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CompletedNCT03718299Updated Feb 23, 2023Results posted

A Real World Study Evaluating the Long-Term Quality of Life of Tildrakizumab in Adult Patients With Psoriasis

A Phase 4 interventional study of Injections of tildrakizumab in Psoriasis, sponsored by Sun Pharmaceutical Industries Limited. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-23.

Sponsored by Sun Pharmaceutical Industries Limited · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
55
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 4 multicenter, uncontrolled open-label study design. There will be a total of 10 study visits at Screening, Baseline, Week 4, Week 8, Week 12, Week 16, Week 28, Week 40, Week 52 and Week 64, with subjects receiving tildrakizumab injections at Week 0, Week 4, Week 16, Week 28, Week 40, and Week 52. The total study duration will be approximately 64 weeks, excluding a screening period.

02

Conditions studied

  • Psoriasis

Browse trials for

03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's enrollment of 55 is below the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Sun Pharmaceutical Industries Limited is the lead sponsor of 58 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

Inclusion criteria

  1. Subjects are non-immunocompromised males or females 18 years of age or older.
  2. Subjects have ≥3% total body surface area plaque psoriasis.
  3. Subjects are candidates for phototherapy or systemic therapy.
  4. Subject must be diagnosed at least 6 months prior to entering the study.
  5. Females must be surgically sterile, postmenopausal for >5 years, or using a highly effective form of birth control (\<1% failure rate), for at least 30 days prior to test article exposure, with a negative serum pregnancy test.

Exclusion criteria

Exclusion Criteria:

  1. Subject is pregnant, lactating, or is planning to become pregnant during the study.
  2. Subject is younger than 18 years of age.
  3. Subjects with uncontrolled mental illness or active suicidal ideations based on baseline mental health questionnaire of choice.
  4. Subject is known, or suspected of being unable to comply with the study protocol, in the opinion of the investigator.
  5. Subject is currently enrolled in an investigational drug or device study.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Other
    tildrakizumab 100 mg

    Drug: Injections of tildrakizumab

Interventions

  • DrugInjections of tildrakizumab

    given at Week 0, Week 4, Week 16, Week 28, Week 40 and Week 52

06

What researchers measure

Primary outcomes

  1. Improvement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale

    The Psychological General Well-Being scale is a self-administered validated psychometric instrument that measures a person's emotional well-being. It is specifically designed to be suitable for assessing psychological well being in the general medical population as opposed to a psychiatric population. The 22 questions of the PGWB can be further divided into 6 domains: anxiety, depressed mood, positive well being, self-control, general health, and vitality. The PGWB is graded on a Likert scale, which is commonly used in psychometric questionnaires where the answers range from strongly agree to strongly disagree with gradations in between. Total scores range from 0 to 110, with higher scores indicating better psychological well being. This instrument has been validated and used in many countries on large samples of the general population and on various subsets of medical patients. The values reported are change in score from baseline.

    Time frame: baseline, week 28 and week 52

Secondary outcomes

  1. Improvement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale Over Time

    The Psychological General Well-Being scale is a self-administered validated psychometric instrument that measures a person's emotional well-being. It is specifically designed to be suitable for assessing psychological well being in the general medical population as opposed to a psychiatric population. The 22 questions of the PGWB can be further divided into 6 domains: anxiety, depressed mood, positive well being, self-control, general health, and vitality. The PGWB is graded on a Likert scale, which is commonly used in psychometric questionnaires where the answers range from strongly agree to strongly disagree with gradations in between. Total scores range from 0 to 110, with higher scores indicating better psychological well being. This instrument has been validated and used in many countries on large samples of the general population and on various subsets of medical patients. The values reported are change in score from baseline.

    Time frame: baseline, weeks 4, 8, 12, 16, 40, 64

  2. Improvement in Quality of Life Measured by Change From Baseline in Dermatology Life Quality Index Over Time

    The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life

    Time frame: week 64

  3. Proportion of Subjects With Dermatology Life Quality Index Score of 0 or 1

    The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

    Time frame: baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64

  4. Proportion of Subjects With Dermatology Life Quality Index Score ≤ 5

    The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

    Time frame: Baseline, weeks 4, 8, 12, 16, 28, 40, 52, and 64

  5. Proportion of Subjects With a Reduction of ≥ 5 Points in Dermatology Life Quality Index From Baseline

    The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

    Time frame: baseline, weeks 4, 8, 12, 16, 28, 40, 52, and 64

  6. Changes From Baseline in Percent Affected Body Surface Area

    The percent BSA affected with psoriasis will be estimated at each study visit. The investigator may use the estimate that 1% BSA is equivalent to the area of the subject's closed hand (palm with fingers held together).

