A Study to Evaluate the Efficacy and Safety of Bimekizuma... | NCT03928704 | Trialant
NCT03928704
Sponsor
UCB Biopharma SRL
Status
Completed
Last Update Posted
Dec 24, 2025Actual
Enrollment
274Actual
Phase
Phase 3
Conditions
Nonradiographic Axial Spondyloarthritis
Interventions
Bimekizumab
Placebo
Countries
United States
Belgium
Bulgaria
China
Czechia
France
Germany
Hungary
Japan
Poland
Spain
Turkey (Türkiye)
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT03928704
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
AS0010
Secondary IDs
ID
Type
Description
Link
2017-003064-13
EudraCT Number
Brief Title
A Study to Evaluate the Efficacy and Safety of Bimekizumab in Subjects With Active Nonradiographic Axial Spondyloarthritis
Official Title
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Bimekizumab in Subjects With Active Nonradiographic Axial Spondyloarthritis
Acronym
BE MOBILE 1
Organization
UCB PharmaINDUSTRY
Status Module
Record Verification Date
Dec 2025
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
Apr 25, 2019Actual
Primary Completion Date
Jun 29, 2022Actual
Completion Date
Apr 17, 2023Actual
First Submitted Date
Apr 23, 2019
First Submission Date that Met QC Criteria
Apr 25, 2019
First Posted Date
Apr 26, 2019Actual
Results Waived
Not provided
Results First Submitted Date
Oct 18, 2024
Results First Submitted that Met QC Criteria
Oct 18, 2024
Results First Posted Date
Nov 13, 2024Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Jun 28, 2023
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Jun 29, 2023Actual
Last Update Submitted Date
Dec 5, 2025
Last Update Posted Date
Dec 24, 2025Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
UCB Biopharma SRLINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
No
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of the study is to demonstrate the efficacy, safety and tolerability of bimekizumab administered subcutaneously (sc) compared to placebo in the treatment of subjects with active nonradiographic axial spondyloarthritis (nr-axSpA).
Detailed Description
Not provided
Conditions Module
Conditions
Nonradiographic Axial Spondyloarthritis
Keywords
Nonradiographic axial spondyloarthritis
Axial spondyloarthritis
Nr-axSpA
Bimekizumab
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
274Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Bimekizumab
Experimental
Subjects randomized to this arm will receive bimekizumab during the Double-Blind Treatment Period and the Maintenance Period.
Drug: Bimekizumab
Placebo
Placebo Comparator
Subjects randomized to this arm will receive placebo during the Double-Blind Treatment Period and receive bimekizumab during the Maintenance Period.
Drug: Bimekizumab
Other: Placebo
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Bimekizumab
Drug
Subjects will receive bimekizumab at pre-specified time-points.
Bimekizumab
Placebo
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Participants With Assessment of SpondyloArthritis International Society 40% Response Criteria (ASAS40) Response at Week 16
ASAS40 response is defined as relative improvements of at least 40% and absolute improvement of at least 2 units in at least 3 of the 4 following components:1) Patient's Global Assessment of Disease Activity (PGADA) assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) Bath Ankylosing Spondylitis Functional Index (BASFI) assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
Week 16
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants With Assessment of SpondyloArthritis International Society 40% Response Criteria (ASAS40) Response in TNFα Inhibitor-naïve Subjects at Week 16
ASAS40 response is defined as relative improvements of at least 40% and absolute improvement of at least 2 units in at least 3 of the 4 following components:1) Patient's Global Assessment of Disease Activity (PGADA) assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) Bath Ankylosing Spondylitis Functional Index (BASFI) assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Male or female patients at least 18 years of age
Patient has nonradiographic axial spondyloarthritis (nr-axSpA) with all of the following criteria:
Adult-onset axial spondyloarthritis meeting Assessment of SpondyloArthritis International Society (ASAS) classification criteria
Inflammatory back pain for at least 3 months
Age at symptom onset of less than 45 years
NO sacroiliitis (in Anterior-Posterior pelvis or sacroiliac x-ray)
Active disease defined by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) >=4 AND spinal pain >=4 on a 0 to 10 Numeric Rating Scale
Objective inflammation defined by sacroiliitis on magnetic resonance imaging and/or elevated C-reactive protein
Subjects had to have either failed to respond to 2 different nonsteroidal anti-inflammatory drugs (NSAIDs) given at the maximum tolerated dose for a total of 4 weeks or have a history of intolerance to or a contraindication to NSAID therapy
Patients who have taken a tumor necrosis factor alpha (TNFα) inhibitor must have experienced an inadequate response or intolerance to treatment given at an approved dose for at least 12 weeks
Patients currently taking NSAIDs, cyclooxygenase 2 (COX-2) inhibitors, analgesics, corticosteroids, methotrexate (MTX), leflunomide (LEF), sulfasalazine (SSZ), hydroxychloroquine (HCQ) AND/OR apremilast can be allowed if they fulfill specific requirements prior to study entry
Exclusion Criteria:
Treatment with more than 1 TNFα inhibitor and/or more than 2 additional non-TNFα biological response modifiers, or any interleukin (IL)-17 biological response modifier
Active infection or history of recent serious infections
Viral hepatitis B or C or human immunodeficiency virus (HIV) infection
Any live (includes attenuated) vaccination within the 8 weeks prior to entering the study or TB (Bacillus Calmette-Guerin) vaccination within 1 year prior entering the study
Known tuberculosis (TB) infection, at high risk of acquiring TB infection, or current or history of nontuberculous mycobacterium (NTMB) infection
Subject has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma or in situ cervical cancer
Diagnosis of inflammatory conditions other than axial spondyloarthritis (axSpA), including but not limited to psoriatic arthritis, rheumatoid arthritis, sarcoidosis, systemic lupus erythematosus, and reactive arthritis. Patients with a diagnosis of Crohn's disease, ulcerative colitis, or other inflammatory bowel disease (IBD) are allowed as long as they have no active symptomatic disease when entering the study
Presence of active suicidal ideation, or moderately severe major depression or severe major depression
Female patients who are breastfeeding, pregnant, or planning to become pregnant during the study
Subject has a history of chronic alcohol or drug abuse within 6 months prior to Screening
van der Heijde D, Deodhar A, Baraliakos X, Brown MA, Dobashi H, Dougados M, Elewaut D, Ellis AM, Fleurinck C, Gaffney K, Gensler LS, Haroon N, Magrey M, Maksymowych WP, Marten A, Massow U, Oortgiesen M, Poddubnyy D, Rudwaleit M, Shepherd-Smith J, Tomita T, Van den Bosch F, Vaux T, Xu H. Efficacy and safety of bimekizumab in axial spondyloarthritis: results of two parallel phase 3 randomised controlled trials. Ann Rheum Dis. 2023 Apr;82(4):515-526. doi: 10.1136/ard-2022-223595. Epub 2023 Jan 17.
Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe, or global development is discontinued, and 18 months after trial completion. Investigators may request access to anonymized individual patient-level data and redacted trial documents which may include: analysis-ready datasets, study protocol, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a prespecified time, typically 12 months, on a password protected portal. This plan may change if the risk of re-identifying trial participants is determined to be too high after the trial is completed; in this case and to protect participants, individual patient-level data would not be made available.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame
Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe or global development is discontinued, and 18 months after trial completion.
Access Criteria
Qualified researchers may request access to anonymized IPD and redacted study documents which may include: raw datasets, analysis-ready datasets, study protocol, blank case report form, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a pre-specified time, typically 12 months, on a password protected portal.
Out of 36 Chinese participants, 16 participants were included in the analysis of global population and the results of the remaining 20 Chinese participants are reported separately as the China Extension Population. Participant Flow refers to the Randomized Set and AS0010 China Extension Participants.
Recruitment Details
The study started to enroll participants in April 2019 and concluded in April 2023. Among the total of 274 participants, 254 participants were enrolled under the global study protocol by June 2021, including 16 enrolled in China. The enrolment was extended in China to achieve the target of 36 participants as agreed with the local agency and additional 20 Chinese participants were enrolled by February 2022 in the China Extension population.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 milligrams (mg) every 4 weeks (Q4W) subcutaneously until Week 16.
FG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Subjects will receive placebo at pre-specified time-points during the Double-Blind Treatment Period.
Placebo
PBO
Week 16
Change From Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Total Score at Week 16
BASDAI is a well-established patient-reported endpoint assessing severity of AS symptoms. It is made of 6 items assessing severity of fatigue, spinal pain, peripheral joint pain & swelling, enthesitis, & morning stiffness (both severity and duration). Each question is rated using a numerical rating scale ranging from 0 (none) to 10 (very severe), higher score=higher symptom severity.BASDAI score is calculated by computing mean of questions 5 and 6 & adding it to sum of questions 1 to 4.This score is then divided by 5.Total BASDAI score ranges from 0=no disease activity to 10=maximal disease activity, higher score indicates higher symptom severity. A negative change reflects improvement.
Baseline, Week 16
Percentage of Participants With Assessment of SpondyloArthritis International Society 20% Response Criteria (ASAS20) Response at Week 16
ASAS20 response is defined as relative improvements of at least 20% and absolute improvement of at least 1 unit in at least 3 of the 4 following components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities, 4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI, each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
Week 16
Percentage of Participants With Assessment of SpondyloArthritis International Society (ASAS) Partial Remission (PR) at Week 16
The Assessment of SpondyloArthritis International Society partial remission (ASAS-PR) is defined as a score of less than or equal to (<=) 2 units in each of the 4 following components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity,2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities, and 4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI scale, each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity.
Week 16
Percentage of Participants With Ankylosing Spondylitis Disease Activity Score Major Improvement (ASDAS-MI) at Week 16
ASDAS-MI is achieved when there is a reduction (improvement) greater or equal to (>=) 2.0 in ASDAS relative to Baseline. ASDAS is calculated by adding the 5 following components: 1) 0.121 × Neck, back or hip pain (BASDAI Q2), 2) 0.058 × Duration of morning stiffness (BASDAI Q6), 3) 0.110 × Patient's Global Assessment of Disease Activity (PGADA), 4) 0.073 × Peripheral pain/swelling in joints (BASDAI Q3), 5) 0.579 × (natural logarithm of the C-reactive protein (CRP) [mg/L] + 1). Q2, Q3 and Q6 from BASDAI and PGADA, are all assessed on a numerical scale from 0 [none / not active] to 10 [very severe / very active]. There is a minimum score of 0.980 for ASDAS (as a fixed value of 2 is assumed for values of hs-CRP below the lower limit of quantification (LLOQ)), but no defined upper score. Higher ASDAS scores reflect higher disease activity and participants achieving ASDAS-MI are considered to have a major improvement in their disease.
Week 16
Percentage of Participants With Assessment of SpondyloArthritis International Society (ASAS) 5/6 Response at Week 16
ASAS 5/6 response is defined as achieving at least 20% improvement in 5 of the following 6 components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most intense pain], higher score=higher pain intensity,3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI scale, each assessed on a scale ranging from 0 [none/ 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity;5) spinal mobility (ie, lateral spinal flexion component of Bath Ankylosing Spondylitis Disease Metrology Index) on a scale ranging from 0 [no limitation of movement] to 10 [very severe limitation of movement] and 6) high sensitivity C-reactive protein (hs-CRP).
Week 16
Change From Baseline in Bath Ankylosing Spondylitis Functional Index (BASFI) at Week 16
The BASFI is a well-established PRO measure of physical functioning used in AxSpA trials. It assesses participants' level of ability during the past week in conducting 10 physical activities on a scale ranging from 0 [easy] to 10 [impossible]. The BASFI score is the mean of the 10 item scores and ranges from 0 to 10, with lower scores indicating better physical function. A negative change in BASFI indicates improvement. The higher the negative value the better the improvement.
