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SpondyloarthritisPhase 3SKIPPAINNCT03136861

SKIPPAIN - Speed of Onset of SecuKinumab-Induced Relief From Pain in Patients With AxIal SpoNdyloarthritis

A Phase 3 study testing AIN457 in people with Spondyloarthritis, run by Novartis Pharmaceuticals at 66 sites in 17 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

The purpose of the study was to evaluate the efficacy and safety of secukinumab 150 mg compared to placebo in the early management (Baseline to Week 8) of spinal pain, disease activity, fatigue, and predictability of disease flares in patients with axial spondyloarthritis (axSpA) who had an inadequate response to… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Spondyloarthritis
What is being tested?
AIN457
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
383 participants
Where
66 sitesin 17 countries
Study dates
30 Jun 2017to 15 Feb 2019
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

  • Diagnosis of axial spondylarthritis (axSpA, either ankylosing spondylitis or non radiographic axial spondylarthritis) according to ASAS axSpA classification criteria
  • patients with back pain for at least 3 months and age of onset less than 45 years
  • Active axSpA as assessed by total BASDAI score of at least 4 at Baseline.
  • Spinal pain numeric rating scale score of more than 4 at Baseline.
  • inadequate response to or failure to respond to at least 2 different NSAIDs at the highest recommended dose for at least 4 weeks in total prior to randomization

Who cannot join

  • Chest X-ray or MRI with evidence of ongoing infectious or malignant process
  • Patients previously treated with any biological immunomodulating agents, except those targeting tumor necrosis factor alpha.
  • Patients who have been exposed to more than one anti-tumor necrosis factor alpha agent.
  • Active ongoing inflammatory diseases other than axial spondyloarthritis
  • Other ongoing mechanical diseases affecting the spine.

Trial locations and contacts

66 sites in 17 countries.

66 sites in 17 countries

Spain14 sites
  • Novartis Investigative Site

    Barcelona, 08041

  • Novartis Investigative Site

    Elche, Alicante, 03203

  • Novartis Investigative Site

    Elda, Alicante, 03600

  • Novartis Investigative Site

    Galdakao, Bizkaia

  • Novartis Investigative Site

    Lugo, Galicia, 27003

  • Novartis Investigative Site

    Mallorca, Balearic Islands, 07198

  • Novartis Investigative Site

    Ourense, Galicia, 32005

  • Novartis Investigative Site

    Plasencia, Extremadura, 10600

  • Novartis Investigative Site

    Seville, Andalusia, 41009

  • Novartis Investigative Site

    Seville, Andalusia, 41013

  • Novartis Investigative Site

    Torrejón de Ardoz, Madrid, 28850

  • Novartis Investigative Site

    Torrelavega, Cantabria, 39300

  • Novartis Investigative Site

    Valencia, Valencia, 46010

  • Novartis Investigative Site

    Valencia, Valencia, 46014

Other trials in Spain

Poland7 sites
  • Novartis Investigative Site

    Bydgoszcz, 85 168

  • Novartis Investigative Site

    Sopot, 81 756

  • Novartis Investigative Site

    Torun, 87-100

  • Novartis Investigative Site

    Warsaw, Mazowian, 02 495

  • Novartis Investigative Site

    Warsaw, 00-874

  • Novartis Investigative Site

    Warsaw, 04 305

  • Novartis Investigative Site

    Wroclaw, 53-224

Other trials in Poland

Bulgaria5 sites
  • Novartis Investigative Site

    Burgas, 8000

  • Novartis Investigative Site

    Plovdiv, 4000

  • Novartis Investigative Site

    Sofia, 1413

  • Novartis Investigative Site

    Sofia, 1505

  • Novartis Investigative Site

    Sofia, 1750

Other trials in Bulgaria

Greece5 sites
  • Novartis Investigative Site

    Alexandroupoli, Evros, 681 00

  • Novartis Investigative Site

    Athens, 115 27

  • Novartis Investigative Site

    Athens, 145 61

  • Novartis Investigative Site

    Thessaloniki, GR, 564 29

  • Novartis Investigative Site

    Thessaloniki, 54636

Other trials in Greece

United Kingdom5 sites
  • Novartis Investigative Site

    Liverpool, L9 7AL

  • Novartis Investigative Site

    Plymouth, PL6 8DH

  • Novartis Investigative Site

    Stoke-on-Trent, Staffordshire, ST6 7AG

  • Novartis Investigative Site

    Warrington, WA5 1QG

  • Novartis Investigative Site

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

Russia4 sites
  • Novartis Investigative Site

    Irkutsk, 664046

  • Novartis Investigative Site

    Izhevsk, 426009

  • Novartis Investigative Site

    Kazan', 420097

  • Novartis Investigative Site

    Moscow, 115093

Other trials in Russia

Sweden4 sites
  • Novartis Investigative Site

    Danderyd, 182 88

  • Novartis Investigative Site

    Halmstad, SE 302 66

  • Novartis Investigative Site

    Härnösand, SE 871 31

  • Novartis Investigative Site

    Stockholm, SE, 113 65

Other trials in Sweden

Croatia3 sites
  • Novartis Investigative Site

    Rijeka, 51000

  • Novartis Investigative Site

    Zagreb, HRV, 10000

  • Novartis Investigative Site

    Zagreb, 10000

Other trials in Croatia

Czechia3 sites
  • Novartis Investigative Site

    Brno, 63800

  • Novartis Investigative Site

    Plzen-Bory, 30599

  • Novartis Investigative Site

    Prague, 150 06

Other trials in Czechia

Estonia3 sites
  • Novartis Investigative Site

    Pärnu, 80010

  • Novartis Investigative Site

    Tallinn, 10138

  • Novartis Investigative Site

    Tartu, 50406

Other trials in Estonia

Latvia3 sites
  • Novartis Investigative Site

    Liepāja, LV 3401

  • Novartis Investigative Site

    Riga, LV 1002

  • Novartis Investigative Site

    Riga, LV 2164

Other trials in Latvia

Belgium2 sites
  • Novartis Investigative Site

    Brussels, 1020

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

Finland2 sites
  • Novartis Investigative Site

    Kuopio, 70100

  • Novartis Investigative Site

    Kuovola, 45100

Other trials in Finland

Ireland2 sites
  • Novartis Investigative Site

    Dublin, D03 VX82

  • Novartis Investigative Site

    Dublin, D04 T6F

Other trials in Ireland

Lithuania2 sites
  • Novartis Investigative Site

    Kaunas, LTU, LT 50161

  • Novartis Investigative Site

    Kaunas, LT, LT-50128

Other trials in Lithuania

Italy1 site
  • Novartis Investigative Site

    Verona, VR, 37134

Other trials in Italy

Switzerland1 site
  • Novartis Investigative Site

    Basel, 4031

Other trials in Switzerland

About this study

Official title: A 24-week, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Secukinumab in Controlling Spinal Pain in Patients With Axial Spondyloarthritis

The purpose of the study was to evaluate the efficacy and safety of secukinumab 150 mg compared to placebo in the early management (Baseline to Week 8) of spinal pain, disease activity, fatigue, and predictability of disease flares in patients with axial spondyloarthritis (axSpA) who had an inadequate response to prior non-steroidal anti-inflammatory drugs (NSAIDs). This study also explored the efficacy and safety of secukinumab 300 mg compared to secukinumab 150 mg from Week 8 to Week 24 in order to assess the potential additional benefits of dose escalation in patients with axSpA.

Read the detailed description

The study consisted of 2 treatment periods: a double-blind, placebo-controlled period from Baseline to Week 8 (Treatment Period 1) and a double-blind secukinumab treatment period from Week 8 to Week 24 (Treatment Period 2).

At Baseline (Treatment Period 1), patients were randomized in a 3:1 ratio to either secukinumab 150 mg (Group A) or placebo (Group B). At Week 8 (Treatment Period 2), patients were re-randomized and re-assigned respectively to 1 of 5 treatment arms to receive either secukinumab 150 mg or secukinumab 300 mg.

Patients assigned to secukinumab 150 mg (Group A) at Baseline who were responders (i.e. spinal pain score < 4) at Week 8 continued on the same dose until Week 24 under 1 treatment arm (Arm A1). Patients assigned to secukinumab 150 mg at Baseline who were non-responders at Week 8 were re-randomized to 1 of 2 treatment arms: secukinumab 150 mg (Arm A2) or secukinumab 300 mg (Arm A3) from Week 8 to Week 24.

Similarly, patients assigned to placebo (Group B) at Baseline were re-randomized to 1 of 2 treatment arms: secukinumab 150 mg (Arm B1) or secukinumab 300 mg (Arm B2) from Week 8 until Week 24.

