A Study of JNJ-77242113 in Adolescent and Adult Participants With Moderate to Severe Plaque Psoriasis
ICONIC-LEAD
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 Moderate to Severe Plaque Psoriasis With Randomized Withdrawal and Retreatment
2 other identifiers
interventional
684
16 countries
170
Brief Summary
The purpose of this study is see how effective is JNJ-77242113 in participants with moderate to severe plaque psoriasis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Oct 2023
Typical duration for phase_3
170 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
July 29, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 6, 2027
ExpectedApril 13, 2026
April 1, 2026
10 months
October 18, 2023
April 9, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
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 to Week 16
Percentage of participants who achieve an IGA score of 0 or 1 and \>=2-grade improvement from baseline to 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 to Week 16
Percentage of Participants Achieving Psoriasis Area and Severity Index (PASI) 90 Response at Week 16
Percentage of participants achieving PASI 90 response (\>=90% improvement in PASI from baseline) at Week 16 will be reported. 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 and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.
Baseline to Week 16
Secondary Outcomes (34)
Percentage of Participants Achieving an IGA Score of 0 at Week 16
Week 16
Percentage of Participants Achieving PASI 75 Response at Weeks 4 and 16
Baseline to Weeks 4 and 16
Percentage of Participants Achieving PASI 90 Response at Week 8
Baseline to Week 8
Percentage of Participants Achieving PASI 100 Response at Week 16
Week 16
Percentage of Participants Achieving Scalp-specific Investigator Global Assessment (ss-IGA) Score of 0 or 1 and >=2 Grade Improvement Baseline to Week 16
Baseline to Week 16
- +29 more secondary outcomes
Study Arms (2)
JNJ-77242113
EXPERIMENTALAdolescent and adult participants will receive JNJ-77242113 from Week 0 through Week 156. At Week 24, adult participants who are psoriasis area and severity index (PASI) 75 or investigator global assessment (IGA) score of 0 or 1 responders (that is, those who achieve an IGA score of 0 or 1 and have \>=2-grade improvement from baseline) will be re-randomized either to continue JNJ-77242113 or to placebo (and will be retreated with JNJ-77242113 upon loss of \>=50% of their Week 24 PASI improvement). Adult participants identified as both PASI 75 and IGA 0 or 1 score non-responders will continue to receive JNJ-77242113 through Week 52. From Week 52 to Week 156, all adult participants will receive JNJ-77242113. Adolescents will not participate in re-randomization regardless of their PASI score or IGA score at Week 24. Adolescents will continue to receive JNJ-77242113 from Week 0 through Week 156.
Placebo
EXPERIMENTALAdolescent and adult participants will receive JNJ-77242113 matching placebo from Week 0 to Week 16. Participants will cross-over to 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, for at least 26 weeks prior to the first administration of study intervention
- Total body surface area (BSA) greater than or equal to (\>=)10 percent (%) at screening and baseline
- Total psoriasis area and severity index (PASI) \>=12 at screening and baseline
- Total investigator global assessment (IGA) \>=3 at screening and baseline
- Candidate for phototherapy or systemic treatment for plaque psoriasis
- A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test beta-human chorionic gonadotropin (beta-hCG) at screening and a negative urine pregnancy test at Week 0 prior to administration of study intervention
You may not qualify if:
- Nonplaque form of psoriasis (for example, erythrodermic, guttate, or pustular)
- Current drug-induced psoriasis (for 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
- Major surgical procedures, (for example, requiring general anesthesia) within 8 weeks before screening, or will not have fully recovered from a surgical procedure or has a surgical procedure planned during the time the participant is expected to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (170)
Medical Dermatology Specialists
Phoenix, Arizona, 85006, United States
Johnson Dermatology
Fort Smith, Arkansas, 72916, United States
First OC Dermatology
Fountain Valley, California, 92708, United States
Center for Dermatology Clinical Research
Fremont, California, 94538, United States
Integrative Skin Science and Research
Sacramento, California, 95815, United States
Rady Childrens Hospital San Diego
San Diego, California, 92123, United States
Southern California Dermatology
Santa Ana, California, 92701, United States
Clinical Science Institute
Santa Monica, California, 90404, United States
Bioclinical Research Alliance Inc.
