Trial Outcomes & Findings for Study of Efficacy and Safety of Secukinumab in Japanese Patients With Active Ankylosing Spondylitis (NCT NCT02750592)

NCT ID: NCT02750592

Last Updated: 2019-09-09

Results Overview

This table is ASAS20 response using non-responder imputation for FAS It assesses the efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline in Japanese patients with active AS based on the proportion of patients achieving an ASAS (Assessment of SpondyloArthritis International Society criteria) 20 response. The ASAS Response Criteria (ASAS 20) is defined as an improvement of ≥ 20% and ≥ 1 unit on a scale of 10 in at least three of the four main domains and no worsening of ≥ 20% and ≥ 1 unit on a scale of 10 in the remaining domain

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

30 participants

Primary outcome timeframe

week 16

Results posted on

2019-09-09

Participant Flow

A total of 37 patients were screened, and 30 patients (81.1%) completed the screening phase and entered Treatment Period

Seven patients were screening failures

Participant milestones

Participant milestones
Measure
Secukinumab 150mg
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Overall Study
STARTED
30
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Secukinumab 150mg
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Overall Study
Adverse Event
3
Overall Study
Lack of Efficacy
2

Baseline Characteristics

Study of Efficacy and Safety of Secukinumab in Japanese Patients With Active Ankylosing Spondylitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Age, Continuous
44.0 years
STANDARD_DEVIATION 13.25 • n=5 Participants
Age, Customized
<65 years
27 Participants
n=5 Participants
Age, Customized
>=65years
3 Participants
n=5 Participants
Age, Customized
>=75 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
30 participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 participants
n=5 Participants

PRIMARY outcome

Timeframe: week 16

Population: Full analysis set (FAS): The FAS comprised of all patients who entered into the treatment periods.

This table is ASAS20 response using non-responder imputation for FAS It assesses the efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline in Japanese patients with active AS based on the proportion of patients achieving an ASAS (Assessment of SpondyloArthritis International Society criteria) 20 response. The ASAS Response Criteria (ASAS 20) is defined as an improvement of ≥ 20% and ≥ 1 unit on a scale of 10 in at least three of the four main domains and no worsening of ≥ 20% and ≥ 1 unit on a scale of 10 in the remaining domain

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Assessment of SpondyloArthritis International Society 20 Response (ASAS20)
21 participants

SECONDARY outcome

Timeframe: Week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the proportion of patients achieving an ASAS 40 response ASAS40 response is defined as an improvement of ≥40% and ≥2 units on a scale of 10 in at least three of the four ASAS main domains and no worsening at all in the remaining domain

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
ASAS 40 Response Rate With Non-responder Imputation (NRI)
14 participants

SECONDARY outcome

Timeframe: Week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the proportion of patients achieving Bath Ankylosing Spondylitis Disease Activity (BASDAI) 50 response The BASDAI 50 is defined as an improvement of at least 50% in the BASDAI compared to baseline

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Bath Ankylosing Spondylitis Disease Activity (BASDAI) 50 Response Rate
11 participants

SECONDARY outcome

Timeframe: baseline, Week 16

Population: FAS

hsCRP (mg/L) change from baseline using observed data with log e transformation The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the change from baseline of high sensitivity C-Reactive Protein (hsCRP) hsCRP is measured as a marker of inflammation from blood samples during the study

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Change in High Sensitivity C-Reactive Protein (hsCRP)
0.247 mg/L
Interval 0.125 to 0.487

SECONDARY outcome

Timeframe: Week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the proportion of patients meeting the ASAS 5/6 response criteria The ASAS 5/6 improvement criteria is an improvement of ≥20% in at least five of all six domains

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Number of Participants With ASAS 5/6 Response Criteria
14 participants

SECONDARY outcome

Timeframe: Baseline, week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the change from baseline in total BASDAI The BASDAI consists of a 0 - 10 scale measuring discomfort, pain, and fatigue (0 being no problem and 10 being the worst problem) in response to six questions asked of the patient pertaining to the five major symptoms of AS Each question (question 1 to 6) is scored from 0 to 10 (0 being no problem and 10 being the worst problem). To give each symptom equal weighting, the mean (average) of the two scores relating to morning stiffness (questions 5 and 6) is taken. The mean of questions 5 and 6 is added to the scores from questions 1-4. The resulting 0 to 50 score is divided by 5 to give a final 0 - 10 BASDAI score.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Mean Change From Baseline in BASDAI From Baseline
-3.088 scores on a scale
Standard Deviation 2.0697

