A Study to Evaluate the Efficacy and Safety of Different Doses of Bimekizumab in Subjects With Active Ankylosing Spondylitis

NCT ID: NCT02963506

Last Updated: 2023-06-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

303 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2018-08-31

Brief Summary

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This is a study to evaluate the efficacy and safety of different doses of bimekizumab in subjects with active Ankylosing Spondylitis (AS).

Detailed Description

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Conditions

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Ankylosing Spondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Subjects will receive for 12 Weeks Placebo and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Bimekizumab Dose 1

Subjects will receive for 12 Weeks Bimekizumab Dose 1 and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

Group Type EXPERIMENTAL

Bimekizumab

Intervention Type DRUG

Bimekizumab in different dosages.

Bimekizumab Dose 2

Subjects will receive for 12 Weeks Bimekizumab Dose 2 and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

Group Type EXPERIMENTAL

Bimekizumab

Intervention Type DRUG

Bimekizumab in different dosages.

Bimekizumab Dose 3

Subjects will receive for 48 Weeks Bimekizumab Dose 3.

Group Type EXPERIMENTAL

Bimekizumab

Intervention Type DRUG

Bimekizumab in different dosages.

Bimekizumab Dose 4

Subjects will receive for 48 Weeks Bimekizumab Dose 4.

Group Type EXPERIMENTAL

Bimekizumab

Intervention Type DRUG

Bimekizumab in different dosages.

Interventions

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Placebo

Intervention Type OTHER

Bimekizumab

Bimekizumab in different dosages.

Intervention Type DRUG

Other Intervention Names

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UCB4940

Eligibility Criteria

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Inclusion Criteria

* Subject has active ankylosing spondylitis (AS), determined by documented radiologic evidence fulfilling the Modified New York criteria for AS including symptoms for \>=3 months and age of onset \<45 years
* Subject has moderate to severe active disease as defined by each of the following:

1. BASDAI score \>=4
2. Spinal pain \>=4 on a 0 to 10 NRS (Numeric Rating Scale; from BASDAI item 2)
* Subjects must have at least 1 of the following:

1. inadequate response to nonsteroidal anti-inflammatory drug (NSAID) therapy
2. intolerance to administration of at least 1 NSAID
3. contraindication(s) to NSAID therapy
* Subjects who are regularly taking NSAIDs/COX-2 inhibitors as part of their AS therapy are required to be on a stable dose for at least 14 days before Baseline
* Subjects taking corticosteroids must be on an average daily dose of \<=10mg/day prednisone or equivalent for at least 14 days before Baseline and should remain on a stable dose up to Week 16
* Subjects taking methotrexate (MTX) (\<=25mg/week) are allowed to continue their medication if started at least 12 weeks prior to Baseline, with a stable dose for at least 8 weeks before randomization
* Subjects taking sulfasalazine (up to 3grams/day) or hydroxychloroquine (up to 400mg per day total) are allowed to continue their medication if started at least 12 weeks prior to Baseline, with a stable dose for at least 8 weeks before randomization
* Subjects may be tumor necrosis factor (TNF) inhibitor-naïve or may have received 1 prior TNF inhibitor. Subjects who have been on a TNF inhibitor previously must have:

1. experienced an inadequate response to previous treatment given for at least 12 weeks
2. been intolerant to administration (eg, had a side effect/adverse event that led to discontinuation)
3. lost access to TNF inhibitor for other reasons

Exclusion Criteria

* Subjects with a total ankylosis of the spine, or a diagnosis of any other inflammatory arthritis eg, rheumatoid arthritis (RA), sarcoidosis, systemic lupus erythematosus, or reactive arthritis
* Subjects with any current sign or symptom that may indicate an active infection (except for the common cold)
* Subjects with a history of chronic or recurrent infections, or a serious or life-threatening infection within the 6 months prior to the Baseline Visit
* Subjects receiving any live vaccination within the 8 weeks prior to Baseline
* Subjects with known tuberculosis (TB) infection, at high risk of acquiring TB infection, with latent TB infection or current or history of nontuberculous mycobacteria (NTMB) infection
* Subjects with concurrent malignancy or a history of malignancy during the past 5 years will be excluded, with following exceptions that may be included:

1. \<= 3 excised or ablated basal cell carcinomas of the skin
2. One squamous cell carcinoma of the skin (stage T1 maximum) successfully excised, or ablated only (other treatments, ie, chemotherapy, do not apply), with no signs of recurrence or metastases for more than 2 years prior to Screening
3. Actinic keratosis (-es)
4. Squamous cell carcinoma-in-situ of the skin successfully excised, or ablated, more than 6 months prior to Screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Biopharma S.P.R.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Cares

Role: STUDY_DIRECTOR

+1 844 599 2273(UCB)

Locations

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As0008 019

Anniston, Alabama, United States

Site Status

As0008 007

La Jolla, California, United States

Site Status

As0008 009

Upland, California, United States

Site Status

As0008 005

Aventura, Florida, United States

Site Status

As0008 022

Ormond Beach, Florida, United States

Site Status

As0008 030

Sarasota, Florida, United States

Site Status

As0008 027

Boston, Massachusetts, United States

Site Status

As0008 021

Freehold, New Jersey, United States

Site Status

As0008 015

Cleveland, Ohio, United States

Site Status

As0008 014

Portland, Oregon, United States

Site Status

As0008 001

Duncansville, Pennsylvania, United States

Site Status

As0008 020

Austin, Texas, United States

Site Status

As0008 006

Dallas, Texas, United States

Site Status

As0008 018

Houston, Texas, United States

Site Status

As0008 002

Seattle, Washington, United States

Site Status

As0008 156

Dobrich, , Bulgaria

Site Status

As0008 151

Plovdiv, , Bulgaria

Site Status

As0008 154

Plovdiv, , Bulgaria

Site Status

As0008 155

Plovdiv, , Bulgaria

Site Status

As0008 150

Rousse, , Bulgaria

Site Status

As0008 101

Québec, , Canada

Site Status

As0008 100

Victoria, , Canada

Site Status

As0008 103

Winnipeg, , Canada

Site Status

As0008 205

Brno, , Czechia

Site Status

As0008 206

Hustopeče, , Czechia

Site Status

As0008 207

Olomouc, , Czechia

Site Status

As0008 208

Pardubice, , Czechia

Site Status

As0008 201

Prague, , Czechia

Site Status

As0008 202

Prague, , Czechia

Site Status

As0008 209

Prague, , Czechia

Site Status

As0008 210

Prague, , Czechia

Site Status

As0008 211

Prague, , Czechia

Site Status

As0008 203

Zlín, , Czechia

Site Status

As0008 302

Cologne, , Germany

Site Status

As0008 304

Hamburg, , Germany

Site Status

As0008 308

Hanover, , Germany

Site Status

As0008 303

Herne, , Germany

Site Status

As0008 301

Ratingen, , Germany

Site Status

As0008 400

Budapest, , Hungary

Site Status

As0008 403

Budapest, , Hungary

Site Status

As0008 402

Debrecen, , Hungary

Site Status

As0008 401

Veszprém, , Hungary

Site Status

As0008 466

Bydgoszcz, , Poland

Site Status

As0008 453

Elblag, , Poland

Site Status

As0008 456

Elblag, , Poland

Site Status

As0008 455

Krakow, , Poland

Site Status

As0008 461

Lublin, , Poland

Site Status

As0008 467

Nowa Sól, , Poland

Site Status

As0008 451

Poznan, , Poland

Site Status

As0008 462

Poznan, , Poland

Site Status

As0008 450

Torun, , Poland

Site Status

As0008 454

Warsaw, , Poland

Site Status

As0008 459

Warsaw, , Poland

Site Status

As0008 457

Wroclaw, , Poland

Site Status

As0008 460

