ClinicalTrials.gg
CompletedNCT05767034REPLENISHUpdated Jun 22, 2026

Phase III Study of Efficacy and Safety of Secukinumab Versus Placebo, in Combination With Glucocorticoid Taper Regimen, in Patients With Polymyalgia Rheumatica (PMR)

A Phase 3 interventional study of Secukinumab 300 mg and Secukinumab 150 mg in Polymyalgia Rheumatica, sponsored by Novartis Pharmaceuticals. Completed at 132 sites in 26 countries. Open to participants aged 50 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-06-22.

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

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 2 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
381
Allocation
Randomized
Ages
50 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to demonstrate the efficacy and safety of secukinumab 300 milligram (mg) and 150 mg administered subcutaneously (s.c.) for 52 weeks in combination with prednisone tapered over 24 weeks in adult participants with PMR who have recently relapsed.

Read the detailed description

This is a multicenter, randomized, double-blind, placebo-controlled, parallel group study with two secukinumab dose regimens in approximately 360 PMR patients who had recently relapsed. The study consists of: screening (up to 6 weeks); treatment period (52 weeks, with last IMP administration at 48 weeks, active drug or placebo) in combination with prednisone tapered over 24 weeks; treatment-free follow-up (up to 24 weeks). Adult males and females of at least 50 years of age with a recent PMR relapse (within 12 weeks from Baseline) will be included. Dosing will be once every week for the first 4 weeks, and once every 4 weeks thereafter via pre-filled syringe.

The primary objective is to demonstrate the efficacy of secukinumab 300 mg subcutaneously in combination with a 24-week glucocorticoid (GC) taper regimen compared with placebo with respect to the proportion of patients in sustained remission at Week 52. Primary secondary objectives are to assess difference in proportion of patients achieving complete sustained remission at Week 52, adjusted annual cumulative GC dose and time to first use of escape treatment or rescue treatment through Week 52. Key safety data will be collected, along with Patient Reported Outcomes.

02

Conditions studied

  • Polymyalgia Rheumatica

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Keywords

  • Polymyalgia Rheumatica
  • secukinumab
  • monoclonal antibody
  • prednisone taper regimen
  • glucocorticoid
  • PMR
03

In context

Polymyalgia Rheumatica

68 studies on the registry are indexed under Polymyalgia Rheumatica; 22 are open to participants now.

This study's enrollment of 381 is above the median of 66 across 39 interventional studies indexed under Polymyalgia Rheumatica.

Browse Polymyalgia Rheumatica studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 100 Years
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

  • Signed must be obtained prior to participation in the study
  • Male or non-pregnant, non-lactating female participants at least 50 years of age.
  • Diagnosis of PMR according to the provisional American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria: Participants ≥ 50 years of age with a history of bilateral shoulder pain accompanied by elevated C-reactive protein (CRP) concentration (≥ 10 mg/L) and/or elevated erythrocyte sedimentation rate (ESR) (≥ 30 mm/hr) who scored at least 4 points from the following optional classification criteria:

    • Morning stiffness > 45 minutes (min) (2 points)
    • Hip pain or restricted range of motion (1 point)
    • Absence of rheumatoid factor and/or anti-citrullinated protein antibodies (2 points)
    • Absence of other joint involvement (1 point)
  • Participants must have a history of being treated for at least 8 consecutive weeks with prednisone ≥ 10 mg/day, or equivalent dose of another GC at any time prior to screening
  • Participants must have had at least one episode of PMR relapse while attempting to taper prednisone at a dose that is ≥ 5 mg/day (or equivalent dose of another GC) within the past 12 weeks prior to BSL. Diagnosis of a PMR relapse is defined as participant meeting both of the following:

    • Recurrence of bilateral shoulder girdle and/or bilateral hip girdle pain associated with inflammatory stiffness with or without additional symptoms indicative of PMR relapse (such as constitutional symptoms) within 12 weeks prior to BSL that are in the opinion of the Investigator not due to other diseases that may mimic PMR such as osteoarthritis in shoulders or hips, polyarticular calcium pyrophosphate deposition disease, rotator cuff disease, adhesive capsulitis (frozen shoulder) or fibromyalgia.
    • Elevated ESR (≥ 30 mm/hr) and/or elevated CRP (> (ULN)) attributable to PMR at the time of relapse and/or at screening
  • Participants must have been treated as per local treatment recommendations following the latest PMR relapse and must be on prednisone of at least 7.5 mg/day (or equivalent) and not exceeding 25 mg/day at screening and during the screening period

