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Moderate to Severe Palmoplantar PsoriasisPhase 3GESTURENCT01806597

Study of Safety, Tolerability, and Efficacy of Secukinumab in Subjects With Moderate to Severe Palmoplantar Psoriasis

A Phase 3 study testing secukinumab 150 mg and secukinumab 300 mg in people with Moderate to Severe Palmoplantar Psoriasis, run by Novartis Pharmaceuticals at 54 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Purpose of the study was to demonstrate the efficacy of secukinumab versus placebo on palmoplantar psoriasis and to assess the long term efficacy, safety and tolerability of secukinumab. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
secukinumab 150 mg and secukinumab 300 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
205 participants
Where
54 sitesin 15 countries
Study dates
19 Jun 2013to 2 Nov 2016
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with chronic, moderate to severe plaque type psoriasis for at least 6 months prior to randomization and significant involvement of the palms and soles at baseline, defined as palmoplantar Investigator's Global Assessment (ppIGA) score of ≥ 3 on a 5-point scale, as well as at least one skin plaque at baseline which is not in the palmoplantar area
  • Candidates for systemic therapy, i.e. psoriasis inadequately controlled by topical treatment (including super potent topical corticosteroids) and/or phototherapy and/or previous systemic therapy

Who cannot join

  • Forms of psoriasis other than chronic plaque type psoriasis (e.g., pustular psoriasis, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic and guttate psoriasis)
  • Drug-induced psoriasis (e.g. new onset or current exacerbation from β-blockers, calcium channel inhibitors or lithium)
  • Ongoing use of prohibited treatments (e.g. topical or systemic corticosteroids (CS), UV therapy). Washout periods do apply.
  • Prior exposure to secukinumab (AIN457) or any other biological drug directly targeting IL-17 or the IL-17 receptor
  • Use of any investigational drugs within 4 weeks prior to study treatment initiation or within a period of 5 half-lives of the investigational treatment, whichever is longer
  • Active ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of secukinumab therapy
  • History of hypersensitivity to constituents of the study treatment

Trial locations and contacts

54 sites in 15 countries.

54 sites in 15 countries

United States8 sites
  • Novartis Investigative Site

    Birmingham, Alabama, 35205

  • Novartis Investigative Site

    Boston, Massachusetts, 02111

  • Novartis Investigative Site

    Goodlettsville, Tennessee, 37072-2301

  • Novartis Investigative Site

    High Point, North Carolina, 27262

  • Novartis Investigative Site

    Indianapolis, Indiana, 46256

  • Novartis Investigative Site

    Louisville, Kentucky, 40291

  • Novartis Investigative Site

    Phoenix, Arizona, 85032

  • Novartis Investigative Site

    Verona, New Jersey, 07044

Other trials in United States

Canada5 sites
  • Novartis Investigative Site

    Barrie, Ontario, L4M 6L2

  • Novartis Investigative Site

    Calgary, Alberta, T2S 3B3

  • Novartis Investigative Site

    London, Ontario, N6A 3H7

  • Novartis Investigative Site

    Montreal, Quebec, H3Z 2S6

  • Novartis Investigative Site

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

Portugal5 sites
  • Novartis Investigative Site

    Coimbra, 3000-075

  • Novartis Investigative Site

    Lisbon, 1649-035

  • Novartis Investigative Site

    Lisbon, 1998 - 018

  • Novartis Investigative Site

    Porto, 4099-001

  • Novartis Investigative Site

    Porto, 4200 319

Other trials in Portugal

Australia4 sites
  • Novartis Investigative Site

    Carlton, Victoria, 3053

  • Novartis Investigative Site

    East Melbourne, Victoria, 3002

  • Novartis Investigative Site

    Sydney, New South Wales, 2010

  • Novartis Investigative Site

    Woolloongabba, Queensland, 4102

Other trials in Australia

Hungary4 sites
  • Novartis Investigative Site

    Budapest, 1134

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Miskolc, 3529

  • Novartis Investigative Site

    Szeged, H-6725

Other trials in Hungary

Israel4 sites
  • Novartis Investigative Site

    Afula, 1834111

  • Novartis Investigative Site

    Petah Tikva, 49100

  • Novartis Investigative Site

    Tel Aviv, 6209804

  • Novartis Investigative Site

    Tel Aviv, 64239

Other trials in Israel

Russia4 sites
  • Novartis Investigative Site

    Kazan', 420012

  • Novartis Investigative Site

    Moscow, 107076

  • Novartis Investigative Site

    Moscow, 119071

  • Novartis Investigative Site

    Saint Petersburg, 194044

Other trials in Russia

Turkey (Türkiye)4 sites
  • Novartis Investigative Site

    Ankara, 06500

  • Novartis Investigative Site

    Fatih / Istanbul, Turkey, 34093

  • Novartis Investigative Site

    Gaziantep, 27310

  • Novartis Investigative Site

    Istanbul, TUR, 34098

Other trials in Turkey (Türkiye)

