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NCT01952015

Study to Assess the Efficacy, Safety and Tolerability of Secukinumab in Japanese Subjects With Generalized Pustular Psoriasis (GPP)

Completed Phase 3 Results posted Last updated 15 March 2019
What this trial tests

Phase 3 trial testing Secukinumab in Psoriasis in 12 participants. Completed in 15 March 2016.

Timeline
21 August 2013
Primary endpoint
15 March 2016
15 March 2016

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date21 August 2013
Primary completion15 March 2016
Estimated completion15 March 2016
Sites10 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Psoriasis. 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.

Number of Patients With Treatment Success at Week 16 Using Non-responder Imputation (Full Analysis Set) Primary · 16 weeks

Treatment success was defined as "Minimally improved", "Much improved" or "Very much improved" in Clinical global impression (CGI). Non-responder imputation assigns a value of nonresponse to missing data points, any patient who drops out is assumed to be a non-responder.

Treatment success - Yes
GroupValue95% CI
AIN45710
Treatment success - No
GroupValue95% CI
AIN4572
Very much improved
GroupValue95% CI
AIN4579
Much improved
GroupValue95% CI
AIN4571
Minimally improved
GroupValue95% CI
AIN4570
No change
GroupValue95% CI
AIN4571
Worse
GroupValue95% CI
AIN4570
Missing
GroupValue95% CI
AIN4571
Number of Patients With Treatment Success at Week 52 Using Non-responder Imputation (Full Analysis Set) Secondary · 52 weeks

Ten patients showed treatment success at week 52 with clinical global impression (CGI) evaluated as "very much improved", "much improved", "minimally improved". Two patients did not achieve treatment success at week 52 with CGI evaluated as "missing" and both were imputed as "no treatment success".

Treatment success - Yes
GroupValue95% CI
AIN45710
Treatment success - No
GroupValue95% CI
AIN4572
CGI - very much improved
GroupValue95% CI
AIN4577
CGI - much improved
GroupValue95% CI
AIN4572
CGI - minimally improved
GroupValue95% CI
AIN4571
CGI - No change
GroupValue95% CI
AIN4570
CGI - worse
GroupValue95% CI
AIN4572
Number of Patients With Treatment Success at End of Trial Using Non-responder Imputation (Full Analysis Set) Secondary · week 148

Clinical global impression (CGI) evaluated as "very much improved", "much improved", "Minimally improved".

Very much improved
GroupValue95% CI
AIN4578
Much improved
GroupValue95% CI
AIN4571
Minimally improved
GroupValue95% CI
AIN4570
No change
GroupValue95% CI
AIN4570
Worse
GroupValue95% CI
AIN4570
Missing
GroupValue95% CI
AIN4570
Summary of Clinical Global Impression up to End of Trial Secondary · up to week 148 (End of Trial)

Clinical Global Impression (CGI) has five categories: Very much improved, much improved, minimally improved, no change and worsened. Two patients did not achieve treatment success at week 52 with CGI evaluated as missing and both were imputed as "no treatment success".

Week 1
GroupValue95% CI
Very Much Improved4
Much Improved5
Minimally Improved1
No Change1
Worse0
Missing0
Week 2
GroupValue95% CI
Very Much Improved7
Much Improved4
Minimally Improved0
No Change0
Worse0
Missing0
Week 3
GroupValue95% CI
Very Much Improved10
Much Improved1
Minimally Improved0
No Change0
Worse0
Missing0
Week 4
GroupValue95% CI
Very Much Improved10
Much Improved2
Minimally Improved0
No Change0
Worse0
Missing0
Week 8
GroupValue95% CI
Very Much Improved9
Much Improved2
Minimally Improved0
No Change1
Worse0
Missing0
Week 16
GroupValue95% CI
Very Much Improved9
Much Improved1
Minimally Improved0
No Change1
Worse0
Missing0
Week 24
GroupValue95% CI
Very Much Improved8
Much Improved1
Minimally Improved1
No Change0
Worse1
Missing0
Week 36
GroupValue95% CI
Very Much Improved7
Much Improved3
Minimally Improved0
No Change1
Worse0
Missing0
Summary of JDA Total Score Category for GPP by Visit up to End of Trial Secondary · up to week 148 (End of Trial)

Japanese dermatological association (JDA) severity index for generalized pustular psoriasis (GPP) included 3 categories (mild, moderate, and severe) in the severity index.

