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Moderate to Severe Chronic Plaque-type PsoriasisPhase 3NCT03504852

Efficacy and Safety of 2 Secukinumab Regimens in 90kg or More Weight Group With Moderate/Severe Chronic Plaque Psoriasis

A Phase 3 study testing secukinumab 150 mg in people with Moderate to Severe Chronic Plaque-type Psoriasis, run by Novartis Pharmaceuticals at 67 sites in 7 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 this study is to assess secukinumab high dose (every 2 weeks) vs standard dose (every 4 weeks) in heavy body weight subjects with moderate to severe plaque psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
secukinumab 150 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
331 participants
Where
67 sitesin 7 countries
Study dates
25 Jun 2018to 15 Jul 2020
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

  • Written informed consent must have been obtained before any assessment was performed. Where relevant, a legal representative will also have signed the informed study consent according to local laws and regulations.
  • Subjects must have been able to understand and communicate with the investigator and comply with the requirements of the study.
  • Men or women at least 18 years of age at time of screening.
  • Body weight of ≥ 90 kg at the time of randomization.
  • Chronic plaque-type psoriasis present for at least 6 months and diagnosed before randomization.
  • Moderate to severe psoriasis as defined at randomization by:
Show all 13Show fewer
  • Psoriasis Area and Severity Index (PASI) score of 12 or greater, and
  • Investigator's Global Assessment (IGA) mod 2011 score of 3 or greater (based on a static scale of 0 - 4), and
  • Body Surface Area (BSA) affected by plaque-type psoriasis of 10% or greater.
  • Candidate for systemic therapy. This is defined as a subject having moderate to severe chronic plaque-type psoriasis that is inadequately controlled by:
  • topical treatment and/or,
  • phototherapy and/or,
  • previous systemic therapy.

Who cannot join

  • Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and guttate psoriasis) at screening or Randomization.
  • Ongoing use of prohibited treatments. Washout periods detailed in the protocol have to be adhered to. Subjects not willing to limit ultraviolet (UV) light exposure (e.g., sunbathing and / or the use of tanning devices) during the course of the study will be considered not eligible for this study since UV light exposure is prohibited. Note: administration of live vaccines 6 weeks prior to Randomization or during the study period is also prohibited.
  • Previous exposure to secukinumab (AIN457) or any other biologic drug directly targeting Interleukin-17 (IL-17) or the IL-17 receptor.
  • Use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 4 weeks until the expected pharmacodynamic effect has returned to baseline, whichever is longer; or longer if required by local regulations.
  • Pregnant or nursing (lactating) women
  • History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system treated or untreated within the past 5 years, regardless of whether there is evidence of local recurrence or metastases (except for skin Bowen's disease, or basal cell carcinoma or actinic keratoses that have been treated with no evidence of recurrence in the past 12 weeks; carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed).
  • History of hypersensitivity to any of the study drug constituents.

Trial locations and contacts

67 sites in 7 countries.

67 sites in 7 countries

United States38 sites
  • Novartis Investigative Site

    Alpharetta, Georgia, 30022

  • Novartis Investigative Site

    Birmingham, Alabama, 35205

  • Novartis Investigative Site

    Boston, Massachusetts, 02111

  • Novartis Investigative Site

    Centennial, Colorado, 80111

  • Novartis Investigative Site

    Charleston, South Carolina, 29414

  • Novartis Investigative Site

    Charlotte, North Carolina, 28277

  • Novartis Investigative Site

    East Windsor, New Jersey, 08520

  • Novartis Investigative Site

    Fairborn, Ohio, 45324

  • Novartis Investigative Site

    Forest Hills, New York, 11375

  • Novartis Investigative Site

    Houston, Texas, 77056

  • Novartis Investigative Site

    Indianapolis, Indiana, 46256

  • Novartis Investigative Site

    Irvine, California, 92697

  • Novartis Investigative Site

    Louisville, Kentucky, 40241

  • Novartis Investigative Site

    Madison, Wisconsin, 53717

  • Novartis Investigative Site

    Mesquite, Texas, 75150

  • Novartis Investigative Site

    New Albany, Indiana, 47150

  • Novartis Investigative Site

    New Brighton, Minnesota, 55112

  • Novartis Investigative Site

    New York, New York, 10025 1737

  • Novartis Investigative Site

    Norfolk, Virginia, 23507

  • Novartis Investigative Site

    Oregon City, Oregon, 97045

  • Novartis Investigative Site

    Owensboro, Kentucky, 42303

  • Novartis Investigative Site

    Pflugerville, Texas, 78660

  • Novartis Investigative Site

    Phoenix, Arizona, 85032

  • Novartis Investigative Site

    Portland, Oregon, 97210

  • Novartis Investigative Site

    Rogers, Arkansas, 72758

  • Novartis Investigative Site

    Sacramento, California, 95817

  • Novartis Investigative Site

    Sacramento, California, 95819

  • Novartis Investigative Site

    Saint Joseph, Missouri, 64506

  • Novartis Investigative Site

    San Antonio, Texas, 78218

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    Santa Monica, California, 90404

