BE READY: A Study With a Initial Treatment Period Followed by a Randomized-withdrawal Period to Evaluate the Efficacy and Safety of Bimekizumab in Adult Subjects With Moderate to Severe Chronic Plaque Psoriasis
Study Details
Study Description
Brief Summary
Phase 3 study to compare the efficacy of bimekizumab versus placebo in the treatment of subjects with moderate to severe chronic plaque psoriasis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Bimekizumab cohort Subjects will receive bimekizumab for 16 Weeks. Subjects who achieve certain predefined response criteria will be re-randomized to either receive bimekizumab or placebo until Week 56. Subjects who do not achieve predefined response criteria will enter the bimekizumab escape arm. |
Drug: Bimekizumab
Bimekizumab will be provided at pre-specified time intervals.
Other Names:
Other: Placebo
Subjects will receive Placebo at pre-specified time points to maintain the blinding of the Investigational Medicinal Products.
Other Names:
|
Placebo Comparator: Placebo Subjects will receive placebo for 16 Weeks. Subjects who achieve certain predefined response criteria will proceed with placebo until Week 56. Subjects who do not achieve certain predefined response criteria will enter the bimekizumab escape arm. |
Other: Placebo
Subjects will receive Placebo at pre-specified time points to maintain the blinding of the Investigational Medicinal Products.
Other Names:
|
Experimental: Bimekizumab Escape arm Subjects who do not achieve certain predefined response criteria at Week 16 or later will enter the bimekizumab escape arm and will receive open-label bimekizumab for 12 weeks. |
Drug: Bimekizumab
Bimekizumab will be provided at pre-specified time intervals.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16 [At Week 16]
A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With an Investigator's Global Assessment (IGA) Response at Week 16 [At Week 16]
The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-Inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear or Almost Clear with at least a 2-category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
Secondary Outcome Measures
- Percentage of Participants With a PASI100 Response at Week 16 [At Week 16]
A PASI100 responder was defined as a participant that achieved 100% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With a IGA Clear Response at Week 16 [At Week 16]
The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear with at least >= 2 category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With a PASI75 Response at Week 4 [At Week 4]
A PASI75 responder was defined as a participant that achieved 75% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at a given week were counted as nonresponders.
- Percentage of Participants With a Patient Symptom Diary Response for Pain at Week 16 [At Week 16]
As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD pain item was assessed daily on a numeric rating scale (NRS) from 0 (no pain) to 10 (very severe pain). PSD score for pain at a given visit was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in pain score higher than the prespecified 1.98 response threshold at Week 16. The endpoint was characterized as percentage of participants with PSD pain response.
- Percentage of Participants With a Patient Symptom Diary Response for Itch at Week 16 [At Week 16]
A PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD itch item was assessed daily on a NRS from 0 (no itch) to 10 (very severe itch). PSD score for itch was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in itch score higher than the prespecified 2.39 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD itch response.
- Percentage of Participants With a Patient Symptom Diary Response for Scaling at Week 16 [At Week 16]
As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD scaling item was assessed daily on a NRS from 0 (no scaling) to 10 (very severe scaling). PSD score for scaling was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in scaling score higher than the prespecified 2.86 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD scaling response.
- Percentage of Participants With Scalp IGA Response (Clear or Almost Clear) at Week 16 for Participants With Scalp Psoriasis (PSO) at Baseline [At Week 16]
Only participants with scalp involvement at Baseline completed the scalp IGA. Participants with scalp involvement at Baseline were defined as those with a scalp IGA score >0 at Baseline. Scalp lesions were assessed in terms of clinical signs of redness, thickness, and scaliness using a 5-point scale (0=Clear, 1=Almost Clear, 2=Mild, 3=Moderate, 4= Severe). Scalp IGA 0/1 response at Week 16 was defined as clear (0) or almost clear (1) with at least a 2-category improvement from Baseline to Week 16.
- Percentage of Participants With a PASI90 Response at Week 56 Among Week 16 PASI90 Responders [At Week 56]
A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Study participants with missing score at Week 56 or who met the criterion for relapse were counted as nonresponders (NRI).
