

Time frame:
Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a Psoriasis Area Sensitivity Index 75% (PASI-75) Response at Week 12 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants Achieving a Psoriasis Area Sensitivity Index 75% (PASI-75) Response at Week 12 (Part 1)65.661.25.848.2
Statistical analysis
  • Tildrakizumab 200 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 59.8 · 95% CI 52.9 to 65.9Difference and confidence intervals (CIs) are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 55.5 · 95% CI 48.3 to 61.8Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
PrimaryPercentage 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 (Part 1)

The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Statistical analyses presented below compare tildrakizumab to placebo to support the primary hypothesis of the study.

Time frame:
Week 12
Reported as:
Number · Percentage of participants
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 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
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 (Part 1)59.254.74.547.6
Statistical analysis
  • Tildrakizumab 200 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 54.7 · 95% CI 47.9 to 60.8Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (Stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no). P-values are not adjusted for multiplicity.) · Difference in percentages: 50.2 · 95% CI 43.2 to 56.5Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
PrimaryPercentage of Participants Experiencing an Adverse Event (AE) Up to Week 12 (Part 1)

An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame:
Up to Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants Experiencing an Adverse Event (AE) Up to Week 12 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants Experiencing an Adverse Event (AE) Up to Week 12 (Part 1)49.444.355.154.0
PrimaryPercentage of Participants Discontinuing Study Treatment Due to an AE Up to Week 12 (Part 1)

An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame:
Up to Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants Discontinuing Study Treatment Due to an AE Up to Week 12 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants Discontinuing Study Treatment Due to an AE Up to Week 12 (Part 1)1.01.01.31.9
SecondaryPercentage of Participants Achieving a PASI-75 Response at Week 28 (Part 2)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Primary analysis for this endpoint is for participants randomized to tildrakizumab 200 mg, tildrakizumab 100 mg, or etanercept in Part 1.

Time frame:
Week 28
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-75 Response at Week 28 (Part 2)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Percentage of Participants Achieving a PASI-75 Response at Week 28 (Part 2)72.673.553.6
Statistical analysis
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 (Stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no). P-values are not adjusted for multiplicity.) · Difference in percentages: 19.2 · 95% CI 11.5 to 26.7Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 (Stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no). P-values are not adjusted for multiplicity.) · Difference in percentages: 20.1 · 95% CI 12.4 to 27.6Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants Achieving a PASI-75 Response at Week 40 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 40
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-75 Response at Week 40 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-75 Response at Week 40 (Part 3)96.392.697.663.366.761.982.168.857.0
SecondaryPercentage of Participants Achieving a PASI-75 Response at Week 52 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-75 response indicates the number of participants achieving a 75% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 52
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-75 Response at Week 52 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-75 Response at Week 52 (Part 3)97.194.293.666.778.968.492.485.781.4
SecondaryPercentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 28 (Part 2)

The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5.

Time frame:
Week 28
Reported as:
Number · Percentage of participants
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 28 (Part 2)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 28 (Part 2)69.264.645.3
Statistical analysis
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 24.1 · 95% CI 16.2 to 31.7Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 19.6 · 95% CI 11.7 to 27.3Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights
SecondaryPercentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 40 (Part 3)

The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 40
Reported as:
Number · Percentage of participants
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 40 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 40 (Part 3)83.279.284.957.638.157.175.862.550.9
SecondaryPercentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 52 (Part 3)

The PGA is used to determine the overall severity of a participant's psoriasis lesions at a given time point. Overall lesions will be graded for thickness, erythema, and scaling on a scale from 0 to 5. The sum of the 3 scales will be divided by 3 to obtain the PGA score. PGA is assessed as: 0= Cleared, except for residual discoloration. 1= Minimal, majority of lesions have individual scores that average 1. 2 =Mild, majority of lesions have individual scores that average 2. 3= Moderate, majority of lesions have individual scores that average 3. 4= Marked, majority of lesions have individual scores that average 4. 5= Severe, majority of lesions have individual scores that average 5. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 52
Reported as:
Number · Percentage of participants
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 52 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants With a PGA Score of Clear or Minimal With at Least a 2 Grade Reduction From Baseline at Week 52 (Part 3)84.877.779.450.842.157.977.355.668.5
SecondaryPercentage of Participants Achieving a PASI-90 Response at Week 12 (Part 1)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline.

