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Trial · NCT03765788

A Placebo-controlled Phase 2 Trial to Investigate the Safety and Efficacy of Secukinumab in Giant Cell Arteritis

NCT03765788, Phase 2, Completed, Novartis Pharmaceuticals; results first posted 2023-04-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Placebo-controlled Phase 2 Trial to Investigate the Safety and Efficacy of Secukinumab in Giant Cell Arteritis. Trials, record NCT03765788. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03765788

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Placebo-controlled Phase 2 Trial to Investigate the Safety and Efficacy of Secukinumab in Giant Cell Arteritis
NCT number
NCT03765788
Status
Completed
Phases
Phase 2
Enrollment
52 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Giant Cell Arteritis
Interventions
Secukinumab 300 mg, s.c., Prednisolone, Placebo
First posted
2018-12-05
Last updated
2023-08-21
Other registries' IDs
eudract:2018-002610-12
Results first posted
2023-04-26

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants in Sustained Remission Until Week 28Until week 28
Remission was defined as the absence of flare. Sustained remission was defined as the absence of flare until Week 28 and in adherence to the protocol prednisolone taper regimen. Flare was determined by the investigator and was defined as the recurrence after remission of signs or symptoms of Giant Cell Arteritis (GCA) and/or erythrocyte sedimentation rate (ESR) greater than or equal to (\>/=) 30 millimeters per hour (mm/hr) and/or C-reactive Protein (CRP) (\>/=10.0 mg/L) attributable to GCA. Patients were classified as non-responders if they did not achieve remission within 12 weeks of Baseline (remission referred to the absence of flare), were in the "escape arm" (this referred to patients entering escape between Baseline and Week 28), prematurely discontinued study treatment prior to Week 28 (absence of flare was checked prior to study treatment administration), did not have information to evaluate sustained remission response until Week 28.
SecondaryPercentage of Participants in Remission at Week 12Week 12
Remission was defined as the absence of flare. Sustained remission was defined as the absence of flare until Week 28 and in adherence to the protocol prednisolone taper Regimen. Flare was determined by the investigator and was defined as the recurrence after remission of signs or symptoms of GCA and/or erythrocyte sedimentation rate (ESR) greater than or equal to (\>/=) 30 millimeters per hour (mm/hr) and/or CRP (\>/=10.0 mg/L) attributable to GCA. Patients were classified as non-responders if they did not achieve remission within 12 weeks of Baseline (remission referred to the absence of flare), were in the "escape arm" (this referred to patients entering escape between Baseline and Week 28), prematurely discontinued study treatment prior to Week 28 (absence of flare was checked prior to study treatment administration), did not have information to evaluate sustained remission response until Week 28.
SecondaryTime to First GCA Flare After Clinical RemissionUp to Week 52 (included)
Flare was determined by the investigator and was defined as the recurrence after remission of signs or symptoms of GCA and/or erythrocyte sedimentation rate (ESR) greater than or equal to (\>/=) 30 millimeters per hour (mm/hr) and/or CRP (\>/=10.0 mg/L) attributable to GCA. Time to first flare after remission referred to time from first day of study treatment until first post-Baseline flare. For time to first GCA flare after remission (up to and including Week 52), patients who prematurely discontinued study treatment prior to Week 52 were censored at the time of premature discontinuation and patients who completed treatment and did not have a flare were censored at their last visit in the treatment phase. Time to first GCA flare after remission was calculated using Kaplan-Meier plot of time.
SecondaryTotal Cumulative Prednisolone Dose Over 28 Weeks and 52 Weeksfrom Baseline to week 28, from baseline to week 52 weeks
Total cumulative co-administered prednisolone treatment was summarized over time by treatment arm. Patients received a daily dose of prednisolone, which was decreased (i.e. tapered down) from Baseline to Week 26. No additional prednisolone or equivalent was permitted.
SecondaryPercentage of Participants With GCA Who Had Sustained Remission Until Week 52Until Week 52
Remission was defined as the absence of flare. Sustained remission was defined as patients without flare until Week 52 and in adherence to the protocol prednisolone taper regimen plus prednisolone-free phase from Week 27 onwards. Flare was determined by the investigator and was defined as the recurrence after remission of signs or symptoms of GCA and/or erythrocyte sedimentation rate (ESR) greater than or equal to (\>/=) 30 millimeters per hour (mm/hr) and/or CRP (\>/=10.0 mg/L) attributable to GCA. Patients were classified as non-responders if they did not achieve remission within 12 weeks of Baseline (remission referred to the absence of flare), were in the "escape arm" (this referred to patients entering escape between Baseline and Week 28), prematurely discontinued study treatment prior to Week 28 (absence of flare was checked prior to study treatment administration), did not have information to evaluate sustained remission response until Week 28.
