ClinicalTrials.gg
CompletedNCT03350815ASLeapUpdated Apr 29, 2022Results posted

Study Estimating the Clinical Difference Between 300 mg and 150 mg of Secukinumab Following Dose Escalation to 300 mg in Patients With Ankylosing Spondylitis

A Phase 4 interventional study of 150 mg open-label secukinumab and 150 mg double-blinded secukinumab in Ankylosing Spondylitis, sponsored by Novartis Pharmaceuticals. Completed at 65 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-29.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 4, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 4
Study type
Interventional
Enrollment
322
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

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
8th of 20
322 · median 223
Started
2018
the only one that year
Phase 4
6 of 20
2 open now
Registered
14th of 20
by date
Lead sponsor
15 of 20
Novartis Pharmaceuticals

Among the 20 studies testing secukinumab in Spondylitis, Ankylosing, this one is the 8th largest by enrollment, is the only one that started in 2018, is one of 6 in phase 4, and was the 14th 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 →

This tab as a report to print or save as PDF → With an account.

Was this useful?
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

This was a study estimating the clinical difference between 300 mg and 150 mg of secukinumab following dose escalation to 300 mg in patients with ankylosing spondylitis

Read the detailed description

The study used a multicenter design which included an initial 16 week open-label period (Treatment Period 1) followed by a randomized, double-blind, parallel-group period (Treatment Period 2),

  1. Screening: A Screening Period took place over 2 separate visits, with the first visit used to assess eligibility and to washout prohibited medications (up to 11 weeks). The second Screening Visit, which occurred at a minimum of 2 weeks prior to the Baseline Visit for all patients, was used to further assess eligibility and to initiate patients on the sensor actigraphy device and morning sleep questionnaires which collected data over the 2-week Screening Period to establish Baseline data. Note: Patients who did not require a washout, and who satisfied all inclusion and none of the exclusion criteria at the first Screening Visit, could initiate the second Screening Visit 1 (SV1) week after their first Screening Visit.
  2. Treatment Period 1: Patients who met all of the inclusion criteria and none of the exclusion criteria had a Baseline Visit performed to start Treatment Period 1. During this 16-week period, all patients received open-label secukinumab 150 mg (1 x 1.0mL subcutaneously [s.c.]) at Baseline, Weeks 1, 2, 3, 4, 8, and 12.

At Week 16, patients were placed into 1 of the following groups:

  1. Responders (Rs): Patients who achieved ASDAS inactive disease (total score \< 1.3) at both Week 12 and Week 16 and who achieved a decrease (improvement) from Baseline in total ASDAS score at both Week 12 and Week 16.
  2. Inadequate responders (IRs): Patients who had active disease, defined as an ASDAS total score of ≥ 1.3 at either Week 12 or Week 16, and who achieved a decrease (improvement) from Baseline in total ASDAS score at both Week 12 and Week 16.
  3. Nonresponders: Patients who exhibited no change or an increase (worsening) from Baseline in total ASDAS score at either Week 12 or Week 16.

Note: To minimize patient burden, at the Week 16 Visit, the hs-CRP measurement that is part of the ASDAS calculation was imputed from the Week 12 hs-CRP results to allow for assignment into the groups above. Historically, hs-CRP levels have varied little between Week 12 and Week 16 or in previous studies of secukinumab in active AS.

  1. Treatment Period 2: Upon completion of the Week 16 visit,
  1. Responders entered Treatment Period 2 and continued to receive secukinumab 150 mg every 4 weeks through Week 48 as well as 1 matched placebo dose (s.c. injection) to maintain the integrity of the blind for the randomized IR group.
  2. Inadequate responders entered Treatment Period 2 and were randomized (1:1, double blinded) to secukinumab 300 mg or secukinumab 150 mg every 4 weeks through Week 48. Patients knew that they were on secukinumab, but were blinded to dose, so they did not know whether they were receiving 150 mg or 300 mg.
  3. Nonresponders were discontinued from the study at Week 16. The only condition that was placed on enrollment targets was that no less than 60% of patients (162 patients) were tumor necrosis factor alpha (TNFα) inhibitor naive (or, no more than 40% of patients were TNF-IR). In theory the percentage of TNFα inhibitor naive patients could have reached 100%, although that was not anticipated.

Patients could discontinue the study at any time. If rescue treatment with prohibited medications (as described in Section 9.4.7) occurred, patients were discontinued from the study and were to return for an End of Study Visit. The End of Study Visit was scheduled approximately 4 weeks after the last study treatment and was performed before any new treatment was initiated. After the End of Study Visit, any serious adverse events (SAEs) that occurred in the following 30 days were required to be reported.

03

Conditions studied

  • Ankylosing Spondylitis

Keywords

  • Ankylosing spondylitis
  • ASDAS inactive disease
  • secukinumab
  • ASDAS
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Understand and communicate with the investigator, comply with the requirements of the study and give a written, signed and dated
  2. Male or non-pregnant, non-lactating female patients at least 18 years of age
  3. Diagnosis of moderate to severe Ankylosing Spondylitis (AS) with prior documented radiologic evidence fulfilling the Modified New York criteria for AS
  4. Active AS assessed by total Bath Ankylosing Spondylitis Disease Activity index (BASDAI) ≥ 4 (0-10) at baseline
  5. Spinal pain as measured by BASDAI question #2 ≥ 4 cm (0-10 cm) at baseline
  6. Total back pain as measured by visual analog scale (VAS) ≥ 40 mm (0-100 mm) at baseline
  7. Patients should have been on non-steroidal anti-inflammatory drugs (NSAIDs) at the maximum tolerated dose for at least 4 weeks prior to their Baseline Visit, with an inadequate response or for less than 4 weeks if withdrawn for intolerance, toxicity or
  8. Stable dose of NSAIDs including Cyclooxygenase-1 (COX-1) or Cyclooxygenase-2 (COX-2) inhibitors for at least 2 weeks before their Baseline Visit
  9. Patients who have been on a tumor necrosis factor alpha (TNFα) inhibitor (not more than one) must have experienced an inadequate response to previous or current treatment given at an approved dose for at least 3 months prior to baseline or had been intolerant upon administration of an anti-TNFα agent

Key Exclusion Criteria:

  1. Total ankylosis of the spine
  2. Use of other drugs within 5 half-lives of enrollment, or within 4 weeks before the Baseline Visit, whichever is longer.
  3. History of to any of the study drugs or its or to drugs of similar chemical classes.
  4. Chest x-ray, computerized tomography (CT) scan, or chest magnetic resonance imaging (MRI) with evidence of ongoing infectious or malignant process, obtained within 3 months prior to screening and evaluated by a qualified physician.
  5. Previous exposure to secukinumab or any other biologic drug directly targeting Interleukin-17 (IL-17), Interleukin-12/23 (IL-12/23), or the IL-17 receptor, or any other biologic immunomodulating agent, except those targeting TNFα
  6. Patients who have taken more than one anti-TNFα agent
  7. Any intramuscular or intravenous injection within 2 weeks before baseline
  8. Any therapy by intra-articular injections (e.g. corticosteroid) within 4 weeks before baseline
  9. Previous treatment with any cell-depleting therapies
  10. Patients taking high potency opioid analgesics (e.g., methadone, hydromorphone, morphine)

Other protocol-defined inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
322 participants (actual)

Study arms

  • Active comparator
    Responders

    Patients who achieved an Ankylosing Spondylitis Disease Activity Score (ASDAS) inactive disease (total score \<1.3) at both Week 12 and Week 16.

    Drug: 150 mg open-label secukinumab · Drug: 150 mg double-blinded secukinumab

  • Active comparator
    Inadequate responders

    Patients who have active disease, defined as an Ankylosing Spondylitis Disease Activity Score (ASDAS) total score of \>1.3 at both Week 12 and Week 16, and who achieved a decrease (improvement) from baseline in total ASDAS score at both Week 12 and Week 16.

    Drug: 150 mg open-label secukinumab · Drug: 150 mg double-blinded secukinumab · Drug: 300 mg double-blinded secukinumab

  • Active comparator
    Non-responders

    Patients who exhibit no change or an increase (worsening) from baseline in total Ankylosing Spondylitis Disease Activity Score (ASDAS) score at either Week 12 or Week 16. Non-responders were not entered Treatment Period 2. Non-responders were discontinued from the study at Week 16.

    Drug: 150 mg open-label secukinumab

Interventions

  • All patients in Treatment Period 1 received 150 mg s.c. injection open-label secukinumab.

    Also known as: AIN457

  • Treatment Period 2 Patients who achieved responder status entered Treatment Period 2 and continued to receive 150 mg s.c. (1 s.c. injection of secukinumab 150 mg)

    Also known as: AIN457

  • Treatment Period 2 300 mg (2 s.c. injections of the 150 mg dose)

    Also known as: AIN457

06

What researchers measure

Primary outcomes

  1. The Proportion of Participants Who Achieved Inactive Disease Based on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Measure

    Proportion of participants with inadequate response at week 16 who achieved inactive disease at Week 52 The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. The ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score) were utilized to assess the disease activity status. * \< 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.

    Time frame: Week 52

Secondary outcomes

  1. The Proportion of Participants Who Achieved a Clinically Important Improvement on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Scale

    A reduction from baseline in ASDAS score of ≥1.1 was considered a clinically important improvement in disease activity in Ankylosing Spondylitis. In this study, ASDAS is used to estimate the difference in response between 150mg and 300mg of secukinumab. The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. The ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score) wias utilized to assess the disease activity status. * \< 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.

    Time frame: Baseline, Week 52

  2. Change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

    BASDAI is a validated assessment tool using 0 through 10 scales (0 indicating "no problem" and 10 indicating "worst problem"), to characterize six clinical domains pertaining to five major symptoms of AS perceived by the patients. Computed composite scores of 4 or greater indicate suboptimal disease control. In this study, BASDAI is used to estimate the difference in response between 150mg and 300mg of secukinumab.

    Time frame: Baseline, Week 52

  3. Proportion of Patients Who Achieved Bath Ankylosing Spondylitis Disease Activity Index 50 (BASDAI-50)

    BASDAI-50 represents a change from baseline (improvement) of at least 50% in BASDAI score. In this study, BASDAI is used to estimate the difference in response between 150mg and 300mg of secukinumab.

    Time frame: Baseline, Week 52

  4. The Proportion of Participants Who Achieved an ASAS 20 Response (Assessment of SpondyloArthritis International Society Criteria)

    ASAS 20 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 20% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS20 is used to estimate the difference in response between 150mg and 300mg of secukinumab. An ASAS20 response is defined as an improvement of ≥20% from baseline and absolute improvement from baseline of at least 1 on a 0-to-10 scale in at least 3 of the following 4 domains: patient global, total back pain, function (BASFI), and inflammation (average of the last 2 questions of the BASDAI concerning morning stiffness). An absence of deterioration from baseline (deterioration defines as ≥20% worsening and absolute worsening of at last 1 on a 0-to-10 scale) in the potential remaining domain.

    Time frame: Week 52

  5. The Proportion of Participants Who Achieved an ASAS 40 Response

    ASAS 40 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 40% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS40 is used to estimate the difference in response between 150mg and 300mg of secukinumab. An ASAS40 response is defined as a ≥40% improvement in 3 of the 4 domains with an absolute improvement of at least 2 on a 0-to-10 scale, and no worsening in the remaining domain.

    Time frame: Week 52

  6. The Proportion of Patients Who Achieved an ASAS Partial Remission

    The ASAS partial remission criteria are defined as a value not above 2 units in each of the four main domains on a scale of 0-10. In this study, ASAS partial remission is used to estimate the difference in response between 150mg and 300mg of secukinumab.

    Time frame: Week 52

  7. Change in ASAS - Health Index Over Time

    The ASAS-HI is a self-administered questionnaire and measures functioning and health over 17 aspects of health and 9 environmental factors in patients with spondyloarthritis. Patients score each item as "I agree" and "I do not agree". In this study, ASAS-HI is used to estimate the difference in response between 150mg and 300mg of secukinumab. Lower score indicating a better health status

    Time frame: Baseline, Week 52

  8. Change in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Over Time

    Fatigue was assessed using the 13-item FACIT-fatigue scale for the assessment of fatigue in cancer patients.24 The FACIT-Fatigue is a validated questionnaire that was originally developed for the precise evaluation of fatigue levels in cancer patients with anemia. It consists of 13 questions using a 5 point scale (0=not at all; 1 = a little bit, 2 = somewhat, 3 = quite a bit and 4 = very much). Responses to each question were added with equal weight to obtain a total score. The range of possible scores is 0-52, with 0 corresponding to the highest level of fatigue and 52 corresponding to the lowest level of fatigue.

    Time frame: Baseline, Week 52

07

Results

Posted Apr 8, 2022

Participant flow

322 participants were enrolled at 65 sites in the United States

Period 1
Participant flow — Period 1
MilestonePeriod 1: Secukinumab 150 mgPeriod 2: Secukinumab 300 mg (Period 1 Inadequate Responders)Secukinumab 150 mg (Period 1 Inadequate Responders)Secukinumab 150 mg (Period 1 Responders)
Started322000
Non-responders50000
Inadequate responders207000
Responders22000
Completed279000
Not completed43000
Withdrew: Adverse event10000
Withdrew: Technical problems1000
Withdrew: Lost to follow-up3000
Withdrew: Physician decision1000
Withdrew: Withdrawal by subject8000
Withdrew: Lack of efficacy15000
Withdrew: Non-compliance with study treatment2000
Withdrew: Protocol violation3000
Period 2
Participant flow — Period 2
MilestonePeriod 1: Secukinumab 150 mgPeriod 2: Secukinumab 300 mg (Period 1 Inadequate Responders)Secukinumab 150 mg (Period 1 Inadequate Responders)Secukinumab 150 mg (Period 1 Responders)
Started010210522
Completed0868822
Not completed016170
Withdrew: Adverse event0350
Withdrew: Technical problem0100
Withdrew: Lost to follow-up0330
Withdrew: Physician decision0010
Withdrew: Withdrawal by subject0340
Withdrew: Lack of efficacy0620
Withdrew: Protocol violation0010
Withdrew: New therapy for study indication0010

Outcome measures

PrimaryThe Proportion of Participants Who Achieved Inactive Disease Based on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Measure

Proportion of participants with inadequate response at week 16 who achieved inactive disease at Week 52 The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. The ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score) were utilized to assess the disease activity status. * \< 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.

Time frame:
Week 52
Reported as:
Count of participants · Participants
The Proportion of Participants Who Achieved Inactive Disease Based on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Measure
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg (IR)
The Proportion of Participants Who Achieved Inactive Disease Based on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Measure97
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg (IR) · Regression, Logistic · Odds ratio (or): 0.79 · 95% CI 0.28 to 2.25
SecondaryThe Proportion of Participants Who Achieved a Clinically Important Improvement on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Scale

A reduction from baseline in ASDAS score of ≥1.1 was considered a clinically important improvement in disease activity in Ankylosing Spondylitis. In this study, ASDAS is used to estimate the difference in response between 150mg and 300mg of secukinumab. The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in AS. The ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score) wias utilized to assess the disease activity status. * \< 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.

Time frame:
Baseline, Week 52
Reported as:
Count of participants · Participants
The Proportion of Participants Who Achieved a Clinically Important Improvement on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Scale
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg (IR)
The Proportion of Participants Who Achieved a Clinically Important Improvement on the Ankylosing Spondylitis Disease Activity Score (ASDAS) Scale63
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg (IR) · Regression, Logistic · Odds ratio (or): 2.08 · 95% CI 0.50 to 8.66
SecondaryChange in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

BASDAI is a validated assessment tool using 0 through 10 scales (0 indicating "no problem" and 10 indicating "worst problem"), to characterize six clinical domains pertaining to five major symptoms of AS perceived by the patients. Computed composite scores of 4 or greater indicate suboptimal disease control. In this study, BASDAI is used to estimate the difference in response between 150mg and 300mg of secukinumab.

Time frame:
Baseline, Week 52
Reported as:
Least squares mean · Score on a scale
Change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Score on a scaleSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
Change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)0.18 ± 0.191-0.05 ± 0.188
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Mixed Models Analysis · Least square mean of treatment differenc: 0.23 · 95% CI -0.29 to 0.75
SecondaryProportion of Patients Who Achieved Bath Ankylosing Spondylitis Disease Activity Index 50 (BASDAI-50)

BASDAI-50 represents a change from baseline (improvement) of at least 50% in BASDAI score. In this study, BASDAI is used to estimate the difference in response between 150mg and 300mg of secukinumab.

Time frame:
Baseline, Week 52
Reported as:
Count of participants · Participants
Proportion of Patients Who Achieved Bath Ankylosing Spondylitis Disease Activity Index 50 (BASDAI-50)
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
Proportion of Patients Who Achieved Bath Ankylosing Spondylitis Disease Activity Index 50 (BASDAI-50)119
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Odds ratio (or): 1.28 · 95% CI 0.50 to 3.24
SecondaryThe Proportion of Participants Who Achieved an ASAS 20 Response (Assessment of SpondyloArthritis International Society Criteria)

ASAS 20 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 20% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS20 is used to estimate the difference in response between 150mg and 300mg of secukinumab. An ASAS20 response is defined as an improvement of ≥20% from baseline and absolute improvement from baseline of at least 1 on a 0-to-10 scale in at least 3 of the following 4 domains: patient global, total back pain, function (BASFI), and inflammation (average of the last 2 questions of the BASDAI concerning morning stiffness). An absence of deterioration from baseline (deterioration defines as ≥20% worsening and absolute worsening of at last 1 on a 0-to-10 scale) in the potential remaining domain.

Time frame:
Week 52
Reported as:
Count of participants · Participants
The Proportion of Participants Who Achieved an ASAS 20 Response (Assessment of SpondyloArthritis International Society Criteria)
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
The Proportion of Participants Who Achieved an ASAS 20 Response (Assessment of SpondyloArthritis International Society Criteria)1922
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Odds ratio (or): 0.87 · 95% CI 0.43 to 1.73
SecondaryThe Proportion of Participants Who Achieved an ASAS 40 Response

ASAS 40 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 40% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS40 is used to estimate the difference in response between 150mg and 300mg of secukinumab. An ASAS40 response is defined as a ≥40% improvement in 3 of the 4 domains with an absolute improvement of at least 2 on a 0-to-10 scale, and no worsening in the remaining domain.

Time frame:
Week 52
Reported as:
Count of participants · Participants
The Proportion of Participants Who Achieved an ASAS 40 Response
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
The Proportion of Participants Who Achieved an ASAS 40 Response108
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Odds ratio (or): 1.31 · 95% CI 0.49 to 3.46
SecondaryThe Proportion of Patients Who Achieved an ASAS Partial Remission

The ASAS partial remission criteria are defined as a value not above 2 units in each of the four main domains on a scale of 0-10. In this study, ASAS partial remission is used to estimate the difference in response between 150mg and 300mg of secukinumab.

Time frame:
Week 52
Reported as:
Count of participants · Participants
The Proportion of Patients Who Achieved an ASAS Partial Remission
ParticipantsSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
The Proportion of Patients Who Achieved an ASAS Partial Remission1212
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Odds ratio (or): 1.03 · 95% CI 0.44 to 2.41
SecondaryChange in ASAS - Health Index Over Time

The ASAS-HI is a self-administered questionnaire and measures functioning and health over 17 aspects of health and 9 environmental factors in patients with spondyloarthritis. Patients score each item as "I agree" and "I do not agree". In this study, ASAS-HI is used to estimate the difference in response between 150mg and 300mg of secukinumab. Lower score indicating a better health status

Time frame:
Baseline, Week 52
Reported as:
Least squares mean · scores on a scale
Change in ASAS - Health Index Over Time
scores on a scaleSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
Change in ASAS - Health Index Over Time0.51 ± 0.3200.38 ± 0.315
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Mean difference (final values): 0.13 · 95% CI -0.74 to 1.01
SecondaryChange in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Over Time

Fatigue was assessed using the 13-item FACIT-fatigue scale for the assessment of fatigue in cancer patients.24 The FACIT-Fatigue is a validated questionnaire that was originally developed for the precise evaluation of fatigue levels in cancer patients with anemia. It consists of 13 questions using a 5 point scale (0=not at all; 1 = a little bit, 2 = somewhat, 3 = quite a bit and 4 = very much). Responses to each question were added with equal weight to obtain a total score. The range of possible scores is 0-52, with 0 corresponding to the highest level of fatigue and 52 corresponding to the lowest level of fatigue.

Time frame:
Baseline, Week 52
Reported as:
Least squares mean · Score
Change in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Over Time
ScoreSecukinumab 150 mg - 300 mg (IR)Secukinumab 150 mg - 150 mg
Change in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Over Time-1.93 ± 0.954-0.92 ± 0.938
Statistical analysis
  • Secukinumab 150 mg - 300 mg (IR) vs Secukinumab 150 mg - 150 mg · Regression, Logistic · Mean difference (final values): -1.00 · 95% CI -3.62 to 1.61

Adverse events

Collected over AEs were collected from first dose of study treatment until end of study treatment at week 52. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Period 2 Secukinumab 150 mg - 150 mg (R)0/22 (0%)0/22 (0%)7/22 (31.8%)
Treatment Period 1 Secukinumab 150 mg0/322 (0%)11/322 (3.4%)50/322 (15.5%)
Treatment Period 2 Secukinumab 150 mg - 300 mg (IR)0/101 (0%)7/101 (6.9%)30/101 (29.7%)
Treatment Period 2 Secukinumab 150 mg - 150 mg (IR)0/105 (0%)3/105 (2.9%)32/105 (30.5%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventTreatment Period 2 Secukinumab 150 mg - 150 mg (R)Treatment Period 1 Secukinumab 150 mgTreatment Period 2 Secukinumab 150 mg - 300 mg (IR)Treatment Period 2 Secukinumab 150 mg - 150 mg (IR)
Atrial fibrillationCardiac disorders0/220/3221/1010/105
Coronary artery diseaseCardiac disorders0/220/3221/1010/105
Abdominal painGastrointestinal disorders0/221/3221/1010/105
VomitingGastrointestinal disorders0/220/3221/1010/105
Chest painGeneral disorders0/220/3221/1010/105
Urinary tract infectionInfections and infestations0/220/3221/1010/105
Compression fractureInjury, poisoning and procedural complications0/220/3221/1010/105
Lumbar vertebral fractureInjury, poisoning and procedural complications0/221/3221/1010/105
Pulmonary contusionInjury, poisoning and procedural complications0/220/3221/1010/105
Rib fractureInjury, poisoning and procedural complications0/220/3221/1010/105
Most frequent other events
Most frequent other events
EventTreatment Period 2 Secukinumab 150 mg - 150 mg (R)Treatment Period 1 Secukinumab 150 mgTreatment Period 2 Secukinumab 150 mg - 300 mg (IR)Treatment Period 2 Secukinumab 150 mg - 150 mg (IR)
ArthralgiaMusculoskeletal and connective tissue disorders2/2215/3226/10110/105
SARS-CoV-2 test negativeInvestigations2/222/3227/1018/105
Ankylosing spondylitisMusculoskeletal and connective tissue disorders2/221/3225/1011/105
Back painMusculoskeletal and connective tissue disorders2/226/3224/1014/105
Upper respiratory tract infectionInfections and infestations0/2215/3226/1018/105
DiarrhoeaGastrointestinal disorders0/2218/3227/1013/105

Baseline characteristics

This is for participants in period 1. 300 mg Arm was not part of Enrollment Set.

Age, Categorical
Age, Categorical(Participants)Secukinumab 150 mg - 150 mg
<=18 years0
Between 18 and 65 years283
>=65 years39
Age, Continuous
Age, Continuous(Mean)Secukinumab 150 mg - 150 mg
Mean48.02 ± 13.692
Sex: Female, Male
Sex: Female, Male(Participants)Secukinumab 150 mg - 150 mg
Female155
Male167
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Secukinumab 150 mg - 150 mg
Caucasian284
Black18
Asian11
Native American1
Pacific Islander0
Other3
Unknown5
08

Study locations

65 sites
  • Novartis Investigative Site
    Jonesboro, Arkansas 72401, United States
  • Novartis Investigative Site
    Fullerton, California 92835, United States
  • Novartis Investigative Site
    Loma Linda, California 92354, United States
  • Novartis Investigative Site
    Palm Desert, California 92260, United States
  • Novartis Investigative Site
    Tustin, California 92780, United States
  • Novartis Investigative Site
    Upland, California 91786, United States
  • Novartis Investigative Site
    Aventura, Florida 33180, United States
  • Novartis Investigative Site
    Boca Raton, Florida 33486, United States
  • Novartis Investigative Site
    Brandon, Florida 33511, United States
  • Novartis Investigative Site
    DeLand, Florida 32720, United States
  • Novartis Investigative Site
    Gainesville, Florida 32608, United States
  • Novartis Investigative Site
    Orlando, Florida 32810, United States
  • Novartis Investigative Site
    Plantation, Florida 33324, United States
  • Novartis Investigative Site
    Saint Petersburg, Florida 33705, United States
  • Novartis Investigative Site
    Tamarac, Florida 33321, United States
  • Novartis Investigative Site
    Tampa, Florida 33609, United States
  • Novartis Investigative Site
    Zephyrhills, Florida 33542, United States
  • Novartis Investigative Site
    Duluth, Georgia 30096, United States
  • Novartis Investigative Site
    Springfield, Illinois 62703, United States
  • Novartis Investigative Site
    Vernon Hills, Illinois 60061, United States
  • Novartis Investigative Site
    Evansville, Indiana 47715, United States
  • Novartis Investigative Site
    Monroe, Louisiana 71203, United States
  • Novartis Investigative Site
    Cumberland, Maryland 21740, United States
  • Novartis Investigative Site
    Hagerstown, Maryland 21740, United States
  • Novartis Investigative Site
    Wheaton, Maryland 20902, United States
  • Novartis Investigative Site
    Boston, Massachusetts 02111, United States
  • Novartis Investigative Site
    Worcester, Massachusetts 01655, United States
  • Novartis Investigative Site
    Ann Arbor, Michigan 48109 5271, United States
  • Novartis Investigative Site
    Saint Clair Shores, Michigan 48081, United States
  • Novartis Investigative Site
    Edina, Minnesota 55435, United States
  • Novartis Investigative Site
    Springfield, Missouri 65810, United States
  • Novartis Investigative Site
    Midland Park, New Jersey 07432, United States
  • Novartis Investigative Site
    Voorhees, New Jersey 08043, United States
  • Novartis Investigative Site
    Albuquerque, New Mexico 87102, United States
  • Novartis Investigative Site
    Santa Fe, New Mexico 87505, United States
  • Novartis Investigative Site
    Brooklyn, New York 11201, United States
  • Novartis Investigative Site
    New York, New York 10016, United States
  • Novartis Investigative Site
    Orchard Park, New York 14127, United States
  • Novartis Investigative Site
    Potsdam, New York 13676, United States
  • Novartis Investigative Site
    Minot, North Dakota 58701, United States
  • Novartis Investigative Site
    Cincinnati, Ohio 45219, United States
  • Novartis Investigative Site
    Dayton, Ohio 45402, United States
  • Novartis Investigative Site
    Middleburg Heights, Ohio 44130, United States
  • Novartis Investigative Site
    Oklahoma City, Oklahoma 73103, United States
  • Novartis Investigative Site
    Corvallis, Oregon 97330, United States
  • Novartis Investigative Site
    Portland, Oregon 97239, United States
  • Novartis Investigative Site
    Duncansville, Pennsylvania 16635, United States
  • Novartis Investigative Site
    Wexford, Pennsylvania 15090, United States
  • Novartis Investigative Site
    Charleston, South Carolina 29460, United States
  • Novartis Investigative Site
    Columbia, South Carolina 29204, United States
  • Novartis Investigative Site
    Jackson, Tennessee 38305, United States
  • Novartis Investigative Site
    Memphis, Tennessee 38119, United States
  • Novartis Investigative Site
    Beaumont, Texas 77701, United States
  • Novartis Investigative Site
    Colleyville, Texas 76034, United States
  • Novartis Investigative Site
    Dallas, Texas 75231, United States
  • Novartis Investigative Site
    Houston, Texas 77025, United States
  • Novartis Investigative Site
    Houston, Texas 77089, United States
  • Novartis Investigative Site
    Mesquite, Texas 75150, United States
  • Novartis Investigative Site
    Salt Lake City, Utah 84132, United States
  • Novartis Investigative Site
    Seattle, Washington 98104, United States
  • Novartis Investigative Site
    Seattle, Washington 98195, United States
  • Novartis Investigative Site
    Spokane, Washington 99204, United States
  • Novartis Investigative Site
    Charleston, West Virginia 25304, United States
  • Novartis Investigative Site
    Manitowoc, Wisconsin 54220, United States
  • Novartis Investigative Site
    Onalaska, Wisconsin 54650, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect 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 Mar 2018 to primary completion in Mar 2021, 35 months.

Results were first posted in Apr 2022, 1 year after primary completion.

Of 18 phase 4 interventional studies under Spondylitis, Ankylosing, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 36. This study's 35 months is close to that.

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

Registered
Oct 31, 2017
First posted
Nov 22, 2017
StartActual
Mar 13, 2018
Primary completionActual
Mar 11, 2021
CompletionActual
May 29, 2021
Results first posted
Apr 8, 2022
Last update
Apr 29, 2022
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 Apr 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03350815
Responsible party
Sponsor
First posted
Nov 22, 2017
Start date
Mar 13, 2018
Primary completion
Mar 11, 2021
Completion
May 29, 2021
Results posted
Apr 8, 2022
Last update
Apr 29, 2022

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 Apr 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

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

Start the discussion