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NCT02008916: MEASURE 3

16-week Efficacy and 3-year Safety, Tolerability and Efficacy of Secukinumab in Active Ankylosing Spondylitis Patients

Completed Phase 3 Results posted Last updated 8 January 2019
What this trial tests

Phase 3 trial testing Secukinumab in Spondylitis, Ankylosing in 226 participants. Completed in 11 December 2017.

Timeline
14 January 2014
Primary endpoint
23 February 2015
11 December 2017

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment226
Start date14 January 2014
Primary completion23 February 2015
Estimated completion11 December 2017
Sites57 locations across Russia, Greece, Belgium, United Kingdom, Germany, Mexico, Portugal, United States

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.

Number of Participants With 20% Improvement in the Assessment of Spondyloarthritis International Society Criteria Scale / ASAS 20 Response Primary · 16 weeks

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 was used to assess the efficacy of at least one dose of secukinumab versus placebo.

GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.43
Secukinumab 10 mg/kg i.v. / 300 mg s.c.46
Placebo i.v. and s.c.28
Secukinumab 10 mg/kg i.v. / 150 mg s.c.31
Secukinumab 10 mg/kg i.v. / 300 mg s.c.30
Placebo i.v. and s.c.48
ASAS 40 Response Secondary · 16 weeks

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 was used to assess the efficacy of at least one dose of secukinumab versus placebo.

GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.30
Secukinumab 10 mg/kg i.v. / 300 mg s.c.32
Placebo i.v. and s.c.16
Secukinumab 10 mg/kg i.v. / 150 mg s.c.44
Secukinumab 10 mg/kg i.v. / 300 mg s.c.44
Placebo i.v. and s.c.60
Serum hsCRP Secondary · Baseline and 16 weeks

Blood levels of C-reactive protein (CRP), an acute phase reactant, are indicative of inflammation and of its severity, and can be used to monitor treatment response. A high sensitivity CRP (hsCRP) test was implemented in this study, to assess the efficacy of at least one dose of secukinumab versus placebo in reducing AS elicited systemic inflammation over the time.

Baseline
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.15.79± 21.075
Secukinumab 10 mg/kg i.v. / 300 mg s.c.11.08± 13.285
Placebo i.v. and s.c.13.91± 19.999
Week 16
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.68± 13.277
Secukinumab 10 mg/kg i.v. / 300 mg s.c.4.34± 5.433
Placebo i.v. and s.c.15.34± 21.694
Change from Baseline to Week 16
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.-8.06± 21.132
Secukinumab 10 mg/kg i.v. / 300 mg s.c.-6.75± 13.778
Placebo i.v. and s.c.0.57± 11.629
ASAS 5/6 Response Secondary · 16 weeks

ASAS 5/6 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 5 of a conventional set of 6 clinical domains relevant to AS and no worsening in the remaining domain. In this study, ASAS 5/6 was used to assess the efficacy of at least one dose of secukinumab versus placebo.

GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.31
Secukinumab 10 mg/kg i.v. / 300 mg s.c.30
Placebo i.v. and s.c.11
Secukinumab 10 mg/kg i.v. / 150 mg s.c.43
Secukinumab 10 mg/kg i.v. / 300 mg s.c.46
Placebo i.v. and s.c.65
Bath Ankylosing Spondylitis Disease Activity Index / BASDAI Secondary · Baseline and 16 weeks

BASDAI is a validated assessment tool using 0 through 10 scales (0 indicating "no problem" and 10 indicating "worst problem"), to characterise six clinical domains pertaining to five major symptoms of AS perceived by the patients. Computed composite scores of 4 or greater indicate suboptimal disease control. In this study, the BASDAI index was used to assess the efficacy of at least one dose of secukinumab versus placebo.

Baseline
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.6.958± 1.3913
Secukinumab 10 mg/kg i.v. / 300 mg s.c.6.963± 1.3766
Placebo i.v. and s.c.6.907± 1.2600
Week 16
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.4.451± 2.5623
Secukinumab 10 mg/kg i.v. / 300 mg s.c.4.178± 2.7038
Placebo i.v. and s.c.5.369± 2.2574
Change from Baseline to Week 16
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.-2.548± 2.4559
Secukinumab 10 mg/kg i.v. / 300 mg s.c.-2.796± 2.6374
Placebo i.v. and s.c.-1.590± 2.0084
Number of Participants With Successful Self-administration (to Measure Usability of Pre-filled Syringe) Secondary · Week 8 and Week 12

Successful self-administration is defined as success in steps P8 (Removed Needle Cap from Safety Syringe), P10 (Pinched the Skin at Injection Site), P11 (Inserted the Needle into Skin), P12 (Held onto the Finger Flange), P13 (Fully Depressed Plunger until End Point), and P14 (Held Plunger Down and Syringe in Place) of the Instructions for Use, as observed by the site staff at applicable visits.

