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CNTO 1959

Phase 3

Psoriasis | Small molecule | Immunology |Johnson & Johnson|Last Updated: May 22, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment509
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02325219An Efficacy and Safety of CNTO 1959 (Guselkumab) in Participants With Moderate to Severe Plaque-type PsoriasisPHASE3 COMPLETED 192Dec 19, 2014Feb 8, 2019May 22, 202027 Japan
NCT01483599A Study to Evaluate CNTO 1959 in the Treatment of Patients With Moderate to Severe Plaque-type PsoriasisPHASE2 COMPLETED 293Nov 10, 2011Aug 5, 2013Aug 2, 201740 United States, Belgium +3
NCT01484587A Study of the Safety, Tolerability, Pharmacokinetics (What the Body Does to the Drug), and Pharmacodynamics (What the Drug Does to the Body) of CNTO 1959 Following a Single Subcutaneous (Under the Skin) Administration in Japanese Participants With Moderate to Severe Plaque PsoriasisPHASE1 COMPLETED 24Aug 22, 2011Apr 11, 2013Sep 5, 20171 Japan
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Study Endpoints
Primary Endpoints
Percentage of Participants With an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 16
Week 16

The IGA documents the investigator's assessment of the participants psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participants' psoriasis was assessed as cleared (0), minimal (1), mild (2), moderate (3), or severe (4).

Percentage of Participants Who Achieved a Psoriasis Area and Severity Index (PASI) 90 Response at Week 16
Week 16

The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percentage (%)-100% involvement), and for erythema, induration and scaling, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that could range from 0 (no psoriasis) to 72. PASI 90 response was defined as at least a 90% reduction in PASI relative to Baseline.

Percentage of Participants With Physician Global Assessment (PGA) Score of Cleared (0) or Minimal (1) at Week 16
Week 16

PGA of psoriasis is used to determine the participant's psoriasis lesions overall at a given time point. Lesions were graded as erythema \[0 (no evidence of plaque) to 5 (dusky to deep red coloration)\], induration \[0 (no plaque evaluation) to 5 (marked plaque evaluation)\] and scaling \[0 (no evidence of scaling) to 5 (severe; very thick tenacious scaling)\]. The total score was calculated as average of the 3 severity scores and rounded to the nearest whole number score to determine the PGA score and category (0= cleared; 1= minimal; 2= mild; 3= moderate; 4= marked and 5= severe).

The number and type of adverse events
Up to 24 weeks
Change in clinical laboratory values
Up to 24 weeks
Electrocardiogram
Up to 24 weeks
Changes or abnormalities in body systems
Up to 24 weeks
Axillary temperature
Up to 24 weeks
Pulse rate
Up to 24 weeks
Blood pressure
Up to 24 weeks
Secondary Endpoints
Percentage of Participants Who Achieved PASI 75 Response at Week 16
Week 16
Change From Baseline in the Dermatology Life Quality Index (DLQI) Total Score at Week 16
Baseline and Week 16
Percentage of Participants With an IGA Score of Cleared (0), Cleared (0) or Minimal (1), and Cleared (0) or Minimal (1) or Mild (2) at Weeks 2, 4, 8, 12, and 16
Weeks 2, 4, 8, 12, and 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1EXPERIMENTALParticipants will receive subcutaneous injection of CNTO 1959 50 milligram (mg) and placebo 100 mg at Week 0, 4 and then every 8 weeks thereafter.
Group 2EXPERIMENTALParticipants will receive subcutaneous injection of CNTO 1959 100 milligram (mg) and placebo 50 mg at Week 0, 4 and then every 8 weeks thereafter.
Group 3EXPERIMENTALParticipants will receive subcutaneous injection of placebo 50 mg and 100 mg at Weeks 0, 4 and 12. At Week 16, participants will be randomized in sub-group 3a to receive either CNTO1959 50 mg and placebo 100 mg at Week 16, 20 and then every 8 weeks thereafter or sub-group 3b to receive CNTO 1959 100 mg and placebo 50 mg at Week 16, 20 and then every 8 weeks thereafter.
CNTO 1959 (5 mg)EXPERIMENTALCNTO 1959 5 mg at weeks 0, 4, and 16, then every 12 weeks through Week 40
CNTO 1959 (15 mg)EXPERIMENTALCNTO 1959 15 mg at weeks 0, 8, and 16, then every 8 weeks through Week 40
CNTO 1959 (50 mg)EXPERIMENTALCNTO 1959 50 mg at weeks 0, 4, and 16, then every 12 weeks through Week 40
CNTO 1959 (100 mg)EXPERIMENTALCNTO 1959 100 mg at weeks 0, 8, and 16, then every 8 weeks through Week 40
CNTO 1959 (200 mg)EXPERIMENTALCNTO 1959 200 mg at weeks 0, 4, and 16, then every 12 weeks through Week 40
Adalimumab (approved psoriasis dosing)ACTIVE_COMPARATORAdalimumab 80 mg at week 0 followed by 40 mg at week 1 and every second week through Week 39 (i.e., Weeks 3, 5, 7, etc.)
Placebo to CNTO 1959 (100 mg)PLACEBO_COMPARATORPlacebo at weeks 0, 4, and 8; then crossover to CNTO 1959 100 mg at Week 16, then every 8 weeks through Week 40
001EXPERIMENTAL -
002PLACEBO_COMPARATOR -
Interventions
NameTypeDescription
CNTO 1959 50 mgDRUGParticipants will receive subcutaneous injection of CNTO 1959 50 mg.
CTNO 1959 100 mgDRUGParticipants will receive subcutaneous injection of CNTO 1959 100 mg.
Placebo 50 mgDRUGParticipants will receive subcutaneous injection of Placebo matched to CNTO 1959 50 mg.
Placebo 100 mgDRUGParticipants will receive subcutaneous injection of Placebo matched to CNTO 1959 100 mg.
CNTO 1959 (5 mg)DRUGSubcutaneous (SC) injections
CNTO 1959 (15 mg)DRUGSC injections
CNTO 1959 (50 mg)DRUGSC injections
CNTO 1959 (100 mg)DRUGSC injections
CNTO 1959 (200 mg)DRUGSC injections
AdalimumabDRUGSC injections
PlaceboDRUGSC injections
CNTO 1959DRUGCNTO 1959: type=range, unit=mg, number=10, 30, 100, 300, form=solution for injection, route=subcutaneous use, ascending dosing for 24 weeks
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Eligibility Criteria
Age Range20 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Have a diagnosis of plaque-type psoriasis with or without psoriatic arthritis for at least 6 months before Screening * Have a PASI greater than or equal to (\>=) 12 at Screening and at Baseline * Have an IGA \>= 3 at Screening and at Baseline * Have an involved body surface ar...

Countries:JapanUnited StatesBelgiumCanadaGermanyPoland
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