Time frame:
Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-90 Response at Week 12 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants Achieving a PASI-90 Response at Week 12 (Part 1)36.638.81.321.4
Statistical analysis
  • Tildrakizumab 200 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 35.3 · 95% CI 29.2 to 41.1Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 37.5 · 95% CI 31.1 to 43.4Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 15.2 · 95% CI 8.3 to 22.1Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 17.4 · 95% CI 10.3 to 24.4Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants Achieving a PASI-90 Response at Week 28 (Part 2)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline.

Time frame:
Week 28
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-90 Response at Week 28 (Part 2)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Percentage of Participants Achieving a PASI-90 Response at Week 28 (Part 2)57.755.530.7
Statistical analysis
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 (Stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no). P-values are not adjusted for multiplicity.) · Difference in percentages: 27.1 · 95% CI 19.1 to 34.7Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 24.9 · 95% CI 17.0 to 32.6Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants Achieving a PASI-90 Response at Week 40 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 40
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-90 Response at Week 40 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-90 Response at Week 40 (Part 3)76.673.178.828.323.842.964.248.424.6
SecondaryPercentage of Participants Achieving a PASI-90 Response at Week 52 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-90 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 52
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-90 Response at Week 52 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-90 Response at Week 52 (Part 3)81.968.378.431.726.342.163.647.641.6
SecondaryPercentage of Participants Achieving a PASI-100 Response at Week 12 (Part 1)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline.

Time frame:
Week 12
Reported as:
Number · Perentage of participants
Percentage of Participants Achieving a PASI-100 Response at Week 12 (Part 1)
Perentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants Achieving a PASI-100 Response at Week 12 (Part 1)11.812.404.8
Statistical analysis
  • Tildrakizumab 200 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 11.7 · 95% CI 7.8 to 16.0Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 12.4 · 95% CI 8.5 to 16.6Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = 0.001 · Difference in percentages: 7.0 · 95% CI 2.8 to 11.6Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 7.6 · 95% CI 3.3 to 12.3Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants Achieving a PASI-100 Response at Week 28 (Part 2)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline.

Time frame:
Week 28
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-100 Response at Week 28 (Part 2)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Percentage of Participants Achieving a PASI-100 Response at Week 28 (Part 2)27.022.811.2
Statistical analysis
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 15.7 · 95% CI 9.4 to 22.1Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 11.7 · 95% CI 5.6 to 17.9Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants Achieving a PASI-100 Response at Week 40 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 100% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 40
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-100 Response at Week 40 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-100 Response at Week 40 (Part 3)39.338.933.511.7014.329.928.15.3
SecondaryPercentage of Participants Achieving a PASI-100 Response at Week 52 (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. The PASI-100 response indicates the number of participants achieving a 90% reduction in PASI score compared to baseline. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 52
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving a PASI-100 Response at Week 52 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants Achieving a PASI-100 Response at Week 52 (Part 3)46.737.535.310.05.331.639.423.815.9
SecondaryBaseline Dermatology Life Quality Index (DLQI)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

Time frame:
Baseline
Reported as:
Mean · Score on a scale
Baseline Dermatology Life Quality Index (DLQI)
Score on a scaleTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Baseline Dermatology Life Quality Index (DLQI)13.2 ± 7.0314.8 ± 7.2413.7 ± 6.9814.5 ± 7.20
SecondaryChange From Baseline in the DLQI at Week 12 (Part 1)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

