Trial Outcomes & Findings for Study of Efficacy and Safety of Secukinumab in Psoriatic Arthritis and Axial Spondyloarthritis Patients With Active Enthesitis Including One Achilles Tendon Site (NCT NCT02771210)

NCT ID: NCT02771210

Last Updated: 2021-05-03

Results Overview

Number (%) of patients with resolution of Achilles tendon enthesitis (affected foot) as assessed by respective subcomponent of Leeds enthesitis index (LEI) at Week 24. The primary analysis was performed via a logistic regression model with the factors treatment, country, and stratification factor diagnosis (PsA or axSpA); patients with a missing assessment were considered as responders if they had already met the response criterion at the time of last assessment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

204 participants

Primary outcome timeframe

Week 24

Results posted on

2021-05-03

Participant Flow

304 patients were screened. Of these, 94 patients discontinued during screening phase, 6 patients were re-screened and 204 patients completed the screening phase and were randomized in the trial.

A total of 175 patients (85.8%) completed treatment period 1 (up to Week 24); 29 patients (14.2%) discontinued study treatment in treatment period 1. A total of 170 patients (83.3%) completed treatment period 2 (up to Week 52); 5 patients (2.5%) discontinued in treatment period 2.

Participant milestones

Participant milestones
Measure
Secukinumab
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Period 1
STARTED
102
102
Period 1
COMPLETED
91
84
Period 1
NOT COMPLETED
11
18
Period 2
STARTED
91
84
Period 2
COMPLETED
89
81
Period 2
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Secukinumab
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Period 1
Adverse Event
5
3
Period 1
Lack of Efficacy
3
6
Period 1
Lost to Follow-up
2
0
Period 1
Physician Decision
0
1
Period 1
Withdrawal by Subject
0
3
Period 1
Withdrawal of informed consent
1
5
Period 2
Adverse Event
1
0
Period 2
Lack of Efficacy
0
1
Period 2
Withdrawal by Subject
1
0
Period 2
Withdrawal of informed consent
0
2

Baseline Characteristics

Study of Efficacy and Safety of Secukinumab in Psoriatic Arthritis and Axial Spondyloarthritis Patients With Active Enthesitis Including One Achilles Tendon Site

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Secukinumab
n=102 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=102 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Total
n=204 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
97 Participants
n=5 Participants
95 Participants
n=7 Participants
192 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Age, Continuous
47.8 Years
STANDARD_DEVIATION 11.33 • n=5 Participants
47.7 Years
STANDARD_DEVIATION 11.02 • n=7 Participants
47.7 Years
STANDARD_DEVIATION 11.18 • n=5 Participants
Sex/Gender, Customized
Female
58 Participants
n=5 Participants
55 Participants
n=7 Participants
113 Participants
n=5 Participants
Sex/Gender, Customized
Male
44 Participants
n=5 Participants
47 Participants
n=7 Participants
91 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
99 Participants
n=5 Participants
99 Participants
n=7 Participants
198 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS) included all patients to whom study medication had been assigned.

Number (%) of patients with resolution of Achilles tendon enthesitis (affected foot) as assessed by respective subcomponent of Leeds enthesitis index (LEI) at Week 24. The primary analysis was performed via a logistic regression model with the factors treatment, country, and stratification factor diagnosis (PsA or axSpA); patients with a missing assessment were considered as responders if they had already met the response criterion at the time of last assessment.

Outcome measures

Outcome measures
Measure
Secukinumab
n=102 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=102 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Number (%) of Patients With Resolution of Achilles Tendon Enthesitis
43 Participants
32 Participants

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change of heel pain from baseline to Week 24 measured by Numeric Rating Scale (NRS) ranging from 0 to 10, with 0 representing no pain and 10 representing worst pain (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

Outcome measures

Outcome measures
Measure
Secukinumab
n=87 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=85 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Heel Pain
-2.8 Scores on a scale
Standard Deviation 2.99
-1.9 Scores on a scale
Standard Deviation 2.69

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Number (%) of patients with an improvement of bone marrow edema from baseline to Week 24 as assessed by the respective subcomponent of the Psoriatic Arthritis Magnetic Resonance Imaging Score (PsAMRIS) in the affected foot.

Outcome measures

Outcome measures
Measure
Secukinumab
n=44 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=36 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Number (%) of Patients With Improvement of Bone Marrow Edema
17 Participants
12 Participants

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Number (%) of patients with resolution of enthesitis as assessed by the Leeds enthesitis index (LEI) at Week 24.

Outcome measures

Outcome measures
Measure
Secukinumab
n=102 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=102 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Number (%) of Patients With Resolution of Enthesitis as Assessed by LEI
31 Participants
21 Participants

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change of physician's global assessment (PhGA) of disease activity from baseline to Week 24 measured by Visual Analog Scale (VAS) ranging from 0 to 100, with 0 representing not severe and 100 representing very severe.

Outcome measures

Outcome measures
Measure
Secukinumab
n=88 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=85 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Physician's Global Assessment of Disease Activity
-34.88 mm
Standard Deviation 25.927
-18.93 mm
Standard Deviation 26.257

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change of patient's global assessment (PGA) of disease activity from baseline to Week 24 measured by Visual Analog Scale (VAS) ranging from 0 to 100, with 0 representing not severe and 100 representing very severe.