Baseline, Week 16
Change From Baseline in Nocturnal Spinal Pain Score Using Numeric Rating Scale (NRS) at Week 16
Nocturnal spinal pain experienced by participants with axial spondyloarthritis (axSpA) was assessed on a numerical rating scale ranging from 0 (no pain) to 10 (most severe pain). A lower score indicates less pain and a negative change represents an improvement.
Baseline, Week 16
Change From Baseline in Ankylosing Spondylitis Quality of Life (ASQoL) Total Score at Week 16
The Ankylosing Spondylitis Quality of Life (ASQoL) is an 18-item PRO measure developed specifically for measuring health-related quality of life (HRQoL) in participants with ankylosing spondylitis and validated in the full spectrum of axial spondyloarthritis (axSpA). Each item is given a score of 1 for positive responses indicating impaired quality of life, and a score of 0 for negative responses. All item scores are summed to generate the total score ranging from 0 to 18 with a higher score indicating worse HRQoL. A negative change represents an improvement.
Baseline, Week 16
Change From Baseline in the Short Form 36-Item Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 16
SF-36 is a 36-item HRQoL instrument with recall period of 4 weeks. Items are grouped into 8 domains: Physical Functioning (10 items), Role Physical (4 items), Bodily Pain (2 items), General Health (5 items), Vitality (4 items), Social Functioning (2 items), Role Emotional (3 items), Mental Health (5 items) and 1 item for Health Transition during last year. PCS and Mental Component Summary (MCS) scores are calculated from 8 domains (excluding Health Transition item). Each of SF-36 derived raw scores range from 0 to 100; higher score = better function. PCS score is calculated from 8 domain scores. It is standardized score ranging from 7.3 to 70.1, with a mean of 50 and SD of 10 in general US population, higher values = better function, and positive change reflects improvement. A PCS score mean below 47 indicates impaired physical functioning. Individual respondent's score that falls outside T-score range of 45 to 55 are outside average general US population range.
Baseline, Week 16
Change From Baseline in Bath Ankylosing Spondylitis Disease Metrology Index (BASMI) at Week 16
The BASMI characterizes the spinal mobility of participants with axial Spondyloarthritis (SpA) and Ankylosing Spondylitis. It is a disease-specific measure consisting of 5 clinical measures to reflect participant axial status: cervical rotation; tragus to wall distance; lateral lumbar flexion; lumbar flexion (modified Schober test); intermalleolar distance. According to the linear definition of the BASMI a score of 0 to 10 was calculated for each item based on the measurement. The mean of the 5 scores provides the total BASMI score (ranging from 0 to 10). The higher the BASMI score, the more severe the participant's limitation of movement due to their axial SpA. A negative value in BASMI change from Baseline indicates an improvement from Baseline. The higher the negative value, the better the improvement.
Baseline, Week 16
Change From Baseline in the Maastricht Ankylosing Spondylitis Enthesitis (MASES) Index in the Subgroup of Participants With Enthesitis at Baseline at Week 16
The Maastricht Ankylosing Spondylitis Enthesitis is an index that measures the severity (ie, intensity and extent) of enthesitis through the assessment of 13 entheses (bilateral costochondral 1, costochondral 7, anterior superior iliac spine, posterior iliac spine, iliac crest and proximal insertion of the Achilles tendon sites, and the fifth lumbar vertebral body spinous process), each scored as 0 or 1 and then summed for a possible score of 0 to 13. A higher score reflects higher severity and a negative change represents an improvement.
Baseline, Week 16
Percentage of Participants With Enthesitis-free State at Week 16 Based on the Maastricht Ankylosing Spondylitis Enthesitis (MASES) Index in the Subgroup of Participants With Enthesitis at Baseline
The Maastricht Ankylosing Spondylitis Enthesitis is an index that measures the severity (ie, intensity and extent) of enthesitis through the assessment of 13 entheses (bilateral costochondral 1, costochondral 7, anterior superior iliac spine, posterior iliac spine, iliac crest and proximal insertion of the Achilles tendon sites, and the fifth lumbar vertebral body spinous process), each scored as 0 or 1 and then summed for a possible score of 0 to 13. Enthesitis free state is defined as having a MASES score of 0. A higher score reflects higher severity and a negative change represents an improvement.