Miami, Florida, 33155, United States
Ziaderm Research LLC
North Miami Beach, Florida, 33162, United States
Forcare Clinical Research Inc
Tampa, Florida, 33613, United States
Skin Care Physicians of Georgia
Macon, Georgia, 31217, United States
Arlington Dermatology
Rolling Meadows, Illinois, 60008, United States
Endeavor Health
Skokie, Illinois, 60077, 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
Qualmedica Research
Owensboro, Kentucky, 42301, United States
Dermatology and Advanced Aesthetics
Lake Charles, Louisiana, 70605, United States
Allcutis Research 1
Beverly, Massachusetts, 01915, United States
Michigan Center of Medical Research
Clarkston, Michigan, 48346, United States
Minnesota Clinical Study Center
New Brighton, Minnesota, 55112, United States
Skin Specialists
Omaha, Nebraska, 68144, United States
Allcutis Research
Portsmouth, New Hampshire, 03801, United States
Schweiger Dermatology Group
East Windsor, New Jersey, 08520, United States
Icahn School of Medicine at Mt. Sinai
New York, New York, 10029, United States
Wilmington Dermatology Center
Wilmington, North Carolina, 28405, United States
Oakview Dermatology
Athens, Ohio, 45701, United States
Optima Research
Boardman, Ohio, 44512, United States
Dermatologists of Central States LLC
Fairborn, Ohio, 45324, United States
Central Sooner Research
Oklahoma City, Oklahoma, 73170, United States
Oregon Medical Research Center
Portland, Oregon, 97201, United States
Oregon Dermatology and Research Center
Portland, Oregon, 97210, United States
The Pennsylvania Centre for Dermatology, LLC
Exton, Pennsylvania, 19341, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Health Concepts
Rapid City, South Dakota, 57702, United States
Arlington Research Center, Inc.
Arlington, Texas, 76011, United States
The University of Texas Health Science Center at Houston
Bellaire, Texas, 77401, United States
Center for Clinical Studies 1
Houston, Texas, 77004, United States
Texas Dermatology and Laser Specialists
San Antonio, Texas, 78218, United States
Center for Clinical Studies
Webster, Texas, 77598, United States
Springville Dermatology CCT Research
Springville, Utah, 84663, United States
Virginia Dermatology Skin Cancer Center Pllc
Norfolk, Virginia, 23502, United States
Frontier Derm Partners CRO, LLC
Mill Creek, Washington, 98012, United States
Premier Clinical Research
Spokane, Washington, 99202, United States
ARCIS Salud SRL Aprillus asistencia e investigacion
Buenos Aires, C1406AGA, Argentina
Centro Privado de Medicina Familiar
Buenos Aires, C1417EYG, Argentina
Derma Internacional S A
Buenos Aires, C1426, Argentina
Psoriahue
CABA, C1425DKG, Argentina
Centro de Investigaciones Medicas Mar Del Plata
Mar del Plata, B7600FYK, Argentina
Instituto De Especialidades De La Salud SRL
Rosario, S2000DBS, Argentina
MR Medicina Reumatologica
San Fernando, B1646, Argentina
Dr Rodney Sinclair Pty Ltd
East Melbourne, 3002, Australia
The Alfred Hospital
Melbourne, 3004, Australia
Kingsway Dermatology & Aesthetics
Miranda, 2228, Australia
ISHI dermatology
Mitcham, 3132, Australia
Royal Melbourne Hospital
Parkville, 3050, Australia
Veracity Clinical Research
Woolloongabba, 4102, Australia
Dermatology Research Institute Inc
Calgary, Alberta, T2J 7E1, Canada
Rejuvenation Dermatology Clinic Edmonton Downtown
Edmonton, Alberta, T5J 3S9, Canada
Dr. Chih ho Hong Medical
Surrey, British Columbia, V3R 6A7, Canada
Mediprobe Research Inc.
