A Study to Assess Adverse Events, Change in Disease Activity, and How the Drug Moves Through the Body in Children With Juvenile Psoriatic Arthritis (jPsA) Receiving Subcutaneously Injected Risankizumab or Adalimumab

Study Purpose

Psoriatic arthritis (PsA) is a type of arthritis that happens when the body's immune system attacks healthy cells and tissues causing joint pain, stiffness, and swelling. Symptoms can get worse and go away for periods of time. PsA that begins before a patient's 16th birthday is called juvenile PsA (jPsA).This study will evaluate how safe risankizumab is for the treatment of psoriatic arthritis and to assess change in disease symptoms. Risankizumab is being studied for the treatment of jPsA and adalimumab is approved for the treatment of jPsA. Participants are placed in 1 of 2 groups, called treatment arms. Each group receives a different treatment. There is a 1 in 4 chance that participants will be assigned to receive adalimumab. Approximately 40 juvenile participants with jPsA will be enrolled at approximately 30 sites worldwide. Participants will receive risankizumab and adalimumab as subcutaneous (SC) injections based on body weight. At the start of Period 1, participants are randomized to receive risankizumab or adalimumab for 24 weeks. Participants who respond to the study treatment received in Period 1, will continue to receive the same treatment in Period 2 for another 100 weeks. Those with worsening jPsA symptoms in Period 2 will be withdrawn from the study. Participants who receive adalimumab are followed for safety for 70 days after the last study treatment. Participants who receive risankizumab are followed for 140 days after the last study treatment. There may be higher treatment burden for participants in this trial compared to their standard of care (due to study procedures). Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 5 Years - 18 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Diagnosis of juvenile psoriatic arthritis (jPsA) according to International League of Associations for Rheumatology criteria for at least 6 months prior to screening.
  • - Active Disease in >= 3 joints at screening and at Baseline (swelling not due to deformity, or limitation of motion with pain, tenderness, or both) are eligible for inclusion in the study.
  • - Have had an inadequate response (lack of efficacy after minimum 2-month duration of therapy at maximally tolerated dose), or intolerance to previous or current treatment with at least 1 of the following conventional synthetic disease-modifying antirheumatic drug (csDMARDs): methotrexate (MTX), sulfasalazine, leflunomide, or hydroxychloroquine.

Exclusion Criteria:

  • - Have any other autoimmune disease, rheumatic disease (including systemic Juvenile idiopathic arthritis [JIA], rheumatoid factor-positive or rheumatoid factor-negative polyarticular JIA, extended oligoarticular JIA, persistent oligoarticular JIA, enthesitis-related arthritis, and undifferentiated JIA), or overlap syndrome.
  • - Prior inadequate response to drugs in the anti-TNF, IL-23 inhibitor, and IL-12/23 inhibitor classes.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06100744
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

AbbVie
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

ABBVIE INC.
Principal Investigator Affiliation AbbVie
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Germany, Italy, Poland, Spain, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Juvenile Psoriatic Arthritis
Study Website: View Trial Website
Arms & Interventions

Arms

Experimental: Risankizumab

Participants will receive risankizumab for 24 weeks, in Period 1. Participants who respond to the study treatment received in Period 1, will continue to receive the same treatment in Period 2 for another 100 weeks. There will be a 140 day safety follow up after the treatment period.

Experimental: Adalimumab

Participants will receive adalimumab for 24 weeks, in Period 1. Participants who respond to the study treatment received in Period 1, will continue to receive the same treatment in Period 2 for another 100 weeks. There will be a 70 day safety follow up after the treatment period.

Interventions

Drug: - Adalimumab

SC Injection

Drug: - Risankizumab

Subcutaneous (SC) Injection

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Arkansas Children's Hospital /ID# 258776, Little Rock, Arkansas

Status

Recruiting

Address

Arkansas Children's Hospital /ID# 258776

Little Rock, Arkansas, 72202

Site Contact

Site Coordinator

[email protected]

501.364-2815

Hollywood, Florida

Status

Recruiting

Address

Joe Dimaggio Children's Hospital- Hollywood /ID# 260634

Hollywood, Florida, 33021

Site Contact

Site Coordinator

[email protected]

954-265-4466

Indianapolis, Indiana

Status

Recruiting

Address

Indiana University Health Riley Hospital for Children /ID# 259067

Indianapolis, Indiana, 46202

Minneapolis, Minnesota

Status

Recruiting

Address

M Health Fairview University of Minnesota Medical Center - West Bank /ID# 260111

Minneapolis, Minnesota, 55454

Site Contact

Site Coordinator

[email protected]

612-626-4598

Valhalla, New York

Status

Recruiting

Address

Boston Childrens Health Physicians /ID# 258061

Valhalla, New York, 10595

UNC Children's Hospital /ID# 259286, Chapel Hill, North Carolina

Status

Recruiting

Address

UNC Children's Hospital /ID# 259286

Chapel Hill, North Carolina, 27514

Site Contact

Site Coordinator

[email protected]

919-504-6650

MetroHealth Medical Center /ID# 262377, Cleveland, Ohio

Status

Recruiting

Address

MetroHealth Medical Center /ID# 262377

Cleveland, Ohio, 44109

Austin, Texas

Status

Recruiting

Address

Child Neurology Consultants of Austin /ID# 260562

Austin, Texas, 78757-7571

Site Contact

Site Coordinator

[email protected]

512-494-4000

International Sites

Sankt Augustin, Germany

Status

Recruiting

Address

Asklepios Klinik Sankt Augustin /ID# 259106

Sankt Augustin, , 53757

Site Contact

Site Coordinator

[email protected]

+49-2241-249-240

Florence, Firenze, Italy

Status

Recruiting

Address

Azienda Ospedaliero Universitaria Meyer /ID# 258587

Florence, Firenze, 50139

Cracow, Malopolskie, Poland

Status

Recruiting

Address

MaƂopolskie Badania Kliniczne /ID# 258777

Cracow, Malopolskie, 30-002

Valencia, Spain

Status

Recruiting

Address

Hospital Universitario y Politecnico La Fe /ID# 257567

Valencia, , 46026