Arthritis, PsoriaticPsABIOndNCT05049798
A Study of Guselkumab and Interleukin-17 (IL-17) Inhibitor Therapies in Participants With Psoriatic Arthritis in Routine Clinical Practice
An observational study of Arthritis, Psoriatic, run by Janssen Pharmaceutica N.V., Belgium at 155 sites in 20 countries.
Trial summary
The purpose of this study is to evaluate treatment persistence with guselkumab and interleukin-17 inhibitor (IL-17i) initiated at enrollment into this study (PsABIOnd). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Arthritis, Psoriatic
- What is being tested?
- Guselkumab and IL-17i
- How many people
- 1,314 participants
- Where
- 155 sitesin 20 countries
- Study dates
- 25 Aug 2021to 2 Aug 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Adult, Older adult
Study population: The study population consists of participants initially treated for Psoriatic Arthritis (PsA) with guselkumab or interleukin-17 inhibitor (IL-17i) per routine clinical practice in accordance with clinical guidelines.
Who may be able to join
- Main study:
- Have a confirmed diagnosis of PsA as determined by a rheumatologist with reference to Classification criteria for Psoriatic Arthritis (CASPAR)
- Start guselkumab or any approved interleukin-17 inhibitor (IL-17i) as a first, second, third, or fourth line of biologic disease-modifying antirheumatic drugs (bDMARD) therapy for the indication of PsA as part of standard clinical practice (according to local label, local regulations, and/or reimbursement requirements) at the time of enrollment into the observational study or within a maximum of 2 months after the initial baseline visit or after repeated baseline data collection
- Sign a participation agreement/Informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements
- Able to read, understand, and intend to comply with completion of all Electronic patient-reported outcome (ePRO) instruments
- The treatment decision must be taken by the participating rheumatologist prior to, and independently of the participant's inclusion into the study, following clinical practice in accordance with local and overarching guidelines and local regulations
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- Substudy:
- Must sign the substudy ICF allowing data collection in accordance with local requirements
- Is scheduled to receive guselkumab or IL-17i, per routine clinical practice, in the main study
- Currently using or is willing to use wearables and/or commercial applications to track their disease within the course of their normal daily activities
Who cannot join
- Main study:
- Start guselkumab or an IL-17i therapy as fifth or further line of biologic treatment
- Have already taken a specific IL-17i or IL-23i treatment and are planning on re-taking that specific treatment again
- Unwilling or unable to participate in long-term data collection
- Received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before the start of the study (that is, signing of informed consent)
- Currently enrolled in any interventional study or any Janssen-sponsored observational clinical study (contemporary participation into observational studies or registries not sponsored by Janssen is acceptable)
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- Substudy:
- Have an insufficient command of language to interact effectively with the smartphone application, in the opinion of the investigator at each site
- Any condition for which, in the opinion of the investigator, participation would not be in the best interest of the patient (example, compromise the well-being) or that could prevent, limit, or confound assessment
- Unwilling or unable to comply with substudy assessments
Trial locations and contacts
155 sites in 20 countries.
155 sites in 20 countries
Germany20 sites
Praxis für Rheumatologie
Amberg, 92224
Rheuma-Praxis Bayreuth
Bayreuth, 95444
Rheumatologische Schwerpunktpraxis
Berlin, 12161
Rheumatologische Schwerpunktpraxis 1
Berlin, 13055
Krankenhaus Porz am Rhein
Cologne, 51149
Universitatsklinikum Dusseldorf
Düsseldorf, 40225
Service Rheuma Erfurt
Erfurt, 99096
