Study of Efficacy and Safety of Canakinumab in Patients W... | NCT02059291 | Trialant
NCT02059291
Sponsor
Novartis Pharmaceuticals
Status
Completed
Last Update Posted
May 17, 2018Actual
Enrollment
203Actual
Phase
Phase 3
Conditions
Hereditary Periodic Fevers
Interventions
Canakinumab
Placebo
Countries
United States
Belgium
Canada
France
Germany
Hungary
Ireland
Israel
Italy
Japan
Netherlands
Russia
Spain
Switzerland
Turkey (Türkiye)
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT02059291
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CACZ885N2301
Secondary IDs
Not provided
Brief Title
Study of Efficacy and Safety of Canakinumab in Patients With Hereditary Periodic Fevers
Official Title
A Randomized, Double-blind, Placebo Controlled Study of Canakinumab in Patients With Hereditary Periodic Fevers (TRAPS, HIDS, or crFMF), With Subsequent Randomized Withdrawal/Dosing Frequency Reduction and Open-label Long-term Treatment Epochs
Acronym
Not provided
Organization
NovartisINDUSTRY
Status Module
Record Verification Date
Apr 2018
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 27, 2014Actual
Primary Completion Date
Jul 4, 2017Actual
Completion Date
Jul 4, 2017Actual
First Submitted Date
Feb 7, 2014
First Submission Date that Met QC Criteria
Feb 7, 2014
First Posted Date
Feb 11, 2014Estimated
Results Waived
Not provided
Results First Submitted Date
Nov 21, 2016
Results First Submitted that Met QC Criteria
Jan 26, 2017
Results First Posted Date
Mar 17, 2017Actual
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
Apr 6, 2018
Last Update Posted Date
May 17, 2018Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Novartis PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
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 is to determine whether canakinumab is able to induce and maintain a clinically meaningful reduction of disease activity in participants with Hereditary Periodic Fevers (HPF) compared to placebo.
Detailed Description
This study consists of 3 randomized cohorts (one per condition of colchicine resistant/intolerant Familial Mediterranean Fever (crFMF), Hyper Immunoglobulin D Syndrome (also known as mevalonate kinase deficiency (HIDS/MKD), and Tumor Necrosis Factor Receptor Associated Periodic Syndrome (TRAPS), and 4 study epochs:
Epoch 1: a screening epoch to assess participant's eligibility;
Epoch 2: a randomized treatment epoch of 16 weeks where participants are randomized to canakinumab 150 mg every 4 weeks (q4w) or to placebo to obtain efficacy and safety data in a double-blind placebo controlled parallel-arm setting. This epoch contained 2 possible escape options :
early blinded escape option for non responders from Day 8 to Day 28 with here an add-on dose of 150mg canakinumab followed by blinded uptitration at the next scheduled visit (Day 29)
late unblinded escape option for non responders from Day 29 to Day 112; with open-label uptitration
Epoch 3: a randomized withdrawal epoch of 24 weeks where canakinumab responders from the randomized treatment epoch were re-randomized to canakinumab 150mg q8w or placebo to assess the potential for canakinumab to maintain clinical efficacy at a reduced dosing frequency;
Epoch 4: an open-label treatment epoch of 72 weeks to collect long-term
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
Drug: Canakinumab
crCMF: placebo
Placebo Comparator
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg.
Drug: Placebo
HIDS/MKD: 150 mg
Experimental
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Canakinumab
Drug
Canakinumab solution for subcutaneous injection in vial which contained 150mg/mL canakinumab in 1 mL solution.
HIDS/MKD: 150 mg
TRAPS: 150 mg
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Participants With Resolution of Initial Flare and Absence of New Flares up to the End of the Randomized Treatment Epoch (16 Weeks)
Resolution of the initial disease flare is defined as: Physician's Global Assessment of Disease activity (PGA) <2 and C-reactive protein (CRP) within normal range (<= 10 mg/L) or reduction by at least 70% from baseline. The PGA was evaluated by the investigator based on a 5-point scale: 0 = None (no) disease associated with clinical signs and symptoms; 1 = minimal disease associated signs and symptoms; 2 = mild disease associated signs and symptoms; 3 = moderate disease associated signs and symptoms; and 5 = severe disease associated signs and symptoms.