Exclusion criteria

Exclusion Criteria:

  • Evidence/history of GCA as indicated by typical (cranial) symptoms (e.g., persistent or recurrent localized headache, temporal artery or scalp tenderness, jaw claudication, blurry or loss of vision, symptoms of stroke), extremity claudication, imaging and/or temporal artery result
  • Concurrent rheumatoid arthritis or other inflammatory arthritis or other connective tissue diseases, such as but not limited to systemic lupus erythematosus, systemic sclerosis, vasculitis, myositis, mixed connective tissue disease, and ankylosing spondylitis
  • Concurrent diagnosis or history of neuropathic muscular diseases or fibromyalgia
  • Inadequately treated hypothyroidism (e.g., persistence of symptoms, lack of normalization of serum TSH despite regular hormonal replacement treatment)
  • Previous exposure to secukinumab or other biologic drug directly targeting IL-17 or IL-17 receptor
  • Participants treated with tocilizumab or other IL-6/IL6-receptor inhibitors within 12 weeks or within 5 half-lives (whichever is longer) prior to BSL; participant who did not respond to or experienced a relapse during treatment are excluded from enrollment into the study Other protocol-defined inclusion/exclusion criteria may apply
Terms in these criteria, in plain language(3)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
381 participants (actual)

Study arms

  • Experimental
    Secukinumab 300 mg

    randomized in 1:1:1 ratio every 4 weeks

    Drug: Secukinumab 300 mg

  • Experimental
    Secukinumab 150 mg

    randomized in 1:1:1 ratio every 4 weeks

    Drug: Secukinumab 150 mg

  • Placebo comparator
    Placebo to secukinumab

    randomized in 1:1:1 ratio every 4 weeks

    Other: Placebo to secukinumab

Interventions

  • Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

    Also known as: AIN457

  • Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

    Also known as: AIN457

  • OtherPlacebo to secukinumab

    Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

06

What researchers measure

Primary outcomes

  1. Proportion of participants achieving sustained remission

    Sustained remission at Week 52 is defined as a participant meeting all of the following: ● achieved remission at Week 12 AND all of the following, sustained from Week 12 to Week 52: * no recurrence of signs or symptoms, attributable to PMR, that requires escape treatment or rescue treatment * no new diagnosis of Giant cell arteritis (GCA), that requires escape treatment or rescue treatment Remission at Week 12 is defined as a participant meeting all of the following at Week 12: * no use of escape treatment or rescue treatment prior to Week 12 * no signs or symptoms attributable to PMR, that requires escape treatment or use of rescue treatment, at Week 12 * no new diagnosis of GCA, that requires escape treatment or rescue treatment, at Week 12

    Time frame: at Week 52

Secondary outcomes

  1. Proportion of patients achieving complete sustained remission

    Complete sustained remission at Week 52 is defined as participant meeting all of the following: * achieved sustained remission * no clinically relevant elevation of Erythrocyte sedimentation Rate (ESR) and/or C-reactive protein (CRP) at ≥2 consecutive scheduled visits from Week 12 to Week 52

    Time frame: 52 Weeks

  2. Adjusted annual cumulative glucocorticoid (GC) dose adjusted by duration of study follow-up

    Adjusted annual cumulative GC dose is cumulative GC dose through Week 52 adjusted by duration of study follow-up

    Time frame: 52 Weeks

  3. Time to first use of escape treatment or rescue treatment as measured in days

    First use of escape treatment or rescue treatment is defined as the first time when the escape treatment or rescue treatment is used

    Time frame: 52 Weeks

  4. Change in FACIT-Fatigue Score

    The Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. The purpose of collecting available FACIT-Fatigue data is to assess the impact of fatigue on participants with PMR.

    Time frame: 52 Weeks

  5. Change in HAQ-DI score

    The Health Assessment Questionnaire - Disability Index (HAQ-DI) is used to assess the long-term influence of chronic disease on a participant's level of functional ability and activity restriction. The purpose of the HAQ-DI is to assess the functional ability of subjects with PMR.