Universitatsklinikum Frankfurt
Frankfurt, 60590
Rheumapraxis Dr. Liebhaber
Halle, 6128
Praxis fur Klinische Studien und Praxis fur Orthopadie
Hamburg, 22415
Rheumatologie im Struenseehaus
Hamburg, 22767
Rheumazentrum Ruhrgebiet
Herne, 44649
Rheumatologische Praxis 1
Leipzig, 04109
Rheumatologische Praxis
Magdeburg, 39104
Praxiszentrum St. Bonifatius
München, 81541
Praxis Thilo Klopsch
Neubrandenburg, 17033
Knappschaftsklinikum Saar GmbH Klinik für Rheumatologie
Püttlingen, 66346
Rheumazentrum Ratingen
Ratingen, 40878
Rheumatologisch-immunologische Arztpraxis
Templin, 17268
Immunologisches Zentrum Vogelsang-Gommern GmbH
Vogelsang-Gommern, 39245
Canada16 sites
Dr. Juris Lazovskis Incorporated
Coxheath, Nova Scotia, B1L 1B3
Private Practice - Dr. Pauline Boulos
Dundas, Ontario, L9H 1B7
Markham Rheumatology Hub
Markham, Ontario, L3R 2C7
Brandusa Florica Medicine Professional Corporation
Mississauga, Ontario, L5A 3V8
CIUSSS de l Est de l Ile de Montreal Installation Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
The Waterside Clinic
Orillia, Ontario, L3V 1T5
The Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 7W9
G R M O Groupe de recherche en maladies osseuses Inc
Québec, Quebec, G1V 4K5
Centre de sante et services sociaux (CSSS) de Rimouski-Neigette - Hopital regional - Rimouski
Rimouski, Quebec, G5L 5T1
Community Rheumatology Care
Saskatoon, Saskatchewan, S7K 0H6
Rheumatology Associates of Saskatoon
Saskatoon, Saskatchewan, S7K 0H6
St. Claire's Mercy Hospital - Rheumatology Research
St. John's, Newfoundland and Labrador, A1C 5B8
Centre de Recherche Musculo Squelettique
Trois-Rivières, Quebec, G9A 3X2
Artus Health Centre
Vancouver, British Columbia, V5Z 1J9
Dr Sabeen Anwar Medicine Professional Corporation
Windsor, Ontario, N8X 1T3
Manitoba Clinic
Winnipeg, Manitoba, R3A 1M3
France16 sites
Hôpital Avicenne
Bobigny, 93000
Centre Hospitalier de Cholet
Cholet, 49300
Hôpital Gabriel Montpied
Clermont-Ferrand, 63003
Centre Hospitalier Universitaire(CHU) - Hopital Henri Mondor
Créteil, 94000
CHU Grenoble
Échirolles, 38130
CHRU HOPITAL ROGER SALENGRO Consultation Appareil locomoteur
Lille, 59037
Centre Orthopedique Santy
Lyon, 69008
Clinique de l'Infirmerie Protestante de Lyon
Lyon, 69300
Hôpital Saint Roch
Nice, 6006
CHR Orléans - Nouvel Hôpital Orléans La Source
Orléans, 45032
Hôpital Lariboisière - Centre Viggo Petersen
Paris, 75010
Hopital Saint-Antoine
Paris, 75012
Hôpital Bichat
Paris, 75018
Hopital Pitie Salpetriere
Paris, 75651
CHRU Hôpital de Hautepierre
Strasbourg, 67098
Hopital Purpan
Toulouse, 31059
United Kingdom16 sites
NHS Grampian - Aberdeen Royal Infirmary (ARI)
Aberdeen, AB25 2ZB
Nevill Hall Hospital
Abergavenny, NP7 7EG
University Hospital Monklands
Airdrie, ML6 0JS
Royal Free London NHS Foundation Trust Barnet Hospital
Barnet, EN5 3DJ
Wolfson Centre Royal United Hospitals
Bath, BA1 3NG
Glasgow Royal Infirmary
Glasgow, 650029
Hull Royal Infirmary
Hull, HU3 2JZ
Leeds Teaching Hospitals NHS Trust Chapel Allerton Hospital
Leeds, LS7 4SA
Central Manchester University Hospitals NHS Foundation Trust
Manchester, M13 9WL
The Newcastle upon Tyne Hospitals NHS Trust - Freeman Hospit
Newcastle upon Tyne, NE7 7DN
Queen Alexandra Hospital
Portsmouth, PO6 3LY
Shirley Caldwell
Salford, M6 8HD
Southampton General Hospital
Southampton, SO16 6YD
Haywood Hospital
Staffordshire, ST6 7AG
Stamford and Rutland hospital
Stamford, PE9 1UA
Wishaw General
Wishaw, ML2 0DP
Italy14 sites
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
Bari, 70124
Ospedale Regionale Cardarelli-Università degli Studi del Mol
Campobasso, 86100
Universita della Magna grecia
Catanzaro, 88100
AOU Careggi
Florence, 50141
Azienda Ospedaliera Universitaria Federico II
Naples, 80131
Seconda Univesità degli Studi di Napoli, AOU
Naples, 80131
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Ospedale San Carlo Di Potenza - Azienda Ospedaliera Regionale
Potenza, 85100
Universita Cattolica del Sacro Cuore
Rome, 20123
Istituto Clinico Humanitas
Rozzano, 20156
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino, 10126
Azienda Ospedaliero Universitaria S.Maria Della Misericordia
