Chronic Plaque-type PsoriasisPhase 2NCT00941031
AIN457 Regimen Finding Study in Patients With Moderate to Severe Psoriasis
A Phase 2 study testing AIN457 and AIN457A in people with Chronic Plaque-type Psoriasis, run by Novartis Pharmaceuticals at 62 sites in 7 countries.
Trial summary
The purpose of the study is to determine whether, in patients with moderate to severe plaque-type psoriasis, AIN457 administered subcutaneously reduces the severity of psoriasis symptoms and the extent to which the patient's body area is affected by the disease (compared to placebo). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Plaque-type Psoriasis
- What is being tested?
- AIN457 and AIN457A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 404 participants
- Where
- 62 sitesin 7 countries
- Study dates
- Jul 2009to Dec 2010
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men or women at least 18 years of age at time of consent
- Chronic plaque-type psoriasis diagnosed for at least 6 months at time of randomization
- At time of randomization, moderate to severe psoriasis as defined by:
- PASI score of 12 or greater and
- IGA score of 3 or greater and
- Body Surface Area (BSA) affected by plaque-type psoriasis of 10 % or greater
Show all 10Show fewer
- At screening and randomization, chronic plaque-type psoriasis considered inadequately controlled by:
- topical treatment and/or
- phototherapy and/or
- previous systemic therapy
Who cannot join
- Patients meeting any of the following criteria will be excluded from entry into the study:
- Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and guttate psoriasis) at screening or randomization
- Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) and randomization
- Ongoing use of prohibited psoriasis treatments (e.g., topical or systemic corticosteroids, UV therapy) at randomization. Washout periods detailed in the study protocol have to be adhered to
- Ongoing use of other prohibited treatments at randomization. Washout periods detailed in the study protocol have to be adhered to. All prior concomitant medications must be on a stable dose for at least four weeks before study drug administration
- Known immunosuppression (e.g., AIDS) at screening and / or randomization
Show all 13Show fewer
- History or evidence of active tuberculosis at screening. All patients will be tested for tuberculosis status using a blood test (QuantiFERON®-TB Gold In-Tube). Patients with evidence of latent tuberculosis may enter the trial after sufficient treatment has been initiated according to local regulations.
- Active systemic infections (other than common cold) during the two weeks before randomization (e.g., hepatitis)
- At screening, history or symptoms of malignancy of any organ system (other than history of basal cell carcinoma and / or up to three squamous cell carcinomas of the skin, if successful treatment has been performed, with no signs of recurrence; actinic keratoses, if present at screening, should be treated according to standard therapy before randomization), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases
- History of congestive heart failure (NYHA functional classification ≥III) at screening and / or randomization
- History of severe hypersensitivity to any human or humanized biological agents (antibody or soluble receptor) at screening and / or randomization
- Any severe, progressive or uncontrolled medical condition at randomization that in the judgment of the investigator prevents the patient from participating in the study
- Pregnant or nursing (lactating) women
Trial locations and contacts
62 sites in 7 countries.
