A Phase 4 interventional study of Secukinumab 300 mg and Placebo in Chronic Plaque Psoriasis, sponsored by Novartis Pharmaceuticals. Completed at 12 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-05.
Sponsored by Novartis Pharmaceuticals · Phase 4, Interventional, and Treatment
This study evaluated the effect of secukinumab compared to placebo on aortic vascular inflammation in adult patients who have moderate to severe plaque psoriasis that is poorly controlled by current psoriasis treatments.
1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.
This study's enrollment of 91 is above the median of 70 across 1,447 interventional studies indexed under Psoriasis.
Browse Psoriasis studies →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.
Exclusion Criteria:
Eligible patients received secukinumab 300 mg once weekly at Baseline, Weeks 1, 2, 3 and 4 followed by monthly dosing starting at Week 8 through Week 48 inclusive
Drug: Secukinumab 300 mg
Eligible patients received placebo doses once weekly at Baseline, Weeks 1, 2, 3 and 4 followed by a dose after four weeks at Week 8. Beginning with the Week 12 dose, participants were switched to treatment with secukinumab 300 mg and were dosed once weekly at Weeks 12, 13, 14, 15 and 16 followed by monthly dosing through Week 48 inclusive.
Biological: Placebo
Secukinumab 300 mg was provided in 1 mL prefilled syringes of 150 mg. Each dose of 300 mg secukinumab consisted of two secukinumab 150 mg injections once weekly for 5 weeks (Baseline, Weeks 1, 2, 3 and 4), followed by dosing every four weeks starting at Week 8 through Week 48 inclusive. The patients (or caregivers) self-injected each dose at the study site under the supervision of site personnel when injections occurred on days of study visits. The injections not occurring on days of study visits were done by the patients (or caregivers) at home.
Also known as: AIN457 300 mg
Placebo was provided in 1 mL prefilled syringe. Each placebo dose consisted of two placebo injections once weekly for five weeks (Baseline, Weeks 1, 2, 3, 4), then after four weeks at Week 8. At Week 12, patients were switched to receive 300 mg secukinumab once weekly for five weeks (Weeks 12, 13, 14, 15, 16) followed by monthly dosing through Week 48 inclusive. The patients (or caregivers) self-injected each dose at the study site under the supervision of site personnel when injections occured on days of study visits. The injections not occurring on days of study visits were done by the patients (or caregivers) at home.
Aortic Vascular Inflammation as Measured by FDG-PET/CT
Change from baseline in the target to background ratio from the whole aorta. Effect of secukinumab 300 mg subcutaneous (sc) compared to placebo on aortic vascular inflammation with respect to the change from baseline in the target (arterial vascular uptake) to background (venous blood pool) ratio from the aorta. The primary analysis time point was at Week 12. Increased aortic vascular inflammation as measured by (18F) fluorodeoxyglucose positron emission tomography with computer assisted tomography (FDG-PET/CT)
Time frame: baseline, 12 weeks
Change in Adiponectin Total
Change from baseline in Adiponectin to measure adiposity
Time frame: baseline, 12 weeks
Change in Apolipoprotein B
Change from baseline in Apolipoprotein B levels, a marker predictive of diabetes
Time frame: baseline, 12 weeks
Change in CRP
Change from baseline in C reactive protein (CRP), a measure of inflammation
Time frame: baseline, 12 weeks
Change in Cholesterol
Change from baseline in Cholesterol level
Time frame: baseline, 12 weeks
Change in Fetuin A
Change from baseline in Fetuin A, a marker predictive of diabetes
Time frame: baseline, 12 weeks
Change in Ferritin
Change from baseline in Ferritin, a marker predictive of diabetes
Time frame: baseline, 12 weeks
Change in GlycA
Change from baseline in glycoprotein acetylation (GlycA), a marker of inflammation
Time frame: baseline, 12 weeks
Change in HDL Cholesterol
Change from baseline in High Density Lipoprotein (HDL) Cholesterol, a cardiometabolic biomarker
Time frame: baseline, 12 weeks
Change in HDL Function (Cholesterol Efflux)
Change from baseline in High Density Lipoprotein (HDL) Cholesterol (cholesterol efflux) , a cardiometabolic biomarker Ratio of the pleated serum to removal of Cholesterol
Time frame: baseline, 12 weeks
HDL Particle Total
Change from baseline in High Density Lipoprotein (HDL) Cholesterol Particle Total
Time frame: baseline, 12 weeks
HDL Size
Change from baseline in High Density Lipoprotein (HDL) Cholesterol size
Time frame: baseline, 12 weeks
HOMA-IR
Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) Insulin \[uIU/mL (mU/L)\] x Glucose (mg/dL) = HOMA-IR
Time frame: baseline, 12 weeks
Change in IL-2 Receptor A
Interleukin-2 Receptor A (IL-2RA) is a marker predictive of diabetes
Time frame: baseline, 12 weeks
Change in IL-18
Interleukin-18 (IL-18) is a marker predictive of diabetes
Time frame: baseline, 12 weeks
Change in IL-6
Interleukin 6 (IL-6) is a marker of inflammation
Time frame: baseline, 12 weeks
Change in Intermediate-Density Lipoprotein (IDL) Particle
Intermediate-density lipoprotein (IDL) particle is a marker of cardiometabolic function
Time frame: baseline, 12 weeks
Change LDL Cholesterol
Change from baseline in Low-Density Lipoprotein (LDL) Cholesterol as a marker of cardiometabolic function
Time frame: baseline, 12 weeks
Change in Leptin
Change from baseline in Leptin a marker of adiposity
Time frame: baseline, 12 weeks
LDL Particle Total
Change from baseline in Low Density Lipoprotein (LDL) Cholesterol Particle Total
Time frame: baseline, 12 weeks
LDL Size
Change from baseline in Low Density Lipoprotein (LDL) Cholesterol size
Time frame: baseline, 12 weeks
Change in Triglycerides
Triglycerides are a marker of cardiometabolic function
Time frame: baseline, 12 weeks
Change in TNF-α
Change in Tumor necrosis factor (TNF, tumor necrosis factor alpha, TNFα is a marker of inflammation Also written as TNF-alpha
Time frame: baseline, 12 weeks
Change VLDL Particle Total
Change in Very-low-density lipoprotein (VLDL) cholesterol level
Time frame: baseline, 12 weeks
VLDL Size
Change from baseline in Very Low Density Lipoprotein (VLDL) Cholesterol size
Time frame: baseline, 12 weeks
Area and Severity Index 75 (PASI 75)
Percentage of participants with PASI75 response (yes, no) PASI75 response = at least a 75% improvement (reduction) in PASI score compared to baseline Psoriasis Area and Severity Index ( PASI) is a tool for measuring the severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range 0 (no disease) to 72 (maximal disease).
Time frame: week 12
Psoriasis Area and Severity Index 90 (PASI 90)
Percentage of participants with PASI90 response (yes, no) PASI90 response = at least a 90\& improvement (reduction) in PASI score compared to baseline
Time frame: week 12
Psoriasis Area and Severity Index 100 (PASI100)
Percentage of participants with PASI100 response (yes, no) PASI100 response = complete clearing of psoriasis
Time frame: week 12
Investigator's Global Assessment Modified 2011 (IGA Mod 2011) Score of 0 or 1
percentage of participants with IGA mod 2011 score of 0 or 1 (yes, no) Investigator's Global Assessment modified 2011 (IGA mod 2011) score of 0 or 1 Statistical analysis (Cochran-Mantel-Haenszel test) of Novartis Investigator's Global Assessment Modified 2011 0 or 1 response by visit (Non-responder Imputation)
Time frame: week 12
Dermatology Life Quality Index (DLQI) Total Score
Change from baseline in the DLQI total score Summary of analysis of change from baseline in DLQI at Week 12 and statistical analysis (using Analysis of Covariance) of change from baseline in DLQI at Week 12 The higher the score, the more quality of life is impaired. 0 - 1 no effect at all on patient's life 2 - 5 small effect on patient's life 6 - 10 moderate effect on patient's life 11 - 20 very large effect on patient's life 21 - 30 extremely large effect on patient's life
Time frame: baseline, 12 weeks
Randomized Set consisted of all 91 participants who were randomly assigned to a treatment group
| Milestone | Secukinumab | Placebo |
|---|---|---|
| Started | 46 | 45 |
| Completed | 44 | 42 |
| Not completed | 2 | 3 |
| Withdrew: Adverse event | 2 | 2 |
| Withdrew: Withdrawal by subject | 0 | 1 |
| Milestone | Secukinumab | Placebo |
|---|---|---|
| Started | 44 | 42 |
| Completed | 41 | 37 |
| Not completed | 3 | 5 |
| Withdrew: Adverse event | 2 | 0 |
| Withdrew: Lack of efficacy | 1 | 0 |
| Withdrew: Lost to follow-up | 0 | 2 |
| Withdrew: Withdrawal by subject | 0 | 2 |
| Withdrew: Protocol violation | 0 | 1 |
Change from baseline in the target to background ratio from the whole aorta. Effect of secukinumab 300 mg subcutaneous (sc) compared to placebo on aortic vascular inflammation with respect to the change from baseline in the target (arterial vascular uptake) to background (venous blood pool) ratio from the aorta. The primary analysis time point was at Week 12. Increased aortic vascular inflammation as measured by (18F) fluorodeoxyglucose positron emission tomography with computer assisted tomography (FDG-PET/CT)
| target to background ratio (TBR) | Secukinumab | Placebo |
|---|---|---|
| Baseline | 1.6615 ± 0.37380 | 1.6333 ± 0.33228 |
| Change from Baseline at Week 12 | 0.0143 ± 0.25520 | 0.0655 ± 0.28086 |
Change from baseline in Adiponectin to measure adiposity
| ng/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 18799.0 ± 18608.48 | 19475.00 ± 18343.00 |
| Change from Baseline at Week 12 | 1594.90 ± 15146.84 | -1076.40 ± 14565.60 |
Change from baseline in Apolipoprotein B levels, a marker predictive of diabetes
| ng/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 0.1014 ± 0.04651 | 0.1033 ± 0.04451 |
| Change from Baseline at Week 12 | 0.0020 ± 0.06331 | 0.0017 ± 0.04835 |
Change from baseline in C reactive protein (CRP), a measure of inflammation
| mg/L | Secukinumab | Placebo |
|---|---|---|
| Baseline | 6.1525 ± 8.23016 | 7.8676 ± 7.59860 |
| Change from Baseline at Week 12 | -1.0016 ± 9.45281 | 1.1622 ± 15.84088 |
Change from baseline in Cholesterol level
| mg/dL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 179.350 ± 30.01243 | 178.707 ± 38.92573 |
| Change from Baseline at Week 12 | 10.6000 ± 30.27379 | -8.4878 ± 35.18247 |
Change from baseline in Fetuin A, a marker predictive of diabetes
| ng/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 988677.800781 ± 488494.3491043 | 1169947.724848 ± 79644.6884632 |
| Change from Baseline at Week 12 | 90810.212003 ± 444791.4700461 | 45731.298018 ± 452743.5932412 |
Change from baseline in Ferritin, a marker predictive of diabetes
| ng/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 111.953 ± 91.17931 | 122.040 ± 114.8715 |
| Change from Baseline at Week 12 | -6.1006 ± 60.71995 | -17.118 ± 63.86703 |
Change from baseline in glycoprotein acetylation (GlycA), a marker of inflammation
| μmol/L | Secukinumab | Placebo |
|---|---|---|
| Baseline | 413.860 ± 65.34929 | 439.622 ± 60.44873 |
| Change from Baseline at Week 12 | 0.5152 ± 59.46394 | -1.5420 ± 40.25958 |
Change from baseline in High Density Lipoprotein (HDL) Cholesterol, a cardiometabolic biomarker
| mg/dL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 43.3000 ± 10.20357 | 43.0732 ± 12.52276 |
| Change from Baseline at Week 12 | -0.7500 ± 8.80195 | -1.1220 ± 8.10924 |
Change from baseline in High Density Lipoprotein (HDL) Cholesterol (cholesterol efflux) , a cardiometabolic biomarker Ratio of the pleated serum to removal of Cholesterol
| ratio | Secukinumab | Placebo |
|---|---|---|
| Baseline | 0.9535 ± 0.18986 | 1.0456 ± 0.17819 |
| Change from Baseline at Week 12 | 0.1473 ± 0.23262 | 0.0541 ± 0.21902 |
Change from baseline in High Density Lipoprotein (HDL) Cholesterol Particle Total
| μmol/L | Secukinumab | Placebo |
|---|---|---|
| Baseline | 29.2875 ± 5.38184 | 29.3634 ± 6.27442 |
| Change from Baseline at Week 12 | -0.1375 ± 5.22900 | -0.1707 ± 5.12973 |
Change from baseline in High Density Lipoprotein (HDL) Cholesterol size
| nm | Secukinumab | Placebo |
|---|---|---|
| Baseline | 8.9350 ± 0.53280 | 8.9585 ± 0.56656 |
| Change from Baseline at Week 12 | 0.0500 ± 0.47932 | 0.0073 ± 0.34161 |
Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) Insulin \[uIU/mL (mU/L)\] x Glucose (mg/dL) = HOMA-IR
| HOMA-IR units | Secukinumab | Placebo |
|---|---|---|
| Baseline | 3.4901 ± 3.02479 | 5.5112 ± 6.22334 |
| Change from Baseline at Week 12 | 0.9563 ± 2.23669 | -1.2764 ± 5.13505 |
Interleukin-2 Receptor A (IL-2RA) is a marker predictive of diabetes
| pg/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 25.5554 ± 59.47232 | 21.0665 ± 61.46295 |
| Change from Baseline at Week 12 | -3.3606 ± 38.52458 | -1.1162 ± 6.31189 |
Interleukin-18 (IL-18) is a marker predictive of diabetes
| pg/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 1259.45 ± 1910.327 | 1308.47 ± 2454.672 |
| Change from Baseline at Week 12 | 34555.1 ± 231199.6 | -627.77 ± 1874.377 |
Interleukin 6 (IL-6) is a marker of inflammation
| pg/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 5.6477 ± 20.81242 | 1.6658 ± 1.50954 |
| Change from Baseline at Week 12 | 0.1334 ± 29.35524 | -0.0900 ± 1.78692 |
Intermediate-density lipoprotein (IDL) particle is a marker of cardiometabolic function
| nmol/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 284.350 ± 179.6482 | 271.049 ± 155.7413 |
| Change from Baseline at Week 12 | 47.0500 ± 167.6253 | 2.3902 ± 160.6046 |
Change from baseline in Low-Density Lipoprotein (LDL) Cholesterol as a marker of cardiometabolic function
| mg/dL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 122.475 ± 28.86040 | 121.049 ± 36.39708 |
| Change from Baseline at Week 12 | 9.9750 ± 29.84532 | -6.2927 ± 34.42401 |
Change from baseline in Leptin a marker of adiposity
| pg/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 19913.4 ± 21835.66 | 36813.3 ± 62138.25 |
| Change from Baseline at Week 12 | -1886.0 ± 11701.00 | -5595.9 ± 17042.08 |
Change from baseline in Low Density Lipoprotein (LDL) Cholesterol Particle Total
| nmol/L | Secukinumab | Placebo |
|---|---|---|
| Baseline | 1236.35 ± 317.9542 | 1263.00 ± 447.3457 |
| Change from Baseline at Week 12 | 114.250 ± 294.8695 | -111.39 ± 343.2109 |
Change from baseline in Low Density Lipoprotein (LDL) Cholesterol size
| nm | Secukinumab | Placebo |
|---|---|---|
| Baseline | 21.2200 ± 0.74977 | 21.1171 ± 0.76384 |
| Change from Baseline at Week 12 | -0.0025 ± 0.70036 | 0.1439 ± 0.53807 |
Triglycerides are a marker of cardiometabolic function
| mg/dL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 123.200 ± 52.90398 | 125.293 ± 79.10633 |
| Change from Baseline at Week 12 | 11.5000 ± 62.56279 | -10.732 ± 60.25281 |
Change in Tumor necrosis factor (TNF, tumor necrosis factor alpha, TNFα is a marker of inflammation Also written as TNF-alpha
| pg/mL | Secukinumab | Placebo |
|---|---|---|
| Baseline | 2.3919 ± 1.79049 | 2.8089 ± 4.11492 |
| Change from Baseline at Week 12 | -0.3577 ± 1.52948 | -0.9818 ± 3.85715 |
Change in Very-low-density lipoprotein (VLDL) cholesterol level
| nmol/L | Secukinumab | Placebo |
|---|---|---|
| Baseline | 52.9125 ± 26.92102 | 54.5829 ± 27.57024 |
| Change from Baseline at Week 12 | 3.2500 ± 28.56421 | 3.2024 ± 25.40299 |
Change from baseline in Very Low Density Lipoprotein (VLDL) Cholesterol size
| nm | Secukinumab | Placebo |
|---|---|---|
| Baseline | 51.5650 ± 9.11152 | 50.1195 ± 9.51641 |
| Change from Baseline at Week 12 | -0.3950 ± 9.30271 | -0.7927 ± 7.72572 |
Percentage of participants with PASI75 response (yes, no) PASI75 response = at least a 75% improvement (reduction) in PASI score compared to baseline Psoriasis Area and Severity Index ( PASI) is a tool for measuring the severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range 0 (no disease) to 72 (maximal disease).
| percentage of participants | Secukinumab | Placebo |
|---|---|---|
| Area and Severity Index 75 (PASI 75) | 84.8 | 0.0 |
Percentage of participants with PASI90 response (yes, no) PASI90 response = at least a 90\& improvement (reduction) in PASI score compared to baseline
| percentage of participants | Secukinumab | Placebo |
|---|---|---|
| Psoriasis Area and Severity Index 90 (PASI 90) | 73.9 | 0.0 |
Percentage of participants with PASI100 response (yes, no) PASI100 response = complete clearing of psoriasis
| percentage of participants | Secukinumab | Placebo |
|---|---|---|
| Psoriasis Area and Severity Index 100 (PASI100) | 37.0 | 0.0 |
percentage of participants with IGA mod 2011 score of 0 or 1 (yes, no) Investigator's Global Assessment modified 2011 (IGA mod 2011) score of 0 or 1 Statistical analysis (Cochran-Mantel-Haenszel test) of Novartis Investigator's Global Assessment Modified 2011 0 or 1 response by visit (Non-responder Imputation)
| percentage of participants | Secukinumab | Placebo |
|---|---|---|
| Investigator's Global Assessment Modified 2011 (IGA Mod 2011) Score of 0 or 1 | 78.3 | 0.0 |
Change from baseline in the DLQI total score Summary of analysis of change from baseline in DLQI at Week 12 and statistical analysis (using Analysis of Covariance) of change from baseline in DLQI at Week 12 The higher the score, the more quality of life is impaired. 0 - 1 no effect at all on patient's life 2 - 5 small effect on patient's life 6 - 10 moderate effect on patient's life 11 - 20 very large effect on patient's life 21 - 30 extremely large effect on patient's life
| scores on a scale | Secukinumab | Placebo |
|---|---|---|
| Baseline | 12.30 ± 7.65 | 12.6 ± 7.21 |
| Change from baseline at Week 12 | -9.4 ± 7.91 | -0.5 ± 3.97 |
Collected over Adverse Events (AEs) were collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Treatment until Last Patient Last Visit) up to approximately 48 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Secukinumab 300 mg | 0/46 (0%) | 5/46 (10.9%) | 21/46 (45.7%) |
| Placebo/Secukinumab 300 mg | 0/45 (0%) | 0/45 (0%) | 18/45 (40%) |
| Total | 0/91 (0%) | 5/91 (5.5%) | 39/91 (42.9%) |
| Event | Secukinumab 300 mg | Placebo/Secukinumab 300 mg | Total |
|---|---|---|---|
| Abdominal painGastrointestinal disorders | 1/46 | 0/45 | 1/91 |
| Rib fractureInjury, poisoning and procedural complications | 1/46 | 0/45 | 1/91 |
| Upper limb fractureInjury, poisoning and procedural complications | 1/46 | 0/45 | 1/91 |
| Muscular weaknessMusculoskeletal and connective tissue disorders | 1/46 | 0/45 | 1/91 |
| Aortic stenosisVascular disorders | 1/46 | 0/45 | 1/91 |
| Event | Secukinumab 300 mg | Placebo/Secukinumab 300 mg | Total |
|---|---|---|---|
| NasopharyngitisInfections and infestations | 9/46 | 7/45 | 16/91 |
| Upper respiratory tract infectionInfections and infestations | 6/46 | 4/45 | 10/91 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 5/46 | 3/45 | 8/91 |
| HeadacheNervous system disorders | 0/46 | 4/45 | 4/91 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/46 | 4/45 | 5/91 |
| SinusitisInfections and infestations | 0/46 | 3/45 | 3/91 |
| DizzinessNervous system disorders | 1/46 | 3/45 | 4/91 |
| DiarrhoeaGastrointestinal disorders | 3/46 | 2/45 | 5/91 |
| BronchitisInfections and infestations | 3/46 | 0/45 | 3/91 |
| Age, Categorical(Participants) | Secukinumab | Placebo | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 41 | 39 | 80 |
| >=65 years | 5 | 6 | 11 |
| Sex: Female, Male(Participants) | Secukinumab | Placebo | Total |
|---|---|---|---|
| Female | 13 | 17 | 30 |
| Male | 33 | 28 | 61 |
| Race/Ethnicity, Customized(Participants) | Secukinumab | Placebo | Total |
|---|---|---|---|
| Caucasian | 36 | 36 | 72 |
| Black | 1 | 3 | 4 |
| Asian | 6 | 2 | 8 |
| Other | 3 | 4 | 7 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Undecided — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.
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