Phase 3
Completed N=380
SKIPPAIN - Speed of Onset of SecuKinumab-Induced Relief From Pain in Patients With AxIal SpoNdyloarthritis
Source: ClinicalTrials.gov NCT03136861 ↗Enrolled (actual)
380
Serious AEs
1.2%
Results posted
Feb 2020
Primary outcomePrimary: Percentage of Participants With a Spinal Pain Numerical Rating Scale (NRS) Score Below 4 at Week 8 (Treatment Period 1) — 91; 19; 188; 73 Participants — p=0.0264
◆ Published Evidence
Emerging
8citations · ~2 / year
Rapid improvement in spinal pain in patients with axial spondyloarthritis treated with secukinumab: primary results from a randomized controlled phase-IIIb trial.
Summary
The purpose of the study was to evaluate the efficacy and safety of secukinumab 150 mg compared to placebo in the early management (Baseline to Week 8) of spinal pain, disease activity, fatigue, and predictability of disease flares in patients with axial spondyloarthritis (axSpA) who had an inadequate response to prior non-steroidal anti-inflammatory drugs (NSAIDs). This study also explored the efficacy and safety of secukinumab 300 mg compared to secukinumab 150 mg from Week 8 to Week 24 in order to assess the potential additional benefits of dose escalation in patients with axSpA.
Linked Publications
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Rapid improvement in spinal pain in patients with axial spondyloarthritis treated with secukinumab: primary results from a randomized controlled phase-IIIb trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With a Spinal Pain Numerical Rating Scale (NRS) Score Below 4 at Week 8 (Treatment Period 1) |
91; 19; 188; 73; 77; 17 | 0.0264 sig |
| SECONDARY Percentage of Participants With a Bath Ankylosing Spondylitis Disease Activity Index Score Below 4 at Week 8 (Treatment Period 1) |
95; 22; 185; 70 | 0.0466 sig |
Eligibility Criteria
Key Inclusion Criteria
- Diagnosis of axial spondylarthritis (axSpA, either ankylosing spondylitis or non radiographic axial spondylarthritis) according to ASAS axSpA classification criteria
- patients with back pain for at least 3 months and age of onset less than 45 years
- Active axSpA as assessed by total BASDAI score of at least 4 at Baseline.
- Spinal pain numeric rating scale score of more than 4 at Baseline.
- inadequate response to or failure to respond to at least 2 different NSAIDs at the highest recommended dose for at least 4 weeks in total prior to randomization
Key Exclusion Criteria
- Chest X-ray or MRI with evidence of ongoing infectious or malignant process
- Patients previously treated with any biological immunomodulating agents, except those targeting tumor necrosis factor alpha.
- Patients who have been exposed to more than one anti-tumor necrosis factor alpha agent.
- Active ongoing inflammatory diseases other than axial spondyloarthritis
- Other ongoing mechanical diseases affecting the spine.
Data sourced from ClinicalTrials.gov (NCT03136861) 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.