Overview
Sponsor-declared trial summary
Psoriatic arthritis
1. To evaluate the efficacy of tulisokibart compared with placebo as assessed by the proportion of participants achieving ACR20 at Week 16.
Key facts
- Sponsor
- Merck Sharp & Dohme LLC
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Musculoskeletal Diseases [C05]
- Trial duration
- 8 May 2026 → ongoing
- Decision date (initial)
- 2026-04-30
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Merck Sharp & Dohme LLC
External identifiers
- EU CT number
- 2025-520997-21-00
- WHO UTN
- U1111-1318-4301
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Dose response, Pharmacodynamic, Safety, Pharmacokinetic, Pharmacogenomic, Pharmacogenetic, Therapy
1. To evaluate the efficacy of tulisokibart compared with placebo as assessed by the proportion of participants achieving ACR20 at Week 16.
Secondary objectives 4
- To evaluate the efficacy of tulisokibart compared with placebo as assessed by the proportion of participants achieving ACR50 at Week 16.
- To evaluate the efficacy of tulisokibart compared with placebo as assessed by the proportion of participants achieving ACR70 at Week 16.
- To evaluate the efficacy of tulisokibart compared with placebo as assessed by the change from baseline in the HAQ-DI at Week 16.
- To evaluate the safety and tolerability of tulisokibart.
Conditions and MedDRA coding
Psoriatic arthritis
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10037160 | Psoriatic arthritis | 10028395 |
Regulatory references
- Plan to share IPD
- Yes
| EU CT number | Title | Sponsor |
|---|---|---|
| 2023-508636-61-00 | A Phase 3, Randomized, Double-Blind, Placebo-Controlled Program to Evaluate the Efficacy and Safety of Tulisokibart in Participants with Moderately to Severely Active Crohn’s Disease | Merck Sharp & Dohme LLC |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Has a clinical diagnosis of psoriatic arthritis (PsA), with symptom onset ≥6 months before Screening.
- Has active disease, defined as ≥3 tender joints and ≥3 swollen joints.
- Has a diagnosis of active plaque psoriasis or documented history of plaque psoriasis.
- Has had inadequate response or intolerance to certain disease-modifying antirheumatic drugs (DMARDs).
- If on treatment with any protocol-specified drugs during the study, meets drug stable duration requirements, as applicable.
Exclusion criteria 13
- Has any arthritis with onset before age 17 years or current diagnosis of inflammatory joint disease other than PsA (such as, but not limited to, rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, myositis, etc), or any other conditions that may interfere with the assessment of PsA.
- Has a skin condition diagnosis, other than psoriasis that may interfere with the assessment of psoriasis.
- Has a diagnosis of fibromyalgia that has been active within the 12 months before randomization or would have the potential to interfere with efficacy assessments.
- Has a transplanted organ and requires continued systemic immunosuppression.
- Has a history of cancer (except fully treated nonmelanoma skin cancers or cervical carcinoma in situ after complete surgical removal) and is disease free for <5 years before randomization.
- Has had a diagnostic evaluation suggestive of malignancy (eg, chest or breast imaging) and the possibility of malignancy cannot be reasonably excluded following additional clinical assessments.
- Has a known infection with hepatitis B virus, hepatitis C virus, or human immunodeficiency virus.
- Has any active infection.
- Has active tuberculosis.
- Has had major surgery within 3 months before Screening or has a major surgery (ie, surgical procedure requiring general anesthesia) planned during the study.
- Has had joint surgery at joints to be assessed in the study ≤8 weeks before randomization.
- Has had inadequate response, intolerance, or treatment with a targeted synthetic DMARD for ≥8 weeks.
- Has received an intra-articular, trigger point, tender point, intra-bursa, or intra-tendon sheath injection <8 weeks before randomization.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Number of Participants Achieving American College of Rheumatology 20% Response Criteria (ACR20) at Week 16
Secondary endpoints 5
- Number of Participants Achieving American College of Rheumatology 50% Response Criteria (ACR50) at Week 16
- Number of Participants Achieving American College of Rheumatology 70% Response Criteria (ACR70) at Week 16
- Mean Change from Baseline in the Health Assessment of Questionnaire Disability Index (HAQ-DI) at Week 16
- Number of Participants Who Experience One or More Adverse Events (AEs)
- Number of Participants Who Discontinue Study Intervention Due to an AE
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10740873 · Product
- Active substance
- Tulisokibart
- Pharmaceutical form
- SOLUTION FOR INJECTION IN PRE-FILLED INJECTOR
- Route of administration
- OTHER USE
- Max daily dose
- 0 % (V/V) percent volume/volume
- Max total dose
- 0 % (V/V) percent volume/volume
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Merck Sharp & Dohme LLC
- Sponsor organisation
- Merck Sharp & Dohme LLC
- Address
- 126 East Lincoln Avenue, P. O. Box 2000 P. O. Box 2000
- City
- Rahway
- Postcode
- 07065-4607
- Country
- United States
Scientific contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Sarah Chen
Public contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Sarah Chen
Third parties 7
| Organisation | City, country | Duties |
|---|---|---|
| Parexel International Corp. ORG-100007310
|
Auburndale, United States | Other |
| Syneos Health Clinique Inc. ORG-100028348
|
Quebec, Canada | Laboratory analysis |
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Interactive response technologies (IRT) |
| Q2 Solutions LLC ORG-100017000
|
Ithaca, United States | Other |
| ICON PLC ORL-000009078
|
Leopardstown, Dublin 18, Ireland | Laboratory analysis |
| Clario ORL-000017390
|
Philadelphia, United States | E-data capture |
| Sampled (formerly Infinity Biologix) ORL-000000382
|
Piscataway, NJ, United States | Other |
Locations
3 EU/EEA countries · 17 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Germany | Ongoing, recruiting | 15 | 6 |
| Poland | Ongoing, recruiting | 22 | 7 |
| Spain | Authorised, recruiting | 12 | 4 |
| Rest of world
Ukraine, Canada, United States, Chile, Colombia
|
— | 97 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Germany | 2026-05-08 | 2026-05-26 | |||
| Poland | 2026-05-08 | 2026-05-14 | |||
| Spain | 2026-05-08 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 29 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2025-520997-21_IN-RFI006_for pub | 02R |
| Protocol (for publication) | D4_Copyright statement_EN_IN_for pub | 04DEC2024 |
| Recruitment arrangements (for publication) | K1_Patient Visit Guide_OOS_DEU_DE_IN-RFI005_for pub | v00-1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_DEU_EN_IN_for pub | 1.00 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ESP_ES_IN_for pub | 13JUL2025 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_POL_PL_IN_for pub | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Advertisement_DEU_DE_SM01_for pub | v1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Digital Ad Pack_DEU_DE_SM01_for pub | v00-1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_DEU_DE_SM01_for pub | v00-1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Flyer_DEU_DE_SM01_for pub | v00-1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Letter_DEU_DE_SM01_for pub | v00-1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Poster_DEU_DE_SM01_for pub | v00-1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Poster_ESP_ES_IN_for pub | 00 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Recruitment Method_7105_ESP_ES_IN-RFI003_for pub | v0 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_POL_PL_IN_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_DEU_DE_IN-RFI008_for pub | 01R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ESP_ES_IN-RFI003_for pub | v0-01R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_POL_PL_IN_for pub | v01R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_add crossborder_DEU_DE_IN_for pub | 00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_add reimbursement_ESP_ES_IN_for pub | v0-00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_associated person_POL_PL_IN_for pub | v0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_extension period_DEU_DE_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_extension period_ESP_ES_IN_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_extension period_POL_PL_IN_for pub | v0-00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnancy follow-up_ESP_ES_IN_for pub | 0.00 |
| Synopsis of the protocol (for publication) | D1_PPLS_2025-520997-21_DEU_DE_IN_for pub | 1.00 |
| Synopsis of the protocol (for publication) | D1_PPLS_2025-520997-21_EN_IN_for pub | 1.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2025-520997-21_ESP_ES_IN_for pub | 1.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2025-520997-21_POL_PL_IN_for pub | 1.0 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2026-01-08 | Germany | Acceptable 2026-04-28
|
2026-04-30 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-05-07 | Germany | Acceptable | 2026-06-03 |