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Chronic Plaque PsoriasisPhase 4VIP-SNCT02690701

Study to Evaluate the Effect of Secukinumab Compared to Placebo on Aortic Vascular Inflammation in Subjects With Moderate to Severe Plaque Psoriasis

A Phase 4 study testing Secukinumab 300 mg in people with Chronic Plaque Psoriasis, run by Novartis Pharmaceuticals at 12 sites in United States.

Completed

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

Official record
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Trial summary

This study evaluated the effect of secukinumab compared to placebo on aortic vascular inflammation in adult patients who have moderate to severe plaque psoriasis that is poorly controlled by current psoriasis treatments. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Plaque Psoriasis
What is being tested?
Secukinumab 300 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
91 participants
Where
12 sitesUnited States
Study dates
10 Feb 2016to 19 Feb 2018
Phase
Phase 4
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

  • Males and females at least 18 years of age with moderate to severe plaque psoriasis

Who cannot join

  • Forms of psoriasis other than chronic plaque psoriasis
  • Previous exposure to IL-17A or IL-17 receptor targeting agents.
  • Other active or ongoing disease that may interfere with evaluation of psoriasis or places the patient at unacceptable risk
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

United States12 sites
  • Novartis Investigative Site

    Buffalo, New York, 14221

  • Novartis Investigative Site

    Dallas, Texas, 75246-1613

  • Novartis Investigative Site

    Exton, Pennsylvania, 19341

  • Novartis Investigative Site

    Houston, Texas, 77004

  • Novartis Investigative Site

    Los Angeles, California, 90033

  • Novartis Investigative Site

    New York, New York, 10025 1737

  • Novartis Investigative Site

    Portland, Oregon, 97223

  • Novartis Investigative Site

    Portland, Oregon, 97239

  • Novartis Investigative Site

    Rockville, Maryland, 20850

  • Novartis Investigative Site

    Salt Lake City, Utah, 84132

  • Novartis Investigative Site

    Santa Ana, California, 92701

  • Novartis Investigative Site

    St Louis, Missouri, 63117

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Effect of Secukinumab on Aortic Vascular Inflammation and Cardiometabolic Biomarkers After 12 Weeks of Treatment, Compared to Placebo, and up to 52 Weeks of Treatment With Secukinumab in Adult Subjects With Moderate to Severe Chronic Plaque-type Psoriasis

This study evaluated the effect of secukinumab compared to placebo on aortic vascular inflammation in adult patients who have moderate to severe plaque psoriasis that is poorly controlled by current psoriasis treatments.

Being tested
Secukinumab 300 mg, Placebo
Keywords
psoriasis, plaque psoriasis, secukinumab, AIN457, biologic, monoclonal antibody, aortic vascular inflammation
Medical subject headings
Psoriasis

What participants receive

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

  • Secukinumab 300 mgDrug

    Also called AIN457 300 mg

    Secukinumab 300 mg was provided in 1 mL prefilled syringes of 150 mg. Each dose of 300 mg secukinumab consisted of two secukinumab 150 mg injections once weekly for 5 weeks (Baseline, Weeks 1, 2, 3 and 4), followed by dosing every four weeks starting at Week 8 through Week 48 inclusive.

    The patients (or caregivers) self-injected each dose at the study site under the supervision of site personnel when injections occurred on days of study visits.

    The injections not occurring on days of study visits were done by the patients (or caregivers) at home.

  • PlaceboBiological

    Placebo was provided in 1 mL prefilled syringe. Each placebo dose consisted of two placebo injections once weekly for five weeks (Baseline, Weeks 1, 2, 3, 4), then after four weeks at Week 8. At Week 12, patients were switched to receive 300 mg secukinumab once weekly for five weeks (Weeks 12, 13, 14, 15, 16) followed by monthly dosing through Week 48 inclusive.

    The patients (or caregivers) self-injected each dose at the study site under the supervision of site personnel when injections occured on days of study visits.

    The injections not occurring on days of study visits were done by the patients (or caregivers) at home.