Udine, 33100
Azienda Ospedaliera Universitaria Integrata Verona
Verona, 37067
Spain12 sites
Hosp Univ A Coruna
A Coruña, 15006
Hosp. Punta de Europa
Algeciras / Cadiz, 11207
Hosp Clinic de Barcelona
Barcelona, 08036
Hosp Univ Vall D Hebron
Barcelona, 8035
Hosp. Univ. de Basurto
Bilbao, 48013
Hosp Reina Sofia
Córdoba, 14004
Complejo hospitalario de Granada
Granada, 18016
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp. Univ. de Getafe
Madrid, 28905
Hosp. Univ. Central de Asturias
Oviedo, 33011
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706
Hosp. Virgen Del Rocio
Seville, 41013
Greece9 sites
Evangelismos General Hospital of Athens
Athens, 10676
Athens Navy Hospital
Athens, 11521
General Hospital 'Gennimatas'
Athens, 11527
Hippokration General Hospital of Athens, B' Internal Medicine Clinic,
Athens, 11527
Laiko General Hospital of Athens
Athens, 11527
University Hospital of Ioannina
Ioannina, 45560
'Agios Andreas' General Hospital of Patras
Pátrai, 263 32
University General Hospital of Rio Patras
Pátrai, 26500
Ippokrateio Hospital
Thessaloniki, 546 42
Japan6 sites
Kita-harima Medical Center
Hyōgo, 6751392
Toho University Medical Center, Ohashi Hospital
Meguro-ku, 153-8515
Osaka Metropolitan University Hospital
Osaka, 545 8586
Public Interest Incorporated Foundation Nipoon Life Saiseikai Nippon Life Hospital
Osaka, 550 0006
Hokkaido University Hospital
Sapporo, 060-8648
Kyorin University Hospital
Tokyo, 181 8611
Argentina5 sites
OMI
Buenos Aires, C1015ABO
Hospital Italiano de Buenos Aires
Buenos Aires, C1199ABB
Hospital J. M. Ramos Mejía
Buenos Aires, C1221ADC
Hospital Cordoba
Córdoba, 5000
MR Medicina Reumatologica
San Fernando, B1646
Belgium5 sites
AZ Sint-Jan
Bruges, 8000
Hopital Erasme
Brussels, 1070
Reumaclinic Genk-Hasselt
Genk, 3600
UZ Leuven
Leuven, 3000
CHU de Liège - Domaine Universitaire du Sart Tilman
Liège, 4000
Colombia5 sites
BIOMAB
Bogotá
Servimed S A S
Bucaramanga
Clinisalud del Sur
Medellín, 50012
Clinica Vascular las Americas
Medellín, 50025
Funcentra
Montería, 230002
Sweden5 sites
Sahlgrenska Universitetssjukhuset
Gothenburg, 41345
Universitetssjukhuset i Lund
Malmö, 20502
Universitetssjukhuset Orebro
Örebro, 70185
Akademiskt Specialistcentrum centrum för reumatologi
Stockholm, 113 65
Akademiska Sjukhuset
Uppsala, 75185
Austria4 sites
LKH-Univ. Klinikum Graz
Graz, 8036
Kepler Universitatsklinikum GmbH
Linz, 4021
Medizinische Universitaet Wien
Vienna, 1090
Evang. Krankenhaus Gemein. Betriebgesm. Mbh
Vienna, A-1100
Netherlands4 sites
Academisch Medisch Centrum Universiteit van Amsterdam
Amsterdam, 1105 AZ
Medisch Spectrum Twente
Enschede, 7500 KA
Universitair Medisch Centrum Groningen
Groningen, 9700 RB
Elkerliek Ziekenhuis
Helmond, 5707 HA
Russia4 sites
SBEU HPE Kemerovo State Medical Academy
Kemerovo, G4 0SF
Bakoulev Scientific Center For Cardiovascular Surgery Rams
Moscow, 121552
FGBU Research Institute of Rheumatology named V.A.Nasonova
Moscow, 190068
City Hospital #3
Tomsk, 634045
South Korea4 sites
Soonchunhyang University Cheonan Hospital
Cheonan-si, 31151
Seoul National University Bundang Hospital
Seongnam, 13620
Seoul National University Hospital
Seoul, 03080
Seoul Metropolitan Government Seoul National University Boramae Medical Center
Seoul, 07061
Australia3 sites
The Queen Elizabeth Hospital
Adelaide, 5011
Footscray Hospital, Western Health
Footscray
Royal North Shore Hospital
St Leonards, 2065
Mexico3 sites
Medical Care & Research SA de CV
Mérida, 97070
Consultorio de Reumatologia
México, 07760
Hospital Puerta de Hierro
Zapopan, 45116
Taiwan3 sites
Kaohsiung Veterans General Hospital
Kaohsiung City, 81362
Chang Gung Medical Foundation
Kaohsiung City, 83301
Taichung Veterans General Hospital
Taichung
About this study
Official title: Assessment of Guselkumab (Tremfya) and IL-17 Inhibitor Therapies in Patients With Psoriatic Arthritis in Routine Clinical Practice; A Prospective, Observational Cohort Study
The purpose of this study is to evaluate treatment persistence with guselkumab and interleukin-17 inhibitor (IL-17i) initiated at enrollment into this study (PsABIOnd).
