CClinicalTrials.gg
CompletedNCT01359943Updated Mar 2, 2015Results posted

Efficacy, Safety and Tolerability of Secukinumab in Patients With Rheumatoid Arthritis Taking Methotrexate

A Phase 2 interventional study of secukinumab (AIN457) and placebo in Rheumatoid Arthritis, sponsored by Novartis Pharmaceuticals. Completed at 39 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-03-02.

Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
221
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study compared the efficacy and assessed the safety of secukinumab given as 3 intravenous (i.v.) loading doses or weekly sub-cutaneous (s.c.) loading doses, compared to placebo, followed by monthly s.c. injections in patients with active Rheumatoid Arthritis (RA) despite treatment with Methotrexate.

02

Conditions studied

  • Rheumatoid Arthritis

Keywords

  • Rheumatoid Arthritis
  • RA
  • secukinumab
  • AIN457
  • inflammatory joints
  • American College of Rheumatology
  • ACR
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 221 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • presence of RA classified by ACR 2010 revised criteria for at least 3 months before screening
  • must have been taking MTX for at least 3 months before randomization and must currently be on a stable dose of MTX for at least 4 weeks before randomization.
  • At Baseline: Disease activity criteria defined by >6 tender joints out of 68 and >6 swollen joints out of 66 and with at least 1 of the following at screening: Anti-CCP antibodies positive OR Rheumatoid Factor positive and with at least 1 of the following at screening: hsCRP ≥ 10 mg/L OR ESR ≥ 28

Exclusion criteria

Exclusion criteria:

  • RA patients functional status class IV according to the ACR 1991 revised criteria
  • Previous exposure to secukinumab or any other biologic drug directly targeting IL-17 or IL-17 receptor
  • Previous exposure ever to an anti-TNF-a agent or any other immunomodulatory biologic agent (experimental or approved)
  • Patients taking high potency opioid analgesics (e.g., methadone, hydromorphone, or morphine)
  • Any therapy by intra-articular injections (e.g. corticosteroid, hyaluronan) required for treatment of arthritis within 4 weeks before randomization
  • Other protocol-defined inclusion/exclusion criteria may apply.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
221 participants (actual)

Study arms

  • Experimental
    secukinumab 10 mg/kg i.v. loading

    secukinumab 10mg/kg i.v. loading at Weeks 0, 2 and 4, and placebo s.c. at weeks 0, 1, 2, 3 and 4, followed by secukinumab 150mg s.c. every 4 weeks starting at Week 8

    Biological: secukinumab (AIN457) · Drug: placebo

  • Experimental
    secukinumab 150 mg s.c. loading

    secukinumab 150mg s.c. loading at Weeks 0, 1, 2, 3 and 4, and placebo i.v. at weeks 0, 2 and 4, followed by secukinumab 150mg s.c. every 4 weeks starting at Week 8

    Biological: secukinumab (AIN457) · Drug: placebo

  • Placebo comparator
    placebo

    placebo at Weeks 0, 1, 2, 3, 4, 8 \& 12, followed by secukinumab 150mg s.c. every 4 weeks starting at Week 16

    Biological: secukinumab (AIN457) · Drug: placebo

Interventions

  • Biologicalsecukinumab (AIN457)

    Secukinumab is a human monoclonal antibody. Monoclonal antibodies are proteins that recognize and bind to unique proteins that your body produces. Secukinumab binds and reduces the activity of a cytokine (a "messenger" protein in the body) called Interleukin 17 (IL-17).

  • Drugplacebo

    Matching placebo to AIN457 i.v. and to AIN457 s.c..

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieve American College of Rheumatology Response of 20 (ACR20)

    A participant was considered to be a responder according to the ACR20 criteria if the participant had at least 20% improvement in both the tender joint count and swollen joint count measures, and in at least 3 of the following 5 measures: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire (HAQ©) score, and/or C-reactive protein (CRP)/Erythrocyte Sedimentation Rate (ESR).

    Time frame: 12 weeks

Secondary outcomes

  1. Percentage of Participants Who Achieve ACR50 and ACR70

    A participant was considered to be a responder according to the ACR50 or ACR70 criteria if the participant had at least 50% or 70% improvement, respectively, in both the tender joint count and swollen joint count measures, and in at least 3 of the following 5 measures: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire (HAQ©) score, and/or C-reactive protein (CRP)/Erythrocyte Sedimentation Rate (ESR).

    Time frame: 12 weeks

  2. Change From Baseline in Health Assessment Questionnaire-Disease Index (HAQ-DI) Score.

    The HAQ measures physical disability and functional status. It has 4 dimensions: disability, pain, drug side effects and dollar costs. In this trial, only the disability dimension was used. The disability dimension consists of 20 multiple choice items concerning difficulty in performing 8 common activities of daily living; dressing and grooming, arising, eating, walking, reaching, personal hygiene, gripping and activities. Participants choose from four response categories: 0 (without any difficulty), 1 (with some difficulty), 2 (with much difficulty) and 3 (unable to do). Within each of the 8 categories, only the item indicating the most severe impairment contributes to the category score. The HAQ score is calculated by summing the computed scores for each category and dividing by the number of categories answered. It ranges from 0 (without any difficulty) to 3 (unable to do). A negative change from baseline indicates improvement.

    Time frame: baseline, 12 Weeks

  3. Change From Baseline in DAS28 Using High Sensitivity C-reactive Protein (hsCRP) (DAS28-CRP)

    The Disease Activity Score (DAS) is a combined index to measure disease activity in RA participants. DAS28-CRP is determined using the following variables: 28-joint counts (tender28 and swollen28), CRP, and the participant's general health (GH) or global disease activity measured on a Visual Analogue Scale (VAS) of 100 mm (0 = and 100 = ). Using the data from these variables, DAS28-CRP is calculated using the following formula: DAS28-4(crp) = 0.56\*sqrt(TJC28) + 0.28\*sqrt(SJC28) + 0.36\*ln(CRP+1) + 0.014\*GH + 0.96. The calculation results in a DAS28-CRP score from 0 to 10 indicating the current activity of the rheumatoid arthritis of your patient. A DAS28 above 5.1 means high disease activity whereas a DAS28 below 3.2 indicates low disease activity. Remission is achieved by a DAS28 lower than 2.6. A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  4. Change From Baseline in Disease Activity Score 28 Response Using ESR (DAS28-ESR)

    The Disease Activity Score (DAS) is a combined index to measure disease activity in RA participants. DAS28 is determined using the following variables: 28-joint counts (tender28 and swollen28), erythrocyte sedimentation rate (ESR), and the participant's general health (GH) or global disease activity measured on a Visual Analogue Scale (VAS) of 100 mm (0 = and 100 = ). Using the data from these variables, DAS28-ESR is calculated using the following formula: DAS28 = 0.56 \* sqrt(tender28) + 0.28 \* sqrt(swollen28) + 0.70 \* ln(ESR) + 0.014 \* GH. The calculation results in a DAS28-ESR score from 0 to 10 indicating the current activity of the rheumatoid arthritis of your patient. A DAS28 above 5.1 means high disease activity whereas a DAS28 below 3.2 indicates low disease activity. Remission is achieved by a DAS28 lower than 2.6. A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  5. Percentage of Participants With European League Against Rheumatism (EULAR) Response

    EULAR response criteria are based on DAS28 status in combination with DAS28 improvements. The EULAR response criteria are as follows: present DAS28 \<3.2 with DAS28 improvement \>1.2 corresponds to 'good response'; present DAS28 \<3.2 with DAS28 improvement between 0.6 to 1.2, or present DAS28 between 3.2 to 5.1 with DAS28 improvement from 0.6 to \>1.2, or present DAS28 \>5.2 with DAS28 improvement \>1.2 correspond to 'moderate response; present DAS28 \<3.2 with DAS28 improvement \<0.6, or present DAS28 between 3.2 to 5.1 with DAS28 improvement \<0.6, or present DAS28 \>5.1 with DAS28 improvement \<0.6 to 1.2 correspond to 'no response'.

    Time frame: baseline, 12 weeks

  6. Change From Baseline in Swollen 66-joint Count

    The 66 joints assessed for swelling included the 8 distal interphalangeal, 10 proximal interphalangeal and 10 metacarpophalangeal joints of the hands, the 10 metatarsophalangeal and 10 proximal interphalangeal joints of the feet, the 2 wrists, 2 elbows , 2 shoulders , 2 acromioclavicular, 2 sternoclavicular, 2 temporomandibular, 2 knee, 2 talo-tibial, and 2 mid-tarsal joints. Swelling was graded present (1) or absent (0). A negative change in baseline indicates improvement.

    Time frame: baseline, 12 weeks

  7. Change From Baseline in Tender 68-joint Count

    The 68 joints assessed for tenderness included the 8 distal interphalangeal, 10 proximal interphalangeal and 10 metacarpophalangeal joints of the hands, the 10 metatarsophalangeal and 10 proximal interphalangeal joints of the feet, the 2 wrists, 2 elbows , 2 shoulders , 2 acromioclavicular, 2 sternoclavicular, 2 temporomandibular, 2 hip, 2 knee, 2 talo-tibial, and 2 mid-tarsal joints. Joint tenderness was graded present (1) or absent (0). A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  8. Change From Baseline in Participant's Assessment of Rheumatoid Arthritis (RA) Pain

    The patient's assessment of pain was performed using 100 mm visual analog scale (VAS) ranging from 0 (no pain) to 100 (unbearable pain) after the question "Please indicate with a vertical mark through the horizontal line the most pain you had from your rheumatoid arthritis over the last 24 hours". A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  9. Change From Baseline in Participant's Global Assessment of Disease Activity

    The patient's global assessment of disease activity was performed using 100 mm VAS ranging from 0 (very good) to 100 (very poor), after the question "Considering all the ways rheumatoid arthritis affects you, please indicate with a vertical mark through the horizontal line how well you are doing today". A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  10. Change From Baseline in Physician's Global Assessment of Disease Activity

    The physician's global assessment of disease activity was performed using 100 mm VAS ranging from 0 (very good) to 100 (very poor), after the question "Considering all the ways rheumatoid arthritis affects your patient, how would you rate his or her current condition?". A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  11. Change From Baseline in hsCRP

    Blood for this assessment was obtained to identify the presence of inflammation, to determine its severity, and to monitor response to treatment. A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

  12. Change From Baseline in ESR

    Blood for this assessment was obtained to monitor disease activity and response to therapy. A negative change from baseline indicates improvement.

    Time frame: baseline, 12 weeks

07

Results

Posted Mar 2, 2015

Participant flow

Participants were randomized to one of the following 3 treatment groups in a 2:2:1 ratio: secukinumab 10 mg/kg i.v., secukinumab 150 mg s.c. or placebo.

Double-blind (Weeks 0 - 16)
Participant flow — Double-blind (Weeks 0 - 16)
MilestoneSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Started888944
Completed868544
Not completed240
Withdrew: Abnormal laboratory values100
Withdrew: Adverse event120
Withdrew: Withdrawal by subject020
Open Label 150 mg s.c. (Weeks 16 - 52)
Participant flow — Open Label 150 mg s.c. (Weeks 16 - 52)
MilestoneSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Started868444
Completed787136
Not completed8138
Withdrew: Administrative problems100
Withdrew: Withdrawal by subject134
Withdrew: Protocol deviation010
Withdrew: Lack of efficacy333
Withdrew: Abnormal laboratory values010
Withdrew: Adverse event351
Follow-up (Weeks 52 - 60)
Participant flow — Follow-up (Weeks 52 - 60)
MilestoneSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Started868444
Completed786936
Not completed8158
Withdrew: Withdrawal by subject154
Withdrew: Administrative problems100
Withdrew: Protocol deviation010
Withdrew: Lack of efficacy333
Withdrew: Abnormal laboratory value010
Withdrew: Adverse event351

Outcome measures

PrimaryPercentage of Participants Who Achieve American College of Rheumatology Response of 20 (ACR20)

A participant was considered to be a responder according to the ACR20 criteria if the participant had at least 20% improvement in both the tender joint count and swollen joint count measures, and in at least 3 of the following 5 measures: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire (HAQ©) score, and/or C-reactive protein (CRP)/Erythrocyte Sedimentation Rate (ESR).

Time frame:
12 weeks
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieve American College of Rheumatology Response of 20 (ACR20)
Percentage of participantsSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Percentage of Participants Who Achieve American College of Rheumatology Response of 20 (ACR20)53.444.940.9
SecondaryPercentage of Participants Who Achieve ACR50 and ACR70

A participant was considered to be a responder according to the ACR50 or ACR70 criteria if the participant had at least 50% or 70% improvement, respectively, in both the tender joint count and swollen joint count measures, and in at least 3 of the following 5 measures: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire (HAQ©) score, and/or C-reactive protein (CRP)/Erythrocyte Sedimentation Rate (ESR).

Time frame:
12 weeks
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieve ACR50 and ACR70
Percentage of participantsSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
ACR5020.518.011.4
ACR708.05.60.0
SecondaryChange From Baseline in Health Assessment Questionnaire-Disease Index (HAQ-DI) Score.

The HAQ measures physical disability and functional status. It has 4 dimensions: disability, pain, drug side effects and dollar costs. In this trial, only the disability dimension was used. The disability dimension consists of 20 multiple choice items concerning difficulty in performing 8 common activities of daily living; dressing and grooming, arising, eating, walking, reaching, personal hygiene, gripping and activities. Participants choose from four response categories: 0 (without any difficulty), 1 (with some difficulty), 2 (with much difficulty) and 3 (unable to do). Within each of the 8 categories, only the item indicating the most severe impairment contributes to the category score. The HAQ score is calculated by summing the computed scores for each category and dividing by the number of categories answered. It ranges from 0 (without any difficulty) to 3 (unable to do). A negative change from baseline indicates improvement.

Time frame:
baseline, 12 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Health Assessment Questionnaire-Disease Index (HAQ-DI) Score.
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Health Assessment Questionnaire-Disease Index (HAQ-DI) Score.-0.35 ± 0.052-0.28 ± 0.053-0.17 ± 0.074
SecondaryChange From Baseline in DAS28 Using High Sensitivity C-reactive Protein (hsCRP) (DAS28-CRP)

The Disease Activity Score (DAS) is a combined index to measure disease activity in RA participants. DAS28-CRP is determined using the following variables: 28-joint counts (tender28 and swollen28), CRP, and the participant's general health (GH) or global disease activity measured on a Visual Analogue Scale (VAS) of 100 mm (0 = and 100 = ). Using the data from these variables, DAS28-CRP is calculated using the following formula: DAS28-4(crp) = 0.56\*sqrt(TJC28) + 0.28\*sqrt(SJC28) + 0.36\*ln(CRP+1) + 0.014\*GH + 0.96. The calculation results in a DAS28-CRP score from 0 to 10 indicating the current activity of the rheumatoid arthritis of your patient. A DAS28 above 5.1 means high disease activity whereas a DAS28 below 3.2 indicates low disease activity. Remission is achieved by a DAS28 lower than 2.6. A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in DAS28 Using High Sensitivity C-reactive Protein (hsCRP) (DAS28-CRP)
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in DAS28 Using High Sensitivity C-reactive Protein (hsCRP) (DAS28-CRP)-1.67 ± 0.119-1.65 ± 0.120-1.21 ± 0.166
SecondaryChange From Baseline in Disease Activity Score 28 Response Using ESR (DAS28-ESR)

The Disease Activity Score (DAS) is a combined index to measure disease activity in RA participants. DAS28 is determined using the following variables: 28-joint counts (tender28 and swollen28), erythrocyte sedimentation rate (ESR), and the participant's general health (GH) or global disease activity measured on a Visual Analogue Scale (VAS) of 100 mm (0 = and 100 = ). Using the data from these variables, DAS28-ESR is calculated using the following formula: DAS28 = 0.56 \* sqrt(tender28) + 0.28 \* sqrt(swollen28) + 0.70 \* ln(ESR) + 0.014 \* GH. The calculation results in a DAS28-ESR score from 0 to 10 indicating the current activity of the rheumatoid arthritis of your patient. A DAS28 above 5.1 means high disease activity whereas a DAS28 below 3.2 indicates low disease activity. Remission is achieved by a DAS28 lower than 2.6. A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Disease Activity Score 28 Response Using ESR (DAS28-ESR)
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Disease Activity Score 28 Response Using ESR (DAS28-ESR)-1.98 ± 0.126-1.80 ± 0.128-1.46 ± 0.179
SecondaryPercentage of Participants With European League Against Rheumatism (EULAR) Response

EULAR response criteria are based on DAS28 status in combination with DAS28 improvements. The EULAR response criteria are as follows: present DAS28 \<3.2 with DAS28 improvement \>1.2 corresponds to 'good response'; present DAS28 \<3.2 with DAS28 improvement between 0.6 to 1.2, or present DAS28 between 3.2 to 5.1 with DAS28 improvement from 0.6 to \>1.2, or present DAS28 \>5.2 with DAS28 improvement \>1.2 correspond to 'moderate response; present DAS28 \<3.2 with DAS28 improvement \<0.6, or present DAS28 between 3.2 to 5.1 with DAS28 improvement \<0.6, or present DAS28 \>5.1 with DAS28 improvement \<0.6 to 1.2 correspond to 'no response'.

Time frame:
baseline, 12 weeks
Reported as:
Number · Percentage of participants
Percentage of Participants With European League Against Rheumatism (EULAR) Response
Percentage of participantsSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Good response28.427.013.6
Moderate response46.644.952.3
No response25.028.134.1
SecondaryChange From Baseline in Swollen 66-joint Count

The 66 joints assessed for swelling included the 8 distal interphalangeal, 10 proximal interphalangeal and 10 metacarpophalangeal joints of the hands, the 10 metatarsophalangeal and 10 proximal interphalangeal joints of the feet, the 2 wrists, 2 elbows , 2 shoulders , 2 acromioclavicular, 2 sternoclavicular, 2 temporomandibular, 2 knee, 2 talo-tibial, and 2 mid-tarsal joints. Swelling was graded present (1) or absent (0). A negative change in baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · Number of joints
Change From Baseline in Swollen 66-joint Count
Number of jointsSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Swollen 66-joint Count-9.49 ± 0.607-9.81 ± 0.612-7.88 ± 0.863
SecondaryChange From Baseline in Tender 68-joint Count

The 68 joints assessed for tenderness included the 8 distal interphalangeal, 10 proximal interphalangeal and 10 metacarpophalangeal joints of the hands, the 10 metatarsophalangeal and 10 proximal interphalangeal joints of the feet, the 2 wrists, 2 elbows , 2 shoulders , 2 acromioclavicular, 2 sternoclavicular, 2 temporomandibular, 2 hip, 2 knee, 2 talo-tibial, and 2 mid-tarsal joints. Joint tenderness was graded present (1) or absent (0). A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · Number of joints
Change From Baseline in Tender 68-joint Count
Number of jointsSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Tender 68-joint Count-10.31 ± 1.093-11.99 ± 1.099-9.50 ± 1.549
SecondaryChange From Baseline in Participant's Assessment of Rheumatoid Arthritis (RA) Pain

The patient's assessment of pain was performed using 100 mm visual analog scale (VAS) ranging from 0 (no pain) to 100 (unbearable pain) after the question "Please indicate with a vertical mark through the horizontal line the most pain you had from your rheumatoid arthritis over the last 24 hours". A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Participant's Assessment of Rheumatoid Arthritis (RA) Pain
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Participant's Assessment of Rheumatoid Arthritis (RA) Pain-14.41 ± 2.057-12.60 ± 2.071-6.66 ± 2.902
SecondaryChange From Baseline in Participant's Global Assessment of Disease Activity

The patient's global assessment of disease activity was performed using 100 mm VAS ranging from 0 (very good) to 100 (very poor), after the question "Considering all the ways rheumatoid arthritis affects you, please indicate with a vertical mark through the horizontal line how well you are doing today". A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Participant's Global Assessment of Disease Activity
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Participant's Global Assessment of Disease Activity-18.58 ± 2.042-15.29 ± 2.063-9.93 ± 2.884
SecondaryChange From Baseline in Physician's Global Assessment of Disease Activity

The physician's global assessment of disease activity was performed using 100 mm VAS ranging from 0 (very good) to 100 (very poor), after the question "Considering all the ways rheumatoid arthritis affects your patient, how would you rate his or her current condition?". A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Physician's Global Assessment of Disease Activity
score on a scaleSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in Physician's Global Assessment of Disease Activity-27.05 ± 1.925-29.01 ± 1.95018.88 ± 2.726
SecondaryChange From Baseline in hsCRP

Blood for this assessment was obtained to identify the presence of inflammation, to determine its severity, and to monitor response to treatment. A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · mg/L
Change From Baseline in hsCRP
mg/LSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in hsCRP-6.00 ± 0.938-5.72 ± 0.946-1.69 ± 1.336
SecondaryChange From Baseline in ESR

Blood for this assessment was obtained to monitor disease activity and response to therapy. A negative change from baseline indicates improvement.

Time frame:
baseline, 12 weeks
Reported as:
Least squares mean · mm/hr
Change From Baseline in ESR
mm/hrSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlacebo
Change From Baseline in ESR-16.68 ± 1.409-12.43 ± 1.425-10.53 ± 1.993

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Secukinumab 10 mg/kg i.v. Loading—2/88 (2.3%)17/88 (19.3%)
Secukinumab 150 mg s.c. Loading—3/89 (3.4%)30/89 (33.7%)
Placebo—1/44 (2.3%)18/44 (40.9%)
AIN457 Pooled Treatment Groups - Open Label Period—18/214 (8.4%)78/214 (36.4%)
AIN457 Pooled Treatment Groups - Follow-up Period—3/214 (1.4%)10/214 (4.7%)
Most frequent serious events
Showing 10 of 30
Most frequent serious events
EventSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlaceboAIN457 Pooled Treatment Groups - Open Label PeriodAIN457 Pooled Treatment Groups - Follow-up Period
Myocardial infarctionCardiac disorders0/880/891/441/2140/214
Atrial fibrillationCardiac disorders1/880/890/440/2140/214
SciaticaNervous system disorders1/880/890/440/2140/214
Brain neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/881/890/440/2140/214
DepressionPsychiatric disorders0/881/890/440/2140/214
MetrorrhagiaReproductive system and breast disorders0/881/890/440/2140/214
Rheumatoid arthritisMusculoskeletal and connective tissue disorders0/880/890/442/2140/214
AnaemiaBlood and lymphatic system disorders0/880/890/441/2140/214
Cardiac failureCardiac disorders0/880/890/441/2140/214
Abdominal painGastrointestinal disorders0/880/890/441/2140/214
Most frequent other events
Showing 10 of 41
Most frequent other events
EventSecukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlaceboAIN457 Pooled Treatment Groups - Open Label PeriodAIN457 Pooled Treatment Groups - Follow-up Period
NasopharyngitisInfections and infestations5/885/894/4411/2141/214
Upper respiratory tract infectionInfections and infestations1/881/890/4417/2141/214
Oral herpesInfections and infestations0/881/893/445/2140/214
Rheumatoid arthritisMusculoskeletal and connective tissue disorders0/885/892/4412/2145/214
HypertensionVascular disorders1/882/891/4411/2140/214
RhinitisInfections and infestations2/880/892/443/2140/214
HypercholesterolaemiaMetabolism and nutrition disorders0/881/892/441/2140/214
HeadacheNervous system disorders2/884/891/445/2140/214
CoughRespiratory, thoracic and mediastinal disorders0/881/890/447/2140/214
PharyngitisInfections and infestations0/881/890/446/2141/214

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Secukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlaceboTotal
Mean53.8 ± 11.8154.5 ± 12.2653.5 ± 9.3354.0 ± 11.51
Sex: Female, Male
Sex: Female, Male(Participants)Secukinumab 10 mg/kg i.v. LoadingSecukinumab 150 mg s.c. LoadingPlaceboTotal
Female677237176
Male2117745
08

Study locations

39 sites
  • Novartis Investigative Site
    Vestavia, Alabama 35216, United States
  • Novartis Investigative Site
    Peoria, Arizona 85381, United States
  • Novartis Investigative Site
    Upland, California 91786, United States
  • Novartis Investigative Site
    Bowling Green, Kentucky 42101, United States
  • Novartis Investigative Site
    Tupelo, Mississippi 38801, United States
  • Novartis Investigative Site
    Lincoln, Nebraska 68516, United States
  • Novartis Investigative Site
    Jackson, Tennessee 38305, United States
  • Novartis Investigative Site
    Nashville, Tennessee 37205, United States
  • Novartis Investigative Site
    Pleven, 5800, Bulgaria
  • Novartis Investigative Site
    Plovdiv, 4000, Bulgaria
  • Novartis Investigative Site
    Plovdiv, 4002, Bulgaria
  • Novartis Investigative Site
    Sevlievo, 5400, Bulgaria
  • Novartis Investigative Site
    Sofia, 1505, Bulgaria
  • Novartis Investigative Site
    Sofia, 1606, Bulgaria
  • Novartis Investigative Site
    Sofia, 1612, Bulgaria
  • Novartis Investigative Site
    St. John's, Newfoundland and Labrador A1C 5B8, Canada
  • Novartis Investigative Site
    Sainte-Foy, Quebec G1W 4R4, Canada
  • Novartis Investigative Site
    Budapest, 1023, Hungary
  • Novartis Investigative Site
    Debrecen, 4032, Hungary
  • Novartis Investigative Site
    Szeged, H-6725, Hungary
  • Novartis Investigative Site
    Valeggio Sul Mincio, (vr) 37067, Italy
  • Novartis Investigative Site
    Arenzano, GE 16011, Italy
  • Novartis Investigative Site
    Genova, GE 16132, Italy
  • Novartis Investigative Site
    Roma, RM 00152, Italy
  • Novartis Investigative Site
    Siena, SI 53100, Italy
  • Novartis Investigative Site
    Torino, TO 10128, Italy
  • Novartis Investigative Site
    Bialystok, 15-351, Poland
  • Novartis Investigative Site
    Poznan, 60-218, Poland
  • Novartis Investigative Site
    Warszawa, 02-341, Poland
  • Novartis Investigative Site
    Warszawa, 04-141, Poland
  • Novartis Investigative Site
    San Juan, 00909, Puerto Rico
  • Novartis Investigative Site
    Bardejov, Slovak Republic 085 01, Slovakia
  • Novartis Investigative Site
    Trnava, Slovensko 91701, Slovakia
  • Novartis Investigative Site
    Lucenec, 98401, Slovakia
  • Novartis Investigative Site
    Partizánske, 95801, Slovakia
  • Novartis Investigative Site
    Piestany, 92112, Slovakia
  • Novartis Investigative Site
    Sabinov, 08301, Slovakia
  • Novartis Investigative Site
    Stara Lubovna, 06401, Slovakia
  • Novartis Investigative Site
    Topolcany, 95501, Slovakia
09

References and documents

Publications

  • Tlustochowicz W, Rahman P, Seriolo B, Krammer G, Porter B, Widmer A, Richards HB. Efficacy and Safety of Subcutaneous and Intravenous Loading Dose Regimens of Secukinumab in Patients with Active Rheumatoid Arthritis: Results from a Randomized Phase II Study. J Rheumatol. 2016 Mar;43(3):495-503. doi: 10.3899/jrheum.150117. Epub 2016 Feb 1. PubMed 26834211 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 2, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01359943
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
May 25, 2011
Start date
Oct 2011
Primary completion
Dec 2013
Completion
Dec 2013
Results posted
Mar 2, 2015
Last update
Mar 2, 2015

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
Novartis Pharmceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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