Self-administration Week 8
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.72
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.71
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.1
Secukinumab 10 mg/kg i.v. / 150 mg s.c.2
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Self-administration Week 12
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.74
Secukinumab 10 mg/kg i.v. / 300 mg s.c.75
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.1
Placebo i.v. and s.c.3
Pre-filled Syringe Possible Hazard Secondary · Week 8 and Week 12

The number and percentage of subjects who experience any of the defined possible hazards are summarized, as defined in the Possible Hazard assessment check list and as observed by the site staff at applicable visits.

Week 8:Was needle stick in a critical area?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8: Was needle stick in a non-critical area?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.2
Secukinumab 10 mg/kg i.v. / 300 mg s.c.5
Placebo i.v. and s.c.3
Secukinumab 10 mg/kg i.v. / 150 mg s.c.71
Secukinumab 10 mg/kg i.v. / 300 mg s.c.68
Placebo i.v. and s.c.69
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8: Was any part of the device swallowed?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8: Was allergic reaction to device noticed?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8: Was pain increased due to bent needle?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8: Was there breakage of device observed?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8:Was swallowing of debris observed?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.0
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.73
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Week 8:Was any other problem observed?
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.0
Placebo i.v. and s.c.0
Secukinumab 10 mg/kg i.v. / 150 mg s.c.72
Secukinumab 10 mg/kg i.v. / 300 mg s.c.73
Placebo i.v. and s.c.72
Secukinumab 10 mg/kg i.v. / 150 mg s.c.1
Secukinumab 10 mg/kg i.v. / 300 mg s.c.3
Placebo i.v. and s.c.3
Prefilled Syringe Patient Satisfaction Assessment Secondary · Baseline, weeks 8, 12 and 16

The self-injection assessment questionnaire (SIAQ) measures overall patient experience with subcutaneous self-injection at applicable visits. Domain scores ranging from 0 (worst experience) to 10 (best experience) are presented: Feeling about injections, Self-confidence, Satisfaction with self-injection.

Week 0: Feeling about injections
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.97± 1.946
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.66± 2.369
Placebo i.v. and s.c.8.01± 1.927
Week 8: Feeling about injections
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.96± 2.538
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.68± 2.296
Placebo i.v. and s.c.8.24± 2.082
Week 12: Feeling about injections
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.8.45± 1.968
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.93± 2.201
Placebo i.v. and s.c.8.25± 1.997
Week 16: Feeling about injections
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.8.15± 2.337
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.99± 2.269
Placebo i.v. and s.c.8.41± 2.037
Week 0: Self-confidence
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.6.27± 2.811
Secukinumab 10 mg/kg i.v. / 300 mg s.c.6.66± 2.315
Placebo i.v. and s.c.6.52± 2.273
Week 8: Self-confidence
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.08± 2.520
Secukinumab 10 mg/kg i.v. / 300 mg s.c.6.66± 2.855
Placebo i.v. and s.c.7.41± 2.198
Week 12: Self-confidence
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.01± 2.603
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.28± 2.231
Placebo i.v. and s.c.7.42± 2.230
Week 16: Self-confidence
GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7.51± 2.388
Secukinumab 10 mg/kg i.v. / 300 mg s.c.7.23± 2.566
Placebo i.v. and s.c.7.64± 2.192
ASAS Partial Remission Secondary · 16 weeks

ASAS partial remission is a composite assessment, reflecting the proportion of treated patients who achieve within a defined time frame a value not above 2 units in each of the 4 ASAS domains on a scale of 10. In this study, ASAS partial remission was used to assess the efficacy of at least one dose of secukinumab versus placebo.

GroupValue95% CI
Secukinumab 10 mg/kg i.v. / 150 mg s.c.7
Secukinumab 10 mg/kg i.v. / 300 mg s.c.16
Placebo i.v. and s.c.1
Secukinumab 10 mg/kg i.v. / 150 mg s.c.67
Secukinumab 10 mg/kg i.v. / 300 mg s.c.60
Placebo i.v. and s.c.75

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events (AEs) are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Treatment until Last Patient Last Visit up to approximately 3 years.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Any Secukinumab 150 mg
Serious: 11/110 (10%)
Deaths: 0/110
Any Secukinumab 300 mg
Serious: 11/113 (10%)
Deaths: 0/113
Any Secukinumab
Serious: 22/223 (10%)
Deaths: 0/223
Placebo
Serious: 1/75 (1%)
Deaths: 0/75

Serious adverse events (37 terms)

