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The primary purpose of this study is to assess efficacy, safety and tolerability of a 2 mL pre-filled auto-injector (AI) of 300 mg secukinumab in patients with moderate to severe plaque psoriasis
This is a 52-weeks multicenter, randomized, double-blind, placebo-controlled, parallel-group trial in approximately 120 subjects with moderate to severe plaque-type psoriasis
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo 2 mL auto-injector | Placebo Comparator | Placebo to secukinumab s.c., provided in 2 mL auto-injector form |
|
| Placebo 1 mL prefilled syringe | Placebo Comparator | Placebo to secukinumab s.c., provided in 2 * 1 ml prefilled syringe form |
|
| Secukinumab 2 mL auto-injector | Experimental | Secukinumab 300 mg provided in 2 mL auto-injector form |
|
| Secukinumab 1 mL prefilled syringe | Active Comparator | Secukinumab 300 mg provided as 2x 1 mL prefilled syringe of 150 mg/mL |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo 2 mL auto-injector | Drug | All Placebo patients until week 8 (included): 2 mL auto-injector Placebo + 2x 1 mL prefilled syringe Placebo s.c. at randomization, weeks 1, 2, 3, 4 and 8. PASI 90 responders at week 12: 2 mL auto-injector placebo + 2x 1 mL prefilled syringe Placebo s.c. at weeks 12, 13, 14, 15, 16 and every 4 weeks thereafter until week 48. PASI 90 non-responders at week 12: 2 mL secukinumab 300 mg auto-injector + 2x 1 mL prefilled syringe Placebo s.c. at weeks 12, 13, 14, 15, 16 and 4-weekly thereafter until week 48 |
| Measure | Description | Time Frame |
|---|---|---|
| PASI 75 Response After 12 Weeks of Treatment | Percentage of participants who achieve ≥ 75% reduction in PASI compared to baseline. A PASI (Psoriasis Area and Severity Index) score is a tool used to measure the severity and extent of psoriasis. The score ranges from 0 (no signs of psoriasis) to a theoretic maximum of 72. The intensity of redness, thickness and scaling of the psoriasis is assessed as none (0), mild (1), moderate (2), severe (3) or very severe (4). | 12 weeks |
| IGA Mod 2011 0 or 1 Response After 12 Weeks of Treatment | Percentage of participants who achieve IGA mod 2011 0 or 1, and improved by at least 2 points on the IGA scale compared to baseline. This scale ranges from 0 (clear, no signs of psoriasis) to 4 (severe). | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| PASI 90 Response | Percentage of participants who achieve ≥ 90% reduction in PASI compared to baseline | 12 weeks |
| PASI 50, 75, 90 and 100 and IGA Mod 2011 0 or 1 Response | Percentage of participants who achieve ≥ 50%, 75%, 90% and 100% reduction in PASI and achieve IGA mod 2011 0 or 1, and improved by at least 2 points on the IGA scale compared to baseline at each visit up to 52 weeks |
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Inclusion Criteria:
Subjects eligible for inclusion in this study must have fulfilled all of the following criteria:
Men or Women of at least 18 years of age at time of Screening
Subjects able to understand and communicate with the investigator and comply with the requirements of the study and must have given a written, signed and dated informed consent before any study related activity was performed. Where relevant, a legal representative signed the informed study consent according to local laws and regulations.
Chronic plaque-type psoriasis present for at least 6 months and diagnosed before Randomization.
Moderate to severe psoriasis as defined at Randomization by:
Candidate for systemic therapy. This is defined as a subject having moderate to severe chronic plaque-type psoriasis that is inadequately controlled by
Exclusion Criteria:
Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and guttate psoriasis) at Screening or Randomization.
Ongoing use of prohibited treatments. Washout periods detailed in the protocol had to be adhered to. Subjects not willing to limit UV light exposure (e.g., sunbathing and/or the use of tanning devices) during the course of the study were considered not eligible for this study since UV light exposure was prohibited.
Note: administration of live vaccines 6 weeks prior to Randomization or during the study period was also prohibited.
Previous exposure to secukinumab (AIN457) or any other biologic drug directly targeting IL-17 or the IL-17 receptor.
