Effect of Secukinumab on Radiographic Progression in Ankylosing Spondylitis as Compared to GP2017 (Adalimumab Biosimilar)

NCT ID: NCT03259074

Last Updated: 2023-08-21

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

859 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-30

Study Completion Date

2021-11-29

Brief Summary

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The purpose of this study is to demonstrate the impact of secukinumab on the progression of structural damage in the spine, as measured by the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) in patients with Ankylosing Spondylitis (AS).

Detailed Description

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This was a Phase IIIb, multi-center, randomized, partially-blinded, active-controlled, parallel-group design in subjects with AS. The study consisted of a screening period (up to 10 weeks before randomization), a treatment period (104 weeks), and two follow-up visits (Weeks 112 and 120).

Subjects in both secukinumab dose groups received study treatment at baseline, Weeks 1, 2, 3 and 4 followed by treatment every 4 weeks through Week 100. Subjects in the GP2017 group received study treatment at baseline and every two weeks through Week 102. Subjects could self-administer all secukinumab / placebo and GP2017 doses at the study site or at home. Study treatment (secukinumab vs. GP2017) was provided in an open-label fashion. Subjects in the secukinumab groups were blinded to the dose (150 mg vs. 300 mg). Subjects who received rescue treatment with prohibited medications were allowed to remain in the study but had to discontinue study treatment. Subjects were treated for 104 weeks with two follow-up visits (Weeks 112 and 120).

A total of 859 subjects were randomized to treatment at 171 sites in 30 countries in Europe, North America, South America, and Asia.

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Conditions

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Ankylosing Spondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study was partially blinded. Subjects, investigators, site personnel, persons performing the assessments, monitors and the Sponsor remained blinded to the dose group of secukinumab (150 mg versus 300 mg)
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The Participant, Care Provider, Investigator and Sponsor are blinded to Secukinumab dose

Study Groups

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AIN457 150 mg/placebo

AIN457 150 mg and a matching placebo was administered subcutaneously via pre-filled syringes at Baseline, Weeks 1, 2, 3 and 4, followed by dosing every 4 weeks until Week 100

Group Type EXPERIMENTAL

Placebo

Intervention Type BIOLOGICAL

Matching placebo to AIN457 150 mg dose administered with AIN457 via pre-filled syringes

AIN457 150 mg

Intervention Type BIOLOGICAL

150 mg in pre-filled syringes was administered subcutaneously

AIN457 300 mg

AIN457 300 mg (2 x 150 mg) was administered subcutaneously via pre-filled syringes at Baseline, Weeks 1, 2, 3 and 4, followed by dosing every 4 weeks until Week 100

Group Type EXPERIMENTAL

AIN457 150 mg

Intervention Type BIOLOGICAL

150 mg in pre-filled syringes was administered subcutaneously

GP2017 40mg

GP2017 (adalimumab biosimilar) 40 mg was administered subcutaneously via pre-filled syringes at Baseline followed by dosing every 2 weeks until Week 102

Group Type ACTIVE_COMPARATOR

GP2017 (adalimumab biosimilar)

Intervention Type BIOLOGICAL

40 mg in pre-filled syringes was administered subcutaneously

Interventions

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Placebo

Matching placebo to AIN457 150 mg dose administered with AIN457 via pre-filled syringes

Intervention Type BIOLOGICAL

GP2017 (adalimumab biosimilar)

40 mg in pre-filled syringes was administered subcutaneously

Intervention Type BIOLOGICAL

AIN457 150 mg

150 mg in pre-filled syringes was administered subcutaneously

Intervention Type BIOLOGICAL

Other Intervention Names

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adalimumab biosimilar secukinumab

Eligibility Criteria

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Inclusion Criteria

* Male or non-pregnant, non-nursing female patients at least 18 years of age
* Diagnosis of moderate to severe Ankylosing Spondylitis with radiologic evidence (centrally read X-ray) fulfilling the Modified New York criteria for AS despite previous or current NSAID/ nonbiologic DMARD therapy
* Active AS assessed by total BASDAI ≥ 4 on a scale of 0-10
* Spinal pain as measured by BASDAI question #2 ≥ 4 (0-10)
* Total back pain as measured by visual analog scale (VAS) ≥ 40 mm (0-100 mm)
* hsCRP ≥ 5 mg/L OR presence of at least 1 syndesmophyte on centrally read spinal X-ray