Baseline, Week 16
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the Study
TEAEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week Safety follow up (SFU)). TEAEs were analyzed and have been reported separately for Double-Blind Treatment Period (Safety set),Maintenance Period (MP) (Maintenance Set) and Overall Period (Safety set) which includes all participants who received BKZ 160 mg Q4W during the study. The overall period arm reports repeated TEAEs from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, Maintenance Period (MP) included AEs of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
From Baseline (Day 1) until Safety-Follow-Up (up to Week 68) (Week 48 last IMP intake + 20 weeks SFU)
Percentage of Participants With Treatment-emergent Serious Adverse Events (SAEs) During the Study
A serious adverse event (SAE) is any untoward medical occurrence that at any dose resulted in 1) Death, 2) Life-threatening (Life-threatening does not include a reaction that might have caused death had it occurred in a more severe form.), 3) Significant or persistent disability/incapacity, 4) Congenital anomaly/birth defect (including that occurring in a fetus), 5) Important medical event that, based upon appropriate medical judgment, may jeopardize the participant or participant may require medical or surgical intervention to prevent any of the above, 6) Initial inpatient hospitalization or prolongation of hospitalization. The overall period arm reports repeated SAEs from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, MP included SAEs of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
From Baseline (Day 1) until Safety Follow-Up (up to Week 68)
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal From Investigational Medicinal Product (IMP) During the Study
TEAEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week SFU period). The overall period arm reports repeated events from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, MP included events of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
From Baseline (Day 1) until Safety-Follow-Up (up to Week 68)
Phoenix
Arizona
85032
United States
As0010 50062
Sun City
Arizona
85351
United States
As0010 50060
Upland
California
91786
United States
As0010 50059
Ormond Beach
Florida
32174
United States
As0010 50056
Sarasota
Florida
34239
United States
As0010 50015
Hagerstown
Maryland
21740
United States
As0010 50016
St Louis
Missouri
63141
United States
As0010 50055
Portland
Oregon
97239-3011
United States
As0010 50020
Duncansville
Pennsylvania
16635
United States
As0010 50012
Memphis
Tennessee
38119-5214
United States
As0010 50057
Dallas
Texas
75231
United States
As0010 50036
Mesquite
Texas
75150
United States
As0010 50061
Spokane
Washington
99204
United States
As0010 40004
Brussels
Belgium
As0010 40003
Genk
Belgium
As0010 40001
Ghent
Belgium
As0010 40002
Merksem
Belgium
As0010 40006
Plovdiv
Bulgaria
As0010 40007
Plovdiv
Bulgaria
As0010 40005
Sofia
Bulgaria
As0010 40008
Sofia
Bulgaria
As0010 20040
Beijing
China
As0010 20021
Chengdu
China
As0010 20019
Guangzhou
China
As0010 20034
Hefei
China
As0010 20024
Nanjing
China
As0010 20018
Shanghai
China
As0010 20020
Shanghai
China
As0010 20026
Shanghai
China
As0010 20025
Wenzhou
China
As0010 40011
Brno
Czechia
As0010 40009
Pardubice
Czechia
As0010 40013
Prague
Czechia
As0010 40014
Prague
Czechia
As0010 40015
Prague
Czechia
As0010 40016
Prague
Czechia
As0010 40010
Uherské Hradiště
Czechia
As0010 40012
Zlín
Czechia
As0010 40018
Boulogne-Billancourt
France
As0010 40022
Limoges
France
As0010 40025
Berlin
Germany
As0010 40029
Hamburg
Germany
As0010 40024
Hanover
Germany
As0010 40027
Herne
Germany
As0010 40078
Leipzig
Germany
As0010 40026
Ratingen
Germany
As0010 40032
Debrecen
Hungary
As0010 40031
Szeged
Hungary
As0010 40033
Székesfehérvár
Hungary
As0010 40080
Szombathely
Hungary
As0010 20030
Chūōku
Japan
As0010 20039
Iruma-gun
Japan
As0010 20036
Kawachi-Nagano
Japan
As0010 20045
Kita-gun
Japan
As0010 20065
Kitakyushu
Japan
As0010 20038
Nankoku-shi
Japan
As0010 20037
Osaka
Japan
As0010 20084
Saga
Japan
As0010 20048
Saitama
Japan
As0010 20031
Sapporo
Japan
As0010 20035
Tokyo
Japan
As0010 40038
Elblag
Poland
As0010 40042
Krakow
Poland
As0010 40037
Lublin
Poland
As0010 40044
Poznan
Poland
As0010 40040
Torun
Poland
As0010 40041
Warsaw
Poland
As0010 40039
Wroclaw
Poland
As0010 40043
Wroclaw
Poland
As0010 40045
A Coruña
Spain
As0010 40046
Córdoba
Spain
As0010 40047
Madrid
Spain
As0010 40048
Santiago de Compostela
Spain
As0010 40049
Seville
Spain
As0010 40052
Ankara
Turkey (Türkiye)
As0010 40053
Ankara
Turkey (Türkiye)
As0010 40050
Istanbul
Turkey (Türkiye)
As0010 40051
Izmir
Turkey (Türkiye)
As0010 40057
Edinburgh
United Kingdom
As0010 40056
Leeds
United Kingdom
As0010 40054
London
United Kingdom
As0010 40055
Norwich
United Kingdom
Result
Navarro-Compan V, Ramiro S, Deodhar A, Mease PJ, Rudwaleit M, de la Loge C, Fleurinck C, Taieb V, Morup MF, Massow U, Kay J, Magrey M. Association of clinical response criteria and disease activity levels with axial spondyloarthritis core domains: results from two phase 3 randomised studies, BE MOBILE 1 and 2. RMD Open. 2024 Apr 10;10(2):e004040. doi: 10.1136/rmdopen-2023-004040.
Dubreuil M, Navarro-Compan V, Boonen A, Gaffney K, Gensler LS, de la Loge C, Vaux T, Fleurinck C, Massow U, Taieb V, Morup MF, Deodhar A, Rudwaleit M. Improved physical functioning, sleep, work productivity and overall health-related quality of life with bimekizumab in patients with axial spondyloarthritis: results from two phase 3 studies. RMD Open. 2024 Jun 4;10(2):e004202. doi: 10.1136/rmdopen-2024-004202.
Cella D, de la Loge C, Fofana F, Guo S, Ellis A, Fleurinck C, Massow U, Dougados M, Navarro-Compan V, Walsh JA. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) scale in patients with axial spondyloarthritis: psychometric properties and clinically meaningful thresholds for interpretation. J Patient Rep Outcomes. 2024 Aug 12;8(1):92. doi: 10.1186/s41687-024-00769-x.
Ramiro S, Poddubnyy D, Mease PJ, Lopez-Medina C, Kim M, Massow U, Taieb V, Kragstrup TW, McGonagle D. Sustained resolution of enthesitis and peripheral arthritis over 104 weeks with bimekizumab in axial spondyloarthritis. RMD Open. 2025 Oct 22;11(4):e005969. doi: 10.1136/rmdopen-2025-005969.
Navarro-Compan V, Kiltz U, Mease PJ, Dubreuil M, Gaffney K, Deodhar A, de la Loge C, Prajapati C, Kavanagh S, Marzo-Ortega H. Bimekizumab treatment for sustained improvements in patient symptoms and health-related quality of life to 3 years in axial spondyloarthritis: results from the BE MOBILE studies and their open-label extension. RMD Open. 2026 May 13;12(2):e006670. doi: 10.1136/rmdopen-2025-006670.
