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Plaque PsoriasisPhase 3CLARITYNCT02826603

Study of Secukinumab Compared to Ustekinumab in Subjects With Plaque Psoriasis

A Phase 3 study testing Secukinumab and Ustekinumab in people with Plaque Psoriasis, run by Novartis Pharmaceuticals at 154 sites in 11 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

Demonstrate superiority of secukinumab over ustekinumab in treatment of moderate to severe plaque psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Plaque Psoriasis
What is being tested?
Secukinumab and Ustekinumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,114 participants
Where
154 sitesin 11 countries
Study dates
22 Jun 2016to 9 Jul 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

Who may be able to join

  • Subjects must give a written, signed and dated informed consent
  • Chronic plaque-type psoriasis present for at least 6 months before randomization
  • Moderate to severe plaque psoriasis as defined at randomization by:
  • PASI score of ≥12 and
  • Body Surface Area (BSA) affected by plaque-type psoriasis ≥10% and
  • IGA mod 2011 ≥3 (based on a scale of 0-4)
Show all 10Show fewer
  • Candidate for systemic therapy, defined as having psoriasis inadequately controlled by:
  • Topical treatment (including topical corticosteroids) and/or
  • Phototherapy and/or
  • Previous systemic therapy

Who cannot join

  • Forms of psoriasis other than plaque psoriasis
  • Drug-induced psoriasis
  • Ongoing use of prohibited treatments
  • Previous exposure to secukinumab or any other biologic drug directly targeting IL-17A or IL-17RA, or ustekinumab, or any therapies targeting IL-12 or IL-23
  • Use of any other investigational drugs within 5 half-lives of the investigational treatment before study drug initiation
  • Pregnant or nursing (lactating) women
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

154 sites in 11 countries.

154 sites in 11 countries

United States123 sites
  • Novartis Investigative Site

    Albuquerque, New Mexico, 87106

  • Novartis Investigative Site

    Alpharetta, Georgia, 30022

  • Novartis Investigative Site

    Anderson, South Carolina, 29621

  • Novartis Investigative Site

    Anniston, Alabama, 36207

  • Novartis Investigative Site

    Arlington, Texas, 76011

  • Novartis Investigative Site

    Atlanta, Georgia, 30342

  • Novartis Investigative Site

    Austin, Texas, 78705

  • Novartis Investigative Site

    Aventura, Florida, 33180

  • Novartis Investigative Site

    Bakersfield, California, 93309

  • Novartis Investigative Site

    Baton Rouge, Louisiana, 70809

  • Novartis Investigative Site

    Beverly, Massachusetts, 01915

  • Novartis Investigative Site

    Beverly Hills, California, 90211

  • Novartis Investigative Site

    Birmingham, Alabama, 35205

  • Novartis Investigative Site

    Birmingham, Alabama, 35233

  • Novartis Investigative Site

    Boca Raton, Florida, 33486

  • Novartis Investigative Site

    Boston, Massachusetts, 02111

  • Novartis Investigative Site

    Boston, Massachusetts, 02114

  • Novartis Investigative Site

    Brighton, Massachusetts, 02135

  • Novartis Investigative Site

    California City, California, 93405

  • Novartis Investigative Site

    Cape Coral, Florida, 33990

  • Novartis Investigative Site

    Chapel Hill, North Carolina, 27516

  • Novartis Investigative Site

    Charleston, South Carolina, 29407

  • Novartis Investigative Site

    Charlotte, North Carolina, 28209

  • Novartis Investigative Site

    Cincinnati, Ohio, 45242

  • Novartis Investigative Site

    Cleveland, Ohio, 44106-5028

  • Novartis Investigative Site

    Columbus, Ohio, 43210

  • Novartis Investigative Site

    Coral Gables, Florida, 33134

  • Novartis Investigative Site

    Dallas, Texas, 75230

  • Novartis Investigative Site

    Dallas, Texas, 75231

  • Novartis Investigative Site

    Denver, Colorado, 80220

  • Novartis Investigative Site

    Dublin, Ohio, 43016

  • Novartis Investigative Site

    Durham, North Carolina, 27710

  • Novartis Investigative Site

    East Windsor, New Jersey, 08520

  • Novartis Investigative Site

    Encinitas, California, 92024

  • Novartis Investigative Site

    Everett, Washington, 98201

  • Novartis Investigative Site

    Exton, Pennsylvania, 19341

  • Novartis Investigative Site

    Fairborn, Ohio, 45324

  • Novartis Investigative Site

    Forest Hills, New York, 11375

  • Novartis Investigative Site

    Fort Myers, Florida, 33916

  • Novartis Investigative Site

    Fort Smith, Arkansas, 72916

  • Novartis Investigative Site

    Fresno, California, 93710

  • Novartis Investigative Site

    Fridley, Minnesota, 55432

  • Novartis Investigative Site

    Fullerton, California, 92835

  • Novartis Investigative Site

    Glendale, Arizona, 85308

  • Novartis Investigative Site

    Goodlettsville, Tennessee, 37072-2301

  • Novartis Investigative Site

    Greensboro, North Carolina, 27401

  • Novartis Investigative Site

    Greer, South Carolina, 29651

  • Novartis Investigative Site

    High Point, North Carolina, 27262

  • Novartis Investigative Site

    Hot Springs, Arkansas, 71913

  • Novartis Investigative Site

    Houston, Texas, 77056

  • Novartis Investigative Site

    Indianapolis, Indiana, 46256

  • Novartis Investigative Site

    Irvine, California, 92697

  • Novartis Investigative Site

    Jackson, Mississippi, 39216-4505

  • Novartis Investigative Site

    Jacksonville, Florida, 32216

  • Novartis Investigative Site

    Jenkintown, Pennsylvania, 19046

  • Novartis Investigative Site

    Knoxville, Tennessee, 37922

  • Novartis Investigative Site

    Lake Charles, Louisiana, 70601

  • Novartis Investigative Site

    Lake Charles, Louisiana, 70605

  • Novartis Investigative Site

    Las Vegas, Nevada, 89128

  • Novartis Investigative Site

    Los Angeles, California, 90033

  • Novartis Investigative Site

    Louisville, Kentucky, 40241

  • Novartis Investigative Site

    Macon, Georgia, 31217

  • Novartis Investigative Site

    Madison, Wisconsin, 53717

  • Novartis Investigative Site

    Marietta, Georgia, 30060

  • Novartis Investigative Site

    Metairie, Louisiana, 70006

  • Novartis Investigative Site

    Mobile, Alabama, 36608

  • Novartis Investigative Site

    Murfreesboro, Tennessee, 37130

  • Novartis Investigative Site

    Murray, Utah, 84107

  • Novartis Investigative Site

    Nashville, Tennessee, 37203

  • Novartis Investigative Site

    New Albany, Indiana, 47150

  • Novartis Investigative Site

    New Orleans, Louisiana, 70112

  • Novartis Investigative Site

    New York, New York, 10016

  • Novartis Investigative Site

    New York, New York, 10025 1737

  • Novartis Investigative Site

    New York, New York, 10075

  • Novartis Investigative Site

    Newnan, Georgia, 30263

  • Novartis Investigative Site

    Norfolk, Virginia, 23507

  • Novartis Investigative Site

    Oceanside, California, 92056

  • Novartis Investigative Site

    Oklahoma City, Oklahoma, 73103

  • Novartis Investigative Site

    Oklahoma City, Oklahoma, 73112

  • Novartis Investigative Site

    Orange Park, Florida, 32073

  • Novartis Investigative Site

    Oregon City, Oregon, 97045

  • Novartis Investigative Site

    Owensboro, Kentucky, 42301

  • Novartis Investigative Site

    Owensboro, Kentucky, 42303

  • Novartis Investigative Site

    Pflugerville, Texas, 78660

  • Novartis Investigative Site

    Phoenix, Arizona, 85018

  • Novartis Investigative Site

    Phoenix, Arizona, 85032

  • Novartis Investigative Site

    Pittsburgh, Pennsylvania, 15213-3403

  • Novartis Investigative Site

    Plymouth Meeting, Pennsylvania, 19462

  • Novartis Investigative Site

    Portland, Oregon, 97210

  • Novartis Investigative Site

    Portland, Oregon, 97223

  • Novartis Investigative Site

    Quincy, Massachusetts, 02169

  • Novartis Investigative Site

    Rochester, New York, 14623

  • Novartis Investigative Site

    Rockville, Maryland, 20850

  • Novartis Investigative Site

    Rockville, Maryland, 20852

  • Novartis Investigative Site

    Rocky Mount, North Carolina, 27804

  • Novartis Investigative Site

    Rogers, Arkansas, 72758

  • Novartis Investigative Site

    Sacramento, California, 95819

  • Novartis Investigative Site

    Saint Joseph, Missouri, 64506

  • Novartis Investigative Site

    San Antonio, Texas, 78229

  • Novartis Investigative Site

    San Diego, California, 92103

  • Novartis Investigative Site

    San Diego, California, 92117

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    Santa Monica, California, 90404

  • Novartis Investigative Site

    Santa Rosa, California, 95405

  • Novartis Investigative Site

    Scottsdale, Arizona, 85259

  • Novartis Investigative Site

    Scottsdale, Arizona, 85260

  • Novartis Investigative Site

    Seattle, Washington, 98101

  • Novartis Investigative Site

    Skokie, Illinois, 60077

  • Novartis Investigative Site

    South Miami, Florida, 33143

  • Novartis Investigative Site

    Spokane, Washington, 99204

  • Novartis Investigative Site

    Springfield, Illinois, 62703

  • Novartis Investigative Site

    St Louis, Missouri, 63104

  • Novartis Investigative Site

    St Louis, Missouri, 63117

  • Novartis Investigative Site

    St Louis, Missouri, 63141

  • Novartis Investigative Site

    Tampa, Florida, 33609

  • Novartis Investigative Site

    Tampa, Florida, 33624

  • Novartis Investigative Site

    Trumbull, Connecticut, 06611

  • Novartis Investigative Site

    Tucson, Arizona, 85724

  • Novartis Investigative Site

    Verona, New Jersey, 07044

  • Novartis Investigative Site

    Walla Walla, Washington, 99362

  • Novartis Investigative Site

    Wenatchee, Washington, 98801

  • Novartis Investigative Site

    West Palm Beach, Florida, 33409

  • Novartis Investigative Site

    Winston-Salem, North Carolina, 27157

Other trials in United States

Poland7 sites
  • Novartis Investigative Site

    Gdansk, 80-803

  • Novartis Investigative Site

    Lodz, 90-265

  • Novartis Investigative Site

    Lodz, 90-436

  • Novartis Investigative Site

    Olsztyn, 10-045

  • Novartis Investigative Site

    Warsaw, Mazowian, 02 495

  • Novartis Investigative Site

    Warsaw, 02-097

  • Novartis Investigative Site

    Warsaw, 02-507

Other trials in Poland

South Korea6 sites
  • Novartis Investigative Site

    Bundang Gu, Gyeonggi-do, 13620

  • Novartis Investigative Site

    Gwangju, 61469

  • Novartis Investigative Site

    Seoul, Korea, 06351

  • Novartis Investigative Site

    Seoul, Seocho Gu, 06591

  • Novartis Investigative Site

    Seoul, 03080

  • Novartis Investigative Site

    Seoul, 03722

Other trials in South Korea

Canada4 sites
  • Novartis Investigative Site

    Etobicoke, Ontario, M8X 1Y9

  • Novartis Investigative Site

    Hamilton, Ontario, L8N 1V6

  • Novartis Investigative Site

    Sainte-Hyacinthe, Quebec, J2S 66

  • Novartis Investigative Site

    St. John's, Newfoundland and Labrador, A1A 5E8

Other trials in Canada

Hungary3 sites
  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Pécs, 7632

  • Novartis Investigative Site

    Szeged, 6725

Other trials in Hungary

Czechia2 sites
  • Novartis Investigative Site

    Hradec Králové, CZE, 500 05

  • Novartis Investigative Site

    Prague, 100 34

Other trials in Czechia

Guatemala2 sites
  • Novartis Investigative Site

    Guatemala City, 01010

  • Novartis Investigative Site

    Guatemala City, 01015

Other trials in Guatemala

Malaysia2 sites
  • Novartis Investigative Site

    Johor Bahru, 80100

  • Novartis Investigative Site

    Kuala Lumpur, Kuala Lumpur, 50586

Other trials in Malaysia

Slovakia2 sites
  • Novartis Investigative Site

    Bojnice, 972 01

  • Novartis Investigative Site

    Košice, Slovak Republic, 040 15

Other trials in Slovakia

Vietnam2 sites
  • Novartis Investigative Site

    Hanoi, 100000

  • Novartis Investigative Site

    Ho Chi Minh City, 7000

Other trials in Vietnam

Iceland1 site
  • Novartis Investigative Site

    Kopavogur, 201

Other trials in Iceland

About this study

Official title: A 52-week, Randomized, Double-blind Study of Secukinumab (300 mg) Compared to Ustekinumab in Subjects With Moderate to Severe Plaque Psoriasis

Demonstrate superiority of secukinumab over ustekinumab in treatment of moderate to severe plaque psoriasis.

Being tested
Secukinumab, Ustekinumab
Keywords
Plaque psoriasis, secukinumab, ustekinumab, ain457, ain457a

What participants receive

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

  • SecukinumabDrug

    300mg, s.c. at randomization, Weeks 1, 2 and 3 and thereafter 4-weekly till Week 48

  • UstekinumabDrug

    Per approved label, 45 mg or 90 mg s.c. based on subject weight (at randomization visit) to be administered at randomization, Week 4, 16, 28 and 40. At other timepoints subjects will receive placebo injections.

Study groups in NCT02826603
Study groupRoleWhat they receive
SecukinumabExperimentalSecukinumab
Receives: Drug: Secukinumab
UstekinumabActive comparatorUstekinumab
Receives: Drug: Ustekinumab

What is being measured

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

  1. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 90 Response at Week 12

    Number of participants who achieved ≥ 90% reduction in PASI compared to baseline.

    Logistic regression analysis of PASI 90 response at Week 12

    PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease). Body is divided into 4 areas for scoring (head, upper limbs, trunk, lower limbs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of body region(head: 0.1, upper limbs: 0.2, trunk: 0.3, lower limbs: 0.4).

    Measured: Week 12

  2. Participants With IGA Mod 2011 0 or 1 at Week 12

    Investigator's Global Assessment uses a scale (IGA mod 2011) that rates disease from a score of 0 (clear skin) to 4 (severe disease)

    Measured: Week 12

Secondary outcomes (8)
  1. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 12

    Number of participants who achieved ≥ 75% reduction in PASI at Week 12 compared to baseline.

    Measured: Week 12

  2. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 4

    Number of participants who achieved ≥ 75% reduction in PASI at Week 4 compared to baseline.

    Measured: Week 4

  3. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 100 Response at Week 16

    Number of participants who achieved 100% reduction in PASI at Week 16 compared to baseline.

    Measured: Week 16

  4. Participants With IGA Mod 2011 0 or 1 at 16 Weeks

    Investigator's Global Assessment uses a scale (IGA mod 2011) that rates disease from a score of 0 (clear skin) to 4 (severe disease)

    Measured: Week 16

  5. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 100 Response at Week 12

    Number of participants who achieved 100% reduction in PASI at Week 12 compared to baseline.

    Measured: Week 12

  6. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 16

    Number of participants who achieved ≥ 75% reduction in PASI at Week 16 compared to baseline.

    Measured: Week 16

  7. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 90 Response at Week 16

    Number of participants who achieved ≥ 90% reduction in PASI at Week 16 compared to baseline.

    Measured: Week 16

  8. Participants Who Achieved Psoriasis Area and Severity Index (PASI) 90 Response at Week 52

    Number of participants who achieved ≥ 90% reduction in PASI at Week 52 compared to baseline.

    Measured: Week 52

Timeline

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

  1. First posted11 Jul 2016 (estimated)
  2. Study start22 Jun 2016
  3. Primary completion9 Jul 2018
  4. Study completion9 Jul 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
1,114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02826603
Sponsor's protocol ID
CAIN457A2326
Other IDs
2015-002898-37, 2015
Acronym
CLARITY
Status last verified
Jun 2019
First submitted
30 Nov 2015
Last updated
9 Jul 2019
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

  • Alpalhao M, Duarte J, Diogo R, Vandemeulebroecke M, Ortmann CE, Kasparek T, Filipe P. Lower Limbs are the Most Difficult-to-Treat Body Region of Patients with Psoriasis: Pooled Analysis of CLEAR and CLARITY Studies of Secukinumab Versus Ustekinumab by Body Region. BioDrugs. 2022 Nov;36(6):781-789. doi: 10.1007/s40259-022-00558-2. Epub 2022 Nov 5.

    PubMed 36334236
  • Conrad C, Ortmann CE, Vandemeulebroecke M, Kasparek T, Reich K. Nail Involvement as a Predictor of Differential Treatment Effects of Secukinumab Versus Ustekinumab in Patients with Moderate to Severe Psoriasis. Dermatol Ther (Heidelb). 2022 Jan;12(1):233-241. doi: 10.1007/s13555-021-00654-1. Epub 2021 Dec 6.

    PubMed 34870789
  • Bagel J, Blauvelt A, Nia J, Hashim P, Patekar M, de Vera A, Ahmad K, Paguet B, Xia S, Muscianisi E, Lebwohl M. Secukinumab maintains superiority over ustekinumab in clearing skin and improving quality of life in patients with moderate to severe plaque psoriasis: 52-week results from a double-blind phase 3b trial (CLARITY). J Eur Acad Dermatol Venereol. 2021 Jan;35(1):135-142. doi: 10.1111/jdv.16558. Epub 2020 Jun 8.

    PubMed 32365251
  • Bagel J, Nia J, Hashim PW, Patekar M, de Vera A, Hugot S, Sheng K, Xia S, Gilloteau I, Muscianisi E, Blauvelt A, Lebwohl M. Secukinumab is Superior to Ustekinumab in Clearing Skin in Patients with Moderate to Severe Plaque Psoriasis (16-Week CLARITY Results). Dermatol Ther (Heidelb). 2018 Dec;8(4):571-579. doi: 10.1007/s13555-018-0265-y. Epub 2018 Oct 17.

    PubMed 30334147

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Secukinumab and Ustekinumab in people with Plaque Psoriasis, run by Novartis Pharmaceuticals at 154 sites in 11 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 7 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 9 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 154 sites in United States, Poland, South Korea, Canada, Hungary and 6 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 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?

Participants Who Achieved Psoriasis Area and Severity Index (PASI) 90 Response at Week 12 (time frame: Week 12). The study lists 2 primary outcomes in all. 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 NCT02826603, which also lists 4 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 9 Jul 2019.

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