Outcome measures

Outcome measures
Measure
Secukinumab
n=82 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=80 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Patient's Global Assessment of Disease Activity
-25.87 mm
Standard Deviation 31.108
-16.61 mm
Standard Deviation 29.235

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change of physician's assessment of heel enthesopathy activity from baseline to Week 24 measured by Visual Analog Scale (VAS) ranging from 0 to 100, with 0 representing not severe and 100 representing very severe.

Outcome measures

Outcome measures
Measure
Secukinumab
n=88 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=85 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Physician's Assessment of Heel Enthesopathy Activity
-38.40 mm
Standard Deviation 24.244
-25.19 mm
Standard Deviation 25.250

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change of patient's assessment of heel enthesopathy activity from baseline to Week 24 measured by Visual Analog Scale (VAS) ranging from 0 to 100, with 0 representing not severe and 100 representing very severe.

Outcome measures

Outcome measures
Measure
Secukinumab
n=86 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=84 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Patient's Assessment of Heel Enthesopathy Activity
-31.05 mm
Standard Deviation 29.135
-20.77 mm
Standard Deviation 30.417

SECONDARY outcome

Timeframe: Week 24

Population: Full analysis set (FAS)

Mean change in Short Form-36 (SF-36) v2 as an indicator of overall health status The SF-36 has eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100 Lower scores = more disability, higher scores = less disability

Outcome measures

Outcome measures
Measure
Secukinumab
n=87 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=85 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change in Short Form-36 (SF-36) v2
8.29 scores on a scale
Standard Deviation 9.759
5.28 scores on a scale
Standard Deviation 7.285

SECONDARY outcome

Timeframe: Weeks 24 and 52

Population: Full analysis set (FAS)

Percentage of patients with resolution of Achilles tendon enthesitis (affected foot) after switching from placebo to secukinumab at Week 24

Outcome measures

Outcome measures
Measure
Secukinumab
n=102 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=102 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Percentage of Patients With Resolution of Achilles Tendon Enthesitis After Switching From Placebo to Secukinumab
Week 24
43 Participants
32 Participants
Percentage of Patients With Resolution of Achilles Tendon Enthesitis After Switching From Placebo to Secukinumab
Week 52
66 Participants
55 Participants

SECONDARY outcome

Timeframe: Change from week 24 to week 52

Population: Full analysis set (FAS)

Mean change of heel pain after switching from placebo to secukinumab from Week 24 to week 52 measured by Numeric Rating Scale (NRS) ranging from 0 to 10, with 0 representing no pain and 10 representing worst pain (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

Outcome measures

Outcome measures
Measure
Secukinumab
n=80 Participants
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo
n=79 Participants
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Mean Change of Heel Pain After Switching From Placebo to Secukinumab
-0.70 Scores on a scale
Standard Deviation 2.291
-1.43 Scores on a scale
Standard Deviation 2.251

Adverse Events

Secukinumab

Serious events: 7 serious events
Other events: 33 other events
Deaths: 0 deaths

Placebo-Secukinumab

Serious events: 6 serious events
Other events: 34 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Secukinumab
n=102 participants at risk
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo-Secukinumab
n=102 participants at risk
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Cardiac disorders
Atrial fibrillation
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Endocrine disorders
Goitre
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Gastrointestinal disorders
Abdominal adhesions
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Gastrointestinal disorders
Inflammatory bowel disease
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Gastrointestinal disorders
Large intestinal stenosis
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Infections and infestations
Cellulitis
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Infections and infestations
Diverticulitis
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Infections and infestations
Pyelonephritis acute
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Injury, poisoning and procedural complications
Stress fracture
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive breast carcinoma
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine cancer
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Nervous system disorders
Cauda equina syndrome
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Nervous system disorders
Migraine with aura
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Vascular disorders
Venous thrombosis limb
0.00%
0/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
0.98%
1/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.

Other adverse events

Other adverse events
Measure
Secukinumab
n=102 participants at risk
Secukinumab 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Placebo-Secukinumab
n=102 participants at risk
Placebo 150 mg or 300 mg s.c., administered at baseline, weeks 1, 2, 3, 4 and every 4 weeks until week 24, followed by Secukinumab 150 or 300 mg s.c. every 4 weeks; respective dose was assigned according to underlying condition, in case of PsA according to severity of concomitant Psoriasis or preexposure to anti-TNFα
Gastrointestinal disorders
Diarrhoea
7.8%
8/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
4.9%
5/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Infections and infestations
Nasopharyngitis
12.7%
13/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
21.6%
22/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Infections and infestations
Upper respiratory tract infection
5.9%
6/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
4.9%
5/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Musculoskeletal and connective tissue disorders
Arthralgia
6.9%
7/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
4.9%
5/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
Nervous system disorders
Headache
5.9%
6/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.
9.8%
10/102 • Adverse events were collected from first dose of study treatment until end of study treatment at week 52
* Adverse Events (AEs) are any untoward signs or symptoms that occurred during the study treatment. * Where a patient reported more than 1 AE with the same preferred term, the AE was counted only once. * Where a patient reported more than 1 AE within the same primary system organ class, patient was counted only once at the system organ class level.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: +1 (862) 778-8300

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