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NCT02531633

Efficacy and Safety Study of Sirukumab in Patients With Giant Cell Arteritis

Terminated Phase 3 Results posted Last updated 31 July 2019
What this trial tests

Phase 3 trial testing Sirukumab in Giant Cell Arteritis in 161 participants. Terminated before completion.

Timeline
16 October 2015
Primary endpoint
21 March 2018
21 March 2018

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment161
Start date16 October 2015
Primary completion21 March 2018
Estimated completion21 March 2018
Sites63 locations across France, Italy, Netherlands, New Zealand, Belgium, United Kingdom, Germany, Hungary

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

50 and older, any sex, with Giant Cell Arteritis. 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.

Part A: Number of Participants in Sustained Remission at Week 52 Primary · Week 52

Sustained remission was defined as having achieved all of the following: 1) remission at Week 12, 2) absence of disease flare Week 12 through Week 52, 3) completion of the assigned prednisone taper, and 4) no requirement for rescue therapy through Week 52. Remission was defined as absence of clinical signs and symptoms of GCA and normalization of erythrocyte sedimentation rate (ESR) \[\<30 millimeters per hour\] and C-reactive Protein (CRP) \[\<1 milligram/deciliter\]) and flare was defined as recurrence of symptoms attributable to active GCA, with or without elevations in ESR and/or CRP. Data

GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone3
PartA:SIR 100 mg SC q2w+3 Month Prednisone2
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Part B: Number of Participants Who Remained in Sustained Remission Without Requirement for Rescue Therapy or Treatment Change at Week 24 Secondary · Week 24

Participants who remained in sustained remission without requirement for rescue therapy or treatment change at each scheduled visit of Part B were defined as participants having achieved all of the following criteria: 1. Participants in sustained remission at the Week 52 visit of Part A, 2. Absence of disease flare, 3. No requirement for rescue therapy at any time through Week 24 of Part B, 4. No requirement for treatment change at any time through Week 24 of Part B. Remission was defined as absence of clinical signs and symptoms of GCA and normalization of ESR \[\<30 millimeters per hour\] an

GroupValue95% CI
PartB:SIR 100 mg SC q2w+6 Month PrednisoneNA
Part B:SIR 100 mg SC q2w+3 Month PrednisoneNA
PartB:SIR 50 mg SC q4w+6 Month PrednisoneNA
Part A: Cumulative Prednisone Dose Over Time Secondary · Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52

Cumulative prednisone is the dose from the taper (both open-label and blinded) as well as from the corticosteroid rescue therapies. Cumulative dose at the specified Week was derived as the sum of all the doses from Baseline to the specified Week at each visit was calculated based on the number of participants who attended that visit. For the main analysis of cumulative prednisone dose over time. Data for Prednisone Dose- Study Drug and Prednisone Equivalent Concomitant Therapy for part A is presented. ITT population and the number of participants included at specific time points were based on

