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NCT03355573: BE AGILE 2

A Study to Evaluate the Long Term Safety and Efficacy of Bimekizumab in Subjects With Ankylosing Spondylitis

Completed Phase 2 Results posted Last updated 21 November 2024
What this trial tests

Phase 2 trial testing Bimekizumab in Ankylosing Spondylitis in 255 participants. Completed in 19 October 2022.

Timeline
28 November 2017
Primary endpoint
19 October 2022
19 October 2022

Quick facts

Lead sponsorUCB Biopharma SRL
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment255
Start date28 November 2017
Primary completion19 October 2022
Estimated completion19 October 2022
Sites50 locations across Russia, Ukraine, Germany, Hungary, Poland, Canada, Bulgaria, United States

Drugs / interventions tested

Conditions studied

Sponsor

UCB Biopharma SRL — full company profile →

Who can join

18 and older, any sex, with Ankylosing Spondylitis. 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.

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the Study Primary · From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)

An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment emergent adverse events were defined as those events with onset date on or after the first administration of study medication in AS0009 an

GroupValue95% CI
Bimekizumab92.9
Percentage of Participants With Serious Adverse Event (SAE) During the Study Primary · From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)

A serious adverse event (SAE) is any untoward medical occurrence that at any dose: 1) Results in death 2) Is life-threatening 3) Requires in participant hospitalisation or prolongation of existing hospitalisation 4) Is a congenital anomaly or birth defect 5) Is an infection that requires treatment with parenteral antibiotics 6) Other important medical events which based on medical or scientific judgement may jeopardise the participants, or may require medical or surgical intervention to prevent any of the above.

GroupValue95% CI
Bimekizumab18.0
Percentage of Participants Who Withdrew Due to an Treatment-emergent Adverse Event (TEAE) During the Study Secondary · From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224)

An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment emergent adverse events were defined as those events with onset date on or after the first administration of study medication in AS0009 an

GroupValue95% CI
Bimekizumab6.7
Percentage of Participants With Axial Spondyloarthritis International Society 40% Response Criteria (ASAS40) at Week 48 Calculated Relative to Baseline of AS0008 Secondary · Baseline of AS0008, Week 48 (AS0009)

The ASAS40 response was defined as relative improvements of at least 40% and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS), where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PGADA) (score ranged from 0 (not active) to 10 (very active), Pain assessment (total spinal pain NRS score) (assessed on a scale of 0 (no pain) to 10 (severe pain)), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)) (score ranged from 0 (easy) to 10 (impossible)), Inflammation (mean of Bath Ankylo

Non-responder imputation
GroupValue95% CI
Bimekizumab67.1
Observed case
GroupValue95% CI
Bimekizumab70.5
Percentage of Participants With Axial Spondyloarthritis International Society 20% Response Criteria (ASAS20) at Week 48 Calculated Relative to Baseline of AS0008 Secondary · Baseline of AS0008, Week 48 (AS0009)

The ASAS20 response was defined as relative improvements of at least 20% and absolute improvement of at least 1 unit on a 0 to 10 NRS, where 0 is "not active" and 10 is "very active" in at least 3 of the 4 domains: PGADA (score ranged from 0 (not active) to 10 (very active), Pain assessment (total spinal pain NRS score) (assessed on a scale of 0 (no pain) to 10 (severe pain)), Function (BASFI) (score ranged from 0 (easy) to 10 (impossible)), Inflammation (mean of BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) (score ranged from 0 (none) to 10 (very severe) and n

Non-responder imputation
GroupValue95% CI
Bimekizumab79.9
Observed case
GroupValue95% CI
Bimekizumab84.0
Change From Baseline of AS0008 in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Total Score to Week 48 Secondary · Baseline of AS0008, Week 48 (AS0009)

BASDAI is a validated self-reported instrument, which consisted of 6 questions to measure the disease activity of ankylosing spondylitis (AS) from the participant's perspective. It measured the severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration). Each question was rated using a numerical rating scale from 0 (none) to 10 (very severe), higher score=high disease activity. The BASDAI score was calculated by computing the mean of questions 5 and 6 and adding it to the sum of questions 1 to 4. This score was then divided

GroupValue95% CI
Bimekizumab-3.79± 0.13

Adverse events — posted to ClinicalTrials.gov

Time frame: From Entry Visit (Visit 1) until Safety Follow Up (up to Week 224). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Bimekizumab
Serious: 46/255 (18%)
Deaths: 2/255

Serious adverse events (49 terms)

ReactionSystemBimekizumab
PneumoniaInfections and infestations
Corona virus infectionInfections and infestations
Colitis ulcerativeGastrointestinal disorders
Perirectal abscessInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
Benign prostatic hyperplasiaReproductive system and breast disorders
Coronary artery diseaseCardiac disorders
Coronary artery stenosisCardiac disorders
Cardiac failureCardiac disorders
Cardio-respiratory arrestCardiac disorders
Endolymphatic hydropsEar and labyrinth disorders
Crohn's diseaseGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Umbilical herniaGastrointestinal disorders
CholelithiasisHepatobiliary disorders
HepatotoxicityHepatobiliary disorders
Abdominal wall abscessInfections and infestations
Gastroenteritis bacterialInfections and infestations
EmpyemaInfections and infestations
Post procedural infectionInfections and infestations
BronchitisInfections and infestations
Peritonsillar abscessInfections and infestations
Urinary tract infectionInfections and infestations
Meniscus injuryInjury, poisoning and procedural complications
Humerus fractureInjury, poisoning and procedural complications
Other adverse events (15 terms — click to expand)

ReactionSystemBimekizumab
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Corona virus infectionInfections and infestations
BronchitisInfections and infestations
Alanine aminotransferase increasedInvestigations
PharyngitisInfections and infestations
Oral candidiasisInfections and infestations
HypercholesterolaemiaMetabolism and nutrition disorders
SinusitisInfections and infestations
TonsillitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Aspartate aminotransferase increasedInvestigations
HeadacheNervous system disorders
PsoriasisSkin and subcutaneous tissue disorders

Most-reported serious reactions: Pneumonia, Corona virus infection, Colitis ulcerative, Perirectal abscess, Osteoarthritis, Benign prostatic hyperplasia, Coronary artery disease, Coronary artery stenosis.

Data from ClinicalTrials.gov NCT03355573 adverse events section.

Sponsor's own description

This is a study to assess the long term safety and tolerability of bimekizumab in subjects with ankylosing spondylitis

Publications & conference data

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

  1. Interactions between neutrophils and T-helper 17 cells.
    Fan X, Shu P, Wang Y, Ji N, et al · · 2023 · cited 51× · PMID 37920459 · DOI 10.3389/fimmu.2023.1279837
  2. Dual inhibition of IL-17A and IL-17F in psoriatic disease.
    Iznardo H, Puig L. · · 2021 · cited 29× · PMID 34408825 · DOI 10.1177/20406223211037846
  3. Low uveitis rates in patients with axial spondyloarthritis treated with bimekizumab: pooled results from phase 2b/3 trials.
    Brown MA, Rudwaleit M, van Gaalen FA, Haroon N, et al · · 2024 · cited 25× · PMID 38977276 · DOI 10.1136/ard-2024-225933
  4. Anti-IL-17 Agents in the Treatment of Axial Spondyloarthritis.
    Atzeni F, Carriero A, Boccassini L, D'Angelo S. · · 2021 · cited 21× · PMID 33977094 · DOI 10.2147/itt.s259126
  5. Efficacy and safety of interleukin-17A inhibitors in patients with ankylosing spondylitis: a systematic review and meta-analysis of randomized controlled trials.
    Wang P, Zhang S, Hu B, Liu W, et al · · 2021 · cited 15× · PMID 33432451 · DOI 10.1007/s10067-020-05545-y
  6. Long-term safety and sustained efficacy of bimekizumab in patients with ankylosing spondylitis (radiographic axial spondyloarthritis): 5-year results from BE AGILE (phase 2b) and its open-label extension.
    Deodhar A, Navarro-Compán V, Poddubnyy D, Gensler LS, et al · · 2025 · cited 8× · PMID 39890205 · DOI 10.1136/rmdopen-2024-005081
  7. Axial Spondyloarthritis: Reshape the Future-From the "2022 GISEA International Symposium".
    Salaffi F, Siragusano C, Alciati A, Cassone G, et al · · 2022 · cited 5× · PMID 36556152 · DOI 10.3390/jcm11247537
  8. Long-term safety of bimekizumab in adult patients with axial spondyloarthritis or psoriatic arthritis: pooled results from integrated phase IIb/III clinical studies.
    Mease PJ, Gensler LS, Orbai AM, Warren RB, et al · · 2025 · cited 4× · PMID 40194794 · DOI 10.1136/rmdopen-2024-005026

Verify or expand the search:

Other trials of Bimekizumab

Trials testing the same drug.

Other recruiting trials for Ankylosing Spondylitis

Currently open trials in the same condition.

Other UCB Biopharma SRL trials

Trials by the same sponsor.

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