Phase III Study of Efficacy and Safety of Secukinumab Versus Placebo, in Combination With Glucocorticoid Taper Regimen, in Patients With Polymyalgia Rheumatica (PMR)
NCT ID: NCT05767034
Last Updated: 2025-12-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
PHASE3
381 participants
INTERVENTIONAL
2023-03-22
2026-02-17
Brief Summary
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Detailed Description
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The primary objective is to demonstrate the efficacy of secukinumab 300 mg subcutaneously in combination with a 24-week glucocorticoid (GC) taper regimen compared with placebo with respect to the proportion of patients in sustained remission at Week 52. Primary secondary objectives are to assess difference in proportion of patients achieving complete sustained remission at Week 52, adjusted annual cumulative GC dose and time to first use of escape treatment or rescue treatment through Week 52. Key safety data will be collected, along with Patient Reported Outcomes.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Secukinumab 300 mg
randomized in 1:1:1 ratio every 4 weeks
Secukinumab 300 mg
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Secukinumab 150 mg
randomized in 1:1:1 ratio every 4 weeks
Secukinumab 150 mg
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Placebo to secukinumab
randomized in 1:1:1 ratio every 4 weeks
Placebo to secukinumab
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Interventions
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Secukinumab 300 mg
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Secukinumab 150 mg
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Placebo to secukinumab
Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Male or non-pregnant, non-lactating female participants at least 50 years of age.
* Diagnosis of PMR according to the provisional American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria: Participants ≥ 50 years of age with a history of bilateral shoulder pain accompanied by elevated C-reactive protein (CRP) concentration (≥ 10 mg/L) and/or elevated erythrocyte sedimentation rate (ESR) (≥ 30 mm/hr) who scored at least 4 points from the following optional classification criteria:
* Morning stiffness \> 45 minutes (min) (2 points)
* Hip pain or restricted range of motion (1 point)
* Absence of rheumatoid factor and/or anti-citrullinated protein antibodies (2 points)
* Absence of other joint involvement (1 point)
* Participants must have a history of being treated for at least 8 consecutive weeks with prednisone ≥ 10 mg/day, or equivalent dose of another GC at any time prior to screening
* Participants must have had at least one episode of PMR relapse while attempting to taper prednisone at a dose that is ≥ 5 mg/day (or equivalent dose of another GC) within the past 12 weeks prior to BSL. Diagnosis of a PMR relapse is defined as participant meeting both of the following:
* Recurrence of bilateral shoulder girdle and/or bilateral hip girdle pain associated with inflammatory stiffness with or without additional symptoms indicative of PMR relapse (such as constitutional symptoms) within 12 weeks prior to BSL that are in the opinion of the Investigator not due to other diseases that may mimic PMR such as osteoarthritis in shoulders or hips, polyarticular calcium pyrophosphate deposition disease, rotator cuff disease, adhesive capsulitis (frozen shoulder) or fibromyalgia.
* Elevated ESR (≥ 30 mm/hr) and/or elevated CRP (\> upper limit of normal (ULN)) attributable to PMR at the time of relapse and/or at screening
* Participants must have been treated as per local treatment recommendations following the latest PMR relapse and must be on prednisone of at least 7.5 mg/day (or equivalent) and not exceeding 25 mg/day at screening and during the screening period
Exclusion Criteria
* Concurrent rheumatoid arthritis or other inflammatory arthritis or other connective tissue diseases, such as but not limited to systemic lupus erythematosus, systemic sclerosis, vasculitis, myositis, mixed connective tissue disease, and ankylosing spondylitis
* Concurrent diagnosis or history of neuropathic muscular diseases or fibromyalgia
* Inadequately treated hypothyroidism (e.g., persistence of symptoms, lack of normalization of serum TSH despite regular hormonal replacement treatment)
* Previous exposure to secukinumab or other biologic drug directly targeting IL-17 or IL-17 receptor
50 Years
100 Years
ALL
No
Sponsors
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Novartis Pharmaceuticals
INDUSTRY
Responsible Party
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Principal Investigators
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Novartis Pharmaceuticals
Role: STUDY_DIRECTOR
Novartis Pharmaceuticals
Locations
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Arizona Arthritis and Rheumatology Associates PLLC
Avondale, Arizona, United States
Sun Valley Arthritis Center Ltd
Peoria, Arizona, United States
AZ Arthritis and Rheumtlgy Rsh PLLC
Phoenix, Arizona, United States
Precn Comprehensive Clnl Rsch Solns
San Leandro, California, United States
Providence Saint Johns Health Ctr
Santa Monica, California, United States
Center for Rheumatology Research
West Hills, California, United States
Millennium Clinical Trials
Westlake Village, California, United States
Rheumatology Associates of South Florida
Boca Raton, Florida, United States
UF Health Cancer Center
Gainesville, Florida, United States
Sarasota Arthritis Res Ctr
Sarasota, Florida, United States
West Broward Rheumatology Associates Inc
Tamarac, Florida, United States
Southeastern Rheumatology Alliance
Gainesville, Georgia, United States
Klein and Associates
Hagerstown, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Clinical Research Inst of MI
Saint Clair Shores, Michigan, United States
Kansas City Physician Partners
Kansas City, Missouri, United States
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States
Paramount Med Rsrch and Consult LLC
Middleburg Heights, Ohio, United States
Prolato Clinical Research Center
Houston, Texas, United States
DM Clinical Research
Houston, Texas, United States
Accurate Clinical Research Inc
San Antonio, Texas, United States
Advanced Rheumatology of Houston
Spring, Texas, United States
Novartis Investigative Site
Caba, Buenos Aires, Argentina
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Quilmes, Buenos Aires, Argentina
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Buenos Aires, , Argentina
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Parramatta, New South Wales, Australia
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Southport, Queensland, Australia
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Heidelberg Heights, Victoria, Australia
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Leuven, , Belgium
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Liège, , Belgium
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Porto Alegre, Rio Grande do Sul, Brazil
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São Paulo, São Paulo, Brazil
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São Paulo, , Brazil
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Québec, Quebec, Canada
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Viña del Mar, Región de Valparaíso, Chile
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Santiago, Santiago Metropolitan, Chile
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Santiago, Santiago Metropolitan, Chile
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Santiago, Santiago Metropolitan, Chile
