ClinicalTrials.gg
RecruitingNCT07532226PEGASUSUpdated Nov 3, 2026

A Study of Guselkumab Treatment Persistence in Psoriatic Arthritis Participants

An observational study in Arthritis, Psoriatic, sponsored by Janssen-Cilag Ltd.. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Janssen-Cilag Ltd. (part of Johnson & Johnson) · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

This observational study aims to assess the 1-year persistence of guselkumab in adult patients with psoriatic arthritis (an inflammatory disease that affects the joints in participants with psoriasis, a skin condition that causes red, scaly patches).

02

Conditions studied

  • Arthritis, Psoriatic

Browse trials for

03

In context

Arthritis, Psoriatic

600 studies on the registry are indexed under Arthritis, Psoriatic; 129 are open to participants now.

This study's planned enrollment of 200 is below the median of 300 across 243 observational studies indexed under Arthritis, Psoriatic.

Browse Arthritis, Psoriatic studies →

Lead sponsor

Janssen-Cilag Ltd. is the lead sponsor of 35 studies on the registry; 4 are open to participants now.

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
Sampling method
Non-probability sample

Study population

The study population will include participants affected with psoriatic arthritis (PsA) according to classification for psoriatic arthritis (CASPAR) criteria.

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

  • Have a confirmed diagnosis of psoriatic arthritis (PsA) as determined by a rheumatologist with reference to ClASsification criteria for Psoriatic ARthritis (CASPAR)
  • Start guselkumab as a first, second, third, or fourth line of disease-modifying antirheumatic drug (bDMARD) therapy for the indication of PsA as part of standard clinical practice at the time of enrollment into the observational study
  • Initiating guselkumab treatment according to Summary of Product Characteristics (SmPC) indication
  • The treatment decision must be taken by the participating rheumatologist prior to, and independently of the patient's inclusion into the study, following clinical practice in accordance with local and overarching guidelines and local regulations
  • Must have received the information note, given his/her oral agreement and has not objected to the collection of his/her data in accordance with French requirements

Exclusion criteria

Exclusion Criteria:

  • Have already taken a specific interleukin-23 inhibitor (IL-23i) treatment.
  • Are receiving combination therapy: 2 or more targeted therapies (biotherapy, Janus kinase [JAK] inhibitor, phosphodiesterase 4 (PDE4) inhibitor) indicated for PsA/PsO at the same time
  • Has a to guselkumab according to the SmPC (for or due to active infection, example active tuberculosis)
  • Unwilling or unable to participate in long-term data collection
  • Received an drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before the start of the study ( that is, signing of )
  • Currently enrolled in any interventional study or any Janssen-Cilag France-sponsored observational clinical study
  • Is under guardianship or curatorship, judicial protection, future protection mandate or under family authorization
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Group 1: Psoriatic Arthritis Participants Treated With Guselkumab

    Participants with confirmed diagnosis of psoriatic arthritis treated with guselkumab as per routine clinical practice will be enrolled. No drug will be provided as part of this study. Only data available within routine clinical practice will be collected in this study.

06

What researchers measure

Primary outcomes

  1. Proportion of Participants Still Receiving Treatment at 1 Year

    Discontinuation or maintenance of guselkumab treatment will be recorded by the physician at each visit. Proportion of participants still receiving treatment will be reported in the outcome measure.

    Time frame: At 1 year

  2. Percentage of Participants Still Receiving Treatment at Persistence Time

    Persistence time of the initial treatment: defined as the time from the date of the first administration of guselkumab to the date that the last dose of guselkumab treatment was administered plus 1 dosing interval (8 weeks), or until start of subsequent treatment.

    Time frame: Up to 8 weeks

  3. Number of Participants Starting New Treatment

    Participants starting new treatment along with reason of discontinuation will be reported.

    Time frame: At 1 year

Secondary outcomes

  1. Percentage of Participants Still Receiving Treatment at 2 years

    Percentage of participants still receiving treatment at 2 years will be reported.

    Time frame: At 2 years

  2. Percentage of Participants Discontinuing The Treatment

    Participants discontinuing the treatment along with the reasons will be reported.

    Time frame: At 2 years

  3. Change From Baseline in Disease Activity Index in Psoriatic Arthritis (DAPSA)/ Clinical Disease Activity Index in Psoriatic Arthritis (cDAPSA)

    The DAPSA was developed to characterize psoriatic arthritis (PsA) disease activity. It considers the number of painful and swollen joints, the patient's assessment of their disease and the C-reactive protein (CRP) measurement for acute inflammation. Where CRP measurements are not available, the clinical DAPSA (cDAPSA) maybe be used, which omits CRP. An overall score is calculated, where higher scores correspond to higher disease activity. Cut-off values for DAPSA low and high disease activity are: ≤14 and \>28 points, respectively, and for remission is ≤4 points. The cut-off values for cDAPSA are: ≤4 points for remission, \>4 to ≤13 points for low disease activity, \> 13 to ≤27 points for moderate disease activity, and \>27 points for high disease activity.

    Time frame: Baseline, Months 3,6,12,18, and 24

  4. Change From Baseline in Leeds Enthesitis Index (LEI) Score

    The Leeds enthesitis index (LEI) measures the activity of enthesitis in PsA. The index measures the severity and activity of enthesitis, inflammation at the attachment of the ligaments and tendons to bone. The clinical assessor must elicit tenderness at 6 enthesitis sites: both lateral epicondyles of the humerus, both medial condyles of the femur, and the Achilles tendon insertions. Each site affected is summed to give a score out of 6, where 6 indicates all sites affected.

    Time frame: Baseline, Months 3,6,12,18, and 24

  5. Change From Baseline in Back and Neck Pain Numerical Rating Scale (NRS) Score

    NRS for back and neck pain will be administered. This is a simple numbered 0-10 scale on which the patient indicates the intensity of their pain (0 represents no pain and 10 indicates the worst possible pain).

    Time frame: Baseline, Months 3,6,12,18, and 24

  6. Hazard Ratios Between Baseline Clinical Factors and Guselkumab Persistence and Effectiveness at Months 12 and 24

    Hazard ratios for association between baseline clinical factors and persistence/effectiveness from Cox proportional hazards models will be reported.

    Time frame: At Month 12 and 24

  7. Sociodemographic Characteristics: Age

    Participant's age will be reported.

    Time frame: At Baseline

  8. Sociodemographic Characteristics: Sex

    Participant's sex (male, female) will be reported

    Time frame: At Baseline

  9. Sociodemographic Characteristics: Weight

    Participant's weight will be reported

    Time frame: At Baseline

  10. Sociodemographic Characteristics: Height

    Participant's height will be reported.

    Time frame: At Baseline

  11. Sociodemographic Characteristics: Body Mass Index (BMI)

    Participant's BMI will be reported.

    Time frame: At Baseline

  12. Number of Participants Reporting Smoking, Cannabis and Alcohol Use

    Participant's smoking, use of Cannabis and Alcohol habit will be reported.

    Time frame: At Baseline

  13. Number of Participants With Family History of Psoriasis and/or Psoriatic Arthritis and/or Spondyloarthritis

    Family history of psoriasis and/or psoriatic arthritis and/or spondyloarthritis wil be reported.

    Time frame: At Baseline

  14. Date of Diagnosis of Psoriatic Arthritis

    Date of diagnosis of psoriatic arthritis will be reported.

    Time frame: At Baseline

  15. Date of Previous Treatments of Psoriatic Arthritis

    Date of previous treatments of psoriatic arthritis will be reported.

    Time frame: At Baseline

  16. Duration of Previous Treatments of Psoriatic Arthritis

    Duration of previous treatments of psoriatic arthritis will be reported.

    Time frame: At Baseline

  17. Medical History and Current Situation

    Participants medical history and current medical situation will be reported.

    Time frame: At Baseline

  18. Number of Participants Receiving Co-occurring Treatments Linked to Psoriatic Arthritis

    Participants receiving co-occurring treatments linked to psoriatic arthritis at baseline and during follow-up will be reported.

    Time frame: Baseline up to 2 Years

  19. Failure to Achieve or Maintain Response

    Failure to achieve or maintain response to at least 2 biologic/targeted synthetic DMARDs with at least 2 different mechanisms of action (Y/N) (For treatment refractory criteria).

    Time frame: Up to 2 Years

  20. Number of Participants Reporting Problems Related to the Management of Signs and Symptoms

    The management of signs and/or symptoms that is perceived as problematic by the rheumatologist and/or the participants will be reported.

    Time frame: At baseline

  21. Evidence of Persistent Disease

    Evidence of persistent disease as defined by at least 2 of the following: a) failure to achieve or maintain low disease activity, b) the presence of active extra-musculoskeletal manifestations of PsA, c) objective evidence of inflammatory activity, namely clinical signs, elevated acute phase reactants and/or imaging findings suggestive of inflammation.

    Time frame: Up to 2 Years

  22. Number of Participants with Co-Morbidities

    Number of participants with co-morbidities will be reported.

    Time frame: At baseline

  23. Number of Participants with Abnormal Psychosocial Factors

    Number of participants with abnormal psychosocial factors will be reported.

    Time frame: At Baseline

  24. Healthcare Professional (HCP): Age Group

    Age group of HCP will be reported.

    Time frame: At Baseline

  25. HCP: Sex

    Sex of HCP will be reported.

    Time frame: At Baseline

  26. HCP: Experience

    Experience of HCP will be reported.

    Time frame: At Baseline

  27. HCP: Type of Practice

    Type of practice of HCP will be reported.

    Time frame: At Baseline

  28. Number of Participants With Adverse Events, Serious Adverse Events, Infections and Injection Site Reactions

    AEs with onset or worsening on or after date of first dose of study treatment. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1 equal (=) Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to AE. SAE is any untoward medical occurrence that results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

    Time frame: Up to 2 Years

  29. Tolerance Related Guselkumab Treatment

    Tolerance Related guselkumab treatment will be reported.

    Time frame: Up to 2 Years

  30. Dose at Initiation of Guselkumab

    Dose at initiation of guselkumab will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  31. Treatment Interval at Initiation of Guselkumab

    Treatment interval at initiation of guselkumab will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  32. Type of Injection

    Type of injection will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  33. Number of Participants Reporting Change of Injection Frequency

    Participants reporting change of injection frequency (Q4 to Q8 or Q8 to Q4) and its reason will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  34. Number of Participant With Co-occurring Treatments Linked to PSA

    Participants with co-occurring treatments linked to PSA will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  35. Number of Participants With Reason for Choosing Guselkumab From the Therapeutic Arsenal

    Participants with reason for choosing guselkumab from the therapeutic arsenal will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  36. Number of Participants Switching to New Treatment in Case of Discontinuation of Guselkumab Treatment

    Participants switching to new treatment in case of discontinuation of guselkumab treatment will be reported.

    Time frame: At Months 0, 3, 6, 12, 18 and 24

  37. Change From Baseline in 12-item Psoriatic Arthritis Impact of Disease Questionnaire (PsAID-12) Questionnaire Score

    The PsAID-12 questionnaire was designed to assess the impact of disease, with questions on pain, physical function, fatigue, coping and depression. It is a validated, self-administered questionnaire developed for use in clinical practice that assesses the impact of PsA on patients' lives. It consists of 12 questions, each answered using a numerical rating scale. Questions related to pain, skin problems, work and/or leisure activities, discomfort, embarrassment and/or shame, social participation, and anger, fear, and uncertainty, and depression are scored from 0 (none) to 10 (extreme), functional capacity and sleep disturbance are scored from 0 (no difficulty) to 10 (extreme difficulty) and coping is scored from 0 (very well) to 10 (very poorly).

    Time frame: Baseline, Months 0, 3, 6, 12, 18 and 24

  38. Change From Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Score at Each Visit After Baseline

    The BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) was developed to measure disease activity in patients with ankylosing spondylitis. It consists of 6 questions pertaining to the 5 major symptoms of ankylosing spondylitis: fatigue, spinal pain, joint pain/swelling, areas of localized tenderness (also called enthesitis, or inflammation of tendons and ligaments), morning stiffness duration and morning stiffness severity. Each symptom is assessed on a scale of 0-10 where 0 indicates no pain or discomfort and 10 indicates maximum pain or discomfort. To give each symptom equal weighting, the mean (average) of the 2 scores relating to morning stiffness is taken. The resulting 0 to 50 score is divided by 5 to give a final 0 - 10 BASDAI score. Scores of 4 or greater suggest suboptimal control of disease.

    Time frame: Baseline, Months 0, 3, 6, 12, 18 and 24

  39. Satisfaction of Treatment for the Participants

    The satisfaction of treatment for the participant will be assessed using a 5-point Likert scale, ("Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied"). The scale includes two patient reported questions: "1) How satisfied or dissatisfied are you with the overall convenience of this medication" and "2) How satisfied or dissatisfied are you with the ability of this medication ability to treat your condition?" Scores range from Very dissatisfied to Very satisfied and will be used to evaluate satisfaction with guselkumab treatment.

    Time frame: At Months 3, 6, 12, 18 and 24

  40. Satisfaction of Treatment Care Management and Patient Relationship for the Rheumatologist

    Satisfaction of treatment care management and patient relationship for the rheumatologist will be assessed using a 5-point Likert scale specified as : "Very dissatisfied, Dissatisfied, Neither satisfied nor dissatisfied, Satisfied and Very satisfied." The physician-reported questions are: "1) How satisfied or dissatisfied are you with this drug overall for this patient?" and "2) How satisfied or dissatisfied are you with the ease of managing your patient with guselkumab?"

    Time frame: At Months 3, 6, 12, 18 and 24

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

Data sharing details ↗ · innovativemedicine.jnj.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
2 updates, last Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    Minor edits only
    + 1 other change: verification date
  2. Sep 25, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07532226
Lead sponsor
Janssen-Cilag Ltd.
Responsible party
Sponsor
First posted
Apr 15, 2026
Start date
Apr 17, 2026
Primary completion
Dec 10, 2029 (estimated)
Completion
Dec 10, 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Janssen-Cilag France Clinical Trial
study director · Janssen-Cilag France

Oversight

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

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