ClinicalTrials.gg
Active, not recruitingNCT06331312REPLENISH-EXTUpdated Oct 14, 2026

Open-label, Long-term Safety Study of Secukinumab in Polymyalgia Rheumatica (PMR)

A Phase 3 interventional study of Secukinumab in Polymyalgia Rheumatica, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 85 sites in 22 countries. Open to participants aged 50 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-10-14.

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

Phase
Phase 3
Study type
Interventional
Enrollment
162
Allocation
Not applicable
Ages
50 Years to 100 Years
Sex
All
01

Study summary

The purpose of this extension study is to assess the safety and tolerability of secukinumab when administered long-term in patients with polymyalgia rheumatica.

Read the detailed description

The study will consist of an up to 4-week screening period, an up to 2-year Treatment Period which includes two Treatment Periods, and a 16-week treatment-free follow-up period (20 weeks post last dose of secukinumab).

Treatment period:

There will be two Treatment Periods (TPs): TP1 will be from the first dose administration of secukinumab (Baseline) to Week 24, where visits will occur every 4 weeks, and TP2 will be from post Week 24 visit (post-dose) to up to 2 years. Participants will return to the study site every 4 weeks from Baseline until Week 24 (Weeks 16 and 20 visits are optional on-site visits and needed when participants are unwilling/uncomfortable to self-administer study treatment at home/offsite), then every 12 weeks afterwards in TP2 for resupply of study medication but may return earlier if needed (i.e., those participants who are unwilling/uncomfortable to self-administer study treatment can continue to visit site every 4 weeks for drug administration if they wish to do so).

Follow-up period: An EoS visit (20 weeks after last administration of secukinumab) will be done for all participants, regardless of whether they complete the entire study as planned, or they discontinue prematurely.

02

Conditions studied

  • Polymyalgia Rheumatica

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Keywords

  • Polymyalgia Rheumatica (PMR)
  • secukinumab
  • monoclonal antibody
  • subcutaneous (s.c.)
  • extension
  • long-term
  • safety
  • REPLENISH
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 162 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

  • Participants who have completed 52-week Treatment Period as per protocol in a Novartis study of secukinumab in PMR patients (the "core study" - Study CAIN457C22301), AND

    • who have experienced a relapse during the treatment-free follow-up period of the core study, AND
    • who have not been on rescue treatment.
  • The participant would potentially derive benefit from secukinumab, and the benefit outweighs the risk, based on the investigator's judgement.

Exclusion criteria

Exclusion Criteria:

  • Use of prohibited medications, as specified in the protocol
  • History of ongoing, chronic or recurrent infectious disease (i.e., (HIV), (HBV), (HCV), active tuberculosis infection (TB))
  • History of lymphoproliferative disease or any known or history of malignancy of any organ system within the past 5 years (except for basal cell carcinoma or actinic keratosis that have been treated with no evidence of recurrence in the past 3 months carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed).
  • (e.g., monkey pox vaccine, oral polio vaccine, varicella/zoster vaccines) within 6 weeks prior to Baseline
  • Subjects whose participation in the extension study could expose them to an undue safety risk
Terms in these criteria, in plain language(5)

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

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

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

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

Live vaccines

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

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
162 participants (actual)

Study arms

  • Experimental
    Secukinumab 300mg

    All eligible participants will receive secukinumab 300 mg s.c. (2 x 150mg/1mL PFS secukinumab) from baseline and every 4 weeks up to 2 years. The study medication may be modified/adjusted after the initial doses of 300mg s.c. (decreased to 150mg s.c. q4w or increased again from 150mg s.c. q4w to 300mg s.c. q4w) if deemed appropriate by the investigator. Dose modification/adjustment may only occur from Week 24 visit onwards. The modification/adjustment of the study medication will be determined at a site visit.

    Biological: Secukinumab

Interventions

06

What researchers measure

Primary outcomes

  1. Incidences of treatment emergent adverse events (AEs) and serious adverse events (SAEs)

    The number and percentage of participants with treatment emergent AEs/SAEs will be summarized. No hypothesis testing will be performed.