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  7. Change From Baseline in Static Physician's Global Assessment

    The sPGA is used to determine the overall severity of psoriasis lesions at a given time point. Its score ranges from 0 to 5 with higher scores indicating greater severity.

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  8. Changes From Baseline Body Surface Area x Physician's Global Assessment Over Time

    The metric of BSA x sPGA is a multiplication of the percentage BSA covered and the sPGA score. The scale range for the sPGA is 0 to 5. The scale range for BSA in this study was \>=3% (inclusion criterion), which means that it has to be at least 3%, and it can be as high as 100% hypothetically. So the minimum score for sPGA x BSA = 0, and the maximum score is 5 x 100 = 500. So the range for sPGA x BSA in this study was 0 to 500. The BSA has a range of 0% to 100% where higher percentages indicate a worse outcome or worse disease The sPGA has a range of 0 (clear) to 5 (severe) where higher values indicate a worse outcome or worse disease. sPGA is used to determine the overall severity of psoriasis lesions at a given time point. Its score ranges from 0 to 5. BSA covered is reported as percent of body surface area covered. Total score for BSA x sPGA ranges from 0 to 500 with higher scores indicating greater severity.

    Time frame: weeks 4, 8, 12, 16, 28, 40, 52, 64

  9. Changes From Baseline Psoriasis Area Severity Index (% of Psoriasis Area Severity Index Improvement From Baseline, Absolute Psoriasis Area Severity Index ) Over Time

    The PASI is a quantitative rating scale for measuring the severity of psoriatic lesions based on area coverage and plaque appearance. PASI analyzes the four regions of the body (head, trunk, upper and lower limbs). It ranges from 0 to 72 with higher scores indicating greater severity.

    Time frame: baseline, weeks 4,16, 28 and 52

  10. Change From Baseline in Itch-Numeric Rating Scale

    The Itch-Numerical Rating Scale (I-NRS) is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no itch and score of 10 indicates indicates worst imaginable itch

    Time frame: baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64

  11. Change From Baseline in Scaling-Numeric Rating Scale

    The Scaling-NRS (S-NRS) is a simple, 11-point self-administered numeric rating scale that is administered at each visit. A score of 0 represents 'no scaling' and a score of 10, indicates 'worst scaling imaginable'.

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  12. Change From Baseline in Pain-Numeric Rating Scale

    The P-NRS is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no pain. A score of 10 indicates worst pain imaginable

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  13. Proportion of Patients With Itch Score of 0

    The Itch-Numerical Rating Scale (I-NRS) is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no itch and score of 10 indicates indicates worst imaginable itch. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

    Time frame: weeks 4, 8, 12, 16, 28, 40, 52, and 64

  14. Proportion of Patients With Scaling Score of 0

    The Scaling-NRS (S-NRS) is a simple, 11-point self-administered numeric rating scale that is administered at each visit. A score of 0 represents 'no scaling' and a score of 10, indicates 'worst scaling imaginable'. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  15. Proportion of Patients With Pain Score of 0

    The P-NRS is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no pain. A score of 10 indicates worst pain imaginable. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

    Time frame: Weeks 4, 8, 12, 16, 28, 40, 52, and 64

  16. Improvement From Baseline in Work Productivity Measured by Change in Work Productivity and Activity Impairment Scale Over Time

    The WPAI is a validated, subject-reported quantitative assessment of the amount of absenteeism, presenteeism and daily activity impairment attributable to general health or a specific health problem. WPAI surveys were analyzed based on published algorithms to determine the following: current employment status, absenteeism, presenteeism, total activity impairment , and total work productivity impairment. Each WPAI score is expressed as impairment percentages (0-100), with higher scores indicating greater impairment (worse outcomes).

