A Study to Evaluate the Long Term Safety and Efficacy of Bimekizumab in Subjects With Ankylosing Spondylitis (BE AGILE 2)
A Multicenter, Open-Label Extension Study to Evaluate the Long Term Safety and Efficacy of Bimekizumab in Subjects With Ankylosing Spondylitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Dobrich, Bulgaria
- As0009 156
-
Plovdiv, Bulgaria
- As0009 151
-
Plovdiv, Bulgaria
- As0009 155
-
Ruse, Bulgaria
- As0009 150
-
-
-
-
-
Quebec City, Canada
- As0009 101
-
-
-
-
-
Brno, Czechia
- As0009 205
-
Olomouc, Czechia
- As0009 207
-
Pardubice, Czechia
- As0009 208
-
Praha, Czechia
- As0009 202
-
Praha 11 Chodov, Czechia
- As0009 210
-
Praha 3, Czechia
- As0009 211
-
Praha 4, Czechia
- As0009 201
-
Zlin, Czechia
- As0009 203
-
-
-
-
-
Hamburg, Germany
- As0009 304
-
Ratingen, Germany
- As0009 301
-
-
-
-
-
Budapest, Hungary
- As0009 400
-
Budapest, Hungary
- As0009 403
-
Veszprem, Hungary
- As0009 401
-
-
-
-
-
Bydgoszcz, Poland
- As0009 466
-
Elblag, Poland
- As0009 453
-
Elblag, Poland
- As0009 456
-
Krakow, Poland
- As0009 455
-
Lublin, Poland
- As0009 461
-
Nowa Sol, Poland
- As0009 467
-
Poznan, Poland
- As0009 451
-
Torun, Poland
- As0009 450
-
Warszawa, Poland
- As0009 454
-
Warszawa, Poland
- As0009 459
-
Wroclaw, Poland
- As0009 457
-
Wroclaw, Poland
- As0009 460
-
Wroclaw, Poland
- As0009 465
-
-
-
-
-
Moscow, Russian Federation
- As0009 601
-
Moscow, Russian Federation
- As0009 604
-
Moscow, Russian Federation
- As0009 607
-
Saint Petersburg, Russian Federation
- As0009 600
-
Saint Petersburg, Russian Federation
- As0009 606
-
Saint Petersburg, Russian Federation
- As0009 608
-
Saint-petersburg, Russian Federation
- As0009 610
-
-
-
-
-
A Coruna, Spain
- As0009 801
-
Cordoba, Spain
- As0009 800
-
Santiago de Compostela, Spain
- As0009 803
-
-
-
-
-
Kyiv, Ukraine
- As0009 700
-
Kyiv, Ukraine
- As0009 707
-
Ternopil, Ukraine
- As0009 705
-
Uzhgorod, Ukraine
- As0009 708
-
Vinnytsia, Ukraine
- As0009 706
-
Zaporizhzhia, Ukraine
- As0009 704
-
-
-
-
Florida
-
Sarasota, Florida, United States, 34239
- As0009 30
-
-
Pennsylvania
-
Duncansville, Pennsylvania, United States, 16635
- AS0009 1
-
-
Texas
-
Dallas, Texas, United States, 75231
- AS0009 6
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- In the opinion of the Investigator, the subject is expected to benefit from participation in an Open Label Extension (OLE) study
- Subject completed AS0008 without meeting any withdrawal criteria
- Female subjects must be postmenopausal, permanently sterilized or, if of childbearing potential, must be willing to use a highly effective method of contraception
- Male subjects with a partner of childbearing potential must be willing to use a condom when sexually active
Exclusion Criteria:
- Female subjects who plan to become pregnant during the study or within 20 weeks following the last dose of investigational medicinal product (IMP). Male subjects who are planning a partner pregnancy during the study or within 20 weeks following the last dose
- Subjects with any current sign or symptom that may indicate a medically significant active infection (except for the common cold) or has had an infection requiring systemic antibiotics within 2 weeks of study entry
- Subjects who meet any withdrawal criteria in AS0008. For any subject with an ongoing Serious Adverse Event, or a history of serious infections (including hospitalizations) in the lead-in study, the Medical Monitor must be consulted prior to the subject's entry into AS0009
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Bimekizumab
Subjects will receive bimekizumab up to 4 years.
|
Bimekizumab at a prespecified dose.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the Study
Time Frame: From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Treatment emergent adverse events were defined as those events with onset date on or after the first administration of study medication in AS0009 and on or before 140 days after the final study medication administration.
|
From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
|
Percentage of Participants With Serious Adverse Event (SAE) During the Study
Time Frame: From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
A serious adverse event (SAE) is any untoward medical occurrence that at any dose: 1) Results in death 2) Is life-threatening 3) Requires in participant hospitalisation or prolongation of existing hospitalisation 4) Is a congenital anomaly or birth defect 5) Is an infection that requires treatment with parenteral antibiotics 6) Other important medical events which based on medical or scientific judgement may jeopardise the participants, or may require medical or surgical intervention to prevent any of the above.
|
From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants Who Withdrew Due to an Treatment-emergent Adverse Event (TEAE) During the Study
Time Frame: From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Treatment emergent adverse events were defined as those events with onset date on or after the first administration of study medication in AS0009 and on or before 140 days after the final study medication administration.
|
From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)
|
|
Percentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 48 Calculated Relative to Baseline of AS0008
Time Frame: Baseline of AS0008, Week 48 (AS0009)
|
The ASAS40 response was defined as relative improvements of at least 40% and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS), where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PGADA) (score ranged from 0 (not active) to 10 (very active), Pain assessment (total spinal pain NRS score) (assessed on a scale of 0 (no pain) to 10 (severe pain)), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)) (score ranged from 0 (easy) to 10 (impossible)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) (score ranged from 0 (none) to 10 (very severe) and no worsening at all in the remaining domain.