Read the detailed description
Psoriatic arthritis (PsA) is a seronegative inflammatory spondylarthritis associated with psoriasis (PsO), which can cause pain and swelling in the joints, sausage-shaped swelling of the fingers and toes (dactylitis), inflammation of the muscle- or tendon insertions at adjacent bone (enthesitis), as well as raised red patches or various other expressions of psoriasis on the skin. Guselkumab (TREMFYA) is a fully human immunoglobulin G1 lambda (IgG1) monoclonal antibody (mAb) that binds to the p19 subunit of human interleukin (IL) 23 with high specificity and affinity, blocking IL-23 binding. Binding of guselkumab to the IL-23p19 subunit blocks the subsequent binding of extracellular IL-23 to the cell surface IL-23 receptor, inhibiting IL-23 specific intracellular signaling and subsequent activation and cytokine production. Participants with confirmed diagnosis of PsA who are starting guselkumab or any marketed interleukin-17 inhibitor (IL-17i) as a first, second, third, or fourth line of PsA biologic therapy per standard clinical practice will be enrolled in the main study. The aim of main study is to document the use of guselkumab and approved IL-17i therapies in routine clinical practice in patients with PsA who are starting guselkumab or an IL-17i as a first, second, third, or fourth line of biologic disease-modifying antirheumatic drugs (bDMARD) therapy. The overall duration of the main study, including recruitment and follow-up, is expected to be about 6 years. Participants who are starting guselkumab or an IL-17i treatment per routine clinical practice in the main study, and who meet the selection criteria for both the main study and substudy, will be consecutively offered entry into the substudy (a select number) at the time of enrollment into the main study. The substudy aims to collect additional data, continuously or with increased frequency, on the impact of guselkumab or IL-17i on patient mood, physical activity, sleep disturbance, disease symptoms, and health-related quality-of-life (HRQoL). Total duration of the substudy will be approximately 26-30 weeks consisting of a pre-treatment period of up to 14 days before the first dose of guselkumab or IL-17i in the main study and a 24-week (plus [+] up to 4 weeks follow-up) observation period.
- Conditions
- Arthritis, Psoriatic
- Being tested
- Guselkumab, IL-17i
- Medical subject headings
- Arthritis, Psoriatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GuselkumabDrug
Also called TREMFYA
Participants will not receive any intervention as a part of this study. Participants who are initiating the treatment with guselkumab, will be observed according to standard clinical practice.
IL-17iDrug
Participants will not receive any intervention as a part of this study. Participants who are initiating the treatment with IL-17i, will be observed according to standard clinical practice.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Guselkumab | Data as available from participant's source medical records will be collected for adult participants with a confirmed diagnosis of Psoriatic Arthritis (PsA) who are starting guselkumab as a first, second, third, or fourth line of PsA biologic therapy either as monotherapy or with other medications per routine clinical practice in main study. Participants who meet the selection criteria for both the main study and substudy, will be consecutively offered to be enrolled into the substudy at the time of enrollment into the main study. Receives: Drug: Guselkumab | |
| Cohort 2: Interleukin-17 inhibitor (IL-17i) | Data as available from participant's source medical records will be collected for adult participants with a confirmed diagnosis of PsA who are starting IL-17i as a first, second, third, or fourth line of PsA biologic therapy either as monotherapy or with other medications per routine clinical practice in main study. Participants who meet the selection criteria for both the main study and substudy, will be consecutively offered to be enrolled into the substudy at the time of enrollment into the main study. Receives: Drug: IL-17i |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Start and Stop Date of Guselkumab, as Applicable, For Each Participant
The start and stop date, (first and last administration date, respectively) of guselkumab, as applicable, for each participant will be collected to document treatment persistence.
Measured: Up to 39 months
The Start and Stop Date of Interleukin-17 Inhibitor (IL-17i), as Applicable, For Each Participant
The start and stop date (first and last administration date respectively) of IL-17i, as applicable, for each participant will be collected to document treatment persistence.
Measured: Up to 39 months
Secondary outcomes (27)
Change from Baseline in 66 and 68 Joint Counts for Swelling and Tenderness, Respectively
Change from baseline in 66 and 68 joint counts for swelling and tenderness, respectively will be reported. Joints assessed include the distal interphalangeal, proximal interphalangeal, and metacarpophalangeal joints of the hands; the wrist, elbow, shoulder, acromioclavicular, sternoclavicular, temporomandibular, hip (excluded for swelling), knee, ankle, and midtarsal joints; and the metatarsophalangeal and proximal interphalangeal joints of the feet.
Measured: Baseline up to 39 months
Change from Baseline in Rheumatologist's Global Assessment of Disease Activity-Psoriatic Arthritis (PGA-PsA)
The PGA-PsA will be documented using a Visual Analogue Scale (VAS) that ranges from "no PsA activity" (0 Millimeter [mm]) to "extremely active PsA" (100 mm).
