CClinicalTrials.gg
TerminatedNCT01731990Updated Apr 29, 2025Results posted

Safety, Tolerability and Efficacy of ACZ885 on Leg Artery Structure in Patients With Peripheral Artery Disease

A Phase 2 interventional study of Canakinumab (ACZ885) and Placebo in Peripheral Artery Disease, sponsored by Novartis Pharmaceuticals. Terminated at 14 sites in 3 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-04-29.

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

Why this study was terminated
The study got terminated based on result from primary endpoint analysis
Phase
Phase 2
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study was designed to assess the safety, tolerability and efficacy of ACZ885 on the leg artery structure and physical activity in patients with atherosclerotic peripheral artery disease and leg pain from walking.

02

Conditions studied

  • Peripheral Artery Disease

Keywords

  • Peripheral artery disease
  • Intermittent claudication
  • magnetic resonance imaging
03

In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 38 is below the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease 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 to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Must have a signed informed consent form.
  • Must be between the ages of 18 and 85
  • Must experience leg pain associated with walking and have an ankle brachial index between 0.40 and 0.9
  • Must be on stable aspirin and statin doses for at least 6 weeks
  • Blood pressure within ranges specified in the protocol
  • Able to communicate well with the Investigator and understand and comply with the study procedures

Key Exclusion Criteria:

  • Recent use of any other experimental drugs
  • Pregnant or nursing women
  • Women of child bearing potential unless willing to use contraception as detailed in the protocol
  • Cannot walk 15 meters (50 feet)
  • People on restricted medications as listed in the protocol
  • Any open or non-healing wounds with 3 months of study start or infection within 2 weeks or study start
  • Significant heart disease
  • Uncontrolled diabetes
  • Significant kidney or liver disease
  • Live vaccinations within 3 months of study start
  • History of untreated tuberculosis or active tuberculosis (TB)
  • Patients with metal in their body (excluded due to MRI scan) as detailed in the protocol.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Canakinumab (ACZ885)

    Monthly subcutaneous doses of Canakinumab 150 mg/1 mL for 12 months

    Drug: Canakinumab (ACZ885)

  • Placebo comparator
    Placebo

    Monthly subcutaneous doses of placebo of Canakinumab 150 mg/1 mL for 12 months

    Drug: Placebo

Interventions

  • DrugCanakinumab (ACZ885)

    Dosage form: solution for injection Strength: 150 mg/1 mL Mode of administration: subcutaneous use.

  • DrugPlacebo

    Matching placebo of Canakinumab

06

What researchers measure

Primary outcomes

  1. Mean Vessel Wall Area Ratio of 12 Months to Baseline

    Peripheral artery wall area (superficial femoral artery) measured using Magnetic Resonance Imaging (MRI) cross-section slices. Mean vessel wall area (mm\^2) was derived by converting total plaque volume (TPV) (mL) of the vessel to mm\^3 by multiplying by 1000, dividing by the number of slices used for the volume calculation, and dividing by the thickness of a slice (3 mm). Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, the treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

    Time frame: Baseline, 12 months post-dose

Secondary outcomes

  1. Number of Patients With Adverse Events in 12 Months

    Summary statistics on adverse event is reported. It is categorized as number of patients in total adverse events (non serious and serious AEs), serious adverse event, death.

    Time frame: Baseline to 12 months post-dose

  2. Serum Amyloid A (SAA) Level Ratio of 12 Months to Baseline

    Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

    Time frame: Baseline, 12 months post-dose

  3. High Sensitivity C-reactive Protein (hsCRP) Ratio of 12 Months to Baseline

    Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

    Time frame: Baseline, 12 months post-dose

07

Results

Posted Aug 22, 2017
Limitations and caveats
Study was terminated after the third interim analysis based on result from primary outcome analysis.

Participant flow

Participant flow — Overall Study
MilestoneCanakinumab (ACZ885)Placebo
Started1820
Completed1412
Not completed48
Withdrew: Adverse event15
Withdrew: Withdrawal by subject11
Withdrew: Protocol deviation12
Withdrew: Death10

Outcome measures

PrimaryMean Vessel Wall Area Ratio of 12 Months to Baseline

Peripheral artery wall area (superficial femoral artery) measured using Magnetic Resonance Imaging (MRI) cross-section slices. Mean vessel wall area (mm\^2) was derived by converting total plaque volume (TPV) (mL) of the vessel to mm\^3 by multiplying by 1000, dividing by the number of slices used for the volume calculation, and dividing by the thickness of a slice (3 mm). Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, the treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

Time frame:
Baseline, 12 months post-dose
Reported as:
Least squares mean · Ratio
Mean Vessel Wall Area Ratio of 12 Months to Baseline
RatioCanakinumab (ACZ885)Placebo
Mean Vessel Wall Area Ratio of 12 Months to Baseline1.05 ± 0.030.99 ± 0.04
Statistical analysis
  • Canakinumab (ACZ885) vs Placebo · Mixed Models Analysis · p = 0.284 · Treatment effect for ratio to placebo: 1.06 · 90% CI 0.97 to 1.15
SecondaryNumber of Patients With Adverse Events in 12 Months

Summary statistics on adverse event is reported. It is categorized as number of patients in total adverse events (non serious and serious AEs), serious adverse event, death.

Time frame:
Baseline to 12 months post-dose
Reported as:
Count of participants · Participants
Number of Patients With Adverse Events in 12 Months
ParticipantsCanakinumab (ACZ885)Placebo
Total Adverse events1620
Serious Adverse events1010
Death10
SecondarySerum Amyloid A (SAA) Level Ratio of 12 Months to Baseline

Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

Time frame:
Baseline, 12 months post-dose
Reported as:
Least squares mean · Ratio
Serum Amyloid A (SAA) Level Ratio of 12 Months to Baseline
RatioCanakinumab (ACZ885)Placebo
Serum Amyloid A (SAA) Level Ratio of 12 Months to Baseline0.62 ± 0.120.79 ± 0.17
SecondaryHigh Sensitivity C-reactive Protein (hsCRP) Ratio of 12 Months to Baseline

Least squares mean for ratio of 12 months to baseline was measured from repeated measures mixed effect model with visit, treatment, treatment-by-visit interaction, baseline and the visit-by-baseline interaction as fixed effects.

Time frame:
Baseline, 12 months post-dose
Reported as:
Least squares mean · Ratio
High Sensitivity C-reactive Protein (hsCRP) Ratio of 12 Months to Baseline
RatioCanakinumab (ACZ885)Placebo
High Sensitivity C-reactive Protein (hsCRP) Ratio of 12 Months to Baseline0.62 ± 0.140.83 ± 0.20

Adverse events

Collected over Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All Adverse events are reported in this record from First Patient First Treatment until Last Patient Last Visit.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Canakinumab (ACZ885)—10/18 (55.6%)16/18 (88.9%)
Placebo—10/20 (50%)17/20 (85%)
Most frequent serious events
Showing 10 of 25
Most frequent serious events
EventCanakinumab (ACZ885)Placebo
Peripheral arterial occlusive diseaseVascular disorders3/182/20
Coronary artery diseaseCardiac disorders2/181/20
Non-cardiac chest painGeneral disorders0/182/20
Angina pectorisCardiac disorders1/180/20
Atrioventricular block completeCardiac disorders1/180/20
Myocardial infarctionCardiac disorders1/180/20
Sinus bradycardiaCardiac disorders1/180/20
Abdominal pain upperGastrointestinal disorders1/180/20
Gastric ulcerGastrointestinal disorders1/180/20
Mesenteric arterial occlusionGastrointestinal disorders1/180/20
Most frequent other events
Showing 10 of 129
Most frequent other events
EventCanakinumab (ACZ885)Placebo
ArthralgiaMusculoskeletal and connective tissue disorders5/180/20
Upper respiratory tract infectionInfections and infestations4/184/20
NasopharyngitisInfections and infestations2/184/20
ConstipationGastrointestinal disorders3/180/20
NauseaGastrointestinal disorders3/181/20
FatigueGeneral disorders3/182/20
InsomniaPsychiatric disorders3/181/20
Angina pectorisCardiac disorders2/181/20
BradycardiaCardiac disorders2/180/20
Abdominal pain upperGastrointestinal disorders2/182/20

Baseline characteristics

safety analysis set: All patients that received any study drug were included in the safety analysis set

Age, Continuous
Age, Continuous(years)Canakinumab (ACZ885)PlaceboTotal
Mean66.0 ± 8.6463.5 ± 7.9864.7 ± 8.29
Sex: Female, Male
Sex: Female, Male(Participants)Canakinumab (ACZ885)PlaceboTotal
Female4711
Male141327
08

Study locations

14 sites
  • Novartis Investigative Site
    Phoenix, Arizona 85302, United States
  • Novartis Investigative Site
    Jacksonville, Florida 32207, United States
  • Novartis Investigative Site
    Jacksonville, Florida 32216, United States
  • Novartis Investigative Site
    Chicago, Illinois 60611, United States
  • Novartis Investigative Site
    Lutherville, Maryland 21093, United States
  • Novartis Investigative Site
    Columbus, Ohio 43215, United States
  • Novartis Investigative Site
    Knoxville, Tennessee 37920, United States
  • Novartis Investigative Site
    Richmond, Virginia 23294, United States
  • Novartis Investigative Site
    Hamburg, 20099, Germany
  • Novartis Investigative Site
    Hamburg, 22559, Germany
  • Novartis Investigative Site
    Heidelberg, 69120, Germany
  • Novartis Investigative Site
    Mainz, 55116, Germany
  • Novartis Investigative Site
    München, 80336, Germany
  • Novartis Investigative Site
    Amman, 11941, Jordan
09

References and documents

Publications

  • Russell KS, Yates DP, Kramer CM, Feller A, Mahling P, Colin L, Clough T, Wang T, LaPerna L, Patel A, Lawall H, Shennak MM, Fulmer J, Nikol S, Smith WB, Muller OJ, Ratchford EV, Basson CT. A randomized, placebo-controlled trial of canakinumab in patients with peripheral artery disease. Vasc Med. 2019 Oct;24(5):414-421. doi: 10.1177/1358863X19859072. Epub 2019 Jul 5. PubMed 31277561 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01731990
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Nov 22, 2012
Start date
Oct 30, 2012
Primary completion
Aug 4, 2016
Completion
Aug 4, 2016
Results posted
Aug 22, 2017
Last update
Apr 29, 2025

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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