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Hidradenitis SuppurativaPhase 3SUNSHINENCT03713619

This Was a Study of Efficacy and Safety of Two Secukinumab Dose Regimens in Subjects With Moderate to Severe Hidradenitis Suppurativa (HS).

A Phase 3 study testing secukinumab in people with Hidradenitis Suppurativa, run by Novartis Pharmaceuticals at 111 sites in 29 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

The purpose of this study was to demonstrate superiority of secukinumab at Week 16, based on Hidradenitis Suppurativa Clinical Response (HiSCR) rates versus placebo, along with the maintenance of efficacy of secukinumab at Week 52 in subjects with moderate to severe HS. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hidradenitis Suppurativa
What is being tested?
secukinumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
544 participants
Where
111 sitesin 29 countries
Study dates
31 Jan 2019to 26 Jul 2022
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

  • Written informed consent must be obtained before any assessment is performed.
  • Male and female patients ≥ 18 years of age.
  • Diagnosis of HS ≥ 1 year prior to baseline.
  • Patients with moderate to severe HS defined as:
  • A total of at least 5 inflammatory lesions, i.e. abscesses and/or inflammatory nodules AND
  • Inflammatory lesions should affect at least 2 distinct anatomic areas
  • Patients agree to daily use of topical over-the-counter antiseptics on the areas affected by HS lesions while on study treatment.

Who cannot join

  • Total fistulae count ≥ 20 at baseline.
  • Any other active skin disease or condition that may interfere with assessment of HS.
  • Active ongoing inflammatory diseases other than HS that require treatment with prohibited medications.
  • Use or planned use of prohibited treatment. Washout periods detailed in the protocol have to be adhered to.
  • History of hypersensitivity to any of the study drug constituents.
  • History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system treated or untreated within the past 5 years, regardless of whether there is evidence of local recurrence or metastases (except for skin Bowen's disease, or basal cell carcinoma or actinic keratoses that have been treated with no evidence of recurrence in the past 12 weeks; carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed).
  • Pregnant or lactating women.

Trial locations and contacts

111 sites in 29 countries.