62 sites in 7 countries
United States29 sites
Novartis Investigative Site
Austin, Texas, 78759
Novartis Investigative Site
Birmingham, Alabama, 35233
Novartis Investigative Site
Boston, Massachusetts, 02111
Novartis Investigative Site
Champaign, Illinois, 61820
Novartis Investigative Site
Charlottesville, Virginia, 22911
Novartis Investigative Site
Clinton Twp., Michigan, 48038
Novartis Investigative Site
Dallas, Texas, 75204
Novartis Investigative Site
Detroit, Michigan, 48202
Novartis Investigative Site
Evansville, Indiana, 47713
Novartis Investigative Site
Henderson, Nevada, 89052
Novartis Investigative Site
High Point, North Carolina, 27262
Novartis Investigative Site
Lake Oswego, Oregon, 97035
Novartis Investigative Site
Little Rock, Arkansas, 72205
Novartis Investigative Site
Louisville, Kentucky, 40217
Novartis Investigative Site
Lynchburg, Virginia, 24501
Novartis Investigative Site
Minneapolis, Minnesota, 55455
Novartis Investigative Site
New York, New York, 10029
Novartis Investigative Site
Newnan, Georgia, 30263
Novartis Investigative Site
Omaha, Nebraska, 68131
Novartis Investigative Site
Omaha, Nebraska, 68144
Novartis Investigative Site
Pasadena, California, 91105
Novartis Investigative Site
Philadelphia, Pennsylvania, 19104
Novartis Investigative Site
Portland, Oregon, 97210
Novartis Investigative Site
Rochester, New York, 14623
Novartis Investigative Site
San Diego, California, 92123
Novartis Investigative Site
Snellville, Georgia, 30078
Novartis Investigative Site
Springfield, Illinois, 62703
Novartis Investigative Site
St Louis, Missouri, 63117
Novartis Investigative Site
Topeka, Kansas, 66606
Germany14 sites
Novartis Investigative Site
Berlin, 10117
Novartis Investigative Site
Bonn, 53105
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Erlangen, 91054
Novartis Investigative Site
Frankfurt, 60590
Novartis Investigative Site
Göttingen, 37075
Novartis Investigative Site
Hamburg, 20354
Novartis Investigative Site
Hanover, 30625
Novartis Investigative Site
Kiel, 24105
Novartis Investigative Site
Leipzig, 04103
Novartis Investigative Site
Lübeck, 23538
Novartis Investigative Site
Mainz, 55131
Novartis Investigative Site
Münster, 48149
Novartis Investigative Site
Tübingen, 72076
Japan10 sites
Novartis Investigative Site
Bunkyo-ku, Tokyo, 113-8655
Novartis Investigative Site
Chitose, Hokkaido, 066-0021
Novartis Investigative Site
Fukuoka, Fukuoka, 814-0180
Novartis Investigative Site
Itabashi-ku, Tokyo, 173-8610
Novartis Investigative Site
Kitakyushu, Fukuoka, 807-8556
Novartis Investigative Site
Kurume, Fukuoka, 830-0011
Novartis Investigative Site
Maebashi, Gunma, 371-8511
Novartis Investigative Site
Minato-ku, Tokyo, 105-8471
Novartis Investigative Site
Nagoya, Aichi-ken, 467-8602
Novartis Investigative Site
Shinagawa-ku, Tokyo, 141-8625
Israel3 sites
Novartis Investigative Site
Afula, 18101
Novartis Investigative Site
Petah Tikva, 49100
Novartis Investigative Site
Ramat Gan, 52621
Norway3 sites
Novartis Investigative Site
Ålesund, 6017
Novartis Investigative Site
Bergen, NO-5021
Novartis Investigative Site
Oslo, 0424
France2 sites
Novartis Investigative Site
Nice, 06202
Novartis Investigative Site
Toulouse, France, 31059
About this study
Official title: A Randomized, Double-blind, Placebo Controlled, Multicenter Regimen Finding Study of Subcutaneously Administered AIN457, Assessing Psoriasis Area and Severity Index (PASI) Response in Patients With Moderate to Severe Chronic Plaque-type Psoriasis
The purpose of the study is to determine whether, in patients with moderate to severe plaque-type psoriasis, AIN457 administered subcutaneously reduces the severity of psoriasis symptoms and the extent to which the patient's body area is affected by the disease (compared to placebo).