Use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days until the expected pharmacodynamic effect had returned to baseline, whichever is longer; or longer if required by local regulations.
Pregnant or nursing (lactating) women, where pregnancy was defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.
History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system treated or untreated within the past 5 years, regardless of whether there was evidence of local recurrence or metastases (except for Bowen's disease, or basal cell carcinoma or actinic keratoses that had been treated with no evidence of recurrence in the past 12 weeks; carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed).
History of hypersensitivity to any of study drug constituent
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Miami | Florida | 33155 | United States | ||
| Novartis Investigative Site |
Not provided
| Label | URL |
|---|---|
| A Plain Language Trial Summary is available on novartisclinicaltrials.com | View source |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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A total of 144 subjects were screened at 22 study centers in 6 countries, and 122 subjects were randomized.
A total of 144 subjects were screened at 22 study centers in 6 countries, and 122 subjects were randomized.
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| ID | Title | Description |
|---|---|---|
| FG000 | Secukinumab 300 mg (2 mL AI) | Secukinumab 300 mg provided in 2 mL auto-injector form |
| FG001 | Secukinumab 300 mg (2x 1 mL PFS) | Secukinumab 300 mg provided as 2x 1 mL prefilled syringe of 150 mg/mL |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Treatment Period 1-Randomized Set |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 9, 2018 | Jul 12, 2021 |
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A Phase IIIb 52-week multicenter, randomized, double-blind, placebo-controlled, parallel-group trial in approximately 120 subjects with moderate to severe plaque-type psoriasis
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|
|
| Placebo 1 mL prefilled syringe | Drug | All Placebo patients until week 8 (included): 2 mL auto-injector Placebo + 2x 1 mL prefilled syringe Placebo s.c. at randomization, weeks 1, 2, 3, 4 and 8. PASI 90 responders at week 12: 2 mL auto-injector Placebo + 2x 1 mL prefilled syringe Placebo s.c. at weeks 12, 13, 14, 15, 16 and every 4 weeks thereafter until week 48. PASI 90 non-responders at week 12: 2x 1 mL secukinumab 150 mg prefilled syringe + 2 mL auto-injector Placebo s.c. at weeks 12, 13, 14, 15, 16 and 4-weekly thereafter until week 48 |
|
|
| Secukinumab 2 mL auto-injector | Drug | 2 mL secukinumab 300 mg auto-injector + 2x 1 mL prefilled syringe Placebo s.c. at randomization, weeks 1, 2, 3, 4, 8, 12, 13, 14, 15 , 16 and 4-weekly thereafter until week 48 |
|
| Secukinumab 1 mL prefilled syringe | Drug | 2 x 1 mL secukinumab 150 mg prefilled syringe + 2 mL auto-injector Placebo s.c. at randomization, weeks 1, 2, 3, 4, 8, 12, 13, 14, 15, 16 and 4-weekly thereafter until week 48 |
|
| 52 weeks |
| Successful Self-injection | Subject usability (ability to follow instructions for use and potential use-related hazards) and satisfaction with the new secukinumab 2 mL AI utilizing a self-administered Self-Injection Assessment Questionnaire (SIAQ) and investigator/site staff observation of secukinumab 300 mg 2 mL AI administration. The Satisfaction with Self-Injection (SA) domain score ranges from 0 (worst experience) to 10 (best experience). | From randomization until Week 28 |
| Dermatology Life Quality Index, (DLQI) 0 or 1 Score (Total Score) | DLQI is a simple, compact, and practical questionnaire for use in a dermatology clinical setting to assess limitations related to the impact of skin disease. The instrument contains ten items dealing with the participant's skin. With the exception of Item Number 7, the participant responds on a four-point scale, ranging from "Very Much" (score 3) to "Not at All" or "Not relevant" (score 0). Item Number 7 is a multi-part item, the first part of which ascertains whether the participant's skin prevented them from working or studying (Yes or No, scores 3 or 0 respectively), and if "No," then the participant is asked how much of a problem the skin has been at work or study over the past week, with response alternatives being "A lot," "A little," or "Not at all" (scores 2, 1, or 0 respectively). The DLQI total score is derived by summing all item scores, which has a possible range of 0 to 30, with 30 corresponding to the worst quality of life, and 0 corresponding to the best. | Change from Baseline up to 52 weeks |
