A Study Comparing Risankizumab to Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Have a History of Inadequate Response to or Intolerance to at Least One Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy (KEEPsAKE 1)
Psoriatic Arthritis
About this trial
This is an interventional treatment trial for Psoriatic Arthritis
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) at the Screening Visit.
- Participant has active disease at Baseline defined as ≥ 5 tender joints (based on 68 joint counts) and ≥ 5 swollen joints (based on 66 joint counts)
- Diagnosis of active plaque psoriasis with at least one psoriatic plaque of ≥ 2 cm diameter or nail changes consistent with psoriasis at Screening Visit.
- Participant has demonstrated an inadequate response or intolerance to or contraindication for conventional synthetic disease modifying anti-rheumatic drugs (csDMARD) therapy(ies).
Presence of either at Screening:
- ≥ 1 erosion on radiograph as determined by central imaging review or;
- High sensitivity C-reactive protein (hsCRP) ≥ 3.0 mg/L.
Exclusion Criteria:
- Participant is considered by investigator, for any reason, to be an unsuitable candidate for the study.
- Participant has a known hypersensitivity to risankizumab.
- Participant has previous treatment with biologic agent.
Sites / Locations
- Pinnacle Research Group /ID# 167955
- Sun Valley Arthritis Center Ltd. /ID# 200270
- AZ Arthritis and Rheumotology Research, PLLC /ID# 209873
- Arizona Arthritis & Rheumatology Research, PLLC /ID# 209875
- Southern Arizona VA Health Care System /ID# 209247
- Arthritis and Rheumatism Associates /ID# 209882
- Valerius Medical Group & Research Center /ID# 207428
- Rheumatology Center of San Diego /ID# 201642
- Inland Rheum Clin Trials Inc. /ID# 201641
- Medvin Clinical Research /ID# 211127
- New England Research Associates, LLC /ID# 207237
- Danbury Clinical Research, LLC /ID# 209517
- Arthritis & Osteoporosis Center /ID# 207236
- Arthritis & Rheumatic Disease Specialties /ID# 210802
- Rheumatology Associates of South Florida (RASF) - Clinical Research /ID# 211099
- SIMED Health, LLC /ID# 207461
- Sweet Hope Research Specialty Inc /ID# 209393
- Jacksonville Center for Clinical Research /ID# 209876
- Rheum Assoc of Central FL /ID# 201622
- HMD Research LLC /ID# 208427
- IRIS Research and Development, LLC /ID# 208955
- ForCare Clinical Research /ID# 168034
- Arthritis and Rheumatology /ID# 168046
- Affinity Clinical Research /ID# 210816
- OrthoIllinois /ID# 205300
- Springfield Clinic /ID# 200244
- Klein and Associates MD /ID# 169483
- The Center for Rheumatology and Bone Research /ID# 168017
- Clinical Pharmacology Study Gr /ID# 168019
- Advanced Rheumatology, PC /ID# 168042
- June DO, PC /ID# 208915
- St. Paul Rheumatology /ID# 208471
- Logan Health Research /ID# 213707
- Physician Research Collaboration, LLC /ID# 208670
- Center for Rheumatology LLP /ID# 207313
- NYU Langone Ambulatory Care Brooklyn Heights /ID# 207310
- Joint & Muscle Research Instit /ID# 208620
- Medication Management, LLC /ID# 211734
- Coastal Carolina Health Care /ID# 208619
- Velocity Clinical Research /ID# 200452
- Marietta Memorial Hospital /ID# 210179
- Paramount Medical Research Con /ID# 201583
- STAT Research, Inc. /ID# 213805
- Health Research of Oklahoma /ID# 168027
- Altoona Ctr Clinical Res /ID# 168037
- Allegheny Health Network Research Institute /ID# 210349
- Clinical Research Ctr Reading /ID# 168070
- Nashville Arthritis and Rheumatology /ID# 168069