    Time frame: After the first dose of study treatment and within 84 days after the last dose

07

Study locations

85 sites
  • Arizona Arthritis and Rheumatology Associates PLLC
    Avondale, Arizona 85392, United States
  • Sun Valley Arthritis Center Ltd
    Peoria, Arizona 85381, United States
  • Millennium Clinical Trials
    Westlake Village, California 91361, United States
  • Center for Rheumatology Research
    Woodland Hills, California 91364, United States
  • Rheumatology Associates of South Florida
    Boca Raton, Florida 33486, United States
  • West Broward Rheumatology Associates Inc
    Tamarac, Florida 33321, United States
  • Klein and Associates
    Hagerstown, Maryland 21740, United States
  • Clinical Research Inst of MI
    Saint Clair Shores, Michigan 48081, 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
  • Accurate Clinical Research Inc
    Houston, Texas 77089, United States
  • Advanced Rheumatology of Houston
    The Woodlands, Texas 77382, United States
  • 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
    Heidelberg Heights, Victoria 3081, Australia
  • 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 8420383, Chile
  • Novartis Investigative Site
    Viña del Mar, Valparaiso 2531172, Chile
  • Novartis Investigative Site
    Bogota, Cundinamarca 110221, 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
    Esbjerg, 6700, Denmark
  • Novartis Investigative Site
    Gandrup, 9362, Denmark
  • Novartis Investigative Site
    Vejle, 7100, Denmark
  • Novartis Investigative Site
    Toulon, Val De Marne 83800, 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
    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
    Berlin, 13125, Germany
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Herne, 44649, Germany
  • Novartis Investigative Site
    Budapest, 1027, Hungary
  • Novartis Investigative Site
    Szeged, 6725, Hungary
  • Novartis Investigative Site
    Veszprém, 8200, Hungary
  • Novartis Investigative Site
    Milan, MI 20100, Italy
  • Novartis Investigative Site
    Perugia, PG 06129, Italy
  • 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 2220036, Japan
  • Novartis Investigative Site
    Nagano, Nagano 3808582, Japan
  • Novartis Investigative Site
    Kawachi-Nagano, Osaka 5868521, Japan
  • Novartis Investigative Site
    Osaka, Osaka 5340021, Japan
  • Novartis Investigative Site
    Bunkyo Ku, Tokyo 1138431, Japan
  • Novartis Investigative Site
    Fuchū, Tokyo 1838524, Japan
  • Novartis Investigative Site
    Ōme, Tokyo 1980042, Japan
  • Novartis Investigative Site
    Chūō, Yamanashi 4093898, Japan
  • Novartis Investigative Site
    Okayama, 7008607, Japan
  • Novartis Investigative Site
    Guadalajara, Jalisco 44650, Mexico
  • Novartis Investigative Site
    Almelo, Overijssel 7609 PP, Netherlands
  • Novartis Investigative Site
    Rotterdam, South Holland 3079 DZ, Netherlands
  • Novartis Investigative Site
    Lublin, 20-607, Poland
  • Novartis Investigative Site
    Warsaw, 02-118, Poland
  • Novartis Investigative Site
    Warsaw, 02-665, Poland
  • Novartis Investigative Site
    Cape Town, Western Cape 7405, South Africa
  • Novartis Investigative Site
    Cape Town, Western Cape 7500, South Africa
  • Novartis Investigative Site
    Sabadell, Barcelona 08208, Spain
  • Novartis Investigative Site
    Bilbao, Bizkaia 48013, Spain
  • Novartis Investigative Site
    A Coruña, 15006, Spain
  • Novartis Investigative Site
    Madrid, 28009, Spain
  • Novartis Investigative Site
    Seville, 41013, Spain
  • Novartis Investigative Site
    Valencia, 46010, Spain
  • Novartis Investigative Site
    Sankt Gallen, 9007, Switzerland
  • Novartis Investigative Site
    Barnet, EN5 3DJ, United Kingdom
  • Novartis Investigative Site
    Wolverhampton, WV10 0QP, United Kingdom
08

References and documents

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

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and site details
1 update, last Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Minor edits only
    + 2 other changes: verification date and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06331312
Responsible party
Sponsor
First posted
Mar 26, 2024
Start date
Jun 28, 2024
Primary completion
May 8, 2028 (estimated)
Completion
May 8, 2028 (estimated)
Last update
Oct 14, 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 ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 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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