- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01807520
Study of Safety, Tolerability, and Efficacy of Secukinumab in Subjects With Moderate to Severe Nail Psoriasis (TRANSFIGURE)
February 14, 2018 updated by: Novartis Pharmaceuticals
A Randomized, Double-blind, Placebo-controlled, Multicenter, Study to Demonstrate the Efficacy at 16 Weeks of Secukinumab 150 and 300 mg s.c. and to Assess Safety, Tolerability and Long-term Efficacy up to 132 Weeks in Subjects With Moderate to Severe Nail Psoriasis
This purpose of this study was to demonstrate the efficacy of secukinumab versus placebo on nail psoriasis and to assess long-term efficacy, safety and tolerability of secukinumab.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
198
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
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New South Wales
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Sydney, New South Wales, Australia, 2010
- Novartis Investigative Site
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Queensland
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Woolloongabba, Queensland, Australia, 4102
- Novartis Investigative Site
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Victoria
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East Melbourne, Victoria, Australia, 3002
- Novartis Investigative Site
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Bruxelles, Belgium, 1200
- Novartis Investigative Site
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Liege, Belgium, 4000
- Novartis Investigative Site
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Prague 10, Czechia, 100 34
- Novartis Investigative Site
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Czech Republic
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Usti nad Labem, Czech Republic, Czechia, 400 11
- Novartis Investigative Site
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Arhus C, Denmark, DK-8000
- Novartis Investigative Site
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Copenhagen NV, Denmark, DK-2400
- Novartis Investigative Site
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Hellerup, Denmark, DK-2900
- Novartis Investigative Site
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Bad Bentheim, Germany, 48455
- Novartis Investigative Site
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Bielefeld, Germany, 33647
- Novartis Investigative Site
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Hamburg, Germany, 20354
- Novartis Investigative Site
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Kiel, Germany, 24105
- Novartis Investigative Site
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Muenster, Germany, 48143
- Novartis Investigative Site
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Athens, Greece, 161 21
- Novartis Investigative Site
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GR
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Heraklion, Crete, GR, Greece, 71110
- Novartis Investigative Site
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Madrid, Spain, 28041
- Novartis Investigative Site
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Madrid, Spain, 28046
- Novartis Investigative Site
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Madrid, Spain, 28006
- Novartis Investigative Site
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Madrid, Spain, 28031
- Novartis Investigative Site
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Barcelona
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Sabadell, Barcelona, Spain, 08208
- Novartis Investigative Site
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Catalunya
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Barcelona, Catalunya, Spain, 08003
- Novartis Investigative Site
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Comunidad Valenciana
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Valencia, Comunidad Valenciana, Spain, 46017
- Novartis Investigative Site
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Vizcaya
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Baracaldo, Vizcaya, Spain, 48903
- Novartis Investigative Site
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Birmingham, United Kingdom, B15 2TH
- Novartis Investigative Site
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Liverpool, United Kingdom, L14 3PE
- Novartis Investigative Site
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Newcastle upon Tyne, United Kingdom, NE1 4LP
- Novartis Investigative Site
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Staffordshire, United Kingdom, WS11 5XY
- Novartis Investigative Site
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England
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London, England, United Kingdom, E11 1NR
- Novartis Investigative Site
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West Midlands
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Dudley, West Midlands, United Kingdom, DY1 2HQ
- Novartis Investigative Site
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Alabama
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Birmingham, Alabama, United States, 35233
- Novartis Investigative Site
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Arizona
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Phoenix, Arizona, United States, 85032
- Novartis Investigative Site
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Illinois
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Skokie, Illinois, United States, 60077
- Novartis Investigative Site
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Indiana
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Indianapolis, Indiana, United States, 46256
- Novartis Investigative Site
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North Carolina
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High Point, North Carolina, United States, 27262
- Novartis Investigative Site
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Oregon
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Portland, Oregon, United States, 97210
- Novartis Investigative Site
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Pennsylvania
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Duncansville, Pennsylvania, United States, 16635
- Novartis Investigative Site
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Tennessee
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Nashville, Tennessee, United States, 37203
- Novartis Investigative Site
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Texas
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Houston, Texas, United States, 77030
- Novartis Investigative Site
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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
Inclusion Criteria:
- Subjects with chronic moderate to severe plaque type psoriasis for at least 6 months prior to randomization, including significant nail involvement, defined as Nail Psoriasis Severity Index (NAPSI) score ≥16 AND number of fingernails involved ≥4 AND Psoriasis Area and Severity Index (PASI) score ≥12 AND Body Surface Area (BSA) score ≥10%
- Candidates for systemic therapy, i.e. psoriasis inadequately controlled by topical treatment (including super potent topical corticosteroids) and/or phototherapy and/or previous systemic therapy
Exclusion Criteria:
- Forms of psoriasis other than chronic plaque type psoriasis (e.g., pustular psoriasis, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic and guttate psoriasis)
- Drug-induced psoriasis (e.g. new onset or current exacerbation from β-blockers, calcium channel inhibitors or lithium)
- Ongoing inflammatory skin diseases other than psoriasis or any other disease affecting the fingernails which may potentially confound the evaluation of study treatment effects
- Ongoing use of prohibited treatments (e.g. topical or systemic corticosteroids (CS), UV therapy). Washout periods do apply
- Prior exposure to secukinumab (AIN457) or any other biological drug directly targeting IL-17 or the IL-17 receptor
- Exposure to any investigational drugs within 4 weeks prior to study treatment initiation or within a period of 5 half-lives of the investigational treatment, whichever is longer
- History of hypersensitivity to constituents of the study treatment
- Other protocol-defined inclusion/exclusion criteria do apply
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 |
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Experimental: Secukinumab (AIN457) 150 mg
Participants assigned to secukinumab 150 mg were dosed weekly for five weeks, then once every four weeks up to and including Week 132.
To maintain the blinding, patients received additional placebo injections at Weeks 17, 18 and 19.
All doses of study treatment are administered by sub-cutaneous injections.
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Study treatment was provided in pre-filled 1 mL syringes.
Other Names:
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Experimental: Secukinumab (AIN457) 300 mg
Participants assigned to secukinumab 300 mg were dosed weekly for five weeks, then once every four weeks up to and including Week 132.
To maintain the blinding, patients received additional placebo injections at Weeks 17, 18 and 19.
All doses of study treatment are administered by sub-cutaneous injections.
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Study treatment was provided in pre-filled 1 mL syringes.
Other Names:
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Placebo Comparator: Placebo
Patients assigned to placebo were dosed weekly for five weeks, then at Week 8 and Week 12.
At Week 16, placebo patients were randomized in a 1:1 ratio, to receive secukinumab either 150 mg or 300 mg and were dosed weekly for five weeks starting at Week 16, then once every four weeks up to and including Week 132.
All doses of study treatment are administered by sub-cutaneous injections.
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Placebo was provided in pre-filled 1 mL syringes.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage Change From Baseline in Nail Psoriasis Severity Index (NAPSI) After 16 Weeks of Treatment
Time Frame: Baseline, 16 weeks
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The NAPSI is a tool to assess psoriatic nail involvement in patients with nail psoriasis.
Each nail is divided with imaginary horizontal and longitudinal lines into quadrants.
Each nail is given a score for nail matrix psoriasis (0-4) and nail bed psoriasis (0-4) depending on the presence of any of the features of nail psoriasis in that quadrant.
Each nail gets a nail matrix score and a nail bed score, the total of which is the NAPSI score for that nail ranging from 0 to 8. All 10 fingernails are assessed giving a total NAPSI score ranging from 0 to 80.
A negative change from baseline indicates improvement.
The adjusted mean is presented.
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Baseline, 16 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percent Change From Baseline in NAPSI Score
Time Frame: baseline, 16 weeks, 132 weeks
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The NAPSI is a tool to assess psoriatic nail involvement in patients with nail psoriasis.
Each nail is divided with imaginary horizontal and longitudinal lines into quadrants.
Each nail is given a score for nail matrix psoriasis (0-4) and nail bed psoriasis (0-4) depending on the presence of any of the features of nail psoriasis in that quadrant.
Each nail gets a nail matrix score and a nail bed score, the total of which is the NAPSI score for that nail ranging from 0 to 8. All 10 fingernails are assessed giving a total NAPSI score ranging from 0 to 80.
A negative change from baseline indicates improvement.
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baseline, 16 weeks, 132 weeks
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Percentage of Participants Achieving Psoriasis Area and Severity Index 75 (PASI75) and Investigator Global Assessment (IGA Mod 2011) Response 0 or 1 Over Time up to Week 16 of the Treatment Compared to Placebo and Over Time up to Week 132
Time Frame: 16 weeks, 132 weeks
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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, arms, trunk, legs; 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 section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4).
The IGA scale referred exclusively to the participant's disease at the time of the assessment.
The scores are: 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe and 5 = very severe.
To be considered IGA responder at any point in time, the patient must have an IGA score of 0 or 1 and have achieved a reduction of at least two points on the IGA scale from baseline.
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16 weeks, 132 weeks
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Number of Participants Who Develop Immunogenicity Against Secukinumab
Time Frame: Week 132
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The number of participants who tested positive for anti-secukinumab antibodies.
It refers to the number of participants who had no positive values at baseline but developed them only after start of secukinumab treatment.
None of the participants had a loss of efficacy and the test was only transiently positive.
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Week 132
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 20, 2013
Primary Completion (Actual)
January 3, 2017
Study Completion (Actual)
January 3, 2017
Study Registration Dates
First Submitted
January 23, 2013
First Submitted That Met QC Criteria
March 6, 2013
First Posted (Estimate)
March 8, 2013
Study Record Updates
Last Update Posted (Actual)
March 13, 2018
Last Update Submitted That Met QC Criteria
February 14, 2018
Last Verified
February 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CAIN457A2313
- 2012-005413-40 (EudraCT Number)
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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