16 weeks
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants Who Achieve Physician's Global Assessment (PGA) < 2
The PGA was evaluated by the investigator based on a 5-point scale: 0 = None (no) disease associated with clinical signs and symptoms; 1 = minimal disease associated signs and symptoms; 2 = mild disease associated signs and symptoms; 3 = moderate disease associated signs and symptoms; and 5 = severe disease associated signs and symptoms.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria: - Patient's written informed consent (or parent's written informed consent in case of pediatric patient) at screening - Male and female patients at least 2 years of age at the time of the screening visit. Male and female patients >28 days but <2 years eligible for open label treatment only. - Confirmed diagnosis and active flare at randomization - CRP >10mg/L at randomization
Exclusion Criteria: - Use of the following therapies (within varying protocol defined timeframes): Corticosteroids, anakinra, canakinumab, rilonacept, tocilizumab, TNF inhibitors, abatacept, tofacitinib, rituximab, leflunomide, thalidomide, cyclosporine, intravenous immunoglobulin, 6-Merceptopurine, azathioprine, cyclophosphamide, or chlorambucil, any other investigational biologics - History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in - situ cervical cancer), treated or untreated - Significant medical diseases, including but not limited to the following: a. History of organ transplantation b. Elevated liver enzymes ≥3x ULN d. Increase in total bilirubin e. Serious hepatic disorder (Child-Pugh scores B or C) f. Chronic Kidney Disease g. Thyroid disease h. Diagnosis of active peptic ulcer disease i. Coagulopathy j. Significant CNS effects including vertigo and dizziness - Any conditions or significant medical problems which immunecompromise the patient and/or places the patient at unacceptable risk for immunomodulatory therapy - Live vaccinations within 3 months prior to the start of the trial, during the trial, and up to 3 months following the last dose
Gattorno M, Obici L, Penades IC, Kallinich T, Benseler S, Dekker E, Levy J, De Benedetti F, Lachmann H. Long-Term Efficacy and Safety of Canakinumab in Patients With Tumor Necrosis Factor Receptor-Associated Periodic Syndrome: Results From a Phase III Trial. Arthritis Rheumatol. 2024 Feb;76(2):304-312. doi: 10.1002/art.42695. Epub 2023 Dec 8.
126 patients, randomized in Epoch 2, were not re-randomized in Epoch 3. These patients were switched to open-label (OL) treatment. Six patients discontinued OL treatment (1 due to physician decision, 1 due to subject/guardian decision, 3 due to lack of efficacy and 1 due to an adverse event).
Recruitment Details
This study consists of 4 study epochs. A total of 203 participants ((181randomized + 4 non-randomized open-label participants in Epoch 2) + (18 TRAPS rollover participants from ACZ885D2203 (NCT01242813) and ACZ885D2207M in Epoch 3)) have been enrolled into this study.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Drug: Placebo
TRAPS: 150 mg
Experimental
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
Drug: Canakinumab
TRAPS: placebo
Placebo Comparator
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Drug: Placebo
crFMF: 150 mg
ACZ885
Placebo
Drug
Matching placebo to canakinumab solution for subcutaneous injection
HIDS/MKD: placebo
TRAPS: placebo
crCMF: placebo
16 weeks
Percentage of Participants With the Serologic Remission
Serologic remission was defined as C-reactive protein <= 10 mg/L.
16 weeks
Percentage of Participants With Normalized Serum Amyloid A (SAA) Level
Normalized SAA was defined as SAA <= 10 mg/L.
16 weeks
Percentage of Participants of Canakinumab Responders From Epoch 2 Who Maintained a Clinically Meaningful Response (Absence of New Flares) (40 Weeks)
A responder was defined as a participant who had no flare between week 16 and week 40.