SECONDARY outcome

Timeframe: Baseline, week 16

Population: FAS

SF-36 PCS, mean change from baseline: The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the change from baseline in Short Form Health Survey Physical Component Summary (SF-36 PCS) The SF-36 is an instrument to measure health-related quality of life among healthy patients and patients with acute and chronic conditions Score range is from 0 (no problems) to 100 (unable to perform the activity) SF-36 is a 36 item questionnaire which measures Quality of Life across eight domains, which are both physically and emotionally based. Two overall summary scores, the Physical Component Summary (PCS) and Mental Component Summary (MCS) can be computed. In this study, SF-36 PCS is used to assess improvement from baseline. There is no total overall score; scoring is computed for both subscores and summary scores. For subscores and summary scores, 0 =worst score (or quality of life) and 100=best score.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Change From Baseline in Short Form Health Survey Physical Component Summary (SF-36 PCS) Score
6.306 scores on a scale
Standard Deviation 8.0724

SECONDARY outcome

Timeframe: Baseline, week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the change from baseline in Ankylosing Spondylitis Quality of Life (ASQoL) The ASQoL is a self-administered questionnaire designed to assess health-related quality of life in adult patients with Ankylosing Spondylitis. The ASQoL contains 18 items with a dichotomous yes/no response option. A single point is assigned for each "yes" response and no points for each "no" response resulting in overall scores that range from 0 (least severity) to 18 (highest severity)

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Change From Baseline in Ankylosing Spondylitis Quality of Life (ASQoL) Score
-3.40 scores on a scale
Standard Deviation 4.00

SECONDARY outcome

Timeframe: week 16

Population: FAS

The efficacy of secukinumab 150 mg s.c. at Week 16 relative to baseline based on the proportion of patients achieving an ASAS partial remission The ASAS partial remission criteria are defined as a value not above 2 units in each of the four main domains on a scale of 10

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Proportion of Participants Achieving ASAS Partial Remission
6 participants
20.0

SECONDARY outcome

Timeframe: Baseline, weeks 4, 16, 24, 52, 60

Population: FAS

The assessment of pre dose concentration of secukinumab in Japanese AS patients An enzyme-linked immunosorbent assay (ELISA) method will be used for bioanalytical analysis of secukinumab in serum, with an anticipated lower limit of quantification (LLOQ) of 80 ng/mL.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Change in Serum Concentration of Secukinumab
week 16
25.0 μg/mL
Standard Deviation 10.19
Change in Serum Concentration of Secukinumab
week 24
22.2 μg/mL
Standard Deviation 8.96
Change in Serum Concentration of Secukinumab
week 52
21.1 μg/mL
Standard Deviation 6.08
Change in Serum Concentration of Secukinumab
week 60
6.2 μg/mL
Standard Deviation 3.61
Change in Serum Concentration of Secukinumab
week 4
51.3 μg/mL
Standard Deviation 15.35

SECONDARY outcome

Timeframe: week 60

Population: The safety set included all patients who took at least one dose of study treatment during the treatment periods.

Concentration of anti-secukinumab antibodies Assessment of immunogenicity against secukinumab by concentration of anti-secukinumab antibodies at pre-dose. An electrochemiluminescence method was used for the detection of potential anti-secukinumab antibody formation.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Number of Participants With Immunogenicity Against Secukinumab
0 participants

SECONDARY outcome

Timeframe: week 60

Population: The safety set included all patients who took at least one dose of study treatment during the treatment periods.

Common Terminology Criteria for Adverse Events (CTCAE) Grades 1-5 refer to severity of the AE: Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL)\*. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL\*\*. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE. \*Instrumental ADL refer to preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc. \*\*Self care ADL refer to bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Hemoglobin (g/L) <LLN - 100 g/L (Grade1)
6 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Hemoglobin (g/L) <100 - 80 g/L (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Hemoglobin (g/L) < 80g/L (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Lymphocytes (10E9/L) <LLN - 0.8 × 10e9/L (Grade1)
2 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Lymphocytes (10E9/L) <0.8 - 0.5 × 10e9/L (Grade2)
1 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Lymphocytes (10E9/L) <0.5 - 0.2 × 10e9/L (Grade3)
1 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Lymphocytes (10E9/L) <0.2 × 10e9/L (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Neutrophils (10E9/L) < LLN - 1.5 × 10e9/L (Grade1)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Neutrophils (10E9/L) < 1.5 - 1.0 × 10e9/L (Grade2)
1 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Neutrophils (10E9/L) < 1.0 - 0.5 × 10e9/L (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Neutrophils (10E9/L) < 0.5 × 10e9/L (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Platelets (10E9/L) <LLN - 75.0 ×10e9/L (Grade1)
3 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Platelets (10E9/L) <75.0 - 50.0 ×10e9/L (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Platelets (10E9/L) <50.0 - 25.0 ×10e9/L (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Platelets (10E9/L), Blood <25.0 ×10e9/L (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Leukocytes (10E9/L) <LLN - 3.0 × 10e9/L (Grade1)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Leukocytes (10E9/L) <3.0 - 2.0 × 10e9/L (Grade2)
1 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Leukocytes (10E9/L) <2.0 - 1.0 × 10e9/L (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Hematology Abnormalities Based on CTCAE Grade, Blood
Leukocytes (10E9/L) <1.0 × 10e9/L (Grade4)
0 participants

SECONDARY outcome

Timeframe: week 60

Population: safety set

Common Terminology Criteria for Adverse Events (CTCAE) Grades 1-5 refer to severity of the AE: Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL)\*. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL\*\*. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE. \*Instrumental ADL include preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc. \*\*Self care ADL include bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden.

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Cholesterol (mmol/L), Serum (Grade1) Serum
4 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alkaline Phosphatase (U/L), Serum (Grade1)
3 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alkaline Phosphatase (U/L), Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alkaline Phosphatase (U/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alkaline Phosphatase (U/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alanine Aminotransferase (U/L), Serum (Grade1)
3 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alanine Aminotransferase (U/L), Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alanine Aminotransferase (U/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Alanine Aminotransferase (U/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Aspartate Aminotransferase (U/L), Serum (Grade1)
4 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Aspartate Aminotransferase (U/L), Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Aspartate Aminotransferase (U/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Aspartate Aminotransferase (U/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Bilirubin (umol/L), Serum (Grade1)
2 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Bilirubin (umol/L), Serum (Grade2)
1 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Bilirubin (umol/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Bilirubin (umol/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Cholesterol (mmol/L), Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Cholesterol (mmol/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Cholesterol (mmol/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Creatinine (umol/L), Plasma/Serum (Grade1)
1 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Creatinine (umol/L), Plasma/Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Creatinine (umol/L), Plasma/Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Creatinine (umol/L), Plasma/Serum (Grade4) Serum
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Gamma Glutamyl Transferase (U/L), Serum (Grade1)
1 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Gamma Glutamyl Transferase (U/L), Serum (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Gamma Glutamyl Transferase (U/L), Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Gamma Glutamyl Transferase (U/L), Serum (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Decreased (mmol/L), Plasma (Grade1)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Decreased (mmol/L), Plasma (Grade2)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Decreased (mmol/L), Plasma (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Decreased (mmol/L), Plasma (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Increased (mmol/L), Plasma (Grade1)
12 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Increased (mmol/L), Plasma (Grade2)
3 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Increased (mmol/L), Plasma (Grade3)
1 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Glucose Increased (mmol/L), Plasma (Grade4)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Triglycerides (mmol/L), Plasma/Serum (Grade1)
9 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Triglycerides (mmol/L), Plasma/Serum (Grade2)
1 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Triglycerides (mmol/L), Plasma/Serum (Grade3)
0 participants
Number of Participants With Newly Occurring or Worsening Chemistry Abnormalities Based on CTCAE Grade
Triglycerides (mmol/L), Plasma/Serum (Grade4)
0 participants

SECONDARY outcome

Timeframe: week 60

Population: safety set

During the entire safety reporting period, mean values of each liver enzyme parameter stayed within the normal range and were comparable to the baseline values ALP=Alkaline phosphatase ALT=Alanine aminotransferase AST=Aspartate aminotransferase TBL=Total bilirubin ULN=Upper Limit Normal

