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NCT Number: NCT07116967

Long-Term Safety Study of Deucravacitinib Versus Ustekinumab in Participants With Psoriasis (PRAGMATYK)

A study to evaluate the long-term safety of Deucravacitinib versus Ustekinumab in participants with psoriasis

Recruiting

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Key information

Conditions

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Consultorios Reumatológicos Pampa, C.a.b.a., Buenos Aires, Argentina

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants with moderate-to-severe plaque psoriasis:
  • Deemed by the Investigator to be a candidate for phototherapy or systemic treatment for psoriasis, including ustekinumab;
  • Have at least 1 of the following cardiovascular risk factors:
  • Current cigarette smoker
  • Diagnosis of hypertension
  • Diagnosis of hyperlipidemia
  • Diabetes mellitus type 1 or 2
  • History of one or more of the following cardiovascular events: Coronary intervention (PCI) or coronary artery bypass grafting (CABG), myocardial infarction (heart attack), cardiac arrest, hospitalization for unstable angina, acute coronary syndrome, stroke, or transient ischemic attack
  • Obesity
  • Family history of premature coronary heart disease or sudden death in a first-degree male relative younger than 55 years of age or in a first-degree female relative younger than 65 years of age.

Exclusion criteria

  • Participants must not have recent history of 1 of the following cardiovascular events: MI, stroke, or coronary revascularization, or VTE within 90 days prior to Day 1.
  • Participants must not have unstable CVD, defined as a recent clinical cardiovascular event (eg, unstable angina, rapid atrial fibrillation), or a cardiac hospitalization (eg, pacemaker implantation, HF) within 90 days prior to Day 1.
  • Participants must not have evidence of active cancer or history of cancer (solid organ or hematologic malignancy including myelodysplastic syndrome) or lymphoproliferative disease within the previous 5 years (other than resected cutaneous basal cell or squamous cell carcinoma, or carcinoma of cervix in situ that has been treated with no evidence of recurrence).
  • Other protocol define inclusion/exclusion criteria apply.

Treatment and study plan

Deucravacitinib

Drug

Specified dose on specified days

Other names: SOTYKTU

Ustekinumab

Drug

Specified dose on specified days

Primary outcomes

  1. Composite cardiovascular adjudicated 3-point major adverse cardiovascular event (MACE) plus coronary revascularization

    Time frame: Up to 5 years

    MACE defined as non-fatal myocardial infarction [MI], nonfatal stroke, and cardiovascular death

Secondary outcomes

  1. Number of participants with non-fatal MI

    Time frame: Up to 5 years

  2. Number of participants with non-fatal stroke

    Time frame: Up to 5 years

  3. Death due to cardiovascular events

    Time frame: Up to 5 years

  4. Number of participants with coronary revascularization

    Time frame: Up to 5 years

  5. Number of participants with 3-point MACE (non-fatal MI, non-fatal stroke, and cardiovascular death)

    Time frame: Up to 5 years

  6. Number of participants with pulmonary embolism (PE)

    Time frame: Up to 5 years

  7. Number of participants with deep vein thrombosis (DVT)

    Time frame: Up to 5 years

  8. Number of participants with composite venous thromboembolism (VTE)

    Time frame: Up to 5 years

    PE, DVT and retinal vein occlusion

  9. Number of participants with arterial thromboembolic events (including retinal artery occlusion)

    Time frame: Up to 5 years

  10. Number of participants with heart failure (HF) requiring hospitalization or urgent visit

    Time frame: Up to 5 years

  11. Number of participants with Malignancy excluding non-melanoma skin cancer (NMSC)

    Time frame: Up to 5 years

  12. Number of participants with NMSC

    Time frame: Up to 5 years

  13. Number of participants with opportunistic infections

    Time frame: Up to 5 years

    Opportunistic infections include tuberculosis and complicated herpes zoster (eg, disseminated herpes zoster, affecting more than 2 dermatomes, ophthalmic or meningoencephalopathic involvement, and other atypical presentations)

  14. Number of participants with Serious AEs (SAEs)

    Time frame: Up to 60 days after last dose

  15. All-cause mortality

    Time frame: Up to 60 days after last dose

  16. AEs leading to permanent treatment discontinuation

    Time frame: Up to 60 days after last dose

  17. Change from baseline in liver function test

    Time frame: Up to 60 days after last dose

  18. Change from baseline in fasting lipid panel

    Time frame: Up to 60 days after last dose

Study contacts

Contact information is provided by the study sponsor or research team.

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

CONTACT

[email protected]

855-907-3286

First line of the email MUST contain NCT # and Site #.

CONTACT

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

A Phase 3b/4 Multi-center, Randomized, Open-label, Long-term Safety Study of Deucravacitinib in Comparison to Ustekinumab in Participants With Moderate-to-Severe Plaque Psoriasis

Important dates

Study start
2025
Primary completion
2031
Study completion
2031
First posted
Aug 12, 2025
Registry last updated
Jul 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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