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Search / Trial NCT04929210

A Study of Guselkumab Administered Subcutaneously in Bio-naive Participants With Active Psoriatic Arthritis Axial Disease

Launched by JANSSEN RESEARCH & DEVELOPMENT, LLC · Jun 11, 2021

Trial Information

Current as of July 22, 2025

Recruiting

Keywords

ClinConnect Summary

This clinical trial is studying a medication called guselkumab to see how well it works for people with active psoriatic arthritis (PsA) that affects the spine and pelvis. The goal is to find out if guselkumab can help reduce symptoms like pain and inflammation in these areas. The trial is currently looking for participants who are between 65 and 74 years old, have been diagnosed with PsA for at least six months, and are experiencing significant joint pain and swelling despite using other treatments.

To be eligible for the study, participants must have specific signs of active PsA, including swollen and tender joints, and confirmed inflammation in the spine or pelvic area through MRI scans. Participants will receive the treatment and will be monitored for how well it helps their symptoms. It's important to note that individuals who have previously used certain other treatments or have other specific inflammatory conditions may not be able to join the trial. This study offers a chance to contribute to important research while potentially finding relief from PsA symptoms.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • Have a diagnosis of psoriatic arthritis (PsA) for at least 6 months prior to the first administration of study intervention and meet classification criteria for psoriatic arthritis (CASPAR) criteria at screening
  • Have active PsA as defined by: a) at least 3 swollen joints and at least 3 tender joints at screening and at baseline and b) C-reactive protein (CRP) greater than or equal to (\>=) 0.3 milligram/deciliter (mg/dL) at screening from the central laboratory, and despite previous non-biologic disease modifying antirheumatic drug (DMARD), apremilast, and/or nonsteroidal anti-inflammatory drug (NSAID) therapy
  • Have magnetic resonance imaging (MRI)-confirmed PsA axial disease (positive MRI spine and/or sacroiliac \[SI\] joints, shown by a Spondyloarthritis Research Consortium of Canada \[SPARCC\] score of \>= 3 in either the spine or the sacroiliac joints)
  • Have a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of at least 4, and have a spinal pain score (on a visual analog scale \[VAS\]) of at least 4
  • Have active plaque psoriasis, with at least 1 psoriatic plaque of \>= 2 centimeter (cm) diameter and/or nail changes consistent with psoriasis, or documented history of plaque psoriasis
  • Exclusion Criteria:
  • Has known allergies, hypersensitivity, or intolerance to guselkumab or its excipients
  • Has other inflammatory diseases that might confound the evaluations of benefit of guselkumab therapy, including but not limited to rheumatoid arthritis (RA), ankylosing spondylitis (AS)/non-radiographic-axial spondyloarthritis (this does not include a primary diagnosis of PsA with spondylitis), systemic lupus erythematosus, or Lyme disease
  • Has previously received any biologic treatment
  • Has ever received a Janus kinase (JAK) inhibitor including but not limited to tofacitinib, baricitinib, filgotinib, peficitinib, decernotinib, upadacitinib or any other investigational JAK inhibitor
  • Has received any systemic immunosuppressants (example, azathioprine, cyclosporine, 6 thioguanine, mercaptopurine, mycophenolate mofetil, hydroxyurea, tacrolimus) within 4 weeks of the first administration of study intervention

About Janssen Research & Development, Llc

Janssen Research & Development, LLC, a subsidiary of Johnson & Johnson, is a leading pharmaceutical company dedicated to advancing innovative therapies in multiple therapeutic areas, including oncology, immunology, neuroscience, infectious diseases, and cardiovascular health. With a strong commitment to scientific excellence and patient-centered research, Janssen leverages cutting-edge technology and collaborative partnerships to drive the development of transformative treatments. The company is focused on addressing unmet medical needs through rigorous clinical trials and a robust pipeline, aiming to improve health outcomes and enhance the quality of life for patients worldwide.