40 weeks
Ann Arbor
Michigan
48109
United States
Novartis Investigative Site
Cleveland
Ohio
44195
United States
Novartis Investigative Site
Edegem
Antwerpen
2650
Belgium
Novartis Investigative Site
Brussels
1200
Belgium
Novartis Investigative Site
Hasselt
3500
Belgium
Novartis Investigative Site
Leuven
3000
Belgium
Novartis Investigative Site
Liège
4000
Belgium
Novartis Investigative Site
Calgary
Alberta
T3B 6A8
Canada
Novartis Investigative Site
Vancouver
British Columbia
V6H 3V4
Canada
Novartis Investigative Site
Bron
69677
France
Novartis Investigative Site
Le Kremlin-Bicêtre
94275
France
Novartis Investigative Site
Nîmes
30029
France
Novartis Investigative Site
Paris
75015
France
Novartis Investigative Site
Berlin
10117
Germany
Novartis Investigative Site
Berlin
13353
Germany
Novartis Investigative Site
Essen
45147
Germany
Novartis Investigative Site
Germering
82110
Germany
Novartis Investigative Site
Hamburg
20246
Germany
Novartis Investigative Site
Hamburg
22081
Germany
Novartis Investigative Site
München
80337
Germany
Novartis Investigative Site
Saint Augustin
53757
Germany
Novartis Investigative Site
Tübingen
72076
Germany
Novartis Investigative Site
Budapest
1023
Hungary
Novartis Investigative Site
Budapest
1094
Hungary
Novartis Investigative Site
Galway
Ireland
Novartis Investigative Site
Haifa
3339419
Israel
Novartis Investigative Site
Haifa
3525408
Israel
Novartis Investigative Site
Jerusalem
9103102
Israel
Novartis Investigative Site
Petah Tikva
49202
Israel
Novartis Investigative Site
Ramat Gan
5266202
Israel
Novartis Investigative Site
Sciacca
AG
92019
Italy
Novartis Investigative Site
Brescia
BS
25123
Italy
Novartis Investigative Site
Florence
FI
50139
Italy
Novartis Investigative Site
Genova
GE
16147
Italy
Novartis Investigative Site
Messina
ME
98125
Italy
Novartis Investigative Site
Pavia
PV
27100
Italy
Novartis Investigative Site
Roma
RM
00165
Italy
Novartis Investigative Site
Trieste
TS
34137
Italy
Novartis Investigative Site
Naples
80131
Italy
Novartis Investigative Site
Roma
00168
Italy
Novartis Investigative Site
Fukuoka
Fukuoka
812-8582
Japan
Novartis Investigative Site
Yokohama
Kanagawa
236-0004
Japan
Novartis Investigative Site
Sakyo-ku
Kyoto
606 8507
Japan
Novartis Investigative Site
Niigata
951-8520
Japan
Novartis Investigative Site
Nijmegen
6500 HB
Netherlands
Novartis Investigative Site
Utrecht
3508 GA
Netherlands
Novartis Investigative Site
Moscow
115522
Russia
Novartis Investigative Site
Moscow
117198
Russia
Novartis Investigative Site
Moscow
119991
Russia
Novartis Investigative Site
Rostov-on-Don
344022
Russia
Novartis Investigative Site
Saint Petersburg
194100
Russia
Novartis Investigative Site
Esplugues de Llobregat
Barcelona
08950
Spain
Novartis Investigative Site
Barcelona
Catalonia
08035
Spain
Novartis Investigative Site
El Palmar
Murcia
30120
Spain
Novartis Investigative Site
Valencia
Valencia
46026
Spain
Novartis Investigative Site
Madrid
28034
Spain
Novartis Investigative Site
Madrid
28046
Spain
Novartis Investigative Site
Lausanne
1011
Switzerland
Novartis Investigative Site
Istanbul
TUR
34098
Turkey (Türkiye)
Novartis Investigative Site
Ankara
06100
Turkey (Türkiye)
Novartis Investigative Site
Istanbul
34093
Turkey (Türkiye)
Novartis Investigative Site
Leeds
LS9 7TF
United Kingdom
Novartis Investigative Site
London
NW3 2QG
United Kingdom
Novartis Investigative Site
London
WC1N 1EH
United Kingdom
Derived
Jeyaratnam J, Simon A, Calvo I, Constantin T, Shcherbina A, Hofer M, Gattorno M, Martini A, Bader-Meunier B, Vastert B, Levy J, Dekker E, de Benedetti F, Frenkel J. Long-term efficacy and safety of canakinumab in patients with mevalonate kinase deficiency: results from the randomised Phase 3 CLUSTER trial. Rheumatology (Oxford). 2022 May 5;61(5):2088-2094. doi: 10.1093/rheumatology/keab696.