Study groups in NCT02690701
Study groupRoleWhat they receive
SecukinumabExperimentalEligible patients received secukinumab 300 mg once weekly at Baseline, Weeks 1, 2, 3 and 4 followed by monthly dosing starting at Week 8 through Week 48 inclusive
Receives: Drug: Secukinumab 300 mg
Placebo then SecukinumabPlacebo comparatorEligible patients received placebo doses once weekly at Baseline, Weeks 1, 2, 3 and 4 followed by a dose after four weeks at Week 8. Beginning with the Week 12 dose, participants were switched to treatment with secukinumab 300 mg and were dosed once weekly at Weeks 12, 13, 14, 15 and 16 followed by monthly dosing through Week 48 inclusive.
Receives: Biological: Placebo

What is being measured

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

  1. Aortic Vascular Inflammation as Measured by FDG-PET/CT

    Change from baseline in the target to background ratio from the whole aorta.

    Effect of secukinumab 300 mg subcutaneous (sc) compared to placebo on aortic vascular inflammation with respect to the change from baseline in the target (arterial vascular uptake) to background (venous blood pool) ratio from the aorta. The primary analysis time point was at Week 12.

    Increased aortic vascular inflammation as measured by (18F) fluorodeoxyglucose positron emission tomography with computer assisted tomography (FDG-PET/CT)

    Measured: baseline, 12 weeks

Secondary outcomes (29)
  1. Change in Adiponectin Total

    Change from baseline in Adiponectin to measure adiposity

    Measured: baseline, 12 weeks

  2. Change in Apolipoprotein B

    Change from baseline in Apolipoprotein B levels, a marker predictive of diabetes

    Measured: baseline, 12 weeks

  3. Change in CRP

    Change from baseline in C reactive protein (CRP), a measure of inflammation

    Measured: baseline, 12 weeks

  4. Change in Cholesterol

    Change from baseline in Cholesterol level

    Measured: baseline, 12 weeks

  5. Change in Fetuin A

    Change from baseline in Fetuin A, a marker predictive of diabetes

    Measured: baseline, 12 weeks

  6. Change in Ferritin

    Change from baseline in Ferritin, a marker predictive of diabetes

    Measured: baseline, 12 weeks

  7. Change in GlycA

    Change from baseline in glycoprotein acetylation (GlycA), a marker of inflammation

    Measured: baseline, 12 weeks

  8. Change in HDL Cholesterol

    Change from baseline in High Density Lipoprotein (HDL) Cholesterol, a cardiometabolic biomarker

    Measured: baseline, 12 weeks

  9. Change in HDL Function (Cholesterol Efflux)

    Change from baseline in High Density Lipoprotein (HDL) Cholesterol (cholesterol efflux) , a cardiometabolic biomarker

    Ratio of the pleated serum to removal of Cholesterol

    Measured: baseline, 12 weeks

  10. HDL Particle Total

    Change from baseline in High Density Lipoprotein (HDL) Cholesterol Particle Total

    Measured: baseline, 12 weeks

  11. HDL Size

    Change from baseline in High Density Lipoprotein (HDL) Cholesterol size

    Measured: baseline, 12 weeks

  12. HOMA-IR

    Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) Insulin [uIU/mL (mU/L)] x Glucose (mg/dL) = HOMA-IR

    Measured: baseline, 12 weeks

  13. Change in IL-2 Receptor A

    Interleukin-2 Receptor A (IL-2RA) is a marker predictive of diabetes

    Measured: baseline, 12 weeks

  14. Change in IL-18

    Interleukin-18 (IL-18) is a marker predictive of diabetes

    Measured: baseline, 12 weeks

  15. Change in IL-6

    Interleukin 6 (IL-6) is a marker of inflammation

    Measured: baseline, 12 weeks

  16. Change in Intermediate-Density Lipoprotein (IDL) Particle

    Intermediate-density lipoprotein (IDL) particle is a marker of cardiometabolic function

    Measured: baseline, 12 weeks

  17. Change LDL Cholesterol

    Change from baseline in Low-Density Lipoprotein (LDL) Cholesterol as a marker of cardiometabolic function

    Measured: baseline, 12 weeks

  18. Change in Leptin

    Change from baseline in Leptin a marker of adiposity

    Measured: baseline, 12 weeks

  19. LDL Particle Total

    Change from baseline in Low Density Lipoprotein (LDL) Cholesterol Particle Total

    Measured: baseline, 12 weeks

  20. LDL Size

    Change from baseline in Low Density Lipoprotein (LDL) Cholesterol size

    Measured: baseline, 12 weeks

  21. Change in Triglycerides

    Triglycerides are a marker of cardiometabolic function

    Measured: baseline, 12 weeks

  22. Change in TNF-α

    Change in Tumor necrosis factor (TNF, tumor necrosis factor alpha, TNFα is a marker of inflammation Also written as TNF-alpha

    Measured: baseline, 12 weeks

  23. Change VLDL Particle Total

    Change in Very-low-density lipoprotein (VLDL) cholesterol level

    Measured: baseline, 12 weeks

  24. VLDL Size

    Change from baseline in Very Low Density Lipoprotein (VLDL) Cholesterol size

    Measured: baseline, 12 weeks

  25. Area and Severity Index 75 (PASI 75)

    Percentage of participants with PASI75 response (yes, no) PASI75 response = at least a 75% improvement (reduction) in PASI score compared to baseline

    Psoriasis Area and Severity Index ( PASI) is a tool for measuring the severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range 0 (no disease) to 72 (maximal disease).

    Measured: week 12

  26. Psoriasis Area and Severity Index 90 (PASI 90)

    Percentage of participants with PASI90 response (yes, no) PASI90 response = at least a 90\& improvement (reduction) in PASI score compared to baseline

    Measured: week 12

  27. Psoriasis Area and Severity Index 100 (PASI100)

    Percentage of participants with PASI100 response (yes, no) PASI100 response = complete clearing of psoriasis

    Measured: week 12

  28. Investigator's Global Assessment Modified 2011 (IGA Mod 2011) Score of 0 or 1

    percentage of participants with IGA mod 2011 score of 0 or 1 (yes, no)

    Investigator's Global Assessment modified 2011 (IGA mod 2011) score of 0 or 1

    Statistical analysis (Cochran-Mantel-Haenszel test) of Novartis Investigator's Global Assessment Modified 2011 0 or 1 response by visit (Non-responder Imputation)

    Measured: week 12

  29. Dermatology Life Quality Index (DLQI) Total Score

    Change from baseline in the DLQI total score

    Summary of analysis of change from baseline in DLQI at Week 12 and statistical analysis (using Analysis of Covariance) of change from baseline in DLQI at Week 12

    The higher the score, the more quality of life is impaired.

    0 - 1 no effect at all on patient's life 2 - 5 small effect on patient's life 6 - 10 moderate effect on patient's life 11 - 20 very large effect on patient's life 21 - 30 extremely large effect on patient's life

    Measured: baseline, 12 weeks

Timeline

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

  1. First posted24 Feb 2016 (estimated)
  2. Study start10 Feb 2016
  3. Primary completion26 Apr 2017
  4. Study completion19 Feb 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02690701
Sponsor's protocol ID
CAIN457AUS02
Acronym
VIP-S
Status last verified
Jul 2019
First submitted
19 Feb 2016
Last updated
5 Jan 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: 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

Publications

  • Gelfand JM, Shin DB, Duffin KC, Armstrong AW, Blauvelt A, Tyring SK, Menter A, Gottlieb S, Lockshin BN, Simpson EL, Kianifard F, Sarkar RP, Muscianisi E, Steadman J, Ahlman MA, Playford MP, Joshi AA, Dey AK, Werner TJ, Alavi A, Mehta NN. A Randomized Placebo-Controlled Trial of Secukinumab on Aortic Vascular Inflammation in Moderate-to-Severe Plaque Psoriasis (VIP-S). J Invest Dermatol. 2020 Sep;140(9):1784-1793.e2. doi: 10.1016/j.jid.2020.01.025. Epub 2020 Feb 21.

    PubMed 32088207

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Secukinumab 300 mg in people with Chronic Plaque Psoriasis, run by Novartis Pharmaceuticals at 12 sites in United States.

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 1 inclusion and 4 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 5 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 9 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?

Aortic Vascular Inflammation as Measured by FDG-PET/CT (time frame: baseline, 12 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 NCT02690701, 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 5 Jan 2021.

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