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JNJ-38518168/ MTX

Phase 2

Asthma | Small molecule | Respiratory |Johnson & Johnson|Trials Updated: Apr 29, 2025

JNJ-38518168/ MTX target and mechanism

ModalitySmall molecule

Also known as JNJ-38518168

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment276

FDA Designations

No designations recorded

JNJ-38518168/ MTX clinical trials

JNJ-38518168/ MTX · 4 trials · 4 indications

Phase 2 2Phase 1 2
NCT02295865A Study to Evaluate Safety and Efficacy of Toreforant (JNJ-38518168) in Participants With Moderate to Severe Plaque-type PsoriasisPsoriasis
COMPLETED62 Analytics
NCT01823016A Study of JNJ-38518168 in Symptomatic Adult Participants With Uncontrolled, Persistent AsthmaAsthma
COMPLETED166 Analytics
PHASE2COMPLETED
A Study to Evaluate Safety and Efficacy of Toreforant (JNJ-38518168) in Participants With Moderate to Severe Plaque-type Psoriasis
PsoriasisUnlock trial analytics
PHASE2COMPLETED
A Study of JNJ-38518168 in Symptomatic Adult Participants With Uncontrolled, Persistent Asthma
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants who Achieve Psoriasis Area and Severity Index (PASI) 75 Response at Week 12
Week 12

The PASI score is a combined assessment of lesion severity and area affected into single score. Body will be divided into 4 sections:head, arms, trunk, and legs. For each section, percent (%) area of skin involved was estimated:0=0%, 1=less than (\<) 10%, 2=10 to \<30%, 3=30 to \<50%, 4=50 to \<70%, 5=70 to \<90%, 6=90 to 100%. Severity will be estimated by clinical signs:erythema,induration,desquamation;scale:0= none to 4=maximum. Final PASI=sum of severity parameters for each section\*area score\*weight of section (head:0.1,arms:0.2,body:0.3,legs:0.4);total possible score range: 0=no disease to 72=maximal disease. A PASI 75 response defined as greater than or equal to (\>=) 75 % improvement in PASI score from baseline.

Change from baseline in prebronchodilator forced expiratory volume in 1 second (preBD FEV1)
Baseline to Week 16

Expressed as percent of predicted value.

Maximum observed plasma concentration of JNJ-38518168 at approximately steady-state after multiple doses
Day 14 (predose, postdose [1, 2, 3, 4, 5, 6, 7, 8, 12, 24, 48, 72, and 96 hours])
Area under the plasma concentration-time curve of JNJ-38518168 at approximately steady-state after multiple doses
Day 14 (predose, postdose [1, 2, 3, 4, 5, 6, 7, 8, 12, 24, 48, 72, and 96 hours])
Time to reach the maximum observed plasma of JNJ-38518168 at approximately steady-state after multiple doses
Day 14 (predose, postdose [1, 2, 3, 4, 5, 6, 7, 8, 12, 24, 48, 72, and 96 hours])
Apparent clearance of JNJ-38518168 at approximately steady-state after multiple doses
Day 14 (predose, postdose [1, 2, 3, 4, 5, 6, 7, 8, 12, 24, 48, 72, and 96 hours])
Blood levels of methotrexate
Up to approximately 7 weeks

To assess the effect of multiple doses of JNJ-38518168 on blood levels of methotrexate