De Benedetti F, Gattorno M, Anton J, Ben-Chetrit E, Frenkel J, Hoffman HM, Kone-Paut I, Lachmann HJ, Ozen S, Simon A, Zeft A, Calvo Penades I, Moutschen M, Quartier P, Kasapcopur O, Shcherbina A, Hofer M, Hashkes PJ, Van der Hilst J, Hara R, Bujan-Rivas S, Constantin T, Gul A, Livneh A, Brogan P, Cattalini M, Obici L, Lheritier K, Speziale A, Junge G. Canakinumab for the Treatment of Autoinflammatory Recurrent Fever Syndromes. N Engl J Med. 2018 May 17;378(20):1908-1919. doi: 10.1056/NEJMoa1706314.
FG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
FG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
FG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
FG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
FG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
FG006
Epoch 2: Non-randomized Open Label Treatment - crFMF
Canakinumab-naïve Japanese patients with non-exon 10 mutations received open-label canakinumab 150 mg (or 2 mg/kg for patients weighing
≤ 40 kg) q4w .
FG007
Epoch 2: Non-randomized Open Label HIDS/MKD
Participants in the 28 days to less than 2 years old cohort who received open-label canakinumab 150 mg (or 2mg/kg for patients weighing
≤ 40 kg) q4w.
FG008
Epoch 2 (Epoch 3) - Non-randomized Open Label TRAPS
Open-label treatment in Epoch 3 was initiated for TRAPS patients who rolled over from CACZ885D2203 or CACZ885D2207M.
FG009
Epoch 3: crFMF Re-randomized From Epoch 2 - 150 mg
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to canakinumab 150 mg q8w for 24 weeks.
FG010
Epoch 3: crFMF Re-randomized From Epoch 2 - Placebo
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to placebo for 24 weeks.
FG011
Epoch 3: HIDs/MKD Re-randomized From Epoch 2 - 150 mg
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to canakinumab 150 mg q8w for 24 weeks.
FG012
Epoch 3: HIDS/MKD Re-randomized From Epoch 2 - Placebo
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to placebo for 24 weeks.
FG013
Epoch 3: TRAPS Re-randomized From Epoch 2 - 150 mg
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to canakinumab 150 mg q8w for 24 weeks.
FG014
Epoch 3: TRAPS Re-randomized From Epoch 2 - Placebo
Canakinumab responders who were initially randomized to canakinumab 150 mg q4w and did not re-flare in Epoch 2 were re-randomized at the start of Epoch 3 to placebo for 24 weeks.
FG015
Epoch 3: crFMF, HIDS/MKD, TRAPS - Not Re-randomized
All Epoch 2 non-responders were switched to canakinumab q8w at the start of Epoch 3 for 24 weeks,
FG016
Epoch 4: crFMF - Open Label Cumulative Dose <2700 mg
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was less than 2700 mg.
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was >= 2700 mg and < 5400 mg.
FG018
Epoch 4: crFMF - Open Label Cumulative Dose >=5400 mg
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was > 5400 mg.
FG019
Epoch 4: HIDS/MKD - Open Label Cumulative Dose <2700 mg
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was less than 2700 mg.
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was >= 2700 mg and < 5400 mg.
FG021
Epoch 4: HIDS/MKD - Open Label Cumulative Dose >=5400 mg
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was > 5400 mg.
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was less than 2700 mg.
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was >= 2700 mg and < 5400 mg.
FG024
Epoch 4: TRAPS - Open Label Cumulative Dose >=5400 mg
During epoch 4, participants received open label treatment according to the dose regimen administered in epoch 3. Cumulative dose received was > 5400 mg.
FG00031 subjects
FG00132 subjects
FG00237 subjects
FG00335 subjects
FG00422 subjects
FG00524 subjects
FG0062 subjects
FG0072 subjects
FG00818 subjectsThis Epoch 3 group is shown in Epoch 2 to account for the 203 patients enrolled in the study.