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]
The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]
The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]
The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]
The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]
The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]
The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]
The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]
The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]
The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Must be at least 18 years of age
-
Chronic plaque psoriasis (PSO) for at least 6 months prior to the Screening Visit
-
Psoriasis Area Severity Index (PASI) >=12 and body surface area (BSA) affected by PSO
=10% and Investigator's Global Assessment (IGA) score >=3 on a 5-point scale
-
Subject is a candidate for systemic PSO therapy and/or phototherapy
-
Female subject of child bearing potential must be willing to use highly effective method of contraception
Exclusion Criteria:
-
Subject has an active infection (except common cold), a recent serious infection, or a history of opportunistic, recurrent, or chronic infections
-
Subject has concurrent acute or chronic viral hepatitis B or C or human immunodeficiency virus (HIV) infection
-
Subject has known tuberculosis (TB) infection, is at high risk of acquiring TB infection, or has current or history of nontuberculous mycobacterium (NTMB) infection
-
Subject has any other condition, including medical or psychiatric, which, in the Investigator's judgment, would make the subject unsuitable for inclusion in the study
-
Presence of active suicidal ideation or positive suicide behavior
-
Presence of moderately severe major depression or severe major depression
-
Subject has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma, or in situ cervical cancer
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ps0013 919 | San Diego | California | United States | 92103 |
2 | Ps0013 955 | San Diego | California | United States | 92123 |
3 | Ps0013 967 | Santa Monica | California | United States | 90404 |
4 | Ps0013 928 | Fort Myers | Florida | United States | 33912 |
5 | Ps0013 966 | Sandy Springs | Georgia | United States | 30329 |
6 | Ps0013 954 | Skokie | Illinois | United States | 60077 |
7 | Ps0013 962 | Owensboro | Kentucky | United States | 42303 |
8 | Ps0013 944 | New Orleans | Louisiana | United States | 70115 |
9 | Ps0013 940 | Beverly | Massachusetts | United States | 01915 |
10 | Ps0013 901 | Portsmouth | New Hampshire | United States | 03801 |
11 | Ps0013 956 | Verona | New Jersey | United States | 07044-2946 |
12 | Ps0013 947 | Buffalo | New York | United States | 14221 |
13 | Ps0013 968 | New York | New York | United States | 10021 |
14 | Ps0013 965 | New York | New York | United States | 10025 |
15 | Ps0013 963 | Rochester | New York | United States | 14623 |
16 | Ps0013 949 | Cleveland | Ohio | United States | 44106-1716 |
17 | Ps0013 929 | Portland | Oregon | United States | 97223 |
18 | Ps0013 937 | Johnston | Rhode Island | United States | 02919 |
19 | Ps0013 914 | San Antonio | Texas | United States | 78213 |
20 | Ps0013 933 | Murray | Utah | United States | 84107 |
21 | Ps0013 003 | Carlton | Australia | ||
22 | Ps0013 008 | East Melbourne | Australia | ||
23 | Ps0013 006 | Kogarah | Australia | ||
24 | Ps0013 658 | Ajax | Canada | ||
25 | Ps0013 672 | Edmonton | Canada | ||
26 | Ps0013 671 | Hamilton | Canada | ||
27 | Ps0013 675 | Markham | Canada | ||
28 | Ps0013 663 | Mississauga | Canada | ||
29 | Ps0013 660 | Montréal | Canada | ||
30 | Ps0013 668 | North Bay | Canada | ||
31 | Ps0013 667 | Ottawa | Canada | ||
32 | Ps0013 665 | Québec | Canada | ||
33 | Ps0013 676 | Surrey | Canada | ||
34 | Ps0013 657 | Waterloo | Canada | ||
35 | Ps0013 202 | Hamburg | Germany | ||
36 | Ps0013 220 | Hamburg | Germany | ||
37 | Ps0013 219 | Münster | Germany | ||
38 | Ps0013 200 | Schwerin | Germany | ||
39 | Ps0013 204 | Witten | Germany | ||
40 | Ps0013 261 | Budapest | Hungary | ||
41 | Ps0013 262 | Miskolc | Hungary | ||
42 | Ps0013 253 | Orosháza | Hungary | ||
43 | Ps0013 260 | Szeged | Hungary | ||
44 | Ps0013 250 | Szolnok | Hungary | ||
45 | Ps0013 258 | Veszprém | Hungary | ||
46 | Ps0013 701 | Busan | Korea, Republic of | ||
47 | Ps0013 705 | Seongnam-si | Korea, Republic of | ||
48 | Ps0013 703 | Seoul | Korea, Republic of | ||
49 | Ps0013 355 | Białystok | Poland | ||
50 | Ps0013 361 | Białystok | Poland | ||
51 | Ps0013 369 | Białystok | Poland | ||
52 | Ps0013 352 | Gdańsk | Poland | ||
53 | Ps0013 358 | Katowice | Poland | ||
54 | Ps0013 359 | Katowice | Poland | ||
55 | Ps0013 366 | Katowice | Poland | ||
56 | Ps0013 357 | Kielce | Poland | ||
57 | Ps0013 363 | Kraków | Poland | ||
58 | Ps0013 356 | Lublin | Poland | ||
59 | Ps0013 374 | Poznań | Poland | ||
60 | Ps0013 353 | Szczecin | Poland | ||
61 | Ps0013 350 | Warsaw | Poland | ||
