Efficacy and Safety Study of Secukinumab in Chinese Participants With Non-radiographic Axial Spondyloarthritis
- Conditions
- Non-radiographic Axial Spondyloarthritis
- Interventions
- Drug: Placebo
- Registration Number
- NCT04732117
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
The purpose of this study is to evaluate efficacy, safety and tolerability of secukinumab in Chinese patients with active nr-axSpA. Treatment difference of secukinumab 150mg vs. placebo in Chinese nr-axSpA patients in terms of ASAS 40 response rate as well as safety profile will be provided by the study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 138
- Male or non-pregnant, non-nursing female patients at least 18 years of age
- Diagnosis of axial spondyloarthritis according to Ankylosing SpondyloArthritis International Society (ASAS) axial spondyloarthritis criteria
- Objective signs of inflammation (magnetic resonance imaging (MRI) or abnormal C-reactive protein)
- Active axial spondyloarthritis as assessed by total Bath Ankylosing Spondylitis Disease Activity Index >=4 cm
- Spinal pain as measured by Bath Ankylosing Spondylitis Disease Activity Index question #2 ≥ 4 cm (0-10 cm) at baseline
- Total back pain as measured by Visual Analogue scale ≥ 40 mm (0-100 mm) at baseline
- Patients should have been on at least 2 different non-steroidal anti-inflammatory drugs with an inadequate response
- Patients who have been on a TNFα inhibitor (not more than one) must have experienced an inadequate response
- Patients with radiographic evidence for sacroiliitis, grade ≥ 2 bilaterally or grade ≥ 3 unilaterally
- Inability or unwillingness to undergo MRI
- Chest X-ray or MRI with evidence of ongoing infectious or malignant process
- Patients taking high potency opioid analgesics
- Previous exposure to secukinumab or any other biologic drug directly targeting interleukin-17 (IL-17) or IL-17 receptor
- Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria may apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Secukinumab Arm Secukinumab Secukinumab 150 mg PFS s.c. Placebo Arm Placebo Placebo 150mg PFS s.c.
- Primary Outcome Measures
Name Time Method The proportion of TNF-α naive participants achieving an ASAS40 response (Assessment of SpondyloArthritis International Society criteria). Week 16 ASAS40 response is defined as an improvement of
* 40% and an absolute improvement from baseline of
* 2 units on a 10-point scale in at least three of the four main domains and no worsening assessed at all in the remaining domain.
Main ASAS domains:
1. Patient's global assessment of disease activity measured on a VAS scale
2. Patient's assessment of back pain, represented by either total or nocturnal pain scores, both measured on a VAS scale
3. Function represented by BASFI average of 10 questions regarding ability to perform specific tasks as measured by VAS scale
4. Inflammation represented by mean duration and severity of morning stiffness, represented by the average of the last 2 questions on the 6-question BASDAI as measured by VAS scale
- Secondary Outcome Measures
Name Time Method The proportion of participants meeting the ASAS 5/6 response criteria. Week 16 ASAS 5/6 response is defined as an improvement of
≥20% in at least five of all six domains.The change from baseline in total Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Week 16 The BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) consists of a 0 through 10 scale (0 being no problem and 10 being the worst problem, captured as a continuous VAS), which is used to answer 6 questions pertaining to the 5 major symptoms of AS.
The change from baseline in total Bath Ankylosing Spondylitis Functional Index (BASFI). Week 16 The BASFI (Bath Ankylosing Spondylitis Functional Index) is a set of 10 questions designed to determine the degree of functional limitation in those patients with AS.
The proportion of participants achieving BASDAI 50. Week 16 BASDAI 50 is defined as an improvement of at least 50% in the BASDAI total score compared to baseline.
The change from baseline of high sensitivity C-Reactive Protein (hsCRP). Week 16 High sensitivity C-reactive protein is measured as a marker of inflammation from blood samples during the study
The change from baseline in sacroiliac joint (SIJ) edema on MRI. Week 16 MRI assessment of edema score of the Sacroiliac Joint.
The proportion of overall participants achieving an ASAS40 response. Week 16 ASAS40 response is defined as an improvement of
* 40% and an absolute improvement from baseline of
* 2 units on a 10-point scale in at least three of the four main domains and no worsening assessed at all in the remaining domain.The change from baseline in Ankylosing Spondylitis Quality of Life (ASQoL) scores. Week 16 The ASQoL (Ankylosing Spondylitis Quality of Life scores) is an instrument to measure health-related quality of life among patients with Ankylosig spondylosrthritis.
The proportion of participants achieving ASAS partial remission. Week 16 ASAS partial remission is defined as a value not above 2 units in each of the four main ASAS domains on a 10-point scale.
The proportion of participants achieving an ASAS20 response. Week 16 ASAS20 response is defined as an improvement of
≥20% and an absolute improvement from baseline of ≥1 unit on a 10-point scale in at least three of the four main domains and no worsening of ≥20% and ≥1 unit at all in the remaining domain.The change from baseline in Short Form-36 Physical Component Summary (SF-36 PCS). Week 16 The SF-36 (Short Form-36 Physical Component Summary) is an instrument to measure health-related quality of life among healthy patients and patients with acute and chronic conditions.
overall safety and tolerability of secukinumab. up to Week 52 Number of participants with adverse events (AE) serious adverse events (SAE), clinically significant changes in laboratory value and vital signs.
Trial Locations
- Locations (1)
Novartis Investigative Site
🇨🇳Zhejiang, China