- Conditions
- Chronic Plaque-type Psoriasis
- Being tested
- AIN457, AIN457A, Placebo
- Keywords
- Moderate to severe chronic plaque-type psoriasis, AIN457, dermatology
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AIN457Drug
Also called Secukinumab
AIN457ADrug
Also called Secukinumab
Induction with monthly injections - "Monthly": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 5, 9
AIN457ADrug
Also called Secukinumab
Early loading induction - "Early": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 2, 3, 5
PlaceboDrug
Placebo - "Placebo": Placebo administered at weeks 1, 2, 3, 5, 9
| Study group | Role | What they receive |
|---|---|---|
| Induction Single Dose | Experimental | Induction with single injection - "Single": secukinumab (AIN457) 150 mg s.c. administered at Week 1, Baseline through Week 12 Receives: Drug: AIN457 |
| Induction Monthly Dose | Experimental | Induction with monthly injections - "Monthly": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 5, 9, Baseline through Week 12 Receives: Drug: AIN457A |
| Induction Early Loading Dose | Experimental | Early loading induction - "Early": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 2, 3, 5, Baseline through Week 12 Receives: Drug: AIN457A |
| Placebo Dose | Placebo comparator | Placebo administered at weeks 1, 2, 3, 5, 9, Baseline through Week 12 Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Efficacy of Three Induction Regimens of AIN457 Administered Subcutaneously in Patients With Moderate to Severe Chronic Plaque-type Psoriasis With Respect to PASI 75 Achievement After 12 Weeks of Treatment, Compared to Placebo.
Number (%) of patients achieving PASI 50, PASI 75, PASI 90, by visit and induction treatment
Measured: 13 weeks
Secondary outcomes (2)
The Efficacy of Two Maintenance Regimens of AIN457 With Respect to PASI 75 Achievement at Least Once From Week 21 to 29
Measured: week 21 to 29
The Efficacy of Three Induction Regimens of AIN457 Administered Subcutaneously With Respect Participants Who Reported Either an IGA 0 or 1 After 12 Weeks of Treatment, Compared to Placebo
The investigator's global assessment (IGA) was used to evaluate overall psoriatic disease, with scores ranging from 0 (clear) to 5 (very severe disease). Treatment success was defined as patients who achieved IGA 0 or 1 and improvement of at least 2 points on the IGA scale compared to baseline. The IGA rating score for involvement of hands and feet ranged from 0 (clear) to 4 (severe).
Measured: 13 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2009 (estimated)
- Study startJul 2009
- Primary completionDec 2010
- Study completionDec 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Plaque-type PsoriasisStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 404 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00941031
- Sponsor's protocol ID
- CAIN457A2211
- Other IDs
- 2008-007525-39, 2008
- Status last verified
- Mar 2015
- First submitted
- 16 Jul 2009
- Last updated
- 20 Aug 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Paul C, Reich K, Gottlieb AB, Mrowietz U, Philipp S, Nakayama J, Harfst E, Guettner A, Papavassilis C; CAIN457A2211 study group. Secukinumab improves hand, foot and nail lesions in moderate-to-severe plaque psoriasis: subanalysis of a randomized, double-blind, placebo-controlled, regimen-finding phase 2 trial. J Eur Acad Dermatol Venereol. 2014 Dec;28(12):1670-5. doi: 10.1111/jdv.12359. Epub 2014 Jan 7.