London, Ontario, N5X 2P1, Canada
Dr Wei Jing Loo Medicine Professional Corporation
London, Ontario, N6H 5L5, Canada
Ryan Clinical Research Inc
Newmarket, Ontario, L3Y 5G8, Canada
Canadian Dermatology Center
Toronto, Ontario, M3B 0A7, Canada
Toronto Research Centre
Toronto, Ontario, M3H 5Y8, Canada
FACET Dermatology
Toronto, Ontario, M4C 1L1, Canada
XLR8 Medical Research
Windsor, Ontario, N8T 1E6, Canada
Innovaderm Research Inc.
Montreal, Quebec, H2X 2V1, Canada
China Japan Friendship Hospital
Beijing, 100013, China
Beijing Friendship Hospital Capital Medical University
Beijing, 100050, China
Peking University Third Hospital
Beijing, 100191, China
The Affiliated Hospital of Bengbu Medical College
Bengbu, 233099, China
Hosp. of Chengde Medical University
Chengde, 067030, China
Chengdu Second People's Hospital
Chengdu, 610017, China
The First Hospital of Jiaxing
Jiaxing, 314001, China
Qilu Hospital of Shandong University
Jinan, 250012, China
Dermatology Hospital of Jiangxi Province
Nanchang, 330000, China
Nanyang First People's Hospital
Nanyang, 473004, China
Shanghai skin disease hospital
Shanghai, 200443, China
Northeast International Hospital
Shenyang, 110016, China
Union Hospital Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430022, China
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710004, China
Affiliated Hospital of Jiangsu University
Zhenjiang, 212001, China
Hopital Prive d'Antony
Antony, 92160, France
Centre Hospitalier Victor Dupouy
Argenteuil, 95107, France
Fachklinik Bad Bentheim
Bad Bentheim, 48455, Germany
Charite - Campus Mitte
Berlin, 10117, Germany
Universitatsklinikum Bonn
Bonn, 53127, Germany
Klinische Forschung Dresden GmbH
Dresden, 01069, Germany
Hautzentrum Dulmen
Dülmen, 48249, Germany
Privatpraxis Dr. Hilton & Partner
Düsseldorf, 40212, Germany
Universitaetsklinikum Frankfurt
Frankfurt am Main, 60590, Germany
Universitaetsklinikum Freiburg
Freiburg im Breisgau, 79104, Germany
Derma-Study-Center Friedrichshafen GmbH
Friedrichshafen, 88045, Germany
Universitaetsklinikum Heidelberg
Heidelberg, 69120, Germany
Hautarztpraxis
Mahlow, 15831, Germany
Universitaetsklinikum Muenster
Münster, 48149, Germany
Klinikum Oldenburg
Oldenburg, 26133, Germany
Hautarztpraxis Mortazawi
Remscheid, 42897, Germany
Universitaetsklinik Tuebingen
Tübingen, 72076, Germany
Hautarztpraxis 2
Witten, 58453, Germany
CentroDerm GmbH
Wuppertal, 42287, Germany
Pecsi Tudomanyegyetem
Borgyogyaszati Klinika, 7632, Hungary
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036, Hungary
Derma-B Kft
Debrecen, 4031, Hungary
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032, Hungary
Somogy Varmegyei Kaposi Mor Oktato Korhaz
Kaposvár, 7400, 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
Azienda Di Rilievo Nazionale E Di Alta Specializzazione
Palermo, 90127, Italy
Azienda Ospedaliero Universitaria di Parma
Parma, 43126, Italy
Policlinico Tor Vergata
Roma, 00133, Italy
Istituto Clinico Humanitas
Rozzano, 20089, Italy
Teikyo University Hospital
Itabashi Ku, 173 8606, Japan
Hospital of the University of Occupational and Environmental Health
Kitakyushu-shi, 807-8556, Japan
Mito Kyodo General Hospital
Mito, 310 0015, Japan
Nagoya City University Hospital
Nagoya, 467 8602, Japan
Kindai University Hospital
Osaka Sayama Shi, 589 8511, Japan
Tohoku University Hospital
Sendai, 980 8574, Japan
Tokyo Medical University Hospital
Shinjuku, 160 0023, Japan
Mie University Hospital
Tsu, 514 8507, Japan
Osteo-Medic s.c A. Racewicz, J Supronik
Bialystok, 15-351, Poland
Specderm Poznanska sp j
Bialystok, 15-375, Poland
Centrum Kliniczno Badawcze J Brzezicki B Gornikiewicz Brzezicka Lekarze Spolka Partnerska
Elblag, 82 300, 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
Centrum Terapii Wspolczesnej J M Jasnorzewska Spolka Komandytowo Akcyjna
Lodz, 90-338, 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
DERMMEDICA Sp.z o.o.