Time frame:
Baseline and Week 12
Reported as:
Least squares mean · Score on a scale
Change From Baseline in the DLQI at Week 12 (Part 1)
Score on a scaleTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Change From Baseline in the DLQI at Week 12 (Part 1)-10.3 (-11.0 to -9.7)-10.2 (-10.9 to -9.6)-2.0 (-2.9 to -1.1)-8.9 (-9.6 to -8.3)
Statistical analysis
  • Tildrakizumab 100 mg vs Placebo · cLDA · p = <0.001 · Difference in least squares means: -8.2 · 95% CI -9.3 to -7.2Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
  • Tildrakizumab 200 mg vs Placebo · cLDA · p = <0.001 · Difference in least squares means: -8.3 · 95% CI -9.3 to -7.3Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
  • Tildrakizumab 100 mg vs Etanercept 50 mg · cLDA · p = 0.002 · Difference in least squares means: -1.3 · 95% CI -2.1 to -0.5Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
  • Tildrakizumab 200 mg vs Etanercept 50 mg · cLDA · p = 0.001 · Difference in least squares means: -1.4 · 95% CI -2.2 to -0.6Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
SecondaryChange From Baseline in the DLQI at Week 28 (Part 2)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

Time frame:
Baseline and Week 28
Reported as:
Least squares mean · Score on a scale
Change From Baseline in the DLQI at Week 28 (Part 2)
Score on a scaleTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Change From Baseline in the DLQI at Week 28 (Part 2)-11.7 (-12.3 to -11.1)-11.2 (-11.8 to -10.5)-9.5 (-10.1 to -8.9)
Statistical analysis
  • Tildrakizumab 100 mg vs Etanercept 50 mg · cLDA · p = <0.001 · Difference in least squares means: -1.7 · 95% CI -2.4 to -1.0Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
  • Tildrakizumab 200 mg vs Etanercept 50 mg · cLDA · p = <0.001 · Difference in least squares means: -2.2 · 95% CI -2.9 to -1.5Terms for time, the interaction of time by treatment, body weight (\<=90 kg, \>90 kg), and prior exposure to biologic therapy for psoriasis (yes/no).
SecondaryChange From Baseline in the DLQI at Week 40 (Part 3)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Baseline and Week 40
Reported as:
Mean · Score on a scale
Change From Baseline in the DLQI at Week 40 (Part 3)
Score on a scaleTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Change From Baseline in the DLQI at Week 40 (Part 3)-11.6 ± 6.61-12.0 ± 7.11-13.2 ± 6.92-9.7 ± 5.62-9.0 ± 7.76-9.8 ± 7.25-10.4 ± 6.66-10.1 ± 6.08-10.8 ± 6.81
SecondaryChange From Baseline in the DLQI at Week 52 (Part 3)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Baseline and Week 52
Reported as:
Mean · Score on a scale
Change From Baseline in the DLQI at Week 52 (Part 3)
Score on a scaleTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Change From Baseline in the DLQI at Week 52 (Part 3)-11.3 ± 6.16-11.5 ± 7.26-13.1 ± 6.80-9.2 ± 6.18-9.4 ± 8.47-9.3 ± 7.22-11.1 ± 6.45-10.4 ± 6.38-11.5 ± 6.97
SecondaryPercentage of Participants With a DLQI Score of 0 or 1 at Week 12 (Part 1)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

Time frame:
Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants With a DLQI Score of 0 or 1 at Week 12 (Part 1)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Percentage of Participants With a DLQI Score of 0 or 1 at Week 12 (Part 1)47.440.28.035.5
Statistical analysis
  • Tildrakizumab 200 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 39.3 · 95% CI 31.8 to 46.1Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 32.1 · 95% CI 24.5 to 39.1Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = 0.003 · Difference in percentages: 11.9 · 95% CI 4.1 to 19.5Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = 0.221 · Difference in percentages: 4.8 · 95% CI -2.9 to 12.5Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants With a DLQI Score of 0 or 1 at Week 28 (Part 2)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life.

Time frame:
Week 28
Reported as:
Number · Percentage of participants
Percentage of Participants With a DLQI Score of 0 or 1 at Week 28 (Part 2)
Percentage of participantsTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mg
Percentage of Participants With a DLQI Score of 0 or 1 at Week 28 (Part 2)65.054.139.4
Statistical analysis
  • Tildrakizumab 200 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 25.7 · 95% CI 17.7 to 33.4Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
  • Tildrakizumab 100 mg vs Etanercept 50 mg · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentages: 15.0 · 95% CI 6.9 to 22.9Difference and CIs are calculated using Miettinen-Nurminen stratified by body weight (\<=90kg, \>90kg) and prior exposure to biologic therapy for psoriasis (yes/no) with sample size weights.
SecondaryPercentage of Participants With a DLQI Score of 0 or 1 at Week 40 (Part 3)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 40
Reported as:
Number · Percentage of participants
Percentage of Participants With a DLQI Score of 0 or 1 at Week 40 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants With a DLQI Score of 0 or 1 at Week 40 (Part 3)72.268.571.241.79.519.050.751.538.8
SecondaryPercentage of Participants With a DLQI Score of 0 or 1 at Week 52 (Part 3)