62 | Ps0013 351 | Warsaw | Poland | ||
63 | Ps0013 354 | Warszawa | Poland | ||
64 | Ps0013 365 | Wrocław | Poland | ||
65 | Ps0013 368 | Wrocław | Poland | ||
66 | Ps0013 370 | Wrocław | Poland | ||
67 | Ps0013 360 | Łódź | Poland | ||
68 | Ps0013 400 | Moscow | Russian Federation | ||
69 | Ps0013 402 | Moscow | Russian Federation | ||
70 | Ps0013 403 | Moscow | Russian Federation | ||
71 | Ps0013 404 | Saint Petersburg | Russian Federation | ||
72 | Ps0013 405 | Saint Petersburg | Russian Federation | ||
73 | Ps0013 401 | Saratov | Russian Federation | ||
74 | Ps0013 406 | Yaroslavl | Russian Federation | ||
75 | Ps0013 550 | Manchester | United Kingdom | ||
76 | Ps0013 554 | Reading | United Kingdom | ||
77 | Ps0013 555 | Salford | United Kingdom |
Sponsors and Collaborators
- UCB Biopharma SRL
Investigators
- Study Director: UCB Cares, 001 844 599 2273 (UCB)
Study Documents (Full-Text)
More Information
Additional Information:
Publications
None provided.- PS0013
- 2016-003426-16
Study Results
Participant Flow
Recruitment Details | The study started to enroll patients in February 2018 and concluded in January 2020. |
---|---|
Pre-assignment Detail | Study has a 2-5 weeks Screening Period, a 16 weeks Initial Period, a 40 weeks Randomized-Withdrawal Period (RWP) and a SFU Period (20 weeks after final dose). Participants who did not achieve a PASI90 response at Wk16 or who relapsed at Wk20/later during the RWP, entered 12 weeks of escape treatment. Participant Flow refers to the Randomized Set. |
Arm/Group Title | Placebo | Bimekizumab 320 mg Q4W | Placebo/Placebo | Bimekizumab 320 mg Q4W/Placebo | Bimekizumab 320 mg Q4W/Q8W | Bimekizumab 320 mg Q4W/Q4W | Placebo Escape | Bimekizumab 320 mg Q4W Escape | Bimekizumab 320 mg Q4W/ Placebo Escape | Bimekizumab 320 mg Q4W/Q8W Escape | Bimekizumab 320 mg Q4W/Q4W Escape |
---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants in this arm were randomized to placebo during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive placebo during the Randomized-Withdrawal Period. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. | Participants in this arm were randomized to placebo during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. |
Period Title: Initial Treatment Period: up to Wk16 | |||||||||||
STARTED | 86 | 349 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
COMPLETED | 82 | 340 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 4 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Initial Treatment Period: up to Wk16 | |||||||||||
STARTED | 82 | 340 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Received Escape Treatment | 81 | 23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
COMPLETED | 1 | 311 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 81 | 29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Initial Treatment Period: up to Wk16 | |||||||||||
STARTED | 0 | 0 | 1 | 105 | 100 | 106 | 0 | 0 | 0 | 0 | 0 |
Received Escape Treatment | 0 | 0 | 0 | 67 | 4 | 7 | 0 | 0 | 0 | 0 | 0 |
COMPLETED | 0 | 0 | 1 | 33 | 93 | 94 | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 0 | 0 | 0 | 72 | 7 | 12 | 0 | 0 | 0 | 0 | 0 |
Period Title: Initial Treatment Period: up to Wk16 | |||||||||||
STARTED | 0 | 0 | 0 | 0 | 0 | 0 | 81 | 23 | 67 | 4 | 7 |
COMPLETED | 0 | 0 | 0 | 0 | 0 | 0 | 81 | 22 | 66 | 4 | 7 |
NOT COMPLETED | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Placebo | Bimekizumab 320 mg Q4W | Total Title |
---|---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. | |
Overall Participants | 86 | 349 | 435 |
Age (Count of Participants) | |||
<=18 years |
2
2.3%
|
1
0.3%
|
3
0.7%
|
Between 18 and 65 years |
80
93%
|
327
93.7%
|
407
93.6%
|
>=65 years |
4
4.7%
|
21
6%
|
25
5.7%
|
Age (years) [Mean (Standard Deviation) ] | |||
Mean (Standard Deviation) [years] |
43.5
(13.1)
|
44.5
(12.9)
|
44.3
(12.9)
|
Sex: Female, Male (Count of Participants) | |||
Female |
28
32.6%
|
94
26.9%
|
122
28%
|
Male |
58
67.4%
|
255
73.1%
|
313
72%
|
Race/Ethnicity, Customized (Count of Participants) | |||
Asian |
5
5.8%
|
13
3.7%
|
18
4.1%
|
Black |
0
0%
|
6
1.7%
|
6
1.4%
|
Native Hawaiian or other Pacific Islander |
0
0%
|
2
0.6%
|
2
0.5%
|
White |
79
91.9%
|
324
92.8%
|
403
92.6%
|
Other/mixed |
2
2.3%
|
4
1.1%
|
6
1.4%
|
Outcome Measures
Title | Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16 |
---|---|
Description | A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI). |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 86 | 349 |
Number [percentage of participants] |
1.2
1.4%
|
90.8
26%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 496.318 | |
Confidence Interval |
(2-Sided) 95% 82.798 to 2975.086 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With an Investigator's Global Assessment (IGA) Response at Week 16 |
---|---|