Mease PJ, Merola JF, Magrey M, Nash P, Poddubnyy D, Lebwohl M, Bajracharya R, Ink B, Marten A, Manente M, Peterson L, White K, Gensler LS. Bimekizumab longer-term safety profile in adult patients with axial spondyloarthritis or psoriatic arthritis: an updated analysis of six phase IIb/III clinical studies. RMD Open. 2026 Mar 10;12(1):e006174. doi: 10.1136/rmdopen-2025-006174.
Marzo-Ortega H, Navarro-Compan V, Dubreuil M, Mease PJ, Magrey M, Rudwaleit M, D'Agostino MA, Gaffney K, Kay J, de la Loge C, Massow U, Taieb V, Vaux T, Deodhar A. Sustained improvements in spinal pain, morning stiffness, fatigue, sleep, physical function and overall health-related quality of life with bimekizumab in patients with axial spondyloarthritis: 2-year results from two phase 3 studies. RMD Open. 2025 Nov 28;11(4):e006013. doi: 10.1136/rmdopen-2025-006013.
Navarro-Compan V, Rudwaleit M, Dubreuil M, Magrey M, Marzo-Ortega H, Mease PJ, Walsh JA, Dougados M, de la Loge C, Fleurinck C, Massow U, Vaux T, Taieb V, Deodhar A. Improved Pain, Morning Stiffness, and Fatigue With Bimekizumab in Axial Spondyloarthritis: Results From the Phase III BE MOBILE Studies. J Rheumatol. 2025 Jan 1;52(1):23-32. doi: 10.3899/jrheum.2024-0223.
Baraliakos X, Deodhar A, van der Heijde D, Magrey M, Maksymowych WP, Tomita T, Xu H, Massow U, Fleurinck C, Ellis AM, Vaux T, Shepherd-Smith J, Marten A, Gensler LS. Bimekizumab treatment in patients with active axial spondyloarthritis: 52-week efficacy and safety from the randomised parallel phase 3 BE MOBILE 1 and BE MOBILE 2 studies. Ann Rheum Dis. 2024 Jan 11;83(2):199-213. doi: 10.1136/ard-2023-224803.
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
FG002
Bimekizumab 160 mg Q4W (Week 16 up to Week 52) (Global Population)
At the end of the 16-week Double-Blind Treatment Period, study participants receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
FG003
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
FG005
BKZ 160 mg Q4W (Week 16 up to Week 52) (China Extension Population)
At the end of the 16-week Double-Blind Treatment Period, study participants in China Extension Population receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
FG000126 subjects
FG001128 subjects
FG0020 subjects
FG00311 subjects
FG0049 subjects
FG0050 subjects
Started Chinese Participants
FG0007 subjects
FG0019 subjects
FG0020 subjects
FG00311 subjects
FG0049 subjects
FG0050 subjects
COMPLETED
FG000118 subjects
FG001126 subjects
FG0020 subjects
FG00311 subjects
FG0049 subjects
FG0050 subjects
NOT COMPLETED
FG0008 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Type
Comment
Reasons
Patient Compliance
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Withdrawal By Study Participant
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Lack of Efficacy
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Adverse Event
FG0003 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Maintenance Period: Week 16-52
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG0010 subjects
FG002242 subjectsPlacebo=116+ BKZ=126 2 participants Completed the 16-Week Double-Blind Period but did not enter the Maintenance Period because of the below reason:
Adverse event:
FG0030 subjects
FG0040 subjects
FG00520 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG002220 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG00222 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Withdrawal By Study Participant
FG0000 subjects
FG0010 subjects
FG00212 subjects
FG003
Baseline Characteristics refer to the Randomized Set which consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
BG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
BG002
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000126
BG001128
BG00211
BG0039
BG004274
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
18 - <65
BG000123
BG001125
BG00211
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00061
BG00155
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Asian
BG00013
BG00115
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0003
BG0012
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 Assessment of SpondyloArthritis International Society 40% Response Criteria (ASAS40) Response at Week 16
ASAS40 response is defined as relative improvements of at least 40% and absolute improvement of at least 2 units in at least 3 of the 4 following components:1) Patient's Global Assessment of Disease Activity (PGADA) assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) Bath Ankylosing Spondylitis Functional Index (BASFI) assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
The Randomized set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Units
Counts
Participants
OG000126
OG001128
OG00211
OG003
Title
Denominators
Categories
Title
Measurements
OG00021.4
OG00147.7
OG00227.3
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
Regression, Logistic
<0.001
Odds Ratio (OR)
3.51
2-Sided
95
2.00
6.16
Superiority
Secondary
Percentage of Participants With Assessment of SpondyloArthritis International Society 40% Response Criteria (ASAS40) Response in TNFα Inhibitor-naïve Subjects at Week 16
ASAS40 response is defined as relative improvements of at least 40% and absolute improvement of at least 2 units in at least 3 of the 4 following components:1) Patient's Global Assessment of Disease Activity (PGADA) assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) Bath Ankylosing Spondylitis Functional Index (BASFI) assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. Participants analyzed are those from the RS who are TNFα inhibitor-naïve.