The DLQI questionnaire consists of 10 questions, where each question is scored from 0 (not affected at all) to 3 (very much affected). The DLQI score is the sum of the 10 individual question scores and ranges from 0 to 30, with lower scores indicating better quality of life. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Week 52
Reported as:
Number · Percentage of participants
Percentage of Participants With a DLQI Score of 0 or 1 at Week 52 (Part 3)
Percentage of participantsTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Percentage of Participants With a DLQI Score of 0 or 1 at Week 52 (Part 3)72.471.468.840.010.542.160.057.848.3
SecondaryMean Change From Baseline in PASI Score Over Time (Part 1)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

Time frame:
Baseline and Week 4, Week 8 or Week 12
Reported as:
Mean · Scores on a scale
Mean Change From Baseline in PASI Score Over Time (Part 1)
Scores on a scaleTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Week 4-8.1 ± 6.54-7.9 ± 6.83-2.3 ± 6.18-7.0 ± 7.15
Week 8-13.1 ± 7.71-12.8 ± 7.57-3.1 ± 7.18-11.4 ± 8.77
Week 12-15.4 ± 7.77-15.1 ± 7.94-3.4 ± 6.77-13.5 ± 8.29
SecondaryMean Change From Baseline in PASI Score Over Time (Part 2)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

Time frame:
Baseline and Week 16, Week 22 or Week 28
Reported as:
Mean · Scores on a scale
Mean Change From Baseline in PASI Score Over Time (Part 2)
Scores on a scaleTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mgPlacebo (Part 1)/ Tildrakizumab 200 mg (Part 2)Placebo (Part 1)/ Tildrakizumab 100 mg (Part 2)
Week 16-16.2 ± 7.70-15.9 ± 7.87-14.2 ± 8.20-11.6 ± 6.97-9.6 ± 6.71
Week 22-17.1 ± 7.66-16.7 ± 7.88-14.5 ± 8.32-15.1 ± 6.55-13.7 ± 7.18
Week 28-17.0 ± 7.81-16.5 ± 7.71-14.8 ± 7.85-17.3 ± 7.62-14.5 ± 8.46
SecondaryMean Change From Baseline in PASI Score Over Time (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Baseline and Week 32, Week 36, Week 40, Week 46 and Week 52
Reported as:
Mean · Scores on a scale
Mean Change From Baseline in PASI Score Over Time (Part 3)
Scores on a scaleTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Week 32-19.0 ± 7.13-19.0 ± 8.03-18.7 ± 6.83-14.0 ± 5.72-15.0 ± 6.69-15.5 ± 7.08-16.9 ± 7.68-16.4 ± 8.02-10.5 ± 6.25
Week 36-18.9 ± 7.11-19.0 ± 8.17-18.9 ± 7.18-14.5 ± 5.92-15.7 ± 8.09-16.0 ± 8.13-17.6 ± 6.80-16.7 ± 8.19-12.9 ± 6.64
Week 40-18.8 ± 7.04-18.5 ± 7.56-18.7 ± 6.95-14.4 ± 6.00-16.0 ± 8.73-16.5 ± 8.59-17.9 ± 7.03-16.9 ± 7.99-14.6 ± 6.42
Week 46-19.0 ± 7.13-18.1 ± 7.45-18.7 ± 6.76-14.5 ± 5.99-16.2 ± 8.76-15.8 ± 9.72-17.9 ± 6.24-17.1 ± 7.30-15.6 ± 7.16
Week 52-18.9 ± 7.13-18.4 ± 7.66-18.4 ± 6.65-14.6 ± 5.72-15.5 ± 9.00-16.3 ± 9.55-18.1 ± 7.00-17.0 ± 7.30-16.2 ± 6.83
SecondaryMean Percent Change From Baseline in PASI Score Over Time (Part 1)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

