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Undersøgelse til evaluering af farmakokinetikken (PK), sikkerhed og tolerabilitet op til 6 års intravenøs (i.v.) Secukinumab hos pædiatriske deltagere med juvenil psoriasisarthritis (JPsA).

6. november 2026 opdateret af: Novartis Pharmaceuticals

Et åbent, multicenter-studie til evaluering af farmakokinetik, sikkerhed og tolerabilitet i op til 6 års intravenøse Secukinumab-infusioner hos pædiatriske deltagere med juvenil psoriasisgigt

The purpose of this study is to determine the PK, safety and tolerability of multiple doses of intravenous (i.v.) secukinumab in pediatric participants with JPsA

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is a multicenter, open-label study with an optional treatment extension period to evaluate pharmacokinetics, safety and tolerability (up to 6 years) of i.v. secukinumab in pediatric patients with JPsA.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

20

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

  • Navn: Novartis Pharmaceuticals

Studiesteder

    • California
      • Loma Linda, California, Forenede Stater, 92354
        • Rekruttering
        • Loma Linda University Health
        • Kontakt:
        • Ledende efterforsker:
          • Wendy De La Pena
    • Florida
      • Gainesville, Florida, Forenede Stater, 32610-8068
        • Rekruttering
        • University of Florida
        • Ledende efterforsker:
          • Christian Oliveros
        • Kontakt:
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60611
        • Rekruttering
        • Ann and Robert H Lurie Childs Hosp
        • Ledende efterforsker:
          • Pooja Patel
        • Kontakt:
    • New York
      • New York, New York, Forenede Stater, 10032
        • Rekruttering
        • Col Uni Med Center New York Presby
        • Kontakt:
        • Ledende efterforsker:
          • Lisa Imundo
    • North Carolina
      • Charlotte, North Carolina, Forenede Stater, 28203
        • Rekruttering
        • Levine Childrens Hospital
        • Ledende efterforsker:
          • Sheetal Vora
        • Kontakt:
    • Ohio
      • Cincinnati, Ohio, Forenede Stater, 45229
        • Rekruttering
        • Cincinnati Childrens Hospital
        • Ledende efterforsker:
          • Hermine Brunner
        • Kontakt:
      • Cleveland, Ohio, Forenede Stater, 44106-5028
        • Rekruttering
        • Univ Hosp Cleveland Medical Center
        • Ledende efterforsker:
          • Ezequiel Borgia
        • Kontakt:
    • Oregon
      • Portland, Oregon, Forenede Stater, 97232
        • Rekruttering
        • Legacy Emanuel Research Hosp Portland
        • Ledende efterforsker:
          • Daniel Joseph Kingsbury
        • Kontakt:
    • Pennsylvania
      • Pittsburgh, Pennsylvania, Forenede Stater, 15224
        • Rekruttering
        • Childrens Hosp Pittsburgh UPMC
        • Ledende efterforsker:
          • Margalit Rosenkranz
        • Kontakt:
    • Texas
      • El Paso, Texas, Forenede Stater, 79902
        • Rekruttering
        • Texas Arthritis Center
        • Ledende efterforsker:
          • Sanjay Chabra
        • Kontakt:
    • Utah
      • Salt Lake City, Utah, Forenede Stater, 84113
        • Rekruttering
        • University of Utah
        • Kontakt:
        • Ledende efterforsker:
          • Peter Chiraseveenuprapund

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

2 år til 17 år (Barn)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Key Inclusion Criteria:

  • Participants parent's or legal representative(s) written informed consent and child's assent, if appropriate, must be obtained before any study related activity or assessment is performed. Of note, if the participant reaches age of consent (as per local law) during the study, they will also need to sign the corresponding study ICF (Informed Consent Form).

  • Males and females ≥2 years old to <18 years old at the time of screening.

