A Study of JNJ-77242113 for the Treatment of Participants With Plaque Psoriasis Involving Special Areas (Scalp, Genital, and/or Palms of the Hands and the Soles of the Feet)
ICONIC-TOTAL
A Phase 3 Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of JNJ-77242113 for the Treatment of Participants With Plaque Psoriasis Involving Special Areas
1 other identifier
interventional
311
11 countries
90
Brief Summary
The purpose of the study is to see how effective JNJ-77242113 is in participants with plaque psoriasis affecting special areas (scalp, genital, and/or palms of the hands and the soles of the feet).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2023
Typical duration for phase_3
90 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 12, 2023
CompletedFirst Submitted
Initial submission to the registry
October 18, 2023
CompletedFirst Posted
Study publicly available on registry
October 23, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 19, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 17, 2027
ExpectedMarch 13, 2026
March 1, 2026
8 months
October 18, 2023
March 12, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of 0 or 1 and Greater Than or Equal to (>=) 2 Grade Improvement From Baseline at Week 16
Percentage of participants who achieve an IGA score of 0 or 1 and \>=2 grade improvement from baseline at Week 16 will be reported. 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 participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), or severe (4).
Baseline and Week 16
Secondary Outcomes (29)
Percentage of Participants Achieving Scalp-specific Investigator Global Assessment (ss-IGA) Score of 0 or 1 at Week 16
Week 16
Percentage of Participants Achieving Psoriasis Scalp Severity Index (PSSI) 90 at Week 16
Baseline and Week 16
Percentage of Participants Achieving a Static Physician's Global Assessment of Genitalia (sPGA-G) Score of 0 or 1 at Week 16
Week 16
Percentage of Participants Achieving a Physician's Global Assessment of Hands and Feet (hf-PGA) Score of 0 or 1 at Week 16
Week 16
Percentage of Participants Achieving Psoriasis Symptom and Sign Diary (PSSD) Symptoms Score of 0 at Week 16
Week 16
- +24 more secondary outcomes
Study Arms (2)
JNJ-77242113
EXPERIMENTALParticipants will receive JNJ-77242113 from Week 0 through Week 156.
Placebo
PLACEBO COMPARATORParticipants will receive placebo from Week 0 through Week 16 and thereafter will receive JNJ-77242113 from Week 16 through Week 156.
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of plaque psoriasis, with or without psoriatic arthritis (PsA), for at least 26 weeks prior to the first administration of study intervention
- Candidate for phototherapy or systemic treatment for plaque psoriasis
- Need to meet criteria: Total body surface area (BSA) greater than or equal to (\>=)1 percent (%) at screening and baseline, and investigator global assessment (IGA) (overall) \>=2 at screening and baseline and at least one of the following: scalp-specific investigator global assessment (ss-IGA) score \>=3 at screening and baseline, and/or static physician's global assessment of genitalia (sPGA-G) \>=3 at screening and baseline, and/or physician's global assessment of hands and feet (hf-PGA) score \>=3 at screening and baseline
- Failed to respond to at least 1 topical therapy (example, corticosteroids, calcineurin inhibitors, and/or vitamin D analogs) used for treatment of psoriasis
- Confirmation of plaque psoriasis in a non-special area (example, areas excluding scalp, genital, palmoplantar) at screening and baseline
You may not qualify if:
- Nonplaque form of psoriasis (example, erythrodermic, guttate, or pustular)
- Dermatoses other than plaque psoriasis (such as contact dermatitis) or palmoplantar pustulosis of the palmoplantar area (if hf-PGA \>=3 at baseline)
- Current drug-induced psoriasis (example, a new onset of psoriasis or an exacerbation of psoriasis from beta blockers, calcium channel blockers, or lithium)
