Safety and Efficacy of Secukinumab Compared to Etanercept... | NCT01358578 | Trialant
NCT01358578
Sponsor
Novartis Pharmaceuticals
Status
Completed
Last Update Posted
Jan 5, 2021Actual
Enrollment
1,306Actual
Phase
Phase 3
Conditions
Chronic Plaque Psoriasis
Interventions
Placebo
secukinumab (AIN457)
etanercept
Countries
United States
Argentina
Australia
Belgium
Canada
Colombia
Egypt
Finland
France
Germany
Guatemala
Hungary
Iceland
India
Italy
Philippines
Poland
Romania
Singapore
South Korea
Spain
Sweden
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT01358578
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CAIN457A2303
Secondary IDs
ID
Type
Description
Link
2010-022228-66
Brief Title
Safety and Efficacy of Secukinumab Compared to Etanercept in Subjects With Moderate to Severe, Chronic Plaque-Type Psoriasis
Official Title
A Randomized, Double-blind, Double-dummy, Placebo Controlled, Multicenter Study of Subcutaneous Secukinumab to Demonstrate Efficacy After Twelve Weeks of Treatment, Compared to Placebo and Etanercept, and to Assess the Safety, Tolerability and Long-term Efficacy up to One Year in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis
Acronym
FIXTURE
Organization
NovartisINDUSTRY
Status Module
Record Verification Date
Mar 2019
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jun 2011
Primary Completion Date
Jul 2013Actual
Completion Date
Jul 2013Actual
First Submitted Date
May 20, 2011
First Submission Date that Met QC Criteria
May 20, 2011
First Posted Date
May 23, 2011Estimated
Results Waived
Not provided
Results First Submitted Date
Feb 16, 2015
Results First Submitted that Met QC Criteria
Aug 20, 2015
Results First Posted Date
Sep 23, 2015Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Dec 9, 2020
Last Update Posted Date
Jan 5, 2021Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Novartis PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study will assess the safety and efficacy of secukinumab compared to placebo and etanercept in patients that have moderate to severe, chronic, plaque-type psoriasis.
Detailed Description
Not provided
Conditions Module
Conditions
Chronic Plaque Psoriasis
Keywords
Psoriasis,
inflammatory skin disease,
scaly patches
Psoriasis
inflammatory skin disease
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
1,306Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
AIN457 150mg
Experimental
AIN457 150mg
Drug: Placebo
Drug: secukinumab (AIN457)
AIN457 300mg
Experimental
AIN457 300mg
Drug: Placebo
Drug: secukinumab (AIN457)
Placebo
Placebo Comparator
Placebo
Drug: Placebo
Etanercept
Active Comparator
Etanercept
Drug: Placebo
Drug: etanercept
AIN457 150mg from Placebo
Experimental
Patients randomized to AIN457 150mg in Maintenance phase when they were on Placebo in Induction Phase
Drug: Placebo
Drug: secukinumab (AIN457)
AIN457 300mg from Placebo
Experimental
Patients randomized to AIN457 300mg in Maintenance phase when they were on Placebo in Induction Phase
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Placebo
Drug
Placebo to Match secukinumab (AIN457) 150mg or 300mg or Placebo to match etanercept
AIN457 150mg
AIN457 150mg from Placebo
AIN457 300mg
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Efficacy of Secukinumab Compared to Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 75 (Psoriasis Area and Severity Index) .
A 75% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 75) is the current benchmark of primary endpoints for most clinical trials of psoriasis
12 wks
Efficacy of Secukinumab Compared to Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure:IGA (Investigator's Global Assessment) Mod 2011 With a 0 or 1 Response at Week 12
The IGA mod 2011 scale has been developed based on a previous version of the scale used in secukinumab phase II studies in collaboration with health authorities, in particular the FDA. The explanations/descriptions of the points on the scale have been improved to ensure appropriate differentiation between the points. The IGA mod 2011 used in this study is static, i.e. it refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit.IGA mod 2011 has a scale of 0-4 with the lower scores correlating to better performance. A score of 0= clear skin, 1= almost clear skin, 2=mild, 3=moderate,4=severe.
12 wks
Secondary Outcomes
Measure
Description
Time Frame
Efficacy of Secukinumab Compared to Etanercept and Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 90 at Week 12
A 90% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 90) is above current benchmark of primary endpoints for most clinical trials of psoriasis
12 wks
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Subjects with chronic, plaque-type psoriasis for at least 6 months
Must have moderate to severe psoriasis based on PASI greater than 12, IGA greater than 3, and greater than 10% body surface area
Must be inadequately controlled by prior treatments (topicals, phototherapy, and/or systemic therapies)
Exclusion Criteria:
Forms of psoriasis other than chronic, plaque-type (such as pustular, erythrodermic and guttate psoriasis)
Drug induced psoriasis
Use of other psoriasis treatments during the study
Prior use of etanercept
Prior use of secukinumab or any other drug that target IL-17 (interleukin 17) or the IL-17 receptor
Pregnant or lactating women; women who do not agree to use contraception during the study and for 16 weeks after stopping treatment
Significant medical problems such as uncontrolled high blood pressure, congestive heart failure, etc.