FG0090 subjects
FG0100 subjects
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FG0200 subjects
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FG0220 subjects
FG0230 subjects
FG0240 subjects
COMPLETED
FG00031 subjects
FG00131 subjects
FG00236 subjects
FG00333 subjects
FG00422 subjects
FG00522 subjects
FG0062 subjects
FG0071 subjects
FG00816 subjects
FG0090 subjects
FG0100 subjects
FG0110 subjects
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FG0190 subjects
FG0200 subjects
FG0210 subjects
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FG0230 subjects
FG0240 subjects
NOT COMPLETED
FG0000 subjects
FG0011 subjects
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FG0032 subjects
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FG0052 subjects
FG0060 subjects
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FG0082 subjects
FG0090 subjects
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FG0200 subjects
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FG0240 subjects
Type
Comment
Reasons
Lack of Efficacy
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
FG0051 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
FG0090 subjects
FG0100 subjects
FG0110 subjects
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FG0200 subjects
FG0210 subjects
FG0220 subjects
FG0230 subjects
FG0240 subjects
Adverse Event
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Epoch 3
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0062 subjects
FG0071 subjects
FG0080 subjectsPresented in Epoch 2.
FG0099 subjects
FG01010 subjects
FG0116 subjects
FG0127 subjects
FG0134 subjects
FG0145 subjects
FG015126 subjects
FG0160 subjects
FG0170 subjects
FG0180 subjects
FG0190 subjects
FG0200 subjects
FG0210 subjects
FG0220 subjects
FG0230 subjects
FG0240 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Physician Decision
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Epoch 4
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
FG0090 subjects
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FG0110 subjects
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FG01643 subjects
FG01714 subjects
FG0182 subjects
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FG02034 subjects
FG02114 subjects
FG02231 subjects
FG02322 subjects
FG0240 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
BG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
BG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
BG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
BG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
BG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
BG006
Epoch 2: Non-randomized Open Label Treatment - crFMF
Canakinumab-naïve Japanese patients with non-exon 10 mutations received open-label canakinumab 150 mg (or 2 mg/kg for patients weighing
≤ 40 kg) q4w
BG007
Epoch 2: Non-randomized Open Label HIDS/MKD
Participants in the 28 days to less than 2 years old cohort who received open-label canakinumab 150 mg (or 2mg/kg for patients weighing
≤ 40 kg) q4w.
BG008
Epoch 2 (Epoch 3) - Non-randomized Open Label TRAPS
Open-label treatment in Epoch 3 was initiated for TRAPS patients who rolled over from CACZ885D2203 or CACZ885D2207M.
BG009
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00031
BG00132
BG00237
BG00335
BG00422
BG00524
BG0062
BG0072
BG00818
BG009203
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Median
Full Range
Years
Title
Denominators
Categories
crFMF cohort - randomized
Title
Measurements
BG00018.0± 15.02(2 to 60)
BG00118.0± 13.38(4 to 69)
BG002NA± NA(NA to NA)
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00014
BG00115
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
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
Percentage of Participants With Resolution of Initial Flare and Absence of New Flares up to the End of the Randomized Treatment Epoch (16 Weeks)
Resolution of the initial disease flare is defined as: Physician's Global Assessment of Disease activity (PGA) <2 and C-reactive protein (CRP) within normal range (<= 10 mg/L) or reduction by at least 70% from baseline. The PGA was evaluated by the investigator based on a 5-point scale: 0 = None (no) disease associated with clinical signs and symptoms; 1 = minimal disease associated signs and symptoms; 2 = mild disease associated signs and symptoms; 3 = moderate disease associated signs and symptoms; and 5 = severe disease associated signs and symptoms.
The Full Analysis Set (FAS), which consisted of all randomized participants in the randomized treatment epoch who received at least one dose of study drug in Epoch 2, was analyzed.
Posted
Number
Percentage of participants
16 weeks
ID
Title
Description
OG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
OG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
OG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
OG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Units
Counts
Participants
OG00031
OG00132
OG00237
OG003
Title
Denominators
Categories
Title
Measurements
OG00061.29
OG0016.25
OG00235.14
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Fisher's exact test
<0.0001
Superiority
OG002
OG003
Fisher's exact test
0.0020
Secondary
Percentage of Participants Who Achieve Physician's Global Assessment (PGA) < 2
The PGA was evaluated by the investigator based on a 5-point scale: 0 = None (no) disease associated with clinical signs and symptoms; 1 = minimal disease associated signs and symptoms; 2 = mild disease associated signs and symptoms; 3 = moderate disease associated signs and symptoms; and 5 = severe disease associated signs and symptoms.