Measured: Baseline up to 39 months
Change from Baseline in Assessment of Dactylitis
The presence of and total number of digits of the hands and feet (that is, 0 to 20) with dactylitis will be documented.
Measured: Baseline up to 39 months
Change from Baseline in Assessment of Enthesitis using Leeds Enthesitis Index (LEI)
The presence and a score of enthesitis will be documented using the LEI to evaluate the presence (score of 1) or absence (score of 0) of pain by applying local pressure to the following entheses: the lateral epicondyles (left and right), medial femoral condyles (left and right), and Achilles tendon insertions (left and right).
Measured: Baseline up to 39 months
Change from Baseline in Nail Involvement
Nail involvement will be documented by recording the total number of nails of the hands and feet (that is, 0 to 20) with psoriatic nail changes.
Measured: Baseline up to 39 months
Change from Baseline in Body Surface Area (BSA) Psoriasis (PSO) Skin Involvement
The BSA score indicates the surface area of the participant's body effected by psoriasis.
Measured: Baseline up to 39 months
Change from Baseline in C-reactive Protein (CRP)
Change from baseline in CRP will be reported.
Measured: Baseline up to 39 months
Change from Baseline in Minimal Disease Activity (MDA)/ Very Low Disease Activity (VLDA)
Change from Baseline in MDA/VLDA will be reported.
Measured: Baseline up to 39 months
Change from Baseline in Clinical Disease Activity Index for Psoriatic Arthritis (cDAPSA/DAPSA)
DAPSA assesses the joint domain of PsA and is derived from the sum of the following components: Participant's assessment of pain on VAS (in centimeters), Participant's Global Assessment of Disease Activity on VAS (in centimeters), 66 and 68 joint counts for swelling and tenderness, respectively.
Measured: Baseline up to 39 months
Response as a Measure of Clinical Improvement in cDAPSA/DAPSA
Response is defined as a clinical improvement in cDAPSA/DAPSA. DAPSA assesses the joint domain of PsA and is derived from the sum of the following components: Participant's assessment of pain on VAS (in centimeters), Participant's Global Assessment of Disease Activity on VAS (in centimeters), 66 and 68 joint counts for swelling and tenderness, respectively.
Measured: Up to 39 months
Start and Stop Dates of All Treatments and the Sequence of Treatment Lines
Start and stop dates of all treatments and the sequence of treatment lines will be reported.
Measured: Up to 39 months
Percentage of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Measured: Up to 39 months
BSA PSO Skin Involvement
The BSA score indicates the surface area of the participant's body affected by psoriasis.
Measured: Up to 39 months
Rheumatic Disease Comorbidity Index
Number of comorbid medical conditions of the study participants for the Rheumatic Disease Comorbidity Index will be reported.
Measured: Up to 39 months
Change from Baseline in Fibromyalgia Rapid Screening Tool (FiRST)
FiRST will be used to help determine whether participants have chronic widespread pain or fibromyalgia syndrome at entry into the study. The FiRST is a validated questionnaire consisting of a combination of 6 items that can detect chronic widespread pain.
Measured: Baseline up to 6 months
Change from Baseline in European Quality of Life (EuroQoL) 5-Dimensions 5-Levels Questionnaire (EQ-5D-5L)
The EQ-5D-5L is a standardized instrument for use as a measure of health outcome, primarily designed for self-completion by respondents. The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each of the 5 dimensions is divided into 5 levels of perceived problems, where Level 1: no problem, Level 2: slight problems, Level 3: moderate problems, Level 4: severe problems and Level 5: extreme problems.
Measured: Baseline up to 39 months
Change from Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI)
The functional status of the participants will be assessed by the HAQ-DI. This 20-question self-administered instrument assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and activities of daily living). The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area.
Measured: Baseline up to 39 months
Change from Baseline in Psoriatic Arthritis Impact of Disease-12 (PsAID-12)
PsAID-12 is a validated, self-administered questionnaire that assesses the impact of PsA on participants' lives. It consists of 12 questions, each answered using a numerical rating scale. Questions related to pain, skin problems, work and/or leisure activities, discomfort, embarrassment and/or shame, social participation, and anger, fear, and uncertainty, and depression are scored from 0 (none) to 10 (extreme), functional capacity and sleep disturbance are scored from 0 (no difficulty) to 10 (extreme difficulty) and coping is scored from 0 (very well) to 10 (very poorly).
Measured: Baseline up to 39 months
Change from Baseline in Patient Global Disease Activity Visual Analog Scale (VAS) Scores
The Patient Global Disease Activity VAS is a self-administered assessment with scores ranging from "very well" (0 mm) to "very poor" (100 mm) that assesses disease activity over the past week.