Baseline
GroupValue95% CI
None0
Mild9
Moderate3
Severe0
Missing0
Week 1
GroupValue95% CI
None0
Mild10
Moderate1
Severe0
Missing0
Week 2
GroupValue95% CI
None0
Mild11
Moderate0
Severe0
Missing0
Week 3
GroupValue95% CI
None0
Mild11
Moderate0
Severe0
Missing0
Week 4
GroupValue95% CI
None1
Mild11
Moderate0
Severe0
Missing0
Week 8
GroupValue95% CI
None0
Mild12
Moderate0
Severe0
Missing0
Week 16
GroupValue95% CI
None0
Mild11
Moderate0
Severe0
Missing0
Week 24
GroupValue95% CI
None1
Mild9
Moderate1
Severe0
Missing0
The Japanese Dermatological Association (JDA) Component Score for GPP Over Time Secondary · up to week 148 (end of trial)

The following components of the JDA severity index for generalized pustular psoriasis (GPP) were reported: body surface area (SA)covered with total erythema with pustules, body SA covered with total erythema, body SA covered with edema, fever, white blood cell (WBC) count, C-reactive protein, serum albumin. The total score of JDA severity index was assigned a score of 0-17. Assessment of skin lesions: area of erythema with pustules, area of erythema, and area of edema; each score 0-3. Assessment of systemic manifestations and laboratory findings: fever, WBC count, CRP and serum albumin; each

Body SA w/ erythema with pustules - Baseline
GroupValue95% CI
AIN4572± 0.00
Body SA w/ erythema with pustules - Week 24
GroupValue95% CI
AIN4570.3± 0.65
Body SA w/ erythema with pustules - Week 52
GroupValue95% CI
AIN4570.0± 0.00
Body SA w/ erythema w/ pustules - End of Treatment
GroupValue95% CI
AIN4570.0± 0.00
Body SA w/ total erythema - Baseline
GroupValue95% CI
AIN4571.6± 0.67
Body SA w/ total erythema - Week 24
GroupValue95% CI
AIN4571.1± 0.54
Body SA w/ total erythema - Week 52
GroupValue95% CI
AIN4570.8± 0.42
Body SA w/ total erythema - End of Treatment
GroupValue95% CI
AIN4570.7± 0.50
Change From Baseline in Observed Value of Components of the JDA Severity Index for GPP Secondary · up to week 148 (end of trial)

The observed value for the following components of the JDA severity index for GPP were reported: percentage of body surface area covered with erythema with pustules, percentage of body surface area covered with total erythema, percentage of body surface area covered with edema, fever (body temperature,°C), white blood cell (WBC) count (/μL), C-reactive protein (mg/L), serum albumin (g/dL). Percent change=100 x Absolute change/post baseline.

Area of erythema with pustules (Week 24)
GroupValue95% CI
AIN457-89.09± 33.001
Area of erythema with pustules (Week 52)
GroupValue95% CI
AIN457-100.00± 0.000
Area of erythema with pustules (Week 148)
GroupValue95% CI
AIN457-100.00± 0.000
Area of Erythema (Week 24)
GroupValue95% CI
AIN457-63.56± 46.693
Area of Erythema (Week 52)
GroupValue95% CI
AIN457-83.60± 24.442
Area of Erythema (Week 148)
GroupValue95% CI
AIN457-87.01± 15.826
Area of Edema (Week 24)
GroupValue95% CI
AIN457-47.92± 107.200
Area of Edema (Week 52)
GroupValue95% CI
AIN457-69.17± 69.733
Mean Health-related Quality of Life (The Dermatology Life Quality Index [DLQI] and Short Form Health Survey [SF-36]) Over Time Secondary · Up to week 148 (end of treatment)

DLQI is a 10-item general dermatology disability index designed to assess HRQL in adults with skin diseases (Finlay \& Khan 94). The measure is self-admin. \& includes domains of daily activities, leisure, personal relationships, symptoms and feelings, treatment, and work/school. DLQI total score is the sum of the 10 questions. Each item has four response categories, ranging from 0 (not at all) to 3 (very much). Scores range from 0 to 30 9higher scores indicate greater health-related quality of-life impairment). SF-36 is a widely used and extensively studied instrument to measure HRQL among he

DLQI total score at Baseline
GroupValue95% CI
AIN4578.4± 6.88
DLQI total score at Week 24
GroupValue95% CI
AIN4574.5± 5.16
DLQI total score at Week 52
GroupValue95% CI
AIN4572.7± 2.41
DLQI total score at end of treatment
GroupValue95% CI
AIN4574.7± 8.25
SF-36 - MCS at Baseline
GroupValue95% CI
AIN45743.69± 17.472
SF-36 - MCS at Week 24
GroupValue95% CI
AIN45746.70± 9.9696
SF-36 - MCS at Week 52
GroupValue95% CI
AIN45746.27± 11.768
SF-36 - MCS at end of trial
GroupValue95% CI
AIN45747.70± 13.457
Number of Patients With GPP-related Systemic and Topical Co-medication Over Time Secondary · up to week 52

Use of systemic and topical co-medication to treat generalized pustular psoriasis (GPP), in subjects who have active GPP treatment at baseline.