The Full Analysis Set (FAS), which consisted of all randomized participants in the randomized treatment epoch who received at least one dose of study drug in Epoch 2, was analyzed.
Posted
Number
Percentage of participants
16 weeks
ID
Title
Description
OG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
Secondary
Percentage of Participants With the Serologic Remission
Serologic remission was defined as C-reactive protein <= 10 mg/L.
The Full Analysis Set (FAS), which consisted of all randomized participants in the randomized treatment epoch who received at least one dose of study drug in Epoch 2, was analyzed.
Posted
Number
Percentage of participants
16 weeks
ID
Title
Description
OG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
Secondary
Percentage of Participants With Normalized Serum Amyloid A (SAA) Level
Normalized SAA was defined as SAA <= 10 mg/L.
The Full Analysis Set (FAS), which consisted of all randomized participants in the randomized treatment epoch who received at least one dose of study drug in Epoch 2, was analyzed.
Posted
Number
Percentage of participants
16 weeks
ID
Title
Description
OG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
Secondary
Percentage of Participants of Canakinumab Responders From Epoch 2 Who Maintained a Clinically Meaningful Response (Absence of New Flares) (40 Weeks)
A responder was defined as a participant who had no flare between week 16 and week 40.
The re-randomized set was analyzed.
Posted
Number
Percentage of participants
40 weeks
ID
Title
Description
OG000
Epoch 2: crFMF: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG001
Epoch 2: crCMF: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab.
150mg, participants were uptitrated to open-label canakinumab 300 mg
Time Frame
up to week 112
Description
Cohort groups were analyzed according to the occurrence of events corresponding to treatments given during epochs 2, 3 and 4.
'No medication' events cover events that occurred during epoch 4 when no treatment was given.
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
Non-randomized Open Label crFMF, HIDS/MKD Patients
Canakinumab-naïve Japanese patients with non-exon 10 mutations with cr-FMF who received open-label canakinumab 150 mg (or 2 mg/kg for patients weighing ≤ 40 kg) q4w; and patients in the 28 days to less than 2 years old cohort with HIDS/MKD who received open-label canakinumab 150 mg (or 2mg/kg for patients weighing
≤ 40 kg) q4w
0
4
3
4
4
4
EG001
Non-randomized Open Label TRAPS Patients
Open-label treatment in Epoch 3 was initiated for TRAPS patients who rolled over from CACZ885D2203 or CACZ885D2207M
0
18
1
18
18
18
EG002
Randomized ACZ and Placebo TRAPS Patients - Placebo Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3.
0
46
1
46
14
46
EG003
Randomized ACZ and Placebo TRAPS Pts - No Medication Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3 .
0
46
0
46
1
46
EG004
Randomized ACZ and Placebo TRAPS Patients - ACZ Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
46
8
46
43
46
EG005
Randomized ACZ and Placebo HIDS/MKD Pts - Placebo Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
72
6
72
25
72
EG006
Randomized ACZ and Placebo HIDS/MKD Pts - No Medication Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
72
1
72
1
72
EG007
Randomized ACZ and Placebo HIDS/MKD Patients - ACZ Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
72
16
72
68
72
EG008
Randomized ACZ and Placebo crFMF Patients - Placebo Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
63
5
63
29
63
EG009
Randomized ACZ and Placebo crFMF Pts - No Medication Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
63
0
63
2
63
EG010
Randomized ACZ and Placebo crFMF Patients - ACZ Events
Patients who received ACZ885 and/or placebo during epoch 2 and/or epoch 3
0
63
16
63
54
63
EG011
Any ACZ TRAPS Patients - Placebo Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
61
0
61
4
61
EG012
Any ACZ TRAPS Patients - no Medication Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
61
0
61
1
61
EG013
Any ACZ TRAPS Patients - ACZ Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
61
9
61
61
61
EG014
Any ACZ HIDS/MKD Patients - Placebo Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
71
3
71
7
71
EG015
Any ACZ HIDS/MKD Patients - No Medication Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
71
1
71
1
71
EG016
Any ACZ HIDS/MKD Patients - ACZ Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
71
18
71
70
71
EG017
Any ACZ crFMF Patients - Placebo Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
61
3
61
10
61
EG018
Any ACZ crFMF Patients - No Medication Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
0
61
0
61
2
61
EG019
Any ACZ crFMF Patients - ACZ Events
Patients who received ACZ885 during epoch 2 and/or epoch 3
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Dizziness
Nervous system disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Headache
Nervous system disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0012 affected18 at risk
EG0023 affected46 at risk
EG003
Somnolence
Nervous system disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Breast mass
Reproductive system and breast disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Polycystic ovaries