Measured: Baseline up to 39 months
Change from Baseline in Pain VAS Score
The pain VAS is a self-administered assessment of average pain during the past week. The scale ranges from "no pain" (0 mm) to "the worst possible pain" (100 mm).
Measured: Baseline up to 39 months
Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
BASDAI consists of a 1 through 10 scale (1 being no problem and 10 being the worst problem) which is used to answer 6 questions pertaining to the 5 major symptoms of ankylosing spondylitis: fatigue, spinal pain, joint pain/swelling, areas of localized tenderness (also called enthesitis, or inflammation of tendons and ligaments), morning stiffness duration, morning stiffness severity.
Measured: Baseline up to 39 months
Change from Baseline in Ankylosing Spondylitis Disease Activity Score - C-reactive protein (ASDAS-CRP)
The ASDAS-CRP is a composite of 5 disease activity variables with only partial overlap. The 4 self-reported items included in this index are back pain (VAS), duration of morning stiffness, peripheral pain/swelling, and participant global assessment of disease activity; these are combined with the CRP value.
Measured: Baseline up to 39 months
Change from Baseline in Dermatology Life Quality Index (DLQI)
The DLQI is a dermatology-specific, validated, 10-question quality of life instrument used to measure the impact of skin disease on the quality of life of an affected person. Each question will address how much the participant's skin problem has affected their life and is scored as: 3 = very much, 2 = a lot, 1 = a little, 0 = not at all, or not relevant.
Measured: Baseline up to 39 months
Change from Baseline in Patient Acceptable Symptom State (PASS)
The PASS measures the level of symptoms beyond which participants consider themselves well. The PASS addresses the concepts of low disease activity, partial remission in symptoms, and well-being.
Measured: Baseline up to 39 months
Change from Baseline in Work Productivity and Activity Impairment Questionnaire: Psoriatic Arthritis (WPAI: PsA)
The WPAI: PsA is a validated, self-administered questionnaire that assesses work and activity impairment during the past 7 days. The WPAI: PsA produces 4 types of scores: absenteeism (work time missed), presenteeism (impairment at work/reduced on-the-job effectiveness), work productivity loss (overall work impairment/absenteeism plus presenteeism), and activity impairment. The WPAI: PsA outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, that is, worse outcomes.
Measured: Baseline up to 39 months
Change from Baseline in Treatment Satisfaction Questionnaire for Medication-9 (TSQM-9)
TSQM-9 is a 9-item, validated, self-administered instrument used to assess participant's satisfaction with medication. The three domains assessed are effectiveness, convenience, and side effects of the medication.
Measured: Baseline up to 39 months
Number of Participants Switching or Stopping Treatment
Number of Participants switching or stopping treatment (including reasons for discontinuation) will be reported.
Measured: Up to 39 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Sep 2021
- Study start25 Aug 2021
- Primary completion1 Aug 2027 (estimated)
- Study completion2 Aug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Arthritis, PsoriaticStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Pharmaceutica N.V., Belgium
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Pharmaceutica N.V., Belgium Clinical Trial, Study director, Janssen Pharmaceutica N.V., Belgium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05049798
- Sponsor's protocol ID
- CR108938
- Other IDs
- CNTO1959PSA4001
- Acronym
- PsABIOnd
- Status last verified
- Nov 2026
- First submitted
- 31 Aug 2021
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- Individual data sharing
- No
Publications
Siebert S, Behrens F, Lubrano E, Martin N, Sharaf M, Contre C, Theander E, Queiro R, Zimmermann M, Gossec L. PsABIOnd Study and eDaily Substudy Design: Long-Term Effectiveness and Safety of Guselkumab and IL-17 Inhibitors in Routine Clinical Practice in Patients with Psoriatic Arthritis. Rheumatol Ther. 2023 Apr;10(2):489-505. doi: 10.1007/s40744-022-00518-w. Epub 2022 Dec 30.
PubMed 36585602
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessment of Guselkumab (Tremfya) and IL-17 Inhibitor Therapies in Patients With Psoriatic Arthritis in Routine Clinical Practice; A Prospective, Observational Cohort Study
- ClinicalTrials.gov ID
- NCT05049798
- Acronym / sponsor ID
- PsABIOnd / CR108938
- Conditions
- Arthritis, Psoriatic
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,314 participants (actual)
- Lead sponsor
- Janssen Pharmaceutica N.V., BelgiumIndustry (pharma, biotech, devices)
- Study start
- 25 Aug 2021 (actual)
- Primary completion
- 1 Aug 2027 (estimated)
- Study completion
- 2 Aug 2027 (estimated)
- First posted
- 20 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate treatment persistence with guselkumab and interleukin-17 inhibitor (IL-17i) initiated at enrollment into this study (PsABIOnd).