  • Confirmed diagnosis of JPsA according to the modified International League of Associations for Rheumatology (ILAR) classification criteria that must have occurred at least 6 months prior to screening.

  • Active JPsA disease defined as ≥3 active joints (swollen or if not swollen must be both tender and limited range of motion) at baseline (BSL).

  • Inadequate response (≥1 month) or intolerance to ≥1 Non-Steroidal Anti-Inflammatory Drug (NSAID) at screening.

  • Inadequate response (≥2 months) or intolerance to ≥ 1 Disease Modifying Anti-Rheumatic Drug (DMARD) at screening.

  • Concomitant use of the following second-line agents such as disease-modifying and/or immunosuppressive drugs to treat the JPsA will be allowed:

    • Stable dose of methotrexate (MTX) (maximum of 20 mg/ m2 BSA/ week) for at least 4 weeks prior to the BSL visit, with folic/folinic acid supplementation (according to standard medical practice of the center).
    • Stable dose of an oral corticosteroid (CS) at a prednisone equivalent dose of <0.2 mg/kg/day or up to 10 mg/day maximum, whichever is less, for at least 7 days prior to BSL.
    • Stable dose of no more than one NSAID for at least 1 week prior to BSL.

Key Exclusion Criteria:

  • Participants with body weight less than 10 kg at screening.
  • Use of other investigational drugs within 4 weeks or 5 half-lives of BSL, or until the expected pharmacodynamic effect has returned to BSL, whichever is longer.
  • History of hypersensitivity to study drug or its excipients or to drugs of similar chemical classes.
  • Participants with active inflammatory bowel disease or active uveitis at screening or BSL.
  • Fulfilling diagnostic criteria for any International League of Associations for Rheumatology (ILAR ) juvenile idiopathic arthritis (JIA) category other than JPsA at BSL.
  • Participants treated with prohibited medication
  • Participants taking any non-biologic DMARD at screening except for MTX.
  • Any medical or psychiatric condition which, in the investigator's opinion, would preclude the participant from adhering to the protocol or completing the study per protocol.

Other inclusion/exclusion criteria may apply

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Secukinumab

Secukinumab administered intravenously in pediatric participants with JPsA

Intravenous secukinumab

Andre navne:
  • AIN457

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Maximum concentration on Day 1
Tidsramme: Pre-infusion and end of infusion (EOI) at Day 1

Maximum concentration of secukinumab on Day 1

Pre-infusion and end of infusion (EOI) at Day 1
Maximum concentration at steady-state (Cmax, ss)
Tidsramme: Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365

Maximum concentration at steady-state.

Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365
Minimum concentration at steady-state (Cmin, ss)
Tidsramme: Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365

Minimum concentration at steady-state

Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365
Area under the concentration-time curve at steady-state (AUCtau, ss)
Tidsramme: Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365

Area under the concentration-time curve at steady-state during a dosing interval

Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365
Average concentration at steady-state (Cavg,ss)
Tidsramme: Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365

Average concentration at steady-state

Preinfusion and EOI on Day 1, Day 29 and Day 57; weekly on Day 64, Day 71, Day 78, and Day 85; on Day 141 (pre-infusion if participant continues to the optional extension treatment or anytime during the visit if does not continue); preinfusion on Day 365

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Up to Week 20

Number of participants with AEs and SAEs as a measure of safety and tolerability

Up to Week 20
Number of participants with clinically significant changes in clinical laboratory measures and vital signs.
Tidsramme: Up to Week 20

Number of participants with clinically significant changes in clinical laboratory measures and vital signs as a measure of safety and tolerability

Up to Week 20

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

24. september 2025

Primær færdiggørelse (Anslået)

31. oktober 2029

Studieafslutning (Anslået)

11. marts 2031

Datoer for studieregistrering

Først indsendt

20. december 2024

Først indsendt, der opfyldte QC-kriterier

20. december 2024

Først opslået (Faktiske)

27. december 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

6. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect 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

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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