Reproductive system and breast disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Vaginal haemorrhage
Reproductive system and breast disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0013 affected18 at risk
EG0020 affected46 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Oropharyngeal pain
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Pleuritic pain
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Pneumonitis
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 at risk
EG003
Rhinitis allergic
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0021 affected46 at risk
EG003
Rhinorrhoea
Respiratory, thoracic and mediastinal disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Dermatitis allergic
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Drug eruption
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0002 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Eczema
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Erythema
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Keloid scar
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Pain of skin
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Pyoderma gangrenosum
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0010 affected18 at risk
EG0021 affected46 at risk
EG003
Rash pruritic
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Skin ulcer
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0020 affected46 at risk
EG003
Urticaria
Skin and subcutaneous tissue disorders
MedDRA (20.0)
Systematic Assessment
EG0001 affected4 at risk
EG0010 affected18 at risk
EG0021 affected46 at risk
EG003
Hypertension
Vascular disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0012 affected18 at risk
EG0020 affected46 at risk
EG003
Hypotension
Vascular disorders
MedDRA (20.0)
Systematic Assessment
EG0000 affected4 at risk
EG0011 affected18 at risk
EG0020 affected46 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.
This row reflects crFMF cohort - randomized data only.
BG003NA± NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG004NA± NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG005NA± NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG006NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG007NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG008NA(NA to NA)This row reflects crFMF cohort - randomized data only.
BG00918± 14.10(2 to 69)
HIDS/MKD cohort - randomized
Title
Measurements
BG000NA± NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG001NA± NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG00212.0± 8.49(2 to 43)
BG0039.0± 11.64(3 to 47)
BG004NA± NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG005NA± NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG006NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG007NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG008NA(NA to NA)This row reflect HIDS/MKD cohort - randomized data only.
BG00911.0± 10.08(2 to 47)
TRAPS cohort - randomized
Title
Measurements
BG000NA± NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG001NA± NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG002NA± NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG003NA± NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG00413.5± 19.22(3 to 76)
BG00516.5± 18.25(2 to 57)
BG006NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG007NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG008NA(NA to NA)This row reflect TRAPS cohort - randomized data only.
BG00915.5± 18.55(2 to 76)
crFMF - non-randomized
Title
Measurements
BG000NA(NA to NA)This row reflects crFMF non-randomized data only.
BG001NA(NA to NA)This row reflects crFMF non-randomized data only.
BG002NA(NA to NA)This row reflects crFMF non-randomized data only.
BG003NA(NA to NA)This row reflects crFMF non-randomized data only.
BG004NA(NA to NA)This row reflects crFMF non-randomized data only.
BG005NA(NA to NA)This row reflects crFMF non-randomized data only.
BG00624.5(20 to 29)
BG007NA(NA to NA)This row reflects crFMF non-randomized data only.
BG008NA(NA to NA)This row reflects crFMF non-randomized data only.
BG00924.5(20 to 29)
HIDS/MKD - non-randomized
Title
Measurements
BG000NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG001NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG002NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG003NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG004NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG005NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG006NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG0071.0(1 to 1)
BG008NA(NA to NA)This row reflects HIDS/MIK non-randomized data only.
BG0091.0(1 to 1)
roll-over TRAPS - non-randomized
Title
Measurements
BG000NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG001NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG002NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG003NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG004NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG005NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG006NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG007NA(NA to NA)This row reflects roll-over TRAPS non-randomized data only.
