Clinical trial Recruiting at 323 sites Phase 3 Interventional Ages 40 and up

Long-term safety of deucravacitinib versus ustekinumab for plaque psoriasis (PRAGMATYK)

Official 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

Run by Bristol-Myers Squibb · NCT07116967 · Data updated 2026-11-12

This study will test whether deucravacitinib or ustekinumab has better long-term safety for adults with moderate-to-severe plaque psoriasis who have cardiovascular risk factors.

More Plaque Psoriasis trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages40 Years and up
SexAll
Enrollment3040 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsustekinumab, Deucravacitinib
Locations411 sites (Birmingham, Alabama and 410 other locations)
StatusRecruiting
StartedSeptember 22, 2025
Main results expectedJanuary 16, 2031
Study endsJanuary 16, 2031
Registry record updatedOctober 28, 2026
Trial IDNCT07116967 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with moderate-to-severe plaque psoriasis who are candidates for phototherapy or systemic therapy and who have one or more cardiovascular risk factors (for example smoking, hypertension, high cholesterol, diabetes, obesity, prior cardiovascular event, or relevant family history).

Probably not a fit

Patients with only mild psoriasis who are not candidates for systemic therapy, or those with recent major cardiovascular events who are excluded from the trial, are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Participants with moderate-to-severe plaque psoriasis who are candidates for systemic therapy and who have at least one cardiovascular risk factor will receive either deucravacitinib or ustekinumab and be followed over time for safety outcomes. The primary focus is on long-term adverse events, including cardiovascular events, and overall tolerability of the two treatments. Eligible participants include current smokers, people with hypertension, hyperlipidemia, diabetes, obesity, prior cardiovascular events, or a family history of premature coronary disease. The trial is sponsored by Bristol-Myers Squibb and is conducted at selected U.S. dermatology centers.

Why it matters

Potential benefit: If successful, the results could identify which medicine carries lower long-term cardiovascular and overall safety risks for psoriasis patients with cardiovascular risk factors.

How similar studies have gone: Both deucravacitinib and ustekinumab have shown efficacy and acceptable safety in prior trials, but direct long-term comparisons focused on cardiovascular outcomes are limited, so this approach is partly novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants with moderate-to-severe plaque psoriasis:

  1. Deemed by the Investigator to be a candidate for phototherapy or systemic treatment for psoriasis, including ustekinumab;
  2. 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.

Where it's running

  • Medical Dermatology Specialists - Phoenix
    Phoenix, Arizona, United States
    Recruiting
  • Saguaro Dermatology - Phoenix
    Phoenix, Arizona, United States
    Recruiting
  • Omni Dermatology
    Phoenix, Arizona, United States
    Recruiting
  • Alliance Dermatology
    Phoenix, Arizona, United States
    Recruiting
  • Scottsdale Clinical Trials
    Scottsdale, Arizona, United States
    Recruiting
  • Omni Dermatology
    Tempe, Arizona, United States
    Recruiting
Show 44 more locations
  • Clinical Trials Institute of Northwest Arkansas
    Bentonville, Arkansas, United States
    Recruiting
  • Northwest Arkansas Clinical Trials Center (NWACTC), PLLC
    Rogers, Arkansas, United States
    Recruiting
  • California Dermatology & Clinical Research Institute
    Encinitas, California, United States
    Recruiting
  • T. Joseph Raoof MD Inc
    Encino, California, United States
    Recruiting
  • First OC Dermatology - Fountain Valley
    Fountain Valley, California, United States
    Recruiting
  • Center For Dermatology Clinical Research, Inc.
    Fremont, California, United States
    Recruiting
  • Marvel Clinical Research
    Huntington Beach, California, United States
    Recruiting
  • Dermatology Research Associates - Howard Sofen, MD
    Los Angeles, California, United States
    Recruiting
  • Wallace Skin & Body Institute
    Los Angeles, California, United States
    Recruiting
  • Cura Clinical Research - Palmdale
    Palmdale, California, United States
    Recruiting
  • Pasadena Clinical Trials
    Pasadena, California, United States
    Recruiting
  • Empire Clinical Research - Pomona
    Pomona, California, United States
    Recruiting
  • Integrative Skin Science and Research
    Sacramento, California, United States
    Recruiting
  • UC Davis Dermatology Clinic
    Sacramento, California, United States
    Recruiting
  • Cura Clinical Research - Santa Clarita
    Santa Clarita, California, United States
    Recruiting
  • Institute of Clinical Research and Consulting, Inc., d/b/a Clinical Science Institute
    Santa Monica, California, United States
    Recruiting
  • Advanced Dermatology and Skin Cancer Institute - Beverly Hills
    Sherman Oaks, California, United States
    Recruiting
  • Unison Clinical Trials
    Sherman Oaks, California, United States
    Recruiting
  • Golden State Dermatology - Ygnacio Valley Road
    Walnut Creek, California, United States
    Recruiting
  • Clarity Dermatology PLLC - Castle Rock
    Castle Rock, Colorado, United States
    Recruiting
  • Skin Care Research LLC (SCR) - Boca Raton
    Boca Raton, Florida, United States
    Recruiting
  • Florida Academic Dermatology Center
    Coral Gables, Florida, United States
    Recruiting
  • Accel Research Sites - Maitland Clinical Research Unit
    Maitland, Florida, United States
    Recruiting
  • Driven Research LLC
    Miami, Florida, United States
    Recruiting
  • Miami Dermatology and Laser Research
    Miami, Florida, United States
    Recruiting
  • International GCC Research
    Miami, Florida, United States
    Recruiting
  • BioResearch Partner (BRP) - Miami
    Miami, Florida, United States
    Recruiting
  • Renstar Medical Research
    Ocala, Florida, United States
    Recruiting
  • LENUS Research
    Sweetwater, Florida, United States
    Recruiting
  • Hamilton Dermatology (Atlanta Dermatology, Vein & Research Center, LLC)
    Alpharetta, Georgia, United States
    Recruiting
  • Velocity Clinical Research, Savannah
    Savannah, Georgia, United States
    Recruiting
  • Endeavor Health Clinical Trials
    Skokie, Illinois, United States
    Recruiting
  • Deaconess Clinic Downtown
    Evansville, Indiana, United States
    Recruiting
  • Dawes Fretzin Clinical Research Group, LLC
    Indianapolis, Indiana, United States
    Recruiting
  • Southern Indiana Clinical trials
    New Albany, Indiana, United States
    Recruiting
  • Equity Medical - Bowling Green
    Bowling Green, Kentucky, United States
    Recruiting
  • Physician Skin Care, PLLC
    Louisville, Kentucky, United States
    Recruiting
  • Clinical Trials Management, LLC - Northshore Office
    Covington, Louisiana, United States
    Recruiting
  • Shondra L. Smith, MD - Dermatology and Advanced Aesthetics
    Lake Charles, Louisiana, United States
    Recruiting
  • Clinical Trials Management
    Metairie, Louisiana, United States
    Recruiting
  • Tulane University School of Medicine - Tulane Dermatology & Multispecialty Clinic
    New Orleans, Louisiana, United States
    Recruiting
  • Lawrence J. Green, MD. LLC
    Rockville, Maryland, United States
    Recruiting
  • U.S. Dermatology Partners Rockville
    Rockville, Maryland, United States
    Recruiting
  • Metro Boston Clinical Partners
    Brighton, Massachusetts, United States
    Recruiting

+361 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.