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NCT02346240 · OUTCOME

Proportion of Subjects Who Achieve a Psoriasis Activity and Severity Index (PASI75) Response at Week 48 for Those Achieving PASI75 at Week 16

Efficacy and Safety Study of Certolizumab Pegol (CZP) Versus Active Comparator and Placebo in Subjects With Plaque Psoriasis (PSO) · Source last updated 2021-07-16

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
Not reported
Time frame
Week 48

What was measured

The PASI75 response assessments are based on at least 75% improvement in the PASI score from Baseline. This is a scoring system that averages the redness, thickness, and scaliness of the psoriatic lesions (on a 0-4 scale), and weights the resulting score by the area of skin involved. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Analysis population: The Week 16 Randomized Set (WK16RS) consisted of all participants who achieved a PASI75 response at Week 16 and were re-randomized into the double-blind, placebo-controlled Maintenance Treatment Period. Missing data were handled using non-response imputation (NRI) methods.

Groups in this outcome

Placebo/Placebo Q2W (WK16RS)

This arm consisted of participants initially randomized in the Placebo arm, who achieved a PASI75 response at Week 16 and continued to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

Etanercept/Placebo Q2W (WK16RS)

This arm consisted of participants initially randomized in the Etanercept arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

Etanercept/CZP 200 mg Q2W (WK16RS)

This arm consisted of participants initially randomized in the Etanercept arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 200 mg Q2W/Placebo Q2W (WK16RS)

This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 200 mg Q2W/CZP 200 mg Q2W (WK16RS)

This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 200 mg Q2W/CZP 400 mg Q4W (WK16RS)

This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 400 mg Q4W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 400 mg Q2W/Placebo Q2W (WK16RS)

This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 400 mg Q2W/CZP 200 mg Q2W (WK16RS)

This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

CZP 400 mg Q2W/CZP 400 mg Q2W (WK16RS)

This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 400 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Placebo/Placebo Q2W (WK16RS)2
Etanercept/Placebo Q2W (WK16RS)24
Etanercept/CZP 200 mg Q2W (WK16RS)50
CZP 200 mg Q2W/Placebo Q2W (WK16RS)22
CZP 200 mg Q2W/CZP 200 mg Q2W (WK16RS)44
CZP 200 mg Q2W/CZP 400 mg Q4W (WK16RS)44
CZP 400 mg Q2W/Placebo Q2W (WK16RS)25
CZP 400 mg Q2W/CZP 200 mg Q2W (WK16RS)50
CZP 400 mg Q2W/CZP 400 mg Q2W (WK16RS)49

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo/Placebo Q2W (WK16RS)100Not reportedNot reportedNot reportedNot reported
Etanercept/Placebo Q2W (WK16RS)8.3Not reportedNot reportedNot reportedNot reported
Etanercept/CZP 200 mg Q2W (WK16RS)82.0Not reportedNot reportedNot reportedNot reported
CZP 200 mg Q2W/Placebo Q2W (WK16RS)45.5Not reportedNot reportedNot reportedNot reported
CZP 200 mg Q2W/CZP 200 mg Q2W (WK16RS)79.5Not reportedNot reportedNot reportedNot reported
CZP 200 mg Q2W/CZP 400 mg Q4W (WK16RS)88.6Not reportedNot reportedNot reportedNot reported
CZP 400 mg Q2W/Placebo Q2W (WK16RS)36.0Not reportedNot reportedNot reportedNot reported
CZP 400 mg Q2W/CZP 200 mg Q2W (WK16RS)80.0Not reportedNot reportedNot reportedNot reported
CZP 400 mg Q2W/CZP 400 mg Q2W (WK16RS)98.0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        100
      2. group Id
        OG001
        value
        8.3
      3. group Id
        OG002
        value
        82.0
      4. group Id
        OG003
        value
        45.5
      5. group Id
        OG004
        value
        79.5
      6. group Id
        OG005
        value
        88.6
      7. group Id
        OG006
        value
        36.0
      8. group Id
        OG007
        value
        80.0
      9. group Id
        OG008
        value
        98.0
denoms
  1. counts
    1. group Id
      OG000
      value
      2
    2. group Id
      OG001
      value
      24
    3. group Id
      OG002
      value
      50
    4. group Id
      OG003
      value
      22
    5. group Id
      OG004
      value
      44
    6. group Id
      OG005
      value
      44
    7. group Id
      OG006
      value
      25
    8. group Id
      OG007
      value
      50
    9. group Id
      OG008
      value
      49
    units
    Participants
description
The PASI75 response assessments are based on at least 75% improvement in the PASI score from Baseline. This is a scoring system that averages the redness, thickness, and scaliness of the psoriatic lesions (on a 0-4 scale), and weights the resulting score by the area of skin involved. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
groups
  1. description
    This arm consisted of participants initially randomized in the Placebo arm, who achieved a PASI75 response at Week 16 and continued to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG000
    title
    Placebo/Placebo Q2W (WK16RS)
  2. description
    This arm consisted of participants initially randomized in the Etanercept arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG001
    title
    Etanercept/Placebo Q2W (WK16RS)
  3. description
    This arm consisted of participants initially randomized in the Etanercept arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG002
    title
    Etanercept/CZP 200 mg Q2W (WK16RS)
  4. description
    This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG003
    title
    CZP 200 mg Q2W/Placebo Q2W (WK16RS)
  5. description
    This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG004
    title
    CZP 200 mg Q2W/CZP 200 mg Q2W (WK16RS)
  6. description
    This arm consisted of participants initially randomized in the CZP 200 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 400 mg Q4W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG005
    title
    CZP 200 mg Q2W/CZP 400 mg Q4W (WK16RS)
  7. description
    This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded Placebo in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG006
    title
    CZP 400 mg Q2W/Placebo Q2W (WK16RS)
  8. description
    This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 200 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG007
    title
    CZP 400 mg Q2W/CZP 200 mg Q2W (WK16RS)
  9. description
    This arm consisted of participants initially randomized in the CZP 400 mg arm, who achieved a PASI75 response at Week 16 and were re-randomized to receive blinded CZP 400 mg Q2W in the Maintenance Period (Week 16 to Week 48). Participants formed the Week 16 Randomized Set (WK16RS).
    id
    OG008
    title
    CZP 400 mg Q2W/CZP 400 mg Q2W (WK16RS)
param Type
NUMBER
population Description
The Week 16 Randomized Set (WK16RS) consisted of all participants who achieved a PASI75 response at Week 16 and were re-randomized into the double-blind, placebo-controlled Maintenance Treatment Period. Missing data were handled using non-response imputation (NRI) methods.
reporting Status
POSTED
time Frame
Week 48
title
Proportion of Subjects Who Achieve a Psoriasis Activity and Severity Index (PASI75) Response at Week 48 for Those Achieving PASI75 at Week 16
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice