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Safety and efficacy of secukinumab compared to placebo in patients with active rheumatoid arthritis who did not respond to anti-TNFa drugs

A randomized, double-blind, placebo-controlled study of secukinumab to demonstrate the efficacy at 24 weeks and to assess the safety, tolerability and long term efficacy up to 2 years in patients with active rheumatoid arthritis who have an inadequate response to anti-TNFa agents

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2011-000275-13-HU
Enrollment
630
Registered
2011-06-10
Start date
2011-07-29
Completion date
Unknown
Last updated
2015-07-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid arthritis MedDRA version: 14.1 Level: PT Classification code 10039073 Term: Rheumatoid arthritis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders

Interventions

Sponsors

Novartis Pharma AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Male or non-pregnant, non-lactating female patients • Presence of Rheumatoid Arthritis classified by ACR 2010 revised criteria for at least 3 months before screening • At Baseline: Disease activity criteria defined by = 6 tender joints out of 68 and = 6 swollen joints out of 66 WITH at least 1 of the following at screening: Anti-CCP antibodies positive OR Rheumatoid Factor positive AND WITH at least 1 of the following at screening: hsCRP = 10 mg/L OR ESR = 28 mm/1st hr • Patients must have been taking at least one anti-TNF-a agent given at an approved dose for at least 3 months before randomization and have experienced an inadequate response to treatment or have been intolerant to at least one administration of an anti-TNF-a agent • Patients must be taking MTX for at least 3 months before randomization and have to be on a stable dose at least 4 weeks before randomization (7.5 to 25 mg/week (For Japan only: 6 to 25 mg/week)) Other protocol-defined inclusion criteria may apply. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 504 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 126

Exclusion criteria

Exclusion criteria: • Chest x-ray with evidence of ongoing infectious or malignant process, obtained within 3 months prior to screening and evaluated by a qualified physician • Rheumatoid arthritis patients functional status class IV according to the ACR 1991 revised criteria • Patients who have ever received biologic immunomodulating agents except for those targeting TNFa • Previous treatment with any cell-depleting therapies Other protocol-defined exclusion criteria may apply.

Design outcomes

Primary

MeasureTime frame
Main Objective: Demonstrate the efficacy of secukinumab (75mg or 150mg) versus placebo (measured with ACR 20) after 24 weeks of treatment;Secondary Objective: • Change of the HAQ-DI from baseline on secukinumab 75 mg or 150 mg compared to placebo after 24 weeks of treatment • Change of the van der Heijde total modified Sharp score from baseline on secukinumab compared to placebo • Proportion of patients achieving major clinical response on secukinumab 75 mg or 150 mg compared to placebo after 1 year of treatment ;Primary end point(s): ACR 20;Timepoint(s) of evaluation of this end point: Week 24

Secondary

MeasureTime frame
Secondary end point(s): HAQ-DI,van der Heijde total modified Sharp score and Major clinical response;Timepoint(s) of evaluation of this end point: Week 24 and 1 year

Countries

Argentina, Belgium, Canada, Colombia, Guatemala, Hungary, India, Italy, Japan, Mexico, Panama, Peru, Thailand, Turkey, United Kingdom, United States

Contacts

Public ContactPublic Information Desk

Novartis Hungary Ltd. Pharma

infoph.hungary@novartis.com+361457-6500

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026