Posted
Number
percentage of Participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Change From Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Total Score at Week 16
BASDAI is a well-established patient-reported endpoint assessing severity of AS symptoms. It is made of 6 items assessing severity of fatigue, spinal pain, peripheral joint pain & swelling, enthesitis, & morning stiffness (both severity and duration). Each question is rated using a numerical rating scale ranging from 0 (none) to 10 (very severe), higher score=higher symptom severity.BASDAI score is calculated by computing mean of questions 5 and 6 & adding it to sum of questions 1 to 4.This score is then divided by 5.Total BASDAI score ranges from 0=no disease activity to 10=maximal disease activity, higher score indicates higher symptom severity. A negative change reflects improvement.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. Here, 'Number of Participants Analyzed' signifies participants who were evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Assessment of SpondyloArthritis International Society 20% Response Criteria (ASAS20) Response at Week 16
ASAS20 response is defined as relative improvements of at least 20% and absolute improvement of at least 1 unit in at least 3 of the 4 following components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities, 4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI, each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity; and no worsening at all in the remaining component.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Assessment of SpondyloArthritis International Society (ASAS) Partial Remission (PR) at Week 16
The Assessment of SpondyloArthritis International Society partial remission (ASAS-PR) is defined as a score of less than or equal to (<=) 2 units in each of the 4 following components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity,2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most severe pain], higher score= higher pain intensity, 3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities, and 4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI scale, each assessed on a scale ranging from 0 [none / 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Ankylosing Spondylitis Disease Activity Score Major Improvement (ASDAS-MI) at Week 16
ASDAS-MI is achieved when there is a reduction (improvement) greater or equal to (>=) 2.0 in ASDAS relative to Baseline. ASDAS is calculated by adding the 5 following components: 1) 0.121 × Neck, back or hip pain (BASDAI Q2), 2) 0.058 × Duration of morning stiffness (BASDAI Q6), 3) 0.110 × Patient's Global Assessment of Disease Activity (PGADA), 4) 0.073 × Peripheral pain/swelling in joints (BASDAI Q3), 5) 0.579 × (natural logarithm of the C-reactive protein (CRP) [mg/L] + 1). Q2, Q3 and Q6 from BASDAI and PGADA, are all assessed on a numerical scale from 0 [none / not active] to 10 [very severe / very active]. There is a minimum score of 0.980 for ASDAS (as a fixed value of 2 is assumed for values of hs-CRP below the lower limit of quantification (LLOQ)), but no defined upper score. Higher ASDAS scores reflect higher disease activity and participants achieving ASDAS-MI are considered to have a major improvement in their disease.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Secondary
Percentage of Participants With Assessment of SpondyloArthritis International Society (ASAS) 5/6 Response at Week 16
ASAS 5/6 response is defined as achieving at least 20% improvement in 5 of the following 6 components:1) PGADA assessed on a scale ranging from 0 [not active] to 10 [very active], higher score=higher disease activity, 2) Spinal Pain assessed on a scale ranging from 0 [no pain] to 10 [most intense pain], higher score=higher pain intensity,3) BASFI assessing participant's level of ability on a scale ranging from 0 [easy] to 10 [impossible] on 10 physical activities,4) morning stiffness, assessed as the mean of Q5 (intensity) and Q6 (duration) from the BASDAI scale, each assessed on a scale ranging from 0 [none/ 0 hour] to 10 [very severe / 2 or more hours], higher score=higher severity;5) spinal mobility (ie, lateral spinal flexion component of Bath Ankylosing Spondylitis Disease Metrology Index) on a scale ranging from 0 [no limitation of movement] to 10 [very severe limitation of movement] and 6) high sensitivity C-reactive protein (hs-CRP).
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Secondary
Change From Baseline in Bath Ankylosing Spondylitis Functional Index (BASFI) at Week 16
The BASFI is a well-established PRO measure of physical functioning used in AxSpA trials. It assesses participants' level of ability during the past week in conducting 10 physical activities on a scale ranging from 0 [easy] to 10 [impossible]. The BASFI score is the mean of the 10 item scores and ranges from 0 to 10, with lower scores indicating better physical function. A negative change in BASFI indicates improvement. The higher the negative value the better the improvement.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. Here, 'Number of Participants Analyzed' signifies participants who were evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Placebo (up to Week 16) (China Extension Population)
Secondary
Change From Baseline in Nocturnal Spinal Pain Score Using Numeric Rating Scale (NRS) at Week 16
Nocturnal spinal pain experienced by participants with axial spondyloarthritis (axSpA) was assessed on a numerical rating scale ranging from 0 (no pain) to 10 (most severe pain). A lower score indicates less pain and a negative change represents an improvement.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. Here, 'Number of Participants Analyzed' signifies participants who were evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Change From Baseline in Ankylosing Spondylitis Quality of Life (ASQoL) Total Score at Week 16
The Ankylosing Spondylitis Quality of Life (ASQoL) is an 18-item PRO measure developed specifically for measuring health-related quality of life (HRQoL) in participants with ankylosing spondylitis and validated in the full spectrum of axial spondyloarthritis (axSpA). Each item is given a score of 1 for positive responses indicating impaired quality of life, and a score of 0 for negative responses. All item scores are summed to generate the total score ranging from 0 to 18 with a higher score indicating worse HRQoL. A negative change represents an improvement.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. Here, 'Number of Participants Analyzed' signifies participants who were evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Change From Baseline in the Short Form 36-Item Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 16
SF-36 is a 36-item HRQoL instrument with recall period of 4 weeks. Items are grouped into 8 domains: Physical Functioning (10 items), Role Physical (4 items), Bodily Pain (2 items), General Health (5 items), Vitality (4 items), Social Functioning (2 items), Role Emotional (3 items), Mental Health (5 items) and 1 item for Health Transition during last year. PCS and Mental Component Summary (MCS) scores are calculated from 8 domains (excluding Health Transition item). Each of SF-36 derived raw scores range from 0 to 100; higher score = better function. PCS score is calculated from 8 domain scores. It is standardized score ranging from 7.3 to 70.1, with a mean of 50 and SD of 10 in general US population, higher values = better function, and positive change reflects improvement. A PCS score mean below 47 indicates impaired physical functioning. Individual respondent's score that falls outside T-score range of 45 to 55 are outside average general US population range.
Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment. 'Number of Participants Analyzed' signifies participants who were evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
T-score
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Change From Baseline in Bath Ankylosing Spondylitis Disease Metrology Index (BASMI) at Week 16
The BASMI characterizes the spinal mobility of participants with axial Spondyloarthritis (SpA) and Ankylosing Spondylitis. It is a disease-specific measure consisting of 5 clinical measures to reflect participant axial status: cervical rotation; tragus to wall distance; lateral lumbar flexion; lumbar flexion (modified Schober test); intermalleolar distance. According to the linear definition of the BASMI a score of 0 to 10 was calculated for each item based on the measurement. The mean of the 5 scores provides the total BASMI score (ranging from 0 to 10). The higher the BASMI score, the more severe the participant's limitation of movement due to their axial SpA. A negative value in BASMI change from Baseline indicates an improvement from Baseline. The higher the negative value, the better the improvement.
The Randomized Set consisted of all randomized study participants. AS0010 China Extension Participants refer to an additional randomized set recruited in China after the closure of the global study recruitment.
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Change From Baseline in the Maastricht Ankylosing Spondylitis Enthesitis (MASES) Index in the Subgroup of Participants With Enthesitis at Baseline at Week 16
The Maastricht Ankylosing Spondylitis Enthesitis is an index that measures the severity (ie, intensity and extent) of enthesitis through the assessment of 13 entheses (bilateral costochondral 1, costochondral 7, anterior superior iliac spine, posterior iliac spine, iliac crest and proximal insertion of the Achilles tendon sites, and the fifth lumbar vertebral body spinous process), each scored as 0 or 1 and then summed for a possible score of 0 to 13. A higher score reflects higher severity and a negative change represents an improvement.
Subgroup of study participants in Randomized Set with enthesitis at Baseline (MASES index score > 0). Subgroup of study participants in China Extension Population (randomized set) with enthesitis at Baseline (MASES index score > 0).
Posted
Least Squares Mean
Standard Error
score on a scale
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Secondary
Percentage of Participants With Enthesitis-free State at Week 16 Based on the Maastricht Ankylosing Spondylitis Enthesitis (MASES) Index in the Subgroup of Participants With Enthesitis at Baseline
The Maastricht Ankylosing Spondylitis Enthesitis is an index that measures the severity (ie, intensity and extent) of enthesitis through the assessment of 13 entheses (bilateral costochondral 1, costochondral 7, anterior superior iliac spine, posterior iliac spine, iliac crest and proximal insertion of the Achilles tendon sites, and the fifth lumbar vertebral body spinous process), each scored as 0 or 1 and then summed for a possible score of 0 to 13. Enthesitis free state is defined as having a MASES score of 0. A higher score reflects higher severity and a negative change represents an improvement.
Subgroup of study participants in Randomized Set with enthesitis at Baseline (MASES index score > 0). Subgroup of study participants in China Extension Population (randomized set) with enthesitis at Baseline (MASES index score > 0).
Posted
Number
percentage of participants
Baseline, Week 16
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the Study
TEAEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week Safety follow up (SFU)). TEAEs were analyzed and have been reported separately for Double-Blind Treatment Period (Safety set),Maintenance Period (MP) (Maintenance Set) and Overall Period (Safety set) which includes all participants who received BKZ 160 mg Q4W during the study. The overall period arm reports repeated TEAEs from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, Maintenance Period (MP) included AEs of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
Safety Set consisted of all randomized study participants who received at least 1 dose of IMP. Maintenance Set (MS) included all study participants who have received at least 1 dose of BKZ treatment in the MP. AS0010 China Extension Participants Safety Set included all randomized study participants who received at least 1 dose of IMP. AS0010 China Extension Participants Maintenance Set included all study participants who have received at least 1 dose of BKZ treatment in the MP.
Posted
Number
percentage of participants
From Baseline (Day 1) until Safety-Follow-Up (up to Week 68) (Week 48 last IMP intake + 20 weeks SFU)
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Treatment-emergent Serious Adverse Events (SAEs) During the Study
A serious adverse event (SAE) is any untoward medical occurrence that at any dose resulted in 1) Death, 2) Life-threatening (Life-threatening does not include a reaction that might have caused death had it occurred in a more severe form.), 3) Significant or persistent disability/incapacity, 4) Congenital anomaly/birth defect (including that occurring in a fetus), 5) Important medical event that, based upon appropriate medical judgment, may jeopardize the participant or participant may require medical or surgical intervention to prevent any of the above, 6) Initial inpatient hospitalization or prolongation of hospitalization. The overall period arm reports repeated SAEs from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, MP included SAEs of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
Safety Set consisted of all randomized study participants who received at least 1 dose of IMP. Maintenance Set (MS) included all study participants who have received at least 1 dose of BKZ treatment in the MP. AS0010 China Extension Participants Safety Set included all randomized study participants who received at least 1 dose of IMP. AS0010 China Extension Participants Maintenance Set included all study participants who have received at least 1 dose of BKZ treatment in the MP.
Posted
Number
percentage of participants
From Baseline (Day 1) until Safety Follow-Up (up to Week 68)
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Secondary
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal From Investigational Medicinal Product (IMP) During the Study
TEAEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week SFU period). The overall period arm reports repeated events from the double blind treatment period arm and maintenance period arm. As pre-specified in SAP, MP included events of Safety follow up period for participants who did not enter the open label extension or discontinued early in MP.
Safety Set consisted of all randomized study participants who received at least 1 dose of IMP. Maintenance Set (MS) included all study participants who have received at least 1 dose of BKZ treatment in the MP. AS0010 China Extension Participants Safety Set included all randomized study participants who received at least 1 dose of IMP. AS0010 China Extension Participants Maintenance Set included all study participants who have received at least 1 dose of BKZ treatment in the MP.
