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Palmoplantar Pustular PsoriasisPhase 3NCT02008890

Palmoplantar Pustular Psoriasis Efficacy and Safety With Secukinumab

A Phase 3 study testing Secukinumab 300mg and Secukinumab 150mg in people with Palmoplantar Pustular Psoriasis, run by Novartis Pharmaceuticals at 68 sites in 10 countries.

Completed

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

Official record
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Trial summary

A one year study assessing the efficacy and safety of secukinumab compared with placebo in adult patients with moderate to severe palmoplantar pustular psoriasis - amended with an optional extension treatment period of up to a total of 148 weeks Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Palmoplantar Pustular Psoriasis
What is being tested?
Secukinumab 300mg and Secukinumab 150mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
237 participants
Where
68 sitesin 10 countries
Study dates
26 Dec 2013to 31 May 2017
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

  • Palmoplantar pustular psoriasis for at least 6 months before Randomization
  • Moderate to severe palmoplantar pustular psoriasis as defined at Baseline by:
  • ppPASI score of ≥ 12 and
  • DLQI ≥ 10
  • Candidate for systemic therapy, defined as having palmoplantar pustular psoriasis inadequately controlled by:
  • Topical treatment, and/or
  • Phototherapy, and/or
  • Previous systemic therapy

Who cannot join

  • Forms of psoriasis other than chronic plaque psoriasis and pustular palmoplantar psoriasis (e.g., erythrodermic, guttate, or generalized pustular psoriasis)
  • Drug-induced psoriasis (e.g., new onset or current exacerbation from beta-blockers, calcium channel inhibitors, or lithium) or history of proven contact dermatitis
  • Patients not willing to limit UV light exposure (e.g. sunbathing and/or the use of tanning devices) during the course of the study
  • Ongoing use of prohibited psoriasis treatments (e.g., topical or systemic corticosteroids, UV therapy). Washout periods detailed in the protocol have to be adhered to
  • Previous exposure to any biologic drug directly targeting IL-17 or IL-17 Receptor (e.g., secukinumab, ixekizumab, or brodalumab)
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment and for 16 weeks after stopping treatment
Show all 9Show fewer
  • Active ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of secukinumab therapy
  • Use of any other investigational drugs within 4 weeks of study drug initiation or within a period of 5 half-lives of the investigational treatment, whichever is longer
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

68 sites in 10 countries.