Exclusion Criteria

* Patients with total ankylosis of the spine
* Pregnant or nursing (lactating) women
* Evidence of ongoing infectious or malignant process
* Previous exposure to any biologic immunomodulating agent, including those targeting IL-17, IL-17 receptor or TNFα
* Subjects taking high potency opioid analgesics
* Previous treatment with any cell-depleting therapies including but not limited to anti-CD20, investigational agents
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Novartis Investigative Site

Mesa, Arizona, United States

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Escondido, California, United States

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La Mesa, California, United States

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San Francisco, California, United States

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Gainesville, Florida, United States

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Boise, Idaho, United States

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Shreveport, Louisiana, United States

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Wheaton, Maryland, United States

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Great Falls, Montana, United States

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Lincoln, Nebraska, United States

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Greensboro, North Carolina, United States

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Dayton, Ohio, United States

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Middleburg Heights, Ohio, United States

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Portland, Oregon, United States

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Duncansville, Pennsylvania, United States

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Memphis, Tennessee, United States

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Mesquite, Texas, United States

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Kennewick, Washington, United States

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Franklin, Wisconsin, United States

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Ciudad Autonoma de Bs As, , Argentina

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Malvern East, Victoria, Australia

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Brussels, , Belgium

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Genk, , Belgium

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Winnipeg, Manitoba, Canada

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Barrie, Ontario, Canada

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Québec, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Santiago, RM, Chile

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Concepción, , Chile

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Santiago, , Chile

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Bucaramanga, Santander Department, Colombia

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Barranquilla, , Colombia

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Brno-Zidonice, CZE, Czechia

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Uherské Hradiště, , Czechia

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Aalborg, , Denmark

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Copenhagen, , Denmark

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Joensuu, , Finland

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Nice, Cedex1, France

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Boulogne-Billancourt, , France

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Le Mans, , France

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Ratingen, , Germany

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Thessaloniki, GR, Greece

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Torreón, Coahulia, Mexico

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Manila, , Philippines

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Bydgoszcz, , Poland

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Villajoyosa, Alicante, Spain

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Bilbao, Basque Country, Spain

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San Vicente de Barakaldo, Bizkaia, Spain

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Santander, Cantabria, Spain

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Dalin, , Taiwan

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Portsmouth, Hants, United Kingdom

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Leytonstone, London, United Kingdom

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Stoke-on-Trent, Staffordshire, United Kingdom

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Bath, , United Kingdom

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Leicester, , United Kingdom

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Norwich, , United Kingdom

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Torquay, , United Kingdom

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Wolverhampton, , United Kingdom

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Countries

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United States Argentina Australia Belgium Canada Chile Colombia Czechia Denmark Finland France Germany Greece Israel Japan Mexico Netherlands Peru Philippines Poland Portugal Romania Russia Slovakia South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Sieper J, Poddubnyy D. Twenty years of clinical trials in axial spondyloarthritis: what can we learn for the future? Curr Opin Rheumatol. 2021 Jul 1;33(4):363-369. doi: 10.1097/BOR.0000000000000804.

Reference Type DERIVED
PMID: 33978600 (View on PubMed)

Baraliakos X, Ostergaard M, Gensler LS, Poddubnyy D, Lee EY, Kiltz U, Martin R, Sawata H, Readie A, Porter B; SURPASS Study Group. Comparison of the Effects of Secukinumab and Adalimumab Biosimilar on Radiographic Progression in Patients with Ankylosing Spondylitis: Design of a Randomized, Phase IIIb Study (SURPASS). Clin Drug Investig. 2020 Mar;40(3):269-278. doi: 10.1007/s40261-020-00886-7.

Reference Type DERIVED
PMID: 31983056 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=1307

A Plain Language Trial Summary is available on novctrd.com

Other Identifiers

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CAIN457K2340

Identifier Type: -

Identifier Source: org_study_id

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