Phase 3
N=14
Study of Efficacy and Safety of Canakinumab in Japanese Patients With AOSD
Adult Onset Still's Disease
Bottom Line
View on ClinicalTrials.gov: NCT04717635 ↗Enrolled (actual)
14
Serious AEs
42.9%
Results posted
Mar 2026
Primary outcome: Primary: Percentage of Participants Who Achieved Adapted American College of Rheumatology (ACR) 30 Response at Week 8 — 50.0 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Canakinumab (Biological)
- Age
- Pediatric, Adult, Older Adult · 16+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Apr 2025
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Who Achieved Adapted American College of Rheumatology (ACR) 30 Response at Week 8 |
50.0 | — |
| SECONDARY Number of Participants Who Were Able to Taper Corticosteroids Based on Success Criteria at Week 28. |
7 | — |
| SECONDARY Number of Participants Who Achieved Adapted ACR 30 Response Criteria |
11; 11; 11; 9; 9; 8 | — |
| SECONDARY Number of Participants Who Achieved Adapted ACR 50 Response Criteria |
10; 10; 8; 10; 9; 9 | — |
| SECONDARY Number of Participants Who Achieved Adapted ACR 70 Response Criteria |
8; 9; 8; 9; 9; 7 | — |
| SECONDARY Number of Participants Who Achieved Adapted ACR 90 Response Criteria |
5; 6; 7; 9; 6; 6 | — |
| SECONDARY Number of Participants Who Achieved Adapted ACR 100 Response Criteria |
3; 2; 3; 3; 3; 4 | — |
| SECONDARY Change From Baseline in Systemic Feature Score (SFS) |
-3.4; -3.6; -3.6; -3.6; -3.8; -3.9 | — |
| SECONDARY Change From Baseline in the Component of Adapted ACR: Physician's Global Assessment of Disease Activity |
-47.6; -52.7; -52.8; -52.6; -48.7; -52.3 | — |
| SECONDARY Change From Baseline in the Component of Adapted ACR: Patient's Global Assessment of Disease Activity |
-32.9; -33.4; -29.6; -35.8; -40.2; -37.0 | — |
| SECONDARY Change From Baseline in the Component of Adapted ACR: Health Assessment Questionnaire- Disability Index (HAQ-DI) |
-0.5893; -0.5714; -0.6339; -0.6786; -0.7500; -0.7212 | — |
| SECONDARY Change From Baseline in the Component of Adapted ACR: Number of Active Joints |
-6.6; -7.4; -6.9; -7.6; -5.8; -7.0 | — |
| SECONDARY Change From Baseline in the Component of Adapted ACR: C-Reactive Protein (CRP) Levels |
-372.7041; -359.5374; -358.6973; -315.3299; -253.7326; -273.7619 | — |
| SECONDARY Number of Participants With Absence of Intermittent Fever in the Preceding Week (Component of the Adapted ACR) |
0; 14; 12; 12; 13; 12 | — |
| SECONDARY Change From Baseline in Oral Corticosteroid Dose |
0.71; -3.68; -5.42; -5.65; -7.12; -9.29 | — |
| SECONDARY Number of Participants With or Without Rash (Typical vs. Atypical) |
9; 4; 8; 5; 5; 0 | — |
| SECONDARY Change From Baseline in Disease Activity Score (DAS)28 - CRP |
-2.921; -3.059; -2.941; -3.220; -3.007; -3.105 | — |
| SECONDARY Canakinumab Concentrations Over Time |
0.00; 12700; 17700; 11800; 25500; 38000 | — |
| SECONDARY Total IL-1β Levels |
0.254; 63.9; 80.3; 75.0; 31.1; 53.2 | — |
| SECONDARY Number of Participants With Canakinumab Anti-drug Antibodies (ADA) |
0; 0; 0; 0; 0; 0 | — |
Summary
This study was designed to evaluate the efficacy and safety of canakinumab administered subcutaneously every 4 weeks for at least 48 weeks in Japanese patients with Adult-Onset Still's Disease (AOSD).
Interim analysis data collected at Weeks 28 and 48 supported the registration submission of canakinumab for the indication of Adult Still's Disease (ASD) in Japan.
Eligibility Criteria
Inclusion Criteria
- Signed informed consent had to be obtained prior to participation in the study. Parent's or legal guardian's written informed consent and child's assent, if appropriate, were required before any assessment was performed for participants 38°C) due to AOSD for at least 1 day within 1 week before baseline
- At least 2 active joints (tender or swollen)
- CRP ≥ 10 mg/L
Exclusion Criteria
- Pregnant or nursing (lactating) female participants were excluded. Pregnancy was defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5 mIU/mL) at the screening visit.
- Participants with a history of significant hypersensitivity to the study drug or to biologics were excluded.
- Participants with a history or evidence of active macrophage activation syndrome or disseminated intravascular coagulation within 6 months prior to enrollment were excluded.
- Participants with underlying metabolic, renal, hepatic, infectious, or gastrointestinal conditions that, in the opinion of the investigator, compromised the participant and/or placed the participant at unacceptable risk for participation in immunomodulatory therapy were excluded.
- Participants with active or recurrent bacterial, fungal, or viral infections at the time of enrollment, including evidence of HIV infection, Hepatitis B, or Hepatitis C, were excluded.
- Participants with an absolute neutrophil count < 1500/mm³ at screening were excluded.
Data sourced from ClinicalTrials.gov (NCT04717635). 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.