Posted
Number
percentage of participants
From Baseline (Day 1) until Safety-Follow-Up (up to Week 68)
ID
Title
Description
OG000
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Time Frame
From Baseline (Day 1) until Safety Follow-Up (up to Week 68)
Description
As pre-specified in SAP, Maintenance Period (MP) included AEs of SFU period for participants who did not enter OLE or discontinued early in MP. Study participants who rolled over to OLE study did not have a SFU visit. TEAEs have been reported for Safety set (SS), MS, AS0010 China Extension Participants SS and AS0010 China Extension Participants MS. Overall Period included all participants who received BKZ 160 mg Q4W during study. Overall Period arm reports repeated TEAEs from DBTP and MP.
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
Placebo (up to Week 16) (Global Population)
Participants received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
0
126
1
126
30
126
EG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
0
128
0
128
40
128
EG002
Bimekizumab 160 mg Q4W (Week 16 up to Week 52) (Global Population)
At the end of the 16-week Double-Blind Treatment Period, study participants receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
0
242
9
242
94
242
EG003
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (Global Population)
Participants who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
0
244
9
244
114
244
EG004
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
0
9
0
9
9
9
EG006
BKZ 160 mg Q4W (Week 16 up to Week 52) (China Extension Population)
At the end of the 16-week Double-Blind Treatment Period, study participants in China Extension Population receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
0
20
3
20
13
20
EG007
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (China Population)
Participants in the China Extension Population who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
0
20
3
20
16
20
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abdominal adhesions
Gastrointestinal disorders
MedDRA 19.0
Non-systematic Assessment
EG0001 events1 affected126 at risk
EG0010 events0 affected128 at risk
EG0020 events0 affected242 at risk
EG0030 events0 affected244 at risk
EG0040 events0 affected11 at risk
EG0050 events0 affected9 at risk
EG0060 events0 affected20 at risk
EG0070 events0 affected20 at risk
Deafness unilateral
Ear and labyrinth disorders
MedDRA 19.0
Non-systematic Assessment
EG0000 events0 affected126 at risk
EG0010 events0 affected128 at risk
EG0021 events1 affected242 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 19.0
Non-systematic Assessment
EG0000 events0 affected126 at risk
EG0010 events0 affected128 at risk
EG0022 events2 affected242 at risk
EG003
Tonsillitis bacterial
Infections and infestations
MedDRA 19.0
Non-systematic Assessment
EG0000 events0 affected126 at risk
EG0010 events0 affected128 at risk
EG0021 events1 affected242 at risk
EG003
Erysipelas
Infections and infestations
MedDRA 19.0
Non-systematic Assessment
EG0000 events0 affected126 at risk
EG0010 events0 affected128 at risk
EG0021 events1 affected242 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 19.0
Non-systematic Assessment
EG0000 events0 affected126 at risk
EG0010 events0 affected128 at risk
EG0021 events1 affected242 at risk
EG003
Clear cell renal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
Units
Counts
Participants
OG00092
OG00194
OG0025
OG0033
Title
Denominators
Categories
Title
Measurements
OG00023.9
OG00151.1
OG00260.0
OG00366.7
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
<0.001
Odds Ratio (OR)
3.49
2-Sided
95
1.84
6.62
Superiority
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Bimekizumab 160 mg Q4W (Week 16 up to Week 52) (Global Population)
At the end of the 16-week Double-Blind Treatment Period, study participants receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG003
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (Global Population)
Participants who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
OG004
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG006
BKZ 160 mg Q4W (Week 16 up to Week 52) (China Extension Population)
At the end of the 16-week Double-Blind Treatment Period, study participants in China Extension Population receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG007
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (China Population)
Participants in the China Extension Population who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
Units
Counts
Participants
OG000126
OG001128
OG002242
OG003244
OG00411
OG0059
OG00620
OG00720
Title
Denominators
Categories
Title
Measurements
OG00056.3
OG00162.5
OG00267.8
OG00375.0
OG00472.7
OG005100
OG00680.0
OG00790.0
OG001
Bimekizumab 160 mg Q4W (up to Week 16) (Global Population)
Participants received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG002
Bimekizumab 160 mg Q4W (Week 16 up to Week 52) (Global Population)
At the end of the 16-week Double-Blind Treatment Period, study participants receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG003
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (Global Population)
Participants who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
OG004
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG006
BKZ 160 mg Q4W (Week 16 up to Week 52) (China Extension Population)
At the end of the 16-week Double-Blind Treatment Period, study participants in China Extension Population receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG007
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (China Population)
Participants in the China Extension Population who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
Units
Counts
Participants
OG000126
OG001128
OG002242
OG003244
OG00411
OG0059
OG00620
OG00720
Title
Denominators
Categories
Title
Measurements
OG0000.8
OG0010
OG0023.7
OG0033.7
OG0040
OG0050
OG00615.0
OG00715.0
OG002
Bimekizumab 160 mg Q4W (Week 16 up to Week 52) (Global Population)
At the end of the 16-week Double-Blind Treatment Period, study participants receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG003
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (Global Population)
Participants who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.
OG004
Placebo (up to Week 16) (China Extension Population)
Participants in the China Extension Population received placebo matched to bimekizumab 160 mg Q4W subcutaneously until Week 16.
Participants in the China Extension Population received bimekizumab 160 mg Q4W subcutaneously until Week 16.
OG006
BKZ 160 mg Q4W (Week 16 up to Week 52) (China Extension Population)
At the end of the 16-week Double-Blind Treatment Period, study participants in China Extension Population receiving placebo were re-allocated to bimekizumab treatment at Week 16. Participants from both placebo and bimekizumab arm received bimekizumab 160 mg Q4W subcutaneously from Week 16 until Week 48 during maintenance period. Participants entering the extension study received bimekizumab 160 mg Q4W subcutaneously until Week 52.
OG007
Overall Period (up to Week 48 + 20 Weeks SFU): Bimekizumab 160 mg Q4W (China Population)
Participants in the China Extension Population who received bimekizumab 160 mg Q4W subcutaneously from Day 1 up to Week 48 and participants who switched from placebo arm at Week 16 to receive bimekizumab 160 mg Q4W subcutaneously up to Week 48 were included in this group.