Description | The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-Inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear or Almost Clear with at least a 2-category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI). |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
e Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 86 | 349 |
Number [percentage of participants] |
1.2
1.4%
|
92.6
26.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 657.255 | |
Confidence Interval |
(2-Sided) 95% 105.792 to 4083.333 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a PASI100 Response at Week 16 |
---|---|
Description | A PASI100 responder was defined as a participant that achieved 100% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI). |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 86 | 349 |
Number [percentage of participants] |
1.2
1.4%
|
68.2
19.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 220.038 | |
Confidence Interval |
(2-Sided) 95% 28.757 to 1683.639 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a IGA Clear Response at Week 16 |
---|---|
Description | The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear with at least >= 2 category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI). |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 86 | 349 |
Number [percentage of participants] |
1.2
1.4%
|
69.6
19.9%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 224.744 | |
Confidence Interval |
(2-Sided) 95% 30.130 to 1676.425 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a PASI75 Response at Week 4 |
---|---|
Description | A PASI75 responder was defined as a participant that achieved 75% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/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)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 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 min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at a given week were counted as nonresponders. |
Time Frame | At Week 4 |
Outcome Measure Data
Analysis Population Description |
---|
The Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 86 | 349 |
Number [percentage of participants] |
1.2
1.4%
|
75.9
21.7%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 316.641 | |
Confidence Interval |
(2-Sided) 95% 39.423 to 2543.254 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a Patient Symptom Diary Response for Pain at Week 16 |
---|---|
Description | As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD pain item was assessed daily on a numeric rating scale (NRS) from 0 (no pain) to 10 (very severe pain). PSD score for pain at a given visit was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in pain score higher than the prespecified 1.98 response threshold at Week 16. The endpoint was characterized as percentage of participants with PSD pain response. |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The RS consisted of all randomized participants. Number of participants analyzed reflect those with a Baseline score at or above the 1.98 response threshold. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 67 | 255 |
Number [percentage of participants] |
9.0
10.5%
|
78.8
22.6%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 34.325 | |
Confidence Interval |
(2-Sided) 95% 14.220 to 82.856 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a Patient Symptom Diary Response for Itch at Week 16 |
---|---|
Description | A PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD itch item was assessed daily on a NRS from 0 (no itch) to 10 (very severe itch). PSD score for itch was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in itch score higher than the prespecified 2.39 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD itch response. |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The RS consisted of all randomized participants. Number of participants analyzed reflect those with a Baseline score at or above the 2.39 response threshold. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 72 | 278 |
Number [percentage of participants] |
5.6
6.5%
|
75.5
21.6%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 43.497 | |
Confidence Interval |
(2-Sided) 95% 15.728 to 120.295 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a Patient Symptom Diary Response for Scaling at Week 16 |
---|---|
Description | As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD scaling item was assessed daily on a NRS from 0 (no scaling) to 10 (very severe scaling). PSD score for scaling was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in scaling score higher than the prespecified 2.86 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD scaling response. |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The RS consisted of all randomized participants. Number of participants analyzed reflect those with a Baseline score at or above the 2.86 response threshold. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 70 | 286 |
Number [percentage of participants] |
5.7
6.6%
|
78.0