    Time frame: baseline, weeks 16, 28, 40, 52, 64

  17. Assessment of Patient Satisfaction With Treatment Measured by Change From Baseline in Treatment Satisfaction Questionnaire for Medication Over Time

    The TSQM is a general measure of treatment satisfaction with medication, suitable for use across a wide variety of medication types and illness conditions. The 14-item TSQM Version 1.4 is a reliable and valid instrument to assess patients' satisfaction with medication, providing scores on four scales - side effects, effectiveness, convenience and global satisfaction. The TSQM domain scores range from 0-100 with higher scores representing higher satisfaction on that domain

    Time frame: baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64

  18. Assessment of Tildrakizumab Overall Satisfaction Over Time Using Numerical Rating Scales

    The Tildrakizumab Overall Satisfaction Scale is an 11-point simple, self-administered numeric rating scale. Subjects indicate their overall satisfaction by circling the integer that best describes their experience on a scale. A score of 0 indicates 'not satisfied' and 10 indicates 'extremely satisfied'.

    Time frame: weeks 4, 8, 12, 16, 28, 40, 52, 64

  19. Assessment of Patient Happiness With Psoriasis Control Over Time Using Numerical Rating Scale

    The Patient Happiness with Psoriasis Control assessment is an 11-point simple, self- administered numeric rating scale ranging in score from 0 to 10 that is administered at each visit. Subjects indicate their overall happiness with psoriasis control by circling the integer that best describes their experience on a scale. A score of 0 indicates 'extremely unhappy'. A score of 10 indicates 'extremely happy'.

    Time frame: weeks 4, 8, 12, 16, 28, 40, 52, 64

Other outcomes

  1. Treatment-emergent AEs

    The reported values are entered in the 'Other Adverse events' section

    Time frame: baseline, weeks 4, 8, 12, 16, 28, 40, 52,,64

07

Results

Posted Feb 23, 2023

Participant flow

Participant flow — Overall Study
MilestoneTildrakizumab 100 mg
Started55
Completed45
Not completed10
Withdrew: Adverse event1
Withdrew: Withdrawal by subject6
Withdrew: Physician decision2
Withdrew: Lost to follow-up1

Outcome measures

PrimaryImprovement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale

The Psychological General Well-Being scale is a self-administered validated psychometric instrument that measures a person's emotional well-being. It is specifically designed to be suitable for assessing psychological well being in the general medical population as opposed to a psychiatric population. The 22 questions of the PGWB can be further divided into 6 domains: anxiety, depressed mood, positive well being, self-control, general health, and vitality. The PGWB is graded on a Likert scale, which is commonly used in psychometric questionnaires where the answers range from strongly agree to strongly disagree with gradations in between. Total scores range from 0 to 110, with higher scores indicating better psychological well being. This instrument has been validated and used in many countries on large samples of the general population and on various subsets of medical patients. The values reported are change in score from baseline.

Time frame:
baseline, week 28 and week 52
Reported as:
Mean · score on a scale
Improvement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale
score on a scaleTildrakizumab 100 mg
Baseline78 ± 14
Week 283.7 ± 12.36
Week 528.0 ± 14.06
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryImprovement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale Over Time

The Psychological General Well-Being scale is a self-administered validated psychometric instrument that measures a person's emotional well-being. It is specifically designed to be suitable for assessing psychological well being in the general medical population as opposed to a psychiatric population. The 22 questions of the PGWB can be further divided into 6 domains: anxiety, depressed mood, positive well being, self-control, general health, and vitality. The PGWB is graded on a Likert scale, which is commonly used in psychometric questionnaires where the answers range from strongly agree to strongly disagree with gradations in between. Total scores range from 0 to 110, with higher scores indicating better psychological well being. This instrument has been validated and used in many countries on large samples of the general population and on various subsets of medical patients. The values reported are change in score from baseline.

Time frame:
baseline, weeks 4, 8, 12, 16, 40, 64
Reported as:
Mean · score on a scale
Improvement in Quality of Life Measured by Change From Baseline in Psychological General Well-Being Scale Over Time
score on a scaleTildrakizumab 100 mg
Baseline78.1 ± 14.06
Week 44.2 ± 10.40
Week 84.2 ± 12.33
Week 124.5 ± 13.56
Week 165.3 ± 13.36
Week 405.6 ± 12.48
Week 645.6 ± 14.14
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = 0.011
SecondaryImprovement in Quality of Life Measured by Change From Baseline in Dermatology Life Quality Index Over Time

The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life

Time frame:
week 64
Reported as:
Mean · score on a scale
Improvement in Quality of Life Measured by Change From Baseline in Dermatology Life Quality Index Over Time
score on a scaleTildrakizumab 100 mg
Improvement in Quality of Life Measured by Change From Baseline in Dermatology Life Quality Index Over Time-8.0 ± 5.18
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryProportion of Subjects With Dermatology Life Quality Index Score of 0 or 1

