Rheumatoid arthritis MedDRA version: 14.1 Level: PT Classification code 10039073 Term: Rheumatoid arthritis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Conditions
Sponsors
Eligibility
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
| Measure | Time 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
| Measure | Time 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
Novartis Hungary Ltd. Pharma