- Amarillo Ctr for Clin Research /ID# 208347
- Precision Comprehensive Clinical Research Solutions /ID# 208386
- Dallas VA Medical Center /ID# 208389
- Precision Comprehensive Clinical Research Solutions /ID# 210597
- Advanced Rheumatology of Houston /ID# 208354
- DM Clinical Research /ID# 208351
- Kadlec Clinic Rheumatology /ID# 207969
- Rheumatology and Pulmonary Clinic /ID# 200446
- Aurora Rheumatology and Immunotherapy Center /ID# 168066
- Holy Family Memorial, Inc. /ID# 209387
- Gundersen Clinic, Ltd /ID# 209459
- Framingham Centro Medico /ID# 210409
- Hospital General de Agudos J. M. Ramos Mejia /ID# 169164
- Hospital Italiano de Buenos Aires /ID# 208474
- DOM Centro de Reumatologia /ID# 208479
- Fundacion CIDEA /ID# 210494
- Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich /ID# 211622
- Centro de Enfermedades del Hígado y Aparato Digestivo /ID# 169163
- Instituto CAICI /ID# 169168
- Centro Medico Privado de Reumatologia /ID# 208343
- Duplicate_Inst de Rehab Psicofisica /ID# 214681
- Duplicate_Hospital Privado Univesitario /ID# 211623
- Cimer /Id# 169167
- The Canberra Hospital /ID# 207592
- Royal Brisbane and Women's Hospital /ID# 212785
- Rheumatology Research Unit Sunshine Coast /ID# 207200
- Griffith University /ID# 207505
- Flinders Medical Centre /ID# 210562
- Emeritus Research /ID# 207202
- Monash Medical Centre /ID# 208034
- Duplicate_UZ Ghent /ID# 210036
- ReumaClinic /ID# 208213
- ZNA - Jan Palfijn /ID# 208212
- University Clinical Centre of the Republic of Srpska /ID# 208268
- University Clinical Centre of the Republic of Srpska /ID# 208269
- University Clinical Centre of the Republic of Srpska /ID# 210047
- Clinical Center University of Sarajevo /ID# 208272
- SER - Serviços Especializados em Reumatologia /ID# 207489
- CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 207496
- EDUMED Educacao em Saude S/S L /ID# 207488
- LMK Sevicos Medicos S/S /ID# 207491
- CPCLIN - Centro de Pesquisas Clínicas /ID# 207493
- Medical center Medconsult /ID# 211399
- Medical center Excelsior /ID# 167741
- Diagnostic consultative center 17 Sofia /ID# 210506
- Military Medical Academy Multiprofile Hospital /ID# 210829
- Percuro Clinical Research, Ltd /ID# 169601
- Manitoba Clinic /ID# 206819
- CIADS Research Co Ltd /ID# 169600
- SKIN Centre for Dermatology /ID# 169604
- K. Papp Clinical Research /ID# 169603
- Groupe de Recherche en Maladies Osseuses Inc /ID# 169598
- Dr. Latha Naik /ID# 212188
- CTR Estudios Clinicos /ID# 208166
- Centro Internacional de Estudios Clinicos /ID# 209908
- Clinica Dermacross S.A /ID# 208163
- Poliklinika Repromed /ID# 208628
- Poliklinika Solmed /ID# 210965
- UHC Osijek /ID# 208623
- Klinicki bolnicki centar Rijeka /ID# 208621
- Klinicki bolnicki centar Split /ID# 208626
- Medical Center Kuna-Peric /ID# 208047
- Poliklinika Bonifarm /ID# 208750
- Revmacentrum MUDr. Mostera, s.r.o. /ID# 209025
- PV MEDICAL Services s.r.o. /ID# 210222
- MUDr. Zuzana Stejfova - revmatologicka ambulance /ID# 209027
- Affidea Praha s.r.o. /ID# 210223
- MEDICAL PLUS, s.r.o. /ID# 210439
- Bispebjerg and Frederiksberg Hospital /ID# 207576
- Aarhus University Hospital /ID# 168761
- North Estonia Medical Centre /ID# 208325
- Innomedica /ID# 211416
- MediTrials /ID# 207816
- Helsinki University Hospital /ID# 207724
- Ite Pihlajanlinna Kuopio /ID# 208322
- Turku University Hospital /ID# 207726
- Rheumazentrum Ruhrgebiet /ID# 207216
- Immanuel Krankenhaus Berlin /ID# 207218
- Center of Innovative Diagnostics and Therapeutics (CIRI GmbH) /ID# 209483
- MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH /ID# 209484
- General Hospital Asklepieio Voulas /ID# 212956
- University General Hospital of Heraklion PA.G.N.I /ID# 206839
- 424 General MILITARY Hospital /ID# 210974
- Naval Hospital of Athens /ID# 206838
- Olympion General Clinic SA /ID# 207048
- Sheba Medical Center /ID# 207474
- Barzilai Medical Center /ID# 207476
- Rambam Health Care Campus /ID# 208170
- Meir Medical Center /ID# 207473
- Rabin Medical Center /ID# 207475
- Duplicate_Azienda Ospedaliero-Universitaria Policlinico di Modena /ID# 207799
- Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 207269
- A.O.U. Policlinico G. Rodolico S.Marco - Presidio San Marco /ID# 207795
- Duplicate_Policlinico Univ Tor Vergata /ID# 207271
- Azienda Ospedaliera Universitaria di Verona/Ospedale Borgo Roma /ID# 207265
- Hanyang University Seoul Hospital /ID# 209263
- Duplicate_Konkuk University Medical Ctr /ID# 207509
- Kyungpook National Univ Hosp /ID# 207408
- M & M Centrs LTD /ID# 208733
- D.Saulites-Kandevicas PP in Cardiology and Rheumatology /ID# 207224
- Pauls Stradins Clinical University Hospital /ID# 207220
- Clinic ORTO /ID# 216218
- Riga East Clinical University Hospital /ID# 207223
- VAKK Dr. Kilda's Clinic /ID# 207330
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 207331
- Klaipeda University Hospital /ID# 207329
- Republican Siauliai hospital /ID# 207328
- Hospital Tuanku Jaafar /ID# 207919
- Hospital Raja Permaisuri Bainun /ID# 207920
- Hospital Selayang /ID# 208938
- University Malaya Med Ctr /ID# 208937
- CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 208331
- Centro Integral en Reumatologia S.A de C.V /ID# 208346
- Eukarya PharmaSite, SC /ID# 208431
- Centro Peninsular de Investigación Clínica SCP /ID# 208345
- Hospital General Regional No. 1 Dr. Carlos Mac Gregor Sánchez Navarro /ID# 210835
- RM Pharma Specialists S.A de C.V /ID# 208330
- Antonius Ziekenhuis /ID# 208587
- Universitair Medisch Centrum Groningen /ID# 208580
- Medisch Centrum Leeuwarden /ID# 168453
- Middlemore Clinical Trials /ID# 213256
- Waikato Hospital /ID# 213257
- CGM Research Trust /ID# 210498
- Spolka Lekarzy INTERCOR /ID# 210191
- Nasz Lekarz Przychodnie Medyczne /ID# 216176
- Malopolskie Centrum Kliniczne /ID# 208007
- McBk Sc /Id# 209132
- Centrum Medyczne Reuma Park w Warszawie /ID# 210352
- Osteo-Medic S.C. /ID# 208008
- ClinicMed Daniluk, Nowak Sp.j. /ID# 210824
- Centrum Kliniczno-Badawcze /ID# 208010
- ETYKA-Osrodek Badan Klinicznych /ID# 216241
- Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE /ID# 208145
- Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 208147
- Centro Hospitalar do Baixo Vouga /ID# 215979
- CCA Braga - Hospital de Braga /ID# 208146
- Instituto Português De Reumatologia /ID# 208149
- Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 208148
- Mindful Medical Research /ID# 211129
- Cabinet Medical Dr Triff Carina /Id# 207528
- Spitalul Clinic Sf. Maria /ID# 210054
- Spitalul Clinic Judetean de Urgenta Cluj -Napoca /ID# 207340
- Spitalul Clinic de Recuperare Iasi /ID# 207371
- LLC Family Outpatient Clinic № /ID# 169510
- Research Institute of Rheumatology named after V.A. Nasonova /ID# 207643
- LLC Medical Center /ID# 169516
- Nort-Western State Medical University n.a. Mechnikov /ID# 207641
- Kazan State Medical University /ID# 169511
- Federal Center for Brain and Neurotechnology /ID# 207646