    Time frame: 52 Weeks

07

Study locations

132 sites
  • Arizona Arthritis and Rheumatology Associates PLLC
    Avondale, Arizona 85392, United States
  • Sun Valley Arthritis Center Ltd
    Peoria, Arizona 85381, United States
  • AZ Arthritis and Rheumtlgy Rsh PLLC
    Phoenix, Arizona 85032, United States
  • Precn Comprehensive Clnl Rsch Solns
    San Leandro, California 94578, United States
  • Providence Saint Johns Health Ctr
    Santa Monica, California 90404, United States
  • Center for Rheumatology Research
    West Hills, California 91307, United States
  • Millennium Clinical Trials
    Westlake Village, California 91361, United States
  • Rheumatology Associates of South Florida
    Boca Raton, Florida 33486, United States
  • UF Health Cancer Center
    Gainesville, Florida 32610, United States
  • Sarasota Arthritis Res Ctr
    Sarasota, Florida 34239, United States
  • West Broward Rheumatology Associates Inc
    Tamarac, Florida 33321, United States
  • Southeastern Rheumatology Alliance
    Gainesville, Georgia 30501, United States
  • Klein and Associates
    Hagerstown, Maryland 21740, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Clinical Research Inst of MI
    Saint Clair Shores, Michigan 48081, United States
  • Kansas City Physician Partners
    Kansas City, Missouri 64111, United States
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • Paramount Med Rsrch and Consult LLC
    Middleburg Heights, Ohio 44130, United States
  • Prolato Clinical Research Center
    Houston, Texas 77054, United States
  • DM Clinical Research
    Houston, Texas 77070, United States
  • Accurate Clinical Research Inc
    Houston, Texas 77089, United States
  • Advanced Rheumatology of Houston
    Spring, Texas 77382, United States
  • Novartis Investigative Site
    Caba, Buenos Aires C1119ACN, Argentina
  • Novartis Investigative Site
    Quilmes, Buenos Aires B1878GEG, Argentina
  • Novartis Investigative Site
    Buenos Aires, C1055AAF, Argentina
  • Novartis Investigative Site
    Parramatta, New South Wales 2150, Australia
  • Novartis Investigative Site
    Southport, Queensland 4215, Australia
  • Novartis Investigative Site
    Heidelberg Heights, Victoria 3081, Australia
  • Novartis Investigative Site
    Leuven, 3000, Belgium
  • Novartis Investigative Site
    Liège, 4000, Belgium
  • Novartis Investigative Site
    Porto Alegre, Rio Grande do Sul 90480-000, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 04038-002, Brazil
  • Novartis Investigative Site
    São Paulo, 01409-902, Brazil
  • Novartis Investigative Site
    Québec, Quebec G1V 3M7, Canada
  • Novartis Investigative Site
    Santiago, Santiago Metropolitan 7500571, Chile
  • Novartis Investigative Site
    Santiago, Santiago Metropolitan 8380465, Chile
  • Novartis Investigative Site
    Santiago, Santiago Metropolitan 8420383, Chile
  • Novartis Investigative Site
    Viña del Mar, Valparaiso 2531172, Chile
  • Novartis Investigative Site
    Barranquilla, Atlántico 080002, Colombia
  • Novartis Investigative Site
    Barranquilla, Atlántico 080020, Colombia
  • Novartis Investigative Site
    Bogota, Cundinamarca 110221, Colombia
  • Novartis Investigative Site
    Cali, Valle del Cauca Department 760042, Colombia
  • Novartis Investigative Site
    Prague, Czech Republic 140 00, Czechia
  • Novartis Investigative Site
    Brno, 638 00, Czechia
  • Novartis Investigative Site
    Hlučín, 748 01, Czechia
  • Novartis Investigative Site
    Prague, 128 00, Czechia
  • Novartis Investigative Site
    Prague, 140 00, Czechia
  • Novartis Investigative Site
    Uherské Hradiště, 686 01, Czechia
  • Novartis Investigative Site
    Zlín, 760 01, Czechia
  • Novartis Investigative Site
    Aarhus N, 8200, Denmark
  • Novartis Investigative Site
    Esbjerg, 6700, Denmark
  • Novartis Investigative Site
    Gandrup, 9362, Denmark
  • Novartis Investigative Site
    Vejle, DK-7100, Denmark
  • Novartis Investigative Site
    Limoges, Haute Vienne 87000, France
  • Novartis Investigative Site
    Toulon, Val De Marne 83800, France
  • Novartis Investigative Site
    Aix-en-Provence, 13616, France
  • Novartis Investigative Site
    Brest, 29200, France
  • Novartis Investigative Site
    Cholet, 49325, France
  • Novartis Investigative Site
    Colmar, 68024, France
  • Novartis Investigative Site
    Dijon, 21000, France
  • Novartis Investigative Site
    Le Mans, 72000, France
  • Novartis Investigative Site
    Montpellier, 34295, France
  • Novartis Investigative Site
    Nantes, 44093, France
  • Novartis Investigative Site
    Reims, 51092, France
  • Novartis Investigative Site
    Strasbourg, 67000, France
  • Novartis Investigative Site
    Toulouse, 31059, France
  • Novartis Investigative Site
    Freiburg im Breisgau, Baden-Wurttemberg 79106, Germany
  • Novartis Investigative Site
    Würzburg, Bavaria 97080, Germany
  • Novartis Investigative Site
    Dresden, Saxony 01307, Germany
  • Novartis Investigative Site
    Berlin, 13125, Germany
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Erlangen, 91056, Germany
  • Novartis Investigative Site
    Herne, 44649, Germany
  • Novartis Investigative Site
    Ratingen, 40878, Germany
  • Novartis Investigative Site
    Rendsburg, 24768, Germany
  • Novartis Investigative Site
    Budapest, 1027, Hungary
  • Novartis Investigative Site
    Szeged, 6725, Hungary
  • Novartis Investigative Site
    Veszprém, 8200, Hungary
  • Novartis Investigative Site
    Dublin, D03 VX82, Ireland
  • Novartis Investigative Site
    Ramat Gan, 5265601, Israel
  • Novartis Investigative Site
    Tel Aviv, 6423906, Israel
  • Novartis Investigative Site
    Bolzano, BZ 39100, Italy
  • Novartis Investigative Site
    Milan, MI 20100, Italy
  • Novartis Investigative Site
    Milan, MI 20132, Italy
  • Novartis Investigative Site
    Milan, MI 20157, Italy
  • Novartis Investigative Site
    Perugia, PG 06129, Italy
  • Novartis Investigative Site
    Pavia, PV 27100, Italy
  • Novartis Investigative Site
    Reggio Emilia, RE 42123, Italy
  • Novartis Investigative Site
    Ichikawa, Chiba 2728516, Japan
  • Novartis Investigative Site
    Fukuoka, Fukuoka 8140180, Japan
  • Novartis Investigative Site
    Asahikawa, Hokkaido 0708644, Japan
  • Novartis Investigative Site
    Kita-gun, Kagawa-ken 7610793, Japan
  • Novartis Investigative Site
    Sagamihara, Kanagawa 2520392, Japan
  • Novartis Investigative Site
    Yokohama, Kanagawa 222-0036, Japan
  • Novartis Investigative Site
    Nagano, Nagano 3808582, Japan
  • Novartis Investigative Site
    Beppu, Oita Prefecture 8740011, Japan
  • Novartis Investigative Site
    Kawachi-Nagano, Osaka 5868521, Japan
  • Novartis Investigative Site
    Osaka, Osaka 550-0006, Japan
  • Novartis Investigative Site
    Bunkyo Ku, Tokyo 1138431, Japan
  • Novartis Investigative Site
    Fuchū, Tokyo 1838524, Japan

