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NCT01863732: MEASURE 1 ext

Extension in AS: Sustainability of Benefits, Safety and Tolerability

Completed Phase 3 Results posted Last updated 30 July 2019
What this trial tests

Phase 3 trial testing Secukinumab in Spondylitis, Ankylosing in 274 participants. Completed in 16 March 2018.

Timeline
6 November 2013
Primary endpoint
16 March 2018
16 March 2018

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment274
Start date6 November 2013
Primary completion16 March 2018
Estimated completion16 March 2018
Sites56 locations across France, Italy, Netherlands, Russia, Peru, Belgium, Taiwan, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Spondylitis, Ankylosing. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Assessment of Spondyloarthritis International Society Criteria (ASAS) 20 Response From Week 104 to Week 260 Primary · Week 104 to Week 260

ASAS 20 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 20% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS 20 is used to assess quantitatively the sustainability of clinical benefits of two dosage regimens of secukinumab over the treatment period from Week 104 to Week 260 No Statistical Analysis was performed This was the total for Group 1 Participants that up-titrated are counted only at the origi

Week 104
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 171.4
Secukinumab (AIN457) 150mg Group 280.0
Pbo in Core Then AIN457 75mg Group 178.6
Pbo in Core Then AIN457 150mg Group 273.0
Week 116
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 176.0
Secukinumab (AIN457) 150mg Group 282.1
Pbo in Core Then AIN457 75mg Group 176.1
Pbo in Core Then AIN457 150mg Group 270.7
Week 128
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 170.1
Secukinumab (AIN457) 150mg Group 277.1
Pbo in Core Then AIN457 75mg Group 184.8
Pbo in Core Then AIN457 150mg Group 275.0
Week 140
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 177.1
Secukinumab (AIN457) 150mg Group 275.0
Pbo in Core Then AIN457 75mg Group 175.6
Pbo in Core Then AIN457 150mg Group 272.5
Week 156
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 175.5
Secukinumab (AIN457) 150mg Group 280.2
Pbo in Core Then AIN457 75mg Group 176.1
Pbo in Core Then AIN457 150mg Group 267.5
Week 168
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 174.7
Secukinumab (AIN457) 150mg Group 278.3
Pbo in Core Then AIN457 75mg Group 183.3
Pbo in Core Then AIN457 150mg Group 278.4
Week 180
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 181.7
Secukinumab (AIN457) 150mg Group 280.0
Pbo in Core Then AIN457 75mg Group 181.0
Pbo in Core Then AIN457 150mg Group 278.4
Week 192
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 172.3
Secukinumab (AIN457) 150mg Group 284.8
Pbo in Core Then AIN457 75mg Group 181.0
Pbo in Core Then AIN457 150mg Group 273.0
Assessment of Spondyloarthritis International Society Criteria (ASAS) 40 Response From Week 104 to Week 260 Secondary · Week 104 to Week 260

ASAS 40 response is a validated composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame at least 40% improvement in score in at least 3 of a conventional set of 4 clinical domains relevant to AS and no worsening in the fourth domain. In this study, ASAS 40 is used to assess quantitatively the sustainability of clinical benefits of two dosage regimens of secukinumab over the treatment period from Week 104 to Week 260 No Statistical Analysis was performed This was the total for Group 1 Participants that up-titrated are counted only at the origi

Week 104
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 153.6
Secukinumab (AIN457) 150mg Group 265.0
Pbo in Core Then AIN457 75mg Group 157.1
Pbo in Core Then AIN457 150mg Group 248.6
Week 116
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 156.3
Secukinumab (AIN457) 150mg Group 259.5
Pbo in Core Then AIN457 75mg Group 154.3
Pbo in Core Then AIN457 150mg Group 251.2
Week 128
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 154.6
Secukinumab (AIN457) 150mg Group 268.7
Pbo in Core Then AIN457 75mg Group 158.7
Pbo in Core Then AIN457 150mg Group 255.0
Week 140
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 153.1
Secukinumab (AIN457) 150mg Group 260.7
Pbo in Core Then AIN457 75mg Group 153.3
Pbo in Core Then AIN457 150mg Group 260.0
Week 156
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 150.0
Secukinumab (AIN457) 150mg Group 262.8
Pbo in Core Then AIN457 75mg Group 154.3
Pbo in Core Then AIN457 150mg Group 255.0
Week 168
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 154.7
Secukinumab (AIN457) 150mg Group 267.5
Pbo in Core Then AIN457 75mg Group 142.9
Pbo in Core Then AIN457 150mg Group 262.2
Week 180
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 152.7
Secukinumab (AIN457) 150mg Group 268.8
Pbo in Core Then AIN457 75mg Group 152.4
Pbo in Core Then AIN457 150mg Group 267.6
Week 192
GroupValue95% CI
Secukinumab (AIN457) 75mg Group 157.4
Secukinumab (AIN457) 150mg Group 269.6
Pbo in Core Then AIN457 75mg Group 152.4
Pbo in Core Then AIN457 150mg Group 262.2