| Marietta |
| Georgia |
| 30060 |
| United States |
| Novartis Investigative Site | Saint Joseph | Missouri | 64506 | United States |
| Novartis Investigative Site | Verona | New Jersey | 07044 | United States |
| Novartis Investigative Site | Portland | Oregon | 97210 | United States |
| Novartis Investigative Site | Houston | Texas | 77030 | United States |
| Novartis Investigative Site | San Antonio | Texas | 78218 | United States |
| Novartis Investigative Site | Sugar Land | Texas | 77479 | United States |
| Novartis Investigative Site | Edmonton | Alberta | T5K 1X3 | Canada |
| Novartis Investigative Site | Surrey | British Columbia | V3R 6A7 | Canada |
| Novartis Investigative Site | Bielefeld | 33647 | Germany |
| Novartis Investigative Site | Essen | 45147 | Germany |
| Novartis Investigative Site | Vechta | 49377 | Germany |
| Novartis Investigative Site | Witten | 58453 | Germany |
| Novartis Investigative Site | Kopavogur | 201 | Iceland |
| Novartis Investigative Site | Warsaw | Mazowian | 02 495 | Poland |
| Novartis Investigative Site | Wroclaw | 50-566 | Poland |
| Novartis Investigative Site | Alicante | Valencia | 03010 | Spain |
| Novartis Investigative Site | Valencia | Valencia | 46014 | Spain |
| Novartis Investigative Site | Barcelona | 08003 | Spain |
| Novartis Investigative Site | Madrid | 28031 | Spain |
| Novartis Investigative Site | Madrid | 28041 | Spain |
| FG002 | Placebo | Placebo to Secukinumab |
| FG003 | Placebo-Secukinumab 300 mg (2 mL AI) | Placebo patients up to Week 12 who thereafter received secukinumab in 2 mL AI up to the end of treatment |
| FG004 | Placebo-Secukinumab 300 mg (2 x 1 mL PFS) | Placebo patients up to Week 12 who thereafter received secukinumab in 2 x 1 mL PFS up to the end of treatment |
| COMPLETED |
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| NOT COMPLETED |
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|
| Treatment Period 2-Randomized Set |
|
|
Full Analysis set (FAS) consisted of 122 subjects and used for efficacy analyses.
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| ID | Title | Description |
|---|---|---|
| BG000 | Secukinumab 2 mL Auto-injector | Secukinumab 300 mg provided in 2 mL auto-injector form |
| BG001 | Secukinumab 1 mL Prefilled Syringe | Secukinumab 300 mg provided as 2x 1 mL prefilled syringe of 150 mg/mL |
| BG002 | Placebo | Placebo to Secukinumab |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| 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 | PASI 75 Response After 12 Weeks of Treatment | Percentage of participants who achieve ≥ 75% reduction in PASI compared to baseline. A PASI (Psoriasis Area and Severity Index) score is a tool used to measure the severity and extent of psoriasis. The score ranges from 0 (no signs of psoriasis) to a theoretic maximum of 72. The intensity of redness, thickness and scaling of the psoriasis is assessed as none (0), mild (1), moderate (2), severe (3) or very severe (4). | Full Analysis Set: Set used for efficacy analysis (122 participants) | Posted | Number | Participants | 12 weeks |
|
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| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | IGA Mod 2011 0 or 1 Response After 12 Weeks of Treatment | Percentage of participants who achieve IGA mod 2011 0 or 1, and improved by at least 2 points on the IGA scale compared to baseline. This scale ranges from 0 (clear, no signs of psoriasis) to 4 (severe). | Full Analysis Set: Set used for efficacy analysis (122 participants) | Posted | Number | Participants | 12 weeks |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | PASI 90 Response | Percentage of participants who achieve ≥ 90% reduction in PASI compared to baseline | Full Analysis Set: Set used for efficacy analysis (122 participants) | Posted | Number | Participants | 12 weeks |