Week 2, n= 40,39,26,27,26
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone439.575± 237.8990
PartA:SIR 100 mg SC q2w+3 Month Prednisone464.923± 299.6445
PartA:SIR 50 mg SC q4w+6 Month Prednisone424.577± 270.2183
PartA:Placebo SC q2w + 6 Month Prednisone432.815± 315.6851
PartA:Placebo SC q2w + 12 Month Prednisone430.846± 241.3540
Week 4,n=40,39,26,25,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone701.100± 370.9798
PartA:SIR 100 mg SC q2w+3 Month Prednisone741.115± 436.4205
PartA:SIR 50 mg SC q4w+6 Month Prednisone701.192± 439.7251
PartA:Placebo SC q2w + 6 Month Prednisone705.480± 601.9706
PartA:Placebo SC q2w + 12 Month Prednisone751.407± 431.3442
Week 8,n=37, 37,26,23,26
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1086.676± 600.7400
PartA:SIR 100 mg SC q2w+3 Month Prednisone987.730± 559.4458
PartA:SIR 50 mg SC q4w+6 Month Prednisone1014.731± 592.3515
PartA:Placebo SC q2w + 6 Month Prednisone1161.391± 1202.8504
PartA:Placebo SC q2w + 12 Month Prednisone1129.077± 546.8037
Week 12,n=34,32,24,22,24
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1344.441± 779.6775
PartA:SIR 100 mg SC q2w+3 Month Prednisone1063.773± 619.4002
PartA:SIR 50 mg SC q4w+6 Month Prednisone1208.167± 650.6975
PartA:Placebo SC q2w + 6 Month Prednisone1379.409± 1255.4397
PartA:Placebo SC q2w + 12 Month Prednisone1462.917± 630.1717
Week 16,n=32,30,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1545.602± 964.3264
PartA:SIR 100 mg SC q2w+3 Month Prednisone1182.288± 718.6186
PartA:SIR 50 mg SC q4w+6 Month Prednisone1348.750± 689.2484
PartA:Placebo SC q2w + 6 Month Prednisone1672.795± 1261.7121
PartA:Placebo SC q2w + 12 Month Prednisone1729.977± 701.3734
Week 20,n=29,27,21,24,19
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1690.302± 1173.6005
PartA:SIR 100 mg SC q2w+3 Month Prednisone1339.546± 888.5007
PartA:SIR 50 mg SC q4w+6 Month Prednisone1475.786± 734.7667
PartA:Placebo SC q2w + 6 Month Prednisone1646.177± 701.5240
PartA:Placebo SC q2w + 12 Month Prednisone2041.632± 771.3504
Week 24,n=30,25,19,18,17
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1878.458± 1333.1175
PartA:SIR 100 mg SC q2w+3 Month Prednisone1495.015± 1055.9615
PartA:SIR 50 mg SC q4w+6 Month Prednisone1626.342± 813.8284
PartA:Placebo SC q2w + 6 Month Prednisone1917.444± 861.6887
PartA:Placebo SC q2w + 12 Month Prednisone2299.471± 840.8758
Week 28,n=24,23,15,17,15
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2000.813± 1594.5982
PartA:SIR 100 mg SC q2w+3 Month Prednisone1575.549± 1170.7294
PartA:SIR 50 mg SC q4w+6 Month Prednisone1797.533± 933.3753
PartA:Placebo SC q2w + 6 Month Prednisone2141.294± 1082.2754
PartA:Placebo SC q2w + 12 Month Prednisone2387.800± 741.1663
Part B: Number of Participants in Sustained Remission Over Time Secondary · Weeks 4, 8 and 12

Sustained remission was defined as having achieved all of the following: 1) remission at Week 12 (absence of signs and symptoms of GCA and normalization of ESR and CRP), 2) absence of disease flare Week 12 through Week 52 with or without elevations in ESR and/or CRP, 3) completion of the assigned prednisone taper, and 4) no requirement for rescue therapy through Week 52. Remission was defined as absence of clinical signs and symptoms of GCA and normalization of ESR \[\<30millimeters per hour\] and CRP \[\<1milligram/deciliter\]) and Flare was defined as recurrence of symptoms attributable to a

Week 4,n=1,1,1,0,0
GroupValue95% CI
PartB:SIR 100 mg SC q2w+6 Month Prednisone1
PartB:SIR 100 mg SC q2w+3 Month Prednisone1
PartB:SIR 50 mg SC q4w+6 Month Prednisone1
Week 8,n=1,0,1,0,0
GroupValue95% CI
PartB:SIR 100 mg SC q2w+6 Month Prednisone1
PartB:SIR 50 mg SC q4w+6 Month Prednisone1
Week 12,n=1,0,0,0,0
GroupValue95% CI
PartB:SIR 100 mg SC q2w+6 Month Prednisone1
Part A: Time to First Disease Flare After Clinical Remission Secondary · Week 52

Clinical remission was defined as absence of clinical signs and symptoms of GCA, which was determined by a lack of flare for the participant. If a participant had a flare, they had one or more signs and symptoms, and therefore are not considered as being in clinical remission. Time to first disease flare (days) was calculated as (Date of First Flare - Date of Clinical Remission + 1 day). Data for Time to first disease flare after clinical remission for part A is presented.

GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month PrednisoneNANA – NA
PartA:SIR 100 mg SC q2w+3 Month PrednisoneNANA – NA
PartA:SIR 50 mg SC q4w+6 Month PrednisoneNA176.0 – NA
PartA:Placebo SC q2w + 6 Month PrednisoneNA99.0 – NA
PartA:Placebo SC q2w + 12 Month PrednisoneNA183.0 – NA
Part B: Time to First Disease Flare for Participants in Sustained Remission Secondary · Week 52

Clinical remission was defined as absence of clinical signs and symptoms of GCA. If a participant had a flare, they had one or more signs and symptoms, and therefore are not considered as being in clinical remission. Time to event (days) is defined as the duration in days from the date of the Week 52 visit of Part A to the start date of Event (Date of First Flare - Date of Week 52 visit of Part A + 1). Data for Time to first disease flare after clinical remission for part B is presented.

GroupValue95% CI
PartB:SIR 100 mg SC q2w+6 Month PrednisoneNANA – NA
PartB:SIR 100 mg SC q2w+3 Month PrednisoneNANA – NA
PartB:SIR 50 mg SC q4w+6 Month PrednisoneNANA – NA
Part A: Number of Disease Flares Over Time Secondary · Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52

This summarizes disease flares over time with no adjustment for exposure to study drugs, calculated by taking the last visit before a participant withdrew and then counting the number of participants with at least 1 flare up to that point and summing up the total number of flares experienced by each of these participants; participants who did not reach Week 2 were not included in this analysis. Data for number of disease flares per participant over time for part A were presented.

Week 2, n=38, 39,26,25,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1
PartA:SIR 100 mg SC q2w+3 Month Prednisone2
PartA:SIR 50 mg SC q4w+6 Month Prednisone2
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone2
Week 4, n=37,37,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone3
PartA:SIR 100 mg SC q2w+3 Month Prednisone4
PartA:SIR 50 mg SC q4w+6 Month Prednisone3
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone2
Week 8, n=34,32,24,23,23
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2
PartA:SIR 100 mg SC q2w+3 Month Prednisone6
PartA:SIR 50 mg SC q4w+6 Month Prednisone3
PartA:Placebo SC q2w + 6 Month Prednisone1
PartA:Placebo SC q2w + 12 Month Prednisone5
Week 12, n=32,29,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone4
PartA:SIR 100 mg SC q2w+3 Month Prednisone9
PartA:SIR 50 mg SC q4w+6 Month Prednisone4
PartA:Placebo SC q2w + 6 Month Prednisone4
PartA:Placebo SC q2w + 12 Month Prednisone4
Week 16, n=28,26,22,19,19
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone4
PartA:SIR 100 mg SC q2w+3 Month Prednisone9
PartA:SIR 50 mg SC q4w+6 Month Prednisone5
PartA:Placebo SC q2w + 6 Month Prednisone9
PartA:Placebo SC q2w + 12 Month Prednisone4
Week 20, n=26,23,19,18,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone4
PartA:SIR 100 mg SC q2w+3 Month Prednisone9
PartA:SIR 50 mg SC q4w+6 Month Prednisone6
PartA:Placebo SC q2w + 6 Month Prednisone10
PartA:Placebo SC q2w + 12 Month Prednisone3
Week 24, n=23,21,16,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone6
PartA:SIR 100 mg SC q2w+3 Month Prednisone9
PartA:SIR 50 mg SC q4w+6 Month Prednisone8
PartA:Placebo SC q2w + 6 Month Prednisone11
PartA:Placebo SC q2w + 12 Month Prednisone5
Week 28, n=19,18,12,14,14
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone5
PartA:SIR 100 mg SC q2w+3 Month Prednisone8
PartA:SIR 50 mg SC q4w+6 Month Prednisone8
PartA:Placebo SC q2w + 6 Month Prednisone11
PartA:Placebo SC q2w + 12 Month Prednisone5
Part A: Number of Participants With at Least One Hospitalization for Disease Flare Secondary · Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52

Number of participants with at least one hospitalization for disease flare at a given visit is the number of participants with at least one hospitalization for disease flare between first SC IP intake and the day of the given visit. Data for participants requiring at least one hospitalization for disease flare for part A is presented.