Being tested
AIN457, AIN457 Placebo
Keywords
axial spondyloarthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, inflammatory back pain, spinal pain, secukinumab, AIN457
Medical subject headings
Spondylarthritis, Axial Spondyloarthritis, Spondylitis, Ankylosing, Non-Radiographic Axial Spondyloarthritis

What participants receive

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

  • AIN457Biological

    Also called secukinumab

    anti IL-17a monoclonal antibody

  • AIN457 PlaceboDrug

    Also called Placebo

    Placebo matching AIN457

Study groups in NCT03136861
Study groupRoleWhat they receive
Secukinumab 150 mg (Group A)ExperimentalTreatment Period 1: Secukinumab 150 mg (1 x 1.0 mL) s.c. administered at Baseline, Week 1, 2, 3 and 4
Receives: Biological: AIN457
Placebo (Group B)Placebo comparatorTreatment Period 1: Placebo (1 x 1.0 mL) s.c. administered at Baseline and Week 1, 2, 3 and 4
Receives: Biological: AIN457; Drug: AIN457 Placebo
Arm A1Active comparatorTreatment Period 2: Secukinumab 150 mg (1 x 1.0 mL) plus placebo (1 x 1.0 mL) administered at Week 8, 12, 16 and 20
Receives: Biological: AIN457; Drug: AIN457 Placebo
Arm A2Active comparatorTreatment Period 2: Secukinumab 150 mg (1 x 1.0 mL) plus placebo (1 x 1.0 mL) administered at Week 8, 12, 16 and 20
Receives: Biological: AIN457; Drug: AIN457 Placebo
Arm A3Active comparatorTreatment Period 2: Secukinumab 300 mg (2 x 1.0 mL) administered at Week 8, 12, 16, and 20
Receives: Biological: AIN457
Arm B1Active comparatorTreatment Period 2: Secukinumab 150 mg (1 x 1.0 mL) plus placebo (1 x 1.0 mL) administered at Week 8, 12, 16 and 20
Receives: Biological: AIN457; Drug: AIN457 Placebo
Arm B2Active comparatorTreatment Period 2: Secukinumab 300 mg (2 x 1.0 mL) administered at Week 8, 12, 16, and 20
Receives: Biological: AIN457

What is being measured

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

  1. Percentage of Participants With a Spinal Pain Numerical Rating Scale (NRS) Score Below 4 at Week 8 (Treatment Period 1)

    The spinal pain numerical rating scale (NRS) is an 11-point scale to assess pain intensity in patients who are able to self-report. It is an 11-point scale from 0-10: 1) "0" = no pain. 2) "10" = the most intense pain imaginable. To calculate the average spinal pain, the patient was asked to answer 2 questions to get 2 pain ratings, the total spinal pain corresponding to the intensity of spinal pain experienced on an average over 24 hours during the previous week and the nocturnal back pain corresponding to the intensity of spinal pain experienced on an average over the night during the previous week.

    Measured: Week 8

Secondary outcomes (1)
  1. Percentage of Participants With a Bath Ankylosing Spondylitis Disease Activity Index Score Below 4 at Week 8 (Treatment Period 1)

    The Bath ankylosing spondylitis disease activity index (BASDAI) consists of a 0 through 10 scale, which is used to answer 6 questions pertaining to the 5 major symptoms of ankylosing spondylitis. To give each symptom equal weighting, the mean (average) of the 2 scores relating to morning stiffness (questions 5 and 6) is taken. The mean of questions 5 and 6 is added to the scores from questions 1-4. The resulting 0 to 50 score is divided by 5 to give a final 0 - 10 BASDAI score.

    Measured: Week 8

Timeline

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

  1. First posted2 May 2017
  2. Study start30 Jun 2017
  3. Primary completion15 Feb 2019
  4. Study completion15 Feb 2019

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
383 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03136861
Sponsor's protocol ID
CAIN457H3301
Other IDs
2017-000401-21, 2017
Acronym
SKIPPAIN
Status last verified
Aug 2021
First submitted
28 Apr 2017
Last updated
5 Sep 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Novartis is commited 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 expert 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 is currently available according to the process described on www.clinicalstudydatarequest.com.

Publications

  • Poddubnyy D, Pournara E, Zielinska A, Baranauskaite A, Jimenez AM, Sadhu S, Schulz B, Rissler M, Perella C, Marzo-Ortega H. Rapid improvement in spinal pain in patients with axial spondyloarthritis treated with secukinumab: primary results from a randomized controlled phase-IIIb trial. Ther Adv Musculoskelet Dis. 2021 Oct 22;13:1759720X211051471. doi: 10.1177/1759720X211051471. eCollection 2021.

    PubMed 34707696

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AIN457 in people with Spondyloarthritis, run by Novartis Pharmaceuticals at 66 sites in 17 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 5 inclusion and 5 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 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in Spain, Poland, Bulgaria, Greece, United Kingdom and 12 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 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 19 Feb 2020). 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?

Percentage of Participants With a Spinal Pain Numerical Rating Scale (NRS) Score Below 4 at Week 8 (Treatment Period 1) (time frame: Week 8). 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 NCT03136861, 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 Sep 2021.

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