NCT07295509

Brief Summary

This is a multicenter, randomized, double-blind, placebo-controlled Phase II/III clinical trial evaluating the efficacy and safety of picankibart (IBI112) in patients with active psoriatic arthritis (PsA). The study consists of two stages: Phase II dose-finding (n=90) and Phase III confirmatory (n=132). Participants will receive subcutaneous (SC) injections of either picankibart (200mg) or placebo with different dosing schedules, with placebo crossover to active treatment at Week 26. The Phase II portion will identify optimal dosing for Phase III, which will confirm efficacy. The study will evaluate improvements in joint symptoms, physical function, quality of life, and skin manifestations. Primary endpoint is percentage of participants who achieved an American College of Rheumatology (ACR) 20 Response at Week 24.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
222

participants targeted

Target at P75+ for phase_2

Timeline
44mo left

Started Dec 2025

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress10%
Dec 2025Dec 2029

First Submitted

Initial submission to the registry

November 24, 2025

Completed
24 days until next milestone

Study Start

First participant enrolled

December 18, 2025

Completed
1 day until next milestone

First Posted

Study publicly available on registry

December 19, 2025

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

March 20, 2026

Status Verified

March 1, 2026

Enrollment Period

4 years

First QC Date

November 24, 2025

Last Update Submit

March 18, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of participants who achieved an American College of Rheumatology (ACR) 20 response

    The ACR20 response is defined as ≥20% improvement in swollen joint count (66 joints) and tender joint count (68 joints) and ≥20% improvement in 3 of following 5 assessments: participant's assessment of pain using Visual Analog Scale (VAS; 0-100 millimeter \[mm\], 0 mm=no pain and 100 mm=worst possible pain), participant's global assessment of disease activity by using VAS (scale ranges from 0 mm to 100 mm, \[0 mm= very well to 100 mm= very poor\]), physician's global assessment of disease activity using VAS (scale ranges from 0 to 100), \[0 = no arthritis to 100 = extremely active arthritis\], participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and C-reactive protein (CRP).

    Week 26

Secondary Outcomes (14)

  • Change from baseline in Disease Activity Score in 28 Joints (DAS28)-CRP score

    Week 26, and from baseline to Week 56

  • Percentage of participants who achieved an ACR50 response

    Week 26, and from baseline to Week 56

  • Percentage of participants who achieved an ACR70 response

    Week 26, and from baseline to Week 56

  • Change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI)

    Week 26, and from baseline to Week 56

  • Change from baseline in Short Form Health Survey 36 (SF-36) Physical Component Summary (PCS) score

    Week 26, and from baseline to Week 56

  • +9 more secondary outcomes

Study Arms (3)

Picankibart Group 2

EXPERIMENTAL

Participants receive picankibart SC at each scheduled dosing timepoint with dosing interval 2.

Other: PlaceboDrug: Picankibart

Placebo Group

PLACEBO COMPARATOR

Participants receive placebo SC at each scheduled dosing timepoint. Treatment of picankibart starts at Week 26.

Other: PlaceboDrug: Picankibart

Picankibart Group 1

EXPERIMENTAL

Participants receive picankibart SC at each scheduled dosing timepoint with dosing interval 1.

Drug: Picankibart

Interventions

PlaceboOTHER

Placebo administered SC at each scheduled dosing timepoint.

Picankibart Group 2Placebo Group

Picankibart administered SC at each scheduled dosing timepoint.

Picankibart Group 1Picankibart Group 2Placebo Group

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-75 years
  • Diagnosed with PsA for ≥3 months, and meeting Classification Criteria for Psoriatic Arthritis (CASPAR) at screening
  • Having active PsA: ≥3 tender joints and ≥3 swollen joints at screening and baseline
  • Having active plaque psoriasis (≥1 lesion ≥2cm) or nail psoriasis, or a documented history of plaque psoriasis
  • Inadequate response or intolerance to prior NSAIDs or non-biologic DMARDs
  • Stable doses of protocol permitted background therapy (if any)

You may not qualify if:

  • Other inflammatory conditions that may affect the evaluation of the study drug
  • Prior treatment with \>2 biologic agents
  • Recent use of prohibited medications (specific washout periods apply)
  • Non-plaque psoriasis forms or drug-induced psoriasis
  • Severe, progressive, or uncontrolled renal, hepatic, cardiovascular, pulmonary, gastrointestinal, endocrine, neurological, hematological, rheumatic (excluding PsA), psychiatric, or genitourinary conditions
  • Significant laboratory abnormalities
  • Pregnancy or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310000, China

RECRUITING

MeSH Terms

Conditions

Arthritis, Psoriatic

Condition Hierarchy (Ancestors)

SpondylarthropathiesSpondylarthritisSpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint DiseasesPsoriasisSkin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 24, 2025

First Posted

December 19, 2025

Study Start

December 18, 2025

Primary Completion (Estimated)

December 31, 2029

Study Completion (Estimated)

December 31, 2029

Last Updated

March 20, 2026

Record last verified: 2026-03

Locations