Extension Study of Secukinumab Prefilled Syringes in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Completing Preceding Psoriasis Phase III Studies With Secukinumab

November 27, 2018 updated by: Novartis Pharmaceuticals

A Multicenter, Double-blind, Randomized Withdrawal Extension Study of Subcutaneous Secukinumab in Prefilled Syringes to Demonstrate Long-term Efficacy, Safety, and Tolerability up to 4 Years in Subjects With Moderate to Severe Chronic Plaque-type Psoriasis Completing Preceding Psoriasis Phase III Studies With Secukinumab

This was an extension study of secukinumab prefilled syringes in subjects with moderate to severe chronic plaque-type psoriasis completing preceding psoriasis phase III studies with secukinumab. Subjects on secukinumab at the end of treatment period in phase III studies (e.g., ongoing CAIN457A2302 and CAIN457A2303 and potentially other secukinumab phase III studies) were eligible to join this extension study. This extension study was planned to collect an additional 2 years of long-term efficacy, safety, and tolerability data of secukinumab in either continuous or interrupted therapy (randomized withdrawal period) in subjects showing at least partial response to secukinumab and completing treatment period on secukinumab in previous phase III studies. In this extension study, the prefilled syringe (PFS) liquid formulation of secukinumab were used.

Study Overview

Study Type

Interventional

Enrollment (Actual)