- Perm Regional Clinical Hospital /ID# 207642
- Ulyanovsk Regional Clinical Hospital /ID# 169515
- Institute for Rheumatology /ID# 168194
- Institute for Rheumatology /ID# 168197
- Institute for Rheumatology /ID# 168198
- Institute for Rheumatology /ID# 168199
- Military Medical Academy /ID# 168218
- Special Hospital for Rheuma /ID# 168255
- Special Hospital for Rheuma /ID# 210284
- National University Hospital /ID# 208599
- Singapore General Hospital /ID# 207917
- Changi General Hospital /ID# 208965
- REUMA-GLOBAL, s.r.o. /ID# 208017
- MEDMAN s.r.o. /ID# 208018
- Reum.hapi s.r.o. /ID# 208016
- Thermium s.r.o. /ID# 208015
- REUMAMED POPRAD s.r.o. /ID# 208407
- Dr Jenny Potts /ID# 168691
- University of Pretoria /ID# 167621
- Dr Elsa van Duuren /ID# 207577
- Arthritis Clinical Research Trials /ID# 167625
- Synexus Helderberg Clinical Research Centre /ID# 210891
- Winelands Medical Research Centre /ID# 167629
- Hospital Universitario Germans Trias i Pujol /ID# 208543
- Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 207830
- Hospital Universitario A Coruna - CHUAC /ID# 207826
- Hospital Universitario Torrecardenas /ID# 212716
- Hospital Parc de Salut del Mar /ID# 209698
- Hospital Clinico Universitario San Carlos /ID# 207832
- Hospital Universitario 12 de Octubre /ID# 207827
- Hospital Universitario y Politecnico La Fe /ID# 207831
- Orebro Universitetssjukhuset /ID# 207948
- Skane University hospital /ID# 210070
- Falu Lasarett /ID# 210322
- Duplicate_Karolinska Univ Sjukhuset /ID# 208175
- Uppsala University Hospital /ID# 207944
- Duplicate_Vastmanlands Sjukhus /ID# 207943
- Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation /ID# 207567
- Chung Shan Medical University Hospital /ID# 207257
- Linkou Chang Gung Memorial Ho /ID# 207255
- State Institution L. T. Malaya Therapy National Institution of NAMS of Ukraine /ID# 209556
- Scientific Research Institute of Invalid Rehabilitation /ID# 207873
- CNE Cherkasy Regional Hospital of Cherkasy Regional Council /ID# 207912
- MNPE Chernihiv Regional Hospital of the Chernihiv Region Council /ID# 207730
- PNE City Multifunctional Hospital No.18 /ID# 207911
- Khmelnytskyi Regional Hospital /ID# 207753
- MI Kryvyi Rih City Clinical Hospital No.2 /ID# 207748
- Medical Center OK Clinic /ID# 207749
- Communal Enterprise Volyn Regional Clinical hospital of the Volyn Regional Coun /ID# 208276
- Lviv Municipal City Clinical Hospital #4 /ID# 207715
- PI "Poltava Regional Clinical Hospital n.a. M.V.Sklifosovsky" /ID# 207872
- Public Institution 6th City Clinical Hospital /ID# 207754
- Duplicate_Barts Health NHS Trust /ID# 210534
- NHS Greater Glasgow and Clyde /ID# 214942
- Midlands Partnership NHS Foundation Trust /ID# 214941
- Manchester University NHS Foundation Trust /ID# 207928
- Portsmouth Hospitals University NHS Trust /ID# 207932
- Torbay and South Devon Nhs Foundation Trust /Id# 207931
- Duplicate_Wirral University Teaching Hospital NHS Foundation Trust /ID# 210535
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Placebo
Risankizumab
Participants randomized to receive double-blind placebo at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive 150 mg risankizumab followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.
Participants randomized to receive 150 mg risankizumab administered by subcutaneous injection at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive blinded placebo followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.