Time frame:
Baseline and Week 4, Week 8 or Week 12
Reported as:
Mean · Percent change
Mean Percent Change From Baseline in PASI Score Over Time (Part 1)
Percent changeTildrakizumab 200 mgTildrakizumab 100 mgPlaceboEtanercept 50 mg
Week 4-40.2 ± 27.86-39.3 ± 30.02-11.7 ± 30.37-33.9 ± 33.55
Week 8-65.7 ± 26.58-63.8 ± 29.65-15.3 ± 35.95-55.7 ± 35.10
Week 12-78.0 ± 22.31-74.8 ± 28.11-17.4 ± 32.95-66.7 ± 30.78
SecondaryMean Percent Change From Baseline in PASI Score Over Time (Part 2)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status.

Time frame:
Baseline and Week 16, Week 22 or Week 28
Reported as:
Mean · Percent change
Mean Percent Change From Baseline in PASI Score Over Time (Part 2)
Percent changeTildrakizumab 200 mgTildrakizumab 100 mgEtanercept 50 mgPlacebo (Part 1)/ Tildrakizumab 200 mg (Part 2)Placebo (Part 1)/ Tildrakizumab 100 mg (Part 2)
Week 16-82.0 ± 21.26-79.3 ± 25.27-70.3 ± 27.55-59.2 ± 28.34-49.4 ± 28.95
Week 22-86.6 ± 17.58-82.9 ± 23.16-71.9 ± 29.40-77.9 ± 20.25-70.1 ± 25.24
Week 28-85.7 ± 17.44-82.5 ± 22.33-73.5 ± 24.40-84.0 ± 16.89-72.9 ± 30.05
SecondaryMean Percent Change From Baseline in PASI Score Over Time (Part 3)

The PASI is a measure of the average redness, thickness, and scaliness of lesions (each graded on a 0-4 scale), weighed by the area of involvement. Calculated PASI score ranges from 0 to 72, with higher score indicating more severe disease status. Week-28 responder (Wk-28 R) is a participant who achieved ≥ 75% improvement in PASI from baseline at Week 28. Week-28 partial responder (Wk-28 PR) is a participant who achieved ≥50% and \<75% improvement in PASI response from baseline at Week 28.

Time frame:
Baseline and Week 32, Week 36, Week 40, Week 46 and Week 52
Reported as:
Mean · Percent change
Mean Percent Change From Baseline in PASI Score Over Time (Part 3)
Percent changeTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 200 mg (Parts 1 & 2)/ 100 mg (Part 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 RTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 PRTildrakizumab 100 mg (Parts 1 & 2)/ 200 mg (Part 3) Wk-28 PRTildrakizumab 100 mg (Parts 1, 2, & 3) Wk-28 PRPlacebo (Part 1)/ Tildrakizumab 200 mg (Parts 2 & 3)Placebo (Part 1)/ Tildrakizumab 100 mg (Parts 2 & 3)Etanercept 50 mg (Parts 1 & 2)/ Tildrakizumab 200 mg (Part 3)
Week 32-94.9 ± 6.19-94.0 ± 7.02-94.3 ± 7.33-77.1 ± 16.73-71.1 ± 13.21-75.3 ± 16.90-84.4 ± 24.18-81.6 ± 21.69-54.7 ± 24.05
Week 36-94.5 ± 7.47-94.0 ± 6.93-94.4 ± 7.06-79.9 ± 15.94-74.4 ± 15.69-77.9 ± 15.47-87.7 ± 15.20-83.1 ± 19.83-65.9 ± 21.35
Week 40-94.2 ± 7.69-92.6 ± 10.25-94.3 ± 7.40-79.1 ± 17.10-75.7 ± 19.24-80.6 ± 17.57-88.2 ± 14.55-84.1 ± 17.08-76.5 ± 17.98
Week 46-94.8 ± 7.77-91.4 ± 12.09-94.3 ± 7.64-79.3 ± 17.77-77.1 ± 19.67-75.3 ± 23.35-90.3 ± 12.32-86.9 ± 13.08-80.3 ± 17.92
Week 52-94.7 ± 8.06-92.2 ± 10.57-93.4 ± 9.81-80.4 ± 15.68-75.7 ± 36.00-79.6 ± 21.46-91.0 ± 12.16-87.1 ± 12.90-84.2 ± 16.07