1147

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Buenos Aires, Argentina, C1425DKG
        • Novartis Investigative Site
      • Mendoza, Argentina, M5502EZA
        • Novartis Investigative Site
    • Buenos Aires
      • Caba, Buenos Aires, Argentina, C1181ACH
        • Novartis Investigative Site
      • Caba, Buenos Aires, Argentina, C1062ABK
        • Novartis Investigative Site
      • Caba, Buenos Aires, Argentina, C1122AAF
        • Novartis Investigative Site
      • Caba, Buenos Aires, Argentina, C1425BEI
        • Novartis Investigative Site
    • New South Wales
      • Kogarah, New South Wales, Australia, 2217
        • Novartis Investigative Site
    • Queensland
      • Woolloongabba, Queensland, Australia, 4102
        • Novartis Investigative Site
    • Victoria
      • Carlton, Victoria, Australia, 3053
        • Novartis Investigative Site
      • East Melbourne, Victoria, Australia, 3002
        • Novartis Investigative Site
      • Bruxelles, Belgium, 1200
        • Novartis Investigative Site
      • Gent, Belgium, 9000
        • Novartis Investigative Site
      • Liege, Belgium, 4000
        • Novartis Investigative Site
    • Alberta
      • Edmonton, Alberta, Canada, T5K 1X3
        • Novartis Investigative Site
    • British Columbia
      • Surrey, British Columbia, Canada, V3V 0C6
        • Novartis Investigative Site
      • Vancouver, British Columbia, Canada, V5Z 4E8
        • Novartis Investigative Site
    • New Brunswick
      • Moncton, New Brunswick, Canada, E1C 8X3
        • Novartis Investigative Site
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3H 1Z2
        • Novartis Investigative Site
    • Ontario
      • Hamilton, Ontario, Canada, L8N 1V6
        • Novartis Investigative Site
      • Markham, Ontario, Canada, L3P 1A8
        • Novartis Investigative Site
      • Peterborough, Ontario, Canada, K9J 5K2
        • Novartis Investigative Site
      • Richmond Hil, Ontario, Canada, L4B 1A5
        • Novartis Investigative Site
      • Waterloo, Ontario, Canada, N2J 1C4
        • Novartis Investigative Site
    • Quebec
      • Montreal, Quebec, Canada, H3H 1V4
        • Novartis Investigative Site
      • Sainte-Foy, Quebec, Canada, G1V 4X7
        • Novartis Investigative Site
      • Barranquilla, Colombia
        • Novartis Investigative Site
      • Bogota, Colombia, 110221
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    • Atlantico
      • Barranquilla, Atlantico, Colombia
        • Novartis Investigative Site
      • Tallinn, Estonia, 13419
        • Novartis Investigative Site
      • Tallinn, Estonia, 10138
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      • Tartu, Estonia, 51014
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      • Helsinki, Finland, 00250
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      • Bordeaux Cedex, France, 33075
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      • Marseille Cedex 9, France, 13913
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      • Martigues, France, 13500
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      • Nice Cedex 3, France, 06202
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      • Reims, France, 51090
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      • Toulouse Cedex, France, 31400
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    • Cedex 10
      • Paris Cedex 10, Cedex 10, France, 75475
        • Novartis Investigative Site
      • Augsburg, Germany, 86179
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      • Berlin, Germany, 10117
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      • Berlin, Germany, 10789
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      • Berlin, Germany, 13187
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      • Bielefeld, Germany, 33647
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      • Bochum, Germany, 44791
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      • Bochum, Germany, 44793
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      • Bonn, Germany, 53105
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      • Darmstadt, Germany, 64283
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      • Dresden, Germany, 01307
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      • Erfurt, Germany, 99089
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      • Erlangen, Germany, 91054
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      • Essen, Germany, 45122
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      • Frankfurt, Germany, 60590
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      • Gera, Germany, 07548
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      • Goettingen, Germany, 37075
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      • Greifswald, Germany, 17475
        • Novartis Investigative Site
      • Hamburg, Germany, 20354
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      • Hamburg, Germany, 22143
        • Novartis Investigative Site
      • Hamburg, Germany, 22391
        • Novartis Investigative Site
      • Hanau, Germany, 63450
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      • Heidelberg, Germany, 69115
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      • Kiel, Germany, 24105