- A current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal, liver, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances
- Known allergies, hypersensitivity, or intolerance to JNJ-77242113 or its excipients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (90)
Center for Dermatology and Plastic Surgery
Scottsdale, Arizona, 85260, United States
Johnson Dermatology
Fort Smith, Arkansas, 72916, United States
California Dermatology & Clinical Research Institute
Encinitas, California, 92024, United States
Forcare Clinical Research Inc
Tampa, Florida, 33613, United States
Hamilton Research LLC
Alpharetta, Georgia, 30022, United States
Arlington Dermatology
Rolling Meadows, Illinois, 60008, United States
Dundee Dermatology
West Dundee, Illinois, 60118, United States
Dawes Fretzin Clinical Research Group LLC
Indianapolis, Indiana, 46250, United States
Indiana Clinical Trial Center
Plainfield, Indiana, 46168, United States
Dermatology and Advanced Aesthetics
Lake Charles, Louisiana, 70605, United States
Allcutis Research 1
Beverly, Massachusetts, 01915, United States
Hamzavi Dermatology
Fort Gratiot, Michigan, 48059, United States
Minnesota Clinical Study Center
New Brighton, Minnesota, 55112, United States
MediSearch Clinical Trials
Saint Joseph, Missouri, 64506, United States
Skin Specialists
Omaha, Nebraska, 68144, United States
Schweiger Dermatology Group
East Windsor, New Jersey, 08520, United States
Optima Research
Boardman, Ohio, 44512, United States
Oregon Dermatology and Research Center
Portland, Oregon, 97210, United States
Paddington Testing Co, Inc.
Philadelphia, Pennsylvania, 19103, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
Arlington Research Center, Inc.
Arlington, Texas, 76011, United States
Center for Clinical Studies 1
Houston, Texas, 77004, United States
Austin Institute for Clinical Research
Pflugerville, Texas, 78660, United States
Progressive Clinical Research
San Antonio, Texas, 78213, United States
Dermatology Clinical Research Center of San Antonio
San Antonio, Texas, 78229, United States
Center for Clinical Studies
Webster, Texas, 77598, United States
Cope Family Medicine - Ogden Clinic
Bountiful, Utah, 84010, United States
Frontier Derm Partners CRO, LLC
Mill Creek, Washington, 98012, United States
CIPREC
Buenos Aires, C1061AAS, Argentina
Centro Privado de Medicina Familiar
Buenos Aires, C1417EYG, Argentina
Conexa Investigacion Clinica S.A.
CABA, C1012AAY, Argentina
CEDIC Centro de Investigacion clinica
Caba, C1060ABN, Argentina
Alberta DermaSurgery Centre
Edmonton, Alberta, T6G 1C3, Canada
Lynderm Research Inc.
Markham, Ontario, L3P 1X3, Canada
Skin Centre for Dermatology
Peterborough, Ontario, K9J 5K2, Canada
York Dermatology Clinic and Research Centre
Richmond Hill, Ontario, L4B1L1, Canada
Innovaderm Research Inc.
Montreal, Quebec, H2X 2V1, Canada
Centre De Recherche Dermatologique Du Quebec Metropolitain
Québec, Quebec, G1V 4X7, Canada
Skinsense Medical Research
Saskatoon, Saskatchewan, S7K 2C1, Canada
ISA - Interdisciplinary Study Association GmbH
Berlin, 10789, Germany
CRS Clinical Research Services Berlin GmbH
Berlin, 13627, Germany
Niesmann & Othlinghaus GbR
Bochum, 44793, Germany
Rosenpark Research GmbH
Darmstadt, 64283, Germany
Medizinische Fakultaet Carl Gustav Carus Technische Universitaet Dresden
Dresden, 01307, Germany
Universitaetsklinikum Frankfurt
Frankfurt am Main, 60590, Germany
Dermatologikum Hamburg Gmbh
Hamburg, 20354, Germany
Klinische Forschung Schwerin GmbH
Schwerin, 19055, Germany
Hautarztpraxis 2
Witten, 58453, Germany
Pecsi Tudomanyegyetem
Borgyogyaszati Klinika, 7632, Hungary
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036, Hungary
Derma-B Kft
Debrecen, 4031, Hungary
SZTE AOK Szent-Gyorgyi Albert Klinikai Kozpont, Borgyogyaszati és Allergologiai Klinika
Szeged, 6720, Hungary
Allergo-Derm Bakos Kft.