Adverse events — posted to ClinicalTrials.gov

Time frame: CAIN457F2305 (Wk 0 to Wk 104)- Cumuilative & Wk 104E1 to Wk 260 for CAIN457F2305E1. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Any Secukinumab (AIN457) 75 mg
Serious: 36/179 (20%)
Deaths: 2/179
Any Secukinumab (AIN457) 150 mg
Serious: 33/263 (13%)
Deaths: 1/263
Placebo
Serious: 5/122 (4%)
Deaths: 1/122

Serious adverse events (112 terms)

ReactionSystemAny Secukinumab (AIN457) 7…Any Secukinumab (AIN457) 1…Placebo
Myocardial infarctionCardiac disorders
CholelithiasisHepatobiliary disorders
Ankylosing spondylitisMusculoskeletal and connective tissue disorders
Cardiac failureCardiac disorders
IridocyclitisEye disorders
UveitisEye disorders
Hiatus herniaGastrointestinal disorders
AppendicitisInfections and infestations
TonsillitisInfections and infestations
LacerationInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
OsteoarthritisMusculoskeletal and connective tissue disorders
Cerebrovascular accidentNervous system disorders
Abdominal lymphadenopathyBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Acute coronary syndromeCardiac disorders
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Atrial tachycardiaCardiac disorders
Cardiogenic shockCardiac disorders
CardiomyopathyCardiac disorders
Cardiorenal syndromeCardiac disorders
Coronary artery stenosisCardiac disorders
Mitral valve incompetenceCardiac disorders
Other adverse events (24 terms — click to expand)

ReactionSystemAny Secukinumab (AIN457) 7…Any Secukinumab (AIN457) 1…Placebo
NasopharyngitisInfections and infestations
DiarrhoeaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
InfluenzaInfections and infestations
PharyngitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
DyslipidaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
BronchitisInfections and infestations
UveitisEye disorders
LeukopeniaBlood and lymphatic system disorders
RhinitisInfections and infestations
Ankylosing spondylitisMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Mouth ulcerationGastrointestinal disorders
GastroenteritisInfections and infestations
Abdominal pain upperGastrointestinal disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Myocardial infarction, Cholelithiasis, Ankylosing spondylitis, Cardiac failure, Iridocyclitis, Uveitis, Hiatus hernia, Appendicitis.

Data from ClinicalTrials.gov NCT01863732 adverse events section.

Sponsor's own description

This 3-year extension study aims at making available the treatment with secukinumab in prefilled syringes (PFS) to patients with ankylosing spondylitis who took part in phase III study CAIN457F2305, defined as "core study", as well as to generate additional data on the sustainability of clinical benefits, safety and tolerability during long-term administration of secukinumab.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Secukinumab shows sustained efficacy and low structural progression in ankylosing spondylitis: 4-year results from the MEASURE 1 study.
    Braun J, Baraliakos X, Deodhar A, Poddubnyy D, et al · · 2019 · cited 102× · PMID 30590813 · DOI 10.1093/rheumatology/key375
  2. Long-term effects of interleukin-17A inhibition with secukinumab in active ankylosing spondylitis: 3-year efficacy and safety results from an extension of the Phase 3 MEASURE 1 trial.
    Baraliakos X, Kivitz AJ, Deodhar AA, Braun J, et al · · 2018 · cited 75× · PMID 28516874
  3. Long-term efficacy and safety of secukinumab 150 mg in ankylosing spondylitis: 5-year results from the phase III MEASURE 1 extension study.
    Baraliakos X, Braun J, Deodhar A, Poddubnyy D, et al · · 2019 · cited 72× · PMID 31565244 · DOI 10.1136/rmdopen-2019-001005
  4. Effect of Secukinumab on Traditional Cardiovascular Risk Factors and Inflammatory Biomarkers: Post Hoc Analyses of Pooled Data Across Three Indications.
    Merola JF, McInnes IB, Deodhar AA, Dey AK, et al · · 2022 · cited 30× · PMID 35305260 · DOI 10.1007/s40744-022-00434-z
  5. Secukinumab for rheumatology: development and its potential place in therapy.
    Koenders MI, van den Berg WB. · · 2016 · cited 29× · PMID 27445458 · DOI 10.2147/dddt.s105263
  6. Spinal radiographic progression over 2 years in ankylosing spondylitis patients treated with secukinumab: a historical cohort comparison.
    Braun J, Haibel H, de Hooge M, Landewé R, et al · · 2019 · cited 28× · PMID 31174584 · DOI 10.1186/s13075-019-1911-1
  7. Advances in managing ankylosing spondylitis.
    Daikh DI, Chen PP. · · 2014 · cited 18× · PMID 25343035 · DOI 10.12703/p6-78
  8. Achievement of Remission Endpoints with Secukinumab Over 3 Years in Active Ankylosing Spondylitis: Pooled Analysis of Two Phase 3 Studies.
    Baraliakos X, Van den Bosch F, Machado PM, Gensler LS, et al · · 2021 · cited 13× · PMID 33351179 · DOI 10.1007/s40744-020-00269-6

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01863732.

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