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Plaque PsoriasisPhase 3NCT03066609

Study of Efficacy and Safety of Secukinumab in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis

A Phase 3 study testing Secukinumab 150 mg s.c. and Secukinumab 300 mg s.c. in people with Plaque Psoriasis, run by Novartis Pharmaceuticals at 32 sites in 6 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

The purpose of this study was to determine if secukinumab is effective and safe in the treatment of plaque type psoriasis Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Plaque Psoriasis
What is being tested?
Secukinumab 150 mg s.c. and Secukinumab 300 mg s.c.
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
543 participants
Where
32 sitesin 6 countries
Study dates
28 Feb 2017to 20 Nov 2018
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 must give a written, signed and dated informed consent.
  • Men or women at least 18 years of age at time of screening.
  • Chronic plaque-type psoriasis present for at least 6 months and diagnosed before Baseline.
  • Moderate to severe psoriasis as defined at Baseline by:
  • PASI score of 12 or greater, and
  • IGA mod 2011 score of 3 or greater (based on a static scale of 0 - 4), and
Show all 11Show fewer
  • Body Surface Area (BSA) affected by plaque-type psoriasis of 10% or greater.
  • Candidate for systemic therapy. This is defined as a subject having moderate to severe chronic plaque-type psoriasis that is inadequately controlled by
  • topical treatment and/or,
  • phototherapy and/or,
  • previous systemic therapy.

Who cannot join

  • Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and guttate psoriasis) at Screening or Baseline.
  • Drug-induced psoriasis.
  • Ongoing use of prohibited treatments.
  • Previous exposure to secukinumab (AIN457) or any other biologic drug directly targeting IL-17 or the IL-17 receptor.
  • Use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days until the expected pharmacodynamic effect has returned to baseline, whichever is longer; or longer if required by local regulations.
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.

Trial locations and contacts

32 sites in 6 countries.

32 sites in 6 countries

China17 sites
  • Novartis Investigative Site

    Beijing, Beijing Municipality, 100039

  • Novartis Investigative Site

    Beijing, 100034

  • Novartis Investigative Site

    Changchun, Jilin, 130021

  • Novartis Investigative Site

    Chengdu, Sichuan, 610041

  • Novartis Investigative Site

    Dalian, Liaoning, 116011

  • Novartis Investigative Site

    Guangzhou, 510000

  • Novartis Investigative Site

    Guangzhou, 510080

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310009

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310014

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310016

  • Novartis Investigative Site

    Nanjing, 210042

  • Novartis Investigative Site

    Shanghai, 200040

  • Novartis Investigative Site

    Shanghai, 200433

  • Novartis Investigative Site

    Shenyang, Liaoning, 110000

  • Novartis Investigative Site

    Tianjin, 300052

  • Novartis Investigative Site

    Wuhan, Hubei, 430030

  • Novartis Investigative Site

    Xicheng Direct, Beijing Municipality, 100044

Other trials in China

Turkey (Türkiye)5 sites
  • Novartis Investigative Site

    Aydin, 09100

  • Novartis Investigative Site

    Izmir, 35340

  • Novartis Investigative Site

    Manisa, 45040

  • Novartis Investigative Site

    Mersin, 33079

  • Novartis Investigative Site

    Pendik / Istanbul, Turkey, 34899

Other trials in Turkey (Türkiye)

Hungary3 sites
  • Novartis Investigative Site

    Kaposvár, 7400

  • Novartis Investigative Site

    Kecskemét, Bács-Kiskun county, 6000

  • Novartis Investigative Site

    Orosháza, 5900

Other trials in Hungary

Thailand3 sites
  • Novartis Investigative Site

    Bangkok, 10330

  • Novartis Investigative Site

    Bangkok, 10400

  • Novartis Investigative Site

    Bangkoknoi, Bangkok, 10700

Other trials in Thailand

Malaysia2 sites
  • Novartis Investigative Site

    Batu Caves, 68100

  • Novartis Investigative Site

    George Town, Pulau Pinang, 10990

Other trials in Malaysia

Philippines2 sites
  • Novartis Investigative Site

    Makati City, 1220

  • Novartis Investigative Site

    Quezon City, 1102

Other trials in Philippines

About this study

Official title: A Randomized, Double-blind, Placebo Controlled, Multicenter Study of Subcutaneous Secukinumab, to Demonstrate Efficacy After Twelve Weeks of Treatment and to Assess Safety, Tolerability and Long-term Efficacy up to One Year in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis With or Without Psoriatic Arthritis Comorbidity

The purpose of this study was to determine if secukinumab is effective and safe in the treatment of plaque type psoriasis

Being tested
Secukinumab 150 mg s.c., Secukinumab 300 mg s.c., Placebo
Keywords
Plaque psoriasis, Secukinumab, Skin condition, skin disease, itching, psoriasis vulgaris, immune-mediated systemic disease, skin lesions, scaly patches, papules, psoriasis
Medical subject headings
Skin Diseases, Pruritus, Psoriasis

What participants receive

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

  • Secukinumab 150 mg s.c.Drug

    150 mg s.c. at randomization, Weeks 1, 2, 3, 4 and every 4 weeks till Week 48

  • Secukinumab 300 mg s.c.Drug

    300 mg s.c. at randomization, Weeks 1, 2, 3, 4 and every 4 weeks till Week 48

  • PlaceboDrug

    Placebo 150 or 300 mg s.c at randomization, Weeks 1, 2, 3, 4, and 8. PASI responders at week 12 continued to receive placebo till Week 48. PASI non-responders at Week 12 received Secukinumab 300mg at Weeks 12, 13, 14, 15, 16 and every 4 weeks till Week 48

Study groups in NCT03066609
Study groupRoleWhat they receive
Secukinumab 150mgExperimentalSecukinumab 150mg s.c.
Receives: Drug: Secukinumab 150 mg s.c.
Secukinumab 300mgExperimentalSecukinumab 300mg s.c.
Receives: Drug: Secukinumab 300 mg s.c.
PlaceboPlacebo comparatorPlacebo to secukinumab s.c
Receives: Drug: Placebo

What is being measured

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

  1. Psoriasis Area and Severity Index (PASI) 75 (Multiple Imputation)

    Psoriasis Area and Severity Index (PASI) was assessed/calculated as per usual standard. result given in terms of count of participants with response in 100 imputations. PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72(maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4).

    Measured: Week 12

  2. Investigator's Global Assessment (IGA) Mod 2011 0/1 (Multiple Imputation)

    Investigator assessed disease using a validated scale (IGA mod 2011) and rate the disease from a score of 0 (clear skin) to 4 (severe disease). result given in terms of count of participants with response in 100 imputations. The Investigator's Global Assessment (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. Treatment success was defined as achievement of IGA mod 2001 score of 0 or 1.

    Measured: Week 12

Secondary outcomes (6)
  1. Psoriasis Area and Severity Index (PASI) 90 (Multiple Imputation)

    Psoriasis Area and Severity Index (PASI) was assessed/calculated as per usual standard. result given in terms of count of participants with response in 100 imputations. PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72(maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4).

    Measured: Week 12

  2. Efficacy of Secukinumab in Maintaining PASI 75 Response at Week 52 in Subjects Who Were PASI 75 Responders at Week 12 (Multiple Imputation)

    Psoriasis Area and Severity Index (PASI) was assessed/calculated as per usual standard. result given in terms of count of participants with response in 100 imputations. PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72(maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4).

    Measured: Week 52

  3. Efficacy of Secukinumab in Maintaining IGA Mod 2011 0 or 1 Response at Week 52 in Subjects Who Were IGA Mod 2011 0 or 1 Responders at Week 12 (Multiple Imputation)

    Investigator assessed disease using a validated scale (IGA mod 2011) and rate the disease from a score of 0 (clear skin) to 4 (severe disease). result given in terms of count of participants with response in 100 imputations. The Investigator's Global Assessment (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. Treatment success was defined as achievement of IGA mod 2001 score of 0 or 1.

    Measured: Week 52

  4. PASI 50/75/90/100 and IGA Mod 2011 0 or 1 Response Over Time (Multiple Imputation)

    Number (%) of subjects with PASI 50, PASI 75, PASI 90, PASI 100 and IGA mod 2011 0 or 1 response

    Measured: week 1, week 12, week 24, week 52

  5. American Collage of Rheumatology (ACR) Response 20/50/70

    Percentage of patients who achieved ACR 20/50/70 at Week 12 and up to Week 52. The subset of patients who had active PsA at baseline included 7 patients in the secukinumab 150 mg group, 17 patients in the secukinumab 300 mg group and 4 patients in the placebo group. ACR 20, 50 or 70 responses correspond, respectively, to at least 20%, 50% or 70% improvement in comparison with baseline in the number of tender and swollen joint counts, in addition to similar improvements in at least three of five other measure of disability or disease activity

    Measured: week 12, week 24, week 52

  6. Time to PASI 75 Response up to Week 12

    Psoriasis Area and Severity Index (PASI) was assessed/calculated as per usual standard. result given in terms of count of participants with response in 100 imputations. PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72(maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4).

    Measured: week 12

Timeline

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

  1. First posted28 Feb 2017
  2. Study start28 Feb 2017
  3. Primary completion21 Dec 2017
  4. Study completion20 Nov 2018

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
543 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03066609
Sponsor's protocol ID
CAIN457A2318
Status last verified
Dec 2019
First submitted
22 Feb 2017
Last updated
30 Dec 2019
Data monitoring committee
Yes
FDA-regulated drug
No
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

Publications

  • Cai L, Zhang JZ, Yao X, Gu J, Liu QZ, Zheng M, Zhang SF, Xu JH, Li CX, Cheng H, Guo Q, Pan WL, Li SQ, Li RY, Guo ZP, Song ZQ, Li SS, Dong XQ, Wang L, Fu R, Regnault P, Charef P, Mazur R, Patekar M. Secukinumab demonstrates high efficacy and a favorable safety profile over 52 weeks in Chinese patients with moderate to severe plaque psoriasis. Chin Med J (Engl). 2020 Nov 20;133(22):2665-2673. doi: 10.1097/CM9.0000000000001163.

    PubMed 33060370

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Secukinumab 150 mg s.c. and Secukinumab 300 mg s.c. in people with Plaque Psoriasis, run by Novartis Pharmaceuticals at 32 sites in 6 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 11 inclusion and 6 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 30 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in China, Turkey (Türkiye), Hungary, Thailand, Malaysia and 1 more country. 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 30 Dec 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?

Psoriasis Area and Severity Index (PASI) 75 (Multiple Imputation) (time frame: Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03066609, which also lists 1 linked publication.

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 30 Dec 2019.

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