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 Those with worsening jPsA symptoms in Period 2 will be withdrawn from the study.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 Australia, Canada, France, Germany, Italy, Poland, Spain, United Kingdom, 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 4119403, Arkansas 4099753

Status

Recruiting

Address

Arkansas Children's Hospital /ID# 258776

Little Rock 4119403, Arkansas 4099753, 72202

Site Contact

Site Coordinator

[email protected]

501-364-3686

Washington D.C. 4140963, District of Columbia 4138106

Status

Recruiting

Address

Children's National Medical Center /ID# 259284

Washington D.C. 4140963, District of Columbia 4138106, 20010-2916

Hollywood 4158928, Florida 4155751

Status

Recruiting

Address

Joe Dimaggio Children's Hospital Hollywood /ID# 260634

Hollywood 4158928, Florida 4155751, 33021

Site Contact

Site Coordinator

[email protected]

954-265-4466

Indianapolis 4259418, Indiana 4921868

Status

Recruiting

Address

Indiana University Health Riley Hospital for Children /ID# 259067

Indianapolis 4259418, Indiana 4921868, 46202

Minneapolis 5037649, Minnesota 5037779

Status

Recruiting

Address

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

Minneapolis 5037649, Minnesota 5037779, 55454

Site Contact

Site Coordinator

[email protected]

844-663-3742

Valhalla 5142090, New York 5128638

Status

Recruiting

Address

Boston Childrens Health Physicians /ID# 258061

Valhalla 5142090, New York 5128638, 10595

Chapel Hill 4460162, North Carolina 4482348

Status

Recruiting

Address

University of North Carolina - Children's Hospital /ID# 259286

Chapel Hill 4460162, North Carolina 4482348, 27514

Site Contact

Site Coordinator

[email protected]

919-504-6650

MetroHealth Medical Center /ID# 262377, Cleveland 5150529, Ohio 5165418

Status

Recruiting

Address

MetroHealth Medical Center /ID# 262377

Cleveland 5150529, Ohio 5165418, 44109

Austin 4671654, Texas 4736286

Status

Recruiting

Address

Child Neurology Consultants of Austin /ID# 260562

Austin 4671654, Texas 4736286, 78757-7571

Site Contact

Site Coordinator

[email protected]

512-494-4000

International Sites

Clayton 2171400, Victoria 2145234, Australia

Status

Recruiting

Address

Monash Health - Monash Medical Centre /ID# 260255

Clayton 2171400, Victoria 2145234, 3168

Alberta Children's Hospital /ID# 257880, Calgary 5913490, Alberta 5883102, Canada

Status

Recruiting

Address

Alberta Children's Hospital /ID# 257880

Calgary 5913490, Alberta 5883102, T3B 6A8

Vancouver 6173331, British Columbia 5909050, Canada

Status

Recruiting

Address

British Columbia Children and Women's Hospital and Health Centre /ID# 257884

Vancouver 6173331, British Columbia 5909050, V6H 3N1

Hospital for Sick Children /ID# 257879, Toronto 6167865, Ontario 6093943, Canada

Status

Recruiting

Address

Hospital for Sick Children /ID# 257879

Toronto 6167865, Ontario 6093943, M5G 1X8

Bordeaux 3031582, Nouvelle-Aquitaine 11071620, France

Status

Recruiting

Address

CHU Bordeaux - Hopital Pellegrin /ID# 258729

Bordeaux 3031582, Nouvelle-Aquitaine 11071620, 33076

AP-HP - Hopital Bicetre /ID# 258728, Le Kremlin-Bicêtre 3003737, Paris, France

Status

Recruiting

Address

AP-HP - Hopital Bicetre /ID# 258728

Le Kremlin-Bicêtre 3003737, Paris, 94270

Sankt Augustin 2841648, North Rhine-Westphalia 2861876, Germany

Status

Recruiting

Address

Asklepios Klinik Sankt Augustin /ID# 259106

Sankt Augustin 2841648, North Rhine-Westphalia 2861876, 53757

Site Contact

Site Coordinator

[email protected]

+49-2241-249-240

Berlin 2950159, Germany

Status

Recruiting

Address

Helios Klinikum Berlin - Buch /ID# 268803

Berlin 2950159, , 13125

Hamburg 2911298, Germany

Status

Recruiting

Address

Hamburger Zentrum fuer Kinder- und Jugendrheumatologie /ID# 259104

Hamburg 2911298, , 22081

Florence 3176959, Firenze, Italy

Status

Recruiting

Address

Azienda Ospedaliero Universitaria Meyer /ID# 258587

Florence 3176959, Firenze, 50139

Rome 3169070, Roma, Italy

Status

Recruiting

Address

Ospedale Pediatrico Bambino Gesù /ID# 258869

Rome 3169070, Roma, 00165

Krakow 3094802, Lesser Poland Voivodeship 858786, Poland

Status

Recruiting

Address

Malopolskie Badania Kliniczne /ID# 258777

Krakow 3094802, Lesser Poland Voivodeship 858786, 30-002

Lublin 765876, Lublin Voivodeship 858785, Poland

Status

Recruiting

Address

Uniwersytecki Szpital Dzieciecy w Lublinie /ID# 258781

Lublin 765876, Lublin Voivodeship 858785, 20-093

Lodz 3093133, Łódź Voivodeship 3337493, Poland

Status

Recruiting

Address

SPZOZ Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi /ID# 258785

Lodz 3093133, Łódź Voivodeship 3337493, 91-738

Hospital Sant Joan de Deu /ID# 257568, Esplugues de Llobregat 3122826, Barcelona, Spain

Status

Recruiting

Address

Hospital Sant Joan de Deu /ID# 257568

Esplugues de Llobregat 3122826, Barcelona, 08950

Valencia 2509954, Spain

Status

Recruiting

Address

Hospital Universitario y Politecnico La Fe /ID# 257567

Valencia 2509954, , 46026

Sheffield 2638077, England 6269131, United Kingdom

Status

Recruiting

Address

Sheffield Children's Hospital NHS Foundation Trust /ID# 258848

Sheffield 2638077, England 6269131, S10 2TH

Bristol 2654675, United Kingdom

Status

Recruiting

Address

University Hospitals Bristol and Weston NHS Foundation Trust /ID# 258847

Bristol 2654675, , BS2 8BJ

Liverpool 2644210, United Kingdom

Status

Recruiting

Address

Alder Hey Children's NHS Foundation Trust /ID# 262770

Liverpool 2644210, , L12 2AP