Week 2, n=38, 39,26,25,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 4, n=37,37,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 8, n=34,32,24,23,23
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 12, n=32,29,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 16, n=28,26,22,19,19
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 20, n=26,23,19,18,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 24, n=23,21,16,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone1
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 28, n=19,18,12,14,14
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Part A: Number of Hospitalizations for Disease Flare Over Time Secondary · Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52

Number of hospitalizations for disease flare at given visit is the number of hospitalizations for disease flare between first SC IP intake and the day of the of the given visit.. Data for number of hospitalizations for disease flare over time for part A was presented.

Week 2, n=38, 39,26,25,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 4, n=37,37,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 8, n=34,32,24,23,23
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 12, n=32,29,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 16, n=28,26,22,19,19
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone0
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 20, n=26,23,19,18,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 24, n=23,21,16,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone2
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Week 28, n=19,18,12,14,14
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0
PartA:SIR 100 mg SC q2w+3 Month Prednisone0
PartA:SIR 50 mg SC q4w+6 Month Prednisone1
PartA:Placebo SC q2w + 6 Month Prednisone0
PartA:Placebo SC q2w + 12 Month Prednisone0
Part A: Mean 36-item Short Form Health Survey Version 2 (SF-36 v2) Acute Score Over Time Secondary · Baseline (Week 0), Weeks 12, 24, 36, 52

SF-36v2 acute health survey questionnaire consists of the following 8 multi-item scales: 1. Limitations in physical functioning due to health problems, 2. Limitations in usual role activities due to physical health problems, 3. Bodily pain, 4. General mental health (psychological distress and well-being), 5. Limitations in usual role activities due to personal or emotional problems, 6. Limitations in social functioning due to physical or mental health problems. 7. Vitality (energy and fatigue) and 8. General health perception. These 8 scales were scored from 0 to 100, 0 (worst score) to 100 (b

PCS,Baseline, n=42,38,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone49.258± 11.7655
PartA:SIR 100 mg SC q2w+3 Month Prednisone43.271± 12.3169
PartA:SIR 50 mg SC q4w+6 Month Prednisone42.919± 11.7298
PartA:Placebo SC q2w + 6 Month Prednisone49.240± 9.2759
PartA:Placebo SC q2w + 12 Month Prednisone45.470± 12.8498
PCS,Week 12, n=31,28,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone51.519± 10.5352
PartA:SIR 100 mg SC q2w+3 Month Prednisone43.128± 11.4559
PartA:SIR 50 mg SC q4w+6 Month Prednisone43.655± 11.0324
PartA:Placebo SC q2w + 6 Month Prednisone48.552± 10.4184
PartA:Placebo SC q2w + 12 Month Prednisone47.007± 12.8749
PCS,Week 24, n=23,20,15,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone50.023± 11.4731
PartA:SIR 100 mg SC q2w+3 Month Prednisone45.677± 12.1192
PartA:SIR 50 mg SC q4w+6 Month Prednisone45.097± 15.0552
PartA:Placebo SC q2w + 6 Month Prednisone46.911± 9.2901
PartA:Placebo SC q2w + 12 Month Prednisone44.280± 11.4740
PCS,Week 36, n=15,13,10,12,13
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone51.989± 10.7521
PartA:SIR 100 mg SC q2w+3 Month Prednisone47.069± 12.7103
PartA:SIR 50 mg SC q4w+6 Month Prednisone46.005± 12.2496
PartA:Placebo SC q2w + 6 Month Prednisone48.336± 10.0154
PartA:Placebo SC q2w + 12 Month Prednisone44.946± 10.1921
PCS,Week 52, n=9,5,5,5,4
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone50.269± 10.8743
PartA:SIR 100 mg SC q2w+3 Month Prednisone53.690± 7.9049
PartA:SIR 50 mg SC q4w+6 Month Prednisone53.608± 7.7721
PartA:Placebo SC q2w + 6 Month Prednisone52.026± 6.4892
PartA:Placebo SC q2w + 12 Month Prednisone53.143± 12.8351
MCS,Week 12, n=31,28,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone43.955± 4.6164
PartA:SIR 100 mg SC q2w+3 Month Prednisone45.264± 5.7982
PartA:SIR 50 mg SC q4w+6 Month Prednisone46.393± 6.1792
PartA:Placebo SC q2w + 6 Month Prednisone43.746± 5.3179
PartA:Placebo SC q2w + 12 Month Prednisone43.182± 4.6707
MCS,Week 24, n=23,20,15,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone44.538± 5.6952
PartA:SIR 100 mg SC q2w+3 Month Prednisone45.954± 5.4884
PartA:SIR 50 mg SC q4w+6 Month Prednisone44.877± 6.5210
PartA:Placebo SC q2w + 6 Month Prednisone45.372± 6.4561
PartA:Placebo SC q2w + 12 Month Prednisone45.526± 5.8924
MCS,Week 36, n=15,13,10,12,13
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone45.258± 5.2429
PartA:SIR 100 mg SC q2w+3 Month Prednisone45.540± 4.8330
PartA:SIR 50 mg SC q4w+6 Month Prednisone44.550± 6.7199
PartA:Placebo SC q2w + 6 Month Prednisone42.959± 4.8484
PartA:Placebo SC q2w + 12 Month Prednisone46.755± 4.8284
Part A: Mean EuroQol - 5 Dimensions, 5 Levels (EQ-5D-5L) Index Score Over Time Secondary · Baseline (Week 0) and Weeks 12, 24, 36, 52