Showing the first 100 of 132 sites across 26 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Stone JH, Buttgereit F, Saraux A, Schmidt WA, Dejaco C, Spiera R, Dasgupta B, Drescher E, Jordan A, Novosad L, Nakagomi D, Koyama Y, Duran-Barragan S, Tracey G, Ruyssen-Witrand A, Rubbert Roth A, Fang J, Ng J, Hiremath R, Raffner R, Martin R, Napoletano S, Huang S, Storim J, Patekar M; REPLENISH Investigators. Phase 3 Trial of Secukinumab in Polymyalgia Rheumatica. N Engl J Med. 2026 Jun 3. doi: 10.1056/NEJMoa2602567. Online ahead of print. PubMed 42234540 ↗
  • Sun MM, Pope JE. Polymyalgia rheumatica and giant cell arteritis: diagnosis and management. Curr Opin Rheumatol. 2025 Jan 1;37(1):32-38. doi: 10.1097/BOR.0000000000001059. Epub 2024 Oct 14. PubMed 39400109 ↗

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

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2023 to primary completion in Sep 2025, 29 months.

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

Registered
Mar 6, 2023
First posted
Mar 14, 2023
StartActual
Mar 22, 2023
Primary completionActual
Sep 10, 2025
CompletionActual
Feb 16, 2026
Last update
Jun 22, 2026
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 Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05767034
Responsible party
Sponsor
First posted
Mar 14, 2023
Start date
Mar 22, 2023
Primary completion
Sep 10, 2025
Completion
Feb 16, 2026
Last update
Jun 22, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

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

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Secukinumab

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