New drug combo shows promise for Tough-to-Treat psoriatic arthritis
NCT ID NCT05071664
First seen Jun 27, 2026 · Last updated Jul 24, 2026 · Updated 2 times
Summary
This study tested whether combining two drugs (guselkumab and golimumab) works better than one drug alone for people with active psoriatic arthritis who didn't get enough relief from previous TNF-alpha blockers. 91 adults took part. The goal was to see if the combo could help more people reach a state of minimal disease activity, meaning fewer joint and skin symptoms, less pain, and better daily function.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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91 people
The number who actually took part.
- Started
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Oct 2021
- Finished
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Aug 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Have a diagnosis of psoriatic arthritis (PsA) for greater than or equal to (\>=) 6 months prior to the first administration of study intervention and meet Classification criteria for PsA (CASPAR) criteria at screening * Have active PsA as defined by having at least 3 swollen joints and at least 3 tender joints at screening and at baseline * Have at least 1 of the following PsA subsets: distal interphalangeal joint involvement, polyarticular arthritis with absence of rheumatoid nodules, arthritis mutilans, asymmetric peripheral arthritis, or spondylitis with peripheral arthritis * Have active plaque psoriasis, with at least one psoriatic plaque of \>=2 centimeter (cm) diameter or nail changes consistent with psoriasis * Have an inadequate response (IR) to anti-tumor necrosis factor-alpha (anti-TNF-alpha) therapy, defined as presence of active PsA despite treatment with either 1 or 2 prior anti-TNF-alpha agent(s) and the following: a. Lack of benefit to either 1 or 2 prior anti-TNF-alpha therapies, as documented in the participant history by the treating physician, after at least 12 weeks of etanercept, adalimumab, or certolizumab pegol therapy, or at least 14-weeks of infliximab, or any biosimilar of these 4 therapies. Documented lack of benefit may include inadequate improvement in joint counts, physical function, or disease activity; b. The last dose of anti-TNF-alpha therapy must have occurred greater than 5 half-lives of the drug prior to first study intervention administration (washout period) Exclusion Criteria: * Has other inflammatory diseases that might confound the evaluations of benefit of guselkumab and/or golimumab therapy, including but not limited to rheumatoid arthritis (RA), ankylosing spondylitis (AS), nonradiographic axial spondyloarthritis (nr AxSpA), systemic lupus erythematosus, or lyme disease * Has known intolerance or hypersensitivity to any biologic medication, or known allergies or clinically significant reactions to murine, chimeric, or human proteins, monoclonal antibodies (mAb), or antibody fragments * Has received prior treatment with golimumab or guselkumab or has documented intolerance to prior anti-TNF-alpha therapy in the participant history by the treating physician * Has received more than 2 prior anti-TNF-alpha agents (or biosimilars) * Positive human immunodeficiency virus (HIV) antibody test
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A.O.U.Policlinico Tor Vergata
Roma, 00133, Italy
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AO Ordine Mauriziano
Torino, 10128, Italy
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Advanced Clinical Research of Orlando
Ocoee, Florida, 34761, United States
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Arcispedale Santa Maria Nuova - IRCCS
Reggio Emilia, 42123, Italy
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Arizona Arthritis and Rheumatology Research PLLC
Phoenix, Arizona, 85032, United States
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Arizona Arthritis and Rheumatology Research PLLC 1
Phoenix, Arizona, 85037, United States
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Atlanta Research Center for Rheumatology
Marietta, Georgia, 30060, United States
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Azienda Ospedaliero-Universitaria di Cagliari
Cagliari, 09124, Italy
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Bay Pines VA Healthcare System
Bay Pines, Florida, 33744, United States
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Bekes Varmegyei Kozponti Korhaz Pandy Kalman Tagkorhaz
Gyula, 5700, Hungary
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CHU Trousseau - Service de Rhumatologie
Tours, 37044, France
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Centre Hospitalier Le Mans
Le Mans, 72037, France
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Centro Specialistico Ortopedico Traumatologico Gaetano Pini CTO
Milan, 20122, Italy
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Centrum Kliniczno Badawcze
Elblag, 82-300, Poland
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Centrum Medyczne
Poznan, 61 113, Poland
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Centrum Medyczne AMED Targowek
Warsaw, 03 291, Poland
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Centrum Terapii Wspolczesnej J M Jasnorzewska Spolka Komandytowo Akcyjna
Lodz, 90-242, Poland
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Clinical Hospital #3
Yaroslavl, 150007, Russia
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Clinvest
Springfield, Missouri, 65807, United States
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Complex Rendelo Med Zrt
Székesfehérvár, 8000, Hungary
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Corporacio Sanitari Parc Tauli
Sabadell, 08208, Spain
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DM Clinical Research
Tomball, Texas, 77375, United States
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Frederiksberg Hospital
Frederiksberg, 2000, Denmark
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GBUZ of Moscow Region 'Moscow Region SRI n.a. Vladimirskyi'
Moscow, 129110, Russia
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Great Lakes Center of Rheumatology
Lansing, Michigan, 48911, United States
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HARAC Research Corp
Avon Park, Florida, 33825, United States
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Health Clinic Limited Liability Company
Vinnytsia, 21009, Ukraine
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Hopital Larrey CHU de Toulouse
Toulouse, 31059, France
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Hosp Reina Sofia
Córdoba, 14004, Spain
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Hosp Univ A Coruna
A Coruña, 15006, Spain