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
AST > 8 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
AST > 10 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 5 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 8 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
TBL > 3 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT > 3 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT > 5 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT > 8 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT > 10 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT > 20 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
AST > 3 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
AST > 5 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
AST > 20 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 3 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 10 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 20 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
TBL > 1.5 × ULN
1 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALP > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALP > 3 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALP > 5 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 3 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 5 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 8 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST > 10 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALP > 3 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALP > 5 × ULN & TBL > 2 × ULN
0 participants
Participants With Newly Occurring or Worsening Liver Enzyme Abnormalities
ALT or AST> 3 × ULN & TBL> 2 × ULN & ALP <2 × ULN
0 participants

SECONDARY outcome

Timeframe: week 60

Population: safety set

During the entire safety reporting period, mean values of each lipid parameter stayed within the normal range and were comparable to the baseline values

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
HDL: ≤ LLN
5 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
HDL: < 0.8 × LLN
1 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
LDL: ≥ ULN
1 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
LDL: > 1.5 × ULN
0 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
LDL: > 2.5 × ULN
0 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Cholesterol: ≥ ULN
4 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Cholesterol: > 1.5 × ULN
0 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Cholesterol: > 2.5 × ULN
0 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Triglycerides: ≥ ULN
8 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Triglycerides: > 1.5 × ULN
4 participants
Number of Participants With Newly Occurring or Worsening Lipid Parameters Abnormalities
Triglycerides: > 2.5 × ULN
0 participants

SECONDARY outcome

Timeframe: week 60

Population: safety set

Sitting Pulse (bpm) High only (\> 100 bpm) Low only (\< 60 bpm) Low and High (\< 60 bpm and \> 100 bpm) Sitting Diastolic Blood Pressure (BP) (mmHg) High only (≥ 90 mmHg) Low only (\< 60 mmHg) Low and High (\< 60 mmHg and ≥ 90 mmHg) Sitting Systolic Blood Pressure (mmHg) High only (≥ 140 mmHg) Low only (\< 90 mmHg) Low and High (\< 90 mmHg and ≥ 140 mmHg)

Outcome measures

Outcome measures
Measure
Secukinumab 150mg
n=30 Participants
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Pulse (bpm) High only
2 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Pulse (bpm) Low only
5 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Pulse (bpm) Low and High
0 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Diastolic BP (mmHg), High only
8 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Diastolic BP (mmHg), Low only
5 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Diastolic BP (mmHg), Low and high
0 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Systolic BP (mmHg) High only
12 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Systolic BP (mmHg) Low only
0 participants
Participants With Newly Occurring Notable Abnormalities in Vital Signs
Sitting Systolic BP (mmHg) Low and High
0 participants

Adverse Events

AIN457 150mg

Serious events: 3 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
AIN457 150mg
n=30 participants at risk
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Cardiac disorders
Coronary artery occlusion
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of the cervix
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Skin and subcutaneous tissue disorders
Drug eruption
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks

Other adverse events

Other adverse events
Measure
AIN457 150mg
n=30 participants at risk
A screening (SCR) epoch ran 4-10 weeks before baseline (BSL) and was used to assess eligibility followed by 52 weeks of treatment. The treatment periods consisted of Treatment period 1 (BSL to Week 24) and Treatment period 2 (Week 24 to Week 52). After Week 52 there was a post-treatment follow-up until Week 60. A follow-up visit was done at 12 weeks after last study treatment administration for all patients, regardless of whether they completed the entire study as planned (Week 60) or discontinued prematurely.
Blood and lymphatic system disorders
Leukopenia
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Gastrointestinal disorders
Diarrhoea
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Gastrointestinal disorders
Stomatitis
23.3%
7/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
General disorders
Pyrexia
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Bronchitis
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Gastroenteritis
10.0%
3/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Infected dermal cyst
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Influenza
16.7%
5/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Nasopharyngitis
50.0%
15/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Infections and infestations
Pharyngitis
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
Skin and subcutaneous tissue disorders
Rash
6.7%
2/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 60 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 60 weeks
All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 60 weeks

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 1-888-669-6682

Results disclosure agreements

  • Principal investigator is a sponsor employee 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.
  • Publication restrictions are in place

Restriction type: OTHER