A Randomized, Double-blind, Placebo-controlled Phase III Study of Secukinumab to Demonstrate the Efficacy at 16 Weeks and to Assess the Long-term Safety, Tolerability and Efficacy up to 3 Years in Subjects With Active Ankylosing Spondylitis
Overview
- Phase
- Phase 3
- Intervention
- Secukinumab
- Conditions
- Spondylitis, Ankylosing
- Sponsor
- Novartis Pharmaceuticals
- Enrollment
- 226
- Locations
- 1
- Primary Endpoint
- Number of Participants With 20% Improvement in the Assessment of Spondyloarthritis International Society Criteria Scale / ASAS 20 Response
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study was to generate 16-week efficacy data, as well as up to 3-year efficacy, safety and tolerability data in subjects with active AS despite current or previous NSAID, DMARD and/or anti-TNF therapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
Secukinumab 10 mg/kg i.v. / 300 mg s.c.
Three i.v. infusions: at Baseline and weeks 2 and 4, followed by one s.c. injection every four weeks until the end of the study.
Intervention: Secukinumab
Secukinumab 10 mg/kg i.v. / 150 mg s.c.
Three i.v. infusions: at Baseline and weeks 2 and 4, followed by one s.c. injection every four weeks until the end of the study.
Intervention: Secukinumab
Placebo i.v. and s.c.
Three i.v. infusions: at Baseline and weeks 2 and 4, followed by one s.c. injection at weeks 8 and 12. At week 16, patients were re-randomised to one of the active treatment arms, to receive secukinumab s.c. Q4W until the end of the study.
Intervention: Placebo secukinumab
Outcomes
Primary Outcomes
Number of Participants With 20% Improvement in the Assessment of Spondyloarthritis International Society Criteria Scale / ASAS 20 Response
Time Frame: 16 weeks
ASAS 20 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 20% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS 20 was used to assess the efficacy of at least one dose of secukinumab versus placebo.
Secondary Outcomes
- ASAS Partial Remission(16 weeks)
- ASAS 5/6 Response(16 weeks)
- Number of Participants With Successful Self-administration (to Measure Usability of Pre-filled Syringe)(Week 8 and Week 12)
- Prefilled Syringe Patient Satisfaction Assessment(Baseline, weeks 8, 12 and 16)
- ASAS 40 Response(16 weeks)
- Serum hsCRP(Baseline and 16 weeks)
- Bath Ankylosing Spondylitis Disease Activity Index / BASDAI(Baseline and 16 weeks)
- Pre-filled Syringe Possible Hazard(Week 8 and Week 12)