  • Novartis Investigative Site

    Skokie, Illinois, 60077

  • Novartis Investigative Site

    Snellville, Georgia, 30078

  • Novartis Investigative Site

    Tampa, Florida, 33612

  • Novartis Investigative Site

    Verona, New Jersey, 07044

  • 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

Russia7 sites
  • Novartis Investigative Site

    Chelyabinsk, 454092

  • Novartis Investigative Site

    Kazan', 420012

  • Novartis Investigative Site

    Krasnodar, 350020

  • Novartis Investigative Site

    Lipetsk, 398005

  • Novartis Investigative Site

    Saint Petersburg, 197022

  • Novartis Investigative Site

    Saratov, 410012

  • Novartis Investigative Site

    Yekaterinburg, 620023

Other trials in Russia

Canada6 sites
  • Novartis Investigative Site

    Calgary, Alberta, T2G 1B1

  • Novartis Investigative Site

    Etobicoke, Ontario, M8X 1Y9

  • Novartis Investigative Site

    Guelph, Ontario, N1L 0B7

  • Novartis Investigative Site

    Hamilton, Ontario, L8N 1V6

  • Novartis Investigative Site

    Québec, G1V 4X7

  • Novartis Investigative Site

    Red Deer, Alberta, T4N 6V7

Other trials in Canada

Germany6 sites
  • Novartis Investigative Site

    Bochum, 44793

  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Hamburg, 20246

  • Novartis Investigative Site

    Hamburg, 20537

  • Novartis Investigative Site

    Kiel, 24105

  • Novartis Investigative Site

    Leipzig, 04103

Other trials in Germany

Italy5 sites
  • Novartis Investigative Site

    Modena, MO, 41124

  • Novartis Investigative Site

    Naples, 80138

  • Novartis Investigative Site

    Perugia, PG, 06100

  • Novartis Investigative Site

    Rozzano, MI, 20089

  • Novartis Investigative Site

    Siena, SI, 53100

Other trials in Italy

Hungary3 sites
  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Pécs, 7623

  • Novartis Investigative Site

    Szeged, H 6725

Other trials in Hungary

Czechia2 sites
  • Novartis Investigative Site

    Nový Jičín, 741 01

  • Novartis Investigative Site

    Prague, Prague 1, 11000

Other trials in Czechia

About this study

Official title: A Randomized, Double-blind, Multicenter Study Assessing Short and Long-term Efficacy, Safety, and Tolerability of Sub-cutaneous Secukinumab in Subjects of Body Weight 90 kg or Higher With Moderate to Severe Chronic Plaque-type Psoriasis

The purpose of this study is to assess secukinumab high dose (every 2 weeks) vs standard dose (every 4 weeks) in heavy body weight subjects with moderate to severe plaque psoriasis.

Read the detailed description

A 52-week multicenter, randomized, double-blind, parallel-group trial in 331 subjects with moderate to severe chronic plaque-type psoriasis of body weight 90 kg or higher at time of randomization.

This study consisted of 4 periods: screening (up to 4 weeks), treatment Period 1 (16 weeks), treatment Period 2 (36 weeks), and post-treatment follow-up (8 weeks).

Subjects were randomized using a 1:1 ratio to the following groups: Secukinumab 300 mg every 2 weeks; Secukinumab 300 mg every 4 weeks.

In addition, subjects from the 300 mg every 4 weeks group who did not achieve Psoriasis Area Severity Index (PASI) 90 response at Week 16 were reassigned using a 1:1 ratio to either remain on secukinumab 300 mg every 4 weeks or receive secukinumab 300 mg every 2 weeks starting at Week 16, until the end of treatment.

Being tested
secukinumab 150 mg
Keywords
psoriasis, secukinumab, immune-mediated systemic disease, papules, plaques, itching, weight
Medical subject headings
Psoriasis, Plaque, Amyloid, Pruritus, Body Weight

What participants receive

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

  • secukinumab 150 mgDrug

    sub-cutaneous secukinumab prefilled syringe 150 mg

Study groups in NCT03504852
Study groupRoleWhat they receive
Secukinumab 300 mg every 2 weeks (Q2W)Experimental2 injections of secukinumab 150 mg once weekly up to week 4 and thereafter every 2 weeks. Subjects remained on secukinumab 300 mg every 2 weeks until the end of treatment.
Receives: Drug: secukinumab 150 mg
Secukinumab 300 mg every 4 weeks (Q4W)Active comparator2 injections of secukinumab 150 mg once weekly up to week 4 and thereafter Q4W. Includes both subjects randomized to remain on Q4W the entire treatment period, and subjects that were Psoriasis Area and Severity Index (PASI) 90 responders at Week 16 from the secukinumab 300 mg Q4W possible up-titrate group.
Receives: Drug: secukinumab 150 mg
Secukinumab 300 mg every 4 weeks non-responders up-titration (Q4W NR up)Active comparator2 injections of secukinumab 150 mg once weekly up to week 4, then Q4W up to Week 16 and thereafter Q2W. Includes Psoriasis Area and Severity Index (PASI) 90 non-responders (NR) at Week 16 from the secukinumab 300 mg Q4W possible up-titrate group (subjects randomized to switch to Q2W if PASI 90 non-responder at Week 16).
Receives: Drug: secukinumab 150 mg

What is being measured

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

  1. Percentage of Subjects Who Achieve 90% or Greater Reduction in Psoriasis Area and Severity Index (PASI) Score - Week 16 (Full Analysis Set)

    A subject was considered as a PASI 90 responder if s/he achieved a reduction of 90% or more of the PASI score, compared to baseline, at a given time point.The head, trunk, upper limbs and lower limbs were assessed separately for erythema, thickening, and scaling. PASI scores can range from a lower value of 0, corresponding to no signs of psoriasis, up to a theoretic maximum of 72.0, i.e., higher scores represent more severity.

    Measured: 16 weeks

Secondary outcomes (2)
  1. Percentage of Subjects Who Achieve Investigator Global Assessment (IGA Modified 2011) Score of 0 or 1 - Week 16 (Full Analysis Set)

    IGA mod 2011 was conducted for overall psoriatic disease. The IGA modified 2011 used in this study was static, i.e., it referred exclusively to the subject's disease state at the time of the assessments, and did not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit. The scale has 0 (clear) as min and 4 (severe) as max, i.e., a higher score indicates more severity.

    Measured: 16 weeks

  2. Absolute and Relative Frequencies for Deaths, Other Serious or Clinically Significant Adverse Events or Related Discontinuations - Entire Study Period (Safety Set)

    An adverse event (AE) is any untoward medical occurrence (e.g., any unfavorable and unintended sign [including abnormal laboratory findings], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study until the end of study visit. Therefore, an AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product.

    Measured: Adverse events were reported from first dose of study treatment until end of study treatment plus 8 weeks post treatment, up to a maximum timeframe of 470 days.

Timeline

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

  1. First posted20 Apr 2018
  2. Study start25 Jun 2018
  3. Primary completion13 Sep 2019
  4. Study completion15 Jul 2020

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
331 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03504852
Sponsor's protocol ID
CAIN457A2324
Other IDs
2015-004620-60, 2015
Status last verified
Oct 2021
First submitted
29 Mar 2018
Last updated
11 Oct 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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

  • Augustin M, Reich K, Yamauchi P, Pinter A, Bagel J, Dahale S, You R, Bruin G, Djimopoulos J, Paguet B, Charef P, Patekar M, Keefe D. Secukinumab dosing every 2 weeks demonstrated superior efficacy compared with dosing every 4 weeks in patients with psoriasis weighing 90 kg or more: results of a randomized controlled trial. Br J Dermatol. 2022 Jun;186(6):942-954. doi: 10.1111/bjd.20971. Epub 2022 Apr 8.

    PubMed 34981829

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing secukinumab 150 mg in people with Moderate to Severe Chronic Plaque-type Psoriasis, run by Novartis Pharmaceuticals at 67 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 13 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 11 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in United States, Russia, Canada, Germany, Italy 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. 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 7 Jun 2021). 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 Subjects Who Achieve 90% or Greater Reduction in Psoriasis Area and Severity Index (PASI) Score - Week 16 (Full Analysis Set) (time frame: 16 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 NCT03504852, 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 11 Oct 2021.

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