The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

Time frame:
baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Number · Percentage of subjects
Proportion of Subjects With Dermatology Life Quality Index Score of 0 or 1
Percentage of subjectsTildrakizumab 100 mg
Baseline1.8
Week 418.2
Week 836.5
Week 1242.3
Week 1651.9
Week 2852.8
Week 4058.3
Week 5256.3
Week 6462.2
Statistical analysis
  • Tildrakizumab 100 mg · Clopper-pearson: 62.2 · 95% CI 46.5 to 76.2
SecondaryProportion of Subjects With Dermatology Life Quality Index Score ≤ 5

The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

Time frame:
Baseline, weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Number · Percentage of subjects
Proportion of Subjects With Dermatology Life Quality Index Score ≤ 5
Percentage of subjectsTildrakizumab 100 mg
Baseline13
Week 456.4
Week 884.6
Week 1286.5
Week 1688.9
Week 2894.3
Week 4091.7
Week 5289.6
Week 6093.3
Statistical analysis
  • Tildrakizumab 100 mg · Clopper-pearson: 93.3 · 95% CI 81.7 to 98.6
SecondaryProportion of Subjects With a Reduction of ≥ 5 Points in Dermatology Life Quality Index From Baseline

The DLQI is a self-administered and user-friendly validated questionnaire used to measure the health-related quality of life of adult patients suffering from a skin disease. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. Higher scores mean greater impairment of patient's QoL. The DLQI or Dermatology Life Quality Index measures patient's quality of life. The score ranges from 0 to 30. Lower scores indicate less impairment in quality of life. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

Time frame:
baseline, weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Number · Percentage of subjects
Proportion of Subjects With a Reduction of ≥ 5 Points in Dermatology Life Quality Index From Baseline
Percentage of subjectsTildrakizumab 100 mg
Week 444.4
Week 861.9
Week 1269.0
Week 1675.0
Week 2881.4
Week 4087.5
Week 5282.5
Week 6478.9
Statistical analysis
  • Tildrakizumab 100 mg · Clopper-pearson: 78.9 · 95% CI 62.7 to 90.4
SecondaryChanges From Baseline in Percent Affected Body Surface Area

The percent BSA affected with psoriasis will be estimated at each study visit. The investigator may use the estimate that 1% BSA is equivalent to the area of the subject's closed hand (palm with fingers held together).

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Mean · Percent BSA
Changes From Baseline in Percent Affected Body Surface Area
Percent BSATildrakizumab 100 mg
Baseline14.5 ± 11.54
Week 4-2.9 ± 5.70
Week 8-8.7 ± 11.89
Week 12-10.1 ± 12.09
Week 16-10.9 ± 11.57
Week 28-10.9 ± 12.74
Week 40-11.3 ± 12.93
Week 52-11.5 ± 12.79
Week 64-12.7 ± 11.88
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChange From Baseline in Static Physician's Global Assessment

The sPGA is used to determine the overall severity of psoriasis lesions at a given time point. Its score ranges from 0 to 5 with higher scores indicating greater severity.

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Mean · score on a scale
Change From Baseline in Static Physician's Global Assessment
score on a scaleTildrakizumab 100 mg
Baseline3.2 ± 0.56
Week 4-1.1 ± 0.71
Week 8-1.8 ± 0.94
Week 12-2.0 ± 1.08
Week 16-1.9 ± 0.80
Week 28-2.0 ± 1.05
Week 40-2.2 ± 1.00
Week 52-2.1 ± 1.07
Week 64-2.2 ± 1.00
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChanges From Baseline Body Surface Area x Physician's Global Assessment Over Time

The metric of BSA x sPGA is a multiplication of the percentage BSA covered and the sPGA score. The scale range for the sPGA is 0 to 5. The scale range for BSA in this study was \>=3% (inclusion criterion), which means that it has to be at least 3%, and it can be as high as 100% hypothetically. So the minimum score for sPGA x BSA = 0, and the maximum score is 5 x 100 = 500. So the range for sPGA x BSA in this study was 0 to 500. The BSA has a range of 0% to 100% where higher percentages indicate a worse outcome or worse disease The sPGA has a range of 0 (clear) to 5 (severe) where higher values indicate a worse outcome or worse disease. sPGA is used to determine the overall severity of psoriasis lesions at a given time point. Its score ranges from 0 to 5. BSA covered is reported as percent of body surface area covered. Total score for BSA x sPGA ranges from 0 to 500 with higher scores indicating greater severity.