Adverse events

Collected over Up to 52 weeks (Part 1: Weeks 0-12; Part 2: Weeks 12-28; Part 3: Weeks 28-52). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 R0/527 (0%)26/527 (4.9%)167/527 (31.7%)
Tildrakizumab 100 mg (Parts 1, 2 & 3)3/487 (0.6%)30/487 (6.2%)151/487 (31%)
Placebo (Part 1)0/156 (0%)4/156 (2.6%)23/156 (14.7%)
Etanercept 50 mg (Parts 1 & 2)0/313 (0%)20/313 (6.4%)118/313 (37.7%)
Most frequent serious events
Showing 10 of 76
Most frequent serious events
EventTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2 & 3)Placebo (Part 1)Etanercept 50 mg (Parts 1 & 2)
PericarditisCardiac disorders0/5270/4871/1560/313
CellulitisInfections and infestations1/5270/4871/1560/313
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders0/5270/4871/1560/313
UreterolithiasisRenal and urinary disorders0/5270/4871/1560/313
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)3/5273/4870/1562/313
Atrial fibrillationCardiac disorders2/5272/4870/1560/313
DepressionPsychiatric disorders0/5272/4870/1560/313
DiverticulitisInfections and infestations2/5270/4870/1560/313
Tendon ruptureInjury, poisoning and procedural complications2/5271/4870/1560/313
Cardiac failure congestiveCardiac disorders0/5270/4870/1561/313
Most frequent other events
Most frequent other events
EventTildrakizumab 200 mg (Parts 1, 2 & 3) Wk-28 RTildrakizumab 100 mg (Parts 1, 2 & 3)Placebo (Part 1)Etanercept 50 mg (Parts 1 & 2)
NasopharyngitisInfections and infestations119/527112/48712/15663/313
Injection site erythemaGeneral disorders5/5275/4871/15628/313
HeadacheNervous system disorders30/52729/4876/15618/313
Injection site reactionGeneral disorders4/5272/4871/15617/313
ArthralgiaMusculoskeletal and connective tissue disorders14/52726/4873/15610/313
Upper respiratory tract infectionInfections and infestations27/52715/4871/15611/313

Baseline characteristics

Baseline characteristics are presented for the study arms: Tildrakizumab 200 mg, Tildrakizumab 100 mg, Placebo, Etanercept 50 mg, as per the treatments administered in Part 1 (Baseline Period).

