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NCT03504852

Efficacy and Safety of 2 Secukinumab Regimens in 90kg or More Weight Group With Moderate/Severe Chronic Plaque Psoriasis

Completed Phase 3 Results posted Last updated 11 October 2021
What this trial tests

Phase 3 trial testing secukinumab 150 mg in Moderate to Severe Chronic Plaque-type Psoriasis in 331 participants. Completed in 15 July 2020.

Timeline
25 June 2018
Primary endpoint
13 September 2019
15 July 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeother
Enrollment331
Start date25 June 2018
Primary completion13 September 2019
Estimated completion15 July 2020
Sites67 locations across Italy, Russia, Germany, Hungary, Canada, United States, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Moderate to Severe Chronic Plaque-type 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.

Percentage of Subjects Who Achieve 90% or Greater Reduction in Psoriasis Area and Severity Index (PASI) Score - Week 16 (Full Analysis Set) Primary · 16 weeks

A subject was considered as a PASI 90 responder if s/he achieved a reduction of 90% or more of the PASI score, compared to baseline, at a given time point.The head, trunk, upper limbs and lower limbs were assessed separately for erythema, thickening, and scaling. PASI scores can range from a lower value of 0, corresponding to no signs of psoriasis, up to a theoretic maximum of 72.0, i.e., higher scores represent more severity.

GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)121
Secukinumab 300 mg Every 4 Weeks (Q4W) (up to Week 16 Pre-dose)92
Percentage of Subjects Who Achieve Investigator Global Assessment (IGA Modified 2011) Score of 0 or 1 - Week 16 (Full Analysis Set) Secondary · 16 weeks

IGA mod 2011 was conducted for overall psoriatic disease. The IGA modified 2011 used in this study was static, i.e., it referred exclusively to the subject's disease state at the time of the assessments, and did not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit. The scale has 0 (clear) as min and 4 (severe) as max, i.e., a higher score indicates more severity.

GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)122
Secukinumab 300 mg Every 4 Weeks (Q4W) (up to Week 16 Pre-dose)109
Absolute and Relative Frequencies for Deaths, Other Serious or Clinically Significant Adverse Events or Related Discontinuations - Entire Study Period (Safety Set) Secondary · Adverse events were reported from first dose of study treatment until end of study treatment plus 8 weeks post treatment, up to a maximum timeframe of 470 days.

An adverse event (AE) is any untoward medical occurrence (e.g., any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study until the end of study visit. Therefore, an AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product.

Patients with any AE(s)
GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)127
Secukinumab 300 mg Every 4 Weeks (Q4W) (Safety)97
Secukinumab 300 mg Every 4 Weeks Non-responders Up-titration (Q4W NR up)24
Patients with serious or other significant events - Death
GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)0
Secukinumab 300 mg Every 4 Weeks (Q4W) (Safety)1
Secukinumab 300 mg Every 4 Weeks Non-responders Up-titration (Q4W NR up)0
Patients with serious or other significant events - Non-fatal SAE(s)
GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)14
Secukinumab 300 mg Every 4 Weeks (Q4W) (Safety)17
Secukinumab 300 mg Every 4 Weeks Non-responders Up-titration (Q4W NR up)4
Patients with serious or other significant events - Discontinued study treatment due to any AE(s)
GroupValue95% CI
Secukinumab 300 mg Every 2 Weeks (Q2W)4
Secukinumab 300 mg Every 4 Weeks (Q4W) (Safety)9
Secukinumab 300 mg Every 4 Weeks Non-responders Up-titration (Q4W NR up)2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were reported from first dose of study treatment until end of study treatment plus 8 weeks post treatment, up to a maximum timeframe of 470 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Secukinumab 300 mg Every 2 Weeks (Q2W)
Serious: 14/165 (8%)
Deaths: 0/165
Secukinumab 300 mg Every 4 Weeks (Q4W) (Safety)
Serious: 18/134 (13%)
Deaths: 1/134
Secukinumab 300 mg Every 4 Weeks Non-responders Up-titration (Q4W NR up)
Serious: 4/31 (13%)
Deaths: 0/31
All Patients
Serious: 36/330 (11%)
Deaths: 1/330

Serious adverse events (46 terms)

ReactionSystemSecukinumab 300 mg Every 2…Secukinumab 300 mg Every 4…Secukinumab 300 mg Every 4…All Patients
Atrial fibrillationCardiac disorders
TachycardiaCardiac disorders
Non-cardiac chest painGeneral disorders
SepsisInfections and infestations
FallInjury, poisoning and procedural complications
DyspnoeaRespiratory, thoracic and mediastinal disorders
Acute myocardial infarctionCardiac disorders
Cardiac arrestCardiac disorders
Diastolic dysfunctionCardiac disorders
DeafnessEar and labyrinth disorders
TinnitusEar and labyrinth disorders
Diverticulum intestinal haemorrhagicGastrointestinal disorders
DysphagiaGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Retroperitoneal massGastrointestinal disorders
Umbilical hernia, obstructiveGastrointestinal disorders
AstheniaGeneral disorders
Cholecystitis chronicHepatobiliary disorders
Cholestatic liver injuryHepatobiliary disorders
Acute HIV infectionInfections and infestations
Breast cellulitisInfections and infestations
Clostridium difficile infectionInfections and infestations
Endocarditis bacterialInfections and infestations
ErysipelasInfections and infestations
PneumoniaInfections and infestations
Other adverse events (17 terms — click to expand)

ReactionSystemSecukinumab 300 mg Every 2…Secukinumab 300 mg Every 4…Secukinumab 300 mg Every 4…All Patients
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Urinary tract infectionInfections and infestations
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
IntertrigoSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
Diabetes mellitusMetabolism and nutrition disorders
Tooth abscessInfections and infestations
Arthropod biteInjury, poisoning and procedural complications

Most-reported serious reactions: Atrial fibrillation, Tachycardia, Non-cardiac chest pain, Sepsis, Fall, Dyspnoea, Acute myocardial infarction, Cardiac arrest.

Data from ClinicalTrials.gov NCT03504852 adverse events section.

Sponsor's own description

The purpose of this study is to assess secukinumab high dose (every 2 weeks) vs standard dose (every 4 weeks) in heavy body weight subjects with moderate to severe plaque psoriasis.

Publications & conference data

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

  1. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
    Sbidian E, Chaimani A, Garcia-Doval I, Doney L, et al · · 2022 · cited 84× · PMID 35603936 · DOI 10.1002/14651858.cd011535.pub5
  2. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
    Sbidian E, Chaimani A, Afach S, Doney L, et al · · 2020 · cited 78× · PMID 31917873 · DOI 10.1002/14651858.cd011535.pub3
  3. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
    Sbidian E, Chaimani A, Guelimi R, Garcia-Doval I, et al · · 2023 · cited 67× · PMID 37436070 · DOI 10.1002/14651858.cd011535.pub6
  4. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
    Sbidian E, Chaimani A, Garcia-Doval I, Doney L, et al · · 2021 · cited 54× · PMID 33871055 · DOI 10.1002/14651858.cd011535.pub4
  5. Secukinumab dosing every 2 weeks demonstrated superior efficacy compared with dosing every 4 weeks in patients with psoriasis weighing 90 kg or more: results of a randomized controlled trial.
    Augustin M, Reich K, Yamauchi P, Pinter A, et al · · 2022 · cited 35× · PMID 34981829 · DOI 10.1111/bjd.20971
  6. Selected Poster Abstracts from MauiDerm 2022 for Dermatologists.
    · 2022 · PMID 38406582

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