ReactionSystemAny Secukinumab 150 mgAny Secukinumab 300 mgAny SecukinumabPlacebo
Urinary tract infectionInfections and infestations
Coronary artery diseaseCardiac disorders
Myocardial infarctionCardiac disorders
Sinus node dysfunctionCardiac disorders
Supraventricular extrasystolesCardiac disorders
Supraventricular tachycardiaCardiac disorders
VertigoEar and labyrinth disorders
CataractEye disorders
IridocyclitisEye disorders
Vogt-Koyanagi-Harada syndromeEye disorders
HaemorrhoidsGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
PneumoniaInfections and infestations
Pyelonephritis acuteInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Cervical vertebral fractureInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Hand fractureInjury, poisoning and procedural complications
Limb injuryInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Ankylosing spondylitisMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Other adverse events (55 terms — click to expand)

ReactionSystemAny Secukinumab 150 mgAny Secukinumab 300 mgAny SecukinumabPlacebo
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
BronchitisInfections and infestations
Respiratory tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
InfluenzaInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
RhinitisInfections and infestations
Urinary tract infectionInfections and infestations
FatigueGeneral disorders
PharyngitisInfections and infestations
SinusitisInfections and infestations
UveitisEye disorders
Abdominal pain upperGastrointestinal disorders
TonsillitisInfections and infestations
Ankylosing spondylitisMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Spinal painMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
HypercholesterolaemiaMetabolism and nutrition disorders
ArthritisMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
MigraineNervous system disorders
DepressionPsychiatric disorders
Food poisoningGastrointestinal disorders
ToothacheGastrointestinal disorders
Pulpitis dentalInfections and infestations
Alanine aminotransferase increasedInvestigations
Abdominal painGastrointestinal disorders
GastritisGastrointestinal disorders
VomitingGastrointestinal disorders
ConjunctivitisInfections and infestations
Gastroenteritis viralInfections and infestations

Most-reported serious reactions: Urinary tract infection, Coronary artery disease, Myocardial infarction, Sinus node dysfunction, Supraventricular extrasystoles, Supraventricular tachycardia, Vertigo, Cataract.

Data from ClinicalTrials.gov NCT02008916 adverse events section.

Sponsor's own description

The purpose of this study was to generate 16-week efficacy data, as well as up to 3-year efficacy, safety and tolerability data in subjects with active AS despite current or previous NSAID, DMARD and/or anti-TNF therapy.

Publications & conference data

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

  1. Efficacy, safety, and tolerability of secukinumab in patients with active ankylosing spondylitis: a randomized, double-blind phase 3 study, MEASURE 3.
    Pavelka K, Kivitz A, Dokoupilova E, Blanco R, et al · · 2017 · cited 163× · PMID 29273067 · DOI 10.1186/s13075-017-1490-y
  2. Association of Secukinumab Treatment With Tuberculosis Reactivation in Patients With Psoriasis, Psoriatic Arthritis, or Ankylosing Spondylitis.
    Elewski BE, Baddley JW, Deodhar AA, Magrey M, et al · · 2021 · cited 51× · PMID 33001147 · DOI 10.1001/jamadermatol.2020.3257
  3. Incidence of Uveitis in Secukinumab-treated Patients With Ankylosing Spondylitis: Pooled Data Analysis From Three Phase 3 Studies.
    Deodhar AA, Miceli-Richard C, Baraliakos X, Marzo-Ortega H, et al · · 2020 · cited 35× · PMID 32352653 · DOI 10.1002/acr2.11139
  4. Secukinumab 150/300 mg Provides Sustained Improvements in the Signs and Symptoms of Active Ankylosing Spondylitis: 3-Year Results from the Phase 3 MEASURE 3 Study.
    Pavelka K, Kivitz AJ, Dokoupilova E, Blanco R, et al · · 2020 · cited 33× · PMID 31957970 · DOI 10.1002/acr2.11102
  5. 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 32× · PMID 35305260 · DOI 10.1007/s40744-022-00434-z
  6. Secukinumab for ankylosing spondylitis and psoriatic arthritis.
    Lubrano E, Perrotta FM. · · 2016 · cited 29× · PMID 27799780 · DOI 10.2147/tcrm.s100091
  7. Secukinumab Immunogenicity over 52 Weeks in Patients with Psoriatic Arthritis and Ankylosing Spondylitis.
    Deodhar A, Gladman DD, McInnes IB, Spindeldreher S, et al · · 2020 · cited 21× · PMID 31203228 · DOI 10.3899/jrheum.190116
  8. Practical considerations in clinical strategy to support the development of injectable drug-device combination products for biologics.
    Li Z, Li Z, Easton R. · · 2018 · cited 21× · PMID 29035675 · DOI 10.1080/19420862.2017.1392424

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Data sources for this page

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/NCT02008916.

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