A Phase 3, Multicenter, Double-Blind, Placebo-Controlled Study With an Initial Treatment Period Followed by a Randomized-Withdrawal Period to Evaluate the Efficacy and Safety of Bimekizumab in Adult Subjects With Moderate to Severe Chronic Plaque Psoriasis
| Registry | NCT03410992, acronym BE READY |
| Status | Completed |
| Phase | Phase 3 |
| Study type | Interventional; randomized, parallel, masking: quadruple, treatment |
| Enrollment | 435 (Actual) |
| Sponsor | UCB Biopharma SRL (Industry) |
| Conditions | Chronic Plaque Psoriasis, Moderate to Severe Chronic Plaque Psoriasis, Psoriatic Arthritis |
| Interventions | Bimekizumab, Placebo (Drug, other) |
| Dates | start 2018-02-05, primary completion 2018-12-28, completion 2020-01-07, first posted 2018-01-25, last updated 2026-04-15 |
| Locations | 77 sites in United States, Australia, Canada, Germany, Hungary, Poland, Russia, South Korea and 1 more countries |
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-Summary
Phase 3 study to compare the efficacy of bimekizumab versus placebo in the treatment of subjects with moderate to severe chronic plaque psoriasis.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| Bimekizumab cohort | Experimental | Drug: Bimekizumab; Other: Placebo | Subjects will receive bimekizumab for 16 Weeks. Subjects who achieve certain predefined response criteria will be re-randomized to either receive bimekizumab or placebo until Week 56. Subjects who do not achieve predefined response criteria will enter the bimekizumab escape arm. |
| Placebo | Placebo comparator | Other: Placebo | Subjects will receive placebo for 16 Weeks. Subjects who achieve certain predefined response criteria will proceed with placebo until Week 56. Subjects who do not achieve certain predefined response criteria will enter the bimekizumab escape arm. |
| Bimekizumab Escape arm | Experimental | Drug: Bimekizumab | Subjects who do not achieve certain predefined response criteria at Week 16 or later will enter the bimekizumab escape arm and will receive open-label bimekizumab for 12 weeks. |
- Bimekizumab (Drug), also known as UCB4940: Bimekizumab will be provided at pre-specified time intervals.
- Placebo (Other), also known as PBO: Subjects will receive Placebo at pre-specified time points to maintain the blinding of the Investigational Medicinal Products.
+Outcome measures
Primary outcomes
- Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16 [At Week 16]: A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 scale. Final PASI=average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With an Investigator's Global Assessment (IGA) Response at Week 16 [At Week 16]: The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-Inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear or Almost Clear with at least a 2-category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
Secondary outcomes
- Percentage of Participants With a PASI100 Response at Week 16 [At Week 16]: A PASI100 responder was defined as a participant that achieved 100% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With a IGA Clear Response at Week 16 [At Week 16]: The Investigator's Global Assessment (IGA) measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as Clear with at least >= 2 category improvement relative to Baseline. Study participants with missing score at Week 16 were counted as nonresponders (NRI).
- Percentage of Participants With a PASI75 Response at Week 4 [At Week 4]: A PASI75 responder was defined as a participant that achieved 75% reduction from Baseline in the PASI score. Body divided into 4 areas: head/arms/trunk to groin/legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The min possible PASI score is 0=no disease, the max score is 72=maximal disease. Study participants with missing score at a given week were counted as nonresponders.
- Percentage of Participants With a Patient Symptom Diary Response for Pain at Week 16 [At Week 16]: As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit.
PSD pain item was assessed daily on a numeric rating scale (NRS) from 0 (no pain) to 10 (very severe pain). PSD score for pain at a given visit was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in pain score higher than the prespecified 1.98 response threshold at Week 16. The endpoint was characterized as percentage of participants with PSD pain response.
- Percentage of Participants With a Patient Symptom Diary Response for Itch at Week 16 [At Week 16]: A PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit.
PSD itch item was assessed daily on a NRS from 0 (no itch) to 10 (very severe itch). PSD score for itch was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in itch score higher than the prespecified 2.39 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD itch response.