Netherlands3 sites
  • Novartis Investigative Site

    Amsterdam, 1105 AZ

  • Novartis Investigative Site

    Breda, CK, 4818

  • Novartis Investigative Site

    Rotterdam, 3015 CE

Other trials in Netherlands

Slovakia3 sites
  • Novartis Investigative Site

    Košice, 04011

  • Novartis Investigative Site

    Kosice-Saca, Slovak Republic, 040 15

  • Novartis Investigative Site

    Svidník, 089 01

Other trials in Slovakia

Spain3 sites
  • Novartis Investigative Site

    Badalona, Catalonia, 08916

  • Novartis Investigative Site

    Barcelona, 08041

  • Novartis Investigative Site

    Las Palmas de Gran Canaria, Las Palmas de G.C, 35010

Other trials in Spain

Belgium2 sites
  • Novartis Investigative Site

    Brussels, 1200

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

Finland2 sites
  • Novartis Investigative Site

    Helsinki, 00250 HUS

  • Novartis Investigative Site

    Tampere, 33100

Other trials in Finland

United Kingdom2 sites
  • Novartis Investigative Site

    Dudley, West Midlands, DY1 2HQ

  • Novartis Investigative Site

    London, England, E11 1NR

Other trials in United Kingdom

Norway1 site
  • Novartis Investigative Site

    Stavanger, 4068

Other trials in Norway

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Study to Demonstrate the Efficacy at 16 Weeks of Secukinumab 150 and 300 mg s.c. and to Assess Safety, Tolerability and Long-term Efficacy up to 132 Weeks in Subjects With Moderate to Severe Palmoplantar Psoriasis

Purpose of the study was to demonstrate the efficacy of secukinumab versus placebo on palmoplantar psoriasis and to assess the long term efficacy, safety and tolerability of secukinumab.

Being tested
secukinumab 150 mg, secukinumab 300 mg, Placebo
Keywords
Skin condition, itching, psoriasis vulgaris, relapsing remitting psoriasis, immune-med systemic disease, skin lesions, scaly patches, papules, plaques
Medical subject headings
Skin Diseases, Pruritus, Plaque, Amyloid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • secukinumab 150 mgBiological

    Also called AIN457 150 mg

    Study treatment were provided in pre-filled syringes of secukinumab 150 mg in 1 mL. Each dosing consiseds of one secukinumab 150 mg s.c. injection plus one placebo secukinumab s.c. injection and took place once weekly during five weeks (at Baseline, Weeks 1, 2, 3 and 4), then once every four weeks starting at Week 8 until Week 128 inclusive. In order to maintain the blinding, patients also received two placebo injections at Weeks 17, 18 and 19. Patients self-administered study treatment under the supervision of site personnel when injections occur during study visits, or at home otherwise.

  • secukinumab 300 mgBiological

    Also called AIN457 300 mg

    Study treatment were provided in pre-filled syringes of secukinumab 150 mg in 1 mL. Each dosing consisted of two secukinumab 150 mg s.c. injections and took ke place once weekly during five weeks (at Baseline, Weeks 1, 2, 3 and 4), then once every four weeks starting at Week 8 until Week 128 inclusive. In order to maintain the blinding, patients also receives two placebo injections at Weeks 17, 18 and 19. Patients self-administered study treatment under the supervision of site personnel when injections occur during study visits, or at home otherwise.

  • PlaceboBiological

    Placebo were provided in 1 mL pre-filled syringes. Each dosing consisted of two s.c. injections and took place once weekly during five weeks (at Baseline, Weeks 1, 2, 3 and 4), then at Week 8 and at Week 12. At Week 16, ppIGA responders continued on placebo with dosing at Weeks 16, 17, 18, 19 and 20, then once every four weeks from Week 24 until Week 76 inclusive. At Week 80, ppIGA responders ended their participation in the study while ppIGA non-responders were re-randomized, to receive 150 mg or 300 mg secukinumab once every four weeks starting at Week 80 until Week 128 inclusive. Patients self-administered study treatment under the supervision of site personnel when injections occur during study visits, or at home otherwise.

