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NCT03031782 | COMPLETED | Juvenile Psoriatic Arthritis


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

Novartis Pharmaceuticals

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

Condition or disease

Juvenile Psoriatic Arthritis

Enthesitis-related Arthritis

Intervention/treatment

secukinumab

placebo

Phase

PHASE3

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.

Study Type : INTERVENTIONAL
Estimated Enrollment : 86 participants
Masking : QUADRUPLE
Primary Purpose : TREATMENT
Official Title : 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
Actual Study Start Date : 2017-05-23
Estimated Primary Completion Date : 2020-10-07
Estimated Study Completion Date : 2020-11-09

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 2 Years to 17 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
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/exclusion criteria apply.

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

Location Details

NCT03031782


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Locations


Not yet recruiting

United States, California

Novartis Investigative Site

Los Angeles, California, United States, 90027

Not yet recruiting

United States, Idaho

Novartis Investigative Site

Boise, Idaho, United States, 83702

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United States, Ohio

Novartis Investigative Site

Cincinnati, Ohio, United States, 45229

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United States, Oregon

Novartis Investigative Site

Portland, Oregon, United States, 97232

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Belgium,

Novartis Investigative Site

Bruxelles, Belgium, 1200

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Belgium,

Novartis Investigative Site

Gent, Belgium, 9000

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Belgium,

Novartis Investigative Site

Laeken, Belgium, 1020

Not yet recruiting

Germany,

Novartis Investigative Site

Berlin, Germany, 13353

Not yet recruiting

Germany,

Novartis Investigative Site

Freiburg, Germany, 79106

Not yet recruiting

Germany,

Novartis Investigative Site

Hamburg, Germany, 22081

Not yet recruiting

Germany,

Novartis Investigative Site

Saint Augustine, Germany, 53757

Not yet recruiting

Italy, GE

Novartis Investigative Site

Genova, GE, Italy, 16147

Not yet recruiting

Italy,

Novartis Investigative Site

Napoli, Italy, 80131

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Poland,

Novartis Investigative Site

Krakow, Poland, 31503

Not yet recruiting

Russian Federation,

Novartis Investigative Site

Yekaterinburg, Russian Federation, 620149

Not yet recruiting

Russian Federation,

Novartis Investigative Site

Moscow, Russian Federation, 119991

Not yet recruiting

Russian Federation,

Novartis Investigative Site

Saint-Petersburg, Russian Federation, 194100

Not yet recruiting

Russian Federation,

Novartis Investigative Site

Voronezh, Russian Federation, 394036

Not yet recruiting

South Africa,

Novartis Investigative Site

Cape Town, South Africa, 7925

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South Africa,

Novartis Investigative Site

Panorama, South Africa, 7500

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Spain, Galicia

Novartis Investigative Site

Santiago de Compostela, Galicia, Spain, 15706

Not yet recruiting

Spain,

Novartis Investigative Site

Valencia, Spain, 46026

Not yet recruiting

Turkey, Cyclic

Novartis Investigative Site

Istanbul, Cyclic, Turkey, 34303

Not yet recruiting

Turkey, SHOULD

Novartis Investigative Site

Istanbul, SHOULD, Turkey, 34098

Not yet recruiting

Turkey,

Novartis Investigative Site

Ankara, Turkey, 06100

Not yet recruiting

Turkey,

Novartis Investigative Site

Istanbul, Turkey, 34766

Not yet recruiting

United Kingdom,

Novartis Investigative Site

Bristol, United Kingdom, BS2 8BJ

Not yet recruiting

United Kingdom,

Novartis Investigative Site

Glasgow, United Kingdom, G51 4TF

Not yet recruiting

United Kingdom,

Novartis Investigative Site

Liverpool, United Kingdom, L12 2AP

Not yet recruiting

United Kingdom,

Novartis Investigative Site

London, United Kingdom, WC1N 3JH

Not yet recruiting

United Kingdom,

Novartis Investigative Site

Nottingham, United Kingdom, NG7 2UH

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