111 sites in 29 countries

United States18 sites
  • Novartis Investigative Site

    Anaheim, California, 92807

  • Novartis Investigative Site

    Birmingham, Alabama, 35205

  • Novartis Investigative Site

    Boston, Massachusetts, 02215

  • Novartis Investigative Site

    Chapel Hill, North Carolina, 27516

  • Novartis Investigative Site

    Charleston, South Carolina, 29407

  • Novartis Investigative Site

    Dallas, Texas, 75246-1613

  • Novartis Investigative Site

    Fairborn, Ohio, 45324

  • Novartis Investigative Site

    Glenview, Illinois, 60077

  • Novartis Investigative Site

    Goodlettsville, Tennessee, 37072-2301

  • Novartis Investigative Site

    Miami, Florida, 33125

  • Novartis Investigative Site

    New Brighton, Minnesota, 55112

  • Novartis Investigative Site

    Pittsburgh, Pennsylvania, 15213-3403

  • Novartis Investigative Site

    Rogers, Arkansas, 72758

  • Novartis Investigative Site

    Saint Joseph, Missouri, 64506

  • Novartis Investigative Site

    San Antonio, Texas, 78229

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    Tampa, Florida, 33612

  • Novartis Investigative Site

    West Dundee, Illinois, 60118

Other trials in United States

France8 sites
  • Novartis Investigative Site

    Bordeaux, 33075

  • Novartis Investigative Site

    Brest, 29609

  • Novartis Investigative Site

    Créteil, 94010

  • Novartis Investigative Site

    Lyon, 69437

  • Novartis Investigative Site

    Montpellier, 34295

  • Novartis Investigative Site

    Nantes, 44093

  • Novartis Investigative Site

    Paris, 75475

  • Novartis Investigative Site

    Toulouse, 31400

Other trials in France

Germany8 sites
  • Novartis Investigative Site

    Bielefeld, 33647

  • Novartis Investigative Site

    Bochum, 44791

  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Halle, 06108

  • Novartis Investigative Site

    Langenau, 89129

  • Novartis Investigative Site

    Memmingen, 87700

  • Novartis Investigative Site

    München, 80377

  • Novartis Investigative Site

    Potsdam, 14467

Other trials in Germany

Japan6 sites
  • Novartis Investigative Site

    Kisarazu, Chiba, 292-8535

  • Novartis Investigative Site

    Koshigaya, Saitama, 343-8555

  • Novartis Investigative Site

    Nagoya, Aichi-ken, 467-8602

  • Novartis Investigative Site

    Nakagami, Okinawa, 903 0215

  • Novartis Investigative Site

    Osaka, 545-8586

  • Novartis Investigative Site

    tabashi City, Tokyo, 173-8610

Other trials in Japan

Spain6 sites
  • Novartis Investigative Site

    Alicante, Valencia, 03010

  • Novartis Investigative Site

    Barcelona, 08041

  • Novartis Investigative Site

    Cadiz, Andalusia, 11009

  • Novartis Investigative Site

    Fuenlabrada, Madrid, 28942

  • Novartis Investigative Site

    Madrid, 28041

  • Novartis Investigative Site

    Pontevedra, 36003

Other trials in Spain

United Kingdom6 sites
  • Novartis Investigative Site

    Barnsley, S75 2EP

  • Novartis Investigative Site

    Bristol, BS2 8HN

  • Novartis Investigative Site

    Exeter, EX2 5DW

  • Novartis Investigative Site

    Leeds, West Yorkshire, LS7 4SA

  • Novartis Investigative Site

    Norwich, NR4 7UY

  • Novartis Investigative Site

    Salford, Manchester, M6 8HD

Other trials in United Kingdom

India4 sites
  • Novartis Investigative Site

    Mangalore, Karnataka, 575002

  • Novartis Investigative Site

    Mysore, Karnataka, 570001

  • Novartis Investigative Site

    Nashik, Maharashtra, 422 101

  • Novartis Investigative Site

    New Delhi, National Capital Territory of Delhi, 110 060

Other trials in India

Italy4 sites
  • Novartis Investigative Site

    Florence, FI, 50122

  • Novartis Investigative Site

    Milan, MI, 20122

  • Novartis Investigative Site

    Modena, MO, 41124

  • Novartis Investigative Site

    Pisa, PI, 56124

Other trials in Italy

Portugal4 sites
  • Novartis Investigative Site

    Lisbon, 1169 050

  • Novartis Investigative Site

    Lisbon, 1998-018

  • Novartis Investigative Site

    Matosinhos Municipality, 4454 513

  • Novartis Investigative Site

    Porto, 4099-001

Other trials in Portugal

Russia4 sites
  • Novartis Investigative Site

    Kazan', 420012

  • Novartis Investigative Site

    Krasnodar, 350020

  • Novartis Investigative Site

    Saint Petersburg, 197022

  • Novartis Investigative Site

    Yaroslavl, 150003

Other trials in Russia

Argentina3 sites
  • Novartis Investigative Site

    Buenos Aires, C1425DKG

  • Novartis Investigative Site

    Ciudad Autonoma de Bs As, Buenos Aires, C1425BEA

  • Novartis Investigative Site

    La Plata, Buenos Aires, B1902COS

Other trials in Argentina

Australia3 sites
  • Novartis Investigative Site

    Benowa, Queensland, 4217

  • Novartis Investigative Site

    East Melbourne, Victoria, 3002

  • Novartis Investigative Site

    Phillip, Australian Capital Territory, 2606

Other trials in Australia

Canada3 sites
  • Novartis Investigative Site

    London, Ontario, N6H 5L5

  • Novartis Investigative Site

    Peterborough, Ontario, K9J 5K2

  • Novartis Investigative Site

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

Philippines3 sites
  • Novartis Investigative Site

    Davao City, Davao Region, 8000

  • Novartis Investigative Site

    Las Piñas, 1740

  • Novartis Investigative Site

    Quezon City, National Capital Region, 1104

Other trials in Philippines

Poland3 sites
  • Novartis Investigative Site

    Ossy, 42 624

  • Novartis Investigative Site

    Warsaw, Mazowian, 02 495

  • Novartis Investigative Site

    Wroclaw, 50 566

Other trials in Poland

South Korea3 sites
  • Novartis Investigative Site

    Seoul, 02841

  • Novartis Investigative Site

    Seoul, 03080

  • Novartis Investigative Site

    Seoul, 07441

Other trials in South Korea

Turkey (Türkiye)3 sites
  • Novartis Investigative Site

    Antalya, 07070

  • Novartis Investigative Site

    Aydin, 09100

  • Novartis Investigative Site

    Gaziantep, 27310

Other trials in Turkey (Türkiye)

Austria2 sites
  • Novartis Investigative Site

    Linz, 4020

  • Novartis Investigative Site

    Vienna, A 1090

Other trials in Austria

Bulgaria2 sites
  • Novartis Investigative Site

    Sofia, 1606

  • Novartis Investigative Site

    Stara Zagora, 6000

Other trials in Bulgaria

Czechia2 sites
  • Novartis Investigative Site

    Pilsen, 30460

  • Novartis Investigative Site

    Prague, Prague 1, 11000

Other trials in Czechia

Greece2 sites
  • Novartis Investigative Site

    Athens, 12462

  • Novartis Investigative Site

    Thessaloniki, 546 43

Other trials in Greece

Hungary2 sites
  • Novartis Investigative Site

    Budapest, 1085

  • Novartis Investigative Site

    Pécs, 7623

Other trials in Hungary

Israel2 sites
  • Novartis Investigative Site

    Jerusalem, 9112001

  • Novartis Investigative Site

    Petah Tikva, 4941492

Other trials in Israel

Mexico2 sites
  • Novartis Investigative Site

    Guadalajara, Jalisco, 44657

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

Slovakia2 sites
  • Novartis Investigative Site

    Košice, Slovak Republic, 4190

  • Novartis Investigative Site

    Martin, 03659

Other trials in Slovakia

Switzerland2 sites
  • Novartis Investigative Site

    Bern, 3010

  • Novartis Investigative Site

    Geneva, 1205

Other trials in Switzerland

Taiwan2 sites
  • Novartis Investigative Site

    Taipei, 10002

  • Novartis Investigative Site

    Taoyuan, 33305

Other trials in Taiwan

Belgium1 site
  • Novartis Investigative Site

    Brussels, Brussels Capital, 1070

Other trials in Belgium

Sweden1 site
  • Novartis Investigative Site

    Uppsala, 751 85

Other trials in Sweden

About this study

Official title: A Randomized, Double-blind, Multi-center Study Assessing Short (16 Weeks) and Long-term Efficacy (up to 1 Year), Safety, and Tolerability of 2 Subcutaneous Secukinumab Dose Regimens in Adult Patients With Moderate to Severe Hidradenitis Suppurativa (SUNSHINE).

The purpose of this study was to demonstrate superiority of secukinumab at Week 16, based on Hidradenitis Suppurativa Clinical Response (HiSCR) rates versus placebo, along with the maintenance of efficacy of secukinumab at Week 52 in subjects with moderate to severe HS. Moreover, this study also assessed the safety and tolerability of secukinumab.

Read the detailed description

This was a multicenter, randomized, double-blind, placebo-controlled, parallel group study with two secukinumab dose regimens in 541 patients with moderate to severe HS. The study consisted of: screening (up to 4 weeks) treatment period 1 (16 weeks, active drug or placebo) and treatment period 2 (up to 1 year all patients on active drug); there was an optional extension study (NCT04179175). Adult males and females with moderate to severe HS were included, with a diagnosis of HS greater than 1 year prior to baseline. Dosing was once every 2 weeks, or once every 4 weeks via pre-filled syringe; periodic home-dosing is included.

In Treatment Period 1, participants were randomized to secukinumab Q2W, secukinumab Q4W, placebo Q2W or placebo Q4W in 1:1:0.5:0.5 ratio. In Treatment Period 2, at the Week 16 visit participants initially randomized to placebo were switched to one of the two active dose regimens (secukinumab Q2W or Q4W), while subjects randomized to secukinumab during Treatment Period 1 continued on the same dose.

At the Week 16 visit, subjects initially randomized to placebo were switched to one of the two active dose regimens (secukinumab Q2W or Q4W), while subjects randomized to secukinumab during Treatment Period 1 continued on the same dose.

The primary objective was to demonstrate the efficacy of secukinumab compared to placebo with respect to HISCR after 16 weeks of treatment; secondary objectives were to assess difference in proportion of patients with HS flares, and proportion of patients with clinical response in HS related skin pain after 16 weeks of treatment. Key safety data was collected, along with Patient Reported Outcomes.

Being tested
secukinumab, Placebo
Keywords
acne inversa, Hidradenitis suppurativa, maladie de Verneuil, inflammatory disease, AIN457, AIN457M, secukinumab, HS, lumps, skin, lesions
Medical subject headings
Hidradenitis Suppurativa

What participants receive

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

  • secukinumabDrug

    Also called AIN457

    Secukinumab 300mg every 2 or every 4 weeks

  • PlaceboDrug

    Placebo 300mg every 2 or every 4 weeks

Study groups in NCT03713619
Study groupRoleWhat they receive
secukinumab 1Active comparatorSecukinumab 300mg every 2 weeks
Receives: Drug: secukinumab
secukinumab 2Active comparatorSecukinumab 300mg every 4 weeks
Receives: Drug: secukinumab
placebo 1Placebo comparatorPlacebo group to secukinumab 300mg every 2 weeks
Receives: Drug: Placebo
placebo 2Placebo comparatorPlacebo group to secukinumab 300mg every 4 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants With Hidradenitis Suppurativa Clinical Response (HiSCR50)

    HiSCR50 at Week 16 is defined as at least a 50% decrease in Abscess and inflammatory Nodule (AN) count compared to baseline with no increase in the number of abscesses and/or in the number of draining fistulas from baseline to Week 16. The baseline is defined as the last assessment (including unscheduled visits) obtained before/on the day of the first administration of the study treatment, or on the randomization date if there had been no drug administration.

    This endpoint was analyzed by logistic regression.

    Measured: 16 weeks

Secondary outcomes (3)
  1. Percentage Change From Baseline in AN50 Count at Week 16

    The HS affected areas, e.g. right and left axillary (armpit), right and left gluteal ("buttock"), right and left inguinal-femoral (groin), perineal, pubic, sternal, right and left sub-mammary (breast) and others were assessed by the physician for abscesses, inflammatory nodules, draining fistulas, total fistulas, and other lesions.

    Inflammatory lesions, including abscesses, nodules, draining fistulae, total fistulae and other lesions were counted. The analysis method for percentage change from baseline in abscesses and inflammatory nodules (AN) count at Week 16 was an ANCOVA model.

    Measured: Baseline, 16 weeks

  2. Percentage of Participants With Hidradenitis Suppurativa (HS) Flares

    Percentage of participants who experience at least one flare over 16 weeks. A flare is defined as at least a 25% increase in abscesses and inflammatory nodules (AN) count with a minimum increase of 2 AN relative to baseline.

    This endpoint was analyzed by logistic regression.

    Measured: 16 weeks

  3. Percentage of Participants Achieving NRS30

    Patients achieving Numerical Rating Scale score of 30 (NRS30) at week 16, defined as at least a 30% reduction and at least one unit reduction from baseline in the Patient's Global assessment of Skin Pain (where range 0 [no skin pain] to 10 [worst skin pain]).

    This endpoint was analyzed by logistic regression.