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Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706, Spain
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Hosp. Infanta Luisa
Seville, 41010, Spain
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Hosp. Ntra. Sra. de Valme
Seville, 41014, Spain
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Hosp. Univ. 12 de Octubre
Madrid, 28041, Spain
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Hosp. Univ. Germans Trias I Pujol
Barcelona, 08916, Spain
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Hosp. Univ. de Basurto
Bilbao, 48013, Spain
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Hosp. Virgen Macarena
Seville, 41009, Spain
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IRCCS Policlinico San Matteo, Università degli studi di Pavi
Pavia, 27100, Italy
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Jacobi Medical Center
The Bronx, New York, 10461, United States
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Karolinska Universitetssjukhuset Solna
Solna, 171 76, Sweden
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Kemerovo State Medical University
Kemerovo, 650000, Russia
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Kyiv Railway Clinical Hospital #2 Of Branch 'Health Center' Of The Company 'Ukrainian Railway'
Kyiv, 03049, Ukraine
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Køge Sygehus Region Sjaelland
Køge, 4600, Denmark
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LLC Family Outpatient Clinic # 4
Korolyov, 141060, Russia
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LLL Medical Center Revma-Med
Kemerovo, 650070, Russia
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ME Poltava Regional Clinical Hospital named after M.V. Sklifosovsky of Poltava Regional Consuil
Poltava, 36011, Ukraine
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MNCE Zakarpatska Regional Clinical Hospital named after A Novak of Zakarpatska Regional Council
Uzhhorod, 88000, Ukraine
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Medical Center LLC 'Modern Clinic'
Zaporizhzhya, 69600, Ukraine
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Medical Research and Practice Center Medbud of the Public Joint Stock Holding Company Kyivmiskbud
Kyiv, 03037, Ukraine
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Medycyna Kliniczna
Warsaw, 00-874, Poland
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Millennium Research
Ormond Beach, Florida, 32174, United States
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Municipal Institution Regional hospital-center of emergency care and disasters medicine
Kharkiv, 61204, Ukraine
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Municipal Non-Profit Enterprise of Kyiv Regional Council 'Kyiv regional Clinical Hospital'
Kyiv, 04107, Ukraine
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Municipal institution of Tepnopil Regional Council 'Ternopil University Hospital'
Ternopil, 46002, Ukraine
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NYU Langone Ambulatory Care Brooklyn Heights
Brooklyn, New York, 11201, United States
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NYU School of Medicine
New York, New York, 10016, United States
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NZOZ Lecznica MAK MED S C
Nadarzyn, 05-830, Poland
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Obudai Egeszsegugyi Centrum Kft
Budapest, 1036, Hungary
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Omega Research Consultants
DeBary, Florida, 32713, United States
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Orenburg State Medical Academy
Orenburg, 460000, Russia
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Ospedale San Raffaele
Milan, 20132, Italy
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Policlinico Universitario Agostino Gemelli
Roma, 00168, Italy
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Republican Clinical Hospital - G.G. Kuvatov
Ufa, 450005, Russia
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Rigshospitalet Glostrup
Glostrup Municipality, 2600, Denmark
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Rostov Regional Clinical Dermatovenerological Dispensary
Rostov-on-Don, 344007, Russia
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Ryazan Regional Clinical Dermatovenerological Dispensary
Ryazan, 390046, Russia
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SI National Scientific Center Institute of Cardiology of M.D. Strazhesko of NAMS of Ukraine
Kyiv, 03680, Ukraine
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STAT Research, Inc.
Vandalia, Ohio, 45377, United States
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Silkeborg Hospital
Silkeborg, 8600, Denmark
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Skanes universitetssjukhus
Malmö, 205 02, Sweden
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Smolensk regional hospital on Smolensk railway station
Smolensk, 214025, Russia
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South Coast Research Center
Miami, Florida, 33136, United States
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State Institution Institute of therapy named after L.T.Malaya AMS Ukraine
Kharkiv, 61039, Ukraine
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Swedish Medical Center
Seattle, Washington, 98122, United States
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Trinity Universal Research Associates, LLC
Plano, Texas, 75024, United States
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Unity Health-White County Medical Center
Searcy, Arkansas, 72143, United States
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University of Rochester
Rochester, New York, 14642, United States
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Università Campus Biomedico di Roma
Rome, 00128, Italy
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Vejle Sygehus
Vejle, 7100, Denmark
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Vital Medical Center
Veszprém, 8200, Hungary
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WroMedica I Bielicka A Strzalkowska s c
Wroclaw, 51 685, Poland
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X7 Clinical Research Company Limited
Saint Petersburg, 194156, Russia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an approved arthritis drug stop early joint damage?
- Nanobody injection put to the test against psoriatic arthritis
- New study to measure drug levels in breast milk of moms on TREMFYA
- New drug shows promise in taming psoriatic arthritis flares
- New injection targets psoriatic arthritis pain in small trial
- New study tracks arthritis drug persistence in daily life