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      • Krefeld, Germany, 47805
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      • Muenchen, Germany, 80802
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      • Muenster, Germany, 48149
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      • Osnabrueck, Germany, 49074
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      • Plauen, Germany, 08529
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      • Recklinghausen, Germany, 45657
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      • Schwerin, Germany, 19055
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      • Tuebingen, Germany, 72076
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      • Wuppertal, Germany, 42275
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    • Nordrhein-Westfalen
      • Koeln, Nordrhein-Westfalen, Germany, 50937
        • Novartis Investigative Site
      • Guatemala City, Guatemala, 01010
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      • Guatemala City, Guatemala, 01015
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      • Budapest, Hungary, 1134
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      • Debrecen, Hungary, 4032
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      • Kaposvar, Hungary, 7400
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      • Miskolc, Hungary, 3529
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      • Szeged, Hungary, H-6725
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      • Szombathely, Hungary, 9700
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      • Kopavogur, Iceland, 201
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      • Afula, Israel, 1834111
        • Novartis Investigative Site
      • Petach Tikva, Israel, 49100
        • Novartis Investigative Site
      • Ramat Gan, Israel, 5265601
        • Novartis Investigative Site
    • CT
      • Catania, CT, Italy, 95123
        • Novartis Investigative Site
    • MO
      • Modena, MO, Italy, 41124
        • Novartis Investigative Site
    • Aichi
      • Nagoya-city, Aichi, Japan, 467-8602
        • Novartis Investigative Site
    • Fukuoka
      • Fukuoka-city, Fukuoka, Japan, 814-0180
        • Novartis Investigative Site
      • Kurume city, Fukuoka, Japan, 830-0011
        • Novartis Investigative Site
    • Gunma
      • Maebashi city, Gunma, Japan, 371 8511
        • Novartis Investigative Site
    • Hokkaido
      • Asahikawa-city, Hokkaido, Japan, 078-8510
        • Novartis Investigative Site
      • Sapporo-city, Hokkaido, Japan, 060-0063
        • Novartis Investigative Site
    • Hyogo
      • Kobe-City, Hyogo, Japan, 654-0155
        • Novartis Investigative Site
    • Ibaraki
      • Inashiki-gun, Ibaraki, Japan, 300-0395
        • Novartis Investigative Site
    • Kanagawa
      • Isehara-city, Kanagawa, Japan, 259-1193
        • Novartis Investigative Site
      • Kawasaki-city, Kanagawa, Japan, 213-8507
        • Novartis Investigative Site
      • Sagamihara-city, Kanagawa, Japan, 228-8522
        • Novartis Investigative Site
    • Kyoto
      • Kyoto-city, Kyoto, Japan, 602-8566
        • Novartis Investigative Site
    • Tokyo
      • Bunkyo ku, Tokyo, Japan, 113 8655
        • Novartis Investigative Site
      • Chiyoda-ku, Tokyo, Japan, 102-8798
        • Novartis Investigative Site
      • Minato-ku, Tokyo, Japan, 105-8471
        • Novartis Investigative Site
      • Shinagawa-ku, Tokyo, Japan, 141 8625
        • Novartis Investigative Site
      • Shinjuku-ku, Tokyo, Japan, 160-0023
        • Novartis Investigative Site
      • Shinjuku-ku, Tokyo, Japan, 160-8582
        • Novartis Investigative Site
      • Busan, Korea, Republic of, 49241
        • Novartis Investigative Site
      • Gwangju, Korea, Republic of, 61469
        • Novartis Investigative Site
      • Seoul, Korea, Republic of, 03722
        • Novartis Investigative Site
      • Seoul, Korea, Republic of, 156-755
        • Novartis Investigative Site
      • Seoul, Korea, Republic of, 05030
        • Novartis Investigative Site
    • Korea
      • Daejeon, Korea, Korea, Republic of, 35015
        • Novartis Investigative Site
      • Seoul, Korea, Korea, Republic of, 05505
        • Novartis Investigative Site
      • Seoul, Korea, Korea, Republic of, 06351
        • Novartis Investigative Site
    • Seocho-gu
      • Seoul, Seocho-gu, Korea, Republic of, 06591
        • Novartis Investigative Site
      • Riga, Latvia, 1012
        • Novartis Investigative Site
      • Riga, Latvia, LV-1001
        • Novartis Investigative Site
    • LVA
      • Daugavpils, LVA, Latvia, LV-5404
        • Novartis Investigative Site
      • Ventspils, LVA, Latvia, LV-3601
        • Novartis Investigative Site
      • Vilnius, Lithuania, LT-08661
        • Novartis Investigative Site
      • Vilnius, Lithuania, LT-07195
        • Novartis Investigative Site
    • LTU
      • Kaunas, LTU, Lithuania, LT-50161
        • Novartis Investigative Site
      • Klaipeda, LTU, Lithuania, 92304
        • Novartis Investigative Site
      • Lodz, Poland, 90-265
        • Novartis Investigative Site
      • Lodz, Poland, 90-436
        • Novartis Investigative Site
      • Poznan, Poland, 60 529
        • Novartis Investigative Site
      • Wroclaw, Poland, 50-368
        • Novartis Investigative Site
      • Bucuresti, Romania, 041335
        • Novartis Investigative Site
      • Singapore, Singapore, 119074
        • Novartis Investigative Site
      • Barcelona, Spain, 08041
        • Novartis Investigative Site
      • Madrid, Spain, 28041
        • Novartis Investigative Site
      • Madrid, Spain, 28031
        • Novartis Investigative Site
    • Barcelona
      • Sabadell, Barcelona, Spain, 08208
        • Novartis Investigative Site
    • Cataluña
      • Santa Coloma De Gramanet, Cataluña, Spain, 08923
        • Novartis Investigative Site
    • Comunidad Valenciana
      • Valencia, Comunidad Valenciana, Spain, 46014
        • Novartis Investigative Site
      • Malmo, Sweden, SE-205 02
        • Novartis Investigative Site
      • Uppsala, Sweden, 751 85
        • Novartis Investigative Site
      • Hsin Chu, Taiwan
        • Novartis Investigative Site
      • Taichung, Taiwan, 40447
        • Novartis Investigative Site
      • Taipei, Taiwan, 10002
        • Novartis Investigative Site
      • Harrogate, United Kingdom, HG2 7SX
        • Novartis Investigative Site
      • Nuneaton, United Kingdom, CV10 7DJ
        • Novartis Investigative Site
    • Devon
      • Plymouth, Devon, United Kingdom, PL6 8DH
        • Novartis Investigative Site
    • England
      • London, England, United Kingdom, E11 1NR
        • Novartis Investigative Site
    • Manchester
      • Salford, Manchester, United Kingdom, M6 8HD
        • Novartis Investigative Site
    • Somerset
      • Yeovil, Somerset, United Kingdom, BA21 4AT
        • Novartis Investigative Site
    • West Midlands
      • Dudley, West Midlands, United Kingdom, DY1 2HQ
        • Novartis Investigative Site
    • Alabama
      • Birmingham, Alabama, United States, 35233
        • Novartis Investigative Site
      • Birmingham, Alabama, United States, 35205
        • Novartis Investigative Site
    • Arizona
      • Phoenix, Arizona, United States, 85013
        • Novartis Investigative Site
      • Phoenix, Arizona, United States, 85032
        • Novartis Investigative Site
    • California
      • Los Angeles, California, United States, 90045
        • Novartis Investigative Site
      • Oceanside, California, United States, 92056
        • Novartis Investigative Site
      • Pasadena, California, United States, 91105
        • Novartis Investigative Site
      • San Diego, California, United States, 92123
        • Novartis Investigative Site
      • San Diego, California, United States, 92103
        • Novartis Investigative Site
    • Colorado
      • Colorado Springs, Colorado, United States, 80915
        • Novartis Investigative Site
    • Georgia
      • Snellville, Georgia, United States, 30078
        • Novartis Investigative Site
    • Indiana
      • Indianapolis, Indiana, United States, 46256
        • Novartis Investigative Site
    • Kansas
      • Topeka, Kansas, United States, 66606
        • Novartis Investigative Site
    • Kentucky
      • Louisville, Kentucky, United States, 40241
        • Novartis Investigative Site
      • Louisville, Kentucky, United States, 40291
        • Novartis Investigative Site
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • Novartis Investigative Site
    • Nebraska
      • Omaha, Nebraska, United States, 68144
        • Novartis Investigative Site
    • New York
      • New York, New York, United States, 10029
        • Novartis Investigative Site
      • Rochester, New York, United States, 14623
        • Novartis Investigative Site
    • North Carolina
      • High Point, North Carolina, United States, 27262
        • Novartis Investigative Site
    • Ohio
      • Warren, Ohio, United States, 44483
        • Novartis Investigative Site
    • Oregon
      • Oregon City, Oregon, United States, 97045
        • Novartis Investigative Site
      • Portland, Oregon, United States, 97210
        • Novartis Investigative Site
      • Portland, Oregon, United States, 97223
        • Novartis Investigative Site
    • Pennsylvania
      • Duncansville, Pennsylvania, United States, 16635
        • Novartis Investigative Site
      • Philadelphia, Pennsylvania, United States, 19104
        • Novartis Investigative Site
    • Rhode Island
      • Johnston, Rhode Island, United States, 02919
        • Novartis Investigative Site
    • South Carolina
      • Charleston, South Carolina, United States, 29407
        • Novartis Investigative Site
    • Tennessee
      • Kingsport, Tennessee, United States, 37660
        • Novartis Investigative Site
      • Nashville, Tennessee, United States, 37203
        • Novartis Investigative Site
    • Texas
      • Austin, Texas, United States, 78759
        • Novartis Investigative Site
      • Dallas, Texas, United States, 75231
        • Novartis Investigative Site
      • Dallas, Texas, United States, 75246-1613
        • Novartis Investigative Site
      • Houston, Texas, United States, 77030
        • Novartis Investigative Site
      • San Antonio, Texas, United States, 78229
        • Novartis Investigative Site
    • Utah
      • Salt Lake City, Utah, United States, 84117
        • Novartis Investigative Site
    • Virginia
      • Norfolk, Virginia, United States, 23507
        • Novartis Investigative Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Key Inclusion Criteria:

Completed the full study treatment period of 52 weeks in preceding phase III studies, and have been receiving secukinumab treatment during the maintenance phase of the preceding phase III studies, and show at least a partial response (PASI 50 or better) at Week 52 of the preceding phase III studies.

Written informed consent form.

Key Exclusion Criteria:

A protocol deviation in either of the preceding phase III studies which according to the investigator prevented the meaningful analysis of the extension study for the individual subject.

Ongoing use of prohibited psoriasis or non-psoriasis treatments.

Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (>10 mIU/mL).

Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unwilling to use effective contraception during the study and for 16 weeks after stopping treatment.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: PASI 75 Responders
PASI 75 responders participated in "randomized withdrawal". Subjects who were PASI 75 responders at Week 52 visit of the core studies (e.g.CAIN457A2302 or CAIN457A2303) and have been on secukinumab s.c. 150 mg or 300 mg in core studies were randomized to continue same s.c. doses of secukinumab in PFS or receive placebo every 4 weeks up to Week 152 or until relapse. Participants on first full relapse received loading dose followed by routine dosing with secukinumab s.c. 150 mg or 300 mg regimen.
Placebo
Secukinumab is a new type of psoriasis medication called a human monoclonal antibody. Monoclonal antibodies are proteins that recognize and bind to unique proteins that your body produces. Secukinumab binds and reduces the activity of a cytokine (a "messenger" protein in the body) called Interleukin 17 (IL-17). IL-17 is believed to be partly responsible for inflammation (pain, swelling, redness). Researchers believe that IL-17 causes symptoms of plaque-type psoriasis like plaques and scales. A product that targets IL-17 therefore may help to relieve these symptoms and conditions.
Experimental: Partial responders
Partial responders were not randomized. Subjects who were partial responders at Week 52 visit in core studies (e.g.CAIN457A2302 or CAIN457A2303) and have been on secukinumab s.c. 150 mg or 300 mg in core studies did not participate in the randomized withdrawal. These subjects continued same treatment s.c. dose in PFS (secukinumab s.c. 150 mg or 300 mg) as they were receiving at the time of completing the maintenance period (Week 52) in the core studies.
Secukinumab is a new type of psoriasis medication called a human monoclonal antibody. Monoclonal antibodies are proteins that recognize and bind to unique proteins that your body produces. Secukinumab binds and reduces the activity of a cytokine (a "messenger" protein in the body) called Interleukin 17 (IL-17). IL-17 is believed to be partly responsible for inflammation (pain, swelling, redness). Researchers believe that IL-17 causes symptoms of plaque-type psoriasis like plaques and scales. A product that targets IL-17 therefore may help to relieve these symptoms and conditions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percent of Participants With Loss of Psoriasis Area and Severity Index (PASI) 75 Response up to Week 68
Time Frame: At week 68 (16 weeks after week 52)

The primary variable was the cumulative rate of patients who lost PASI 75 response up to Week 68 (time=0 being defined as Week 52).

Loss of PASI 75 response was analyzed by means of a survival analysis defining "loss of PASI 75 response" as "failure". The term cumulative rate corresponded to 1 minus the survival function within this survival analysis, and the cumulative rate and the survival functions were dependent on time t.

PASI 75 response: patients achieving ≥ 75% improvement (reduction) in PASI score compared to baseline of the core study were defined as PASI 75 responders.

At week 68 (16 weeks after week 52)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants With PASI 50, PASI 75, PASI 90, PASI 100 and IGA Mod 2011 0 or 1 (Observed Data) - Randomized Withdrawal Period
Time Frame: Week 52, 104, and 156

Psoriasis Area and Severity Index (PASI) 75 responder at week 52. Patients in the placebo groups were not evaluable after re-treatment with Secukinumab.

PASI 75 Responders: patients with a PASI 75 response (patients achieving ≥75% improvement [reduction] in PASI score compared to baseline of the core study).

PASI 50 response: patients achieving ≥ 50% improvement (reduction) in PASI score compared to baseline of the core study were defined as PASI 50 responders.

PASI 90 response: patients achieving ≥ 90% improvement (reduction) in PASI score compared to baseline of the core study were defined as PASI 90 responders.

PASI 100 response/remission: complete clearing of psoriasis (PASI=0)

Week 52, 104, and 156
Number of Participants With PASI 50, PASI 75, PASI 90, and PASI 100 (Observed Data) - Entire Study Period
Time Frame: Week 52, Week 104, Week 156, week 208, week 260
Psoriasis Area and Severity Index (PASI) scoring system: The average degree of severity of each sign in each of the four body regions was assigned a score of 0-4. The area covered by lesions on each body region was estimated as a percentage of the total area of that particular body region.
Week 52, Week 104, Week 156, week 208, week 260
Percent Change From Baseline for PASI Score Over Time (Observed Data) - Randomized Withdrawal Period
Time Frame: Week 52, 104, and 156

The improvement (decrease from baseline) in PASI total scores observed at Week 52.

Perc. change = 100 x Abs. change /Base. (Abs. change = Post - Base) For each post-baseline visit only patients with a value at both baseline and the respective post-baseline visit are included.

Week 52, 104, and 156
Percent Change From Baseline for PASI Score Over Time (Observed Data) - Entire Study Period
Time Frame: Week 52, Week 104, Week 156, week 208, week 260
Perc. change = 100 x Abs. change /Base. (Abs. change = Post - Base) For each post-baseline visit only patients with a value at both baseline and the respective post-baseline visit are included.
Week 52, Week 104, Week 156, week 208, week 260
Number of Participants in Each IGA Mod 2011 Category (Observed Data)- Randomized Withdrawal Period
Time Frame: Week 52 (baseline), 104, and 156

Investigator Global Assessment (IGA) mod 2011; scale from 0 - 4. Score 0: Clear (No signs of psoriasis. Post-inflammatory hyperpigmentation could be Present). Score 1: Almost clear (Normal to pink coloration of lesions; no thickening; no to minimal focal scaling), Score 2: Mild (Pink to light red coloration; just detectable to mild thickening; predominantly fine scaling). Score 3: Moderate (Dull bright red, clearly distinguishable erythema; clearly distinguishable to moderate thickening; moderate scaling). Score 4: Severe (Bright to deep dark red coloration; severe thickening with hard edges; severe /coarse scaling covering almost all or all lesions).

Patients in the placebo groups were not evaluable after re-treatment with Secukinumab

Week 52 (baseline), 104, and 156
Number of Participants in Each IGA Mod 2011 Category (Observed Data) - Entire Study Period
Time Frame: Week 52, Week 104, Week 156, week 208, week 260
Investigator's Global Assessment (IGA) mod 2011; scale from 0 - 4. Score 0= clear (no signs of psoriasis) Score 1 = almost clear no to minimal local scaling) Score 2 = mild (predominantly fine scaling) Score 3 = moderate (moderate scaling) Score 4 = severe (severe/coarse scaling covering almost all or all lesions)
Week 52, Week 104, Week 156, week 208, week 260
Number of Participants With IGA Mod 2011 0/1 Response (Observed Data) - Entire Study Period
Time Frame: Week 52, Week 104, Week 156, week 208, week 260
Investigator's Global Assessment (IGA) mod 2011 0/1. Score 0= clear (no signs of psoriasis) Score 1 = almost clear no to minimal local scaling) Score 2 = mild (predominantly fine scaling) Score 3 = moderate (moderate scaling) Score 4 = severe (severe/coarse scaling covering almost all or all lesions) Based on this scale, a patient was considered as IGA mod 2011 0/1 responder if the patient achieved a score of 0 or 1 and improved by at least 2 points on the IGA scale compared to baseline.
Week 52, Week 104, Week 156, week 208, week 260
Percent of Participants With Loss of IGA Mod 2011 0 or 1 Response Over Time for Subjects With IGA Mod 2011 0 or 1 Response at Week 52 - Randomized Withdrawal Period
Time Frame: Week 68

Summary for loss of IGA mod 2011 0 or 1 response over time for patients with response at Week 52.

time = 0 refers to Week 52

Week 68
Percent of Participants With PASI 75 Response - Treatment Period for Re-treated After Relapse
Time Frame: up to week 260
PASI 75 response since reinitiating treatment after relapse. time = 0 refers to Week 52
up to week 260
Percent of Participants With IGA Mod 0 or 1 Response - Treatment Period for Re-treated After Relapse
Time Frame: up to week 260

IGA mod 2011 0 or 1 response since reinitiating treatment after relapse for subjects with IGA 0 or 1 response at week 52 and not have IGA 0 or 1 response at relapse.

time = 0 refers to Week 52

up to week 260
Percent pf Participants With Relapse Over Time - Randomized Withdrawal Period
Time Frame: up to week 156
Time 0 = week 52
up to week 156
Percent of Participants With Relapse After Last Injection
Time Frame: up to week 16

Relapse: when the achieved maximal PASI improvement from baseline of core study was reduced by >50%.