- Percentage of Participants With a Patient Symptom Diary Response for Scaling at Week 16 [At Week 16]: As PRO measure, the PSD (further published as P-SIM) was used to assess key symptoms relevant to patients with moderate to severe plaque psoriasis. Site staff trained participants on the use of the electronic device used to collect ePRO diary data at Screening, device was then dispensed to the participant for home use until Week 16 Visit. The ePRO diary was completed on daily basis from Screening to Week 16 Visit. PSD scaling item was assessed daily on a NRS from 0 (no scaling) to 10 (very severe scaling). PSD score for scaling was an average of daily values over the week prior to the visit. The response was defined as an improvement (decrease) in scaling score higher than the prespecified 2.86 response threshold at Week 16. The endpoint was characterized as percentage of participants with a PSD scaling response.
- Percentage of Participants With Scalp IGA Response (Clear or Almost Clear) at Week 16 for Participants With Scalp Psoriasis (PSO) at Baseline [At Week 16]: Only participants with scalp involvement at Baseline completed the scalp IGA. Participants with scalp involvement at Baseline were defined as those with a scalp IGA score >0 at Baseline. Scalp lesions were assessed in terms of clinical signs of redness, thickness, and scaliness using a 5-point scale (0=Clear, 1=Almost Clear, 2=Mild, 3=Moderate, 4= Severe). Scalp IGA 0/1 response at Week 16 was defined as clear (0) or almost clear (1) with at least a 2-category improvement from Baseline to Week 16.
- Percentage of Participants With a PASI90 Response at Week 56 Among Week 16 PASI90 Responders [At Week 56]: A PASI90 responder was defined as a participant that achieved 90% reduction from Baseline in the PASI score. Study participants with missing score at Week 56 or who met the criterion for relapse were counted as nonresponders (NRI).
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]: The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]: The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period [From Baseline to end of Initial Treatment Period (up to Week 16)]: The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]: The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]: The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period [From end of Initial Treatment Period (Week 16) until the Safety Follow-Up (up to 56 weeks duration)]: The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]: The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]: The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment [From Escape Baseline (Week 0) until Safety Follow-Up (up to 28 weeks duration)]: The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
+Eligibility
Sex: All, ages: 18 Years to any
Inclusion Criteria:
* Must be at least 18 years of age
* Chronic plaque psoriasis (PSO) for at least 6 months prior to the Screening Visit
* Psoriasis Area Severity Index (PASI) >=12 and body surface area (BSA) affected by PSO >=10% and Investigator's Global Assessment (IGA) score >=3 on a 5-point scale
* Subject is a candidate for systemic PSO therapy and/or phototherapy
* Female subject of child bearing potential must be willing to use highly effective method of contraception
Exclusion Criteria:
* Subject has an active infection (except common cold), a recent serious infection, or a history of opportunistic, recurrent, or chronic infections
* Subject has concurrent acute or chronic viral hepatitis B or C or human immunodeficiency virus (HIV) infection
* Subject has known tuberculosis (TB) infection, is at high risk of acquiring TB infection, or has current or history of nontuberculous mycobacterium (NTMB) infection
* Subject has any other condition, including medical or psychiatric, which, in the Investigator's judgment, would make the subject unsuitable for inclusion in the study