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| Secondary | PASI 50, 75, 90 and 100 and IGA Mod 2011 0 or 1 Response | Percentage of participants who achieve ≥ 50%, 75%, 90% and 100% reduction in PASI and achieve IGA mod 2011 0 or 1, and improved by at least 2 points on the IGA scale compared to baseline at each visit up to 52 weeks | Full Analysis Set: Set used for efficacy analysis | Posted | Number | Participants | 52 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Successful Self-injection | Subject usability (ability to follow instructions for use and potential use-related hazards) and satisfaction with the new secukinumab 2 mL AI utilizing a self-administered Self-Injection Assessment Questionnaire (SIAQ) and investigator/site staff observation of secukinumab 300 mg 2 mL AI administration. The Satisfaction with Self-Injection (SA) domain score ranges from 0 (worst experience) to 10 (best experience). | Safety Set was used for this analyses. For each visit only subjects with a value at both PRE-module at baseline and the respective POST-baseline visit are included. | Posted | Mean | Standard Deviation | Scores on a scale | From randomization until Week 28 |
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| Secondary | Dermatology Life Quality Index, (DLQI) 0 or 1 Score (Total Score) | DLQI is a simple, compact, and practical questionnaire for use in a dermatology clinical setting to assess limitations related to the impact of skin disease. The instrument contains ten items dealing with the participant's skin. With the exception of Item Number 7, the participant responds on a four-point scale, ranging from "Very Much" (score 3) to "Not at All" or "Not relevant" (score 0). Item Number 7 is a multi-part item, the first part of which ascertains whether the participant's skin prevented them from working or studying (Yes or No, scores 3 or 0 respectively), and if "No," then the participant is asked how much of a problem the skin has been at work or study over the past week, with response alternatives being "A lot," "A little," or "Not at all" (scores 2, 1, or 0 respectively). The DLQI total score is derived by summing all item scores, which has a possible range of 0 to 30, with 30 corresponding to the worst quality of life, and 0 corresponding to the best. | Full Analysis Set-For each post-baseline visit only subjects with a value at both baseline and the respective post-baseline visit are included. | Posted | Mean | Standard Deviation | Scores on a Scale | Change from Baseline up to 52 weeks |
|
Adverse events were collected from first dose of study treatment until end of study treatment (Week 48) plus 4 weeks post treatment.
Any sign or symptom that occurs during the study treatment plus the 4 weeks post treatment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Secukinumab 300 mg (2 mL Auto-Injector) | Secukinumab 300 mg provided in 2 mL auto-injector form | 0 | 41 | 1 | 41 | 19 | 41 |
| EG001 | Secukinumab 300 mg (2 x 1 mL PFS) | Secukinumab 300 mg provided as 2x 1 mL prefilled syringe of 150 mg/mL | 0 | 41 | 3 | 41 | 16 | 41 |
| EG002 | Any Secukinumab 300 mg (2 mL AI) | Any Secukinumab 300 mg (2 mL AI) | 0 | 57 | 1 | 57 | 24 | 57 |
| EG003 | Any Secukinumab 300 mg (2 x 1 mL PFS) | Any Secukinumab 300 mg (2 x 1 mL PFS) | 0 | 58 | 4 | 58 | 21 | 58 |
| EG004 | Placebo | Placebo to Secukinumab sub-cutaneous form | 0 | 40 | 0 | 40 | 5 | 40 |
| EG005 | Any Secukinumab 300 mg | Any Secukinumab 300 mg | 0 | 115 | 5 | 115 | 45 | 115 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (23.0) | Systematic Assessment |
|
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 (ie, data from all sites) in the clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | Novartis.email@novartis.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 23, 2018 | Jul 12, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C555450 | secukinumab |
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| Pregnancy |
|
| Lost to Follow-up |
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| Withdrawal by Subject |
|
| ≥ 65 |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| <0.0001 |
| Odds Ratio (OR) |
| 96.23 |
| 2-Sided |
| 95 |
| 17.22 |
| 537.78 |
| Superiority |
|
|
|
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| Placebo-Secukinumab 300 mg (2x 1 mL Prefilled Syringe) |
Placebo patients up to Week 12 who thereafter received secukinumab in 2x 1mL PFS up to the end of treatment |
|
|
| Units | Counts |
|---|
| Participants |
|
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| OG002 | Placebo | Placebo to Secukinumab |
|
|