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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02267135
Other study ID # CAIN457AUS01
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date September 29, 2014
Est. completion date December 7, 2015

Study information

Verified date March 2019
Source Novartis
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will assess the efficacy and safety of secukinumab compared to placebo in adult patients who have moderate to severe scalp psoriasis that is poorly controlled by current psoriasis treatments.


Recruitment information / eligibility

Status Completed
Enrollment 102
Est. completion date December 7, 2015
Est. primary completion date December 7, 2015
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Chronic scalp psoriasis for at least the previous six months - Moderate to severe scalp psoriasis as defined by a PSSI score of =12 and 30% or higher of scalp surface area affected - Must be candidates for systemic therapy, which means having scalp psoriasis inadequately controlled by topical treatments (corticosteroids), and/or phototherapy, and/or previous systemic therapy. Exclusion Criteria: - Forms of psoriasis other than chronic plaque - Drug-induced psoriasis (e.g., new onset or current exacerbation from ß-blockers, calcium channel inhibitors) - Ongoing use of prohibited treatments (e.g., topical or systemic corticosteroids, UV therapy) - Prior exposure to secukinumab (AIN457) or any other biologic drug directly targeting IL17A or IL-17RA receptors - Use of other investigational drugs within 30 days prior to study entry, or within a period of 5 half-lives of the investigational treatment, whichever is longer - Active, ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of secukinumab - Active system infections (with the exception of the common cold) during the two weeks prior to starting study treatment - Other protocol-defined inclusion/exclusion criteria may apply

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Secukinumab 300 mg
Secukinumab 300 mg will be provided in 1 mL prefilled syringes of 150 mg. Each dose of 300 mg secukinumab will consist of two secukinumab 150 mg injections once weekly for 5 weeks (Baseline, Weeks 1, 2, 3 and 4), followed by dosing every four weeks starting at Week 8 through Week 20 inclusive. In order to maintain the blinding, patients will receive additional placebo injections at Weeks 13, 14 and 15. The patients (or caregivers) will self-inject each dose at the study site under the supervision of site personnel when injections occur of days of study visits. The injections not occurring during a study visit will be done by the patients (or caregivers) at home.
Placebo
Placebo will be provided in 1 mL prefilled syringe. Each placebo dose will consist of two placebo injections once weekly for five weeks (Baseline, Weeks 1, 2, 3 and 4), then after four weeks at Week 8. At Week 12, PSSI responders will continue on placebo and receive their injections once weekly for five weeks (Weeks 12, 13, 14, 15 and 16), then followed by dosing after four weeks at Week 20. PSSI non-responders will be switched to receive 300 mg secukinumab at Weeks 12, 13, 14, 15 and 16, then after four weeks at Week 20. The patients (or caregivers) will self-inject each dose at the study site under the supervision of site personnel when injections occur on days of study visits. The injections not occurring during a study visit will be done by the patients (or caregivers) at home.

Locations

Country Name City State
United States Novartis Investigative Site Andover Massachusetts
United States Novartis Investigative Site Arlington Texas
United States Novartis Investigative Site Aurora Colorado
United States Novartis Investigative Site Boston Massachusetts
United States Novartis Investigative Site East Windsor New Jersey
United States Novartis Investigative Site Gahanna Ohio
United States Novartis Investigative Site Hershey Pennsylvania
United States Novartis Investigative Site New York New York
United States Novartis Investigative Site New York New York
United States Novartis Investigative Site Pittsburgh Pennsylvania
United States Novartis Investigative Site Rockville Maryland
United States Novartis Investigative Site Sacramento California
United States Novartis Investigative Site Salt Lake City Utah
United States Novartis Investigative Site Troy Michigan
United States Novartis Investigative Site Trumbull Connecticut
United States Novartis Investigative Site West Jordan Utah
United States Novartis Investigative Site Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Novartis Pharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Psoriasis Scalp Severity Index 90 (PSSI 90) PSSI 90 response (yes) at Week 12; PSSI 90 response means at least a 90% improvement in scalp psoriasis
Percentage of participants with Psoriasis Scalp Severity Index 90 (PSSI 90) response of "yes"
12 weeks
Secondary Secondary: Investigator's Global Assessment Model 2011 (IGA Mod 2011) Score of 0 or 1 (Scalp Only) IGA mod 2011 score of 0 or 1 (scalp only) response at Week 12 (non-responder imputation); IGA mod 2011 score of 0 means no sign of scalp psoriasis, and IGA score of 1 means almost no scalp psoriasis 12 weeks
Secondary Change From Baseline in PSSI Score Change from baseline in Psoriasis Scalp Severity Index (PSSI) score. PSSI score ranges from 0-72 with 72 being severe 12 weeks
Secondary Psoriasis Scalp Severity Index 75 (PSSI 75) Response PSSI 75 response (yes) at Week 12 (non-responder imputation); PSSI 75 response means at least a 75% improvement in scalp psoriasis 12 weeks
Secondary Psoriasis Scalp Severity Index 100 (PSSI 100) Response PSSI 100 response (yes) at Week 12 (non-responder imputation); PSSI 100 response means no sign of scalp psoriasis 12 weeks
Secondary Time to 50% Reduction in PSSI Score up to Week 12 Time to 50% reduction in PSSI score up to week 12 was estimated for drug arm
The median time to reduction was not estimable for placebo because a 50% reduction in PSSI score was not achieved by enough participants receiving placebo
12 weeks
Secondary Psoriasis Area and Severity Index 75 (PASI 75) PASI 75 response (yes) at Week 12 (non-responder imputation); PASI 75 response means at least a 75% improvement in body psoriasis 12 weeks
Secondary Psoriasis Area and Severity Index 90 (PASI 90) PASI 90 response (yes) at Week 12 (non-responder imputation); PASI 90 response means at least a 90% improvement in body psoriasis 12 weeks
Secondary Psoriasis Area and Severity Index 100 (PASI 100) PASI 100 response (yes) at Week 12 (non-responder imputation); PASI 100 response means no sign of body psoriasis 12 weeks
Secondary Investigator's Global Assessment Model 2011 (GA Mod 2011) Score of 0 or 1 (Entire Body Including Scalp) IGA mod 2011 score of 0 or 1 (entire body including scalp); IGA mod 2011 score of 0 means no sign of psoriasis, and IGA mod 2011 score of 1 means almost no psoriasis 12 weeks
Secondary Change From Baseline in Subject Assessment of Pain Change from baseline in the Subject Assessment of Pain
Scale of 0-10 with 10 being the most painful
12 weeks
Secondary Change From Baseline in Subject Assessment of Itching Change from baseline in the Subject Assessment of Itching
Scale of 0-10 with 10 being the most itchy
12 weeks
Secondary Change From Baseline in Subject Assessment of Scaling (Scalp Only) Change from baseline in the Subject Assessment of Scaling (scalp only)
Scale of 0-10 with 10 being the most scaling
12 weeks