Wroclaw, , Poland

Site Status

As0008 465

Wroclaw, , Poland

Site Status

As0008 601

Moscow, , Russia

Site Status

As0008 604

Moscow, , Russia

Site Status

As0008 605

Moscow, , Russia

Site Status

As0008 607

Moscow, , Russia

Site Status

As0008 600

Saint Petersburg, , Russia

Site Status

As0008 606

Saint Petersburg, , Russia

Site Status

As0008 608

Saint Petersburg, , Russia

Site Status

As0008 609

Saint Petersburg, , Russia

Site Status

As0008 610

Saint Petersburg, , Russia

Site Status

As0008 801

A Coruña, , Spain

Site Status

As0008 800

Córdoba, , Spain

Site Status

As0008 803

Santiago de Compostela, , Spain

Site Status

As0008 700

Kiev, , Ukraine

Site Status

As0008 707

Kyiv, , Ukraine

Site Status

As0008 705

Ternopil, , Ukraine

Site Status

As0008 708

Uzhhorod, , Ukraine

Site Status

As0008 706

Vinnytsia, , Ukraine

Site Status

As0008 704

Zaporizhya, , Ukraine

Site Status

Countries

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United States Bulgaria Canada Czechia Germany Hungary Poland Russia Spain Ukraine

References

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van der Heijde D, Gensler LS, Deodhar A, Baraliakos X, Poddubnyy D, Kivitz A, Farmer MK, Baeten D, Goldammer N, Coarse J, Oortgiesen M, Dougados M. Dual neutralisation of interleukin-17A and interleukin-17F with bimekizumab in patients with active ankylosing spondylitis: results from a 48-week phase IIb, randomised, double-blind, placebo-controlled, dose-ranging study. Ann Rheum Dis. 2020 May;79(5):595-604. doi: 10.1136/annrheumdis-2020-216980. Epub 2020 Apr 6.

Reference Type RESULT
PMID: 32253184 (View on PubMed)

Robinson PC, Machado PM, Haroon N, Gensler LS, Reveille JD, Taieb V, Vaux T, Fleurinck C, Oortgiesen M, de Peyrecave N, Deodhar A. Minimal Impact of the COVID-19 Pandemic on Disease Activity and Health-Related Quality of Life in Patients With Ankylosing Spondylitis Receiving Bimekizumab: Exploratory Analyses From a Phase 2b Open-Label Extension Study. ACR Open Rheumatol. 2022 Sep;4(9):819-824. doi: 10.1002/acr2.11486. Epub 2022 Jul 14.

Reference Type RESULT
PMID: 35833532 (View on PubMed)

Mease PJ, Gensler LS, Orbai AM, Warren RB, Bajracharya R, Ink B, Marten A, Massow U, Shende V, Manente M, Peterson L, White K, Landewe R, Poddubnyy D. Long-term safety of bimekizumab in adult patients with axial spondyloarthritis or psoriatic arthritis: pooled results from integrated phase IIb/III clinical studies. RMD Open. 2025 Apr 6;11(2):e005026. doi: 10.1136/rmdopen-2024-005026.

Reference Type DERIVED
PMID: 40194794 (View on PubMed)

Deodhar A, Navarro-Compan V, Poddubnyy D, Gensler LS, Ramiro S, Tomita T, Marzo-Ortega H, Fleurinck C, Vaux T, Massow U, de Peyrecave N, van der Heijde D, Baraliakos X. Long-term safety and sustained efficacy of bimekizumab in patients with ankylosing spondylitis (radiographic axial spondyloarthritis): 5-year results from BE AGILE (phase 2b) and its open-label extension. RMD Open. 2025 Jan 31;11(1):e005081. doi: 10.1136/rmdopen-2024-005081.

Reference Type DERIVED
PMID: 39890205 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-001102-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AS0008

Identifier Type: -

Identifier Source: org_study_id

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