Time 0 = week 52

up to week 16
Percent of Participants With Rebound After Last Injection
Time Frame: up to week 68
Rebound: PASI increases to > 125% of baseline (where baseline is the PASI at the randomization of the core study) or presence of new pustular psoriasis, new erythrodermic psoriasis or more inflammatory psoriasis occurring within 8 Weeks of stopping therapy (after the last dose of study treatment received). Rebound like event (RLE) was defined as increase of PASI of > 125% from baseline value or occurrence of new pustular, new erythrodermic or more inflammatory psoriasis any time after stopping therapy (last treatment administered) up to Week 68. Rebound was evaluated for the patients randomized to the placebo groups in the extension study; hence these patients received the last dose of secukinumab during the core studies.
up to week 68
Number of Participants With Dermatology Life Quality Index Response (DLQI 0 or 1) - Randomized Withdrawal Period (Observed Data)
Time Frame: Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
Dermatology Life Quality Index (DLQI) scores range from 0 to 30. Lower absolute scores on DLQI indicate better/improved health-related quality-of life impairment.
Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
Number of Participants With Dermatology Life Quality Index Response (DLQI 0 or 1) - Entire Treatment Period
Time Frame: Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
Dermatology Life Quality Index (DLQI) scores range from 0 to 30. Lower absolute scores on DLQI indicate better/improved health-related quality-of life impairment.
Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
EQ-5D Health State Assessment (Observed Value) - Randomized Withdrawal Period
Time Frame: Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
EQ-5D: EuroQOL 5-Dimension Health Status Questionnaire. The EQ-5D© is a generic instrument to assess each patient's health status. It provides a simple descriptive profile and a single index value for health status. The EQ visual analog scale records the respondent's self-rated health on a vertical scale where the endpoints are labeled 'Best imaginable health state' and 'Worst imaginable health state'. This information can be used as a quantitative measure of health outcome as judged by the individual respondents.
Week 52 (baseline), 64, 76, 88, 104, 116, 128, 140, and 156
EQ-5D Health State Assessment (Observed Value) - Entire Study Period
Time Frame: week 64, 76, 88, 104, 116, 128, 140, and 156
EQ-5D: EuroQOL 5-Dimension Health Status Questionnaire. The EQ-5D© is a generic instrument to assess each patient's health status. It provides a simple descriptive profile and a single index value for health status. The EQ visual analog scale records the respondent's self-rated health on a vertical scale where the endpoints are labeled 'Best imaginable health state' and 'Worst imaginable health state'. This information can be used as a quantitative measure of health outcome as judged by the individual respondents.
week 64, 76, 88, 104, 116, 128, 140, and 156
Clinical Laboratory Evaluation - Hematology Parameters: Incidence Rate for Participants With Clinically CTCAE - Randomized Withdrawal Period
Time Frame: Week 52-156

CTCAE: common terminology criteria for adverse events. A subject with multiple variable measurements is counted only once under the worst condition. LLN = lower limit of normal.

IR=incidence rate per 100 subject years

Week 52-156
Clinical Laboratory Evaluation: Number of Participants With Clinically CTCAE - Entire Study Period
Time Frame: approximately 4 years
CTCAE: common terminology criteria for adverse events. A subject with multiple variable measurements is counted only once under the worst condition. LLN = lower limit of normal.
approximately 4 years
Electrocardiogram: Incidence of Participants With ECG Test Results - Randomized Withdrawal Period
Time Frame: Week 52 - 156

QTcB: QT interval corrected using Bazett's formula QTcF: QT interval corrected using Fridericia's formula A patient with multiple variable measurements is counted only once under the worst condition.

IR=incidence rate per 100 subject years.

Week 52 - 156
Electrocardiogram: Number of Participants With ECG Test Results - Entire Treatment Period
Time Frame: Approximately 4 years
QTcB: QT interval corrected using Bazett's formula QTcF: QT interval corrected using Fridericia's formula A patient with multiple variable measurements is counted only once under the worst condition.
Approximately 4 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 19, 2012

Primary Completion (Actual)

June 26, 2017

Study Completion (Actual)

June 26, 2017

Study Registration Dates

First Submitted

February 28, 2012

First Submitted That Met QC Criteria

February 29, 2012

First Posted (Estimate)

March 6, 2012

Study Record Updates

Last Update Posted (Actual)

December 20, 2018

Last Update Submitted That Met QC Criteria

November 27, 2018

Last Verified

November 1, 2018

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

IPD Plan Description

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

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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.

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