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Secukinumab Safety and Efficacy in Juvenile Psoriatic Arthritis (JPsA) and Enthesitis-related Arthritis (ERA)

A Three-part Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of Secukinumab Treatment in Juvenile Idiopathic Arthritis Subtypes of Psoriatic and Enthesitis-related Arthritis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03031782
Enrollment
86
Registered
2017-01-26
Start date
2017-05-23
Completion date
2020-11-09
Last updated
2022-08-15

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

Conditions

Enthesitis-related Arthritis, Juvenile Psoriatic Arthritis

Keywords

JIA, JPsA, ERA, Secukinumab, ILAR, Arthritis

Brief summary

This was a double-blind, placebo-controlled, event-driven randomized withdrawal study to investigate the efficacy and safety of secukinumab treatment in the Juvenile Idiopathic Arthritis (JIA) categories of Juvenile Psoriatic Arthritis (JPsA) and Enthesitis-related Arthritis (ERA). The study was divided into 3 parts (plus a post-treatment follow-up period) consisting of open-label, single-arm active treatment in Treatment Periods 1 and 3 and a randomized, double-blind, placebo controlled, event-driven withdrawal design in Treatment Period 2

Detailed description

TP1: All eligible subjects entered TP1 to receive 12-weeks of open-label secukinumab at a dose predicted to achieve secukinumab serum levels equivalent to adults administered a 150 mg dose regimen. Secukinumab was administered s.c. weekly for the first 4 weeks (Baseline, Weeks 1, 2, 3, 4) and then every 4 weeks thereafter. Clinical response (JIA ACR 30) was assessed at Week 12. Responders advanced to TP2 and non-responders exited the trial (early termination visit and entered into the Post-treatment follow-up period). TP2: Subjects who were a responder (JIA ACR 30) at Week 12 entered the double-blind withdrawal TP2 and were randomized 1:1 to either secukinumab or placebo on that visit and then every 4 weeks, until either experiencing a disease flare or completion of TP2. TP2 was event driven and was planned to be closed when 33 subjects experienced a disease flare as per JIA definition. Alternatively, the study could be closed when all subjects reached the total study duration of 104 Weeks and therefore subjects who did not experience a disease flare remained in TP2 for the duration of the study and completed the study without entering into TP3 TP3: Subjects experiencing a disease flare in TP2 immediately entered TP3 to receive openlabel secukinumab every 4 weeks until total study duration of 104 weeks for that subject was achieved. Post-treatment follow-up: The post-treatment follow-up period (lasting 12 weeks from the last study drug administration) was required for all subjects, unless they qualified and entered the secukinumab extension trial. All subjects were expected to participate in the post-treatment follow up period, except for those entering the extension study.

Interventions

DRUGsecukinumab

secukinumab is a high-affinity fully human monoclonal anti-human antibody that targets IL-17A and neutralizes activity.

OTHERplacebo

Matched placebo to AIN457 for use in the double blind Treatment Period 2

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
2 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

1. Confirmed diagnosis of Enthesitis-related arthritis (ERA) or Juvenile psoriatic arthritis (JPsA) according to the International League of Associations for Rheumatology (ILAR) classification criteria of at least 6 months duration. 2. Active disease (ERA or JPsA) defined as having both: * at least 3 active joints * at least 1 site of active enthesitis at baseline or documented by history. 3. Inadequate response (at least 1 month) or intolerance to at least 1 nonsteroidal anti-inflammatory drugs(NSAID) 4. Inadequate response (at least 2 months) or intolerance to at least 1 Disease-modifying antirheumatic drugs (DMARD) 5. No concomitant use of second line agents such as disease-modifying and/or immunosuppressive drugs.

Exclusion criteria

1. Patients fulfilling any ILAR diagnostic JIA category other than ERA or JPsA. 2. Patients who have ever received biologic immunomodulating agents 3. Patients taking any non-biologic DMARD except for MTX (or sulfasalazine for ERA patients only). 4. Patients with active uncontrolled inflammatory bowel disease or active uncontrolled uveitis. Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Experiencing a Flare During Treatment Period 2From Week 12 until max Week 104Survival analysis of time to flare in treatment period 2 (TP2) FAS2 Subjects are either ERA or JPsA

Secondary

MeasureTime frameDescription
Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Totalbaseline, week 12Summary of JIA ACR 30/50/70/90/100 for all subjects - TP1 (FAS1) The adapted ACR Pediatric 30/50/70/90/100 criteria was used to determine efficacy defined as improvement from baseline of at least 30/50/70/90/100% respectively in at least 3 of the following 6 components * Physician's Global Assessment of disease activity on a 0-100 mm VAS from 0 mm = no disease activity to 100 mm = very severe disease activity. * Parent's or patient's Global Assessment of Subject's overall wellbeing on a 0-100 mm VAS from 0 mm= very well to 100 mm= very poor. * Functional ability: Childhood Health Assessment Questionnaire (CHAQ©) * Number of joints with active arthritis using the ACR definition (The ACR definition of active arthritis is any joint with swelling, or in the absence of swelling, limitation of motion accompanied by either pain on motion or tenderness not due to deformity) * Number of joints with limitation of motion * Laboratory measure of inflammation: CRP (mg/L)
Percent Change From Baseline for JIA ACR Core Components in TP1baseline, week 12Summary of JIA ACR core components for all subjects and each JIA category - Treatment period 1 Negative percent change indicates improvement Physician global assessment of disease activity (VAS mm) 0 (no disease activity) - 100 (very severe); Parent or subject global assessment of overall well-being (VAS mm) 0 (very well) - 100 (very poor); CHAQ (Childhood Health Assessment Questionnaire) 0 - 3 (most severe); Number of joints with active arthritis 0 - 73; Number of joints with limited range of motion 0 - 69.
Percent Change in C-reactive Protein Standardized Value (mg/L)baseline, week 12Median Percent Change from baseline for C-reactive protein standardized value (mg/L)
Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) Score12 weeksJADAS change from baseline for all subjects in Treatment period 1. JADAS-27 (Juvenile Arthritis Disease Activity Score in 27 joints) ranges from 0 to 57 and JADAS-71 ranges from 0 to 101 (higher scores indicate more disease activity).
Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA Categorybaseline, week 12Summary of JIA ACR 30/50/70/90/100 for all subjects and each JIA category - TP1 (FAS1) The adapted ACR Pediatric 30/50/70/90/100 criteria was used to determine efficacy defined as improvement from baseline of at least 30/50/70/90/100% respectively in at least 3 of the following 6 components * Physician's Global Assessment of disease activity on a 0-100 mm VAS from 0 mm = no disease activity to 100 mm = very severe disease activity. * Parent's or patient's Global Assessment of Subject's overall wellbeing on a 0-100 mm VAS from 0 mm= very well to 100 mm= very poor. * Functional ability: Childhood Health Assessment Questionnaire (CHAQ©) * Number of joints with active arthritis using the ACR definition (The ACR definition of active arthritis is any joint with swelling, or in the absence of swelling, limitation of motion accompanied by either pain on motion or tenderness not due to deformity) * Number of joints with limitation of motion * Laboratory measure of inflammation: CRP (mg/L)
Change From Baseline in Total Dactylitis Countbaseline, week 12Summary of total dactylitis count for all subjects - TP1 (FAS1) Total dactylitis count ranges from 0 to 20. A zero score means no dactylitis, so a zero score is better for the patient
Number of Participants With Anti-secukinumab Anitbodies104 weeksBlood samples for immunogenicity (anti-AIN457 antibodies) were taken pre-dose at the scheduled time points. In addition, if a subject discontinued from the study at any time, he/she provided a sample at the last visit. All blood samples were taken by either direct venipuncture or an indwelling cannula inserted in a forearm vein. An Electrochemiluminescence method was used for the detection of potential anti-secukinumab antibody formation.
Secukinumab Serum Concentrationbaseline, week 12Summary of pharmacokinetic concentrations - Treatment period 1
Number of Participants With Inactive Disease Status for All Subjects - TP1 (FAS1)week 12Summary of inactive disease status for all subjects - TP1 (FAS1) Clinical inactive disease definition was adapted from the JIA ACR criteria. All were required to be met: * No joints with active arthritis * No uveitis * CRP value within normal limits for the laboratory where tested or, if elevated, not attributable to JIA * Physician's global assessment of disease activity score ≤ 10mm * Duration of morning stiffness attributable to JIA ≤15 min
Change From Baseline in Total Enthesitis Events - TP1 (FAS1)Baseline and week 12Enthesitis swollen joint count range is 0-16. Zero is worst, and 16 is best A total of 16 entheseal sites were assessed for the presence or absence of tenderness of enthesitis. This is the mean (SD) enthesitis count (range 0-16) for FAS subjects A zero score means no enthesitis, so a zero score is better for the patient

Countries

Belgium, Germany, Italy, Poland, Russia, South Africa, Spain, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

86 subjects entered TP1

Pre-assignment details

AIN457 treatment group refers to all subjects who did not take any placebo before or during the period in the study. The term Placebo in TP2 refers to all subjects who took placebo in TP2 and secukinumab in other periods. For ease of reading, Placebo in TP2 treatment group is referred as placebo treatment group or placebo hereafter in this document.

Participants by arm

ArmCount
All Participants
TP1 open-label: Secukinumab 75 mg or 150 mg based on the body weight (\<50 kg or \>= 50 kg) was administered s.c. At Week 12 (end of TP1), subject's response to study drug was determined (responders entered TP2 and non-responders entered post-treatment follow-up)
86
Total86

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Treatment Period 1Lack of Efficacy30000
Treatment Period 2Adverse Event01200
Treatment Period 2Lack of Efficacy01001
Treatment Period 2Physician Decision01003
Treatment Period 2Withdrawal by Subject03001
Treatment Period 3Withdrawal by Subject00010

Baseline characteristics

CharacteristicAll Participants
Age, Categorical
AIN457 in Treatment Period 1
<=18 years
86 Participants
Age, Categorical
AIN457 in Treatment Period 1
>=65 years
0 Participants
Age, Categorical
AIN457 in Treatment Period 1
Between 18 and 65 years
0 Participants
Age, Categorical
AIN457 in Treatment Period 2
<=18 years
37 Participants
Age, Categorical
AIN457 in Treatment Period 2
>=65 years
0 Participants
Age, Categorical
AIN457 in Treatment Period 2
Between 18 and 65 years
0 Participants
Age, Categorical
placebo in TP2
<=18 years
38 Participants
Age, Categorical
placebo in TP2
>=65 years
0 Participants
Age, Categorical
placebo in TP2
Between 18 and 65 years
0 Participants
Age, Continuous
AIN457 in Treatment Period 1 - JIA Category: ERA
13.7 years
STANDARD_DEVIATION 2.62
Age, Continuous
AIN457 in Treatment Period 1 - JIA Category: JPsA
12.2 years
STANDARD_DEVIATION 3.66
Age, Continuous
AIN457 in Treatment Period 2 - JIA Category: ERA
14 years
STANDARD_DEVIATION 2.46
Age, Continuous
AIN457 in Treatment Period 2 - JIA Category: JPsA
13.1 years
STANDARD_DEVIATION 3.14
Age, Continuous
Placebo in TP2- JIA Category: ERA
13 years
STANDARD_DEVIATION 2.94
Age, Continuous
Placebo in TP2 - JIA Category JPsA
10.6 years
STANDARD_DEVIATION 3.7
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
Asian
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
Black or African American
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
More than one race
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: ERA
White
51 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
Asian
1 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
Black or African American
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
More than one race
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
Unknown or Not Reported
2 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 1 - JIA Category: JPsA
White
31 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
Asian
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
Black or African American
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
More than one race
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: ERA
White
22 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
Asian
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
Black or African American
14 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
More than one race
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
AIN457 in Treatment Period 2 - JIA Category: JPsA
White
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
Asian
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
Black or African American
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
More than one race
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: ERA
White
21 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
Asian
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
Black or African American
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
More than one race
0 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
Placebo in TP2 - JIA Category: JPsA
White
14 Participants
Sex: Female, Male
AIN457 in Treatment Period 1 - JIA Category: ERA
Female
11 Participants
Sex: Female, Male
AIN457 in Treatment Period 1 - JIA Category: ERA
Male
41 Participants
Sex: Female, Male
AIN457 in Treatment Period 1 -JIA Category: JPsA
Female
18 Participants
Sex: Female, Male
AIN457 in Treatment Period 1 -JIA Category: JPsA
Male
16 Participants
Sex: Female, Male
AIN457 in Treatment Period 2 - JIA Category: ERA
Female
4 Participants
Sex: Female, Male
AIN457 in Treatment Period 2 - JIA Category: ERA
Male
18 Participants
Sex: Female, Male
AIN457 in Treatment Period 2 -JIA Category: JPsA
Female
9 Participants
Sex: Female, Male
AIN457 in Treatment Period 2 -JIA Category: JPsA
Male
6 Participants
Sex: Female, Male
Placebo in TP2 - JIA Category: ERA
Female
4 Participants
Sex: Female, Male
Placebo in TP2 - JIA Category: ERA
Male
18 Participants
Sex: Female, Male
Placebo in TP2 - JIA Category: JPsA
Female
7 Participants
Sex: Female, Male
Placebo in TP2 - JIA Category: JPsA
Male
9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 480 / 380 / 86
other
Total, other adverse events
44 / 4835 / 3879 / 86
serious
Total, serious adverse events
7 / 484 / 3811 / 86

Outcome results

Primary

Number of Participants Experiencing a Flare During Treatment Period 2

Survival analysis of time to flare in treatment period 2 (TP2) FAS2 Subjects are either ERA or JPsA

Time frame: From Week 12 until max Week 104

Population: Full Analysis Set for TP2: The FAS TP2 (FAS 2) consisted of all randomized subjects who received at least one dose of study drug in TP2. Following the intent-to-treat principle, subjects were analyzed according to the treatment they were assigned to at randomization in TP2.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
AIN457 in Treatment Period 2Number of Participants Experiencing a Flare During Treatment Period 210 Participants
Placebo in TP2Number of Participants Experiencing a Flare During Treatment Period 221 Participants
Comparison: Survival analysis of time to flare - TP2 (FAS2)p-value: <0.00195% CI: [0.13, 0.63]Log Rank
Secondary

Change From Baseline in Total Dactylitis Count

Summary of total dactylitis count for all subjects - TP1 (FAS1) Total dactylitis count ranges from 0 to 20. A zero score means no dactylitis, so a zero score is better for the patient

Time frame: baseline, week 12

Population: FAS TP1 including patients with valid measurements at week 12

ArmMeasureValue (MEAN)Dispersion
AIN457 in Treatment Period 2Change From Baseline in Total Dactylitis Count-0.8 Number of dactylitis eventsStandard Deviation 1.83
Secondary

Change From Baseline in Total Enthesitis Events - TP1 (FAS1)

Enthesitis swollen joint count range is 0-16. Zero is worst, and 16 is best A total of 16 entheseal sites were assessed for the presence or absence of tenderness of enthesitis. This is the mean (SD) enthesitis count (range 0-16) for FAS subjects A zero score means no enthesitis, so a zero score is better for the patient

Time frame: Baseline and week 12

Population: FAS TP1 including patients with valid measurements at week 12

ArmMeasureValue (MEAN)Dispersion
AIN457 in Treatment Period 2Change From Baseline in Total Enthesitis Events - TP1 (FAS1)-1.8 Number of enthesitis eventsStandard Deviation 2.31
Secondary

Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) Score

JADAS change from baseline for all subjects in Treatment period 1. JADAS-27 (Juvenile Arthritis Disease Activity Score in 27 joints) ranges from 0 to 57 and JADAS-71 ranges from 0 to 101 (higher scores indicate more disease activity).

Time frame: 12 weeks

Population: FAS treatment period 1

ArmMeasureGroupValue (MEAN)Dispersion
AIN457 in Treatment Period 2Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) ScoreJADAS-71-13.403 scoreStandard Deviation 9.73
AIN457 in Treatment Period 2Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) ScoreJADAS-27-10.487 scoreStandard Deviation 7.2262
Secondary

Number of Participants With Anti-secukinumab Anitbodies

Blood samples for immunogenicity (anti-AIN457 antibodies) were taken pre-dose at the scheduled time points. In addition, if a subject discontinued from the study at any time, he/she provided a sample at the last visit. All blood samples were taken by either direct venipuncture or an indwelling cannula inserted in a forearm vein. An Electrochemiluminescence method was used for the detection of potential anti-secukinumab antibody formation.

Time frame: 104 weeks

Population: FAS

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
AIN457 in Treatment Period 2Number of Participants With Anti-secukinumab Anitbodies0 Participants
Placebo in TP2Number of Participants With Anti-secukinumab Anitbodies0 Participants
Placebo TP2Number of Participants With Anti-secukinumab Anitbodies0 Participants
Secondary

Number of Participants With Inactive Disease Status for All Subjects - TP1 (FAS1)

Summary of inactive disease status for all subjects - TP1 (FAS1) Clinical inactive disease definition was adapted from the JIA ACR criteria. All were required to be met: * No joints with active arthritis * No uveitis * CRP value within normal limits for the laboratory where tested or, if elevated, not attributable to JIA * Physician's global assessment of disease activity score ≤ 10mm * Duration of morning stiffness attributable to JIA ≤15 min

Time frame: week 12

Population: FAS1

ArmMeasureValue (NUMBER)
AIN457 in Treatment Period 2Number of Participants With Inactive Disease Status for All Subjects - TP1 (FAS1)30 partcipants
Secondary

Percent Change From Baseline for JIA ACR Core Components in TP1

Summary of JIA ACR core components for all subjects and each JIA category - Treatment period 1 Negative percent change indicates improvement Physician global assessment of disease activity (VAS mm) 0 (no disease activity) - 100 (very severe); Parent or subject global assessment of overall well-being (VAS mm) 0 (very well) - 100 (very poor); CHAQ (Childhood Health Assessment Questionnaire) 0 - 3 (most severe); Number of joints with active arthritis 0 - 73; Number of joints with limited range of motion 0 - 69.

Time frame: baseline, week 12

Population: FAS TP1 including patients with valid measurements at week 12

ArmMeasureGroupValue (MEAN)Dispersion
AIN457 in Treatment Period 2Percent Change From Baseline for JIA ACR Core Components in TP1physician global assessment of disease activity-77.4 percent changeStandard Deviation 22.67
AIN457 in Treatment Period 2Percent Change From Baseline for JIA ACR Core Components in TP1parent/subject global assessment of overall well-being-53.1 percent changeStandard Deviation 58.43
AIN457 in Treatment Period 2Percent Change From Baseline for JIA ACR Core Components in TP1functional ability (CHAQ)-53.776 percent changeStandard Deviation 70.5034
AIN457 in Treatment Period 2Percent Change From Baseline for JIA ACR Core Components in TP1number of joints with active arthritis-79.3 percent changeStandard Deviation 34.86
AIN457 in Treatment Period 2Percent Change From Baseline for JIA ACR Core Components in TP1number of joints with limited range of motion-72.5 percent changeStandard Deviation 38.19
Secondary

Percent Change in C-reactive Protein Standardized Value (mg/L)

Median Percent Change from baseline for C-reactive protein standardized value (mg/L)

Time frame: baseline, week 12

Population: FAS TP1

ArmMeasureValue (MEDIAN)Dispersion
AIN457 in Treatment Period 2Percent Change in C-reactive Protein Standardized Value (mg/L)-13.587 percent changeStandard Deviation 227.6901
Secondary

Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA Category

Summary of JIA ACR 30/50/70/90/100 for all subjects and each JIA category - TP1 (FAS1) The adapted ACR Pediatric 30/50/70/90/100 criteria was used to determine efficacy defined as improvement from baseline of at least 30/50/70/90/100% respectively in at least 3 of the following 6 components * Physician's Global Assessment of disease activity on a 0-100 mm VAS from 0 mm = no disease activity to 100 mm = very severe disease activity. * Parent's or patient's Global Assessment of Subject's overall wellbeing on a 0-100 mm VAS from 0 mm= very well to 100 mm= very poor. * Functional ability: Childhood Health Assessment Questionnaire (CHAQ©) * Number of joints with active arthritis using the ACR definition (The ACR definition of active arthritis is any joint with swelling, or in the absence of swelling, limitation of motion accompanied by either pain on motion or tenderness not due to deformity) * Number of joints with limitation of motion * Laboratory measure of inflammation: CRP (mg/L)

Time frame: baseline, week 12

Population: Full Analysis Set for TP1: The FAS TP1 (FAS 1) consisted of all subjects who received at least one dose of study drug in TP1.

ArmMeasureGroupValue (NUMBER)
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 5080.4 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 9033.3 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 7066.7 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 10027.5 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 3086.3 percent of participants
Placebo in TP2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 10021.9 percent of participants
Placebo in TP2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 3096.9 percent of participants
Placebo in TP2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 5096.9 percent of participants
Placebo in TP2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 7075.0 percent of participants
Placebo in TP2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - by JIA CategoryACR 9050.0 percent of participants
Secondary

Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total

Summary of JIA ACR 30/50/70/90/100 for all subjects - TP1 (FAS1) The adapted ACR Pediatric 30/50/70/90/100 criteria was used to determine efficacy defined as improvement from baseline of at least 30/50/70/90/100% respectively in at least 3 of the following 6 components * Physician's Global Assessment of disease activity on a 0-100 mm VAS from 0 mm = no disease activity to 100 mm = very severe disease activity. * Parent's or patient's Global Assessment of Subject's overall wellbeing on a 0-100 mm VAS from 0 mm= very well to 100 mm= very poor. * Functional ability: Childhood Health Assessment Questionnaire (CHAQ©) * Number of joints with active arthritis using the ACR definition (The ACR definition of active arthritis is any joint with swelling, or in the absence of swelling, limitation of motion accompanied by either pain on motion or tenderness not due to deformity) * Number of joints with limitation of motion * Laboratory measure of inflammation: CRP (mg/L)

Time frame: baseline, week 12

Population: Full Analysis Set for TP1: The FAS TP1 (FAS 1) consisted of all subjects who received at least one dose of study drug in TP1.

ArmMeasureGroupValue (NUMBER)
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - TotalACR 3090.4 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - TotalACR 5086.7 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - TotalACR 7069.9 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - TotalACR 9039.8 percent of participants
AIN457 in Treatment Period 2Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - TotalACR 10025.3 percent of participants
Secondary

Secukinumab Serum Concentration

Summary of pharmacokinetic concentrations - Treatment period 1

Time frame: baseline, week 12

Population: Safety Set

ArmMeasureGroupValue (MEAN)Dispersion
AIN457 in Treatment Period 2Secukinumab Serum Concentration<50 kg30.9 mcg/mLStandard Deviation 12.9
AIN457 in Treatment Period 2Secukinumab Serum Concentration>=50 kg34.6 mcg/mLStandard Deviation 11.2

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026