BG00842.5(15 to 81)
BG00942.5(15 to 81)
24
BG00319
BG00410
BG00513
BG0062
BG0070
BG0087
BG009104
Male
BG00017
BG00117
BG00213
BG00316
BG00412
BG00511
BG0060
BG0072
BG00811
BG00999
0
BG0030
BG0040
BG0050
BG0060
BG0070
BG0080
BG0090
Asian
BG0000
BG0011
BG0020
BG0031
BG0042
BG0054
BG0062
BG0071
BG0080
BG00911
Native Hawaiian or Other Pacific Islander
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
BG0080
BG0090
Black or African American
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
BG0080
BG0090
White
BG00027
BG00127
BG00234
BG00331
BG00420
BG00518
BG0060
BG0071
BG00816
BG009174
More than one race
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
BG0080
BG0090
Unknown or Not Reported
BG0004
BG0014
BG0023
BG0033
BG0040
BG0052
BG0060
BG0070
BG0082
BG00918
35
OG00422
OG00524
5.71
OG00445.45
OG0058.33
Superiority
OG004
OG005
Fisher's exact test
0.0050
Superiority
OG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
OG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
OG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Units
Counts
Participants
OG00031
OG00132
OG00237
OG00335
OG00422
OG00524
Title
Denominators
Categories
Title
Measurements
OG00064.52
OG0019.38
OG00245.95
OG0035.71
OG00445.45
OG0054.17
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Regression, Logistic
<0.0001
Odds Ratio (OR)
16.96
2-Sided
95
4.15
69.21
Superiority
OG002
OG003
Regression, Logistic
0.0006
Odds Ratio (OR)
13.63
2-Sided
95
2.83
65.59
Superiority
OG004
OG005
Regression, Logistic
0.0028
Odds Ratio (OR)
23.79
2-Sided
95
2.52
224.86
Superiority
OG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
OG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
OG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Units
Counts
Participants
OG00031
OG00132
OG00237
OG00335
OG00422
OG00524
Title
Denominators
Categories
Title
Measurements
OG00067.74
OG0016.25
OG00240.54
OG0035.71
OG00436.36
OG0058.33
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Regression, Logistic
<0.0001
Odds Ratio (OR)
29.78
2-Sided
95
5.86
151.31
Superiority
OG002
OG003
Regression, Logistic
0.0010
Odds Ratio (OR)
12.71
2-Sided
95
2.53
63.89
Superiority
OG004
OG005
Regression, Logistic
0.0149
Odds Ratio (OR)
6.64
2-Sided
95
1.20
36.57
Superiority
OG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
OG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
OG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
Units
Counts
Participants
OG00031
OG00132
OG00237
OG00335
OG00422
OG00524
Title
Denominators
Categories
Title
Measurements
OG00025.81
OG0010.00
OG00213.51
OG0032.86
OG00427.27
OG0050.00
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Regression, Logistic
0.0286
Odds Ratio (OR)
17.46
2-Sided
95
0.92
332.92
Superiority
OG002
OG003
Regression, Logistic
0.0778
Odds Ratio (OR)
5.26
2-Sided
95
0.53
51.97
Superiority
OG004
OG005
Regression, Logistic
0.0235
Odds Ratio (OR)
16.69
2-Sided
95
1.04
268.50
Superiority
OG002
Epoch 2: HIDS/MKD: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration.
OG003
Epoch 2: HIDS/MKD: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.
OG004
Epoch 2: TRAPS: 150 mg
During Epoch 2, participants received canakinumab 150mg (or 2mg/kg for participants weighing <= 40kg) q4w for 16 weeks. If participants were eligible for blinded escape, they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between day 8 and day 28, and then received blinded uptitration to canakinumab 300 mg q4w from day 29 through day 112. If patients on the highest allowed canakinumab dose of 300 mg (or 4 mg/kg for patients weighing ≤ 40 kg) q4w and re-flared (PGA ≥ 2 and CRP ≥ 30 mg/L) were not eligible for further up-titration
OG005
Epoch 2: TRAPS: Placebo
During epoch 2, participants received matching placebo to canakinumab 150 mg qw4. Participants who required blinded escape,they received a single add-on dose of canakinumab (150 mg or 2mg/kg for participants weighing <= 40kg) between Day 8 and 28 and then received blinded one dose of placebo and one dose of canakinumab q4w from day 29 through day 112. If flare or re-flare still occurred after receipt of canakinumab 150mg, participants were uptitrated to open-label canakinumab 300 mg.