Secondary Endpoints

Percentage of Participants Who Achieve a Score of 0 or 1 on the Investigator's Global Assessment (IGA) at Week 12
Week 12
Percentage of Participants Who Achieve PASI 50, PASI 75, PASI 90 and PASI 100 Responses
Week 0, 2, 4, 6, 8, 12 and 16
Percent Improvement From Baseline in PASI Score
Week 0 (Baseline), 2, 4, 6, 8, 12 and 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
JNJ-38518168 60 mgEXPERIMENTALParticipants will receive two tablets of JNJ-38518168, 30 milligram (mg) each for a total of 60 mg, together with one 30 mg matching placebo tablet and one 3 mg matching placebo tablet, orally, once daily, for 12 Weeks.
JNJ-38518168 30 mgEXPERIMENTALParticipants will receive one tablet of JNJ-38518168, 30 mg, together with two 30 mg matching placebo tablets and one 3 mg matching placebo tablet, orally, once daily, for 12 Weeks.
JNJ-38518168 3 mgEXPERIMENTALParticipants will receive one tablet of JNJ-38518168, 3 mg, together with three 30 mg matching placebo tablets, orally, once daily, for 12 Weeks.
PlaceboEXPERIMENTALParticipants will receive three tablets of JNJ-38518168, 30 mg matching placebo, together with one 3 mg matching placebo tablet, orally, once daily, for 12 Weeks.
JNJ-38518168EXPERIMENTAL -
001EXPERIMENTALJNJ-38518168 / MTX Day 1: MTX: Route=oral use single dose of participant's weekly MTX dose Days 2-15: MTX: Route=oral use single dose of participant's weekly MTX dose and of JNJ-38518168 Type=exact unit=mg number=100 form=capsule route=oral use administered daily.

Interventions

NameTypeDescription
JNJ-38518168 60 mgDRUGTwo tablets of JNJ-38518168, 30 milligram (mg) each for a total of 60 mg, orally, once daily.
JNJ-38518168 30 mgDRUGOne tablet of JNJ-38518168, 30 mg, orally, once daily.
JNJ-38518168 3 mgDRUGOne tablet of JNJ-38518168, 3 mg, orally, once daily.
PlaceboDRUGMatching Placebo either 30 mg tablet or 3 mg tablet will be administered orally.
JNJ-38518168DRUGJNJ-38518168, 30 mg tablet, taken once daily
JNJ-38518168 / MTXDRUGDay 1: MTX: Route=oral use, single dose of participant's weekly MTX dose
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Participant must have a diagnosis of plaque-type psoriasis (with or without psoriatic arthritis \[PsA\]) for at least 6 months before the first administration of study drug * Participant must have a Psoriasis Area and Severity Index (PASI) Greater Than or equal to (\>=) 12 at ...

Countries:United StatesPolandCanadaFranceGermanyIsraelUnited Kingdom
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Frequently asked questions about JNJ-38518168/ MTX

What is JNJ-38518168 used for?

JNJ-38518168 is an investigational small molecule studied in asthma, psoriasis, rheumatoid arthritis, and hepatic impairment. It has been evaluated in Phase 2 trials for moderate to severe plaque-type psoriasis and for uncontrolled, persistent asthma, and in Phase 1 studies in rheumatoid arthritis and hepatic impairment. It is not an approved treatment.

Who is developing JNJ-38518168?

JNJ-38518168 is developed by Johnson & Johnson, which trades under the ticker JNJ. The company sponsored the clinical studies of the compound across asthma, psoriasis, rheumatoid arthritis, and hepatic impairment.

What phase is JNJ-38518168 in?

JNJ-38518168 has reached Phase 2 in its clinical development. Phase 2 studies were conducted in moderate to severe plaque-type psoriasis and in uncontrolled, persistent asthma, while Phase 1 studies covered rheumatoid arthritis and hepatic impairment. All of these trials are completed.

What clinical trials is JNJ-38518168 in?

JNJ-38518168 has been studied in completed trials including NCT02295865 in moderate to severe plaque-type psoriasis, NCT01823016 in uncontrolled persistent asthma, NCT01863784 in mild and moderate hepatic impairment, and NCT01450982 in rheumatoid arthritis. The asthma trial enrolled 166 participants, the largest of these studies.

Is JNJ-38518168 the same as toreforant?

Yes, JNJ-38518168 is also known as toreforant. Other names used for the compound include JNJ-38518168 3 mg, JNJ-38518168 30 mg, and JNJ-38518168 60 mg, which refer to dose strengths studied in trials. Searches for any of these names refer to the same investigational small molecule.

How was JNJ-38518168 studied in clinical trials?

The JNJ-38518168 trials were randomized, double-blind, and placebo-controlled. The Phase 2 psoriasis study NCT02295865 enrolled 62 participants in the United States and Poland, and the Phase 2 asthma study NCT01823016 enrolled 166 participants across the United States, Canada, France, Germany, Israel, and the United Kingdom.