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Spondylitis, AnkylosingPhase 3MEASURE 1 extNCT01863732

Extension in AS: Sustainability of Benefits, Safety and Tolerability

A Phase 3 study testing Secukinumab in people with Spondylitis, Ankylosing, run by Novartis Pharmaceuticals at 56 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This 3-year extension study aims at making available the treatment with secukinumab in prefilled syringes (PFS) to patients with ankylosing spondylitis who took part in phase III study CAIN457F2305, defined as "core study", as well as to generate additional data on the sustainability of clinical benefits, safety and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Spondylitis, Ankylosing
What is being tested?
Secukinumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
274 participants
Where
56 sitesin 14 countries
Study dates
6 Nov 2013to 16 Mar 2018
Phase
Phase 3
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

Inclusion Criteria: patients having completed the "core study" CAIN457F2305, indication for treatment extension. -- Exclusion Criteria: history of hypersensitivity to secukinumab or to any drug of similar chemical classes, use of any investigational drug other than secukinumab during the "core study" CAIN457F2305.

Trial locations and contacts

56 sites in 14 countries.

56 sites in 14 countries

Germany7 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Cologne, 50937

  • Novartis Investigative Site

    Erlangen, 91054

  • Novartis Investigative Site

    Hamburg, 22415

  • Novartis Investigative Site

    Herne, 44649

  • Novartis Investigative Site

    Magdeburg, 39110

  • Novartis Investigative Site

    Nuremberg, 90429

Other trials in Germany

Russia6 sites
  • Novartis Investigative Site

    Moscow, 115522

  • Novartis Investigative Site

    Saint Petersburg, 197341

  • Novartis Investigative Site

    Tula, 300053

  • Novartis Investigative Site

    Yaroslavl, 150003

  • Novartis Investigative Site

    Yekaterinburg, 620028

  • Novartis Investigative Site

    Yekaterinburg, 620109

Other trials in Russia

United States5 sites
  • Novartis Investigative Site

    Duncansville, Pennsylvania, 16635

  • Novartis Investigative Site

    Jackson, Tennessee, 38305

  • Novartis Investigative Site

    Kingsport, Tennessee, 37660

  • Novartis Investigative Site

    Portland, Oregon, 97239

  • Novartis Investigative Site

    Spokane, Washington, 99204

Other trials in United States

Bulgaria5 sites
  • Novartis Investigative Site

    Burgas, 8000

  • Novartis Investigative Site

    Plovdiv, 4000

  • Novartis Investigative Site

    Plovdiv, 4002

  • Novartis Investigative Site

    Sofia, 1431

  • Novartis Investigative Site

    Sofia, 1612

Other trials in Bulgaria

Italy5 sites
  • Novartis Investigative Site

    Brescia, BS, 25123

  • Novartis Investigative Site

    Catania, CT, 95100

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Siena, SI, 53100

  • Novartis Investigative Site

    Torino, TO, 10126

Other trials in Italy

Peru5 sites
  • Novartis Investigative Site

    Jesus Maria, Lima region, 11

  • Novartis Investigative Site

    La Victoria, Lima region, 13

  • Novartis Investigative Site

    Pueblo Libre, Lima region, 21

  • Novartis Investigative Site

    San Isidro, Lima region, 27

  • Novartis Investigative Site

    Surquillo, Lima region, 34

Other trials in Peru

Belgium4 sites
  • Novartis Investigative Site

    Brussels, 1200

  • Novartis Investigative Site

    Genk, 3600

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Mexico4 sites
  • Novartis Investigative Site