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Barranquilla, Atlántico, Colombia
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Barranquilla, Atlántico, Colombia
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Bogota, Cundinamarca, Colombia
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Cali, Valle del Cauca Department, Colombia
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Prague, Czech Republic, Czechia
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Brno, , Czechia
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Hlučín, , Czechia
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Prague, , Czechia
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Prague, , Czechia
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Uherské Hradiště, , Czechia
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Zlín, , Czechia
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Aarhus N, , Denmark
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Esbjerg, , Denmark
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Gandrup, , Denmark
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Vejle, , Denmark
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Limoges, Haute Vienne, France
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Toulon, Val De Marne, France
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Aix-en-Provence, , France
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Brest, , France
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Cholet, , France
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Colmar, , France
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Dijon, , France
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Le Mans, , France
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Montpellier, , France
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Nantes, , France
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Reims, , France
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Strasbourg, , France
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Toulouse, , France
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Freiburg im Breisgau, Baden-Wurttemberg, Germany
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Würzburg, Bavaria, Germany
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Dresden, Saxony, Germany
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Berlin, , Germany
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Berlin, , Germany
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Erlangen, , Germany
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Herne, , Germany
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Ratingen, , Germany
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Rendsburg, , Germany
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Budapest, , Hungary
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Szeged, , Hungary
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Veszprém, , Hungary
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Reykjavik, , Iceland
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Dublin, , Ireland
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Ramat Gan, , Israel
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Tel Aviv, , Israel
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Bolzano, BZ, Italy
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Milan, MI, Italy
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Milan, MI, Italy
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Milan, MI, Italy
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Perugia, PG, Italy
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Pavia, PV, Italy
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Reggio Emilia, RE, Italy
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Ichikawa, Chiba, Japan
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Fukuoka, Fukuoka, Japan
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Asahikawa, Hokkaido, Japan
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Kita-gun, Kagawa-ken, Japan
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Sagamihara, Kanagawa, Japan
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Yokohama, Kanagawa, Japan
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Nagano, Nagano, Japan
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Beppu, Oita Prefecture, Japan
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Kawachi-Nagano, Osaka, Japan
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Osaka, Osaka, Japan
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Bunkyo Ku, Tokyo, Japan
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Fuchū, Tokyo, Japan
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Ōme, Tokyo, Japan
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Shimonoseki, Yamaguchi, Japan
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Chūō, Yamanashi, Japan
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Okayama, , Japan
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Osaka, , Japan
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Beirut, , Lebanon
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Guadalajara, Jalisco, Mexico
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Almelo, Overijssel, Netherlands
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Rotterdam, South Holland, Netherlands
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Groningen, , Netherlands
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Bytom, , Poland
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Lublin, , Poland
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Warsaw, , Poland
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Warsaw, , Poland
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Warsaw, , Poland
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Cape Town, Western Cape, South Africa
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Cape Town, Western Cape, South Africa
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Stellenbosch, Western Cape, South Africa
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Sabadell, Barcelona, Spain
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Bilbao, Bizkaia, Spain
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A Coruña, , Spain
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Barcelona, , Spain
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Madrid, , Spain
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Seville, , Spain
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Valencia, , Spain
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Stockholm, SE, Sweden
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Basel, , Switzerland
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Fribourg, , Switzerland
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Sankt Gallen, , Switzerland
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Barnet, , United Kingdom
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Hull, , United Kingdom
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Wolverhampton, , United Kingdom
Countries
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References
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Sun MM, Pope JE. Polymyalgia rheumatica and giant cell arteritis: diagnosis and management. Curr Opin Rheumatol. 2025 Jan 1;37(1):32-38. doi: 10.1097/BOR.0000000000001059. Epub 2024 Oct 14.
Other Identifiers
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CAIN457C22301
Identifier Type: -
Identifier Source: org_study_id
2022-501895-25-00
Identifier Type: OTHER
Identifier Source: secondary_id