Detailed description
Psoriatic arthritis (PsA) is a seronegative inflammatory spondylarthritis associated with psoriasis (PsO), which can cause pain and swelling in the joints, sausage-shaped swelling of the fingers and toes (dactylitis), inflammation of the muscle- or tendon insertions at adjacent bone (enthesitis), as well as raised red patches or various other expressions of psoriasis on the skin. Guselkumab (TREMFYA) is a fully human immunoglobulin G1 lambda (IgG1) monoclonal antibody (mAb) that binds to the p19 subunit of human interleukin (IL) 23 with high specificity and affinity, blocking IL-23 binding. Binding of guselkumab to the IL-23p19 subunit blocks the subsequent binding of extracellular IL-23 to the cell surface IL-23 receptor, inhibiting IL-23 specific intracellular signaling and subsequent activation and cytokine production. Participants with confirmed diagnosis of PsA who are starting guselkumab or any marketed interleukin-17 inhibitor (IL-17i) as a first, second, third, or fourth line of PsA biologic therapy per standard clinical practice will be enrolled in the main study. The aim of main study is to document the use of guselkumab and approved IL-17i therapies in routine clinical practice in patients with PsA who are starting guselkumab or an IL-17i as a first, second, third, or fourth line of biologic disease-modifying antirheumatic drugs (bDMARD) therapy. The overall duration of the main study, including recruitment and follow-up, is expected to be about 6 years. Participants who are starting guselkumab or an IL-17i treatment per routine clinical practice in the main study, and who meet the selection criteria for both the main study and substudy, will be consecutively offered entry into the substudy (a select number) at the time of enrollment into the main study. The substudy aims to collect additional data, continuously or with increased frequency, on the impact of guselkumab or IL-17i on patient mood, physical activity, sleep disturbance, disease symptoms, and health-related quality-of-life (HRQoL). Total duration of the substudy will be approximately 26-30 weeks consisting of a pre-treatment period of up to 14 days before the first dose of guselkumab or IL-17i in the main study and a 24-week (plus [+] up to 4 weeks follow-up) observation period.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Guselkumab | – | Drug: GuselkumabData as available from participant's source medical records will be collected for adult participants with a confirmed diagnosis of Psoriatic Arthritis (PsA) who are starting guselkumab as a first, second, third, or fourth line of PsA biologic therapy either as monotherapy or with other medications per routine clinical practice in main study. Participants who meet the selection criteria for both the main study and substudy, will be consecutively offered to be enrolled into the substudy at the time of enrollment into the main study. |
| Cohort 2: Interleukin-17 inhibitor (IL-17i) | – | Drug: IL-17iData as available from participant's source medical records will be collected for adult participants with a confirmed diagnosis of PsA who are starting IL-17i as a first, second, third, or fourth line of PsA biologic therapy either as monotherapy or with other medications per routine clinical practice in main study. Participants who meet the selection criteria for both the main study and substudy, will be consecutively offered to be enrolled into the substudy at the time of enrollment into the main study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- The study population consists of participants initially treated for Psoriatic Arthritis (PsA) with guselkumab or interleukin-17 inhibitor (IL-17i) per routine clinical practice in accordance with clinical guidelines.
Key inclusion criteria (10 listed)
- Have a confirmed diagnosis of PsA as determined by a rheumatologist with reference to Classification criteria for Psoriatic Arthritis (CASPAR)
- Start guselkumab or any approved interleukin-17 inhibitor (IL-17i) as a first, second, third, or fourth line of biologic disease-modifying antirheumatic drugs (bDMARD) therapy for the indication of PsA as part of standard clinical practice (according to local label, local regulations, and/or reimbursement requirements) at the time of enrollment into the observational study or within a maximum of 2 months after the initial baseline visit or after repeated baseline data collection
- Sign a participation agreement/Informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements
- Able to read, understand, and intend to comply with completion of all Electronic patient-reported outcome (ePRO) instruments
- The treatment decision must be taken by the participating rheumatologist prior to, and independently of the participant's inclusion into the study, following clinical practice in accordance with local and overarching guidelines and local regulations
Key exclusion criteria (10 listed)
- Start guselkumab or an IL-17i therapy as fifth or further line of biologic treatment
- Have already taken a specific IL-17i or IL-23i treatment and are planning on re-taking that specific treatment again
- Unwilling or unable to participate in long-term data collection
- Received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before the start of the study (that is, signing of informed consent)
- Currently enrolled in any interventional study or any Janssen-sponsored observational clinical study (contemporary participation into observational studies or registries not sponsored by Janssen is acceptable)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GuselkumabAlso: TREMFYAParticipants will not receive any intervention as a part of this study. Participants who are initiating the treatment with guselkumab, will be observed according to standard clinical practice. | Drug | Cohort 1: Guselkumab |
| IL-17iParticipants will not receive any intervention as a part of this study. Participants who are initiating the treatment with IL-17i, will be observed according to standard clinical practice. | Drug | Cohort 2: Interleukin-17 inhibitor (IL-17i) |
Primary outcome
The Start and Stop Date of Guselkumab, as Applicable, For Each Participant
Time frame: Up to 39 months
The start and stop date, (first and last administration date, respectively) of guselkumab, as applicable, for each participant will be collected to document treatment persistence.
