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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 3040 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | ustekinumab, Deucravacitinib |
| Locations | 411 sites (Birmingham, Alabama and 410 other locations) |
| Status | Recruiting |
| Started | September 22, 2025 |
| Main results expected | January 16, 2031 |
| Study ends | January 16, 2031 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07116967 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
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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
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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
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.