22.3%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haensze (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 60.946 | |
Confidence Interval |
(2-Sided) 95% 20.560 to 180.669 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With Scalp IGA Response (Clear or Almost Clear) at Week 16 for Participants With Scalp Psoriasis (PSO) at Baseline |
---|---|
Description | Only participants with scalp involvement at Baseline completed the scalp IGA. Participants with scalp involvement at Baseline were defined as those with a scalp IGA score >0 at Baseline. Scalp lesions were assessed in terms of clinical signs of redness, thickness, and scaliness using a 5-point scale (0=Clear, 1=Almost Clear, 2=Mild, 3=Moderate, 4= Severe). Scalp IGA 0/1 response at Week 16 was defined as clear (0) or almost clear (1) with at least a 2-category improvement from Baseline to Week 16. |
Time Frame | At Week 16 |
Outcome Measure Data
Analysis Population Description |
---|
The Randomized Set (RS) consisted of all randomized study participants. |
Arm/Group Title | Placebo (RS) | Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Randomized Set (RS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the RS. |
Measure Participants | 74 | 310 |
Number [percentage of participants] |
6.8
7.9%
|
92.3
26.4%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 158.000 | |
Confidence Interval |
(2-Sided) 95% 49.263 to 506.745 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With a PASI90 Response at Week 56 Among Week 16 PASI90 Responders |
---|---|
Description | A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Study participants with missing score at Week 56 or who met the criterion for relapse were counted as nonresponders (NRI). |
Time Frame | At Week 56 |
Outcome Measure Data
Analysis Population Description |
---|
The Week 16 Responder Set (WK16ResS) consisted of all study participants who achieved a PASI90 response at Week 16 and received at least 1 dose of IMP during Randomized-Withdrawal Period at Week 16 or later. The hypothesis test for PASI90 at Week 56, based on Wk16ResS, compared pooled BKZ regimens (BKZ 320mg Q4W/Q8W + 320mg Q4W/Q4W) versus placebo. |
Arm/Group Title | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W+Q4W/Q4W (WK16ResS) |
---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | This arm consists of participants who were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period and those who were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. |
Measure Participants | 105 | 100 | 106 | 206 |
Number [percentage of participants] |
16.2
18.8%
|
91.0
26.1%
|
86.8
20%
|
88.8
NaN
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W (RS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. This statistical analysis is not controlled for multiplicity and is only nominal. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 45.192 | |
Confidence Interval |
(2-Sided) 95% 18.622 to 109.672 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W/Q4W (WK16ResS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. This statistical analysis is not controlled for multiplicity and is only nominal. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 49.297 | |
Confidence Interval |
(2-Sided) 95% 18.887 to 128.673 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Placebo (RS), Bimekizumab 320 mg Q4W/Q8W+Q4W/Q4W (WK16ResS) |
---|---|---|
Comments | Odds ratio: Bimekizumab/Placebo calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables. This statistical analysis is not controlled for multiplicity and is only nominal. | |
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | P-values for the comparison of treatment groups were based on the CMH test from the general association. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 47.406 | |
Confidence Interval |
(2-Sided) 95% 22.087 to 101.750 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period |
---|---|
Description | The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Baseline to end of Initial Treatment Period (up to Week 16) |
Outcome Measure Data
Analysis Population Description |
---|
The Safety Set (SS) consisted of all study participants who received at least 1 dose of the IMP. |
Arm/Group Title | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Safety Set (SS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the SS. |
Measure Participants | 86 | 349 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
177.38
|
323.61
|
Title | Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period |
---|---|
Description | The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Baseline to end of Initial Treatment Period (up to Week 16) |
Outcome Measure Data
Analysis Population Description |
---|
The Safety Set (SS) consisted of all study participants who received at least 1 dose of the IMP. |
Arm/Group Title | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Safety Set (SS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the SS. |