Locations

Ann Arbor, Michigan, United States

La Jolla, California, United States

Vejle, , Denmark

Toronto, Ontario, Canada

Duncansville, Pennsylvania, United States

Clearwater, Florida, United States

Haifa, , Israel

Seattle, Washington, United States

Seattle, Washington, United States

Iowa City, Iowa, United States

Tucson, Arizona, United States

Amarillo, Texas, United States

San Leandro, California, United States

Manila, , Philippines

Hong Kong, , Hong Kong

Zephyrhills, Florida, United States

Bangkok, , Thailand

Taichung, , Taiwan

Kuala Lumpur, , Malaysia

Stockholm, , Sweden

Sofia, , Bulgaria

Tainan, , Taiwan

Dallas, Texas, United States

Springfield, Missouri, United States

Frankfurt, , Germany

Frederiksberg, , Denmark

Greenville, South Carolina, United States

Herne, , Germany

San Miguel De Tucuman, , Argentina

Leeds, , United Kingdom

Bay Pines, Florida, United States

Bilbao, , Spain

Madrid, , Spain

Quezon City, , Philippines

Danbury, Connecticut, United States

Davao City, , Philippines

Liverpool, , Australia

Manchester, , United Kingdom

Kaohsiung, , Taiwan

Kistarcsa, , Hungary

Austin, Texas, United States

Taipei City, , Taiwan

Roma, , Italy

Cagliari, , Italy

Budapest, , Hungary

Hagerstown, Maryland, United States

Cebu City, , Philippines

Istanbul, , Turkey

Tomball, Texas, United States

Vancouver, British Columbia, Canada

Holon, , Israel

Swidnik, , Poland

Johor Bahru, , Malaysia

Plantation, Florida, United States

Nowa Sol, , Poland

St. John's, Newfoundland And Labrador, Canada

Uherske Hradiste, , Czechia

Barnet, , United Kingdom

Plantation, Florida, United States

Brno, , Czechia

Ramat Gan, , Israel

Ratingen, , Germany

Chicago, Illinois, United States

Tbilisi, , Georgia

Covina, California, United States

Brno Zidenice, , Czechia

Elblag, , Poland

Phoenix, Arizona, United States

Bytom, , Poland

Nadarzyn, , Poland

Taoyuan, , Taiwan

George Town, , Malaysia

Santander, , Spain

Ankara, , Turkey

Verona, , Italy

Bursa, , Turkey

Kaunas, , Lithuania

Porto, , Portugal

Rockford, Illinois, United States

Quebec, , Canada

Glostrup, , Denmark

Adana, , Turkey

Barcelona, , Spain

A Coruña, , Spain

Mesquite, Texas, United States

Bangkok, , Thailand

Budapest, , Hungary

Tbilisi, , Georgia

Berlin, , Germany

Plovdiv, , Bulgaria

Valencia, , Spain

Las Vegas, Nevada, United States

Seremban, , Malaysia

Batu Caves, , Malaysia

Warszawa, , Poland

Omsk, , Russian Federation

Lodz, , Poland

Cordoba, , Spain

Córdoba, , Spain

San Diego, California, United States

Colleyville, Texas, United States

Lubbock, Texas, United States

Brescia, , Italy

Campobasso, , Italy

Rozzano (Mi), , Italy

Sofia, , Bulgaria

Brno, , Czechia

Ostrava, , Czechia

Bydgoszcz, , Poland

Lodz, , Poland

Warsaw, , Poland

Warszawa, , Poland

Chelyabinsk, , Russian Federation

Ekaterinburg, , Russian Federation

Lipetsk, , Russian Federation

Petrozavodsk, , Russian Federation

Rostov, , Russian Federation

Ufa, , Russian Federation

Yaroslavl, , Russian Federation

Yaroslavl, , Russian Federation

Ankara, , Turkey

Antalya, , Turkey

Istanbul, , Turkey

Chernihiv, , Ukraine

Kharkiv, , Ukraine