Time frame:
weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Changes From Baseline Body Surface Area x Physician's Global Assessment Over Time
score on a scaleTildrakizumab 100 mg
Week 4-21.1 ± 27.47
Week 8-37.1 ± 42.52
Week 12-38.1 ± 43.36
Week 16-39.9 ± 41.74
Week 28-37.8 ± 45.28
Week 40-38.2 ± 44.48
Week 52-40.0 ± 44.33
Week 64-43.3 ± 41.86
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChanges From Baseline Psoriasis Area Severity Index (% of Psoriasis Area Severity Index Improvement From Baseline, Absolute Psoriasis Area Severity Index ) Over Time

The PASI is a quantitative rating scale for measuring the severity of psoriatic lesions based on area coverage and plaque appearance. PASI analyzes the four regions of the body (head, trunk, upper and lower limbs). It ranges from 0 to 72 with higher scores indicating greater severity.

Time frame:
baseline, weeks 4,16, 28 and 52
Reported as:
Mean · score on a scale
Changes From Baseline Psoriasis Area Severity Index (% of Psoriasis Area Severity Index Improvement From Baseline, Absolute Psoriasis Area Severity Index ) Over Time
score on a scaleTildrakizumab 100 mg
Baseline11.6 ± 7.12
Week 4-5.1 ± 4.60
Week 16-9.3 ± 7.03
Week 28-9.4 ± 6.95
Week 52-10.0 ± 7.32
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChange From Baseline in Itch-Numeric Rating Scale

The Itch-Numerical Rating Scale (I-NRS) is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no itch and score of 10 indicates indicates worst imaginable itch

Time frame:
baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Change From Baseline in Itch-Numeric Rating Scale
score on a scaleTildrakizumab 100 mg
Baseline6.6 ± 2.57
Week 4-1.7 ± 2.47
Week 8-2.8 ± 3.11
Week 12-3.0 ± 3.22
Week 16-3.8 ± 2.84
Week 28-3.8 ± 3.12
Week 40-3.7 ± 2.99
Week 52-4.1 ± 3.06
Week 64-4.4 ± 2.66
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChange From Baseline in Scaling-Numeric Rating Scale

The Scaling-NRS (S-NRS) is a simple, 11-point self-administered numeric rating scale that is administered at each visit. A score of 0 represents 'no scaling' and a score of 10, indicates 'worst scaling imaginable'.

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Mean · score on a scale
Change From Baseline in Scaling-Numeric Rating Scale
score on a scaleTildrakizumab 100 mg
Baseline7.0 ± 2.33
Week 4-2.6 ± 2.38
Week 8-4.1 ± 3.03
Week 12-4.3 ± 2.95
Week 16-4.5 ± 2.54
Week 28-4.7 ± 2.78
Week 40-4.5 ± 2.86
Week 52-4.6 ± 2.86
Week 64-4.6 ± 2.89
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryChange From Baseline in Pain-Numeric Rating Scale

The P-NRS is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no pain. A score of 10 indicates worst pain imaginable

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Mean · score on a scale
Change From Baseline in Pain-Numeric Rating Scale
score on a scaleTildrakizumab 100 mg
Baseline3.8 ± 3.22
Week 4-1.2 ± 2.65
Week 8-1.8 ± 3.18
Week 12-1.8 ± 2.88
Week 16-2.2 ± 2.88
Week 28-2.3 ± 3.05
Week 40-2.3 ± 2.48
Week 52-2.5 ± 2.76
Week 64-2.8 ± 2.75
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryProportion of Patients With Itch Score of 0

The Itch-Numerical Rating Scale (I-NRS) is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no itch and score of 10 indicates indicates worst imaginable itch. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

Time frame:
weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Number · Percentage of participants
Proportion of Patients With Itch Score of 0
Percentage of participantsTildrakizumab 100 mg
Baseline1.8
Week 43.6
Week 811.3
Week 1222.2
Week 1616.7
Week 2820.8
Week 4022.9
Week 5222.9
Week 6424.4
Statistical analysis
  • Tildrakizumab 100 mg · Mean (clopper-pearson): 24.4 · 95% CI 12.9 to 39.5
SecondaryProportion of Patients With Scaling Score of 0

