CClinicalTrials.gg
CompletedNCT02396212Updated Sep 13, 2019Results posted

Study of Efficacy and Safety of Canakinumab in Japanese Patients With SJIA

A Phase 3 interventional study of Canakinumab in Systemic Juvenile Idiopathic Arthritis, sponsored by Novartis Pharmaceuticals. Completed at 7 sites in Japan. Open to participants aged 2 Years to 19 Years. Per ClinicalTrials.gov, last updated 2019-09-13.

Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
2 Years to 19 Years
Sex
All
01

Study summary

This was a phase III study designed to provide efficacy and safety data for canakinumab administered for at least 48 weeks as subcutaneous (s.c.) injection every 4 weeks (q4wk) in Japanese patients with Systemic Juvenile Idiopathic Arthritis (SJIA). Interim analysis (IA) data at Week 28 and 48 from this study supported a registration submission of canakinumab in the indication of SJIA in Japan.

02

Conditions studied

  • Systemic Juvenile Idiopathic Arthritis

Keywords

  • ACZ885
  • canakinumab
  • Juvenile Rheumatoid arthritis (JRA) chronic
  • systemic inflammatory disorder
  • painful joints
  • inflammation of the synovial membrane
  • auto-immune rheumatoid disease
  • reactive rheumatoid arthritis
  • Systemic Juvenile Rheumatoid arthritis (SJRA)
  • Japanese patients
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 19 is below 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
2 Years to 19 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed diagnosis of SJIA as per International League Against Rheumatism (ILAR) definition (Petty, et al. 2004) that must have occurred at least 3 months prior to enrollment with an onset of disease \< 16 years of age: Arthritis in one or more joints, with or preceded by fever of at least 2 weeks duration that is documented to be daily/quotidian for at least 3 days and accompanied by one or more of the following: Rash due to SJIA, lymphadenopathy, Hepatomegaly/Splenomegaly, Serositis
  • Active disease at the time of baseline defined as follows:
  • At least 2 joints with active arthritis
  • Documented spiking, intermittent fever (body temperature > 38°C) for at least 1 day during the screening epoch and within 1 week before first canakinumab dose
  • C-Reactive Protein (CRP) > 30 mg/L(3 mg/dL) (normal range \< 10 mg/L(1 mg/dL))
  • Negative TB screen (Chest X-ray and T-SPOT test)

Exclusion criteria

Exclusion Criteria:

  • With active or recurrent bacterial, fungal or viral infection at the time of enrollment, including patients with evidence of Human Immunodeficiency Virus (HIV) infection, Hepatitis B and Hepatitis C infection. Patients with resolved/previous hepatitis B infection (a negative HBs antigen, but a positive anti-HBs antibody and/or anti-HBc antibody).
  • With underlying metabolic, renal, hepatic, infectious or gastrointestinal conditions which in the opinion of the investigator immunocompromises the patient and /or places the patient at unacceptable risk for participation.
  • With neutropenia (absolute neutrophil count \< 1500/mm3) at screening.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Canakinumab

    All patients received canakinumab (ACZ885) as open-label study medication. Patients were administered canakinumab 4 mg/kg every 4 weeks. The maximal total single dose of canakinumab allowed was 300 mg.

    Biological: Canakinumab

Interventions

  • BiologicalCanakinumab

    canakinumab was provided as a 150 mg/1 mL solution for subcutaneous injection and administered at 4mg/kg every 4 weeks.

    Also known as: ACZ885

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieved a Minimum Adapted American College of Rheumatology (ACR) Pediatric 30 Criteria

    Minimum Adapted ACR Pediatric 30 criteria is defined as improvement from baseline at least 30% in at least 3 of response variables 1 to 6 in Adapted ACR Pediatric response variables and no intermittent fever (i.e. axillary, oral, or rectal body temperature ≤ 38°C) in the preceding week (variable 7), with no more than one variable 1-6 worsening by more than 30%. Adapted ACR Pediatric response variables consists of following 7 variables: 1. Physician's Global Assessment of disease activity on a 0-100 mm VAS; 2. Parent's or Patient's (if appropriate in age) Global Assessment of Patient's overall wellbeing based upon the 0-100 mm VAS in the Child Health Assessment Questionnaire (CHAQ); 3. Functional ability: CHAQ; 4. Number of joints with active arthritis; 5. Number of joints with limitation of motion; 6. Laboratory measure of inflammation: CRP (mg/L); 7. Absence of intermittent fever due to SJIA during the preceding week.