Measure Participants | 86 | 349 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
7.66
|
5.59
|
Title | Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period |
---|---|
Description | The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Baseline to end of Initial Treatment Period (up to Week 16) |
Outcome Measure Data
Analysis Population Description |
---|
The Safety Set (SS) consisted of all study participants who received at least 1 dose of the IMP. |
Arm/Group Title | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) |
---|---|---|
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Safety Set (SS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the SS. |
Measure Participants | 86 | 349 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
0
|
2.78
|
Title | Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period |
---|---|
Description | The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The Week 16 Responder Set (WK16ResS) consisted of all study participants who achieved a PASI90 response at Week 16 and received at least 1 dose of the IMP during the Randomized-Withdrawal Period at Week 16 or later. |
Arm/Group Title | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) |
---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive placebo during the Randomized-Withdrawal Period. Participants formed the Week 16 Responder Set (WK16ResS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. |
Measure Participants | 1 | 105 | 100 | 106 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
144.37
|
242.11
|
224.87
|
208.88
|
Title | Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period |
---|---|
Description | The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The Week 16 Responder Set (WK16ResS) consisted of all study participants who achieved a PASI90 response at Week 16 and received at least 1 dose of the IMP during the Randomized-Withdrawal Period at Week 16 or later. |
Arm/Group Title | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) |
---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive placebo during the Randomized-Withdrawal Period. Participants formed the Week 16 Responder Set (WK16ResS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. |
Measure Participants | 1 | 105 | 100 | 106 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
0
|
7.20
|
4.04
|
6.64
|
Title | Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period |
---|---|
Description | The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The Week 16 Responder Set (WK16ResS) consisted of all study participants who achieved a PASI90 response at Week 16 and received at least 1 dose of the IMP during the Randomized-Withdrawal Period at Week 16 or later. |
Arm/Group Title | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) |
---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive placebo during the Randomized-Withdrawal Period. Participants formed the Week 16 Responder Set (WK16ResS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. |
Measure Participants | 1 | 105 | 100 | 106 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
0
|
5.33
|
2.69
|
0
|
Title | Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment |
---|---|
Description | The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The Escape Study Participant Set (ESS) consisted of all study participants who received at least 1 dose of escape bimekizumab treatment either due to not achieving a PASI90 response at Week 16 or experiencing a relapse after entering the Randomized-Withdrawal Period. |
Arm/Group Title | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) |
---|---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Escape Study Participant Set (ESS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. |
Measure Participants | 81 | 23 | 67 | 4 | 7 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
235.86
|
287.19
|
180.89
|
491.37
|
349.52
|
Title | Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment |
---|---|
Description | The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The ESS consisted of all study participants who received at least 1 dose of escape bimekizumab treatment either due to not achieving a PASI90 response at Week 16 or experiencing a relapse after entering the Randomized-Withdrawal Period. |
Arm/Group Title | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) |
---|---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Escape Study Participant Set (ESS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. |
Measure Participants | 81 | 23 | 67 | 4 | 7 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
5.24
|
0
|
0
|
0
|
0
|
Title | Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment |
---|---|
Description | The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used. |
Time Frame | From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration) |
Outcome Measure Data
Analysis Population Description |