The Scaling-NRS (S-NRS) is a simple, 11-point self-administered numeric rating scale that is administered at each visit. A score of 0 represents 'no scaling' and a score of 10, indicates 'worst scaling imaginable'. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Number · percentage of participants
Proportion of Patients With Scaling Score of 0
percentage of participantsTildrakizumab 100 mg
Baseline0
Week 43.6
Week 820.8
Week 1216.7
Week 1620.4
Week 2822.6
Week 4022.9
Week 5225.0
Week 6417.8
Statistical analysis
  • Tildrakizumab 100 mg · Mean (clopper-pearson): 17.8 · 95% CI 8.0 to 32.1
SecondaryProportion of Patients With Pain Score of 0

The P-NRS is a simple, 11-point self-administered numeric rating scale. A score of 0 indicates no pain. A score of 10 indicates worst pain imaginable. For 'Units of Measure'- Data entered is percentage of participants, which is calculated by multiplying the value obtained (Proportion in this case) by 100.

Time frame:
Weeks 4, 8, 12, 16, 28, 40, 52, and 64
Reported as:
Number · Percentage of participants
Proportion of Patients With Pain Score of 0
Percentage of participantsTildrakizumab 100 mg
Baseline12.7
Week 421.8
Week 834.0
Week 1248.1
Week 1640.7
Week 2850.9
Week 4054.2
Week 5252.1
Week 6448.9
Statistical analysis
  • Tildrakizumab 100 mg · Clopper-pearson: 48.9 · 95% CI 33.7 to 64.2
SecondaryImprovement From Baseline in Work Productivity Measured by Change in Work Productivity and Activity Impairment Scale Over Time

The WPAI is a validated, subject-reported quantitative assessment of the amount of absenteeism, presenteeism and daily activity impairment attributable to general health or a specific health problem. WPAI surveys were analyzed based on published algorithms to determine the following: current employment status, absenteeism, presenteeism, total activity impairment , and total work productivity impairment. Each WPAI score is expressed as impairment percentages (0-100), with higher scores indicating greater impairment (worse outcomes).

Time frame:
baseline, weeks 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Improvement From Baseline in Work Productivity Measured by Change in Work Productivity and Activity Impairment Scale Over Time
score on a scaleTildrakizumab 100 mg
Baseline (Total Activity Impairment)29.5 ± 26.56
Week 16 (Total Activity Impairment)-20.8 ± 21.47
Week 28 (Total Activity Impairment)-24.7 ± 25.47
Week 40 (Total Activity Impairment)-26.9 ± 24.33
Week 52 (Total Activity Impairment)-20.8 ± 28.57
Week 64 Total Activity Impairment)-27.8 ± 22.85
Baseline (Total Work Productivity Impairment)20.9 ± 22.21
Week 16 (Total Work Productivity Impairment)-13.7 ± 21.02
Week 28 (Total Work Productivity Impairment)-14.5 ± 20.45
Week 40 (Total Work Productivity Impairment)17.1 ± 19.33
Week 52 (Total Work Productivity Impairment)-16.4 ± 22.42
Week 64 (Total Work Productivity Impairment)-19.4 ± 20.81
Baseline (Absenteeism)1.1 ± 5.66
Week 16 (Absenteeism)0.5 ± 3.85
Week 28 (Absenteeism)-0.3 ± 1.93
Week 40 (Absenteeism)-0.4 ± 2.00
Week 52 (Absenteeism)-0.4 ± 2.00
Week 64 (Absenteeism)0.0 ± 0.00
Baseline (Presenteeism)20.5 ± 21.67
Week 16 (Presenteeism)-14.0 ± 20.47
Week 28 (Presenteeism)-14.2 ± 20.31
Week 40 (Presenteeism)-16.8 ± 19.22
Week 52 (Presenteeism)-16.1 ± 22.31
Week 64 (Presenteeism)-19.4 ± 20.81
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
SecondaryAssessment of Patient Satisfaction With Treatment Measured by Change From Baseline in Treatment Satisfaction Questionnaire for Medication Over Time

The TSQM is a general measure of treatment satisfaction with medication, suitable for use across a wide variety of medication types and illness conditions. The 14-item TSQM Version 1.4 is a reliable and valid instrument to assess patients' satisfaction with medication, providing scores on four scales - side effects, effectiveness, convenience and global satisfaction. The TSQM domain scores range from 0-100 with higher scores representing higher satisfaction on that domain