Kherson, , Ukraine

Khmelnytsky, , Ukraine

Kryvyi Rih, , Ukraine

Odessa, , Ukraine

Ternopil, , Ukraine

Uzhgorod, , Ukraine

Hobart, , Australia

Maroochydore, , Australia

Melbourne, , Australia

T'bilisi, , Georgia

Wrocław, , Poland

Gyula, , Hungary

Bydgoszcz, , Poland

Tbilisi, , Georgia

Tbilisi, , Georgia

Kyiv, , Ukraine

Sofia, , Bulgaria

Sevilla, , Spain

Krakow, , Poland

Tbilisi, , Georgia

Lutsk, , Ukraine

Reggio Emilia, , Italy

Tampa, Florida, United States

Poznan, , Poland

Moscow, , Russian Federation

Kyiv, , Ukraine

Vinnytsia, , Ukraine

Konya, , Turkey

Memphis, Tennessee, United States

Kemerovo, , Russian Federation

Málaga, , Spain

Bangkok, , Thailand

Lublin, , Poland

Buenos Aires, , Argentina

Barakaldo, , Spain

Solna, , Sweden

Saint Clair Shores, Michigan, United States

Fort Worth, Texas, United States

Pardubice, , Czechia

Bochum, , Germany

Székesfehérvár, , Hungary

Vinnytsya, , Ukraine

Mesa, Arizona, United States

Sumy, , Ukraine

Hamburg, , Germany

Budapest, , Hungary

Veszprem, , Hungary

Hifa, , Israel

Braga, , Portugal

Lisboa, , Portugal

Lisboa, , Portugal

Lisboa, , Portugal

Ponte De Lima, , Portugal

Chelyabinsk, , Russian Federation

Newcastle, , United Kingdom

Stoke On Trent, , United Kingdom

Houston, Texas, United States

Sabadell, , Spain

Lviv, , Ukraine

Praha, , Czechia

Kutaisi, , Georgia

Tbilisi, , Georgia

Sevilla, , Spain

Camberwell, , Australia

Sofia, , Bulgaria

Baltimore, Maryland, United States

Ankara, , Turkey

Moscow, , Russian Federation

Cherkasy, , Ukraine

Kyiv, , Ukraine

Zaporizhzhya, , Ukraine

Red Oak, Texas, United States

Chiangmai, , Thailand

Lisboa, , Portugal

Ancona, , Italy

Lodz, , Poland

Corpus Christi, Texas, United States

Hlucin, , Czechia

Budapest, , Hungary

Szeged, , Hungary

Warszawa, , Poland

Poltava, , Ukraine

La Plata, , Argentina

Sfia, , Bulgaria

Orenburg, , Russian Federation

Kyiv, , Ukraine

Grapevine, Texas, United States

Lublin, , Poland

Phoenix, Arizona, United States

Sun City, Arizona, United States

Huntington Beach, California, United States

Tustin, California, United States

Miami, Florida, United States

Hinsdale, Illinois, United States

Ann Arbor, Michigan, United States

Eagan, Minnesota, United States

Salisbury, North Carolina, United States

Vandalia, Ohio, United States

Portland, Oregon, United States

Buenos Aires, , Argentina

Ciudad Autonoma De Buenos Aires, , Argentina

Footscray, , Australia

Melbourne, , Australia

Pleven, , Bulgaria

Pleven, , Bulgaria

Plovdiv, , Bulgaria

Sofia, , Bulgaria

Sofia, , Bulgaria

Targovishte, , Bulgaria

Hamburg, , Germany

Kfar Sava, , Israel

Bialystok, , Poland

Krakow, , Poland

Poznan, , Poland

Torun, , Poland

Warszawa, , Poland

Guarda, , Portugal

Barnaul, , Russian Federation

Ekaterinbourg, , Russian Federation

Izhevsk, , Russian Federation

Korolev, , Russian Federation

Krasnoyarsk, , Russian Federation

Moscow, , Russian Federation

Perm, , Russian Federation

St. Petersburg, , Russian Federation

St. Petersburg, , Russian Federation

Tolyatti, , Russian Federation

Santiago De Compostela, , Spain

Hsin Chu, , Taiwan

Dnipro, , Ukraine

