A Study Evaluating the Efficacy and Safety of Guselkumab Administered Subcutaneously in Participants With Active Psoriatic Arthritis Including Those Previously Treated With Biologic Anti -Tumor Necrosis Factor (TNF) Alpha Agent(s)
Condition: Arthritis, Psoriatic
MeSH terms: Arthritis; Arthritis, Psoriatic
Intervention: Guselkumab; Placebo
Intervention description: Participants will receive 100mg of guselkumab as a sterile liquid for SC injection.; Participants will receive matching placebo as SC injection.
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Enrollment: 383.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      The primary purpose of this study is to evaluate the efficacy of guselkumab treatment in
      participants with active Psoriatic Arthritis (PsA) by assessing the reduction in signs and
      symptoms of PsA.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Have a diagnosis of Psoriatic Arthritis (PsA) for at least 6 months before the first
             administration of study agent and meet Classification criteria for Psoriatic Arthritis
             (CASPAR) at screening

          -  Have active PsA as defined by: at least 3 swollen joints and at least 3 tender joints
             at screening and at baseline; and C-reactive protein (CRP) greater than or equal to
             (>=) 0.3 milligram per deciLitre (mg/dL) at screening from the central laboratory

          -  Have at least 1 of the 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 or documented history of
             plaque psoriasis

          -  Have active PsA despite previous non-biologic disease-modifying antirheumatic drugs
             (DMARD), apremilast, and/or nonsteroidal anti-inflammatory drug (NSAID) therapy :
             Non-biologic DMARD therapy is defined as taking a non-biologic DMARD for at least 3
             months or evidence of intolerance; Apremilast therapy is defined as taking apremilast
             at the marketed dose approved in the country where the study is being conducted for at
             least 4 months or evidence of intolerance; NSAID therapy is defined as taking an NSAID
             for at least 4 weeks or evidence of intolerance

          -  Participants may have been previously treated with up to 2 anti-TNF (tumor necrosis
             factor) alpha agents (approximately 30 percent [%] of the overall study population),
             and must document the reason for discontinuation

        Exclusion Criteria:

          -  Has other inflammatory diseases that might confound the evaluations of benefit of
             guselkumab therapy, including but not limited to rheumatoid arthritis (RA), axial
             spondyloarthritis (this does not include a primary diagnosis of PsA with spondylitis),
             systemic lupus erythematosus, or Lyme disease

          -  Has ever received more than 2 anti-TNFalpha agents

          -  Has previously received any biologic treatment (other than anti-TNF alpha agents),
             including, but not limited to ustekinumab, abatacept, secukinumab, tildrakizumab,
             ixekizumab, brodalumab, risankizumab, or other investigative biologic treatment

          -  Has previously received any systemic immunosuppressants (for example, azathioprine,
             cyclosporine, 6 thioguanine, mercaptopurine, mycophenolate mofetil, hydroxyurea,
             tacrolimus) within 4 weeks of the first administration of study agent

          -  Has received apremilast within 4 weeks prior to the first administration of study
             agent

          -  Has previously received tofacitinib, baricitinib, filgotinib, peficitinib (ASP015K),
             decernotinib (VX-509), or any other Janus kinase (JAK) inhibitor