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A Phase 3 Study of Brodalumab in Subjects with Axial Spondyloarthritis (axSpA)

Phase 3
Completed
Conditions
Axial Spondyloarthritis (axSpA)
Registration Number
JPRN-jRCT2080223394
Lead Sponsor
Kyowa Kirin Co., Ltd.
Brief Summary

Brodalumab 210 mg was demonstrated to have efficacy in the primary endpoint and the secondary endpoints. Regarding safety, there was no difference from safety profile of brodalumab, which has been confirmed to date for other diseases such as psoriasis. Thus, efficacy and safety of brodalumab 210 mg were demonstrated for axSpA (AS and nr-axSpA) subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
completed
Sex
All
Target Recruitment
159
Inclusion Criteria

Subject with age at onset <45 years and continuous chronic back pain for >= 3 months fulfills the ASAS classification criteria of axial spondyloarthritis (with the exception of the Crohn's disease)
-Subject has Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score >= 4 at screening and enrollment
-Subject has spinal pain score (BASDAI question #2)>= 4 at screening and enrollment
-Subject has had adequate therapy with non-steroidal anti-inflammatory drugs (oral NSAIDs) for back pain for at least 3 months with inadequate treatment response before enrollment

Exclusion Criteria

-Complete ankylosis (fusion) of the spine
-Subject with active ongoing inflammatory diseases other than axSpA that might confound the evaluation of Brodalumab therapy, including reactive arthritis, spondyloarthritis associated with inflammatory bowel disease, SAPHO syndrome (pustulotic arthro-osteitis), fibromyalgia, ankylosing spinal hyperostosis, osteitis condensans ilii, spondylosis deformans, or osteoarthritis sacroiliac joint disease
-Subject has a prior history of >1 anti-tumor necrosis factor therapy
-Subject has a history or evidence of suicidal ideation (severity of 4 or 5) or any suicidal behavior based on an assessment with the Columbia-Suicide Severity Rating Scale (C-SSRS) at enrollment
-Subject has a history or evidence of a psychiatric disorder, alcohol and/or substance
abuse
-Subject has severe depression based on a total score of >= 15 on the Patient Health Questionnaire-8 (PHQ-8) at enrollment (note: subjects with a total score of 10 to 14 on the PHQ-8 should be referred to a mental health care professional)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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