Palmoplantar Pustular Psoriasis Efficacy and Safety With Secukinumab

NCT ID: NCT02008890

Last Updated: 2019-01-04

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

237 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-26

Study Completion Date

2017-05-31

Brief Summary

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A one year study assessing the efficacy and safety of secukinumab compared with placebo in adult patients with moderate to severe palmoplantar pustular psoriasis - amended with an optional extension treatment period of up to a total of 148 weeks

Detailed Description

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Conditions

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Palmoplantar Pustular Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Secukinumab 300mg

Secukinumab 300mg once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 48.

In order to maintain the blinding beyond the primary endpoint, placebo was administered at Weeks 17, 18 and 19.

For extension period: Secukinumab 300mg at 4-weekly intervals starting Week 52 up to Week 148.

Group Type EXPERIMENTAL

Secukinumab 300mg

Intervention Type BIOLOGICAL

Secukinumab was used as 150 mg pre-filled syringes (PFS) in a double-blinded fashion. Secukinumab 300 mg s.c. (two PFS injections of the 150 mg dose) self-administered

Placebo

Intervention Type BIOLOGICAL

secukinumab placebo s.c. (two PFS injections of placebo) self-administered

Secukinumab 150mg

Secukinumab 150mg once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 48.

In order to maintain the blinding beyond the primary endpoint, placebo was administered at Weeks 17, 18 and 19.

For extension period: Secukinumab 150mg at 4-weekly intervals starting Week 52 up to Week 148.

Group Type EXPERIMENTAL

Secukinumab 150mg

Intervention Type BIOLOGICAL

secukinumab 150 mg s.c. (one PFS injection of the 150 mg dose + one PFS injection of placebo) self-administered

Placebo

Intervention Type BIOLOGICAL

secukinumab placebo s.c. (two PFS injections of placebo) self-administered

Placebo

Placebo once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 12. Patients who achieved ppPASI 75 at Week 16 remained on placebo treatment Until week 48 and were not eligible to enter the extension. Patients who did not achieve ppPASI 75 at Week 16 were re-randomized to receive Secukinumab 150mg or Secukinumab 300mg from Week 16 onwards up to Week 148.

Group Type PLACEBO_COMPARATOR

Secukinumab 300mg

Intervention Type BIOLOGICAL

Secukinumab was used as 150 mg pre-filled syringes (PFS) in a double-blinded fashion. Secukinumab 300 mg s.c. (two PFS injections of the 150 mg dose) self-administered

Secukinumab 150mg

Intervention Type BIOLOGICAL

secukinumab 150 mg s.c. (one PFS injection of the 150 mg dose + one PFS injection of placebo) self-administered

Placebo

Intervention Type BIOLOGICAL

secukinumab placebo s.c. (two PFS injections of placebo) self-administered

Interventions

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Secukinumab 300mg

Secukinumab was used as 150 mg pre-filled syringes (PFS) in a double-blinded fashion. Secukinumab 300 mg s.c. (two PFS injections of the 150 mg dose) self-administered

Intervention Type BIOLOGICAL

Secukinumab 150mg

secukinumab 150 mg s.c. (one PFS injection of the 150 mg dose + one PFS injection of placebo) self-administered

Intervention Type BIOLOGICAL

Placebo

secukinumab placebo s.c. (two PFS injections of placebo) self-administered

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Palmoplantar pustular psoriasis for at least 6 months before Randomization
* Moderate to severe palmoplantar pustular psoriasis as defined at Baseline by:

* ppPASI score of ≥ 12 and
* DLQI ≥ 10
* Candidate for systemic therapy, defined as having palmoplantar pustular psoriasis inadequately controlled by:

* Topical treatment, and/or
* Phototherapy, and/or
* Previous systemic therapy

Exclusion Criteria

* Forms of psoriasis other than chronic plaque psoriasis and pustular palmoplantar psoriasis (e.g., erythrodermic, guttate, or generalized pustular psoriasis)
* Drug-induced psoriasis (e.g., new onset or current exacerbation from beta-blockers, calcium channel inhibitors, or lithium) or history of proven contact dermatitis
* Patients not willing to limit UV light exposure (e.g. sunbathing and/or the use of tanning devices) during the course of the study
* Ongoing use of prohibited psoriasis treatments (e.g., topical or systemic corticosteroids, UV therapy). Washout periods detailed in the protocol have to be adhered to
* Previous exposure to any biologic drug directly targeting IL-17 or IL-17 Receptor (e.g., secukinumab, ixekizumab, or brodalumab)
* Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment and for 16 weeks after stopping treatment
* Active ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of secukinumab therapy
* Use of any other investigational drugs within 4 weeks of study drug initiation or within a period of 5 half-lives of the investigational treatment, whichever is longer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Feldkirch, , Austria

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Graz, , Austria

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Linz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Brussels, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Limoges, Haute Vienne, France

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Bordeaux, , France

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Clermont-Ferrand, , France

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Martigues, , France

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Nice, , France

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Paris, , France

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Paris, , France

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Poitiers, , France

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Rouen, , France

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Toulouse, , France

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Berlin, , Germany

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Bochum, , Germany

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Dresden, , Germany

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Düsseldorf, , Germany

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Freiburg im Breisgau, , Germany

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Gera, , Germany

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Göttingen, , Germany

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Greifswald, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hanau, , Germany

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Kiel, , Germany

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Lübeck, , Germany

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Mahlow, , Germany

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Münster, , Germany

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Plauen, , Germany

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Recklinghausen, , Germany

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Schwerin, , Germany

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Bologna, BO, Italy

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Brescia, BS, Italy

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Bydgoszcz, , Poland

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Gdansk, , Poland

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Olsztyn, , Poland

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Zabrze, , Poland

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Moscow, , Russia

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Rostov on Don Region, , Russia

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Ryazan, , Russia

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Saratov, , Russia

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San Cristóbal de La Laguna, Santa Cruz De Tenerife, Spain

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Valencia, Valencia, Spain

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A Coruña, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Gothenburg, Västra Götaland County, Sweden

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Jönköping, , Sweden

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Malmo, , Sweden

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Stockholm, , Sweden

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Uppsala, , Sweden

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Leytonstone, London, United Kingdom

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Salford, Manchester, United Kingdom

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Dundee, Perthshire, United Kingdom

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Dudley, West Midlands, United Kingdom

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Glasgow, , United Kingdom

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Liverpool, , United Kingdom

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Newport, , United Kingdom

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Portsmouth, , United Kingdom

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Wolverhampton, , United Kingdom

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York, , United Kingdom

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Countries

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Austria Belgium France Germany Italy Poland Russia Spain Sweden United Kingdom

Other Identifiers

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2013-003086-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CAIN457A3301

Identifier Type: -

Identifier Source: org_study_id

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