Age, Continuous
Age, Continuous(Years)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
Mean44.6 ± 13.6244.6 ± 13.5946.4 ± 12.2045.8 ± 13.9745.2 ± 13.52
Sex: Female, Male
Sex: Female, Male(Participants)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
Female89874491311
Male225220112222779
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
American Indian or Alaska Native01012
Asian14931036
Native Hawaiian or Other Pacific Islander00101
Black or African American871824
White284279144289996
More than one race273315
Unknown or Not Reported644216
Body weight
Body weight(Participants)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
<=90 kg18017690180626
>90 kg13413166133464
Prior exposure to biologic therapy for psoriasis
Prior exposure to biologic therapy for psoriasis(Participants)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
Yes38392037134
No276268136276956
Psoriasis Area Sensitivity Index (PASI)
Psoriasis Area Sensitivity Index (PASI)(Score on a scale)Tildrakizumab 200 mg (Part 1)Tildrakizumab 100 mg (Part 1)Placebo (Part 1)Etanercept 50 mg (Part 1)Total
Mean19.8 ± 7.5220.5 ± 7.6320.0 ± 7.5720.2 ± 7.3620.1 ± 7.51
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Reich K, Papp KA, Blauvelt A, Tyring SK, Sinclair R, Thaci D, Nograles K, Mehta A, Cichanowitz N, Li Q, Liu K, La Rosa C, Green S, Kimball AB. Tildrakizumab versus placebo or etanercept for chronic plaque psoriasis (reSURFACE 1 and reSURFACE 2): results from two randomised controlled, phase 3 trials. Lancet. 2017 Jul 15;390(10091):276-288. doi: 10.1016/S0140-6736(17)31279-5. Epub 2017 Jun 6. PubMed 28596043 ↗
  • Bagel J, Gogineni R, Shaikh A, Lebwohl MG. Efficacy and Safety of Tildrakizumab for Moderate-to-Severe Plaque Psoriasis with Diabetes: Pooled Subgroup Analysis of reSURFACE 1 and reSURFACE 2. Dermatol Ther (Heidelb). 2026 Apr;16(4):2153-2167. doi: 10.1007/s13555-026-01708-y. Epub 2026 Mar 16. PubMed 41838287 ↗
  • Armstrong AW, Blauvelt A, Lebwohl M, Asahina A, Gogineni R, Griffiths CEM. Efficacy and safety of tildrakizumab in patients with early- vs. late-onset psoriasis. Br J Dermatol. 2025 Aug 18;193(3):442-450. doi: 10.1093/bjd/ljaf171. PubMed 40365708 ↗
  • Thaci D, Gerdes S, Du Jardin KG, Perrot JL, Puig L. Efficacy of Tildrakizumab Across Different Body Weights in Moderate-to-Severe Psoriasis Over 5 Years: Pooled Analyses from the reSURFACE Pivotal Studies. Dermatol Ther (Heidelb). 2022 Oct;12(10):2325-2341. doi: 10.1007/s13555-022-00793-z. Epub 2022 Sep 13. PubMed 36098877 ↗
  • Thaci D, Piaserico S, Warren RB, Gupta AK, Cantrell W, Draelos Z, Foley P, Igarashi A, Langley RG, Asahina A, Young M, Falques M, Pau-Charles I, Mendelsohn AM, Rozzo SJ, Reich K. Five-year efficacy and safety of tildrakizumab in patients with moderate-to-severe psoriasis who respond at week 28: pooled analyses of two randomized phase III clinical trials (reSURFACE 1 and reSURFACE 2). Br J Dermatol. 2021 Aug;185(2):323-334. doi: 10.1111/bjd.19866. Epub 2021 May 4. PubMed 33544883 ↗
  • Kerbusch T, Li H, Wada R, Jauslin PM, Wenning L. Exposure-response characterisation of tildrakizumab in chronic plaque psoriasis: Pooled analysis of 3 randomised controlled trials. Br J Clin Pharmacol. 2020 Sep;86(9):1795-1806. doi: 10.1111/bcp.14280. Epub 2020 Mar 25. PubMed 32162721 ↗
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  • Reich K, Warren RB, Iversen L, Puig L, Pau-Charles I, Igarashi A, Ohtsuki M, Falques M, Harmut M, Rozzo S, Lebwohl MG, Cantrell W, Blauvelt A, Thaci D. Long-term efficacy and safety of tildrakizumab for moderate-to-severe psoriasis: pooled analyses of two randomized phase III clinical trials (reSURFACE 1 and reSURFACE 2) through 148 weeks. Br J Dermatol. 2020 Mar;182(3):605-617. doi: 10.1111/bjd.18232. Epub 2019 Jul 18. PubMed 31218661 ↗
  • Jauslin P, Kulkarni P, Li H, Vatakuti S, Hussain A, Wenning L, Kerbusch T. Population-Pharmacokinetic Modeling of Tildrakizumab (MK-3222), an Anti-Interleukin-23-p19 Monoclonal Antibody, in Healthy Volunteers and Subjects with Psoriasis. Clin Pharmacokinet. 2019 Aug;58(8):1059-1068. doi: 10.1007/s40262-019-00743-7. PubMed 30915660 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01729754
Responsible party
Sponsor
First posted
Nov 20, 2012
Start date
Feb 5, 2013
Primary completion
Sep 28, 2015
Completion
Oct 26, 2021
Results posted
Jun 27, 2018
Last update
Mar 8, 2022

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Tildrakizumab

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