---|
The ESS consisted of all study participants who received at least 1 dose of escape bimekizumab treatment either due to not achieving a PASI90 response at Week 16 or experiencing a relapse after entering the Randomized-Withdrawal Period. |
Arm/Group Title | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) |
---|---|---|---|---|---|
Arm/Group Description | Participants in this arm were randomized to placebo during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Escape Study Participant Set (ESS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. |
Measure Participants | 81 | 23 | 67 | 4 | 7 |
Number (95% Confidence Interval) [no. of new events per 100 subject-years] |
0
|
18.77
|
0
|
0
|
0
|
Adverse Events
Time Frame | Adverse events were collected from Baseline (Week 0) until Safety Follow-Up Visit (up to 80 weeks duration) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | Treatment-emergent AEs were defined as those AEs that had a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week Safety Follow-Up Period). | |||||||||||||||||||||
Arm/Group Title | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) | |||||||||||
Arm/Group Description | Participants received placebo for 16 weeks. Participants who achieved a Psoriasis Area Severity Index (PASI) 90 response criteria proceeded with placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Safety Set (SS). | Participants received bimekizumab 320 mg Q4W for 16 weeks. Participants who achieved a PASI90 response criteria were re-randomized to either receive bimekizumab 320 mg Q4W or bimekizumab 320 mg Q8W or placebo until Week 56. Participants who did not achieve a PASI90 response criteria at Week 16 or who relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the SS. | Participants in this arm were randomized to placebo during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive placebo during the Randomized-Withdrawal Period. Participants formed the Week 16 Responder Set (WK16ResS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants formed the WK16ResS. | Participants in this arm were randomized to placebo during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the Escape Study Participant Set (ESS). | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, did not achieve a PASI90 response at Week 16, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive placebo during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and were re-randomized to receive bimekizumab 320 mg Q8W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. Participants receiving 320 mg Q8W received placebo at pre-specified time points to maintain the blinding. | Participants in this arm were randomized to bimekizumab 320 mg Q4W during the Initial Treatment Period, achieved a PASI90 response at Week 16 and continued to receive bimekizumab 320 mg Q4W during the Randomized-Withdrawal Period. Participants relapsed at Week 20 or later, entered the escape arm and received open-label bimekizumab 320 mg Q4W for 12 weeks. Participants formed the ESS. | |||||||||||
All Cause Mortality |
||||||||||||||||||||||
Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) | ||||||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/86 (0%) | 0/349 (0%) | 0/1 (0%) | 0/105 (0%) | 0/100 (0%) | 0/106 (0%) | 0/81 (0%) | 0/23 (0%) | 0/67 (0%) | 0/4 (0%) | 0/7 (0%) | |||||||||||
Serious Adverse Events |
||||||||||||||||||||||
Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) | ||||||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 2/86 (2.3%) | 6/349 (1.7%) | 0/1 (0%) | 4/105 (3.8%) | 3/100 (3%) | 5/106 (4.7%) | 1/81 (1.2%) | 0/23 (0%) | 0/67 (0%) | 0/4 (0%) | 0/7 (0%) | |||||||||||
Cardiac disorders | ||||||||||||||||||||||
Myocardial infarction | 1/86 (1.2%) | 1 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Mitral valve prolapse | 1/86 (1.2%) | 1 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Acute myocardial infarction | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 1/100 (1%) | 1 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Ischaemic cardiomyopathy | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 1/81 (1.2%) | 1 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Coronary artery disease | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 1/81 (1.2%) | 1 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Eye disorders | ||||||||||||||||||||||
Retinal detachment | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 1/105 (1%) | 1 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Cataract | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Gastrointestinal disorders | ||||||||||||||||||||||
Gastrointestinal inflammation | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Diverticular perforation | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Diarrhoea | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 2/100 (2%) | 2 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Duodenal ulcer haemorrhage | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 1/81 (1.2%) | 1 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Hepatobiliary disorders | ||||||||||||||||||||||
