Phase 3
Completed N=675
4 Year Extension Study of Efficacy and Safety of Secukinumab in Patients With Moderate to Severe Chronic Plaque-type Psoriasis
Moderate to Severe Chronic Plaque-Type Psoriasis
Source: ClinicalTrials.gov NCT01640951 ↗
Enrolled (actual)
675
Serious AEs
21.3%
Results posted
May 2018
Primary outcomePrimary: Long-term Safety and Tolerability of Secukinumab — 88.3; 92.0; 92.9; 78.2 Percentage of participants
◆ Published Evidence
Established
69citations · ~8 / year
Secukinumab sustains good efficacy and favourable safety in moderate-to-severe psoriasis after up to 3 years of treatment: results from a double-blind extension study.
Summary
CAIN457A2304E1 was an extension study to two phase III studies, CAIN457A2304 and CAIN457A2307 (core studies). This extension study planned to collect up to four years of long-term safety, tolerability and efficacy data of secukinumab in both the fixed interval regimen and the retreatment at start of relapse regimen. All subjects who completed the full study treatment period (52 weeks) in the cores studies CAIN457A2304 and CAIN457A2307 were eligible to participate in this extension study. In this extension study, the prefilled syringe (PFS) liquid formulation of secukinumab was used.
Linked Publications
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Secukinumab sustains good efficacy and favourable safety in moderate-to-severe psoriasis after up to 3 years of treatment: results from a double-blind extension study.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Long-term Safety and Tolerability of Secukinumab |
88.3; 92.0; 92.9; 78.2; 87.4; 80.0 | — |
| SECONDARY Percentage of Participants Achieving Psoriasis Area and Severity Index (PASI) Score of 75 at Weeks 52, 104, 156, 208 and 260 |
69.7; 65.3; 67.5; 88.9; 38.2; 38.9 | — |
| SECONDARY Percentage of Participants Achieving Psoriasis Area and Severity Index (PASI) Scores of 50, 90 and 100 Over Time at Weeks 52, 104, 156, 208 and 260 |
89.5; 98.7; 94.0; 98.8; 80.0; 86.3 | — |
| SECONDARY Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score at Weeks 52, 104, 156, 208 and 260 |
-83.54; -81.47; -82.51; -91.14; -65.13; -67.91 | — |
| SECONDARY Percentage of Participants Achieving Investigator's Global Assessment Modified 2011 (IGA) 2011 Score of 0 or 1 Over Time at Weeks 52, 104, 156, 208 and 260 |
59.2; 50.7; 55.0; 69.1; 20.0; 20.0 | — |
| SECONDARY Percentage Change From Baseline in Dermatology Life Quality Index (DLQI©) Response at Weeks 52, 104, 156, 208 and 260 |
-77.3; -85.7; -81.8; -93.3; -65.0; -68.2 | — |
| SECONDARY Percentage of Participants With Dermatology Life Quality Index (DLQI©) Response (DLQI 0 or 1) Over Time at Weeks 52, 104, 156, 208 and 260 |
59.7; 57.3; 58.6; 72.7; 32.7; 34.7 | — |
| SECONDARY EuroQOL 5-Dimension Health Status Questionnaire (EQ-5D©) Score and Percent Change From Baseline at Weeks 52, 104 and 156 |
68.8; 57.0; 63.0; 115.8; 40.2; 76.9 | — |
| SECONDARY Number of Participants With Treatment Emergent Anti-drug Antibodies (ADA) |
2; 1; 3; 0; 4; 0 | — |
| SECONDARY Percentage of Patients With Experiencing a Relapse |
31.2; 40.0; 19.6; 61.8; 52.6; 43.3 | — |
| SECONDARY Percentage of Patients With Experiencing a Rebound |
11.5; 5.8; 5.0; 9.4; 1.1; 6.9 | — |
Eligibility Criteria
Inclusion Criteria
- Subjects must be able to understand and communicate with the investigator and comply with the requirements of the study and must give a written, signed and dated informed consent before any study related activity is performed. Where relevant, a legal representative will also sign the informed consent according to local laws and regulations.
- Subjects who complete Week 52 of study CAIN457A2304 or complete Week 40 of study CAIN457A2307
- Subjects expected to benefit from participation in the extension study, as assessed by the subject and investigator
Exclusion Criteria
- A protocol deviation in the core studies which according to the investigator will prevent the meaningful analysis of the extension study for the individual subject
- Ongoing use of prohibited psoriasis or non-psoriasis treatments. Time period from last use of prohibited treatments in the core study to first dose of study drug in this extension study.
- Subjects expected to be exposed to an undue safety risk if participating in the trial
- Current severe progressive or uncontrolled disease which in the judgment of the investigator renders the subject unsuitable for the trial
- Plans for administration of live vaccines during the study period
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (>10 mIU/mL).
Data sourced from ClinicalTrials.gov (NCT01640951) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.