Psoriatic Arthritis Clinical Trial
Official title:
A Phase III Randomized, Double-blind, Placebo-controlled Multicenter Study of Subcutaneous Secukinumab in Prefilled Syringes to Demonstrate the Efficacy at 24 Weeks and to Assess the Long Term Efficacy, Safety and Tolerability up to 5 Years in Patients With Active Psoriatic Arthritis
This study was to provide 24 - 52 week efficacy, safety and tolerability data to support the registration of the secukinumab (AIN457) prefilled syringe (PFS) for subcutaneous self administration in subjects with active PsA despite current or previous NSAID, DMARD and/or anti-TNFα therapy. An additional 4 years of long-term efficacy and safety data were collected during the post Week 52 period of the study.
At baseline (BSL), subjects whose eligibility was confirmed were randomized to one of the
following four treatment groups.
- 75 mg secukinumab
- 150 mg secukinumab
- 300 mg secukinumab
- Placebo At Week 16, all subjects were classified as responders (≥ 20% improvement from
BSL in both tender and swollen joint counts) or non-responders.
Subjects who were randomized to a secukinumab treatment group at baseline were targeted to
remain on the same dose for the entire trial.
Subjects who were randomized to placebo at baseline were re-randomized at Week 16 as follows:
Placebo non-responders received secukinumab 150 mg s.c. or 300 mg s.c. (1:1) every 4 weeks,
starting after the efficacy assessments at Week 16.
Placebo responders continued to receive placebo at Week 16 and Week 20 and received
secukinumab 150 mg s.c. or 300 mg s.c. (1:1) every 4 weeks, starting after the efficacy
assessments at Week 24.
This was a double-blind, double-dummy, randomized treatment trial until week 52 analysis was
completed and open label afterwards.
An amendment to the study protocol (after all patients were in the trial for 2-3 years)
introduced changes whereby patients previously treated with secukinumab 75 mg s.c. could
change to receive 150 mg s.c. or 300 mg s.c., and patients previously treated with
secukinumab 150 mg s.c. could change to receive 300 mg s.c., as deemed appropriate by the
investigators.
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