Szolnok, 5000, Hungary
Medmare Egeszsegugyi Es Szolgaltato Bt.
Veszprém, 8200, Hungary
Osteo-Medic s.c A. Racewicz, J Supronik
Bialystok, 15-351, Poland
Specderm Poznanska sp j
Bialystok, 15-375, Poland
Centrum Medyczne dr Rajzer Sp z o o
Krakow, 30 438, Poland
Specjalistyczny gabinet dermatologiczny Aplikacyjno Badawczy Marek Brzewski Pawel Brzewski Spolka Cywilna
Krakow, 30-002, Poland
Centrum Medyczne Promed
Krakow, 31-411, Poland
Dermed Centrum Medyczne Sp z o o
Lodz, 90-265, Poland
Dermodent Centrum Medyczne Aldona Czajkowska Rafal Czajkowski S C
Osielsko, 86031, Poland
SOLUMED Centrum Medyczne
Poznan, 60 529, Poland
Clinical Research Center sp z o o MEDIC R s k
Poznan, 61 731, Poland
Dorota Bystrzanowska High-Med. Przychodnia Specjalistyczna
Warsaw, 01 817, Poland
Klinika Ambroziak Dermatologia
Warsaw, 02 953, Poland
Wro Medica
Wroclaw, 51 685, Poland
Centrum Medyczne Oporow
Wroclaw, 52 416, Poland
Pusan National University Hospital
Busan, 49241, South Korea
Seoul National University Bundang Hospital
Seongnam-si, 13620, South Korea
Seoul National University Hospital
Seoul, 03080, South Korea
Konkuk University Medical Center
Seoul, 05030, South Korea
Korea University Guro Hospital
Seoul, 08308, South Korea
Hosp. Univ. Germans Trias I Pujol
Badalona, 08916, Spain
Hosp. Del Mar
Barcelona, 08003, Spain
Hosp. Sant Joan de Deu
Esplugues de Llobregat, 08950, Spain
Hosp. Univ. San Cecilio
Granada, 18016, Spain
Hosp. Univ. 12 de Octubre
Madrid, 28041, Spain
Hosp. de Manises
Manises, 46940, Spain
Hosp. Virgen Macarena
Seville, 41009, Spain
Hosp. Univ. I Politecni La Fe
Valencia, 46026, Spain
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301, Taiwan
National Taiwan University Hospital
Taipei, 10048, Taiwan
National Taiwan University Hospital Hsin Chu Branch
Taoyuan District, 30059, Taiwan
Linkou Chang Gung Memorial Hospital
Taoyuan District, 33382, Taiwan
Necmettin Erbakan University Meram Medical Faculty
Konya, 42080, Turkey (Türkiye)
Ondokuz Mayis University
Samsun, 55270, Turkey (Türkiye)
Karadeniz Teknik University Medical Faculty
Trabzon, 61080, Turkey (Türkiye)
London North West University Healthcare NHS Trust
Harrow, HA1 3UJ, United Kingdom
Salford Royal Hospital
Salford, M6 8HD, United Kingdom
University Hospital Southampton NHS Foundation Trust
Southampton, SO16 6YD, United Kingdom
Related Publications (1)
Gooderham M, Lain E, Bissonnette R, Huang YH, Lynde CW, Hoffmann M, Song EJ, Weirich O, Ceitlin RHG, Rubens JH, DeLozier AM, Ota T, Hsu MC, Li S, DeKlotz CMC, Nunes F, Warren RB. Targeted Oral Peptide Icotrokinra for Psoriasis Involving High-Impact Sites. NEJM Evid. 2025 Dec;4(12):EVIDoa2500155. doi: 10.1056/EVIDoa2500155. Epub 2025 Nov 5.
PMID: 41191932DERIVED
Study Officials
- STUDY DIRECTOR
Janssen Research &Development, LLC Clinical trial
Janssen Research & Development, LLC
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 18, 2023
First Posted
October 23, 2023
Study Start
October 12, 2023
Primary Completion
June 19, 2024
Study Completion (Estimated)
February 17, 2027
Last Updated
March 13, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu