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CompletedNCT03447704Updated Jul 8, 2025

International Multicenter Comparative Randomized Placebo-controlled Clinical Study of Efficacy and Safety of BCD-085 in Patients With Ankylosing Spondylitis

A Phase 3 interventional study of BCD-085 and placebo in Ankylosing Spondylitis, sponsored by Biocad. Completed at 7 sites in Russia. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-07-08.

Sponsored by Biocad · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
228
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

BCD-085-5 is an International, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Study of the Efficacy and Safety of BCD-085. BCD-085 is a monoclonal antibody to interleukin 17. During BCD-085-5 trial patients with active ankylosing spondylitis will receive 120 mg of BCD-085 subcutaneously every other week or placebo up to Week 16. Starting from week 16 all patients will receive BCD-085. Efficacy, PK and safety parameters will be evaluated.

02

Conditions studied

  • Ankylosing Spondylitis

Keywords

  • Ankylosing Spondylitis
  • interleukin 17
  • monoclonal antibody
  • netakimab
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Active ankylosing spondylitis according to modified criteria of New York classification (1984), that was diagnosed at least 3 months prior to screening.
  • Active disease according to BASDAI (score 4 or more) if nonsteroidal antiinflammatory drugs were used in the last 3 month prior to screening.
  • Mean backache intensity equals 4 points or more.

Exclusion criteria

Exclusion Criteria:

  • Total spinal ankylosis.
  • Previous treatment with anti-interleukin 17 drugs or anti-interleukin 17 receptor drugs.
  • Prior use of >2 biologics to tumor necrosis factor alfa.
  • Prior use of live or attenuated vaccines for up to 8 weeks before signing informed consent.
  • Prior use of alkylating agents for up to 12 months prior to signing informed consent.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
228 participants (actual)

Study arms

  • Experimental
    BCD-085 (netakimab)

    Drug: BCD-085

  • Placebo comparator
    Placebo

    Other: placebo

Interventions

  • DrugBCD-085

    120 mg of BCD-085 subcutaneously at week 0,1 and 2 every other week

    Also known as: netakimab

  • Otherplacebo

    2 ml of placebo subcutaneously at week 0,1 2 and every other week, starting from week 16 - 120 mg of BCD-085 subcutaneously at week 16,17 and 18 every other week

05

What researchers measure

Primary outcomes

  1. ASAS40 rate at Week 16

    Percentage of patients with ASAS40 response after 16 weeks of therapy (percentage of patients who developed a decrease in ankylosing spondylitis assessment score (ASAS) by 40%)

    Time frame: Week 16

Secondary outcomes

  1. ASAS20 rate

    Percentage of patients who developed a decrease in ankylosing spondylitis assessment score (ASAS) by 20%

    Time frame: Week 4, 8, 12, 16, 24, 36, 52

  2. Change from baseline in BASDAI

    Change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score in comparison with screening (from 0 to 10). The maximum change is considered to be better outcome

    Time frame: Week 4, 8, 12, 16, 24, 36, 52

  3. Change from baseline in ASDAS-CRP

    Change in ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score Index) score in comparison with screening (from 0 to \> 3.5). The maximum change is considered to be better outcome

    Time frame: Week 4, 8, 12, 16, 24, 36, 52

  4. Change from baseline in SF-36

    Change in SF-36 (The Short Form-36) score in comparison with screening (physical component) (from 15.9 to 62.1). The maximum change is considered to be better outcome

    Time frame: Week 16, 36, 52

  5. Frequency of AE/SAE

    Percentage of patients with AE (adverse events) /SAE (serious adverse events)

    Time frame: Week 60

06

Study locations

7 sites
  • Non-governmental Healthcare Institution "Railway Clinical hospital on the Chelyabinsk Station of JSC Russian Railways"
    Chelyabinsk, 355047, Russia
  • Chelyabinsk Regional Clinical hospital
    Chelyabinsk, Russia
  • Kazan State Medical University
    Kazan', Russia
  • State Budgetary Higher Vocational Education Institution I.M. Sechenov First Moscow State Medical University
    Moscow, Russia
  • Omsk Regional Clinical Hospital
    Omsk, Russia
  • LLC BioEk
    Saint Petersburg, Russia
  • North-Western State Medical University n.a. I.I.Mechnikov
    Saint Petersburg, Russia
07

References and documents

Publications

  • Mazurov VI, Dubinina TV, Erdes S, Lapshina SA, Soroka NF, Kunder EV, Smirnov AV, Eremeeva AV, Zinkina-Orikhan AV, Morozova MA, Gaydukova IZ. Response to netakimab in radiographic axial spondyloarthritis patients with different baseline C-reactive protein, sacroiliitis evaluated by MRI and peripheral joint involvement status: a post-hoc analysis of the ASTERA study. Clin Exp Rheumatol. 2023 Mar;41(3):718-726. doi: 10.55563/clinexprheumatol/ljpqqe. Epub 2022 Aug 31. PubMed 36062743 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03447704
Lead sponsor
Biocad
Responsible party
Sponsor
First posted
Feb 27, 2018
Start date
Feb 9, 2018
Primary completion
Dec 24, 2018
Completion
Mar 31, 2022
Last update
Jul 8, 2025

Study contacts

Roman Ivanov, PhD
study chair · JSC BIOCAD

Oversight

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

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