The Start and Stop Date of Interleukin-17 Inhibitor (IL-17i), as Applicable, For Each Participant
Time frame: Up to 39 months
The start and stop date (first and last administration date respectively) of IL-17i, as applicable, for each participant will be collected to document treatment persistence.
27 secondary outcomes
Change from Baseline in 66 and 68 Joint Counts for Swelling and Tenderness, Respectively
Time frame: Baseline up to 39 months
Change from Baseline in Rheumatologist's Global Assessment of Disease Activity-Psoriatic Arthritis (PGA-PsA)
Time frame: Baseline up to 39 months
Change from Baseline in Assessment of Dactylitis
Time frame: Baseline up to 39 months
Change from Baseline in Assessment of Enthesitis using Leeds Enthesitis Index (LEI)
Time frame: Baseline up to 39 months
Change from Baseline in Nail Involvement
Time frame: Baseline up to 39 months
Change from Baseline in Body Surface Area (BSA) Psoriasis (PSO) Skin Involvement
Time frame: Baseline up to 39 months
Change from Baseline in C-reactive Protein (CRP)
Time frame: Baseline up to 39 months
Change from Baseline in Minimal Disease Activity (MDA)/ Very Low Disease Activity (VLDA)
Time frame: Baseline up to 39 months
Change from Baseline in Clinical Disease Activity Index for Psoriatic Arthritis (cDAPSA/DAPSA)
Time frame: Baseline up to 39 months
Response as a Measure of Clinical Improvement in cDAPSA/DAPSA
Time frame: Up to 39 months
Start and Stop Dates of All Treatments and the Sequence of Treatment Lines
Time frame: Up to 39 months
Percentage of Participants with Adverse Events (AEs)
Time frame: Up to 39 months
BSA PSO Skin Involvement
Time frame: Up to 39 months
Rheumatic Disease Comorbidity Index
Time frame: Up to 39 months
Change from Baseline in Fibromyalgia Rapid Screening Tool (FiRST)
Time frame: Baseline up to 6 months
Change from Baseline in European Quality of Life (EuroQoL) 5-Dimensions 5-Levels Questionnaire (EQ-5D-5L)
Time frame: Baseline up to 39 months
Change from Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI)
Time frame: Baseline up to 39 months
Change from Baseline in Psoriatic Arthritis Impact of Disease-12 (PsAID-12)
Time frame: Baseline up to 39 months
Change from Baseline in Patient Global Disease Activity Visual Analog Scale (VAS) Scores
Time frame: Baseline up to 39 months
Change from Baseline in Pain VAS Score
Time frame: Baseline up to 39 months
Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Time frame: Baseline up to 39 months
Change from Baseline in Ankylosing Spondylitis Disease Activity Score - C-reactive protein (ASDAS-CRP)
Time frame: Baseline up to 39 months
Change from Baseline in Dermatology Life Quality Index (DLQI)
Time frame: Baseline up to 39 months
Change from Baseline in Patient Acceptable Symptom State (PASS)
Time frame: Baseline up to 39 months
Change from Baseline in Work Productivity and Activity Impairment Questionnaire: Psoriatic Arthritis (WPAI: PsA)
Time frame: Baseline up to 39 months
Change from Baseline in Treatment Satisfaction Questionnaire for Medication-9 (TSQM-9)
Time frame: Baseline up to 39 months
Number of Participants Switching or Stopping Treatment
Time frame: Up to 39 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Derived from this study: PubMed 36585602Siebert S, Behrens F, Lubrano E, Martin N, Sharaf M, Contre C, Theander E, Queiro R, Zimmermann M, Gossec L. PsABIOnd Study and eDaily Substudy Design: Long-Term Effectiveness and Safety of Guselkumab and IL-17 Inhibitors in Routine Clinical Practice in Patients with Psoriatic Arthritis. Rheumatol Ther. 2023 Apr;10(2):489-505. doi: 10.1007/s40744-022-00518-w. Epub 2022 Dec 30.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Pharmaceutica N.V., Belgium Clinical Trial study director
Janssen Pharmaceutica N.V., Belgium
155 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Arthritis, Psoriatic, run by Janssen Pharmaceutica N.V., Belgium at 155 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 155 sites in Germany, Canada, France, United Kingdom, Italy and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Start and Stop Date of Guselkumab, as Applicable, For Each Participant (time frame: Up to 39 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05049798, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.