    Measured: Baseline, week 16

Timeline

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

  1. First posted22 Oct 2018
  2. Study start31 Jan 2019
  3. Primary completion1 Oct 2021
  4. Study completion26 Jul 2022

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
Model description
This was a Multicenter, randomized, double-blind, placebo-controlled, parallel group study, with two secukinumab dose regimens in 541 patients with moderate to severe HS.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
544 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03713619
Sponsor's protocol ID
CAIN457M2301
Other IDs
2018-002063-26, 2018
Acronym
SUNSHINE
Status last verified
Oct 2024
First submitted
18 Oct 2018
Last updated
9 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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

  • Alavi A, Reguiai Z, Jemec GBE, Gottlieb AB, Wozniak MB, Uhlmann L, Fan H, Llobet Martinez A, Bruin G, Thomas N, Alarcon I, Bieth B, Ravichandran S, Kimball AB. Secukinumab in the Treatment of Moderate-to-Severe Hidradenitis Suppurativa: Pooled Pharmacokinetics and Safety Results From the SUNSHINE and SUNRISE Phase 3 Studies. Int J Dermatol. 2026 Feb;65(2):289-298. doi: 10.1111/ijd.70025. Epub 2025 Aug 21.

    PubMed 40839197
  • Ingram JR, Szepietowski JC, Matusiak L, Kokolakis G, Wozniak MB, Ortmann CE, Martinez AL, Ravichandran S, Thomas N, Alarcon I, Pieterse CC, Alam MS, Ioannides D, Kimball AB. Assessing Long-Term Pain Reduction with Secukinumab in Moderate to Severe Hidradenitis Suppurativa: A Post Hoc Analysis of the SUNSHINE and SUNRISE Phase 3 Trials. Dermatol Ther (Heidelb). 2025 Jul;15(7):1833-1849. doi: 10.1007/s13555-025-01426-x. Epub 2025 May 15.

    PubMed 40372667
  • Zouboulis CC, Kyrgidis A, Alavi A, Jemec GBE, Martorell A, Marzano AV, van der Zee HH, Wozniak MB, Martinez AL, Kasparek T, Bachhuber T, Ortmann CE, Lobach I, Thomas N, Ravichandran S, Tzellos T. Secukinumab efficacy in patients with hidradenitis suppurativa assessed by the International Hidradenitis Suppurativa Severity Score System (IHS4): A post hoc analysis of the SUNSHINE and SUNRISE trials. J Eur Acad Dermatol Venereol. 2025 Aug;39(8):1421-1430. doi: 10.1111/jdv.20369. Epub 2024 Oct 19.

    PubMed 39425517
  • Passera A, Muscianisi E, Demanse D, Okoye GA, Jemec GBE, Mayo T, Hsiao J, Shi VY, Byrd AS, Wei X, Uhlmann L, Vandemeulebroecke M, Ravichandran S, Porter ML. New insights on hidradenitis suppurativa phenotypes and treatment response: An exploratory automated analysis of the SUNSHINE and SUNRISE trials. J Eur Acad Dermatol Venereol. 2025 Aug;39(8):1410-1420. doi: 10.1111/jdv.20234. Epub 2024 Aug 5.

    PubMed 39101698
  • Kimball AB, Jemec GBE, Alavi A, Reguiai Z, Gottlieb AB, Bechara FG, Paul C, Giamarellos Bourboulis EJ, Villani AP, Schwinn A, Rueff F, Pillay Ramaya L, Reich A, Lobo I, Sinclair R, Passeron T, Martorell A, Mendes-Bastos P, Kokolakis G, Becherel PA, Wozniak MB, Martinez AL, Wei X, Uhlmann L, Passera A, Keefe D, Martin R, Field C, Chen L, Vandemeulebroecke M, Ravichandran S, Muscianisi E. Secukinumab in moderate-to-severe hidradenitis suppurativa (SUNSHINE and SUNRISE): week 16 and week 52 results of two identical, multicentre, randomised, placebo-controlled, double-blind phase 3 trials. Lancet. 2023 Mar 4;401(10378):747-761. doi: 10.1016/S0140-6736(23)00022-3. Epub 2023 Feb 3.

    PubMed 36746171

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing secukinumab in people with Hidradenitis Suppurativa, run by Novartis Pharmaceuticals at 111 sites in 29 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 7 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 9 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 111 sites in United States, France, Germany, Japan, Spain and 24 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 25 Sep 2024). 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 Hidradenitis Suppurativa Clinical Response (HiSCR50) (time frame: 16 weeks). 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 NCT03713619, which also lists 5 linked publications.

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 9 Oct 2024.

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