Topical co-medication related to GPP
GroupValue95% CI
AIN45712
Systemic co-medication related to GPP
GroupValue95% CI
AIN4578

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events are collected from first patient first visit (FPFV) until last patient last visit (LPLV). All adverse events reported in this record are from the late of first patient first treatment until last patient last visit, approximately 3 years.. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AIN457
Serious: 3/12 (25%)
Deaths:

Serious adverse events (7 terms)

ReactionSystemAIN457
UPPER GASTROINTESTINAL HAEMORRHAGEGastrointestinal disorders
DRUG-INDUCED LIVER INJURYHepatobiliary disorders
HEPATIC FUNCTION ABNORMALHepatobiliary disorders
CELLULITISInfections and infestations
ERYSIPELASInfections and infestations
HYPOGLYCAEMIAMetabolism and nutrition disorders
BOWEN'S DISEASENeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (59 terms — click to expand)

ReactionSystemAIN457
NASOPHARYNGITISInfections and infestations
DIABETES MELLITUSMetabolism and nutrition disorders
ARTHRALGIAMusculoskeletal and connective tissue disorders
URTICARIASkin and subcutaneous tissue disorders
ANAEMIABlood and lymphatic system disorders
ARRHYTHMIA SUPRAVENTRICULARCardiac disorders
SINUS TACHYCARDIACardiac disorders
CATARACTEye disorders
CONJUNCTIVAL HAEMORRHAGEEye disorders
CONJUNCTIVITIS ALLERGICEye disorders
ABDOMINAL PAIN UPPERGastrointestinal disorders
DUODENITISGastrointestinal disorders
GASTRIC ULCERGastrointestinal disorders
GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders
HAEMORRHOIDSGastrointestinal disorders
LARGE INTESTINE POLYPGastrointestinal disorders
PYREXIAGeneral disorders
HEPATIC FUNCTION ABNORMALHepatobiliary disorders
HYPERBILIRUBINAEMIAHepatobiliary disorders
CELLULITISInfections and infestations
ECZEMA IMPETIGINOUSInfections and infestations
ERYTHRASMAInfections and infestations
FOLLICULITISInfections and infestations
GENITAL CANDIDIASISInfections and infestations
HELICOBACTER INFECTIONInfections and infestations
IMPETIGOInfections and infestations
OTITIS EXTERNAInfections and infestations
PARONYCHIAInfections and infestations
PHARYNGITISInfections and infestations
SINUSITISInfections and infestations
STREPTOCOCCAL INFECTIONInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
FALLInjury, poisoning and procedural complications
RIB FRACTUREInjury, poisoning and procedural complications
SPINAL COMPRESSION FRACTUREInjury, poisoning and procedural complications
C-REACTIVE PROTEIN INCREASEDInvestigations
WEIGHT DECREASEDInvestigations
HYPOVOLAEMIAMetabolism and nutrition disorders
BACK PAINMusculoskeletal and connective tissue disorders
LUMBAR SPINAL STENOSISMusculoskeletal and connective tissue disorders

Most-reported serious reactions: UPPER GASTROINTESTINAL HAEMORRHAGE, DRUG-INDUCED LIVER INJURY, HEPATIC FUNCTION ABNORMAL, CELLULITIS, ERYSIPELAS, HYPOGLYCAEMIA, BOWEN'S DISEASE.

Data from ClinicalTrials.gov NCT01952015 adverse events section.

Sponsor's own description

The purpose of this study was to assess efficacy and safety data of secukinumab in Japanese subjects with generalized pustular psoriasis (GPP). This study was expected to support the filing of secukinumab in the indication of pustular psoriasis in Japan.

Publications & conference data

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

  1. Pustular Psoriasis: From Pathophysiology to Treatment.
    Genovese G, Moltrasio C, Cassano N, Maronese CA, et al · · 2021 · cited 40× · PMID 34944562 · DOI 10.3390/biomedicines9121746
  2. Current Treatments for Generalized Pustular Psoriasis: A Narrative Summary of a Systematic Literature Search.
    Puig L, Fujita H, Thaçi D, Zheng M, et al · · 2024 · cited 8× · PMID 39088126 · DOI 10.1007/s13555-024-01230-z
  3. Considerations for Treating Generalized Pustular Psoriasis (GPP): A Narrative Review.
    Lynde CW, Prajapati VH, Gooderham MJ, Hong HC, et al · · 2025 · PMID 41066059 · DOI 10.1007/s13555-025-01535-7

Verify or expand the search:

Other trials of Secukinumab

Trials testing the same drug.

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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/NCT01952015.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing