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NCT02662985: PDUS

Study of Power Doppler Ultrasound (PDUS) to Measure Response of Secukinumab Treatment in Patients With Active Psoriatic Arthritis (PsA)

Completed Phase 3 Results posted Last updated 7 December 2021
What this trial tests

Phase 3 trial testing AIN457 (secukinumab) in Psoriatic Arthritis in 166 participants. Completed in 10 November 2020.

Timeline
22 August 2016
Primary endpoint
10 November 2020
10 November 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment166
Start date22 August 2016
Primary completion10 November 2020
Estimated completion10 November 2020
Sites33 locations across France, Colombia, Italy, Netherlands, Belgium, Austria, Ireland, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Psoriatic Arthritis. 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.

Difference Between Secukinumab and Placebo in Terms of Joint Synovitis as Measured by the Power Doppler Ultrasonography (PDUS) Global OMERACT-EULAR Synovitis Score (GLOESS) Primary · 12 weeks

Mixed model repeated measures (MMRM) analysis of change in Global OMERACT-EULAR Synovitis Score (GLOESS) score at Week 12 (observed data) to compare treatments The range for the GLOESS score is 0 to 144. GLOESS is the ultrasound scoring system measured for 24 pairs of joints. The scoring is from 0 to 3 for each joint; so the minimum score can be 0 and maximum can be 144.

GroupValue95% CI
Group 1 - Secukinumab (150 mg + 300 mg)-9.05± 0.94
Group 2 - Placebo/Secukinumab-5.86± 0.93
Proportion of Participants With American College of Rheumatology (ACR)-20 Response Secondary · Week 12

ACR 20 responder has ≥ 20% improvement in TJC and SJC and \>20% improvement in 3 of the following 5 domains: patient's assessment of disease activity, physician's assessment of disease activity, patient's

GroupValue95% CI
Group 1 - Secukinumab (150 mg + 300 mg)56
Group 2 - Placebo/Secukinumab26
Proportion of Participants With American College of Rheumatology (ACR)-50 Response Secondary · Week 12

ACR 50 responder has ≥ 50% improvement in TJC and SJC and \>25% improvement in 3 of the following 5 domains: patient's assessment of disease activity, physician's assessment of disease activity, patient's assessment of PsA pain, HAQ-DI, or hsCRP.

GroupValue95% CI
Group 1 - Secukinumab (150 mg + 300 mg)38
Group 2 - Placebo/Secukinumab7
Spondyloarthritis Research Consortium of Canada (SPARCC) Secondary · Baseline to Week 12

Repeated measures mixed effect (MMRM) analysis of SPARCC total score change from baseline to Week 12 between the 2 treatment groups. SPARCC index ranges from 0 to 16.

GroupValue95% CI
Group 1 - Secukinumab (150 mg + 300 mg)-2.23± 0.29
Group 2 - Placebo/Secukinumab-1.57± 0.29

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for 12 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 52 weeks. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment Group 1 - Secukinumab (150+300 mg)
Serious: 9/161 (6%)
Deaths: 1/161
Treatnent Group 2 - Placebo/Secukinumab
Serious: 2/83 (2%)
Deaths: 0/83

Serious adverse events (13 terms)

ReactionSystemTreatment Group 1 - Secuki…Treatnent Group 2 - Placeb…
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Coronary artery stenosisCardiac disorders
DiarrhoeaGastrointestinal disorders
COVID-19Infections and infestations
Femur fractureInjury, poisoning and procedural complications
Incisional herniaInjury, poisoning and procedural complications
MalnutritionMetabolism and nutrition disorders
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cystReproductive system and breast disorders
Uterine polypReproductive system and breast disorders
Other adverse events (24 terms — click to expand)

ReactionSystemTreatment Group 1 - Secuki…Treatnent Group 2 - Placeb…
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
Urinary tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
BronchitisInfections and infestations
DiarrhoeaGastrointestinal disorders
InfluenzaInfections and infestations
Abdominal painGastrointestinal disorders
PharyngitisInfections and infestations
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
FatigueGeneral disorders
GastroenteritisInfections and infestations
Oral herpesInfections and infestations
Upper respiratory tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Dry eyeEye disorders
ArthralgiaMusculoskeletal and connective tissue disorders
FallInjury, poisoning and procedural complications
DizzinessNervous system disorders
Productive coughRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Acute myocardial infarction, Atrial fibrillation, Coronary artery stenosis, Diarrhoea, COVID-19, Femur fracture, Incisional hernia, Malnutrition.

Data from ClinicalTrials.gov NCT02662985 adverse events section.

Sponsor's own description

This study was designed to leverage the sensitivity of ultrasonography available in clinical practice setting to better describe the time course of response to secukinumab (150 mg and 300 mg) on joint synovitis and enthesitis in PsA patients with an inadequate response to non-biologic DMARDs. PDUS changes in joint synovitis will be assessed using the global Outcome Measures in Rheumatology (OMERACT)-European League against Rheumatism (EULAR) synovitis score (GLOESS) and changes in joint enthesitis were assessed using the OMERACT enthesitis score.

Publications & conference data

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

  1. Response to secukinumab on synovitis using Power Doppler ultrasound in psoriatic arthritis: 12-week results from a phase III study, ULTIMATE.
    D'Agostino MA, Schett G, López-Rdz A, Šenolt L, et al · · 2022 · cited 26× · PMID 34528079 · DOI 10.1093/rheumatology/keab628
  2. Adverse events associated with anti-IL-17 agents for psoriasis and psoriatic arthritis: a systematic scoping review.
    Wang J, Wang C, Liu L, Hong S, et al · · 2023 · cited 25× · PMID 36817423 · DOI 10.3389/fimmu.2023.993057
  3. Secukinumab efficacy on resolution of enthesitis in psoriatic arthritis: pooled analysis of two phase 3 studies.
    Coates LC, Wallman JK, McGonagle D, Schett GA, et al · · 2019 · cited 16× · PMID 31801620 · DOI 10.1186/s13075-019-2055-z
  4. A Narrative Review of Secukinumab in Spondyloarthritis and Psoriatic Arthritis: Treating the Whole Patient.
    Kaeley GS, Kivitz A, Mease P, Weiss PF, et al · · 2026 · PMID 41854828 · DOI 10.1007/s40744-026-00833-6
  5. Exploring clusters based on ultrasound-detected inflammation in patients with psoriatic arthritis: a post-hoc analysis from the ULTIMATE trial.
    D'Agostino MA, Conaghan PG, Gaillez C, Boers M, et al · · 2026 · PMID 41612350 · DOI 10.1186/s12891-025-09434-w

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Other recruiting trials for Psoriatic Arthritis

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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/NCT02662985.

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