Study groups in NCT01806597
Study groupRoleWhat they receive
secukinumab 150mgExperimental201 subjects were randomized in a 1:1:1 ratio to secukinumab either 150 mg or 300 mg, or placebo. Subjects assigned to secukinumab 150 mg were dosed weekly for the first five weeks, then every four weeks up to and including Week 128. To maintain blinding, subjects received additional placebo injections at Weeks 17, 18 and 19. All doses of study treatment were administered by sub-cutaneous injections.
Receives: Biological: secukinumab 150 mg
secukinumab 300 mgExperimental201 subjects were randomized in a 1:1:1 ratio to secukinumab either 150 mg or 300 mg, or placebo. Subjects assigned to secukinumab 300 mg were dosed weekly for the first five weeks and then every four weeks up to and including Week 128. In order to maintain the blinding, subjects received additional placebo injections at Weeks 17, 18 and 19. All doses of study treatment were administered by sub-cutaneous injections.
Receives: Biological: secukinumab 300 mg
PlaceboPlacebo comparator201 subjects were randomized in a 1:1:1 ratio to secukinumab either 150 mg or 300 mg, or placebo. Subjects on placebo were dosed weekly for 5 weeks then once every 4 weeks. At Week 16, ppIGA responders continued to receive placebo weekly for 5 weeks starting at Week 16, then every 4 weeks up to and including Week 76 while ppIGA non-responders were randomized in a 1:1 ratio to secukinumab either 150 mg or 300mg weekly for 5 weeks, starting at Week 16, then every 4 weeks up to and including Week 128. At Week 80, subjects on placebo were either terminated their participation, if ppIGA responders, or randomized in a 1:1 ratio to secukinumab either 150 mg or 300 mg once every 4 weeks until Week 128 inclusive. All doses of study treatment were administered by sub-cutaneous injections.
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentages of Participants With Palmoplantar Investigator Global Assessmnet (ppIGA) 0 or 1 Response After 16 Weeks of Treatment

    palmoplantar Investigator's Global Assessment (ppIGA) response after 16 weeks of treatment. To be considered a ppIGA responder at Week 16, a subject must have ppIGA of 0 or 1 at Week 16 and a reduction of at least 2 points on the ppIGA scale from baseline.

    Measured: Week 16

Secondary outcomes (6)
  1. Percentages of Participants With Palmoplantar Investigator Global Assessment (ppIGA) 0 or 1 Response - Treatment Period I

    ppIGA: Palmoplantar Ivestigator's Global Assessment. The IGA mod 2011 rating scale: The IGA mod 2011 scale is static, i.e. it referred exclusively to the participant's disease at the time of the assessment, and did not compare with any of the participant's previous disease states at previous visits. The scores are: 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe.

    Based on this scale, a patient was considered as an IGA 0 or 1 responder if they achieved a score of 0 or 1 and improved by at least 2 points on the IGA scale at a given time point compared to their score at randomization (baseline).

    Measured: Week 1, week 2, week 4, week, 8, week 12, week 16

  2. Percentages of Subjects With ppIGA 0 or 1 Response (Observed Cases) - Treatment Period II

    ppIGA: Palmoplantar Ivestigator's Global Assessment. The IGA mod 2011 rating scale: The IGA mod 2011 scale is static, i.e. it referred exclusively to the participant's disease at the time of the assessment, and did not compare with any of the participant's previous disease states at previous visits. The scores are: 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe.

    Based on this scale, a patient was considered as an IGA 0 or 1 responder if they achieved a score of 0 or 1 and improved by at least 2 points on the IGA scale at a given time point compared to their score at randomization (baseline).

    Measured: Week 16, Week 20, Week 28, Week 32, Week 64, Week 132

  3. Percentages of Subjects With ppIGA 0 or 1 Response (Observed Cases) - Entire Treatment Period

    ppIGA: Palmoplantar Ivestigator's Global Assessment. The IGA mod 2011 rating scale: The IGA mod 2011 scale is static, i.e. it referred exclusively to the participant's disease at the time of the assessment, and did not compare with any of the participant's previous disease states at previous visits. The scores are: 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe.

    Based on this scale, a patient was considered as an IGA 0 or 1 responder if they achieved a score of 0 or 1 and improved by at least 2 points on the IGA scale at a given time point compared to their score at randomization (baseline).

    Measured: Week 16, Week 24, Week 28, Week 80

  4. Absolute Change From Baseline for Palmoplantar Psoriasis Area and Severity Index (ppPASI) Score -Treatment Period I

    Psoriasis Area and Severity Index (PASI) is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease).

    Measured: Week 1, Week 2, Week 4, Week 8, Week 12, Week 16

  5. Absolute Change From Baseline for Palmoplantar Psoriasis Area and Severity Index (ppPASI) Score (Observed Cases) - Entire Treatment Set

    Psoriasis Area and Severity Index (PASI) is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease).

    Measured: Week 16, Week 32, Week 80, Week 132

  6. Number of Participants Developing Anti-secukinumab Antibodies

    To investigate the development of immunogenicity against secukinumab

    Measured: Over time up to week 132

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Mar 2013 (estimated)
  2. Study start19 Jun 2013
  3. Primary completion2 Nov 2016
  4. Study completion2 Nov 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
205 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01806597
Sponsor's protocol ID
CAIN457A2312
Other IDs
2012-005412-25
Acronym
GESTURE
Status last verified
Jan 2018
First submitted
23 Jan 2013
Last updated
22 Feb 2018
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing secukinumab 150 mg and secukinumab 300 mg in people with Moderate to Severe Palmoplantar Psoriasis, run by Novartis Pharmaceuticals at 54 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Canada, Portugal, Australia, Hungary and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Feb 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentages of Participants With Palmoplantar Investigator Global Assessmnet (ppIGA) 0 or 1 Response After 16 Weeks of Treatment (time frame: Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Feb 2018.

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