Kharkiv, , Ukraine

Kharkiv, , Ukraine

Kyiv, , Ukraine

Odessa, , Ukraine

Zaporizhzhya, , Ukraine

Zhytomyr, , Ukraine

Bradford, , United Kingdom

Summerville, South Carolina, United States

Warsaw, , Poland

Køge, , Denmark

Searcy, Arkansas, United States

Lubbock, Texas, United States

Mesa, Arizona, United States

Martin, , Slovakia

Rimavska Sobota, , Slovakia

Chandler, Arizona, United States

Fontana, California, United States

Irvine, California, United States

Ciudad Autonoma Buenos Aires, , Argentina

Sofia, , Bulgaria

T'bilisi, , Georgia

T'bilisi, , Georgia

T'bilisi, , Georgia

Tnilisi, , Georgia

Monserrato, , Italy

Kaunas, , Lithuania

Lipa, , Philippines

Manila, , Philippines

Elblag, , Poland

Torun, , Poland

Kosice, , Slovakia

Nove Mesto Nad Vahom, , Slovakia

Piestany, , Slovakia

Zvolen, , Slovakia

Uppsala, , Sweden

Krakow, , Poland

Sofia, , Bulgaria

Tbilisi, , Georgia

Warszawa, , Poland

Hsin Chu, , Taiwan

Krakow, , Poland

Poznan, , Poland

San Fernando, , Philippines

Moscow, , Russian Federation

Sofia, , Bulgaria

Lodz, , Poland

Tolyatti, , Russian Federation

Warsaw, , Poland

Krakow, , Poland

Buenos Aires, , Argentina

Bialystok, , Poland

Lublin, , Poland

Gyula, , Hungary

Székesfehérvár, , Hungary

Warszawa, , Poland

Elblag, , Poland

Warszawa, , Poland

Barcelona, , Spain

A Coruña, , Spain

A Coruna, , Spain

Plovdiv, , Bulgaria

Lodz, , Poland

T'bilisi, , Georgia

Bialystok, , Poland

Poprad, , Slovakia

Coventry, , United Kingdom

Kansas City, Missouri, United States

Lodz, , Poland

Hagerstown, Maryland, United States

Phoenix, Arizona, United States

Eagan, Minnesota, United States

Sofia, , Bulgaria

Kistarcsa, , Hungary

Poznan, , Poland

Hodmezovasarhely, , Hungary

Lodz, , Poland

Nadarzyn, , Poland

Brno Zidenice, , Czechia

Hlucin, , Czechia

Ostrava, , Czechia

Uherske Hradiste, , Czechia

Bytom, , Poland

Krakow, , Poland

Sun City, Arizona, United States

Brno, , Czechia

Bytom, , Poland

Elblag, , Poland

Warsaw, , Poland

Lisboa, , Portugal

Krakow, , Poland

San Fernando Buenos Aires, , Argentina

Warsaw, , Poland

Porto, , Portugal

Lisboa, , Portugal

Barcelona, , Spain

Cordoba, , Spain

Budapest, , Hungary

Bydgoszcz, , Poland

Warszawa, , Poland

Lisboa, , Portugal

Lublin, , Poland

A Coruna, , Spain

St Johns, Newfoundland And Labrador, Canada

Eagan, Minnesota, United States

Quebec, , Canada

Málaga, , Spain

Braga, , Portugal

Lisboa, , Portugal

Lisboa, , Portugal

Porto, , Portugal

Wrocław, , Poland

Willowbrook, Illinois, United States

Tbilisi, , Georgia

Poznan, , Poland

Wroclaw, , Poland

Batumi, , Georgia

Lodz, , Poland

Swidnik, , Poland

Warszawa, , Poland

Warszawa, , Poland

Avondale, Arizona, United States

Irving, Texas, United States

Karvina Frystat, , Czechia

Lisboa, , Portugal

San Fernando, , Argentina

Lublin, , Poland

Fort Worth, Texas, United States

Nadarzyn, , Poland

Patients applied

0 patients applied

Trial Officials

Janssen Research & Development, LLC Clinical Trial

Study Director

Janssen Research & Development, LLC

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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