    Time frame: Week 8

  2. Percentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully

    To evaluate the percentage of participants with canakinumab treatment who were able to taper corticosteroids successfully at Week 28

    Time frame: Week 28

Secondary outcomes

  1. Percentage of Participants Who Met the Adapted ACR Pediatric 30/50/70/90/100 Criteria of Canakinumab Over Time

    Adapted ACR Pediatric 30/50/70/90/100 criteria was assessed based on the following 7 variables: 1. Physician's Global Assessment of disease activity on a 0-100 mm VAS; 2. Parent's or Patient's (if appropriate in age) Global Assessment of Patient's overall wellbeing based upon the 0-100 mm VAS in the CHAQ; 3. Functional ability: CHAQ; 4. Number of joints with active arthritis; 5. Number of joints with limitation of motion; 6. Laboratory measure of inflammation: CRP (mg/L); 7. Absence of intermittent fever due to SJIA during the preceding week. Response was defined as more than or equal to (≥) 30%/50%/70%/90% or 100% improvement in at least 3 of 6 response variables and no intermittent fever in the preceding week (variable 7) with no more than one variable 1-6 worsening by more than 30%.

    Time frame: Weeks 4, 8, 28, 48, 96, 144, end of study (EOS) (up to Week 164)

  2. Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Physician's Global Assessment of Disease Activity

    ACR component, Physician's Global Assessment of disease activity on a 0 - 100 mm VAS by visit is the first response ACR variable in the ACR pediatric criteria. The VAS scale ranges from no disease activity (0 mm) to very severe disease activity (100 mm). Lower scale indicates decreased disease activity. Change from baseline was calculated by subtracting baseline value from post baseline value.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  3. Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Parent's or Patient's Global Assessment of Patient's Overall Well-being as Part of CHAQ

    ACR component, Parent's or Patient's (if appropriate in age)Global Assessment of patient's overall well-being as part of CHAQ on a 0 - 100 mm VAS by visit is the second response variable in the ACR pediatric criteria. The VAS scale ranges from 0-100 mm, from very well (0 mm) to very poor (100 mm). Lower scale indicates improvement of patient's overall well-being. Absolute change is calculated by subtracting baseline value from post baseline value.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS up to Week 164

  4. Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Functional Ability Score

    Disability Score as part of CHAQ per functional ability score (range from 0 to 3) is one of the variable in the ACR ped criteria. The CHAQ was used to assess physical ability \& functional status of patients as well as quality of life. The disability dimension consists of 20 multiple choice items concerning difficulty in performing 8 common activity categories of daily living: dressing \& grooming, arising, eating, walking, reaching, personal hygiene, gripping \& other "activities". Subjects choose from 4 responses, ranging from 0 (without any difficulty), 1 (with some difficulty), 2 (with much difficulty) \& 3 (unable to do). Standard Disability Index (SDI) was computed by summing up the computed scores for each activity category and dividing by the number of categories answered. The lower the response the more positive the results \& the higher the response, the less positive the results. Change from baseline was calculated by subtracting baseline value from post baseline value.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  5. Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Active Arthritis

    ACR component, Number of joints with active arthritis was assessed as the forth response variables of ACR Pediatric Criteria.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  6. Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Limitation of Motion

    ACR component, Number of joints with limitation of motion is the fifth response variable in the ACR ped criteria.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  7. Number of Participants Having Fever in the Adapted ACR Pediatric Criteria of Canakinumab Over Time

    ACR component, Number of participants having fever is the seventh response variable in the ACR ped criteria.

    Time frame: Baseline, Day 3, Weeks 2, 8, 28, 48, 56, 96, 124, 144, EOS (up to Week 164)

  8. Percentage Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Standardized C-Reactive Protein (CRP)

    ACR component, Standardized CRP is the sixth response variable in the ACR ped criteria. CRP values were standardized to a normal range of 0 to 10 mg/L.

    Time frame: Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  9. Percentage of Participants Who Had Flares With Canakinumab Treatment Over Time

    Flare was defined by at least 1 of the following: Reappearance of SJIA-related (e.g., not due to infection) fever (\> 38°C) lasting for at least 2 consecutive days \&/OR Flare according to the JIA pediatric criteria for flare (all criteria must be met): ≥ 30% worsening in at least 3 of the 6 response variables and ≥ 30% improvement in at not more than 1 of the 6 response variables if the physician's or parent's global assessment is 1of 3 response variables used to define flare, worsening of ≥ 20 mm must be present, if the number of active joints or joints with limitation of motion is one of 3 response variables used to define flare, worsening in ≥ 2 joints must be present if CRP is used to define flare, CRP must be \> 30 mg/L

    Time frame: > Day3, to <= Week 124

  10. Percentage of Participants Who Achieved Inactive Disease (With and Without Duration of Morning Stiffness) With Canakinumab Treatment Over Time

    Inactive disease was defined as meeting all of the following: No joints with active arthritis; No fever (body temperature ≤ 38°C); No rheumatoid rash, serositis, splenomegaly, hepatomegaly or generalized lymphadenopathy attributable to JIA; Normal CRP; Physician's global assessment of disease activity score ≤ 10 mm

    Time frame: Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)

  11. Percentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully Over Time

    To evaluate the percentage of participants with canakinumab treatment who were able to taper corticosteroids successfully over time

    Time frame: Weeks 28, 48, 96, 144, EOS (up to Week 164)

  12. Absolute Change From Baseline of Corticosteroids Dose Reduction With Canakinumab Treatment Over Time

    To evaluate the change from baseline of corticosteroids dose reduction with canakinumab treatment over time

    Time frame: Baseline, Weeks 28, 48, 96, 144, EOS (up to Week 164)

  13. Serum Concentration of Canakinumab

    To evaluate serum concentration (mean, standard deviation) of canakinumab.

    Time frame: Baseline, Weeks 4, 24, 48, 72, 96, EOS (up to Week 164)

  14. Pharmacodynamics (PD) Assessment: Total IL-1 Beta

    To evaluate serum total IL-1 Beta concentration by visit.

    Time frame: Baseline, Weeks 4, 24, 48, 72, 96, EOS (up to Week 164)

07

Results

Posted Sep 13, 2019

Participant flow

It was planned to enroll approximately 20 patients in this study. There were19 patients enrolled and data from all patients were analyzed.

Participant flow — Overall Study
MilestoneCanakinumab 4 mg/kg Every 4 Weeks
Started19
Completed16
Not completed3
Withdrew: Adverse event1
Withdrew: Lack of efficacy2

Outcome measures

PrimaryPercentage of Participants Who Achieved a Minimum Adapted American College of Rheumatology (ACR) Pediatric 30 Criteria

Minimum Adapted ACR Pediatric 30 criteria is defined as improvement from baseline at least 30% in at least 3 of response variables 1 to 6 in Adapted ACR Pediatric response variables and no intermittent fever (i.e. axillary, oral, or rectal body temperature ≤ 38°C) in the preceding week (variable 7), with no more than one variable 1-6 worsening by more than 30%. Adapted ACR Pediatric response variables consists of following 7 variables: 1. Physician's Global Assessment of disease activity on a 0-100 mm VAS; 2. Parent's or Patient's (if appropriate in age) Global Assessment of Patient's overall wellbeing based upon the 0-100 mm VAS in the Child Health Assessment Questionnaire (CHAQ); 3. Functional ability: CHAQ; 4. Number of joints with active arthritis; 5. Number of joints with limitation of motion; 6. Laboratory measure of inflammation: CRP (mg/L); 7. Absence of intermittent fever due to SJIA during the preceding week.

Time frame:
Week 8
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Achieved a Minimum Adapted American College of Rheumatology (ACR) Pediatric 30 Criteria
Percentage of ParticipantsCanakinumab 4 mg/kg Every 4 Weeks
Percentage of Participants Who Achieved a Minimum Adapted American College of Rheumatology (ACR) Pediatric 30 Criteria100.0
PrimaryPercentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully

To evaluate the percentage of participants with canakinumab treatment who were able to taper corticosteroids successfully at Week 28

Time frame:
Week 28
Reported as:
Number · Percentage of Participants
Percentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully
Percentage of ParticipantsCanakinumab 4 mg/kg Every 4 Weeks
Percentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully73.7
SecondaryPercentage of Participants Who Met the Adapted ACR Pediatric 30/50/70/90/100 Criteria of Canakinumab Over Time

Adapted ACR Pediatric 30/50/70/90/100 criteria was assessed based on the following 7 variables: 1. Physician's Global Assessment of disease activity on a 0-100 mm VAS; 2. Parent's or Patient's (if appropriate in age) Global Assessment of Patient's overall wellbeing based upon the 0-100 mm VAS in the CHAQ; 3. Functional ability: CHAQ; 4. Number of joints with active arthritis; 5. Number of joints with limitation of motion; 6. Laboratory measure of inflammation: CRP (mg/L); 7. Absence of intermittent fever due to SJIA during the preceding week. Response was defined as more than or equal to (≥) 30%/50%/70%/90% or 100% improvement in at least 3 of 6 response variables and no intermittent fever in the preceding week (variable 7) with no more than one variable 1-6 worsening by more than 30%.

Time frame:
Weeks 4, 8, 28, 48, 96, 144, end of study (EOS) (up to Week 164)
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Met the Adapted ACR Pediatric 30/50/70/90/100 Criteria of Canakinumab Over Time
Percentage of ParticipantsCanakinumab 4 mg/kg Every 4 Weeks
Week 4 adapted ACR Pediatric 3094.7
Week 4 adapted ACR Pediatric 5094.7
Week 4 adapted ACR Pediatric 7094.7
Week 4 adapted ACR Pediatric 9084.2
Week 4 adapted ACR Pediatric 10047.4
Week 8 adapted ACR Pediatric 30100.0
Week 8 adapted ACR Pediatric 50100.0
Week 8 adapted ACR Pediatric 70100.0
Week 8 adapted ACR Pediatric 9089.5
Week 8 adapted ACR Pediatric 10068.4
Week 28 adapted ACR Pediatric 30100.0
Week 28 adapted ACR Pediatric 50100.0
Week 28 adapted ACR Pediatric 70100.0
Week 28 adapted ACR Pediatric 90100.0
Week 28 adapted ACR Pediatric 10056.3
Week 48 adapted ACR Pediatric 30100.0
Week 48 adapted ACR Pediatric 50100.0
Week 48 adapted ACR Pediatric 70100.0
Week 48 adapted ACR Pediatric 9087.5
Week 48 adapted ACR Pediatric 10068.8
Week 96 adapted ACR Pediatric 30100.0
Week 96 adapted ACR Pediatric 50100.0
Week 96 adapted ACR Pediatric 70100.0
Week 96 adapted ACR Pediatric 9093.8
Week 96 adapted ACR Pediatric 10062.5
Week 144 adapted ACR Pediatric 30100.0
Week 144 adapted ACR Pediatric 50100.0
Week144 adapted ACR Pediatric 70100.0
Week 144 adapted ACR Pediatric 90100.0
Week 144 adapted ACR Pediatric 10080.0
Week EOS adapted ACR Pediatric 3089.5
End of Study (EOS) adapted ACR Pediatric 5089.5
EOS adapted ACR Pediatric 7089.5
EOS adapted ACR Pediatric 9084.2
EOS adapted ACR Pediatric 10063.2
SecondaryAbsolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Physician's Global Assessment of Disease Activity

ACR component, Physician's Global Assessment of disease activity on a 0 - 100 mm VAS by visit is the first response ACR variable in the ACR pediatric criteria. The VAS scale ranges from no disease activity (0 mm) to very severe disease activity (100 mm). Lower scale indicates decreased disease activity. Change from baseline was calculated by subtracting baseline value from post baseline value.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · units on a scale
Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Physician's Global Assessment of Disease Activity
units on a scaleCanakinumab 4 mg/kg Every 4 Weeks
Week 4-60.2 ± 32.27
Week 8-62.2 ± 28.23
Week 28-62.2 ± 28.61
Week 48-63.9 ± 28.81
Week 96-63.1 ± 26.99
Week 144-61.0 ± 37.24
EOS-61.4 ± 31.05
SecondaryAbsolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Parent's or Patient's Global Assessment of Patient's Overall Well-being as Part of CHAQ

ACR component, Parent's or Patient's (if appropriate in age)Global Assessment of patient's overall well-being as part of CHAQ on a 0 - 100 mm VAS by visit is the second response variable in the ACR pediatric criteria. The VAS scale ranges from 0-100 mm, from very well (0 mm) to very poor (100 mm). Lower scale indicates improvement of patient's overall well-being. Absolute change is calculated by subtracting baseline value from post baseline value.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS up to Week 164
Reported as:
Mean · units on a scale
Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Parent's or Patient's Global Assessment of Patient's Overall Well-being as Part of CHAQ
units on a scaleCanakinumab 4 mg/kg Every 4 Weeks
Week 4-64.4 ± 40.80
Week 8-73.5 ± 24.05
Week 28-71.9 ± 23.13
Week 48-68.6 ± 28.67
Week 96-68.4 ± 27.72
Week 144-72.8 ± 25.65
EOS-68.1 ± 26.29
SecondaryAbsolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Functional Ability Score

Disability Score as part of CHAQ per functional ability score (range from 0 to 3) is one of the variable in the ACR ped criteria. The CHAQ was used to assess physical ability \& functional status of patients as well as quality of life. The disability dimension consists of 20 multiple choice items concerning difficulty in performing 8 common activity categories of daily living: dressing \& grooming, arising, eating, walking, reaching, personal hygiene, gripping \& other "activities". Subjects choose from 4 responses, ranging from 0 (without any difficulty), 1 (with some difficulty), 2 (with much difficulty) \& 3 (unable to do). Standard Disability Index (SDI) was computed by summing up the computed scores for each activity category and dividing by the number of categories answered. The lower the response the more positive the results \& the higher the response, the less positive the results. Change from baseline was calculated by subtracting baseline value from post baseline value.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · units on a scale
Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: CHAQ: Functional Ability Score
units on a scaleCanakinumab 4 mg/kg Every 4 Weeks
Week 4-0.833 ± 0.7750
Week 8-0.912 ± 0.7338
Week 28-0.998 ± 0.7871
Week 48-1.013 ± 0.7963
Week 96-0.951 ± 0.8381
Week 144-1.026 ± 0.9465
EOS-0.938 ± 0.7682
SecondaryAbsolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Active Arthritis

ACR component, Number of joints with active arthritis was assessed as the forth response variables of ACR Pediatric Criteria.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · joints
Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Active Arthritis
jointsCanakinumab 4 mg/kg Every 4 Weeks
Week 4-5.2 ± 4.87
Week 8-6.2 ± 7.71
Week 28-4.4 ± 3.44
Week 48-4.4 ± 3.44
Week 96-4.4 ± 3.18
Week 144-5.2 ± 2.68
EOS-5.6 ± 8.10
SecondaryAbsolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Limitation of Motion

ACR component, Number of joints with limitation of motion is the fifth response variable in the ACR ped criteria.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · joints
Absolute Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Number of Joints With Limitation of Motion
jointsCanakinumab 4 mg/kg Every 4 Weeks
Week 4-3.9 ± 4.02
Week 8-4.2 ± 4.30
Week 28-3.4 ± 3.79
Week 48-3.5 ± 3.78
Week 96-3.4 ± 3.59
Week 144-3.8 ± 2.86
EOS-3.7 ± 4.81
SecondaryNumber of Participants Having Fever in the Adapted ACR Pediatric Criteria of Canakinumab Over Time

ACR component, Number of participants having fever is the seventh response variable in the ACR ped criteria.

Time frame:
Baseline, Day 3, Weeks 2, 8, 28, 48, 56, 96, 124, 144, EOS (up to Week 164)
Reported as:
Number · participants
Number of Participants Having Fever in the Adapted ACR Pediatric Criteria of Canakinumab Over Time
participantsCanakinumab 4 mg/kg Every 4 Weeks
Baseline19
Day 316
Week 22
Week 80
Week 280
Week 480
Week 561
Week 960
Week 1241
Week 1440
EOS0
SecondaryPercentage Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Standardized C-Reactive Protein (CRP)

ACR component, Standardized CRP is the sixth response variable in the ACR ped criteria. CRP values were standardized to a normal range of 0 to 10 mg/L.

Time frame:
Baseline, Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · Percentage change
Percentage Change From Baseline in the Adapted ACR Pediatric Criteria of Canakinumab Over Time: ACR Component: Standardized C-Reactive Protein (CRP)
Percentage changeCanakinumab 4 mg/kg Every 4 Weeks
Week 4-89.45 ± 41.431
Week 8-96.95 ± 6.915
Week 28-98.19 ± 2.567
Week 48-97.64 ± 6.333
Week 96-97.95 ± 3.730
Week 144-98.58 ± 1.330
EOS-89.71 ± 20.717
SecondaryPercentage of Participants Who Had Flares With Canakinumab Treatment Over Time

Flare was defined by at least 1 of the following: Reappearance of SJIA-related (e.g., not due to infection) fever (\> 38°C) lasting for at least 2 consecutive days \&/OR Flare according to the JIA pediatric criteria for flare (all criteria must be met): ≥ 30% worsening in at least 3 of the 6 response variables and ≥ 30% improvement in at not more than 1 of the 6 response variables if the physician's or parent's global assessment is 1of 3 response variables used to define flare, worsening of ≥ 20 mm must be present, if the number of active joints or joints with limitation of motion is one of 3 response variables used to define flare, worsening in ≥ 2 joints must be present if CRP is used to define flare, CRP must be \> 30 mg/L

Time frame:
> Day3, to <= Week 124
Reported as:
Number · Percentage of participants
Percentage of Participants Who Had Flares With Canakinumab Treatment Over Time
Percentage of participantsCanakinumab 4 mg/kg Every 4 Weeks
>Day 3 =<Week 25.3
>Week 2 =<Week 45.3
>Week 4 =<Week 85.3
>Week 8 =<Week 125.6
>Week 12 =<Week 165.6
>Week 92 =<Week 966.3
>Week 104 =<Week 1087.7
>Week 120 =<Week 12412.5
SecondaryPercentage of Participants Who Achieved Inactive Disease (With and Without Duration of Morning Stiffness) With Canakinumab Treatment Over Time

Inactive disease was defined as meeting all of the following: No joints with active arthritis; No fever (body temperature ≤ 38°C); No rheumatoid rash, serositis, splenomegaly, hepatomegaly or generalized lymphadenopathy attributable to JIA; Normal CRP; Physician's global assessment of disease activity score ≤ 10 mm

Time frame:
Weeks 4, 8, 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Inactive Disease (With and Without Duration of Morning Stiffness) With Canakinumab Treatment Over Time
Percentage of participantsCanakinumab 4 mg/kg Every 4 Weeks
Week 463.2
Week 863.2
Week 2875.0
Week 4875.0
Week 9675.0
Week 14480.0
EOS68.4
SecondaryPercentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully Over Time

To evaluate the percentage of participants with canakinumab treatment who were able to taper corticosteroids successfully over time

Time frame:
Weeks 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Number · percentage of perticipants
Percentage of Participants With Canakinumab Treatment Who Were Able to Taper Corticosteroids Successfully Over Time
percentage of perticipantsCanakinumab 4 mg/kg Every 4 Weeks
Week 2887.5
Week 4881.3
Week 9687.5
Week 144100.0
EOS66.7
SecondaryAbsolute Change From Baseline of Corticosteroids Dose Reduction With Canakinumab Treatment Over Time

To evaluate the change from baseline of corticosteroids dose reduction with canakinumab treatment over time

Time frame:
Baseline, Weeks 28, 48, 96, 144, EOS (up to Week 164)
Reported as:
Mean · mg/kg/day
Absolute Change From Baseline of Corticosteroids Dose Reduction With Canakinumab Treatment Over Time
mg/kg/dayCanakinumab 4 mg/kg Every 4 Weeks
Week 28-0.133 ± 0.1676
Week 48-0.195 ± 0.2317
Week 96-0.226 ± 0.2618
Week 144-0.296 ± 0.2545
EOS-0.171 ± 0.2334
SecondarySerum Concentration of Canakinumab

To evaluate serum concentration (mean, standard deviation) of canakinumab.

Time frame:
Baseline, Weeks 4, 24, 48, 72, 96, EOS (up to Week 164)
Reported as:
Mean · μg/mL
Serum Concentration of Canakinumab
μg/mLCanakinumab 4 mg/kg Every 4 Weeks
Baseline0.01 ± 0.05
Week 415.7 ± 5.19
Week 2431.3 ± 11.5
Week 4831.1 ± 9.08
Week 7230.6 ± 8.95
Week 9629.5 ± 8.49
EOS28.3 ± 6.41
SecondaryPharmacodynamics (PD) Assessment: Total IL-1 Beta

To evaluate serum total IL-1 Beta concentration by visit.

Time frame:
Baseline, Weeks 4, 24, 48, 72, 96, EOS (up to Week 164)
Reported as:
Mean · pg/mL
Pharmacodynamics (PD) Assessment: Total IL-1 Beta
pg/mLCanakinumab 4 mg/kg Every 4 Weeks
Baseline0.72 ± 0.97
Week 449.8 ± 36.3
Week 2485.2 ± 61.6
Week 4881.2 ± 62.0
Week 7275.3 ± 36.6
Week 9674.4 ± 35.9
EOS101 ± 89.1

Adverse events

Collected over Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to approximately 39 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Canakinumab 4 mg/kg Every 4 Weeks0/19 (0%)10/19 (52.6%)19/19 (100%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventCanakinumab 4 mg/kg Every 4 Weeks
Still's diseaseMusculoskeletal and connective tissue disorders6/19
Histiocytosis haematophagicBlood and lymphatic system disorders3/19
Adrenal insufficiencyEndocrine disorders2/19
PyrexiaGeneral disorders2/19
InfluenzaInfections and infestations2/19
Epstein-Barr virus infectionInfections and infestations1/19
GastroenteritisInfections and infestations1/19
PharyngitisInfections and infestations1/19
VaricellaInfections and infestations1/19
Viral infectionInfections and infestations1/19
Most frequent other events
Showing 10 of 104
Most frequent other events
EventCanakinumab 4 mg/kg Every 4 Weeks
NasopharyngitisInfections and infestations12/19
ConstipationGastrointestinal disorders6/19
GastroenteritisInfections and infestations6/19
HeadacheNervous system disorders6/19
Injection site reactionGeneral disorders5/19
Hepatic function abnormalHepatobiliary disorders5/19
BronchitisInfections and infestations4/19
HordeolumInfections and infestations4/19
InfluenzaInfections and infestations4/19
Upper respiratory tract infectionInfections and infestations4/19

Baseline characteristics

The Full Analysis Set (FAS) consisted of all 19 patients who were enrolled and received at least one dose of canakinumab.

Age, Continuous
Age, Continuous(Years)Canakinumab 4 mg/kg Every 4 Weeks
Mean9.9 ± 4.47
Sex: Female, Male
Sex: Female, Male(Participants)Canakinumab 4 mg/kg Every 4 Weeks
Female13
Male6
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Canakinumab 4 mg/kg Every 4 Weeks
Asian19
08

Study locations

7 sites
  • Novartis Investigative Site
    Obu, Aichi 474 8710, Japan
  • Novartis Investigative Site
    Chiba-city, Chiba 266-0007, Japan
  • Novartis Investigative Site
    Kanazawa-city, Ishikawa 920-8641, Japan
  • Novartis Investigative Site
    Kagoshima city, Kagoshima 890 8520, Japan
  • Novartis Investigative Site
    Yokohama-city, Kanagawa 232-8555, Japan
  • Novartis Investigative Site
    Yokohama-city, Kanagawa 236-0004, Japan
  • Novartis Investigative Site
    Sendai-city, Miyagi 989-3126, Japan
09

References and documents

Publications

  • Nishimura K, Hara R, Umebayashi H, Takei S, Iwata N, Imagawa T, Shimizu M, Tomiita M, Seko N, Kitawaki T, Yokota S. Efficacy and safety of canakinumab in systemic juvenile idiopathic arthritis: 48-week results from an open-label phase III study in Japanese patients. Mod Rheumatol. 2021 Jan;31(1):226-234. doi: 10.1080/14397595.2020.1783163. Epub 2020 Jul 29. PubMed 32552266 ↗

Study documents

  • Study protocol · Nov 12, 2014
  • Statistical analysis plan · Apr 11, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: 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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02396212
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Mar 24, 2015
Start date
May 7, 2015
Primary completion
Mar 7, 2017
Completion
Aug 1, 2018
Results posted
Sep 13, 2019
Last update
Sep 13, 2019

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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