Time frame:
baseline, weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Assessment of Patient Satisfaction With Treatment Measured by Change From Baseline in Treatment Satisfaction Questionnaire for Medication Over Time
score on a scaleTildrakizumab 100 mg
Week 4 (Effectiveness)59.5 ± 17.03
Week 8 (Effectiveness)70.8 ± 23.12
Week 12 (Effectiveness)71.0 ± 22.65
Week 16 (Effectiveness)73.9 ± 17.39
Week 28 (Effectiveness)76.5 ± 19.93
Week 40 (Effectiveness)78.4 ± 16.01
Week 52 (Effectiveness)78.7 ± 16.89
Week 64 (Effectiveness)79.5 ± 20.06
Week 4 (Convenience)83.3 ± 15.89
Week 8 (Convenience)85.1 ± 14.33
Week 12 (Convenience)86.9 ± 13.70
Week 16 (Convenience)84.0 ± 12.57
Week 28 (Convenience)85.1 ± 13.42
Week 40 (Convenience)85.6 ± 13.93
Week 52 (Convenience)85.2 ± 13.58
Week 64 (Convenience)82.2 ± 16.35
Week 4 (Global Satisfaction)72.7 ± 18.55
Week 8 (Global Satisfaction)77.5 ± 21.19
Week 12 (Global Satisfaction)77.4 ± 20.89
Week 16 (Global Satisfaction)79.4 ± 16.69
Week 28 (Global Satisfaction)80.5 ± 17.78
Week 40 (Global Satisfaction)81.4 ± 15.15
Week 52 (Global Satisfaction)81.7 ± 18.40
Week 64 (Global Satisfaction)81.9 ± 20.47
Week 4 (Side Effects)70.8 ± 14.61
Week 8 (Side Effects)78.1 ± 18.75
Week 12 (Side Effects)73.4 ± 11.83
Week 16 (Side Effects)68.8 ± 6.25
Week 28 (Side Effects)81.3 ± 10.83
Week 40 (Side Effects)81.3 ± 6.25
Week 52 (Side Effects)77.1 ± 9.55
Week 64 (Side Effects)79.2 ± 3.61
Statistical analysis
  • Tildrakizumab 100 mg · Mean: 79.5
  • Tildrakizumab 100 mg · Exact binomial test · p = <0.001
  • Tildrakizumab 100 mg · Mean: 82.2
  • Tildrakizumab 100 mg · Mean: 81.9
SecondaryAssessment of Tildrakizumab Overall Satisfaction Over Time Using Numerical Rating Scales

The Tildrakizumab Overall Satisfaction Scale is an 11-point simple, self-administered numeric rating scale. Subjects indicate their overall satisfaction by circling the integer that best describes their experience on a scale. A score of 0 indicates 'not satisfied' and 10 indicates 'extremely satisfied'.

Time frame:
weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Assessment of Tildrakizumab Overall Satisfaction Over Time Using Numerical Rating Scales
score on a scaleTildrakizumab 100 mg
Week 4 (Improvement in Symptoms)6.0 ± 2.36
Week 8 (Improvement in Symptoms)7.6 ± 2.44
Week 12 (Improvement in Symptoms)7.7 ± 2.45
Week 16 (Improvement in Symptoms)8.0 ± 2.03
Week 28 (Improvement in Symptoms)8.0 ± 2.30
Week 40 (Improvement in Symptoms)8.4 ± 1.85
Week 52 (Improvement in Symptoms)8.4 ± 2.15
Week 64 (Improvement in Symptoms)8.7 ± 2.01
Week 4 (Speed of Symptom Improvement)5.9 ± 2.39
Week 8 (Speed of Symptom Improvement)7.5 ± 2.55
Week 12 (Speed of Symptom Improvement)7.2 ± 2.80
Week 16 (Speed of Symptom Improvement)7.7 ± 2.15
Week 28 (Speed of Symptom Improvement)7.8 ± 2.44
Week 40 (Speed of Symptom Improvement)8.4 ± 1.75
Week 52 (Speed of Symptom Improvement)7.9 ± 2.36
Week 64 (Speed of Symptom Improvement)8.3 ± 2.30
Week 4 (Frequency of Taking Medication)7.8 ± 2.05
Week 8 (Frequency of Taking Medication)8.4 ± 1.75
Week 12 (Frequency of Taking Medication)8.2 ± 2.08
Week 16 (Frequency of Taking Medication)8.2 ± 2.19
Week 28 (Frequency of Taking Medication)8.3 ± 2.24
Week 40 (Frequency of Taking Medication)8.8 ± 2.12
Week 52 (Frequency of Taking Medication)8.8 ± 2.12
Week 64 (Frequency of Taking Medication)9.1 ± 1.70
Week 4 (Side Effects)8.6 ± 2.14
Week 8 (Side Effects)9.0 ± 1.50
Week 12 (Side Effects)9.2 ± 1.48
Week 16 (Side Effects)9.2 ± 1.52
Week 28 (Side Effects)9.1 ± 1.54
Week 40 (Side Effects)9.3 ± 1.59
Week 52 (Side Effects)9.5 ± 1.22
Week 64 (Side Effects)9.6 ± 0.68
Statistical analysis
  • Tildrakizumab 100 mg · Mean: 8.7
  • Tildrakizumab 100 mg · Mean: 8.3
  • Tildrakizumab 100 mg · Mean: 9.1
  • Tildrakizumab 100 mg · Mean: 9.6
SecondaryAssessment of Patient Happiness With Psoriasis Control Over Time Using Numerical Rating Scale