68 sites in 10 countries

Germany18 sites
  • Novartis Investigative Site

    Berlin, 10827

  • Novartis Investigative Site

    Bochum, 44803

  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Düsseldorf, D 40225

  • Novartis Investigative Site

    Freiburg im Breisgau, 79104

  • Novartis Investigative Site

    Gera, 07548

  • Novartis Investigative Site

    Göttingen, 37075

  • Novartis Investigative Site

    Greifswald, 17475

  • Novartis Investigative Site

    Hamburg, 20354

  • Novartis Investigative Site

    Hamburg, 22391

  • Novartis Investigative Site

    Hanau, 63450

  • Novartis Investigative Site

    Kiel, 24105

  • Novartis Investigative Site

    Lübeck, 23538

  • Novartis Investigative Site

    Mahlow, 15831

  • Novartis Investigative Site

    Münster, 48149

  • Novartis Investigative Site

    Plauen, 08529

  • Novartis Investigative Site

    Recklinghausen, 45657

  • Novartis Investigative Site

    Schwerin, 19055

Other trials in Germany

France10 sites
  • Novartis Investigative Site

    Bordeaux, 33075

  • Novartis Investigative Site

    Clermont-Ferrand, 63003

  • Novartis Investigative Site

    Limoges, Haute Vienne, 87000

  • Novartis Investigative Site

    Martigues, 13500

  • Novartis Investigative Site

    Nice, 06202

  • Novartis Investigative Site

    Paris, 75010

  • Novartis Investigative Site

    Paris, 75014

  • Novartis Investigative Site

    Poitiers, 86021

  • Novartis Investigative Site

    Rouen, 76031

  • Novartis Investigative Site

    Toulouse, 31400

Other trials in France

United Kingdom10 sites
  • Novartis Investigative Site

    Dudley, West Midlands, DY1 2HQ

  • Novartis Investigative Site

    Dundee, Perthshire, DD1 9SY

  • Novartis Investigative Site

    Glasgow, G11 6NT

  • Novartis Investigative Site

    Leytonstone, London, E11 1NR

  • Novartis Investigative Site

    Liverpool, L14 3PE

  • Novartis Investigative Site

    Newport, NP20 4SZ

  • Novartis Investigative Site

    Portsmouth, PO6 6AD

  • Novartis Investigative Site

    Salford, Manchester, M6 8HD

  • Novartis Investigative Site

    Wolverhampton, WV10 0QP

  • Novartis Investigative Site

    York, YO31 8HE

Other trials in United Kingdom

Spain6 sites
  • Novartis Investigative Site

    A Coruña, 15001

  • Novartis Investigative Site

    Barcelona, 08041

  • Novartis Investigative Site

    Madrid, 28006

  • Novartis Investigative Site

    Madrid, 28031

  • Novartis Investigative Site

    San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320

  • Novartis Investigative Site

    Valencia, Valencia, 46014

Other trials in Spain

Austria5 sites
  • Novartis Investigative Site

    Feldkirch, A-6807

  • Novartis Investigative Site

    Graz, 8036

  • Novartis Investigative Site

    Linz, A-4020

  • Novartis Investigative Site

    Vienna, 1090

  • Novartis Investigative Site

    Vienna, A-1090

Other trials in Austria

Sweden5 sites
  • Novartis Investigative Site

    Gothenburg, Västra Götaland County, SE-413 45

  • Novartis Investigative Site

    Jönköping, 551 85

  • Novartis Investigative Site

    Malmö, SE-205 02

  • Novartis Investigative Site

    Stockholm, 171 76

  • Novartis Investigative Site

    Uppsala, 751 85

Other trials in Sweden

Belgium4 sites
  • Novartis Investigative Site

    Brussels, 1200

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

Poland4 sites
  • Novartis Investigative Site

    Bydgoszcz, 85-094

  • Novartis Investigative Site

    Gdansk, 80-803

  • Novartis Investigative Site

    Olsztyn, 10-045

  • Novartis Investigative Site

    Zabrze, 41-800

Other trials in Poland

Russia4 sites
  • Novartis Investigative Site

    Moscow, 107076

  • Novartis Investigative Site

    Rostov on Don Region, 346880

  • Novartis Investigative Site

    Ryazan, 390046

  • Novartis Investigative Site

    Saratov, 410012

Other trials in Russia

Italy2 sites
  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Brescia, BS, 25123

Other trials in Italy

About this study

Official title: A 52-week, Multicenter, Randomized, Double-blind, Placebo-controlled Study of Subcutaneous Secukinumab to Demonstrate Efficacy as Assessed by Palmoplantar Pustulosis Psoriasis Area and Severity Index (ppPASI) at 16 Weeks of Treatment, Compared to Placebo, and to Assess Long-term Safety, Tolerability, and Efficacy in Subjects With Moderate to Severe Chronic Palmoplantar Pustular Psoriasis - Amended With an Optional Extension Treatment Period of up to a Total of 148 Weeks

A one year study assessing the efficacy and safety of secukinumab compared with placebo in adult patients with moderate to severe palmoplantar pustular psoriasis - amended with an optional extension treatment period of up to a total of 148 weeks

Being tested
Secukinumab 300mg, Secukinumab 150mg, Placebo
Keywords
palmoplantar, pustular, psoriasis
Medical subject headings
Psoriasis

What participants receive

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

  • Secukinumab 300mgBiological

    Secukinumab was used as 150 mg pre-filled syringes (PFS) in a double-blinded fashion. Secukinumab 300 mg s.c. (two PFS injections of the 150 mg dose) self-administered

  • Secukinumab 150mgBiological

    secukinumab 150 mg s.c. (one PFS injection of the 150 mg dose + one PFS injection of placebo) self-administered

  • PlaceboBiological

    secukinumab placebo s.c. (two PFS injections of placebo) self-administered

Study groups in NCT02008890
Study groupRoleWhat they receive
Secukinumab 300mgExperimentalSecukinumab 300mg once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 48. In order to maintain the blinding beyond the primary endpoint, placebo was administered at Weeks 17, 18 and 19. For extension period: Secukinumab 300mg at 4-weekly intervals starting Week 52 up to Week 148.
Receives: Biological: Secukinumab 300mg; Biological: Placebo
Secukinumab 150mgExperimentalSecukinumab 150mg once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 48. In order to maintain the blinding beyond the primary endpoint, placebo was administered at Weeks 17, 18 and 19. For extension period: Secukinumab 150mg at 4-weekly intervals starting Week 52 up to Week 148.
Receives: Biological: Secukinumab 150mg; Biological: Placebo
PlaceboPlacebo comparatorPlacebo once weekly at Weeks 1, 2 and 3, thereafter at 4-weekly intervals starting Week 4 until Week 12. Patients who achieved ppPASI 75 at Week 16 remained on placebo treatment Until week 48 and were not eligible to enter the extension. Patients who did not achieve ppPASI 75 at Week 16 were re-randomized to receive Secukinumab 150mg or Secukinumab 300mg from Week 16 onwards up to Week 148.
Receives: Biological: Secukinumab 300mg; Biological: Secukinumab 150mg; Biological: Placebo

What is being measured

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

  1. Percentage of Participants With ppPASI 75 Response at Week 16 (Period 1)

    The primary endpoint was assessed by the palmoplantar pustulosis Psoriasis Area and Severity Index 75 (ppPASI 75). The percentage of subjects who achieved a 75% reduction in ppPASI score from Baseline to Week 16 was measured. The ppPASI is a modification of the PASI score and adjusted for palmoplantar pustular psoriasis by classifying and scoring erythema, scaling (desquamation) and pustules/vesicles. Both palms and both plants are scored from 0 to 4. The extent of involvement of each region of the body is scored from 0 to 6. The total ppPASI score can range from a lower level of 0, corresponding to no signs of psoriasis, up to a maximum of 72.

    Measured: Baseline to Week 16

Secondary outcomes (7)
  1. ppPASI: Absolute Change From Baseline to Week 16

    A secondary endpoint was assessed by the palmoplantar pustulosis Psoriasis Area and Severity Index (ppPASI). The mean change of ppPASI score from Baseline to Week 16 was measured. The ppPASI is a modification of the PASI score and adjusted for palmoplantar pustular psoriasis by classifying and scoring erythema, scaling (desquamation) and pustules/vesicles. Both palms and both plants are scored from 0 to 4. The extent of involvement of each region is scored from 0 to 6. The total ppPASI score can range from a lower level of 0, corresponding to no signs of psoriasis, up to a maximum of 72.

    Measured: Baseline to Week 16

  2. Percentage of Participants With ppPASI 75 Response Over Time (Period 1)

    A secondary endpoint was assessed as response rate of patients to treatment measured by the palmoplantar pustulosis Psoriasis Area and Severity Index 75 (ppPASI 75). The percentage of subjects who achieve a 75% reduction in ppPASI score from Baseline to each post-baseline visit is measured. The ppPASI is a modification of the PASI score and adjusted for palmoplantar pustular psoriasis by classifying and scoring erythema, scaling (desquamation) and pustules/vesicles. Both palms and both plants are scored from 0 to 4. The extent of involvement of each region of the body is scored from 0 to 6. The total ppPASI score can range from a lower level of 0, corresponding to no signs of psoriasis, up to a maximum of 72.

    Measured: Baseline to Week 16

  3. Percentage of Participants With ppPASI 75 Response Over Time (Period 2)

    A secondary endpoint was assessed as response rate of patients to treatment measured by the palmoplantar pustulosis Psoriasis Area and Severity Index 75 (ppPASI 75). The percentage of subjects who achieve a 75% reduction in ppPASI score from Baseline to each post-baseline visit is measured. The ppPASI is a modification of the PASI score and adjusted for palmoplantar pustular psoriasis by classifying and scoring erythema, scaling (desquamation) and pustules/vesicles. Both palms and both plants are scored from 0 to 4. The extent of involvement of each region of the body is scored from 0 to 6. The total ppPASI score can range from a lower level of 0, corresponding to no signs of psoriasis, up to a maximum of 72.

    Measured: Week 16 to Week 52

  4. Percentage of Participants With ppPASI 75 Response Over Time (Extension Period)

    A secondary endpoint was assessed as response rate of patients to treatment measured by the palmoplantar pustulosis Psoriasis Area and Severity Index 75 (ppPASI 75). The percentage of subjects who achieved a 75% reduction in ppPASI score from Baseline to each post-baseline visit was measured. The ppPASI is a modification of the PASI score and adjusted for palmoplantar pustular psoriasis by classifying and scoring erythema, scaling (desquamation) and pustules/vesicles. Both palms and both plants are scored from 0 to 4. The extent of involvement of each region of the body is scored from 0 to 6. The total ppPASI score can range from a lower level of 0, corresponding to no signs of psoriasis, up to a maximum of 72.

    Measured: Week 52 to Week 148

  5. Percentage of Participants With Most Frequent Adverse Events - Period 1 (Patient's Safety)

    Most frequent (at least 5% in any of the AIN457 groups) Adverse Events

    Measured: Baseline to Week 16 (Period 1)

  6. Percentage of Participants With Most Frequent Adverse Events - Period 2 (Patient's Safety)

    Most frequent (at least 5% in any of the AIN457 groups) Adverse Events

    Measured: Week 16 to Week 52 (Period 2)

  7. Percentage of Participants With Most Frequent Adverse Events - Extension Period (Patient's Safety)

    Most frequent (at least 5% in any of the AIN457 groups) Adverse Events

    Measured: Week 52 to Week 148 (extension period)

Timeline

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

  1. First posted11 Dec 2013 (estimated)
  2. Study start26 Dec 2013
  3. Primary completion24 Nov 2014
  4. Study completion31 May 2017

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
237 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02008890
Sponsor's protocol ID
CAIN457A3301
Other IDs
2013-003086-34
Status last verified
Jan 2019
First submitted
8 Dec 2013
Last updated
4 Jan 2019
Data monitoring committee
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 300mg and Secukinumab 150mg in people with Palmoplantar Pustular Psoriasis, run by Novartis Pharmaceuticals at 68 sites in 10 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 8 inclusion and 9 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 4 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in Germany, France, United Kingdom, Spain, Austria and 5 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 4 Jan 2019). 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?

Percentage of Participants With ppPASI 75 Response at Week 16 (Period 1) (time frame: Baseline to 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 4 Jan 2019.

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