Wroclaw, 51 503, Poland
Wro Medica
Wroclaw, 51 685, Poland
Centrum Medyczne Oporow
Wroclaw, 52 416, Poland
Korea University Ansan Hospital
Ansan-si, 15355, South Korea
Chosun university hospital
Gwangju, 61453, South Korea
CHA Bundang Medical Center, CHA University
Gyeonggi-do, 13496, South Korea
Hallym University Sacred Heart Hospital
Gyeonggi-do, 14068, South Korea
Asan Medical Center
Seoul, 05505, South Korea
Hosp. Univ. Fundacion Alcorcon
Alcorcón, 28922, Spain
Hosp. Gral. Univ. Dr. Balmis
Alicante, 03010, Spain
Hosp Clinic de Barcelona
Barcelona, 08036, Spain
Hosp. de La Santa Creu I Sant Pau
Barcelona, 08041, Spain
Hosp. Univ. de Basurto
Bilbao, 48013, Spain
Grupo Dermatologico Y Estetico Pedro Jaen
Madrid, 28002, Spain
Hosp. Gral. Univ. Gregorio Maranon
Madrid, 28007, Spain
Hosp. Univ. Son Espases
Palma de Mallorca, 07120, Spain
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706, Spain
Hosp. Virgen Macarena
Seville, 41009, Spain
Hosp. de Manises
Valencia, 46940, Spain
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301, Taiwan
National Taiwan University Hospital
Taipei, 10048, Taiwan
Mackay Memorial Hospital
Taipei, 10449, Taiwan
Taipei Veterans General Hospital
Taipei, 11217, Taiwan
National Taiwan University Hospital Hsin Chu Branch
Taoyuan District, 30059, Taiwan
Linkou Chang Gung Memorial Hospital
Taoyuan District, 33382, Taiwan
Hacettepe University Medical Faculty
Ankara, 06230, Turkey (Türkiye)
Gazi University Medical Faculty
Ankara, 06560, Turkey (Türkiye)
Erciyes University Medical Faculty
Kayseri, 38039, Turkey (Türkiye)
Ondokuz Mayis University
Samsun, 55270, Turkey (Türkiye)
London North West University Healthcare NHS Trust
Harrow, HA1 3UJ, United Kingdom
Guys and St Thomas NHS Foundation Trust
London, SE1 9RT, United Kingdom
Royal Berkshire Hospital
Reading, RG1 5AN, United Kingdom
Salford Royal Hospital
Salford, M6 8HD, United Kingdom
Related Publications (1)
Bissonnette R, Soung J, Hebert AA, Pink AE, Pinter A, Moore AY, Shi Y, Wang WH, Toth DP, Miller-Kassamali M, Cafone J, Jiang J, Li S, DeKlotz CMC, Nunes F, Lebwohl MG. Oral Icotrokinra for Plaque Psoriasis in Adults and Adolescents. N Engl J Med. 2025 Nov 6;393(18):1784-1795. doi: 10.1056/NEJMoa2504187.
PMID: 41191940DERIVED
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
July 29, 2024
Study Completion (Estimated)
April 6, 2027
Last Updated
April 13, 2026
Record last verified: 2026-04
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