Participants for whom ASAS could not be derived due to missing data were counted as non-responders.
|
Baseline of AS0008, Week 48 (AS0009)
|
|
Percentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 48 Calculated Relative to Baseline of AS0008
Time Frame: Baseline of AS0008, Week 48 (AS0009)
|
The ASAS20 response was defined as relative improvements of at least 20% and absolute improvement of at least 1 unit on a 0 to 10 NRS, where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: PGADA (score ranged from 0 (not active) to 10 (very active), Pain assessment (total spinal pain NRS score) (assessed on a scale of 0 (no pain) to 10 (severe pain)), Function (BASFI) (score ranged from 0 (easy) to 10 (impossible)), Inflammation (mean of BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) (score ranged from 0 (none) to 10 (very severe) and no worsening at all in the remaining domain.
Participants for whom ASAS could not be derived due to missing data were counted as non-responders.
|
Baseline of AS0008, Week 48 (AS0009)
|
|
Change From Baseline of AS0008 in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Total Score to Week 48
Time Frame: Baseline of AS0008, Week 48 (AS0009)
|
BASDAI is a validated self-reported instrument, which consisted of 6 questions to measure the disease activity of ankylosing spondylitis (AS) from the participant's perspective.
It measured the severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration).
Each question was rated using a numerical rating scale from 0 (none) to 10 (very severe), higher score=high disease activity.
The BASDAI score was calculated by computing the mean of questions 5 and 6 and adding it to the sum of questions 1 to 4. This score was then divided by 5.
The total BASDAI score was ranged from 0=none to 10= very severe, where higher score indicated high disease activity.
A negative value indicated improvement and a positive value indicated worsening.
|
Baseline of AS0008, Week 48 (AS0009)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: UCB Cares, 001 844 599 2273
Publications and helpful links
General Publications
- Robinson PC, Machado PM, Haroon N, Gensler LS, Reveille JD, Taieb V, Vaux T, Fleurinck C, Oortgiesen M, de Peyrecave N, Deodhar A. Minimal Impact of the COVID-19 Pandemic on Disease Activity and Health-Related Quality of Life in Patients With Ankylosing Spondylitis Receiving Bimekizumab: Exploratory Analyses From a Phase 2b Open-Label Extension Study. ACR Open Rheumatol. 2022 Sep;4(9):819-824. doi: 10.1002/acr2.11486. Epub 2022 Jul 14.
- Baraliakos X, Deodhar A, Dougados M, Gensler LS, Molto A, Ramiro S, Kivitz AJ, Poddubnyy D, Oortgiesen M, Vaux T, Fleurinck C, Shepherd-Smith J, de la Loge C, de Peyrecave N, van der Heijde D. Safety and Efficacy of Bimekizumab in Patients With Active Ankylosing Spondylitis: Three-Year Results From a Phase IIb Randomized Controlled Trial and Its Open-Label Extension Study. Arthritis Rheumatol. 2022 Dec;74(12):1943-1958. doi: 10.1002/art.42282. Epub 2022 Nov 7.
- Brown MA, Rudwaleit M, van Gaalen FA, Haroon N, Gensler LS, Fleurinck C, Marten A, Massow U, de Peyrecave N, Vaux T, White K, Deodhar A, van der Horst-Bruinsma I. Low uveitis rates in patients with axial spondyloarthritis treated with bimekizumab: pooled results from phase 2b/3 trials. Ann Rheum Dis. 2024 Aug 23:ard-2024-225933. doi: 10.1136/ard-2024-225933. Online ahead of print.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AS0009
- 2017-001002-15 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Ankylosing Spondylitis
-
NCT05303285RecruitingAnkylosing Spondylitis (AS)
-
NCT07166874RecruitingAnkylosing Spondylitis
-
NCT07390929WithdrawnAnkylosing Spondylitis
-
NCT07277179Completed
-
NCT07578220RecruitingAnkylosing Spondylitis
-
NCT07534644Not yet recruiting
-
NCT07237568Recruiting
-
NCT05212051RecruitingActive Ankylosing Spondylitis
-
NCT02047110CompletedAnkylosing Spondylitis (AS)
Clinical Trials on Bimekizumab
-
NCT03598790CompletedModerate to Severe Chronic Plaque Psoriasis | Chronic Plaque Psoriasis
-
NCT04901195Active, not recruiting
-
NCT04009499Completed
-
NCT03025542Completed
-
NCT07219420Recruiting
-
NCT03896581Completed
-
NCT03928704CompletedNonradiographic Axial Spondyloarthritis
-
NCT06921850Recruiting
-
NCT06668181RecruitingJuvenile Psoriatic Arthritis | Enthesitis-related Arthritis
-
NCT03928743Completed