ClinicalTrials.gg
CompletedNCT02963506BE AGILEUpdated Jun 6, 2023Results posted

A Study to Evaluate the Efficacy and Safety of Different Doses of Bimekizumab in Subjects With Active Ankylosing Spondylitis

A Phase 2 interventional study of Placebo and Bimekizumab in Ankylosing Spondylitis, sponsored by UCB Biopharma S.P.R.L.. Completed at 74 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-06.

Sponsored by UCB Biopharma S.P.R.L. (part of UCB S.A.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
303
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a study to evaluate the efficacy and safety of different doses of bimekizumab in subjects with active Ankylosing Spondylitis (AS).

02

Conditions studied

  • Ankylosing Spondylitis

Keywords

  • AS
  • Ankylosing Spondylitis
  • Bimekizumab
03

In context

Spondylitis, Ankylosing

531 studies on the registry are indexed under Spondylitis, Ankylosing; 98 are open to participants now.

This study's enrollment of 303 is above the median of 88 across 302 interventional studies indexed under Spondylitis, Ankylosing.

Browse Spondylitis, Ankylosing studies →

Lead sponsor

UCB Biopharma S.P.R.L. is the lead sponsor of 48 studies on the registry; none are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 12 (80%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject has active ankylosing spondylitis (AS), determined by documented radiologic evidence fulfilling the Modified New York criteria for AS including symptoms for >=3 months and age of onset \<45 years
  • Subject has moderate to severe active disease as defined by each of the following:

    1. BASDAI score >=4
    2. Spinal pain >=4 on a 0 to 10 NRS (Numeric Rating Scale; from BASDAI item 2)
  • Subjects must have at least 1 of the following:

    1. inadequate response to nonsteroidal anti-inflammatory drug (NSAID) therapy
    2. intolerance to administration of at least 1 NSAID
    3. (s) to NSAID therapy
  • Subjects who are regularly taking NSAIDs/COX-2 inhibitors as part of their AS therapy are required to be on a stable dose for at least 14 days before Baseline
  • Subjects taking must be on an average daily dose of \<=10mg/day prednisone or equivalent for at least 14 days before Baseline and should remain on a stable dose up to Week 16
  • Subjects taking methotrexate (MTX) (\<=25mg/week) are allowed to continue their medication if started at least 12 weeks prior to Baseline, with a stable dose for at least 8 weeks before randomization
  • Subjects taking sulfasalazine (up to 3grams/day) or hydroxychloroquine (up to 400mg per day total) are allowed to continue their medication if started at least 12 weeks prior to Baseline, with a stable dose for at least 8 weeks before randomization
  • Subjects may be tumor necrosis factor (TNF) inhibitor-naïve or may have received 1 prior TNF inhibitor. Subjects who have been on a TNF inhibitor previously must have:

    1. experienced an inadequate response to previous treatment given for at least 12 weeks
    2. been intolerant to administration (eg, had a side effect/adverse event that led to discontinuation)
    3. lost access to TNF inhibitor for other reasons

Exclusion criteria

Exclusion Criteria:

  • Subjects with a total ankylosis of the spine, or a diagnosis of any other inflammatory arthritis eg, rheumatoid arthritis (RA), sarcoidosis, systemic lupus erythematosus, or reactive arthritis
  • Subjects with any current sign or symptom that may indicate an active infection (except for the common cold)
  • Subjects with a history of chronic or recurrent infections, or a serious or life-threatening infection within the 6 months prior to the Baseline Visit
  • Subjects receiving any within the 8 weeks prior to Baseline
  • Subjects with known tuberculosis (TB) infection, at high risk of acquiring TB infection, with latent TB infection or current or history of nontuberculous mycobacteria (NTMB) infection
  • Subjects with concurrent or a history of malignancy during the past 5 years will be excluded, with following exceptions that may be included:

    1. \<= 3 excised or ablated basal cell carcinomas of the skin
    2. One squamous cell carcinoma of the skin (stage T1 maximum) successfully excised, or ablated only (other treatments, ie, chemotherapy, do not apply), with no signs of recurrence or for more than 2 years prior to Screening
    3. Actinic keratosis (-es)
    4. Squamous cell carcinoma-in-situ of the skin successfully excised, or ablated, more than 6 months prior to Screening
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

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

Study arms

  • Placebo comparator
    Placebo

    Subjects will receive for 12 Weeks Placebo and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

    Other: Placebo

  • Experimental
    Bimekizumab Dose 1

    Subjects will receive for 12 Weeks Bimekizumab Dose 1 and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

    Drug: Bimekizumab

  • Experimental
    Bimekizumab Dose 2

    Subjects will receive for 12 Weeks Bimekizumab Dose 2 and will then be re-randomized to Bimekizumab Dose 3 or Bimekizumab Dose 4 for 36 Weeks.

    Drug: Bimekizumab

  • Experimental
    Bimekizumab Dose 3

    Subjects will receive for 48 Weeks Bimekizumab Dose 3.

    Drug: Bimekizumab

  • Experimental
    Bimekizumab Dose 4

    Subjects will receive for 48 Weeks Bimekizumab Dose 4.

    Drug: Bimekizumab

Interventions

  • OtherPlacebo
  • Bimekizumab in different dosages.

    Also known as: UCB4940

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 12

    The ASAS40 response was defined as relative improvements of at least 40% and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS), where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PGADA), Pain assessment (total spinal pain NRS score), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and no worsening at all in the remaining domain. Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

    Time frame: Week 12

Secondary outcomes

  1. Change From Baseline in Ankylosing Spondylitis Disease Activity Score - C-Reactive Protein (ASDAS [CRP]) at Week 12

    The ASDAS was calculated as the sum of the following components: 0.121 x Back pain (BASDAI question 2 result) 0.058 x Duration of morning stiffness (BASDAI question 6 result) 0.110 x PGADA 0.073 x Peripheral pain/swelling (BASDAI question 3 result) 0.579 x (natural logarithm of the (hs-CRP \[mg/L\] + 1)) Back pain, PGADA, duration of morning stiffness, peripheral pain/swelling and fatigue are all assessed on a numerical scale (0 to 10 units). The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. There is a minimum score of 0.636 for the total ASDAS score, but no defined upper score since CRP does not have a set upper limit. If one component for the ASDAS-CRP was missing at a given visit, that component was imputed by carrying the last observation forward, and the ASDAS-CRP was calculated accordingly. If the hs-CRP value was below 2 mg/L, then it was imputed as the constant value of 2 mg/L.

    Time frame: From Baseline to Week 12

  2. Percentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 12

    The ASAS20 response was defined as an improvement of at least 20% and absolute improvement of at least 1 unit on a 0 to 10 NRS, where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: PGADA, Pain assessment (total spinal pain NRS scores), Function (BASFI), Inflammation (mean of BASDAI questions 5 and 6 concerning morning stiffness intensity and duration) and absence of deterioration in the potential remaining domain \[deterioration was defined as a relative worsening of at least 20% and an absolute worsening of at least 1 unit\]. Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

    Time frame: Week 12

  3. Percentage of Participants With Axial Spondyloarthritis International Society (ASAS) 5/6 Response at Week 12

    The ASAS 5/6 response was defined as at least 20% improvement in at least 5 of the 6 domains: PGADA, Pain assessment (total spinal pain NRS scores), Function (BASFI), Inflammation (mean of BASDAI questions 5 and 6 concerning morning stiffness intensity and duration), spinal mobility (lateral spinal flexion) and high sensitivity C-reactive protein (hs-CRP). Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

    Time frame: Week 12

  4. Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

    The BASDAI is a validated self-reported instrument, which consists of six 10-unit horizontal Numeric Rating Scales (NRS) to measure severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration, respectively) over the last week. The final BASDAI score ranges from 0 to 10, with lower scores indicating lower disease activity. The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. Note: Missing data was imputed using multiple imputation based on the Markov-Chain Monte Carlo method for the intermittent missing data, followed by monotone regression for the monotone missing data assuming missing at random.

    Time frame: From Baseline to Week 12

  5. Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Functional Index (BASFI)

    The BASFI is a validated disease-specific instrument for assessing physical function. The BASFI comprises 10 items relating to the past week. The BASFI is the mean of the 10 scores such that the total score ranges from 0 (Easy) to 10 (Impossible), with lower scores indicating better physical function. The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. Note: Missing data was imputed using multiple imputation based on the Markov-Chain Monte Carlo method for the intermittent missing data, followed by monotone regression for the monotone missing data assuming missing at random.

    Time frame: From Baseline to Week 12

  6. Percentage of Participants With at Least One Adverse Event (AE) During the Study

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

    Time frame: From Screening until Safety Follow-Up Visit (up to Week 77)

  7. Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study

    A serious adverse event (SAE) is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in patient hospitalisation or prolongation of existing hospitalisation * Is a congenital anomaly or birth defect * Is an infection that requires treatment parenteral antibiotics * Other important medical events which based on medical or scientific judgement may jeopardise the patients, or may require medical or surgical intervention to prevent any of the above.

    Time frame: From Screening until Safety Follow-Up Visit (up to Week 77)

  8. Percentage of Participants Who Withdrew Due to an Adverse Event (AE) During the Study

    An AE is any untoward medical occurrence in a participant or trial subject that is administered a drug or biologic (medicinal product) or that is using a medical device. The event does not necessarily have a causal relationship with that treatment or usage. The results of this Secondary Outcome Measure were summarized from the adverse event pages of the Case Report Forms.

    Time frame: From Screening until Safety Follow-Up Visit (up to Week 77)

07

Results

Posted Nov 16, 2020

Participant flow

The study started to enroll participants in October 2016 and concluded in August 2018.

Double-Blind Period
Participant flow — Double-Blind Period
MilestonePlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgPlacebo - BKZ 160 mgPlacebo - BKZ 320 mgBKZ 16 mg - BKZ 160 mgBKZ 16 mg - BKZ 320 mgBKZ 64 mg - BKZ 160 mgBKZ 64 mg - BKZ 320 mgBKZ 160 mg - BKZ 160 mgBKZ 320 mg - BKZ 320 mg
Started606161606100000000
Completed double-blind period605959586100000000
Completed week 12 - started dose-blind605859586100000000
Completed605859586100000000
Not completed0322000000000
Withdrew: Adverse event0010000000000
Withdrew: Death0001000000000
Withdrew: Lost to follow-up0100000000000
Withdrew: Withdrawal by subject0011000000000
Withdrew: No compliance0100000000000
Withdrew: Adverse event, non fatal after wk120100000000000
Dose-Blind Period
Participant flow — Dose-Blind Period
MilestonePlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgPlacebo - BKZ 160 mgPlacebo - BKZ 320 mgBKZ 16 mg - BKZ 160 mgBKZ 16 mg - BKZ 320 mgBKZ 64 mg - BKZ 160 mgBKZ 64 mg - BKZ 320 mgBKZ 160 mg - BKZ 160 mgBKZ 320 mg - BKZ 320 mg
Started000002436312734255861
Completed000002031262430245654
Not completed0000045534127
Withdrew: Adverse event0000013222116
Withdrew: Lack of efficacy0000000101000
Withdrew: Lost to follow-up0000010010010
Withdrew: Withdrawal by subject0000012201000
Withdrew: Sponsor decision0000010000000
Withdrew: Meeting exclusion criteria 90000000000001

Outcome measures

PrimaryPercentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 12

The ASAS40 response was defined as relative improvements of at least 40% and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS), where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PGADA), Pain assessment (total spinal pain NRS score), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and no worsening at all in the remaining domain. Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 12
percentage of participantsPlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Percentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 1213.329.542.646.745.9
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) vs BKZ 64 mg (FAS) vs BKZ 160 mg (FAS) vs BKZ 320 mg (FAS) · Cochran-Mantel-Haenszel · p = <0.001 · Correlation statistic: 17.9
  • Placebo (FAS) vs BKZ 16 mg (FAS) · Regression, Logistic · p = =0.040 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 2.6 · 95% CI 1.04 to 6.48
  • Placebo (FAS) vs BKZ 64 mg (FAS) · Regression, Logistic · p = =0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 4.5 · 95% CI 1.83 to 10.86
  • Placebo (FAS) vs BKZ 160 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 5.5 · 95% CI 2.27 to 13.48
  • Placebo (FAS) vs BKZ 320 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 5.3 · 95% CI 2.19 to 12.92
SecondaryChange From Baseline in Ankylosing Spondylitis Disease Activity Score - C-Reactive Protein (ASDAS [CRP]) at Week 12

The ASDAS was calculated as the sum of the following components: 0.121 x Back pain (BASDAI question 2 result) 0.058 x Duration of morning stiffness (BASDAI question 6 result) 0.110 x PGADA 0.073 x Peripheral pain/swelling (BASDAI question 3 result) 0.579 x (natural logarithm of the (hs-CRP \[mg/L\] + 1)) Back pain, PGADA, duration of morning stiffness, peripheral pain/swelling and fatigue are all assessed on a numerical scale (0 to 10 units). The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. There is a minimum score of 0.636 for the total ASDAS score, but no defined upper score since CRP does not have a set upper limit. If one component for the ASDAS-CRP was missing at a given visit, that component was imputed by carrying the last observation forward, and the ASDAS-CRP was calculated accordingly. If the hs-CRP value was below 2 mg/L, then it was imputed as the constant value of 2 mg/L.

Time frame:
From Baseline to Week 12
Reported as:
Least squares mean · scores on a scale
Change From Baseline in Ankylosing Spondylitis Disease Activity Score - C-Reactive Protein (ASDAS [CRP]) at Week 12
scores on a scalePlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Change From Baseline in Ankylosing Spondylitis Disease Activity Score - C-Reactive Protein (ASDAS [CRP]) at Week 12-0.3 ± 0.17-0.8 ± 0.17-1.4 ± 0.17-1.3 ± 0.17-1.4 ± 0.17
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -0.5 · 95% CI -0.86 to -0.24
  • Placebo (FAS) vs BKZ 64 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.2 · 95% CI -1.47 to -0.83
  • Placebo (FAS) vs BKZ 160 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.0 · 95% CI -1.35 to -0.72
  • Placebo (FAS) vs BKZ 320 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.1 · 95% CI -1.45 to -0.82
SecondaryPercentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 12

The ASAS20 response was defined as an improvement of at least 20% and absolute improvement of at least 1 unit on a 0 to 10 NRS, where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: PGADA, Pain assessment (total spinal pain NRS scores), Function (BASFI), Inflammation (mean of BASDAI questions 5 and 6 concerning morning stiffness intensity and duration) and absence of deterioration in the potential remaining domain \[deterioration was defined as a relative worsening of at least 20% and an absolute worsening of at least 1 unit\]. Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 12
percentage of participantsPlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Percentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 1228.341.062.358.372.1
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) · Regression, Logistic · p = =0.163 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 1.7 · 95% CI 0.80 to 3.67
  • Placebo (FAS) vs BKZ 64 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 3.9 · 95% CI 1.84 to 8.48
  • Placebo (FAS) vs BKZ 160 mg (FAS) · Regression, Logistic · p = =0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 3.5 · 95% CI 1.66 to 7.61
  • Placebo (FAS) vs BKZ 320 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 6.5 · 95% CI 2.92 to 14.28
SecondaryPercentage of Participants With Axial Spondyloarthritis International Society (ASAS) 5/6 Response at Week 12

The ASAS 5/6 response was defined as at least 20% improvement in at least 5 of the 6 domains: PGADA, Pain assessment (total spinal pain NRS scores), Function (BASFI), Inflammation (mean of BASDAI questions 5 and 6 concerning morning stiffness intensity and duration), spinal mobility (lateral spinal flexion) and high sensitivity C-reactive protein (hs-CRP). Note: Participants with missing data or who discontinue study treatment prior to Week 12 were counted as non-responders.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants With Axial Spondyloarthritis International Society (ASAS) 5/6 Response at Week 12
percentage of participantsPlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Percentage of Participants With Axial Spondyloarthritis International Society (ASAS) 5/6 Response at Week 126.729.549.253.354.1
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) · Regression, Logistic · p = =0.003 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 5.3 · 95% CI 1.74 to 15.96
  • Placebo (FAS) vs BKZ 64 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 11.9 · 95% CI 4.03 to 35.38
  • Placebo (FAS) vs BKZ 160 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 14.3 · 95% CI 4.81 to 42.46
  • Placebo (FAS) vs BKZ 320 mg (FAS) · Regression, Logistic · p = <0.001 (The p-values were displayed as nominal p-values.) · Odds ratio (or): 14.9 · 95% CI 5.02 to 44.27
SecondaryChange From Baseline to Week 12 in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

The BASDAI is a validated self-reported instrument, which consists of six 10-unit horizontal Numeric Rating Scales (NRS) to measure severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration, respectively) over the last week. The final BASDAI score ranges from 0 to 10, with lower scores indicating lower disease activity. The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. Note: Missing data was imputed using multiple imputation based on the Markov-Chain Monte Carlo method for the intermittent missing data, followed by monotone regression for the monotone missing data assuming missing at random.

Time frame:
From Baseline to Week 12
Reported as:
Least squares mean · scores on a scale
Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
scores on a scalePlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)-1.0 ± 0.38-1.6 ± 0.38-2.6 ± 0.38-2.6 ± 0.38-2.9 ± 0.38
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) · ANCOVA · p = =0.094 · Ls mean difference vs placebo: -0.6 · 95% CI -1.31 to 0.10
  • Placebo (FAS) vs BKZ 64 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.6 · 95% CI -2.34 to -0.91
  • Placebo (FAS) vs BKZ 160 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.6 · 95% CI -2.35 to -0.91
  • Placebo (FAS) vs BKZ 320 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.9 · 95% CI -2.60 to -1.18
SecondaryChange From Baseline to Week 12 in the Bath Ankylosing Spondylitis Functional Index (BASFI)

The BASFI is a validated disease-specific instrument for assessing physical function. The BASFI comprises 10 items relating to the past week. The BASFI is the mean of the 10 scores such that the total score ranges from 0 (Easy) to 10 (Impossible), with lower scores indicating better physical function. The change from Baseline is calculated, a negative value indicating improvement and a positive value worsening. Note: Missing data was imputed using multiple imputation based on the Markov-Chain Monte Carlo method for the intermittent missing data, followed by monotone regression for the monotone missing data assuming missing at random.

Time frame:
From Baseline to Week 12
Reported as:
Least squares mean · scores on a scale
Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Functional Index (BASFI)
scores on a scalePlacebo (FAS)BKZ 16 mg (FAS)BKZ 64 mg (FAS)BKZ 160 mg (FAS)BKZ 320 mg (FAS)
Change From Baseline to Week 12 in the Bath Ankylosing Spondylitis Functional Index (BASFI)-0.7 ± 0.39-1.4 ± 0.38-1.8 ± 0.38-1.9 ± 0.38-2.2 ± 0.38
Statistical analysis
  • Placebo (FAS) vs BKZ 16 mg (FAS) · ANCOVA · p = =0.075 · Ls mean difference vs placebo: -0.6 · 95% CI -1.35 to 0.07
  • Placebo (FAS) vs BKZ 64 mg (FAS) · ANCOVA · p = =0.003 · Ls mean difference vs placebo: -1.1 · 95% CI -1.79 to -0.37
  • Placebo (FAS) vs BKZ 160 mg (FAS) · ANCOVA · p = =0.002 · Ls mean difference vs placebo: -1.1 · 95% CI -1.84 to -0.42
  • Placebo (FAS) vs BKZ 320 mg (FAS) · ANCOVA · p = <0.001 · Ls mean difference vs placebo: -1.5 · 95% CI -2.22 to -0.81
SecondaryPercentage of Participants With at Least One Adverse Event (AE) During the Study

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Time frame:
From Screening until Safety Follow-Up Visit (up to Week 77)
Reported as:
Number · percentage of participants
Percentage of Participants With at Least One Adverse Event (AE) During the Study
percentage of participantsPlacebo (SS) - up to Wk 12BKZ 16 mg (SS) - up to Wk 12BKZ 64 mg (SS) - up to Wk 12BKZ 160 mg (SS) - up to Wk 73BKZ 320 mg (SS) - up to Wk 73
Percentage of Participants With at Least One Adverse Event (AE) During the Study45.044.334.569.882.0
SecondaryPercentage of Participants With at Least One Serious Adverse Event (SAE) During the Study

A serious adverse event (SAE) is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in patient hospitalisation or prolongation of existing hospitalisation * Is a congenital anomaly or birth defect * Is an infection that requires treatment parenteral antibiotics * Other important medical events which based on medical or scientific judgement may jeopardise the patients, or may require medical or surgical intervention to prevent any of the above.

Time frame:
From Screening until Safety Follow-Up Visit (up to Week 77)
Reported as:
Number · percentage of participants
Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study
percentage of participantsPlacebo (SS) - up to Wk 12BKZ 16 mg (SS) - up to Wk 12BKZ 64 mg (SS) - up to Wk 12BKZ 160 mg (SS) - up to Wk 73BKZ 320 mg (SS) - up to Wk 73
Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study3.303.43.44.0
SecondaryPercentage of Participants Who Withdrew Due to an Adverse Event (AE) During the Study

An AE is any untoward medical occurrence in a participant or trial subject that is administered a drug or biologic (medicinal product) or that is using a medical device. The event does not necessarily have a causal relationship with that treatment or usage. The results of this Secondary Outcome Measure were summarized from the adverse event pages of the Case Report Forms.

Time frame:
From Screening until Safety Follow-Up Visit (up to Week 77)
Reported as:
Number · percentage of participants
Percentage of Participants Who Withdrew Due to an Adverse Event (AE) During the Study
percentage of participantsPlacebo (SS) - up to Wk 12BKZ 16 mg (SS) - up to Wk 12BKZ 64 mg (SS) - up to Wk 12BKZ 160 mg (SS) - up to Wk 73BKZ 320 mg (SS) - up to Wk 73
Percentage of Participants Who Withdrew Due to an Adverse Event (AE) During the Study1.73.31.74.76.7

Adverse events

Collected over Treatment-emergent adverse events (TEAEs) were collected from Baseline until the Safety Follow-Up Visit (up to Week 73). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo (SS) - up to Wk 120/60 (0%)2/60 (3.3%)2/60 (3.3%)
BKZ 16 mg (SS) - up to Wk 120/61 (0%)0/61 (0%)2/61 (3.3%)
BKZ 64 mg (SS) - up to Wk 120/58 (0%)2/58 (3.4%)4/58 (6.9%)
BKZ 160 mg (SS) - up to Wk 731/149 (0.7%)5/149 (3.4%)42/149 (28.2%)
BKZ 320 mg (SS) - up to Wk 730/150 (0%)6/150 (4%)56/150 (37.3%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventPlacebo (SS) - up to Wk 12BKZ 16 mg (SS) - up to Wk 12BKZ 64 mg (SS) - up to Wk 12BKZ 160 mg (SS) - up to Wk 73BKZ 320 mg (SS) - up to Wk 73
AnaemiaBlood and lymphatic system disorders0/600/611/580/1490/150
HaemorrhoidsGastrointestinal disorders0/600/611/580/1490/150
Intestinal haemorrhageGastrointestinal disorders0/600/611/580/1490/150
Foot fractureInjury, poisoning and procedural complications0/600/611/580/1490/150
Colon adenomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/600/611/580/1490/150
Abdominal painGastrointestinal disorders1/600/610/580/1490/150
Postoperative wound infectionInfections and infestations1/600/610/580/1490/150
Acute myocardial infarctionCardiac disorders0/600/610/581/1490/150
Cardiac arrestCardiac disorders0/600/610/581/1490/150
Abscess limbInfections and infestations0/600/610/581/1490/150
Most frequent other events
Most frequent other events
EventPlacebo (SS) - up to Wk 12BKZ 16 mg (SS) - up to Wk 12BKZ 64 mg (SS) - up to Wk 12BKZ 160 mg (SS) - up to Wk 73BKZ 320 mg (SS) - up to Wk 73
NasopharyngitisInfections and infestations0/602/611/5813/14919/150
BronchitisInfections and infestations1/600/612/584/14912/150
PharyngitisInfections and infestations0/600/610/5811/1497/150
Upper respiratory tract infectionInfections and infestations1/600/611/585/14911/150
Oral candidiasisInfections and infestations0/600/610/588/1498/150
Oral fungal infectionInfections and infestations0/600/610/588/1496/150

Baseline characteristics

The Baseline Characteristics refer to the Full Analysis Set (FAS), which consisted all randomized study participants who received at least 1 dose of investigational medicinal product (IMP) and had a valid measurement of the primary efficacy variable at Baseline.

Age, Categorical
Age, Categorical(Participants)PlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgTotal Title
<=18 years000000
Between 18 and 65 years6056595660291
>=65 years0524112
Age, Continuous
Age, Continuous(years)PlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgTotal Title
Mean39.65 ± 10.3043.31 ± 12.5940.41 ± 10.9342.38 ± 13.1145.02 ± 11.3942.16 ± 11.80
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgTotal Title
Female118981147
Male4953525250256
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboBKZ 16 mgBKZ 64 mgBKZ 160 mgBKZ 320 mgTotal Title
American Indian/Alaskan Native001001
White6058605961298
Other/Mixed030104
08

Study locations

74 sites
  • As0008 019
    Anniston, Alabama 36207, United States
  • As0008 007
    La Jolla, California 92037, United States
  • As0008 009
    Upland, California 91786, United States
  • As0008 005
    Aventura, Florida 33180, United States
  • As0008 022
    Ormond Beach, Florida 32174-11, United States
  • As0008 030
    Sarasota, Florida 34239, United States
  • As0008 027
    Boston, Massachusetts 02111, United States
  • As0008 021
    Freehold, New Jersey 07728, United States
  • As0008 015
    Cleveland, Ohio 44109-19, United States
  • As0008 014
    Portland, Oregon 97239, United States
  • As0008 001
    Duncansville, Pennsylvania 16635, United States
  • As0008 020
    Austin, Texas 78731, United States
  • As0008 006
    Dallas, Texas 75231, United States
  • As0008 018
    Houston, Texas 77030, United States
  • As0008 002
    Seattle, Washington 98122, United States
  • As0008 156
    Dobrich, Bulgaria
  • As0008 151
    Plovdiv, Bulgaria
  • As0008 154
    Plovdiv, Bulgaria
  • As0008 155
    Plovdiv, Bulgaria
  • As0008 150
    Ruse, Bulgaria
  • As0008 101
    Quebec, Canada
  • As0008 100
    Victoria, Canada
  • As0008 103
    Winnipeg, Canada
  • As0008 205
    Brno, Czechia
  • As0008 206
    Hustopece, Czechia
  • As0008 207
    Olomouc, Czechia
  • As0008 208
    Pardubice, Czechia
  • As0008 210
    Praha 11, Czechia
  • As0008 202
    Praha 2, Czechia
  • As0008 201
    Praha 4, Czechia
  • As0008 209
    Praha 4, Czechia
  • As0008 211
    Praha, Czechia
  • As0008 203
    Zlín, Czechia
  • As0008 302
    Cologne, Germany
  • As0008 304
    Hamburg, Germany
  • As0008 308
    Hannover, Germany
  • As0008 303
    Herne, Germany
  • As0008 301
    Ratingen, Germany
  • As0008 400
    Budapest, Hungary
  • As0008 403
    Budapest, Hungary
  • As0008 402
    Debrecen, Hungary
  • As0008 401
    Veszprem, Hungary
  • As0008 466
    Bydgoszcz, Poland
  • As0008 453
    Elblag, Poland
  • As0008 456
    Elblag, Poland
  • As0008 455
    Krakow, Poland
  • As0008 461
    Lublin, Poland
  • As0008 467
    Nowa Sol, Poland
  • As0008 451
    Poznan, Poland
  • As0008 462
    Poznan, Poland
  • As0008 450
    Torun, Poland
  • As0008 454
    Warszawa, Poland
  • As0008 459
    Warszawa, Poland
  • As0008 457
    Wroclaw, Poland
  • As0008 460
    Wroclaw, Poland
  • As0008 465
    Wroclaw, Poland
  • As0008 601
    Moscow, Russian Federation
  • As0008 604
    Moscow, Russian Federation
  • As0008 605
    Moscow, Russian Federation
  • As0008 607
    Moscow, Russian Federation
  • As0008 600
    Saint Petersburg, Russian Federation
  • As0008 606
    Saint Petersburg, Russian Federation
  • As0008 608
    Saint Petersburg, Russian Federation
  • As0008 609
    Saint Petersburg, Russian Federation
  • As0008 610
    Saint Petersburg, Russian Federation
  • As0008 800
    Cordoba, Spain
  • As0008 801
    La Coruna, Spain
  • As0008 803
    Santiago de Compostela, Spain
  • As0008 700
    Kiev, Ukraine
  • As0008 707
    Kyiv, Ukraine
  • As0008 705
    Ternopil, Ukraine
  • As0008 708
    Uzhgorod, Ukraine
  • As0008 706
    Vinnytsya, Ukraine
  • As0008 704
    Zaporizhya, Ukraine
09

References and documents

Publications

  • van der Heijde D, Gensler LS, Deodhar A, Baraliakos X, Poddubnyy D, Kivitz A, Farmer MK, Baeten D, Goldammer N, Coarse J, Oortgiesen M, Dougados M. Dual neutralisation of interleukin-17A and interleukin-17F with bimekizumab in patients with active ankylosing spondylitis: results from a 48-week phase IIb, randomised, double-blind, placebo-controlled, dose-ranging study. Ann Rheum Dis. 2020 May;79(5):595-604. doi: 10.1136/annrheumdis-2020-216980. Epub 2020 Apr 6. Erratum In: Ann Rheum Dis. 2020 Sep;79(9):e121. doi: 10.1136/annrheumdis-2020-216980corr1. Ann Rheum Dis. 2021 Nov;80(11):e186. doi: 10.1136/annrheumdis-2020-216980corr2. PubMed 32253184 ↗
  • Robinson PC, Machado PM, Haroon N, Gensler LS, Reveille JD, Taieb V, Vaux T, Fleurinck C, Oortgiesen M, de Peyrecave N, Deodhar A. Minimal Impact of the COVID-19 Pandemic on Disease Activity and Health-Related Quality of Life in Patients With Ankylosing Spondylitis Receiving Bimekizumab: Exploratory Analyses From a Phase 2b Open-Label Extension Study. ACR Open Rheumatol. 2022 Sep;4(9):819-824. doi: 10.1002/acr2.11486. Epub 2022 Jul 14. PubMed 35833532 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02963506
Responsible party
Sponsor
First posted
Nov 15, 2016
Start date
Oct 2016
Primary completion
Oct 2017
Completion
Aug 2018
Results posted
Nov 16, 2020
Last update
Jun 6, 2023

Study contacts

UCB Cares
study director · +1 844 599 2273(UCB)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Bimekizumab

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