PubMed 24393602
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo Controlled, Multicenter Regimen Finding Study of Subcutaneously Administered AIN457, Assessing Psoriasis Area and Severity Index (PASI) Response in Patients With Moderate to Severe Chronic Plaque-type Psoriasis
- ClinicalTrials.gov ID
- NCT00941031
- Acronym / sponsor ID
- CAIN457A2211
- Conditions
- Chronic Plaque-type Psoriasis
- Keywords
- Moderate to severe chronic plaque-type psoriasis, AIN457, dermatology
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 404 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Jul 2009
- Primary completion
- Dec 2010 (actual)
- Study completion
- Dec 2010 (actual)
- First posted
- 17 Jul 2009 (estimated)
- Results
- Posted 27 Mar 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to determine whether, in patients with moderate to severe plaque-type psoriasis, AIN457 administered subcutaneously reduces the severity of psoriasis symptoms and the extent to which the patient's body area is affected by the disease (compared to placebo).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Induction Single Dose | Experimental | Drug: AIN457Induction with single injection - "Single": secukinumab (AIN457) 150 mg s.c. administered at Week 1, Baseline through Week 12 |
| Induction Monthly Dose | Experimental | Drug: AIN457AInduction with monthly injections - "Monthly": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 5, 9, Baseline through Week 12 |
| Induction Early Loading Dose | Experimental | Drug: AIN457AEarly loading induction - "Early": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 2, 3, 5, Baseline through Week 12 |
| Placebo Dose | Placebo comparator | Drug: PlaceboPlacebo administered at weeks 1, 2, 3, 5, 9, Baseline through Week 12 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Men or women at least 18 years of age at time of consent
- Chronic plaque-type psoriasis diagnosed for at least 6 months at time of randomization
- At time of randomization, moderate to severe psoriasis as defined by:
- At screening and randomization, chronic plaque-type psoriasis considered inadequately controlled by:
Key exclusion criteria (13 listed)
- Patients meeting any of the following criteria will be excluded from entry into the study:
- Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and guttate psoriasis) at screening or randomization
- Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) and randomization
- Ongoing use of prohibited psoriasis treatments (e.g., topical or systemic corticosteroids, UV therapy) at randomization. Washout periods detailed in the study protocol have to be adhered to
- Ongoing use of other prohibited treatments at randomization. Washout periods detailed in the study protocol have to be adhered to. All prior concomitant medications must be on a stable dose for at least four weeks before study drug administration
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AIN457Also: Secukinumab | Drug | Induction Single Dose |
| AIN457AAlso: SecukinumabInduction with monthly injections - "Monthly": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 5, 9 | Drug | Induction Monthly Dose |
| AIN457AAlso: SecukinumabEarly loading induction - "Early": secukinumab (AIN457) 150 mg s.c. administered at weeks 1, 2, 3, 5 | Drug | Induction Early Loading Dose |
| PlaceboPlacebo - "Placebo": Placebo administered at weeks 1, 2, 3, 5, 9 | Drug | Placebo Dose |
Primary outcome
The Efficacy of Three Induction Regimens of AIN457 Administered Subcutaneously in Patients With Moderate to Severe Chronic Plaque-type Psoriasis With Respect to PASI 75 Achievement After 12 Weeks of Treatment, Compared to Placebo.
Time frame: 13 weeks
Number (%) of patients achieving PASI 50, PASI 75, PASI 90, by visit and induction treatment
2 secondary outcomes
The Efficacy of Two Maintenance Regimens of AIN457 With Respect to PASI 75 Achievement at Least Once From Week 21 to 29
Time frame: week 21 to 29
The Efficacy of Three Induction Regimens of AIN457 Administered Subcutaneously With Respect Participants Who Reported Either an IGA 0 or 1 After 12 Weeks of Treatment, Compared to Placebo
Time frame: 13 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24393602Paul C, Reich K, Gottlieb AB, Mrowietz U, Philipp S, Nakayama J, Harfst E, Guettner A, Papavassilis C; CAIN457A2211 study group. Secukinumab improves hand, foot and nail lesions in moderate-to-severe plaque psoriasis: subanalysis of a randomized, double-blind, placebo-controlled, regimen-finding phase 2 trial. J Eur Acad Dermatol Venereol. 2014 Dec;28(12):1670-5. doi: 10.1111/jdv.12359. Epub 2014 Jan 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
62 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing AIN457 and AIN457A in people with Chronic Plaque-type Psoriasis, run by Novartis Pharmaceuticals at 62 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 62 sites in United States, Germany, Japan, Israel, Norway and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Mar 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Efficacy of Three Induction Regimens of AIN457 Administered Subcutaneously in Patients With Moderate to Severe Chronic Plaque-type Psoriasis With Respect to PASI 75 Achievement After 12 Weeks of Treatment, Compared to Placebo. (time frame: 13 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00941031, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Aug 2015; AzTrials last refreshed its copy on 26 Oct 2026.