History of an ongoing, chronic or recurrent infection or evidence of tuberculosis
Allergy to rubber or latex
Other protocol-defined inclusion/exclusion criteria may apply
Sticherling M, Nikkels AF, Hamza AM, Kwong P, Szepietowski JC, El Sayed M, Ghislain PD, Khotko AA, Patekar M, Ortmann CE, Forrer P, Papanastasiou P, Keefe D. Secukinumab in Pediatric Patients with Plaque Psoriasis: Pooled Safety Analysis from Two Phase 3 Randomized Clinical Trials. Am J Clin Dermatol. 2023 Sep;24(5):821-835. doi: 10.1007/s40257-023-00782-8. Epub 2023 Jun 21.
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
Efficacy of Secukinumab Compared to Etanercept in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 75 at Week 12
A 75% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 75) is the current benchmark of primary endpoints for most clinical trials of psoriasis
12 wks
Efficacy of Secukinumab Compared to Etanercept in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: :IGA (Investigator's Global Assessment) Mod 2011 With a 0 or 1 Response at Week 12
The IGA mod 2011 scale has been developed based on a previous version of the scale used in secukinumab phase II studies in collaboration with health authorities, in particular the FDA. The explanations/descriptions of the points on the scale have been improved to ensure appropriate differentiation between the points. The IGA mod 2011 used in this study is static, i.e. it refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit.IGA mod 2011 has a scale of 0-4 with the lower scores correlating to better performance. A score of 0= clear skin, 1= almost clear skin, 2=mild, 3=moderate,4=severe.
12 wks
Maintenance of PASI 75 Response at Week 52 for Patients Who Were PASI 75 Responders at Week 12 (Non-responder Imputation)
52 wks
Maintenance of IGA Mod 2011 0 or 1 Response After 52 Weeks of Treatment for Subjects Who Were IGA Mod 2011 0 or 1 Responders After 12 Weeks of Treatment
52 wks
Change in Score From Baseline to Week 12 in Psoriasis Symptom Diary Items Itching, Pain and Scaling in AIN457 vs Placebo
Number of Participants Developing Anti-secukinumab Antibodies
Describes the number of participants tested positive for anti-secukinumab antibodies. It refers to the number of patients who had no positive values at baseline but developed them only after start of active study treatment (AIN457 or etanercept)
60 weeks
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Derived
Merola JF, McInnes IB, Deodhar AA, Dey AK, Adamstein NH, Quebe-Fehling E, Aassi M, Peine M, Mehta NN. Effect of Secukinumab on Traditional Cardiovascular Risk Factors and Inflammatory Biomarkers: Post Hoc Analyses of Pooled Data Across Three Indications. Rheumatol Ther. 2022 Jun;9(3):935-955. doi: 10.1007/s40744-022-00434-z. Epub 2022 Mar 19.
Houghton K, Patil D, Gomez B, Feldman SR. Correlation Between Change in Psoriasis Area and Severity Index and Dermatology Life Quality Index in Patients with Psoriasis: Pooled Analysis from Four Phase 3 Clinical Trials of Secukinumab. Dermatol Ther (Heidelb). 2021 Aug;11(4):1373-1384. doi: 10.1007/s13555-021-00564-2. Epub 2021 Jun 10.
Dehlin M, Fasth AER, Reinhardt M, Jacobsson LTH. Impact of psoriasis disease activity and other risk factors on serum urate levels in patients with psoriasis and psoriatic arthritis-a post-hoc analysis of pooled data from three phase 3 trials with secukinumab. Rheumatol Adv Pract. 2021 Feb 18;5(1):rkab009. doi: 10.1093/rap/rkab009. eCollection 2021.
Augustin M, Thaci D, Eyerich K, Pinter A, Radtke M, Lauffer F, Mrowietz U, Gerdes S, Pariser D, Lebwohl M, Sieder C, Melzer N, Reich K. Continued treatment with secukinumab is associated with high retention or regain of response. Br J Dermatol. 2020 Jan;182(1):67-75. doi: 10.1111/bjd.17991. Epub 2019 Jul 17.
Menter A, Cather JC, Jarratt M, Meng X, Guana A, Nyirady J. Efficacy of Secukinumab on Moderate-to-severe Plaque Psoriasis Affecting Different Body Regions: a Pooled Analysis of Four Phase 3 Studies. Dermatol Ther (Heidelb). 2016 Dec;6(4):639-647. doi: 10.1007/s13555-016-0140-7. Epub 2016 Aug 30.