    Culiacán, Sinaloa, CP 80000

  • Novartis Investigative Site

    Guadalajara, Jalisco, 44160

  • Novartis Investigative Site

    Mexicali, Estado de Baja California, 21100

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

United Kingdom4 sites
  • Novartis Investigative Site

    Cambridge, CB2 2QQ

  • Novartis Investigative Site

    London, England, E11 1NR

  • Novartis Investigative Site

    Newcastle upon Tyne, NE1 4LP

  • Novartis Investigative Site

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

France3 sites
  • Novartis Investigative Site

    Bordeaux, 33076

  • Novartis Investigative Site

    Limoges, Haute Vienne, 87000

  • Novartis Investigative Site

    Paris, 75014

Other trials in France

Canada2 sites
  • Novartis Investigative Site

    St. John's, Newfoundland and Labrador, A1C 5B8

  • Novartis Investigative Site

    Winnipeg, Manitoba, R3A 1M3

Other trials in Canada

Netherlands2 sites
  • Novartis Investigative Site

    Amsterdam, 1105 AZ

  • Novartis Investigative Site

    Utrecht, 3584 CX

Other trials in Netherlands

Taiwan2 sites
  • Novartis Investigative Site

    Kaohsiung City, 81346

  • Novartis Investigative Site

    Taichung, Taiwan ROC, 40201

Other trials in Taiwan

Turkey (Türkiye)2 sites
  • Novartis Investigative Site

    Gaziantep, 27310

  • Novartis Investigative Site

    Izmir, 35340

Other trials in Turkey (Türkiye)

About this study

Official title: An Extension Study to Evaluate the Sustainability of Clinical Benefits, Safety and Tolerability of Secukinumab in Patients With Active Ankylosing Spondylitis

This 3-year extension study aims at making available the treatment with secukinumab in prefilled syringes (PFS) to patients with ankylosing spondylitis who took part in phase III study CAIN457F2305, defined as "core study", as well as to generate additional data on the sustainability of clinical benefits, safety and tolerability during long-term administration of secukinumab.

Being tested
Secukinumab, Placebo (Pbo)
Keywords
AIN457, ankylosing spondylitis, chronic inflammatory disease, inflammatory back pain, PFS, pre-filled syringe, secukinumab, self-injection
Medical subject headings
Spondylitis, Ankylosing

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SecukinumabBiological

    Also called AIN457

    Group 1: secukinumab 75 mg plus placebo 150 mg or Group 2 secukinumab 150 mg plus placebo 75m dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only secukinumab 75 mg or 150 mg were dosed. Secukinumab in PFS for s.c. self-administration Q4W

  • Placebo (Pbo)Other

    Group 1: secukinumab 75 mg plus placebo 150 mg or Group 2 secukinumab 150 mg plus placebo 75m dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only secukinumab 75 mg or 150 mg were dosed. Secukinumab in PFS for s.c. self-administration Q4W

Study groups in NCT01863732
Study groupRoleWhat they receive
Secukinumab (AIN457) 75mg Grp1ExperimentalGroup 1: AIN457 75 mg plus placebo 150 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only AIN457 75 mg was dosed. Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)
Secukinumab (AIN457) 75 to 150mg Grp1ExperimentalGroup 1: AIN457 75 mg plus placebo 150 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), was up titrated to AIN457 150 mg only. Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)
Secukinumab (AIN457) 150mg Grp2ExperimentalGroup 2: AIN457 150 mg plus placebo 75 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only AIN457 150 mg was dosed. Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)
Pbo in Core then AIN457 75mg Grp1ExperimentalParticipants were on Placebo (Pbo) in Core and then in extension randomized to Group 1: secukinumab (AIN457) 75 mg plus placebo 150 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only AIN457 75 mg was dosed.Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)
Pbo in Core then AIN457 75 to 150mg Grp1ExperimentalParticipants were on Placebo in Core and then in extension randomized to Group 1: secukinumab (AIN457) 75 mg plus placebo 150 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), was up titrated to AIN457 150 mg only. Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)
Pbo in Core then AIN457 150mg Grp2ExperimentalParticipants were on Placebo (Pbo) in Core and then in extension randomized to Group 2: AIN457 150 mg plus placebo 75 mg dosed every four weeks Week 104E1 through Week 152. Starting on Week 156 (after unblinding), only AIN457 150 mg was dosed. Secukinumab in PFS for s.c. self-administration Q4W
Receives: Biological: Secukinumab; Other: Placebo (Pbo)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of Spondyloarthritis International Society Criteria (ASAS) 20 Response From Week 104 to Week 260

    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, ASAS 20 is used to assess quantitatively the sustainability of clinical benefits of two dosage regimens of secukinumab over the treatment period from Week 104 to Week 260 No Statistical Analysis was performed This was the total for Group 1 Participants that up-titrated are counted only at the originally randomized treatment group.

    Measured: Week 104 to Week 260

Secondary outcomes (1)
  1. Assessment of Spondyloarthritis International Society Criteria (ASAS) 40 Response From Week 104 to Week 260

    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, ASAS 40 is used to assess quantitatively the sustainability of clinical benefits of two dosage regimens of secukinumab over the treatment period from Week 104 to Week 260 No Statistical Analysis was performed This was the total for Group 1 Participants that up-titrated are counted only at the originally randomized treatment group

    Measured: Week 104 to Week 260

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 May 2013 (estimated)
  2. Study start6 Nov 2013
  3. Primary completion16 Mar 2018
  4. Study completion16 Mar 2018

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
274 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01863732
Sponsor's protocol ID
CAIN457F2305E1
Other IDs
2013-001089-40
Acronym
MEASURE 1 ext
Status last verified
Jun 2019
First submitted
23 May 2013
Last updated
30 Jul 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: 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

Publications

  • Baraliakos X, Van den Bosch F, Machado PM, Gensler LS, Marzo-Ortega H, Sherif B, Quebe-Fehling E, Porter B, Gaillez C, Deodhar A. Achievement of Remission Endpoints with Secukinumab Over 3 Years in Active Ankylosing Spondylitis: Pooled Analysis of Two Phase 3 Studies. Rheumatol Ther. 2021 Mar;8(1):273-288. doi: 10.1007/s40744-020-00269-6. Epub 2020 Dec 22.

    PubMed 33351179
  • Tseng JC, Wei JC, Deodhar A, Martin R, Porter B, McCreddin S, Talloczy Z. Secukinumab Demonstrates Sustained Efficacy and Safety in a Taiwanese Subpopulation With Active Ankylosing Spondylitis: Four-Year Results From a Phase 3 Study, MEASURE 1. Front Immunol. 2020 Nov 26;11:561748. doi: 10.3389/fimmu.2020.561748. eCollection 2020.

    PubMed 33324394
  • Kvien TK, Conaghan PG, Gossec L, Strand V, Ostergaard M, Poddubnyy D, Williams N, Porter B, Shete A, Gilloteau I, Deodhar A. Secukinumab and Sustained Reduction in Fatigue in Patients With Ankylosing Spondylitis: Long-Term Results of Two Phase III Randomized Controlled Trials. Arthritis Care Res (Hoboken). 2022 May;74(5):759-767. doi: 10.1002/acr.24517. Epub 2022 Mar 10.

    PubMed 33227175
  • Baraliakos X, Braun J, Deodhar A, Poddubnyy D, Kivitz A, Tahir H, Van den Bosch F, Delicha EM, Talloczy Z, Fierlinger A. Long-term efficacy and safety of secukinumab 150 mg in ankylosing spondylitis: 5-year results from the phase III MEASURE 1 extension study. RMD Open. 2019 Sep 3;5(2):e001005. doi: 10.1136/rmdopen-2019-001005. eCollection 2019.

    PubMed 31565244
  • Braun J, Baraliakos X, Deodhar A, Poddubnyy D, Emery P, Delicha EM, Talloczy Z, Porter B. Secukinumab shows sustained efficacy and low structural progression in ankylosing spondylitis: 4-year results from the MEASURE 1 study. Rheumatology (Oxford). 2019 May 1;58(5):859-868. doi: 10.1093/rheumatology/key375.

    PubMed 30590813

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Secukinumab in people with Spondylitis, Ankylosing, run by Novartis Pharmaceuticals at 56 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 30 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 56 sites in Germany, Russia, United States, Bulgaria, Italy and 9 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 30 Jul 2019). 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?

Assessment of Spondyloarthritis International Society Criteria (ASAS) 20 Response From Week 104 to Week 260 (time frame: Week 104 to Week 260). 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 NCT01863732, which also lists 5 linked publications.

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 30 Jul 2019.

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