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CompletedNCT03259074SURPASSUpdated Aug 21, 2023Results posted

Effect of Secukinumab on Radiographic Progression in Ankylosing Spondylitis as Compared to GP2017 (Adalimumab Biosimilar)

A Phase 3 interventional study of Placebo and GP2017 (adalimumab biosimilar) in Ankylosing Spondylitis, sponsored by Novartis Pharmaceuticals. Completed at 171 sites in 29 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-08-21.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
859
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 20 studies testing secukinumab in Spondylitis, Ankylosing — 3 open to participants now, 4 under way, none of them phase 3. secukinumab · Spondylitis, Ankylosing.

Enrollment
Largest of 20
859 · median 223
Started
2017
with 1 other
Phase 3
11 of 20
none open now
Registered
13th of 20
by date
Lead sponsor
15 of 20
Novartis Pharmaceuticals

Among the 20 studies testing secukinumab in Spondylitis, Ankylosing, this one has the largest enrollment, is one of 2 that started in 2017, is one of 11 in phase 3, and was the 13th registered.

Spondylitis, Ankylosing

533 studies on the registry are indexed under Spondylitis, Ankylosing; 99 are open to participants now.

Browse Spondylitis, Ankylosing studies →

Open to participants now

3 of the 20 studies testing secukinumab in Spondylitis, Ankylosing are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About secukinumab

secukinumab: first FDA approval 2015 (COSENTYX), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 63 Spondylitis, Ankylosing studies recruiting now, 25 (40%) set no upper age limit and 32 (51%) stop at 75 or younger; 10 take children under 18; 15 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies testing secukinumab in Spondylitis, Ankylosing, or all of them as a file.
02

Study summary

The purpose of this study is to demonstrate the impact of secukinumab on the progression of structural damage in the spine, as measured by the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) in patients with Ankylosing Spondylitis (AS).

Read the detailed description

This was a Phase IIIb, multi-center, randomized, partially-blinded, active-controlled, parallel-group design in subjects with AS. The study consisted of a screening period (up to 10 weeks before randomization), a treatment period (104 weeks), and two follow-up visits (Weeks 112 and 120).

Subjects in both secukinumab dose groups received study treatment at baseline, Weeks 1, 2, 3 and 4 followed by treatment every 4 weeks through Week 100. Subjects in the GP2017 group received study treatment at baseline and every two weeks through Week 102. Subjects could self-administer all secukinumab / placebo and GP2017 doses at the study site or at home. Study treatment (secukinumab vs. GP2017) was provided in an open-label fashion. Subjects in the secukinumab groups were blinded to the dose (150 mg vs. 300 mg). Subjects who received rescue treatment with prohibited medications were allowed to remain in the study but had to discontinue study treatment. Subjects were treated for 104 weeks with two follow-up visits (Weeks 112 and 120).

A total of 859 subjects were randomized to treatment at 171 sites in 30 countries in Europe, North America, South America, and Asia.

.

03

Conditions studied

  • Ankylosing Spondylitis

Keywords

  • ankylosing spondylitis
  • AS
  • secukinumab
  • GP2017
  • adalimumab biosimilar
  • mSASSS
  • ASAS20
  • ASAS40
  • adult
  • r-axSpA
  • AIN457
  • radiographic
  • SURPASS
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

  • Male or non-pregnant, non-nursing female patients at least 18 years of age
  • Diagnosis of moderate to severe Ankylosing Spondylitis with radiologic evidence (centrally read X-ray) fulfilling the Modified New York criteria for AS despite previous or current NSAID/ nonbiologic DMARD therapy
  • Active AS assessed by total BASDAI ≥ 4 on a scale of 0-10
  • Spinal pain as measured by BASDAI question #2 ≥ 4 (0-10)
  • Total back pain as measured by visual analog scale (VAS) ≥ 40 mm (0-100 mm)
  • hsCRP ≥ 5 mg/L OR presence of at least 1 syndesmophyte on centrally read spinal X-ray

Exclusion criteria

Exclusion Criteria:

  • Patients with total ankylosis of the spine
  • Pregnant or nursing (lactating) women
  • Evidence of ongoing infectious or malignant process
  • Previous exposure to any biologic immunomodulating agent, including those targeting IL-17, IL-17 receptor or TNFα
  • Subjects taking high potency opioid analgesics
  • Previous treatment with any cell-depleting therapies including but not limited to anti-CD20, agents

Other protocol-defined inclusion/exclusion criteria may apply

Terms in these criteria, in plain language(1)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
859 participants (actual)

Study arms

  • Experimental
    AIN457 150 mg/placebo

    AIN457 150 mg and a matching placebo was administered subcutaneously via pre-filled syringes at Baseline, Weeks 1, 2, 3 and 4, followed by dosing every 4 weeks until Week 100

    Biological: Placebo · Biological: AIN457 150 mg

  • Experimental
    AIN457 300 mg

    AIN457 300 mg (2 x 150 mg) was administered subcutaneously via pre-filled syringes at Baseline, Weeks 1, 2, 3 and 4, followed by dosing every 4 weeks until Week 100

    Biological: AIN457 150 mg

  • Active comparator
    GP2017 40mg

    GP2017 (adalimumab biosimilar) 40 mg was administered subcutaneously via pre-filled syringes at Baseline followed by dosing every 2 weeks until Week 102

    Biological: GP2017 (adalimumab biosimilar)

Interventions

  • BiologicalPlacebo

    Matching placebo to AIN457 150 mg dose administered with AIN457 via pre-filled syringes

  • BiologicalGP2017 (adalimumab biosimilar)

    40 mg in pre-filled syringes was administered subcutaneously

    Also known as: adalimumab biosimilar

  • BiologicalAIN457 150 mg

    150 mg in pre-filled syringes was administered subcutaneously

    Also known as: secukinumab

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With no Radiographic Progression at Week 104 (Multiple Imputation) (Full Analysis Set)

    Radiographic progression was based on scores from the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS). The mSASSS is the sum of scores assessing the vertebral corners of the lumbar and cervical spine as 0 (normal), 1 (erosion, sclerosis, or squaring), 2 (syndesmophyte), or 3 (bridging syndesmophyte) with a total range from 0-72. No radiographic progression was defined as the change from baseline in mSASSS score \<= 0.5.

    Time frame: Baseline and at Week 104

Secondary outcomes

  1. Change From Baseline in mSASSS at Week 104 (Multiple Imputation) (Full Analysis Set)

    Radiographic changes in the spine were based on the change in score of the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) from baseline to Week 104. The mSASSS is the sum of scores assessing the vertebral corners of the lumbar and cervical spine as 0 (normal), 1 (erosion, sclerosis, or squaring), 2 (syndesmophyte), or 3 (bridging syndesmophyte) with a total range from 0-72.

    Time frame: Baseline and at Week 104

  2. Percentage of Participants Without New Syndesmophytes by mSASSS Between Baseline and Week 104 (Multiple Imputation) (Syndesmophyte Subset)

    Syndesmophytes are bony growths that develop on corner of the vertebrae of the spine which are indicators of AS. A participant was considered to have a syndesmophyte if at least one reader assessed vertebral corner as \>= 2 at on the mSASSS scale at baseline. Only participants with a syndesmophyte at baseline were evaluated at Week 104 for new syndesmophytes. A new syndesmophyte was a syndesmophyte present at Week 104 which was not present at baseline. Absence of new syndesmophyte was defined as having individual vertebral score \< 2 on the mSASSS scale for all interpretable locations that had no syndesmophyte at baseline. Missing responses for subjects without new syndesmophyte at Week 104 were imputed by multiple imputation (MCMC).

    Time frame: Baseline and at Week 104

  3. Change From Baseline in MRI Berlin Sacroiliac (SI) Joint Edema Score (Observed Data) (MRI Subset)

    Magnetic Resonance Images (MRI) of the Sacroiliac Joint (SIJ) were assessed for the presence and severity of SIJ bone marrow edema according to the Berlin Active Inflammatory Lesions Scoring with a minimum score of 0 and a maximum score of 24. Higher scores indicate more inflammation.

    Time frame: Baseline and at Week 104

  4. Change From Baseline in Berlin Modification of ASspiMRI-a Edema Score (MRI Subset)

    Magnetic Resonance Images (MRI) of the spine were assessed for the presence and severity of bone marrow edema in the spinal vertebrae according to the Berlin modification of the ASspiMRI-a edema score with a score range of 0 to 69. Higher scores indicate more inflammation.

    Time frame: Baseline and at Week 104

  5. Percentage of Responders for Assessment of SpondyloArthritis International Society 20 (ASAS20)

    Assessment of SpondyloArthritis International Society criteria (ASAS) consist of 4 domains measured on visual analog scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by Bath Ankylosing Spondylitis Functional Index (BASFI) average of 10 questions; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). ASAS 20 response is defined as an improvement of ≥20% and ≥1 unit on a scale of 10 in at least three of the four main domains and no worsening of ≥20% and ≥1 unit on a scale of 10 in the remaining domain. A higher score on the VAS signifies higher severity.

    Time frame: Week 104

  6. Percentage of Responders for Assessment of SpondyloArthritis International Society 40 (ASAS 40)

    Assessment of SpondyloArthritis International Society criteria (ASAS) consist of 4 domains measured on visual analog scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by Bath Ankylosing Spondylitis Functional Index (BASFI) average of 10 questions; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). ASAS40 response is defined as an improvement of ≥40% and ≥2 units on a scale of 10 in at least three of the four ASAS main domains and no worsening at all in the remaining domain. A higher score on the VAS signifies higher severity.

    Time frame: Week 104

  7. Percentage of Responders for Assessment of SpondyloArthritis International Society With a Partial Remission Response (Full Analysis Set)

    The Assessment of SpondyloArthritis International Society (ASAS) partial remission response criteria consisted of the following assessment domains measured on visual analogue scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by BASFI average of 10 questions regarding ability to perform specific tasks; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). The ASAS partial remission criteria was defined as a value not above 2 units in each of the four domains on a scale of 10.

    Time frame: Week 104

  8. Percentage of Participants With Assessment of SpondyloArthritis International Society for Inactive Disease Response (Observed Data) (Full Analysis Set)

    The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. Parameters used for the ASDAS include spinal pain (BASDAI question 2), the patient's global assessment of disease activity, peripheral pain/swelling (BASDAI question 3), duration of morning stiffness (BASDAI question 6) and C-reactive protein (CRP) in mg/L (Sieper 2009, Lukas 2009). Disease activity states are inactive disease, moderate disease activity, high disease activity, and very high disease activity. The 3 values selected to separate these states were \< 1.3 between inactive disease and moderate disease activity, \< 2.1 between moderate disease activity and high disease activity, and \> 3.5 between high disease activity and very high disease activity. Selected cutoffs for improvement scores were a change ≥ 1.1 unit for "minimal clinically important improvement" and a change ≥ 2.0 units for "major improvement" (Machado 2011).

    Time frame: Week 104

07

Results

Posted Mar 9, 2023

Participant flow

Participant flow — Overall Study
MilestoneAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Started287286286
Completed254237243
Not completed334943
Withdrew: Adverse event9128
Withdrew: Death113
Withdrew: Lost to follow-up243
Withdrew: New therapy for study indication122
Withdrew: Physician decision41210
Withdrew: Pregnancy110
Withdrew: Progressive disease100
Withdrew: Protocol deviation113
Withdrew: Subject/guardian decision131614

Outcome measures

PrimaryPercentage of Participants With no Radiographic Progression at Week 104 (Multiple Imputation) (Full Analysis Set)

Radiographic progression was based on scores from the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS). The mSASSS is the sum of scores assessing the vertebral corners of the lumbar and cervical spine as 0 (normal), 1 (erosion, sclerosis, or squaring), 2 (syndesmophyte), or 3 (bridging syndesmophyte) with a total range from 0-72. No radiographic progression was defined as the change from baseline in mSASSS score \<= 0.5.

Time frame:
Baseline and at Week 104
Reported as:
Number · Percentage of participants
Percentage of Participants With no Radiographic Progression at Week 104 (Multiple Imputation) (Full Analysis Set)
Percentage of participantsAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Percentage of Participants With no Radiographic Progression at Week 104 (Multiple Imputation) (Full Analysis Set)66.166.965.6
Statistical analysis
  • AIN457 150 mg/Placebo vs GP2017 40mg · Regression, Logistic · p = 0.7164 (Logistic regression model with treatment as a factor and baseline mSASSS score as a covariate using marginal standardization method.) · Marginal difference: 1.51 · 95% CI -6.63 to 9.64
  • AIN457 300 mg vs GP2017 40mg · Regression, Logistic · p = 0.6925 · Marginal difference: 1.67 · 95% CI -6.61 to 9.95Logistic regression model with treatment as a factor and baseline mSASSS score as a covariate using marginal standardization method.
SecondaryChange From Baseline in mSASSS at Week 104 (Multiple Imputation) (Full Analysis Set)

Radiographic changes in the spine were based on the change in score of the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) from baseline to Week 104. The mSASSS is the sum of scores assessing the vertebral corners of the lumbar and cervical spine as 0 (normal), 1 (erosion, sclerosis, or squaring), 2 (syndesmophyte), or 3 (bridging syndesmophyte) with a total range from 0-72.

Time frame:
Baseline and at Week 104
Reported as:
Least squares mean · mSASSS scores
Change From Baseline in mSASSS at Week 104 (Multiple Imputation) (Full Analysis Set)
mSASSS scoresAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Change From Baseline in mSASSS at Week 104 (Multiple Imputation) (Full Analysis Set)0.54 ± 0.1750.55 ± 0.1800.72 ± 0.177
Statistical analysis
  • AIN457 150 mg/Placebo vs GP2017 40mg · Ls mean difference: -0.18 · 95% CI -0.646 to 0.293ANCOVA model with treatment as a factor and baseline mSASSS score as a covariate.
  • AIN457 300 mg vs GP2017 40mg · Ls mean difference: -0.16 · 95% CI -0.639 to 0.315ANCOVA model with treatment as a factor and baseline mSASSS score as a covariate.
SecondaryPercentage of Participants Without New Syndesmophytes by mSASSS Between Baseline and Week 104 (Multiple Imputation) (Syndesmophyte Subset)

Syndesmophytes are bony growths that develop on corner of the vertebrae of the spine which are indicators of AS. A participant was considered to have a syndesmophyte if at least one reader assessed vertebral corner as \>= 2 at on the mSASSS scale at baseline. Only participants with a syndesmophyte at baseline were evaluated at Week 104 for new syndesmophytes. A new syndesmophyte was a syndesmophyte present at Week 104 which was not present at baseline. Absence of new syndesmophyte was defined as having individual vertebral score \< 2 on the mSASSS scale for all interpretable locations that had no syndesmophyte at baseline. Missing responses for subjects without new syndesmophyte at Week 104 were imputed by multiple imputation (MCMC).

Time frame:
Baseline and at Week 104
Reported as:
Number · Percentage of participants
Percentage of Participants Without New Syndesmophytes by mSASSS Between Baseline and Week 104 (Multiple Imputation) (Syndesmophyte Subset)
Percentage of participantsAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Percentage of Participants Without New Syndesmophytes by mSASSS Between Baseline and Week 104 (Multiple Imputation) (Syndesmophyte Subset)56.953.853.3
Statistical analysis
  • AIN457 150 mg/Placebo vs AIN457 300 mg · Marginal difference: 4.32 · 95% CI -5.62 to 14.27Logistic regression model with treatment as a factor and baseline count of vertebral corners with syndesmophyte as a covariate using marginal standardization method.
  • AIN457 300 mg vs GP2017 40mg · Marginal difference: 1.09 · 95% CI -9.13 to 11.31Logistic regression model with treatment as a factor and baseline count of vertebral corners with syndesmophyte as a covariate using marginal standardization method.
SecondaryChange From Baseline in MRI Berlin Sacroiliac (SI) Joint Edema Score (Observed Data) (MRI Subset)

Magnetic Resonance Images (MRI) of the Sacroiliac Joint (SIJ) were assessed for the presence and severity of SIJ bone marrow edema according to the Berlin Active Inflammatory Lesions Scoring with a minimum score of 0 and a maximum score of 24. Higher scores indicate more inflammation.

Time frame:
Baseline and at Week 104
Reported as:
Least squares mean · scores on a scale
Change From Baseline in MRI Berlin Sacroiliac (SI) Joint Edema Score (Observed Data) (MRI Subset)
scores on a scaleAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Change From Baseline in MRI Berlin Sacroiliac (SI) Joint Edema Score (Observed Data) (MRI Subset)-1.527 ± 0.1057-1.378 ± 0.1097-1.710 ± 0.1087
Statistical analysis
  • AIN457 150 mg/Placebo vs GP2017 40mg · Ls means: 0.183 · 95% CI -0.12 to 0.48LS Means and 95% CI are from an ANCOVA model with treatment as a factor, baseline Berlin SI joint edema score as a covariate.
  • AIN457 300 mg vs GP2017 40mg · Ls means: 0.332 · 95% CI 0.03 to 0.64LS Means and 95% CI are from an ANCOVA model with treatment as a factor, baseline Berlin SI joint edema score as a covariate.
SecondaryChange From Baseline in Berlin Modification of ASspiMRI-a Edema Score (MRI Subset)

Magnetic Resonance Images (MRI) of the spine were assessed for the presence and severity of bone marrow edema in the spinal vertebrae according to the Berlin modification of the ASspiMRI-a edema score with a score range of 0 to 69. Higher scores indicate more inflammation.

Time frame:
Baseline and at Week 104
Reported as:
Least squares mean · Berlin mod. of ASspiMRI-a edema scores
Change From Baseline in Berlin Modification of ASspiMRI-a Edema Score (MRI Subset)
Berlin mod. of ASspiMRI-a edema scoresAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mg
Change From Baseline in Berlin Modification of ASspiMRI-a Edema Score (MRI Subset)-1.224 ± 0.2306-1.683 ± 0.2373-2.101 ± 0.2378
Statistical analysis
  • AIN457 150 mg/Placebo vs GP2017 40mg · Ls means: 0.877 · 95% CI 0.22 to 1.53LS Means and 95% CI are from an ANCOVA model with treatment as a factor, baseline Berlin SI joint edema score as a covariate.
  • AIN457 300 mg vs GP2017 40mg · Ls means: 0.419 · 95% CI -0.24 to 1.08LS Means and 95% CI are from an ANCOVA model with treatment as a factor, baseline Berlin SI joint edema score as a covariate.
SecondaryPercentage of Responders for Assessment of SpondyloArthritis International Society 20 (ASAS20)

Assessment of SpondyloArthritis International Society criteria (ASAS) consist of 4 domains measured on visual analog scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by Bath Ankylosing Spondylitis Functional Index (BASFI) average of 10 questions; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). ASAS 20 response is defined as an improvement of ≥20% and ≥1 unit on a scale of 10 in at least three of the four main domains and no worsening of ≥20% and ≥1 unit on a scale of 10 in the remaining domain. A higher score on the VAS signifies higher severity.

Time frame:
Week 104
Reported as:
Number · Percentage of participants
Percentage of Responders for Assessment of SpondyloArthritis International Society 20 (ASAS20)
Percentage of participantsAIN457 150 mg/PlaceboAIN457 300 mg
Percentage of Responders for Assessment of SpondyloArthritis International Society 20 (ASAS20)83.1 (77.8 to 87.4)82.9 (77.3 to 87.4)
Statistical analysis
  • AIN457 150 mg/Placebo vs AIN457 300 mg · Marginal difference: 1.54 · 95% CI -5.10 to 8.18Estimated mean, marginal difference and 95% confidence interval are from a logistic regression model with treatment as a factor using marginal standardization method
SecondaryPercentage of Responders for Assessment of SpondyloArthritis International Society 40 (ASAS 40)

Assessment of SpondyloArthritis International Society criteria (ASAS) consist of 4 domains measured on visual analog scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by Bath Ankylosing Spondylitis Functional Index (BASFI) average of 10 questions; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). ASAS40 response is defined as an improvement of ≥40% and ≥2 units on a scale of 10 in at least three of the four ASAS main domains and no worsening at all in the remaining domain. A higher score on the VAS signifies higher severity.

Time frame:
Week 104
Reported as:
Number · Percentage of participants
Percentage of Responders for Assessment of SpondyloArthritis International Society 40 (ASAS 40)
Percentage of participantsAIN457 150 mg/PlaceboAIN457 300 mg
Percentage of Responders for Assessment of SpondyloArthritis International Society 40 (ASAS 40)69.9 (63.7 to 75.4)73.5 (67.3 to 78.9)
Statistical analysis
  • AIN457 150 mg/Placebo vs AIN457 300 mg · Marginal difference: -2.34 · 95% CI -10.18 to 5.51Estimated mean, marginal difference and 95% confidence interval are from a logistic regression model with treatment as a factor using marginal standardization method.
SecondaryPercentage of Responders for Assessment of SpondyloArthritis International Society With a Partial Remission Response (Full Analysis Set)

The Assessment of SpondyloArthritis International Society (ASAS) partial remission response criteria consisted of the following assessment domains measured on visual analogue scales (VAS): 1. Patient's global assessment; 2. Patient's assessment of back pain; 3. Function represented by BASFI average of 10 questions regarding ability to perform specific tasks; 4. Inflammation represented by mean duration and severity of morning stiffness, on the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). The ASAS partial remission criteria was defined as a value not above 2 units in each of the four domains on a scale of 10.

Time frame:
Week 104
Reported as:
Number · Percentage participants
Percentage of Responders for Assessment of SpondyloArthritis International Society With a Partial Remission Response (Full Analysis Set)
Percentage participantsAIN457 150 mg/PlaceboAIN457 300 mg
Percentage of Responders for Assessment of SpondyloArthritis International Society With a Partial Remission Response (Full Analysis Set)31.5 (25.9 to 37.7)30.2 (24.5 to 36.6)
Statistical analysis
  • AIN457 150 mg/Placebo vs AIN457 300 mg · Marginal difference · Marginal difference: 2.18 · 95% CI -5.34 to 9.69Estimated mean, marginal difference and 95% confidence interval are from a logistic regression model with treatment as a factor using marginal standardization method
SecondaryPercentage of Participants With Assessment of SpondyloArthritis International Society for Inactive Disease Response (Observed Data) (Full Analysis Set)

The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. Parameters used for the ASDAS include spinal pain (BASDAI question 2), the patient's global assessment of disease activity, peripheral pain/swelling (BASDAI question 3), duration of morning stiffness (BASDAI question 6) and C-reactive protein (CRP) in mg/L (Sieper 2009, Lukas 2009). Disease activity states are inactive disease, moderate disease activity, high disease activity, and very high disease activity. The 3 values selected to separate these states were \< 1.3 between inactive disease and moderate disease activity, \< 2.1 between moderate disease activity and high disease activity, and \> 3.5 between high disease activity and very high disease activity. Selected cutoffs for improvement scores were a change ≥ 1.1 unit for "minimal clinically important improvement" and a change ≥ 2.0 units for "major improvement" (Machado 2011).

Time frame:
Week 104
Reported as:
Number · Percentage of participants
Percentage of Participants With Assessment of SpondyloArthritis International Society for Inactive Disease Response (Observed Data) (Full Analysis Set)
Percentage of participantsAIN457 150 mg/PlaceboAIN457 300 mg
Percentage of Participants With Assessment of SpondyloArthritis International Society for Inactive Disease Response (Observed Data) (Full Analysis Set)31.1 (25.5 to 37.4)31.7 (25.7 to 38.3)
Statistical analysis
  • AIN457 150 mg/Placebo vs AIN457 300 mg · Marginal difference: 0.33 · 95% CI -7.08 to 7.74Estimated mean, marginal difference and 95% confidence interval are from a logistic regression model with treatment as a factor using marginal standardization method

Adverse events

Collected over Adverse events were reported from first dose of study treatment until end of study treatment plus 84 days up to a maximum of 900 days for AIN 457 and 939 days for GP2017.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AIN457 150 mg/Placebo1/286 (0.3%)40/286 (14%)106/286 (37.1%)
AIN457 300 mg1/285 (0.4%)29/285 (10.2%)107/285 (37.5%)
GP2017 40 mg3/285 (1.1%)32/285 (11.2%)99/285 (34.7%)
Most frequent serious events
Showing 10 of 93
Most frequent serious events
EventAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40 mg
Crohn's diseaseGastrointestinal disorders2/2863/2850/285
ColitisGastrointestinal disorders3/2860/2850/285
OsteoarthritisMusculoskeletal and connective tissue disorders3/2861/2851/285
Pancreatitis acuteGastrointestinal disorders1/2860/2852/285
PneumoniaInfections and infestations0/2861/2852/285
PyelonephritisInfections and infestations0/2862/2850/285
Urinary tract infectionInfections and infestations0/2860/2852/285
IridocyclitisEye disorders2/2861/2850/285
Cardiac failureCardiac disorders0/2860/2851/285
Retinal detachmentEye disorders0/2860/2851/285
Most frequent other events
Most frequent other events
EventAIN457 150 mg/PlaceboAIN457 300 mgGP2017 40 mg
NasopharyngitisInfections and infestations47/28640/28544/285
Upper respiratory tract infectionInfections and infestations17/28625/28518/285
DiarrhoeaGastrointestinal disorders20/28622/28511/285
Ankylosing spondylitisMusculoskeletal and connective tissue disorders11/28617/28512/285
HeadacheNervous system disorders16/28617/28517/285
ArthralgiaMusculoskeletal and connective tissue disorders16/28613/28512/285
HypertensionVascular disorders11/28611/28515/285

Baseline characteristics

Age, Continuous
Age, Continuous(years)AIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mgTotal
Mean42.1 ± 11.9942.2 ± 12.4741.9 ± 12.6842.1 ± 12.37
Sex: Female, Male
Sex: Female, Male(Participants)AIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mgTotal
Female576365185
Male230223221674
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)AIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mgTotal
White225227228680
Black or African American1203
Asian403950129
American Indian or Alaska Native1915741
Other1001
Multiple1315
Modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) scores
Modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) scores(score on a scale)AIN457 150 mg/PlaceboAIN457 300 mgGP2017 40mgTotal
Mean17.602 ± 21.328616.527 ± 20.815315.695 ± 19.495516.609 ± 20.5506
08

Study locations

171 sites
  • Novartis Investigative Site
    Mesa, Arizona 85202, United States
  • Novartis Investigative Site
    Escondido, California 92025, United States
  • Novartis Investigative Site
    La Mesa, California 91942, United States
  • Novartis Investigative Site
    San Francisco, California 94143 0138, United States
  • Novartis Investigative Site
    Gainesville, Florida 32607, United States
  • Novartis Investigative Site
    Boise, Idaho 83702, United States
  • Novartis Investigative Site
    Shreveport, Louisiana 71101, United States
  • Novartis Investigative Site
    Wheaton, Maryland 20902, United States
  • Novartis Investigative Site
    Great Falls, Montana 59405, United States
  • Novartis Investigative Site
    Lincoln, Nebraska 68516, United States
  • Novartis Investigative Site
    Greensboro, North Carolina 27408, United States
  • Novartis Investigative Site
    Dayton, Ohio 45402, United States
  • Novartis Investigative Site
    Middleburg Heights, Ohio 44130, United States
  • Novartis Investigative Site
    Portland, Oregon 97239, United States
  • Novartis Investigative Site
    Duncansville, Pennsylvania 16635, United States
  • Novartis Investigative Site
    Memphis, Tennessee 38119, United States
  • Novartis Investigative Site
    Mesquite, Texas 75150, United States
  • Novartis Investigative Site
    Kennewick, Washington 99336, United States
  • Novartis Investigative Site
    Franklin, Wisconsin 53132, United States
  • Novartis Investigative Site
    Ciudad Autonoma de Bs As, C1428AZF, Argentina
  • Novartis Investigative Site
    Malvern East, Victoria 3145, Australia
  • Novartis Investigative Site
    Bruxelles, 1070, Belgium
  • Novartis Investigative Site
    Genk, 3600, Belgium
  • Novartis Investigative Site
    Winnipeg, Manitoba R3A 1M1, Canada
  • Novartis Investigative Site
    Barrie, Ontario L4M 6L2, Canada
  • Novartis Investigative Site
    Trois Rivieres, Quebec G8Z 1Y2, Canada
  • Novartis Investigative Site
    Quebec, G1V 3M7, Canada
  • Novartis Investigative Site
    Santiago, RM 7500588, Chile
  • Novartis Investigative Site
    Concepcion, Chile
  • Novartis Investigative Site
    Santiago, 8207257, Chile
  • Novartis Investigative Site
    Santiago, Chile
  • Novartis Investigative Site
    Bucaramanga, Santander 0001, Colombia
  • Novartis Investigative Site
    Barranquilla, 080020, Colombia
  • Novartis Investigative Site
    Brno-Zidonice, CZE 61500, Czechia
  • Novartis Investigative Site
    Brno, 63800, Czechia
  • Novartis Investigative Site
    Praha 11, 14900, Czechia
  • Novartis Investigative Site
    Praha 2, 128 50, Czechia
  • Novartis Investigative Site
    Uherske Hradiste, 686 01, Czechia
  • Novartis Investigative Site
    Aalborg, DK 9000, Denmark
  • Novartis Investigative Site
    Copenhagen, 2100, Denmark
  • Novartis Investigative Site
    Joensuu, 80210, Finland
  • Novartis Investigative Site
    Nice, Cedex1 06001, France
  • Novartis Investigative Site
    Boulogne Billancourt, 92104, France
  • Novartis Investigative Site
    Le Mans, 72037, France
  • Novartis Investigative Site
    Monaco, 98000, France
  • Novartis Investigative Site
    Paris Cedex 14, 75679, France
  • Novartis Investigative Site
    Paris, 75012, France
  • Novartis Investigative Site
    Toulouse, 31059, France
  • Novartis Investigative Site
    Bad Doberan, 18209, Germany
  • Novartis Investigative Site
    Bayreuth, 95444, Germany
  • Novartis Investigative Site
    Berlin, 12163, Germany
  • Novartis Investigative Site
    Berlin, 13125, Germany
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Berlin, 14059, Germany
  • Novartis Investigative Site
    Chemnitz, 09130, Germany
  • Novartis Investigative Site
    Erlangen, 91056, Germany
  • Novartis Investigative Site
    Gottingen, 37075, Germany
  • Novartis Investigative Site
    Hamburg, 20095, Germany
  • Novartis Investigative Site
    Hamburg, 22415, Germany
  • Novartis Investigative Site
    Herne, 44649, Germany
  • Novartis Investigative Site
    Magdeburg, 39110, Germany
  • Novartis Investigative Site
    Planegg, 82152, Germany
  • Novartis Investigative Site
    Ratingen, 40878, Germany
  • Novartis Investigative Site
    Thessaloniki, GR 564 29, Greece
  • Novartis Investigative Site
    Athens, 115 27, Greece
  • Novartis Investigative Site
    Athens, 145 61, Greece
  • Novartis Investigative Site
    Haifa, 3109601, Israel
  • Novartis Investigative Site
    Haifa, 3339419, Israel
  • Novartis Investigative Site
    Tel Aviv, 6423906, Israel
  • Novartis Investigative Site
    Nishinomiya, Hyogo 663 8501, Japan
  • Novartis Investigative Site
    Kita-gun, Kagawa 761-0793, Japan
  • Novartis Investigative Site
    Nankoku city, Kochi 783 8505, Japan
  • Novartis Investigative Site
    Tenri, Nara 632-8552, Japan
  • Novartis Investigative Site
    Bunkyo ku, Tokyo 113-8431, Japan
  • Novartis Investigative Site
    Chuo ku, Tokyo 104-8560, Japan
  • Novartis Investigative Site
    Meguro, Tokyo 153-8515, Japan
  • Novartis Investigative Site
    Shinjuku-ku, Tokyo 160 8582, Japan
  • Novartis Investigative Site
    Seoul, Seocho Gu 06591, Korea, Republic of
  • Novartis Investigative Site
    Gwangju, 61469, Korea, Republic of
  • Novartis Investigative Site
    Seoul, 03080, Korea, Republic of
  • Novartis Investigative Site
    Seoul, 04763, Korea, Republic of
  • Novartis Investigative Site
    Seoul, 05278, Korea, Republic of
  • Novartis Investigative Site
    Seoul, 06273, Korea, Republic of
  • Novartis Investigative Site
    Mexicali, Baja California 21100, Mexico
  • Novartis Investigative Site
    Torreon, Coahulia 27000, Mexico
  • Novartis Investigative Site
    Culiacan, MEX 80000, Mexico
  • Novartis Investigative Site
    Monterrey, Nuevo Leon 64460, Mexico
  • Novartis Investigative Site
    San Luis potosi, 78213, Mexico
  • Novartis Investigative Site
    Leiden, Zuid-Holland 2333 ZA, Netherlands
  • Novartis Investigative Site
    Amsterdam, 1105 AZ, Netherlands
  • Novartis Investigative Site
    Leeuwarden, 8934 AD, Netherlands
  • Novartis Investigative Site
    Maastricht, 6229 HX, Netherlands
  • Novartis Investigative Site
    Rotterdam, 3079 DZ, Netherlands
  • Novartis Investigative Site
    Jesus Maria, Lima 11, Peru
  • Novartis Investigative Site
    San Isidro, Lima 27, Peru
  • Novartis Investigative Site
    Santiago de Surco, Lima 33, Peru
  • Novartis Investigative Site
    Lima, 1, Peru
  • Novartis Investigative Site
    Manila, 1008, Philippines
  • Novartis Investigative Site
    Quezon City, 1102, Philippines
  • Novartis Investigative Site
    Quezon City, 1118, Philippines

Showing the first 100 of 171 sites across 29 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Sieper J, Poddubnyy D. Twenty years of clinical trials in axial spondyloarthritis: what can we learn for the future? Curr Opin Rheumatol. 2021 Jul 1;33(4):363-369. doi: 10.1097/BOR.0000000000000804. PubMed 33978600 ↗
  • Baraliakos X, Ostergaard M, Gensler LS, Poddubnyy D, Lee EY, Kiltz U, Martin R, Sawata H, Readie A, Porter B; SURPASS Study Group. Comparison of the Effects of Secukinumab and Adalimumab Biosimilar on Radiographic Progression in Patients with Ankylosing Spondylitis: Design of a Randomized, Phase IIIb Study (SURPASS). Clin Drug Investig. 2020 Mar;40(3):269-278. doi: 10.1007/s40261-020-00886-7. PubMed 31983056 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Nov 2021, 47 months.

Results were first posted in Mar 2023, 1 year 3 months after primary completion. A results delay was requested in Jul 2022.

Of 38 industry-sponsored phase 3 interventional studies under Spondylitis, Ankylosing, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 28. This study's 47 months is above that.

Counting every sponsor, half of 40 studies reached it within 21 months; a quarter within 15 and three quarters within 32.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 21, 2017
First posted
Aug 23, 2017
StartActual
Nov 30, 2017
Primary completionActual
Nov 12, 2021
CompletionActual
Nov 29, 2021
Results delay requested
Jul 8, 2022
Results first posted
Mar 9, 2023
Last update
Aug 21, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03259074
Responsible party
Sponsor
First posted
Aug 23, 2017
Start date
Nov 30, 2017
Primary completion
Nov 12, 2021
Completion
Nov 29, 2021
Results posted
Mar 9, 2023
Last update
Aug 21, 2023

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Secukinumab

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