Canakinumab shows efficacy in Japanese AOSD patients in Phase 3 open-label study
This Phase III, open-label, single-arm active treatment study evaluated the efficacy, safety, tolerability, and pharmacokinetics/pharmacodynamics of canakinumab in Japanese participants with Adult-Onset Still's Disease (AOSD). The study enrolled 14 participants. The intervention was canakinumab administered subcutaneously at a dose of 4 mg/kg (up to a maximum of 300 mg) every 4 weeks for at least 48 weeks. The study consisted of a screening epoch (Day -28 to Day -1) and an open-label treatment epoch (Day 1 until either regulatory approval and commercial availability of canakinumab for adult Still's disease in Japan, or study termination). The primary outcome was the percentage of participants who achieved an adapted American College of Rheumatology (ACR) 30 response at Week 8. Interim analysis data collected at Weeks 28 and 48 supported the registration submission of canakinumab for the indication of Adult Still's Disease in Japan. The study was completed, with a primary completion date of 2025-04-16 and results posted on 2026-03-23. The study design was open-label and single-arm, which is a limitation as it lacks a comparator group for efficacy and safety assessments.