Enthesitis-related Arthritis, Juvenile Psoriatic Arthritis
Conditions
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
secukinumab is a high-affinity fully human monoclonal anti-human antibody that targets IL-17A and neutralizes activity.
Matched placebo to AIN457 for use in the double blind Treatment Period 2
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Experiencing a Flare During Treatment Period 2 | From Week 12 until max Week 104 | Survival analysis of time to flare in treatment period 2 (TP2) FAS2 Subjects are either ERA or JPsA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | baseline, week 12 | 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) |
| Percent Change From Baseline for JIA ACR Core Components in TP1 | baseline, week 12 | 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. |
| Percent Change in C-reactive Protein Standardized Value (mg/L) | baseline, week 12 | Median Percent Change from baseline for C-reactive protein standardized value (mg/L) |
| Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) Score | 12 weeks | 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). |
| 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 | baseline, week 12 | 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) |
| Change From Baseline in Total Dactylitis Count | baseline, week 12 | 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 |
| Number of Participants With Anti-secukinumab Anitbodies | 104 weeks | 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. |
| Secukinumab Serum Concentration | baseline, week 12 | Summary of pharmacokinetic concentrations - Treatment period 1 |
| Number of Participants With Inactive Disease Status for All Subjects - TP1 (FAS1) | week 12 | 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 |
| Change From Baseline in Total Enthesitis Events - TP1 (FAS1) | Baseline and week 12 | 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 |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 86 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Treatment Period 1 | Lack of Efficacy | 3 | 0 | 0 | 0 | 0 |
| Treatment Period 2 | Adverse Event | 0 | 1 | 2 | 0 | 0 |
| Treatment Period 2 | Lack of Efficacy | 0 | 1 | 0 | 0 | 1 |
| Treatment Period 2 | Physician Decision | 0 | 1 | 0 | 0 | 3 |
| Treatment Period 2 | Withdrawal by Subject | 0 | 3 | 0 | 0 | 1 |
| Treatment Period 3 | Withdrawal by Subject | 0 | 0 | 0 | 1 | 0 |
Baseline characteristics
| Characteristic | All 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 type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 48 | 0 / 38 | 0 / 86 |
| other Total, other adverse events | 44 / 48 | 35 / 38 | 79 / 86 |
| serious Total, serious adverse events | 7 / 48 | 4 / 38 | 11 / 86 |
Outcome results
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| AIN457 in Treatment Period 2 | Number of Participants Experiencing a Flare During Treatment Period 2 | 10 Participants |
| Placebo in TP2 | Number of Participants Experiencing a Flare During Treatment Period 2 | 21 Participants |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| AIN457 in Treatment Period 2 | Change From Baseline in Total Dactylitis Count | -0.8 Number of dactylitis events | Standard Deviation 1.83 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| AIN457 in Treatment Period 2 | Change From Baseline in Total Enthesitis Events - TP1 (FAS1) | -1.8 Number of enthesitis events | Standard Deviation 2.31 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AIN457 in Treatment Period 2 | Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) Score | JADAS-71 | -13.403 score | Standard Deviation 9.73 |
| AIN457 in Treatment Period 2 | Change From Baseline Juvenile Arthritis Disease Activity Score (JADAS) Score | JADAS-27 | -10.487 score | Standard Deviation 7.2262 |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| AIN457 in Treatment Period 2 | Number of Participants With Anti-secukinumab Anitbodies | 0 Participants |
| Placebo in TP2 | Number of Participants With Anti-secukinumab Anitbodies | 0 Participants |
| Placebo TP2 | Number of Participants With Anti-secukinumab Anitbodies | 0 Participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| AIN457 in Treatment Period 2 | Number of Participants With Inactive Disease Status for All Subjects - TP1 (FAS1) | 30 partcipants |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AIN457 in Treatment Period 2 | Percent Change From Baseline for JIA ACR Core Components in TP1 | physician global assessment of disease activity | -77.4 percent change | Standard Deviation 22.67 |
| AIN457 in Treatment Period 2 | Percent Change From Baseline for JIA ACR Core Components in TP1 | parent/subject global assessment of overall well-being | -53.1 percent change | Standard Deviation 58.43 |
| AIN457 in Treatment Period 2 | Percent Change From Baseline for JIA ACR Core Components in TP1 | functional ability (CHAQ) | -53.776 percent change | Standard Deviation 70.5034 |
| AIN457 in Treatment Period 2 | Percent Change From Baseline for JIA ACR Core Components in TP1 | number of joints with active arthritis | -79.3 percent change | Standard Deviation 34.86 |
| AIN457 in Treatment Period 2 | Percent Change From Baseline for JIA ACR Core Components in TP1 | number of joints with limited range of motion | -72.5 percent change | Standard Deviation 38.19 |
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
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| AIN457 in Treatment Period 2 | Percent Change in C-reactive Protein Standardized Value (mg/L) | -13.587 percent change | Standard Deviation 227.6901 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| AIN457 in Treatment Period 2 | 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 | ACR 50 | 80.4 percent of participants |
| AIN457 in Treatment Period 2 | 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 | ACR 90 | 33.3 percent of participants |
| AIN457 in Treatment Period 2 | 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 | ACR 70 | 66.7 percent of participants |
| AIN457 in Treatment Period 2 | 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 | ACR 100 | 27.5 percent of participants |
| AIN457 in Treatment Period 2 | 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 | ACR 30 | 86.3 percent of participants |
| Placebo in TP2 | 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 | ACR 100 | 21.9 percent of participants |
| Placebo in TP2 | 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 | ACR 30 | 96.9 percent of participants |
| Placebo in TP2 | 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 | ACR 50 | 96.9 percent of participants |
| Placebo in TP2 | 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 | ACR 70 | 75.0 percent of participants |
| Placebo in TP2 | 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 | ACR 90 | 50.0 percent of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| AIN457 in Treatment Period 2 | Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | ACR 30 | 90.4 percent of participants |
| AIN457 in Treatment Period 2 | Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | ACR 50 | 86.7 percent of participants |
| AIN457 in Treatment Period 2 | Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | ACR 70 | 69.9 percent of participants |
| AIN457 in Treatment Period 2 | Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | ACR 90 | 39.8 percent of participants |
| AIN457 in Treatment Period 2 | Percent of Participants With Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30/50/70/90/100 Response at Week 12 - Total | ACR 100 | 25.3 percent of participants |
Secukinumab Serum Concentration
Summary of pharmacokinetic concentrations - Treatment period 1
Time frame: baseline, week 12
Population: Safety Set
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AIN457 in Treatment Period 2 | Secukinumab Serum Concentration | <50 kg | 30.9 mcg/mL | Standard Deviation 12.9 |
| AIN457 in Treatment Period 2 | Secukinumab Serum Concentration | >=50 kg | 34.6 mcg/mL | Standard Deviation 11.2 |