The Patient Happiness with Psoriasis Control assessment is an 11-point simple, self- administered numeric rating scale ranging in score from 0 to 10 that is administered at each visit. Subjects indicate their overall happiness with psoriasis control by circling the integer that best describes their experience on a scale. A score of 0 indicates 'extremely unhappy'. A score of 10 indicates 'extremely happy'.

Time frame:
weeks 4, 8, 12, 16, 28, 40, 52, 64
Reported as:
Mean · score on a scale
Assessment of Patient Happiness With Psoriasis Control Over Time Using Numerical Rating Scale
score on a scaleTildrakizumab 100 mg
Baseline2.7 ± 2.33
Week 43.7 ± 3.65
Week 85.1 ± 3.69
Week 125.1 ± 3.73
Week 165.5 ± 3.41
Week 285.7 ± 2.91
Week 405.9 ± 3.00
Week 526.0 ± 2.78
Week 646.0 ± 2.97
Statistical analysis
  • Tildrakizumab 100 mg · t-test, 2 sided · p = <0.001
Other pre-specifiedTreatment-emergent AEs

The reported values are entered in the 'Other Adverse events' section

Time frame:
baseline, weeks 4, 8, 12, 16, 28, 40, 52,,64

Results for this outcome have not been posted.

Adverse events

Collected over Week 64. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tildrakizumab 100 mg0/55 (0%)4/55 (7.3%)29/55 (52.7%)
Most frequent serious events
Most frequent serious events
EventTildrakizumab 100 mg
COVID-19 pneumoniaInfections and infestations1/55
Transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/55
Ischaemic strokeNervous system disorders1/55
IgA nephropathyRenal and urinary disorders1/55
Most frequent other events
Most frequent other events
EventTildrakizumab 100 mg
PsoriasisSkin and subcutaneous tissue disorders7/55
HypertensionVascular disorders5/55
DermatitisSkin and subcutaneous tissue disorders3/55
NasopharyngitisInfections and infestations2/55
Upper respiratory tract infectionInfections and infestations2/55
Large intestine polypGastrointestinal disorders2/55
ArthralgiaMusculoskeletal and connective tissue disorders2/55
Skin papillomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)2/55
HaematuriaRenal and urinary disorders2/55
EczemaSkin and subcutaneous tissue disorders2/55

Baseline characteristics

Age, Continuous
Age, Continuous(years)Tildrakizumab 100 mg
Mean48.6 ± 15.29
Sex: Female, Male
Sex: Female, Male(Participants)Tildrakizumab 100 mg
Female27
Male28
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Tildrakizumab 100 mg
Hispanic or Latino5
Not Hispanic or Latino50
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tildrakizumab 100 mg
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American2
White52
More than one race0
Unknown or Not Reported0
08

Study locations

2 sites
  • Therapeutics Clinical Research
    San Diego, California 92123, United States
  • Site 02
    Grandville, Michigan 49418, United States
09

References and documents

Study documents

  • Study protocol · Jan 2, 2020
  • Statistical analysis plan · Feb 24, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03718299
Lead sponsor
Sun Pharmaceutical Industries Limited
Responsible party
Sponsor
First posted
Oct 24, 2018
Start date
Jul 16, 2019
Primary completion
Nov 2, 2021
Completion
Nov 5, 2021
Results posted
Feb 23, 2023
Last update
Feb 23, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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