Cholelithiasis | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Infections and infestations | ||||||||||||||||||||||
Enterovirus infection | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Pneumonia | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Otitis media chronic | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Injury, poisoning and procedural complications | ||||||||||||||||||||||
Humerus fracture | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Injury | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Metabolism and nutrition disorders | ||||||||||||||||||||||
Type 2 diabetes mellitus | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 1/81 (1.2%) | 1 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Musculoskeletal and connective tissue disorders | ||||||||||||||||||||||
Psoriatic arthropathy | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||||||||
Ovarian adenoma | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Prostate cancer | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 1/105 (1%) | 1 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Nervous system disorders | ||||||||||||||||||||||
Syncope | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 1/81 (1.2%) | 1 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||||||||
Pulmonary hypertension | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 1/105 (1%) | 1 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Skin and subcutaneous tissue disorders | ||||||||||||||||||||||
Erythrodermic psoriasis | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 1/105 (1%) | 1 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Other (Not Including Serious) Adverse Events |
||||||||||||||||||||||
Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) | ||||||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 15/86 (17.4%) | 66/349 (18.9%) | 1/1 (100%) | 34/105 (32.4%) | 40/100 (40%) | 34/106 (32.1%) | 8/81 (9.9%) | 5/23 (21.7%) | 11/67 (16.4%) | 3/4 (75%) | 4/7 (57.1%) | |||||||||||
Blood and lymphatic system disorders | ||||||||||||||||||||||
Neutropenia | 0/86 (0%) | 0 | 2/349 (0.6%) | 2 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 1/100 (1%) | 1 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 1/23 (4.3%) | 1 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Gastrointestinal disorders | ||||||||||||||||||||||
Dental caries | 1/86 (1.2%) | 1 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 1/4 (25%) | 1 | 0/7 (0%) | 0 |
Infections and infestations | ||||||||||||||||||||||
Nasopharyngitis | 4/86 (4.7%) | 4 | 23/349 (6.6%) | 27 | 0/1 (0%) | 0 | 20/105 (19%) | 28 | 23/100 (23%) | 31 | 11/106 (10.4%) | 12 | 1/81 (1.2%) | 1 | 1/23 (4.3%) | 1 | 2/67 (3%) | 2 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Oral candidiasis | 0/86 (0%) | 0 | 21/349 (6%) | 23 | 0/1 (0%) | 0 | 6/105 (5.7%) | 6 | 9/100 (9%) | 18 | 12/106 (11.3%) | 20 | 4/81 (4.9%) | 5 | 1/23 (4.3%) | 1 | 7/67 (10.4%) | 8 | 0/4 (0%) | 0 | 0/7 (0%) | 0 |
Upper respiratory tract infection | 7/86 (8.1%) | 7 | 14/349 (4%) | 14 | 1/1 (100%) | 1 | 5/105 (4.8%) | 6 | 8/100 (8%) | 9 | 12/106 (11.3%) | 17 | 3/81 (3.7%) | 3 | 1/23 (4.3%) | 1 | 2/67 (3%) | 2 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Tinea pedis | 0/86 (0%) | 0 | 4/349 (1.1%) | 4 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Impetigo | 1/86 (1.2%) | 1 | 2/349 (0.6%) | 2 | 0/1 (0%) | 0 | 1/105 (1%) | 1 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 1/4 (25%) | 1 | 0/7 (0%) | 0 |
Body tinea | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 1/100 (1%) | 1 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Tinea capitis | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Injury, poisoning and procedural complications | ||||||||||||||||||||||
Rib fracture | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 1/4 (25%) | 1 | 0/7 (0%) | 0 |
Skin and subcutaneous tissue disorders | ||||||||||||||||||||||
Psoriasis | 4/86 (4.7%) | 5 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 3/105 (2.9%) | 3 | 0/100 (0%) | 0 | 1/106 (0.9%) | 1 | 0/81 (0%) | 0 | 1/23 (4.3%) | 1 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Seborrhoeic dermatitis | 0/86 (0%) | 0 | 1/349 (0.3%) | 1 | 0/1 (0%) | 0 | 3/105 (2.9%) | 4 | 0/100 (0%) | 0 | 3/106 (2.8%) | 4 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Rash papular | 0/86 (0%) | 0 | 0/349 (0%) | 0 | 0/1 (0%) | 0 | 0/105 (0%) | 0 | 0/100 (0%) | 0 | 0/106 (0%) | 0 | 0/81 (0%) | 0 | 0/23 (0%) | 0 | 0/67 (0%) | 0 | 0/4 (0%) | 0 | 1/7 (14.3%) | 1 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
Results Point of Contact
Name/Title | UCB |
---|---|
Organization | Cares |
Phone | +1844 599 ext 2273 |
UCBCares@ucb.com |
- PS0013
- 2016-003426-16