EuroQoL-5 Dimensions consist of 2 elements: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D descriptive system comprised of following 5 dimensions: 1.Mobility, 2.Self-Care, 3.Usual Activities, 4.Pain/Discomfort and 5.Anxiety/Depression. Each of these 5 dimensions has 5 levels: 1: no problems; 2: slight problems; 3: moderate problems; 4: severe problems; 5: Unable to do. The digits for each of 5 dimensions were combined in a 5-digit number describing the participant's health state: e.g. state 11111 indicates no problem on any of the 5 dimensions. Index score wa

Baseline, n=42,38,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0.7918± 0.20589
PartA:SIR 100 mg SC q2w+3 Month Prednisone0.6681± 0.31299
PartA:SIR 50 mg SC q4w+6 Month Prednisone0.6912± 0.19348
PartA:Placebo SC q2w + 6 Month Prednisone0.7429± 0.22387
PartA:Placebo SC q2w + 12 Month Prednisone0.7554± 0.16610
Week 12, n=31,28,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0.7866± 0.22042
PartA:SIR 100 mg SC q2w+3 Month Prednisone0.7024± 0.22087
PartA:SIR 50 mg SC q4w+6 Month Prednisone0.7452± 0.17942
PartA:Placebo SC q2w + 6 Month Prednisone0.7228± 0.16993
PartA:Placebo SC q2w + 12 Month Prednisone0.7069± 0.22289
Week 24, n=23,20,15,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0.7485± 0.20310
PartA:SIR 100 mg SC q2w+3 Month Prednisone0.7217± 0.21397
PartA:SIR 50 mg SC q4w+6 Month Prednisone0.7135± 0.24006
PartA:Placebo SC q2w + 6 Month Prednisone0.7323± 0.10346
PartA:Placebo SC q2w + 12 Month Prednisone0.7301± 0.11498
Week 36, n=15,13,10,12,13
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0.8011± 0.13468
PartA:SIR 100 mg SC q2w+3 Month Prednisone0.7454± 0.22373
PartA:SIR 50 mg SC q4w+6 Month Prednisone0.7774± 0.11809
PartA:Placebo SC q2w + 6 Month Prednisone0.6950± 0.15242
PartA:Placebo SC q2w + 12 Month Prednisone0.7506± 0.17536
Week 52, n=9,5,5,5,4
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone0.8210± 0.13502
PartA:SIR 100 mg SC q2w+3 Month Prednisone0.7628± 0.15352
PartA:SIR 50 mg SC q4w+6 Month Prednisone0.8092± 0.04275
PartA:Placebo SC q2w + 6 Month Prednisone0.7864± 0.05892
PartA:Placebo SC q2w + 12 Month Prednisone0.8068± 0.06050
Part A: Mean EQ-5D-5L Visual Analogue Scale (VAS) Over Time Secondary · Baseline (Week 0) and Weeks 12, 24, 36, 52

EQ-5D essentially consists of 2 elements: the EQ-5D descriptive system and the EQ VAS. The EQ-5D descriptive system comprised of the following 5 dimensions: 1.Mobility, 2.Self-Care, 3.Usual Activities, 4.Pain/Discomfort and 5.Anxiety/Depression. Each of these 5 dimensions has 5 levels: 1: no problems; 2: slight problems; 3: moderate problems; 4: severe problems; 5: Unable to do. The digits for each of the 5 dimensions were combined in a 5-digit number describing the participant's health state: e.g. state 11111 indicates no problem on any of the 5 dimensions. The index score was derived from th

Baseline, n=42,38,25,23,27
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone67.0± 17.83
PartA:SIR 100 mg SC q2w+3 Month Prednisone65.6± 21.43
PartA:SIR 50 mg SC q4w+6 Month Prednisone57.0± 17.61
PartA:Placebo SC q2w + 6 Month Prednisone62.1± 23.81
PartA:Placebo SC q2w + 12 Month Prednisone65.1± 16.00
Week 12, n=31,28,24,22,22
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone74.3± 19.77
PartA:SIR 100 mg SC q2w+3 Month Prednisone64.2± 22.89
PartA:SIR 50 mg SC q4w+6 Month Prednisone68.4± 19.39
PartA:Placebo SC q2w + 6 Month Prednisone63.3± 22.61
PartA:Placebo SC q2w + 12 Month Prednisone65.5± 21.33
Week 24, n=23,20,15,17,16
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone74.6± 16.26
PartA:SIR 100 mg SC q2w+3 Month Prednisone70.6± 24.05
PartA:SIR 50 mg SC q4w+6 Month Prednisone65.1± 23.11
PartA:Placebo SC q2w + 6 Month Prednisone64.9± 19.03
PartA:Placebo SC q2w + 12 Month Prednisone61.5± 19.71
Week 36, n=15,13,10,12,13
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone79.5± 9.55
PartA:SIR 100 mg SC q2w+3 Month Prednisone73.9± 24.55
PartA:SIR 50 mg SC q4w+6 Month Prednisone66.9± 20.72
PartA:Placebo SC q2w + 6 Month Prednisone68.3± 18.66
PartA:Placebo SC q2w + 12 Month Prednisone61.6± 21.29
Week 52, n=9,5,5,5,4
GroupValue95% CI
PartA:SIR 100 mg SC q2w+6 Month Prednisone79.9± 9.74
PartA:SIR 100 mg SC q2w+3 Month Prednisone80.6± 16.50
PartA:SIR 50 mg SC q4w+6 Month Prednisone78.4± 14.77
PartA:Placebo SC q2w + 6 Month Prednisone60.2± 26.33
PartA:Placebo SC q2w + 12 Month Prednisone70.0± 27.41

Adverse events — posted to ClinicalTrials.gov

Time frame: On-treatment serious Adverse events (SAEs) and non-serious Adverse Events (nSAEs) were collected from the start of study treatment up to Week 52 in Part A and up to Week 120 in Part B.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A:SIR 100 mg SC q2w+6 Month Prednisone
Serious: 8/42 (19%)
Deaths: 0/42
Part A:SIR 100 mg SC q2w+3 Month Prednisone
Serious: 6/39 (15%)
Deaths: 0/39
Part A: SIR 50 mg SC q4w+6 Month Prednisone
Serious: 6/26 (23%)
Deaths: 0/26
Part A:Placebo SC q2w + 6 Month Prednisone
Serious: 5/27 (19%)
Deaths: 0/27
Part A:Placebo SC q2w + 12 Month Prednisone
Serious: 6/27 (22%)
Deaths: 0/27
Part B:SIR 100 mg SC q2w+6 Month Prednisone+100mg OL SIR
Serious: 0/2 (0%)
Deaths: 0/2
Part B:SIR 100 mg SC q2w+3 Month Prednisone+100mg OL SIR
Serious: 0/1 (0%)
Deaths: 0/1
Part B:SIR 50 mg SC q4w+6 Month Prednisone+100mg OL SIR
Serious: 0/1 (0%)
Deaths: 0/1
Part B:Placebo SC q2w + 6 Month Prednisone+100mg OL SIR
Serious: 0/2 (0%)
Deaths: 0/2
Part B:Placebo SC q2w + 12 Month Prednisone+100mg OL SIR
Serious: 0/2 (0%)
Deaths: 0/2
Part B:SIR 100 mg SC q2w+6 Month Prednisone/ No 100mg OL SIR
Serious: 0/6 (0%)
Deaths: 0/6
Part B:SIR 100 mg SC q2w+3 Month Prednisone/ No 100mg OL SIR
Serious: 0/4 (0%)
Deaths: 0/4
Part B:SIR 50 mg SC q4w+6 Month Prednisone/ No 100mg OL SIR
Serious: 0/3 (0%)
Deaths: 0/3
Part B:Placebo SC q2w + 6 Month Prednisone/ No 100mg OL SIR
Serious: 0/3 (0%)
Deaths: 0/3
Part B:Placebo SC q2w + 12 Month Prednisone/ No 100mg OL SIR
Serious: 0/2 (0%)
Deaths: 0/2

Serious adverse events (37 terms)

ReactionSystemPart A:SIR 100 mg SC q2w+6…Part A:SIR 100 mg SC q2w+3…Part A: SIR 50 mg SC q4w+6…Part A:Placebo SC q2w + 6 …Part A:Placebo SC q2w + 12…Part B:SIR 100 mg SC q2w+6…Part B:SIR 100 mg SC q2w+3…Part B:SIR 50 mg SC q4w+6 …Part B:Placebo SC q2w + 6 …Part B:Placebo SC q2w + 12…Part B:SIR 100 mg SC q2w+6…Part B:SIR 100 mg SC q2w+3…Part B:SIR 50 mg SC q4w+6 …Part B:Placebo SC q2w + 6 …Part B:Placebo SC q2w + 12…
SyncopeNervous system disorders
Clostridium difficile colitisInfections and infestations
Escherichia sepsisInfections and infestations
Metapneumovirus infectionInfections and infestations
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
Vestibular neuronitisInfections and infestations
Brain contusionInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Spinal compression fractureInjury, poisoning and procedural complications
Subdural haematomaInjury, poisoning and procedural complications
HeadacheNervous system disorders
Transient ischaemic attackNervous system disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Spinal osteoarthritisMusculoskeletal and connective tissue disorders
Synovial cystMusculoskeletal and connective tissue disorders
TenosynovitisMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
Chest discomfortGeneral disorders
PyrexiaGeneral disorders
Angina pectorisCardiac disorders
Atrial fibrillationCardiac disorders
Malignant melanoma in situNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (99 terms — click to expand)

ReactionSystemPart A:SIR 100 mg SC q2w+6…Part A:SIR 100 mg SC q2w+3…Part A: SIR 50 mg SC q4w+6…Part A:Placebo SC q2w + 6 …Part A:Placebo SC q2w + 12…Part B:SIR 100 mg SC q2w+6…Part B:SIR 100 mg SC q2w+3…Part B:SIR 50 mg SC q4w+6 …Part B:Placebo SC q2w + 6 …Part B:Placebo SC q2w + 12…Part B:SIR 100 mg SC q2w+6…Part B:SIR 100 mg SC q2w+3…Part B:SIR 50 mg SC q4w+6 …Part B:Placebo SC q2w + 6 …Part B:Placebo SC q2w + 12…
HeadacheNervous system disorders
Injection site erythemaGeneral disorders
Upper respiratory tract infectionInfections and infestations
Oedema peripheralGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
Injection site reactionGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
DizzinessNervous system disorders
FatigueGeneral disorders
Injection site pruritusGeneral disorders
Injection site swellingGeneral disorders
ToothacheGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
FallInjury, poisoning and procedural complications
Limb injuryInjury, poisoning and procedural complications
HypertensionVascular disorders
ThrombocytopeniaBlood and lymphatic system disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Pain in jawMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
TremorNervous system disorders
AstheniaGeneral disorders
Injection site painGeneral disorders
Abdominal discomfortGastrointestinal disorders
NauseaGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
ContusionInjury, poisoning and procedural complications
InsomniaPsychiatric disorders
BursitisMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Syncope, Clostridium difficile colitis, Escherichia sepsis, Metapneumovirus infection, Pneumonia, Urinary tract infection, Vestibular neuronitis, Brain contusion.

