A Study to Evaluate the Efficacy and Safety of Bimekizumab Compared to Ustekinumab in Children and Adolescents From 6 Years to Less Than 18 Years of Age With Moderate to Severe Plaque Psoriasis

Overview

The primary purpose of this study is to evaluate the efficacy of bimekizumab administered subcutaneously (sc) compared to active control (ustekinumab) in children and adolescents aged 6 to <18 years of age with moderate to severe plaque psoriasis (PSO).

Eligibility

Inclusion Criteria:

• Study participant must be 6 to <18 years of age, inclusive, at the time of signing the informed consent/assent according to local regulation
• Study participant has had a diagnosis of moderate to severe plaque psoriasis (PSO) for at least 3 months prior to the Screening Visit
• Study participant meets the following at both the Screening and Baseline Visits:
  1. Body surface area (BSA) affected by PSO ≥10%
  2. . Investigator's Global Assessment (IGA) score ≥3 (on a scale from 0 to 4)
  3. . Psoriasis Area and Severity Index (PASI) score ≥12 OR

PASI score ≥10 plus at least 1 of the following:

        i) Clinically relevant facial involvement ii) Clinically relevant genital involvement iii)
        Clinically relevant hand and foot involvement
          -  Study participant is a candidate for systemic PSO therapy and/or photo/chemotherapy
             and for treatment with ustekinumab per labeling
          -  Study participant has body weight ≥15 kg and body mass index for age percentile of ≥5
             at Screening
        Exclusion Criteria:
          -  Primary failure (no response within 12 weeks) to 1 or more interleukin-17 (IL-17)
             biologic response modifiers (eg, brodalumab, ixekizumab, secukinumab) OR more than 1
             biologic response modifier other than an IL-17
          -  Study participant has a presence of guttate, inverse, pustular, or erythrodermic PSO
             or other dermatological condition that may impact the clinical assessment of PSO
          -  Study participant has a history of inflammatory bowel disease (IBD) or symptoms
             suggestive of IBD
          -  History of active tuberculosis unless successfully treated, latent TB unless
             prophylactically treated
          -  Study participant has an active infection or history of infections (such as serious
             infection, chronic infections, opportunistic infections, unusually severe infections)
          -  Study participant has previously received bimekizumab
          -  Study participant has previously received ustekinumab
          -  Study participant has received drugs outside the specified timeframes relative to the
             Baseline Visit or receives prohibited concomitant treatments
          -  Study participant has the presence of active suicidal ideation, or positive suicide
             behavior
          -  Study participant diagnosed with severe depression in the past 6 months (prior to
             Screening) should be excluded
          -  Study participant has a history of psychiatric inpatient hospitalization within the
             past year before enrolling into the study