Kircik L, Fowler J, Weiss J, Meng X, Guana A, Nyirady J. Efficacy of Secukinumab for Moderate-to-Severe Head and Neck Psoriasis Over 52 Weeks: Pooled Analysis of Four Phase 3 Studies. Dermatol Ther (Heidelb). 2016 Dec;6(4):627-638. doi: 10.1007/s13555-016-0139-0. Epub 2016 Aug 30.
Gottlieb AB, Langley RG, Philipp S, Sigurgeirsson B, Blauvelt A, Martin R, Papavassilis C, Mpofu S. Secukinumab Improves Physical Function in Subjects With Plaque Psoriasis and Psoriatic Arthritis: Results from Two Randomized, Phase 3 Trials. J Drugs Dermatol. 2015 Aug;14(8):821-33.
Langley RG, Elewski BE, Lebwohl M, Reich K, Griffiths CE, Papp K, Puig L, Nakagawa H, Spelman L, Sigurgeirsson B, Rivas E, Tsai TF, Wasel N, Tyring S, Salko T, Hampele I, Notter M, Karpov A, Helou S, Papavassilis C; ERASURE Study Group; FIXTURE Study Group. Secukinumab in plaque psoriasis--results of two phase 3 trials. N Engl J Med. 2014 Jul 24;371(4):326-38. doi: 10.1056/NEJMoa1314258. Epub 2014 Jul 9.
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
FG002
Placebo
s.c. placebo etanercept twice per week until Week 12 and s.c. placebo secukinumab (2 injections per dose) once per week for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks (at Weeks 4 and 8). Prior to receiving the Week 12 dose, all patients in the placebo group were assigned to the following treatment groups based on their PASI 75 response status at Week 12:
FG003
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c.
injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
FG004
AIN457 150mg From Placebo
Patients were on Placebo in induction phase and if they were PASI 75 non responders at week 12 were re randomized to AIN457 150 in maintenance
FG005
AIN457 300mg From Placebo
Patients were on Placebo in induction phase and if they were PASI 75 non responders at week 12 were re randomized to AIN457 300 in maintenance
FG000327 subjects
FG001327 subjects
FG002326 subjects
FG003326 subjects
FG0040 subjectsThese groups are populated after the induction period
FG0050 subjectsThese groups are populated after the induction period
COMPLETED
FG000315 subjects
FG001312 subjects
FG002301 subjects
FG003305 subjects
FG0040 subjectsThese groups are populated after the induction period
FG0050 subjectsThese groups are populated after the induction period
NOT COMPLETED
FG00012 subjects
FG00115 subjects
FG00225 subjects
FG00321 subjects
FG0040 subjects
FG0050 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0014 subjects
FG0022 subjects
FG0036 subjects
FG0040 subjects
FG0050 subjects
Lack of Efficacy
FG0000 subjects
FG0010 subjects
FG0029 subjects
FG0031 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0034 subjects
FG004
Physician Decision
FG0002 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG004
Protocol Deviation
FG0003 subjects
FG0015 subjects
FG0020 subjects
FG0033 subjects
FG004
technical problems
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0005 subjects
FG0015 subjects
FG00210 subjects
FG0036 subjects
FG004
Maintenance Period
Type
Comment
Milestone Data
STARTED
FG000315 subjects
FG001312 subjects
FG00217 subjects
FG003305 subjects
FG004142 subjects
FG005142 subjects
COMPLETED
FG000276 subjects
FG001290 subjects
FG00215 subjects
FG003263 subjects
FG004
NOT COMPLETED
FG00039 subjects
FG00122 subjects
FG0022 subjects
FG00342 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0017 subjects
FG0020 subjects
FG003
Follow-up Period
Type
Comment
Milestone Data
STARTED
FG000148 subjectsPatients prior to follow up who did not enter the extension study but received the 150 mg dose
FG001125 subjectsPatients prior to follow up who did not enter the extension study but received the 300 mg dose
FG00226 subjectscontains patients who participated in follow up period from induction and maintenance
FG003279 subjectscontains patients who participated in follow up period from induction and maintenance
FG0040 subjectsall placebo patients from induction were 1: 1 into either AIN457A 150 mg or 300 mg doses
FG0050 subjectsall placebo patients from induction were 1: 1 into either AIN457A 150 mg or 300 mg doses
COMPLETED
FG000138 subjects
FG001119 subjects
FG00221 subjectscontains patients who completed follow up period from induction and maintenance
FG003260 subjects
NOT COMPLETED
FG00010 subjects
FG0016 subjects
FG0025 subjects
FG00319 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0001 subjects
FG0011 subjects
FG0020 subjects
FG003
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
AIN457 150mg
AIN457 150mg
BG001
AIN457 300mg
AIN457 300mg
BG002
Placebo
Placebo
BG003
Etanercept
Etanercept
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000327
BG001327
BG002326
BG003326
BG0041306
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
<=18 years
BG0000
BG0010
BG0020
BG003
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00045.4± 12.92
BG00144.5± 13.19
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00091
BG001103
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG00028
BG00122
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Efficacy of Secukinumab Compared to Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 75 (Psoriasis Area and Severity Index) .
