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NCT02595970: IPSI-PSO

Study to Evaluate Psoriasis Severity and Its Psychosocial Impact Using the Simplified Psoriasis Index (SPI), as Well as Long-term Safety, Tolerability and Efficacy of Secukinumab Administered Subcutaneously in Patients With Moderate to Severe Psoriasis

Completed Phase 3 Results posted Last updated 17 April 2019
What this trial tests

Phase 3 trial testing Secukinumab in Psoriasis in 120 participants. Completed in 9 February 2017.

Timeline
20 May 2015
Primary endpoint
9 February 2017
9 February 2017

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment120
Start date20 May 2015
Primary completion9 February 2017
Estimated completion9 February 2017
Sites17 locations across France

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

Adults 18 to 70, 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.

proSPI (s) at Week 16 Compared to Baseline Primary · Week 0 (baseline) to 16 weeks

The primary efficacy outcome of this study evaluates the benefit of secukinumab on the severity of psoriasis based on the SPI. This index comprises 3 components: severity (SPIs), psychosocial (SPIp) and intervention (SPIi) and were evaluated by both health care professional (professional, proSPI) and the patient (self-administered: saSPI). Only the severity components were evaluated for the primary objective: proSPI (s) and saSPI (s). Changes at Week 16 compared to Baseline in patients suffering from moderate to severe plaque psoriasis were analyzed for the purpose of this study.

W0
GroupValue95% CI
Single Arm Secukinumab24.89± 10.747
W16
GroupValue95% CI
Single Arm Secukinumab2.34± 6.144
PASI (Psoriasis Area Severity Index) Score Secondary · week 0, 16, 52

PASI administered by a professional score range: 0 (no disease) to 72 (maximal disease)

W0
GroupValue95% CI
Single Arm Secukinumab23.09± 10.541
W16
GroupValue95% CI
Single Arm Secukinumab2.23± 3.927
W52
GroupValue95% CI
Single Arm Secukinumab3.16± 5.427
Correlation Between PASI and proSPI (s) Secondary · week 0, 16, 52

Psoriasis Area Severity Index vs Professional Version of Simplified Psoraisis Index (proSPI) score

W0
GroupValue95% CI
Single Arm Secukinumab0.6910.58 – 0.78
W16
GroupValue95% CI
Single Arm Secukinumab0.8140.74 – 0.87
W52
GroupValue95% CI
Single Arm Secukinumab0.9270.89 – 0.95
proSPI (s, p and i) Over Time Secondary · weeks 0, 16, 52

Professional Version of Simplified Psoriasis Index (proSPI) SPI for Simplified Psoriasis Index. SPI is composed of 3 domains : * s for the severity, min =0 and max=50 * p for the psychosocial, min=0 and max=10 * i for the intervention, min = 0 and max = 10 For each domain, high values represented a worse outcome The 3 subscales cannot be combined Please use sore on a scale for the unit of measure

proSPI (s) - W0
GroupValue95% CI
Single Arm Secukinumab24.89± 10.747
proSPI (s) - W16
GroupValue95% CI
Single Arm Secukinumab1.83± 4.427
proSPI (s) - W52
GroupValue95% CI
Single Arm Secukinumab2.93± 6.557
proSPI (p) - W0
GroupValue95% CI
Single Arm Secukinumab7.80± 1.885
proSPI (p) - W16
GroupValue95% CI
Single Arm Secukinumab1.34± 2.201
proSPI (p) - W52
GroupValue95% CI
Single Arm Secukinumab1.59± 2.341
proSPI (i) - W0
GroupValue95% CI
Single Arm Secukinumab4.26± 1.924
proSPI (i) - W16
GroupValue95% CI
Single Arm Secukinumab4.78± 1.633
saSPI (s, p and i) Over Time Secondary · weeks 0, 16, 52

Self-administered Simplified Psoriasis Index (saSPI) SPI for Simplified Psoriasis Index. SPI is composed of 3 domains : * s for the severity, min =0 and max=50 * p for the psychosocial, min=0 and max=10 * i for the intervention, min = 0 and max = 10 For each domain, high values represented a worse outcome The 3 subscales cannot be combined Please use sore on a scale for the unit of measure

saSPI(s) - W0
GroupValue95% CI
Single Arm Secukinumab23.54± 10.412
saSPI(s) - W16
GroupValue95% CI
Single Arm Secukinumab1.80± 4.319
saSPI(s) - W52
GroupValue95% CI
Single Arm Secukinumab2.15± 4.229
saSPI(p) - W0
GroupValue95% CI
Single Arm Secukinumab8.18± 1.855
saSPI(p) - W16
GroupValue95% CI
Single Arm Secukinumab1.54± 2.299
saSPI(p) - W52
GroupValue95% CI
Single Arm Secukinumab1.47± 2.126
saSPI(i) - W0
GroupValue95% CI
Single Arm Secukinumab4.34± 1.940
saSPI(i) - W16
GroupValue95% CI
Single Arm Secukinumab4.39± 2.221
DLQI (Dermatology Life Quality Index) Over Time Secondary · weeks 0, 16, 52

DLQI score has a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired MEANING OF DLQI SCORES 0 - 1 no effect on patient's life 2 - 5 small effect on patient's life 6 - 10 moderate effect on patient's life 11 - 20 very large effect on patient's life 21 - 30 extremely large effect on patient's life

WO
GroupValue95% CI
Single Arm Secukinumab13.6± 7.44
W16
GroupValue95% CI
Single Arm Secukinumab2.1± 3.67
W52
GroupValue95% CI
Single Arm Secukinumab1.9± 3.37
Self-administered PASI (SA-PASI) Secondary · weeks 0, 16, 52

self-administered PASI (SA-PASI) score

WO
GroupValue95% CI
Single Arm Secukinumab25.8± 13.55
W16
GroupValue95% CI
Single Arm Secukinumab2.6± 6.66
W52
GroupValue95% CI
Single Arm Secukinumab3.3± 7.10
Psoriasis Symptom Diary (PSD) Score Secondary · weeks 0, 16, 52

assessment of pain, itching and scaling using the Psoriasis Symptom Diary questionnaire over time PSD scores range from 0 to 10, with higher scores indicating a worse condition for each assessment: pain, itching and scaling

Intensity of pain recorded in PSD- W0
GroupValue95% CI
Single Arm Secukinumab5.2± 3.18
Intensity of pain recorded in PSD - W16
GroupValue95% CI
Single Arm Secukinumab0.9± 2.00
Intensity of pain recorded in PSD - W52
GroupValue95% CI
Single Arm Secukinumab0.9± 1.78
Intensity of itching recorded in PSD - W0
GroupValue95% CI
Single Arm Secukinumab6.7± 2.85
Intensity of itching recorded in PSD - W16
GroupValue95% CI
Single Arm Secukinumab1.3± 2.21
Intensity of itching recorded in PSD - W52
GroupValue95% CI
Single Arm Secukinumab1.4± 2.11
Intensity of scaling recorded in PSD - W0
GroupValue95% CI
Single Arm Secukinumab6.5± 2.70
Intensity of scaling recorded in PSD - W16
GroupValue95% CI
Single Arm Secukinumab1.0± 1.96
Correlation Between proSPI (for Each Component: s, p and i) and DLQI Secondary · weeks 0, 16, 52

Correlation between proSPI (for each component: s, p and i) and DLQI is summarized in table below

proSPI (s) and DLQI - W0
GroupValue95% CI
Single Arm Secukinumab0.2240.04 – 0.39
proSPI (s) and DLQI - W16
GroupValue95% CI
Single Arm Secukinumab0.4180.25 – 0.56
proSPI (s) and DLQI - W52
GroupValue95% CI
Single Arm Secukinumab0.5140.34 – 0.65
proSPI (p) and DLQI - W0
GroupValue95% CI
Single Arm Secukinumab0.4940.34 – 0.62
proSPI (p) and DLQI - W16
GroupValue95% CI
Single Arm Secukinumab0.6710.55 – 0.76
proSPI (p) and DLQI - W52
GroupValue95% CI
Single Arm Secukinumab0.7570.65 – 0.83
proSPI (i) and DLQI - W0
GroupValue95% CI
Single Arm Secukinumab0.102-0.08 – 0.28
proSPI (i) and DLQI - W16
GroupValue95% CI
Single Arm Secukinumab0.016-0.17 – 0.20
Correlation Between proSPI (for Components p and i) and PASI Secondary · Over time (from Week 0 to Week 52)

Correlation between proSPI (p, i) and PASI score by visit (Full Analysis Set (observed)) is summarized in table below

proSPI (p) and PASI - W0
GroupValue95% CI
Single Arm Secukinumab0.173-0.01 – 0.34
proSPI (p) and PASI - W16
GroupValue95% CI
Single Arm Secukinumab0.6780.56 – 0.77
proSPI (p) and PASI - W52
GroupValue95% CI
Single Arm Secukinumab0.7490.64 – 0.83
proSPI (i) and PASI - W0
GroupValue95% CI
Single Arm Secukinumab0.014-0.17 – 0.19
proSPI (i) and PASI - W16
GroupValue95% CI
Single Arm Secukinumab0.105-0.08 – 0.29
proSPI (i) and PASI - W52
GroupValue95% CI
Single Arm Secukinumab0.172-0.04 – 0.36
Changes of saSPI (s) at Week 16 Compared to Baseline Primary · Week 0 (baseline) to 16 weeks

The primary efficacy objective of the study was to evaluate the benefit of secukinumab on the severity of psoriasis based on the SPI. This index comprises 3 components: severity (SPIs), psychosocial (SPIp) and intervention (SPIi) and were evaluated by both health care professional (professional, proSPI) and the patient (self-administered: saSPI). Only the severity components were evaluated for the primary objective: proSPI (s) and saSPI (s). Changes at Week 16 compared to Baseline in patients suffering from moderate to severe plaque psoriasis were analyzed. proSPI (s) score range is 0 to 50. H

W0
GroupValue95% CI
Single Arm Secukinumab23.54± 10.412
W16
GroupValue95% CI
Single Arm Secukinumab1.99± 4.508

Adverse events — posted to ClinicalTrials.gov

Time frame: baseline to 16 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AIN457 300mg
Serious: 13/120 (11%)
Deaths: 2/120

Serious adverse events (18 terms)

ReactionSystemAIN457 300mg
Coronary artery occlusionCardiac disorders
Punctate keratitisEye disorders
StomatitisGastrointestinal disorders
Strangulated umbilical herniaGastrointestinal disorders
Face oedemaGeneral disorders
Head injuryInjury, poisoning and procedural complications
Meniscus injuryInjury, poisoning and procedural complications
Tendon ruptureInjury, poisoning and procedural complications
Diabetes mellitusMetabolism and nutrition disorders
HypoglycaemiaMetabolism and nutrition disorders
Sjogren's syndromeMusculoskeletal and connective tissue disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Mycosis fungoidesNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral ischaemiaNervous system disorders
Cerebrovascular accidentNervous system disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Sleep apnoea syndromeRespiratory, thoracic and mediastinal disorders
EcchymosisSkin and subcutaneous tissue disorders
Other adverse events (13 terms — click to expand)

ReactionSystemAIN457 300mg
NasopharyngitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
BronchitisInfections and infestations
RhinitisInfections and infestations
PsoriasisSkin and subcutaneous tissue disorders
AstheniaGeneral disorders
InfluenzaInfections and infestations
HeadacheNervous system disorders
HypertensionVascular disorders
Viral upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Coronary artery occlusion, Punctate keratitis, Stomatitis, Strangulated umbilical hernia, Face oedema, Head injury, Meniscus injury, Tendon rupture.

Data from ClinicalTrials.gov NCT02595970 adverse events section.

Sponsor's own description

Evaluate psoriasis severity and its psychosocial impact using a novel Patient Reported Outcome (the Simplified Psoriasis Index SPI) at 16 weeks, as well as long-term safety, tolerability and efficacy of secukinumab administered subcutaneously during 52 weeks (plus extension) in patients with moderate to severe psoriasis.

Publications & conference data

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

  1. 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
  2. Secukinumab efficacy in reducing the severity and the psychosocial impact of moderate-to-severe psoriasis as assessed by the Simplified Psoriasis Index: results from the IPSI-PSO study.
    Richard MA, Lacour JP, Konstantinou MP, Ruer-Mulard M, et al · · 2021 · cited 5× · PMID 32815591 · DOI 10.1111/jdv.16893

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Trials by the same sponsor.

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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/NCT02595970.

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