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Extension Study for Long Term Evaluation of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis

A Multicenter Uncontrolled Extension Study Evaluating the Long Term Safety and Efficacy of SAR153191 in Patients With Ankylosing Spondylitis (AS)

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01118728
Acronym
SUSTAIN
Enrollment
223
Registered
2010-05-07
Start date
2010-06-30
Completion date
2011-12-31
Last updated
2017-06-21

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

Conditions

Ankylosing Spondylitis

Brief summary

Primary Objective: * To assess the long term safety of Sarilumab (SAR153191/REGN88) in participants with ankylosing spondylitis (AS) Secondary Objective: * To assess the long term efficacy of Sarilumab (SAR153191/REGN88) in participants with AS

Detailed description

The maximum study duration per participant was to be 267 weeks (approximately 5 years) broken down as follows: * screening up to a maximum of 1 week; * treatment up to a maximum of 260 weeks; * follow-up of 6 weeks after treatment discontinuation.

Interventions

DRUGSarilumab

Pharmaceutical form: solution for injection Route of administration: subcutaneous

Sponsors

Regeneron Pharmaceuticals
CollaboratorINDUSTRY
Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participant with AS who participated and completed 12-week treatment in study DRI11073-NCT01061723.

Exclusion criteria

* Adverse event(s) having lead to treatment discontinuation in the DRI11073 study; * Event or laboratory abnormality observed at the last treatment visit of DRI11073 study that would have adversely affected participation of the participant in this study as per investigator judgment. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Experiencing Any Treatment-emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Treatment DiscontinuationBaseline up to the end of study (66 weeks)An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of the relationship to the investigational medicinal product (IMP). SAE was any untoward medical occurrence that at any dose resulted in death or was life-threatening or required inpatient hospitalization or prolongation of existing hospitalization or resulted in persistent or significant disability/incapacity or was a congenital anomaly/birth defect or was a medically important event. TEAEs were AEs that developed or worsened or became serious during the TEAE period (time from first dose of IMP up to the end of follow-up period).

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Baseline up to the end of treatment (60 weeks)Treatment response for ASAS20 was defined as: Improvement of ≥ 20% and ≥ 1 unit on a 0 (least) to 10 (worst) numerical rating score (NRS) in at least 3 of the 4 ASAS improvement criteria (ASASIC) domains, and no worsening of ≥ 20% and ≥ 1 unit on 0-10 NRS in the remaining domain. The 4 domains included were participant's global disease activity assessment, total back pain, physical function (Bath Ankylosing Spondylitis Functional Index), and Inflammation (mean of last 2 Bath Ankylosing Spondylitis Disease Activity Index questions on morning stiffness).

Countries

Australia, Austria, Belgium, Canada, Czechia, France, Hungary, Lithuania, Netherlands, Poland, Spain, United States

Participant flow

Recruitment details

The study was conducted at 56 centers in 12 countries. A total of 224 participants were screened between 01 June 2010 and 03 June 2011.

Pre-assignment details

Of 224 screened participants, 223 participants were enrolled and treated. One participant withdrew consent before randomization.

Participants by arm

ArmCount
Sarilumab
Sarilumab 150 mg SC injection every week (or every other week in case of safety issue) for 260 weeks, or until commercially available, or until discontinuation of the project, whichever came first.
223
Total223

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event17
Overall StudyLack of Efficacy27
Overall StudyLost to Follow-up4
Overall StudySponsor's decision to discontinue study172
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicSarilumab
Age, Continuous41.6 Years
STANDARD_DEVIATION 11.3
Sex: Female, Male
Female
63 Participants
Sex: Female, Male
Male
160 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
62 / 223
serious
Total, serious adverse events
12 / 223

Outcome results

Primary

Percentage of Participants Experiencing Any Treatment-emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Treatment Discontinuation

An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of the relationship to the investigational medicinal product (IMP). SAE was any untoward medical occurrence that at any dose resulted in death or was life-threatening or required inpatient hospitalization or prolongation of existing hospitalization or resulted in persistent or significant disability/incapacity or was a congenital anomaly/birth defect or was a medically important event. TEAEs were AEs that developed or worsened or became serious during the TEAE period (time from first dose of IMP up to the end of follow-up period).

Time frame: Baseline up to the end of study (66 weeks)

Population: Analysis was performed on safety population defined as all participants who received at least one dose of the study treatment after signature of the informed consent.

ArmMeasureGroupValue (NUMBER)
SarilumabPercentage of Participants Experiencing Any Treatment-emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Treatment DiscontinuationAny TEAE67.3 Percentage of participants
SarilumabPercentage of Participants Experiencing Any Treatment-emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Treatment DiscontinuationAny treatment-emergent SAE5.4 Percentage of participants
SarilumabPercentage of Participants Experiencing Any Treatment-emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Treatment DiscontinuationAny TEAE leading to treatment discontinuation8.1 Percentage of participants
Secondary

Percentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)

Treatment response for ASAS20 was defined as: Improvement of ≥ 20% and ≥ 1 unit on a 0 (least) to 10 (worst) numerical rating score (NRS) in at least 3 of the 4 ASAS improvement criteria (ASASIC) domains, and no worsening of ≥ 20% and ≥ 1 unit on 0-10 NRS in the remaining domain. The 4 domains included were participant's global disease activity assessment, total back pain, physical function (Bath Ankylosing Spondylitis Functional Index), and Inflammation (mean of last 2 Bath Ankylosing Spondylitis Disease Activity Index questions on morning stiffness).

Time frame: Baseline up to the end of treatment (60 weeks)

Population: Analysis was performed on safety population. Number of participants analyzed=participants with ASAS20 assessment at specified time-points. Here 'n' signifies number of participants with available data for specified time-point.

ArmMeasureGroupValue (NUMBER)
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 0 (n=218)30.3 Percentage of participants
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 12 (n=207)40.1 Percentage of participants
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 24 (n=150)46.0 Percentage of participants
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 36 (n=93)41.9 Percentage of participants
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 48 (n=37)59.5 Percentage of participants
SarilumabPercentage of Participants Who Achieved 20% Response in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20)Week 60 (n=7)57.1 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 21, 2026