* Presence of active suicidal ideation or positive suicide behavior
* Presence of moderately severe major depression or severe major depression
* Subject has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma, or in situ cervical cancer
+Posted results
Participant flow
| Milestone | Placebo | Bimekizumab 320 mg Q4W | Placebo/Placebo | Bimekizumab 320 mg Q4W/Placebo | Bimekizumab 320 mg Q4W/Q8W | Bimekizumab 320 mg Q4W/Q4W | Placebo Escape | Bimekizumab 320 mg Q4W Escape | Bimekizumab 320 mg Q4W/ Placebo Escape | Bimekizumab 320 mg Q4W/Q8W Escape | Bimekizumab 320 mg Q4W/Q4W Escape |
|---|
| Started | 86 | 349 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Completed | 82 | 340 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 4 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Outcome results
- Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16 (Primary), Number, percentage of participants: Placebo (RS) 1.2; Bimekizumab 320 mg Q4W (RS) 90.8 (p <0.001)
- Percentage of Participants With an Investigator's Global Assessment (IGA) Response at Week 16 (Primary), Number, percentage of participants: Placebo (RS) 1.2; Bimekizumab 320 mg Q4W (RS) 92.6 (p <0.001)
- Percentage of Participants With a PASI100 Response at Week 16 (Secondary), Number, percentage of participants: Placebo (RS) 1.2; Bimekizumab 320 mg Q4W (RS) 68.2 (p <0.001)
- Percentage of Participants With a IGA Clear Response at Week 16 (Secondary), Number, percentage of participants: Placebo (RS) 1.2; Bimekizumab 320 mg Q4W (RS) 69.6 (p <0.001)
- Percentage of Participants With a PASI75 Response at Week 4 (Secondary), Number, percentage of participants: Placebo (RS) 1.2; Bimekizumab 320 mg Q4W (RS) 75.9 (p <0.001)
- Percentage of Participants With a Patient Symptom Diary Response for Pain at Week 16 (Secondary), Number, percentage of participants: Placebo (RS) 9.0; Bimekizumab 320 mg Q4W (RS) 78.8 (p <0.001)
- Percentage of Participants With a Patient Symptom Diary Response for Itch at Week 16 (Secondary), Number, percentage of participants: Placebo (RS) 5.6; Bimekizumab 320 mg Q4W (RS) 75.5 (p <0.001)
- Percentage of Participants With a Patient Symptom Diary Response for Scaling at Week 16 (Secondary), Number, percentage of participants: Placebo (RS) 5.7; Bimekizumab 320 mg Q4W (RS) 78.0 (p <0.001)
- Percentage of Participants With Scalp IGA Response (Clear or Almost Clear) at Week 16 for Participants With Scalp Psoriasis (PSO) at Baseline (Secondary), Number, percentage of participants: Placebo (RS) 6.8; Bimekizumab 320 mg Q4W (RS) 92.3 (p <0.001)
- Percentage of Participants With a PASI90 Response at Week 56 Among Week 16 PASI90 Responders (Secondary), Number, percentage of participants: Bimekizumab 320 mg Q4W/Placebo (WK16ResS) 16.2; Bimekizumab 320 mg Q4W/Q8W (WK16ResS) 91.0; Bimekizumab 320 mg Q4W/Q4W (WK16ResS) 86.8; Bimekizumab 320 mg Q4W/Q8W+Q4W/Q4W (WK16ResS) 88.8 (p <0.001)
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period (Secondary), Number, no. of new events per 100 subject-years: Placebo (SS) 177.38 (123.55 to 246.69); Bimekizumab 320 mg Q4W (SS) 323.61 (281.60 to 370.11)
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period (Secondary), Number, no. of new events per 100 subject-years: Placebo (SS) 7.66 (0.93 to 27.68); Bimekizumab 320 mg Q4W (SS) 5.59 (2.05 to 12.17)
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Initial Treatment Period (Secondary), Number, no. of new events per 100 subject-years: Placebo (SS) 0 (NA to NA); Bimekizumab 320 mg Q4W (SS) 2.78 (0.57 to 8.12)
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period (Secondary), Number, no. of new events per 100 subject-years: Placebo/Placebo (WK16ResS) 144.37 (3.66 to 804.36); Bimekizumab 320 mg Q4W/Placebo (WK16ResS) 242.11 (189.44 to 304.90); Bimekizumab 320 mg Q4W/Q8W (WK16ResS) 224.87 (177.46 to 281.05); Bimekizumab 320 mg Q4W/Q4W (WK16ResS) 208.88 (165.11 to 260.69)
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period (Secondary), Number, no. of new events per 100 subject-years: Placebo/Placebo (WK16ResS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Placebo (WK16ResS) 7.20 (1.96 to 18.43); Bimekizumab 320 mg Q4W/Q8W (WK16ResS) 4.04 (0.83 to 11.80); Bimekizumab 320 mg Q4W/Q4W (WK16ResS) 6.64 (2.16 to 15.50)
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Randomized-Withdrawal Period (Secondary), Number, no. of new events per 100 subject-years: Placebo/Placebo (WK16ResS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Placebo (WK16ResS) 5.33 (1.10 to 15.58); Bimekizumab 320 mg Q4W/Q8W (WK16ResS) 2.69 (0.33 to 9.71); Bimekizumab 320 mg Q4W/Q4W (WK16ResS) 0 (NA to NA)
- Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment (Secondary), Number, no. of new events per 100 subject-years: Placebo Escape (ESS) 235.86 (164.29 to 328.03); Bimekizumab 320 mg Q4W Escape (ESS) 287.19 (143.36 to 513.86); Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) 180.89 (115.90 to 269.15); Bimekizumab 320 mg Q4W/Q8W Escape (ESS) 491.37 (101.33 to 1435.98); Bimekizumab 320 mg Q4W/Q4W Escape (ESS) 349.52 (95.23 to 894.91)
- Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment (Secondary), Number, no. of new events per 100 subject-years: Placebo Escape (ESS) 5.24 (0.13 to 29.22); Bimekizumab 320 mg Q4W Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Q8W Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Q4W Escape (ESS) 0 (NA to NA)
- Number of TEAEs Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment During the Escape Treatment (Secondary), Number, no. of new events per 100 subject-years: Placebo Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W Escape (ESS) 18.77 (0.48 to 104.58); Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Q8W Escape (ESS) 0 (NA to NA); Bimekizumab 320 mg Q4W/Q4W Escape (ESS) 0 (NA to NA)
Adverse events
Time frame: Adverse events were collected from Baseline (Week 0) until Safety Follow-Up Visit (up to 80 weeks duration)
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| Placebo (SS) | 0/86 (0.0%) | 2/86 (2.3%) | 15/86 (17.4%) |
| Bimekizumab 320 mg Q4W (SS) | 0/349 (0.0%) | 6/349 (1.7%) | 66/349 (18.9%) |
| Placebo/Placebo (WK16ResS) | 0/1 (0.0%) | 0/1 (0.0%) | 1/1 (100.0%) |
| Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | 0/105 (0.0%) | 4/105 (3.8%) | 34/105 (32.4%) |
| Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | 0/100 (0.0%) | 3/100 (3.0%) | 40/100 (40.0%) |
| Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | 0/106 (0.0%) | 5/106 (4.7%) | 34/106 (32.1%) |
| Placebo Escape (ESS) | 0/81 (0.0%) | 1/81 (1.2%) | 8/81 (9.9%) |
| Bimekizumab 320 mg Q4W Escape (ESS) | 0/23 (0.0%) | 0/23 (0.0%) | 5/23 (21.7%) |
| Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | 0/67 (0.0%) | 0/67 (0.0%) | 11/67 (16.4%) |
| Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | 0/4 (0.0%) | 0/4 (0.0%) | 3/4 (75.0%) |
| Bimekizumab 320 mg Q4W/Q4W Escape (ESS) | 0/7 (0.0%) | 0/7 (0.0%) | 4/7 (57.1%) |
Serious adverse events by term
| Term | Organ system | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) |
|---|
| Myocardial infarction | Cardiac disorders | 1/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Mitral valve prolapse | Cardiac disorders | 1/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Retinal detachment | Eye disorders | 0/86 | 1/349 | 0/1 | 1/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Gastrointestinal inflammation | Gastrointestinal disorders | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Diverticular perforation | Gastrointestinal disorders | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Cholelithiasis | Hepatobiliary disorders | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Enterovirus infection | Infections and infestations | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Pneumonia | Infections and infestations | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Humerus fracture | Injury, poisoning and procedural complications | 0/86 | 1/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Acute myocardial infarction | Cardiac disorders | 0/86 | 0/349 | 0/1 | 0/105 | 1/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Cataract | Eye disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Diarrhoea | Gastrointestinal disorders | 0/86 | 0/349 | 0/1 | 0/105 | 2/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Otitis media chronic | Infections and infestations | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Injury | Injury, poisoning and procedural complications | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Psoriatic arthropathy | Musculoskeletal and connective tissue disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Ovarian adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/86 | 0/349 | 0/1 | 1/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Pulmonary hypertension | Respiratory, thoracic and mediastinal disorders | 0/86 | 0/349 | 0/1 | 1/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Erythrodermic psoriasis | Skin and subcutaneous tissue disorders | 0/86 | 0/349 | 0/1 | 1/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Ischaemic cardiomyopathy | Cardiac disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 1/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Coronary artery disease | Cardiac disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 1/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Duodenal ulcer haemorrhage | Gastrointestinal disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 1/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 1/81 | 0/23 | 0/67 | 0/4 | 0/7 |
| Syncope | Nervous system disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 1/81 | 0/23 | 0/67 | 0/4 | 0/7 |
Other adverse events by term
| Term | Organ system | Placebo (SS) | Bimekizumab 320 mg Q4W (SS) | Placebo/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Placebo (WK16ResS) | Bimekizumab 320 mg Q4W/Q8W (WK16ResS) | Bimekizumab 320 mg Q4W/Q4W (WK16ResS) | Placebo Escape (ESS) | Bimekizumab 320 mg Q4W Escape (ESS) | Bimekizumab 320 mg Q4W/ Placebo Escape (ESS) | Bimekizumab 320 mg Q4W/Q8W Escape (ESS) | Bimekizumab 320 mg Q4W/Q4W Escape (ESS) |
|---|
| Neutropenia | Blood and lymphatic system disorders | 0/86 | 2/349 | 0/1 | 0/105 | 1/100 | 0/106 | 0/81 | 1/23 | 0/67 | 0/4 | 1/7 |
| Dental caries | Gastrointestinal disorders | 1/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 1/4 | 0/7 |
| Nasopharyngitis | Infections and infestations | 4/86 | 23/349 | 0/1 | 20/105 | 23/100 | 11/106 | 1/81 | 1/23 | 2/67 | 0/4 | 0/7 |
| Oral candidiasis | Infections and infestations | 0/86 | 21/349 | 0/1 | 6/105 | 9/100 | 12/106 | 4/81 | 1/23 | 7/67 | 0/4 | 0/7 |
| Upper respiratory tract infection | Infections and infestations | 7/86 | 14/349 | 1/1 | 5/105 | 8/100 | 12/106 | 3/81 | 1/23 | 2/67 | 0/4 | 1/7 |
| Tinea pedis | Infections and infestations | 0/86 | 4/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 0/4 | 1/7 |
| Impetigo | Infections and infestations | 1/86 | 2/349 | 0/1 | 1/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 1/4 | 0/7 |
| Body tinea | Infections and infestations | 0/86 | 1/349 | 0/1 | 0/105 | 1/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 1/7 |
| Tinea capitis | Infections and infestations | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 1/7 |
| Rib fracture | Injury, poisoning and procedural complications | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 1/106 | 0/81 | 0/23 | 0/67 | 1/4 | 0/7 |
| Psoriasis | Skin and subcutaneous tissue disorders | 4/86 | 1/349 | 0/1 | 3/105 | 0/100 | 1/106 | 0/81 | 1/23 | 0/67 | 0/4 | 1/7 |
| Seborrhoeic dermatitis | Skin and subcutaneous tissue disorders | 0/86 | 1/349 | 0/1 | 3/105 | 0/100 | 3/106 | 0/81 | 0/23 | 0/67 | 0/4 | 1/7 |
| Rash papular | Skin and subcutaneous tissue disorders | 0/86 | 0/349 | 0/1 | 0/105 | 0/100 | 0/106 | 0/81 | 0/23 | 0/67 | 0/4 | 1/7 |
+Locations (77)
| Facility | City | Country | Status |
|---|
| Ps0013 919 | San Diego, California | United States | |
| Ps0013 955 | San Diego, California | United States | |
| Ps0013 967 | Santa Monica, California | United States | |
| Ps0013 928 | Fort Myers, Florida | United States | |
| Ps0013 966 | Sandy Springs, Georgia | United States | |
| Ps0013 954 | Skokie, Illinois | United States | |
| Ps0013 962 | Owensboro, Kentucky | United States | |
| Ps0013 944 | New Orleans, Louisiana | United States | |
| Ps0013 940 | Beverly, Massachusetts | United States | |
| Ps0013 901 | Portsmouth, New Hampshire | United States | |
| Ps0013 956 | Verona, New Jersey | United States | |
| Ps0013 947 | Buffalo, New York | United States | |
| Ps0013 968 | New York, New York | United States | |
| Ps0013 965 | New York, New York | United States | |
| Ps0013 963 | Rochester, New York | United States | |
| Ps0013 949 | Cleveland, Ohio | United States | |
| Ps0013 929 | Portland, Oregon | United States | |
| Ps0013 937 | Johnston, Rhode Island | United States | |
| Ps0013 914 | San Antonio, Texas | United States | |
| Ps0013 933 | Murray, Utah | United States | |
| Ps0013 003 | Carlton | Australia | |
| Ps0013 008 | East Melbourne | Australia | |
| Ps0013 006 | Kogarah | Australia | |
| Ps0013 658 | Ajax | Canada | |
| Ps0013 672 | Edmonton | Canada | |
| Ps0013 671 | Hamilton | Canada | |
| Ps0013 675 | Markham | Canada | |
| Ps0013 663 | Mississauga | Canada | |
| Ps0013 660 | Montreal | Canada | |
| Ps0013 668 | North Bay | Canada | |
| Ps0013 667 | Ottawa | Canada | |
| Ps0013 665 | Québec | Canada | |
| Ps0013 676 | Surrey | Canada | |
| Ps0013 657 | Waterloo | Canada | |
| Ps0013 202 | Hamburg | Germany | |
| Ps0013 220 | Hamburg | Germany | |
| Ps0013 219 | Münster | Germany | |
| Ps0013 200 | Schwerin | Germany | |
| Ps0013 204 | Witten | Germany | |
| Ps0013 261 | Budapest | Hungary | |
| Ps0013 262 | Miskolc | Hungary | |
| Ps0013 253 | Orosháza | Hungary | |
| Ps0013 260 | Szeged | Hungary | |
| Ps0013 250 | Szolnok | Hungary | |
| Ps0013 258 | Veszprém | Hungary | |
| Ps0013 355 | Bialystok | Poland | |
| Ps0013 361 | Bialystok | Poland | |
| Ps0013 369 | Bialystok | Poland | |
| Ps0013 352 | Gdansk | Poland | |
| Ps0013 358 | Katowice | Poland | |
| Ps0013 359 | Katowice | Poland | |
| Ps0013 366 | Katowice | Poland | |
| Ps0013 357 | Kielce | Poland | |
| Ps0013 363 | Krakow | Poland | |
| Ps0013 360 | Lodz | Poland | |
| Ps0013 356 | Lublin | Poland | |
| Ps0013 374 | Poznan | Poland | |
| Ps0013 353 | Szczecin | Poland | |
| Ps0013 350 | Warsaw | Poland | |
| Ps0013 351 | Warsaw | Poland | |
| Ps0013 354 | Warsaw | Poland | |
| Ps0013 365 | Wroclaw | Poland | |
| Ps0013 368 | Wroclaw | Poland | |
| Ps0013 370 | Wroclaw | Poland | |
| Ps0013 400 | Moscow | Russia | |
| Ps0013 402 | Moscow | Russia | |
| Ps0013 403 | Moscow | Russia | |
| Ps0013 404 | Saint Petersburg | Russia | |
| Ps0013 405 | Saint Petersburg | Russia | |
| Ps0013 401 | Saratov | Russia | |
| Ps0013 406 | Yaroslavl | Russia | |
| Ps0013 701 | Busan | South Korea | |
| Ps0013 705 | Seongnam-si | South Korea | |
| Ps0013 703 | Seoul | South Korea | |
| Ps0013 550 | Manchester | United Kingdom | |
| Ps0013 554 | Reading | United Kingdom | |
| Ps0013 555 | Salford | United Kingdom | |
+Publications
- Results publication: Gordon KB, Langley RG, Warren RB, Okubo Y, Stein Gold L, Merola JF, Peterson L, Wixted K, Cross N, Deherder D, Thaci D. Bimekizumab Safety in Patients With Moderate to Severe Plaque Psoriasis: Pooled Results From Phase 2 and Phase 3 Randomized Clinical Trials. JAMA Dermatol. 2022 Jul 1;158(7):735-744. doi: 10.1001/jamadermatol.2022.1185. PMID 35544084