Data from ClinicalTrials.gov NCT02531633 adverse events section.

Sponsor's own description

Sirukumab is a fully human anti-interleukin-6 (IL-6) immunoglobulin G1-kappa with a high affinity and specificity for binding to the human IL-6 molecule that may have therapeutic benefit in the treatment of giant cell arteritis (GCA) by interruption of multiple pathogenic pathways. Sirukumab inhibits IL-6-mediated signal transducer and activator of transcription 3 (STAT3) phosphorylation, resulting in the inhibition of the biological effect of IL-6. This study will evaluate the efficacy and safety of sirukumab to characterize the benefit-to-risk profile of sirukumab in the treatment of active GCA. The study will be conducted in 2 distinct parts (Part A and Part B) and consists of the following phases: Screening phase, Part A: 52-week double-blind treatment phase, Part B: 104-week extension phase with the option to receive open-label sirukumab based on disease status and a 16-week follow-up phase if applicable. Approximately 204 subjects with a diagnosis of GCA and active disease within 6 weeks of baseline will be randomized into Part A, the 52-week double-blind treatment phase, to receive one of two doses of sirukumab or placebo, each in addition to a pre-specified prednisone taper. The efficacy and safety of sirukumab in sustaining remission will be assessed at Week 52. Subjects completing Part A of the study will be eligible to enter Part B, the 104-week extension phase, designed to investigate the long-term maintenance of remission and safety following cessation of sirukumab treatment and to assess long-term corticosteroid use. Subjects with active GCA at the end of Part A or those with new onset of GCA flare during the first 52 weeks of Part B will be eligible to receive open-label sirukumab. Subjects will need to have follow-up safety evaluations for at least 16 weeks after receiving the last dose of study drug, applicable only for those who are withdrawn prematurely from the study or whose open-label sirukumab treatment in Part B completes after Week 88.

Publications & conference data

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

  1. Antibodies to watch in 2018.
    Kaplon H, Reichert JM. · · 2018 · cited 179× · PMID 29300693 · DOI 10.1080/19420862.2018.1415671
  2. Targeting the Microglial Signaling Pathways: New Insights in the Modulation of Neuropathic Pain.
    Popiolek-Barczyk K, Mika J. · · 2016 · cited 140× · PMID 27281131 · DOI 10.2174/0929867323666160607120124
  3. A new era for giant cell arteritis.
    Lyons HS, Quick V, Sinclair AJ, Nagaraju S, et al · · 2020 · cited 50× · PMID 31582795 · DOI 10.1038/s41433-019-0608-7
  4. Giant cell arteritis: pathogenic mechanisms and new potential therapeutic targets.
    Koster MJ, Warrington KJ. · · 2017 · cited 38× · PMID 30886946 · DOI 10.1186/s41927-017-0004-5
  5. Development of a Core Set of Outcome Measures for Large-vessel Vasculitis: Report from OMERACT 2016.
    Sreih AG, Alibaz-Oner F, Kermani TA, Aydin SZ, et al · · 2017 · cited 32× · PMID 28864646 · DOI 10.3899/jrheum.161467
  6. A Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Sirukumab in the Treatment of Giant Cell Arteritis.
    Schmidt WA, Dasgupta B, Luqmani R, Unizony SH, et al · · 2020 · cited 31× · PMID 32844378 · DOI 10.1007/s40744-020-00227-2
  7. Advances in the Treatment of Giant Cell Arteritis.
    Castañeda S, Prieto-Peña D, Vicente-Rabaneda EF, Triguero-Martínez A, et al · · 2022 · cited 27× · PMID 35329914 · DOI 10.3390/jcm11061588
  8. Sirukumab: A Potential Treatment for Mood Disorders?
    Zhou AJ, Lee Y, Salvadore G, Hsu B, et al · · 2017 · cited 21× · PMID 27913990 · DOI 10.1007/s12325-016-0455-x

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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/NCT02531633.

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