A 75% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 75) is the current benchmark of primary endpoints for most clinical trials of psoriasis
Posted
Number
participants achieving goal
12 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
Placebo
s.c. placebo etanercept twice per week until Week 12 and s.c. placebo secukinumab (2 injections per dose) once per week for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks (at Weeks 4 and 8). Prior to receiving the Week 12 dose, all patients in the placebo group were assigned to the following treatment groups based on their PASI 75 response status at Week 12:
Units
Counts
Participants
OG000327
OG001323
OG002324
Title
Denominators
Categories
Title
Measurements
OG000219
OG001249
OG00216
Primary
Efficacy of Secukinumab Compared to Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure:IGA (Investigator's Global Assessment) Mod 2011 With a 0 or 1 Response at Week 12
The IGA mod 2011 scale has been developed based on a previous version of the scale used in secukinumab phase II studies in collaboration with health authorities, in particular the FDA. The explanations/descriptions of the points on the scale have been improved to ensure appropriate differentiation between the points. The IGA mod 2011 used in this study is static, i.e. it refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit.IGA mod 2011 has a scale of 0-4 with the lower scores correlating to better performance. A score of 0= clear skin, 1= almost clear skin, 2=mild, 3=moderate,4=severe.
Posted
Number
participants acheiving goal
12 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
Secondary
Efficacy of Secukinumab Compared to Etanercept and Placebo in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 90 at Week 12
A 90% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 90) is above current benchmark of primary endpoints for most clinical trials of psoriasis
FAS
Posted
Number
participant who acheived goal
12 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c.
injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
Secondary
Efficacy of Secukinumab Compared to Etanercept in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: PASI 75 at Week 12
A 75% reduction in the Psoriasis Area and Severity Index (PASI) score (PASI 75) is the current benchmark of primary endpoints for most clinical trials of psoriasis
FAS
Posted
Number
participant who acheived goal
12 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c. injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
Secondary
Efficacy of Secukinumab Compared to Etanercept in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Measure: :IGA (Investigator's Global Assessment) Mod 2011 With a 0 or 1 Response at Week 12
The IGA mod 2011 scale has been developed based on a previous version of the scale used in secukinumab phase II studies in collaboration with health authorities, in particular the FDA. The explanations/descriptions of the points on the scale have been improved to ensure appropriate differentiation between the points. The IGA mod 2011 used in this study is static, i.e. it refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit.IGA mod 2011 has a scale of 0-4 with the lower scores correlating to better performance. A score of 0= clear skin, 1= almost clear skin, 2=mild, 3=moderate,4=severe.
FAS
Posted
Number
participant acheiving goal
12 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
Secondary
Maintenance of PASI 75 Response at Week 52 for Patients Who Were PASI 75 Responders at Week 12 (Non-responder Imputation)
Full analysis set
Posted
Number
participants who reached goal
52 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c. injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
Secondary
Maintenance of IGA Mod 2011 0 or 1 Response After 52 Weeks of Treatment for Subjects Who Were IGA Mod 2011 0 or 1 Responders After 12 Weeks of Treatment
Full analysis set
Posted
Number
participants who reached goal
52 wks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c. injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
Secondary
Change in Score From Baseline to Week 12 in Psoriasis Symptom Diary Items Itching, Pain and Scaling in AIN457 vs Placebo
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
Secondary
Change From Baseline to Week 12 in Psoriasis Symptom Diary Items Itching, Pain and Scaling in AIN457 vs Etanercept
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
Secondary
Number of Participants Developing Anti-secukinumab Antibodies
Describes the number of participants tested positive for anti-secukinumab antibodies. It refers to the number of patients who had no positive values at baseline but developed them only after start of active study treatment (AIN457 or etanercept)
Full Analysis Set
Posted
Number
# participants tested positive
60 weeks
ID
Title
Description
OG000
AIN457 150mg
s.c. secukinumab 150 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG001
AIN457 300mg
s.c. secukinumab 300 mg injection plus a placebo secukinumab injection once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48
OG002
PLACEBO-150 mg AIN457
Patients were on Placebo in induction phase and if they were PASI 75 non responders at week 12 were re randomized to AIN457 150 in maintenance
OG003
PLACEBO-300 mg AIN457
Time Frame
Not provided
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
INDUCTION-AIN457 150mg
INDUCTION-AIN457 150mg
7
327
157
327
EG001
INDUCTION-AIN457 300mg
INDUCTION-AIN457 300mg
4
326
145
326
EG002
INDUCTION-Placebo
INDUCTION-Placebo
6
327
121
327
EG003
INDUCTION-Etanercept
INDUCTION-Etanercept
3
323
130
323
EG004
ENTIRE-AIN457 150mg
ENTIRE-AIN457 150mg
18
327
225
327
EG005
ENTIRE-AIN457 300mg
ENTIRE-AIN457 300mg
21
326
230
326
EG006
ENTIRE-Any AIN457 150mg
ENTIRE-Any AIN457 150mg
24
469
297
469
EG007
ENTIRE-Any AIN457 300mg
ENTIRE-Any AIN457 300mg
27
467
316
467
EG008
ENTIRE-Placebo
ENTIRE-Placebo
7
327
122
327
EG009
ENTIRE-Etanercept
ENTIRE-Etanercept
20
323
213
323
EG010
FOLLOW UP-Any AIN457 150mg
FOLLOW UP-Any AIN457 150mg
2
148
25
148
EG011
FOLLOW UP-Any AIN457 300mg
FOLLOW UP-Any AIN457 300mg
2
125
11
125
EG012
FOLLOW UP-Placebo
FOLLOW UP-Placebo
0
27
7
27
EG013
FOLLOW UP-Etanercept
FOLLOW UP-Etanercept
2
278
59
278
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
ANAEMIA
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG0030 affected323 at risk
EG0040 affected327 at risk
EG0050 affected326 at risk
EG0060 affected469 at risk
EG0070 affected467 at risk
EG0080 affected327 at risk
EG0090 affected323 at risk
EG0100 affected148 at risk
EG0110 affected125 at risk
EG0120 affected27 at risk
EG0131 affected278 at risk
ANGINA PECTORIS
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ANGINA UNSTABLE
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ARTERIOSCLEROSIS CORONARY ARTERY
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CARDIAC ARREST
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
MITRAL VALVE INCOMPETENCE
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
MYOCARDIAL INFARCTION
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PALPITATIONS
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
BASEDOW'S DISEASE
Endocrine disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPERTHYROIDISM
Endocrine disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PARATHYROID GLAND ENLARGEMENT
Endocrine disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
THYROTOXIC CRISIS
Endocrine disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ANAL FISTULA
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
COLITIS ULCERATIVE
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CROHN'S DISEASE
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
DYSPHAGIA
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
INGUINAL HERNIA
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
OESOPHAGEAL FOOD IMPACTION
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
NON-CARDIAC CHEST PAIN
General disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
POLYSEROSITIS
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CHOLECYSTITIS
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CHOLECYSTITIS ACUTE
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ACUTE TONSILLITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ANAL ABSCESS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0011 affected326 at risk
EG0020 affected327 at risk
EG003
APPENDICITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CELLULITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
DIVERTICULITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HEPATITIS B
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PERIRECTAL ABSCESS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PHARYNGOTONSILLITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PYELONEPHRITIS ACUTE
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
SUBCUTANEOUS ABSCESS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
TONSILLITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
URINARY TRACT INFECTION
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ALCOHOL POISONING
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
CARTILAGE INJURY
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CLAVICLE FRACTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HEAD INJURY
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
JOINT DISLOCATION
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
LACERATION
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
LIGAMENT RUPTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
OVERDOSE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0011 affected326 at risk
EG0021 affected327 at risk
EG003
POST PROCEDURAL HYPOTHYROIDISM
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
POSTOPERATIVE RESPIRATORY DISTRESS
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
RADIUS FRACTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
RIB FRACTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0011 affected326 at risk
EG0020 affected327 at risk
EG003
TENDON INJURY
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
UPPER LIMB FRACTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPERGLYCAEMIA
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPOKALAEMIA
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ARTHRALGIA
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
BACK PAIN
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
BURSITIS
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CHONDROPATHY
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
INTERVERTEBRAL DISC PROTRUSION
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
JOINT INSTABILITY
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
MUSCULAR WEAKNESS
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
NECK PAIN
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
OSTEONECROSIS
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PSORIATIC ARTHROPATHY
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
ROTATOR CUFF SYNDROME
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
RENAL CANCER
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CEREBROVASCULAR ACCIDENT
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
FACIAL PARESIS
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HEADACHE
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPOAESTHESIA
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
SCIATICA
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
SYNCOPE
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
TRANSIENT ISCHAEMIC ATTACK
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
VIITH NERVE PARALYSIS
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
VITH NERVE PARALYSIS
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
DEPRESSION SUICIDAL
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
DRUG ABUSE
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
INSOMNIA
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
CALCULUS URETHRAL
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HAEMATURIA
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
RENAL COLIC
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PROSTATOMEGALY
Reproductive system and breast disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0011 affected326 at risk
EG0020 affected327 at risk
EG003
EPISTAXIS
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
INTERSTITIAL LUNG DISEASE
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
OROPHARYNGEAL PAIN
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
DERMATITIS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
DYSHIDROTIC ECZEMA
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
LICHEN SCLEROSUS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PAIN OF SKIN
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PSORIASIS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0022 affected327 at risk
EG003
ABSTAINS FROM ALCOHOL
Social circumstances
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
ARTERIAL OCCLUSIVE DISEASE
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
BEHCET'S SYNDROME
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPERTENSIVE CRISIS
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
CONJUNCTIVITIS
Eye disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0013 affected326 at risk
EG0021 affected327 at risk
EG0030 affected323 at risk
EG0043 affected327 at risk
EG0059 affected326 at risk
EG0063 affected469 at risk
EG00710 affected467 at risk
EG0081 affected327 at risk
EG0093 affected323 at risk
EG0100 affected148 at risk
EG0111 affected125 at risk
EG0120 affected27 at risk
EG0130 affected278 at risk
ABDOMINAL PAIN
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0013 affected326 at risk
EG0024 affected327 at risk
EG003
ABDOMINAL PAIN UPPER
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0004 affected327 at risk
EG0012 affected326 at risk
EG0024 affected327 at risk
EG003
DIARRHOEA
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG00012 affected327 at risk
EG00117 affected326 at risk
EG0026 affected327 at risk
EG003
NAUSEA
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0006 affected327 at risk
EG0018 affected326 at risk
EG0027 affected327 at risk
EG003
TOOTHACHE
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0016 affected326 at risk
EG0025 affected327 at risk
EG003
VOMITING
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0014 affected326 at risk
EG0021 affected327 at risk
EG003
ADVERSE DRUG REACTION
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
FATIGUE
General disorders
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0017 affected326 at risk
EG0023 affected327 at risk
EG003
INFLUENZA LIKE ILLNESS
General disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0012 affected326 at risk
EG0021 affected327 at risk
EG003
INJECTION SITE ERYTHEMA
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
OEDEMA PERIPHERAL
General disorders
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0011 affected326 at risk
EG0024 affected327 at risk
EG003
PYREXIA
General disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0015 affected326 at risk
EG0023 affected327 at risk
EG003
BRONCHITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0004 affected327 at risk
EG0014 affected326 at risk
EG0022 affected327 at risk
EG003
EAR INFECTION
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0011 affected326 at risk
EG0021 affected327 at risk
EG003
FOLLICULITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0004 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
GASTROENTERITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0015 affected326 at risk
EG0022 affected327 at risk
EG003
IMPETIGO
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0014 affected326 at risk
EG0020 affected327 at risk
EG003
INFLUENZA
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0015 affected326 at risk
EG0023 affected327 at risk
EG003
NASOPHARYNGITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG00044 affected327 at risk
EG00135 affected326 at risk
EG00226 affected327 at risk
EG003
ORAL CANDIDIASIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0012 affected326 at risk
EG0020 affected327 at risk
EG003
ORAL HERPES
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0015 affected326 at risk
EG0020 affected327 at risk
EG003
PHARYNGITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0014 affected326 at risk
EG0020 affected327 at risk
EG003
RHINITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0004 affected327 at risk
EG0017 affected326 at risk
EG0024 affected327 at risk
EG003
SINUSITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
TINEA PEDIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0013 affected326 at risk
EG0020 affected327 at risk
EG003
TONSILLITIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0012 affected326 at risk
EG0022 affected327 at risk
EG003
TOOTH ABSCESS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0021 affected327 at risk
EG003
TRICHOMONIASIS
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
UPPER RESPIRATORY TRACT INFECTION
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG00010 affected327 at risk
EG0017 affected326 at risk
EG0023 affected327 at risk
EG003
URINARY TRACT INFECTION
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0012 affected326 at risk
EG0023 affected327 at risk
EG003
VIRAL UPPER RESPIRATORY TRACT INFECTION
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0011 affected326 at risk
EG0021 affected327 at risk
EG003
MUSCLE RUPTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
MUSCLE STRAIN
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0012 affected326 at risk
EG0023 affected327 at risk
EG003
TENDON RUPTURE
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
HYPERCHOLESTEROLAEMIA
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0006 affected327 at risk
EG0011 affected326 at risk
EG0025 affected327 at risk
EG003
HYPERTRIGLYCERIDAEMIA
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0013 affected326 at risk
EG0022 affected327 at risk
EG003
HYPERURICAEMIA
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0006 affected327 at risk
EG0011 affected326 at risk
EG0023 affected327 at risk
EG003
ARTHRALGIA
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG00014 affected327 at risk
EG0015 affected326 at risk
EG00210 affected327 at risk
EG003
BACK PAIN
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0008 affected327 at risk
EG0018 affected326 at risk
EG0026 affected327 at risk
EG003
MUSCULOSKELETAL PAIN
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0012 affected326 at risk
EG0021 affected327 at risk
EG003
MYALGIA
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0003 affected327 at risk
EG0013 affected326 at risk
EG0024 affected327 at risk
EG003
OSTEOARTHRITIS
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
PAIN IN EXTREMITY
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0015 affected326 at risk
EG0024 affected327 at risk
EG003
HEADACHE
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG00016 affected327 at risk
EG00130 affected326 at risk
EG00223 affected327 at risk
EG003
PARAESTHESIA
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0011 affected326 at risk
EG0022 affected327 at risk
EG003
URETHRAL HAEMORRHAGE
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected327 at risk
EG0010 affected326 at risk
EG0020 affected327 at risk
EG003
COUGH
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0006 affected327 at risk
EG00111 affected326 at risk
EG0024 affected327 at risk
EG003
OROPHARYNGEAL PAIN
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0004 affected327 at risk
EG0019 affected326 at risk
EG0027 affected327 at risk
EG003
RHINORRHOEA
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0017 affected326 at risk
EG0021 affected327 at risk
EG003
ECZEMA
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0002 affected327 at risk
EG0013 affected326 at risk
EG0020 affected327 at risk
EG003
ERYTHRODERMIC PSORIASIS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0011 affected326 at risk
EG0020 affected327 at risk
EG003
PRURITUS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG00012 affected327 at risk
EG0018 affected326 at risk
EG00211 affected327 at risk
EG003
PSORIASIS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0011 affected326 at risk
EG0027 affected327 at risk
EG003
SEBORRHOEIC DERMATITIS
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected327 at risk
EG0012 affected326 at risk
EG0020 affected327 at risk
EG003
URTICARIA
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0005 affected327 at risk
EG0011 affected326 at risk
EG0020 affected327 at risk
EG003
HYPERTENSION
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG00010 affected327 at risk
EG0015 affected326 at risk
EG0024 affected327 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
Point of Contact
Title
Organization
Phone
Extension
Email
Study Director
Novartis
862-778-8300
ID
Term
D011565
Psoriasis
D003872
Dermatitis
Ancestor Terms
ID
Term
D017444
Skin Diseases, Papulosquamous
D012871
Skin Diseases
D017437
Skin and Connective Tissue Diseases
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C555450
secukinumab
D000068800
Etanercept
Ancestor Terms
ID
Term
D007141
Immunoglobulin Fc Fragments
D007128
Immunoglobulin Fragments
D010446
Peptide Fragments
D010455
Peptides
D000602
Amino Acids, Peptides, and Proteins
D007127
Immunoglobulin Constant Regions
D007136
Immunoglobulins
D007162
Immunoproteins
D001798
Blood Proteins
D011506
Proteins
D012712
Serum Globulins
D005916
Globulins
D018124
Receptors, Tumor Necrosis Factor
D018121
Receptors, Cytokine
D011971
Receptors, Immunologic
D011956
Receptors, Cell Surface
D008565
Membrane Proteins
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
125 subjects
FG005131 subjects
17 subjects
FG00511 subjects
6 subjects
FG0044 subjects
FG0053 subjects
Lack of Efficacy
FG00010 subjects
FG0012 subjects
FG0020 subjects
FG00311 subjects
FG0043 subjects
FG0050 subjects
Lost to Follow-up
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG0035 subjects
FG0041 subjects
FG0051 subjects