- Results publication: Gordon KB, Langley RG, Warren RB, Okubo Y, Rosmarin D, Lebwohl M, Peterson L, Madden C, de Cuyper D, Davies O, Thaci D. Bimekizumab safety in patients with moderate-to-severe plaque psoriasis: pooled data from up to 3 years of treatment in randomized phase III trials. Br J Dermatol. 2024 Mar 15;190(4):477-485. doi: 10.1093/bjd/ljad429. PMID 37950894
- Results publication: Strober B, Boehncke WH, Krueger JG, Magnolo N, Vender R, Warren RB, Lopez Pinto JM, Kavanagh S, Hoepken B, Gisondi P. Bimekizumab Efficacy in Psoriasis by Subgroups: Post Hoc Analysis of Phase 3/3b Clinical Trials. Dermatol Ther (Heidelb). 2025 Dec;15(12):3633-3650. doi: 10.1007/s13555-025-01557-1. Epub 2025 Oct 8. PMID 41060492
- Results publication: Armstrong A, Papp KA, Lebwohl M, Savage LJ, Yamanaka K, Vlase DE, Warham R, Lambert J, Lopez Pinto JM, Wixted K, Thaci D. Bimekizumab Impact on Patient-Reported Outcomes in Plaque Psoriasis: 4-Year Results from BE SURE, BE VIVID, BE READY, and BE BRIGHT. Dermatol Ther (Heidelb). 2026 Jan;16(1):585-603. doi: 10.1007/s13555-025-01595-9. Epub 2025 Dec 8. PMID 41359217
- Results publication: Krueger JG, Cutcutache I, Lebwohl M, Gudjonsson JE, Pinter A, Langley RG, Merola J, Tada Y, Skelton A, Rastrick J, Ferecsko AS, Page M, Davies O, Lopez Pinto JM, Warham R, Shaw S, Warren RB. Bimekizumab long-term response in psoriasis: Mechanistic insights into efficacy level and durability. J Allergy Clin Immunol. 2026 Apr;157(4):905-916. doi: 10.1016/j.jaci.2025.12.1013. Epub 2026 Jan 22. PMID 41580158
- Results publication: Gisondi P, Elewski B, Pinter A, Yamaguchi Y, Gooderham M, Kavanagh S, Wixted K, Cross N, Szilagyi B, Merola JF. Bimekizumab efficacy in scalp, nail and palmoplantar psoriasis versus comparators and over 4 years. J Dermatolog Treat. 2026 Dec;37(1):2637344. doi: 10.1080/09546634.2026.2637344. Epub 2026 Mar 9. PMID 41800601
- Results publication: Blauvelt A, Langley RG, Lebwohl M, Strober B, Warren RB, Puig L, Morita A, Gordon KB, Fernandez-Penas P, Kavanagh S, Lopez Pinto JM, Lambert J, Hoepken B, Deherder D, Cross N, Thaci D. Bimekizumab durability of efficacy through 196 weeks and safety through 4 years in patients with moderate to severe plaque psoriasis: Results from the BE BRIGHT open-label extension trial. J Am Acad Dermatol. 2025 Sep;93(3):644-653. doi: 10.1016/j.jaad.2025.04.038. Epub 2025 Apr 24. PMID 40286813
- Results publication: Merola JF, Gottlieb AB, Pinter A, Elewski B, Gooderham M, Warren RB, Piaserico S, Wixted K, Cross N, Tilt N, Wiegratz S, Mrowietz U. Bimekizumab Efficacy in High-Impact Areas: Pooled 2-Year Analysis in Scalp, Nail, and Palmoplantar Psoriasis from Phase 3/3b Randomized Controlled Trials. Dermatol Ther (Heidelb). 2024 Dec;14(12):3291-3306. doi: 10.1007/s13555-024-01295-w. Epub 2024 Nov 22. PMID 39578348
- Results publication: Warren RB, Gottlieb AB, Merola JF, Garcia L, Cioffi C, Peterson L, Pelligra C, Ciaravino V. Psychometric Validation of the Psoriasis Symptoms and Impacts Measure (P-SIM), a Novel Patient-Reported Outcome Instrument for Patients with Plaque Psoriasis, Using Data from the BE VIVID and BE READY Phase 3 Trials. Dermatol Ther (Heidelb). 2021 Oct;11(5):1551-1569. doi: 10.1007/s13555-021-00570-4. Epub 2021 Jul 14. PMID 34260044
- Results publication: Gordon KB, Foley P, Krueger JG, Pinter A, Reich K, Vender R, Vanvoorden V, Madden C, White K, Cioffi C, Blauvelt A. Bimekizumab efficacy and safety in moderate to severe plaque psoriasis (BE READY): a multicentre, double-blind, placebo-controlled, randomised withdrawal phase 3 trial. Lancet. 2021 Feb 6;397(10273):475-486. doi: 10.1016/S0140-6736(21)00126-4. PMID 33549192
+Study documents
+Investigators
- UCB Cares, Study director, 001 844 599 2273 (UCB)
+Funding