Non-compliance with study treatment
FG0003 subjects
FG0011 subjects
FG0020 subjects
FG0032 subjects
FG0041 subjects
FG0052 subjects
Physician Decision
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
Pregnancy
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Protocol deviation
FG0007 subjects
FG0014 subjects
FG0020 subjects
FG0032 subjects
FG0042 subjects
FG0052 subjects
Withdrawal by Subject
FG00012 subjects
FG0017 subjects
FG0022 subjects
FG00315 subjects
FG0046 subjects
FG0053 subjects
contains patients who completed follow up period from induction and maintenance
FG0040 subjectsall placebo patients from induction were 1: 1 into either AIN457A 150 mg or 300 mg doses
FG0050 subjectsall placebo patients from induction were 1: 1 into either AIN457A 150 mg or 300 mg doses
0 subjects
FG0050 subjects
0 subjects
FG0040 subjects
FG0050 subjects
Lack of Efficacy
FG0003 subjects
FG0010 subjects
FG0024 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
Lost to Follow-up
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0034 subjects
FG0040 subjects
FG0050 subjects
non- compliance with study treatment
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Pregnancy
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Withdrawal by Subject
FG0003 subjects
FG0013 subjects
FG0021 subjects
FG00312 subjects
FG0040 subjects
FG0050 subjects
Physician Decision
FG0001 subjects
FG0011 subjects
FG0020 subjects
FG0032 subjects
FG0040 subjects
FG0050 subjects
0
BG0040
Between 18 and 65 years
BG000304
BG001305
BG002311
BG003308
BG0041228
>=65 years
BG00023
BG00122
BG00215
BG00318
BG00478
44.1
± 12.64
BG00343.8± 12.95
BG00444.4± 12.93
89
BG00394
BG004377
Male
BG000236
BG001224
BG002237
BG003232
BG004929
25
BG00327
BG004102
Asian
BG00072
BG00173
BG00272
BG00374
BG004291
Native Hawaiian or Other Pacific Islander
BG0000
BG0011
BG0021
BG0031
BG0043
Black or African American
BG0003
BG0012
BG0023
BG0030
BG0048
White
BG000219
BG001224
BG002218
BG003219
BG004880
More than one race
BG0005
BG0015
BG0025
BG0034
BG00419
Unknown or Not Reported
BG0000
BG0010
BG0022
BG0031
BG0043
OG002
Placebo
s.c. placebo etanercept twice per week until Week 12 and s.c. placebo secukinumab (2 injections per dose) once per week for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks (at Weeks 4 and 8). Prior to receiving the Week 12 dose, all patients in the placebo group were assigned to the following treatment groups based on their PASI 75 response status at Week 12:
Units
Counts
Participants
OG000327
OG001323
OG002324
Title
Denominators
Categories
Title
Measurements
OG000167
OG001202
OG0029
OG003
Placebo
s.c. placebo etanercept twice per week until Week 12 and s.c. placebo secukinumab (2 injections per dose) once per week for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks (at Weeks 4 and 8). Prior to receiving the Week 12 dose, all patients in the placebo group were assigned to the following treatment groups based on their PASI 75 response status at Week 12:
Units
Counts
Participants
OG000327
OG001323
OG002323
OG003324
Title
Denominators
Categories
Title
Measurements
OG000137
OG001175
OG00267
OG0035
Units
Counts
Participants
OG000327
OG001323
OG002323
Title
Denominators
Categories
Title
Measurements
OG000219
OG001249
OG002142
OG002
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c. injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab.
Units
Counts
Participants
OG000327
OG001323
OG002323
Title
Denominators
Categories
Title
Measurements
OG000167
OG001202
OG00288
Units
Counts
Participants
OG000219
OG001249
OG002142
Title
Denominators
Categories
Title
Measurements
OG000180
OG001210
OG002103
Units
Counts
Participants
OG000167
OG001202
OG00288
Title
Denominators
Categories
Title
Measurements
OG000113
OG001161
OG00250
OG002
Placebo
AIN457A exact match Placebo
Units
Counts
Participants
OG000117
OG001117
OG002109
Title
Denominators
Categories
Itching
Title
Measurements
OG000-4.92± 0.249
OG001-4.93± 0.247
OG002-0.54± 0.201
Pain
Title
Measurements
OG000-4.10± 0.277
OG001-4.48± 0.278
OG002-0.33± 0.216
Scaling
Title
Measurements
OG000-4.89± 0.241
OG001-4.93± 0.258
OG002-0.42± 0.217
OG002
Etanercept
etanercept 50 mg twice per week until Week 12
Units
Counts
Participants
OG000117
OG001117
OG002116
Title
Denominators
Categories
Itching
Title
Measurements
OG000-4.92± 0.277
OG001-4.93± 0.278
OG002-3.80± 0.257
Pain
Title
Measurements
OG000-4.10± 0.268
OG001-4.48± 0.269
OG002-3.48± 0.251
Scaling
Title
Measurements
OG000-4.89± 0.241
OG001-4.93± 0.258
OG002-3.74± 0.260
Patients were on Placebo in induction phase and if they were PASI 75 non responders at week 12 were re randomized to AIN457 300 in maintenance
OG004
Placebo
s.c. placebo etanercept twice per week until Week 12 and s.c. placebo secukinumab (2 injections per dose) once per week for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks (at Weeks 4 and 8). Prior to receiving the Week 12 dose, all patients in the placebo group were assigned to treatment groups based on their PASI 75 response status at Week 12:
OG005
Etanercept
Subcutaneous (s.c.) etanercept 50 mg twice per week until Week 12, followed by s.c. etanercept 50 mg every week from Week 12 through Week 51. To maintain the blind, patients also received 2 placebo secukinumab s.c. injections once weekly for 4 weeks (at randomization, Weeks 1, 2, and 3), followed by dosing every 4 weeks, starting at Week 4, and until Week 48, except for Weeks 13, 14, and 15 where patients received an additional weekly dose (comprised of 2 s.c. injections per dose) of placebo secukinumab