SecondaryNumber of Participants on Prednisolone Dose ≤ 5mg/DayWeek 19, Week 28, Week 52
Number of participants on co-administered prednisolone treatment ≤ 5mg/day who responded at Week 19, Week 26 and Week 52. Remission was defined as the absence of flare. Sustained remission was defined as the absence of flare until Week 28 and in adherence to the protocol prednisolone taper Regimen. There were 2 taper regimens: for patients on 40 to 60 mg/day prednisolone at Baseline and for patients on 25 to 40 mg/day prednisolone at Baseline depending on patients' prednisolone levels at Baseline. Prednisolone was tapered from a dose of 25 mg to 60 mg at Baseline to 1 mg at Week 26 \[last dose\].
SecondaryPhysicians Global Assessment (PhGA) of Disease Activity: Change From Baseline Score Via Visual Analogue Scale (VAS)Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
Clinician Reported Outcome: Physicians global assessment (PhGA) using a visual analogue scale (VAS) scale. VAS is a range of scores from 0-100, with lower change from baseline scores indicating a more favorable outcome and higher change from baseline scores indicating a greater disease activity.
SecondaryPatients Global Assessment (PGA) of Disease Activity: Change From Baseline Via Visual Analogue Scale (VAS)Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
Patient Reported Outcome: Patients global assessment (PGA) score using a VAS scale. VAS is a range of scores from 0-100, with lower change from baseline scores indicating a more favorable outcome and higher change from baseline scores indicating a greater disease activity.
SecondaryChange From Baseline in FACIT-Fatigue ScaleBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
Patient Reported Outcome: Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue is a 13-item questionnaire with a full scale of 0 -52 that assesses self-reported fatigue and its impact upon daily activities and function. The higher the score the better functioning (less fatigue).
SecondaryChange From Baseline in Short-Form (SF)-36 QuestionnaireBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
Patient Reported Outcome: The SF-36 is a standardized questionnaire used to measure health-related quality of life among healthy patients and patients with acute and chronic conditions. It consists of 8 subscales that can be scored individually: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional and Mental Health. The higher the score (change from baseline) the more favorable the outcome. The values were reported by change from baseline in SF-36 domain scores.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants in Sustained Remission Until Week 28Until week 28The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants in Remission at Week 12Week 12The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to First GCA Flare After Clinical RemissionUp to Week 52 (included)The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo).daysMEDIAN
SECONDARYTotal Cumulative Prednisolone Dose Over 28 Weeks and 52 Weeksfrom Baseline to week 28, from baseline to week 52 weeksThe Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo).milligramsMEAN
SECONDARYPercentage of Participants With GCA Who Had Sustained Remission Until Week 52Until Week 52The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants on Prednisolone Dose ≤ 5mg/DayWeek 19, Week 28, Week 52
The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo). n represents the number of participants with a value for a specific categorical variable at Week 19, 28 and 52.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPhysicians Global Assessment (PhGA) of Disease Activity: Change From Baseline Score Via Visual Analogue Scale (VAS)Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo). The change from baseline at each visit is calculated only for subjects with a value at baseline and the particular visit.
scores on a scaleMEAN
SECONDARYPatients Global Assessment (PGA) of Disease Activity: Change From Baseline Via Visual Analogue Scale (VAS)Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo). The change from baseline at each visit is calculated only for subjects with a value at baseline and the particular visit.
scores on a scaleMEAN
SECONDARYChange From Baseline in FACIT-Fatigue ScaleBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo). The change from baseline at each visit is calculated only for subjects with a value at baseline and the particular visit.
scores on a scaleMEAN
SECONDARYChange From Baseline in Short-Form (SF)-36 QuestionnaireBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 36, 44 & 52
The Full Analysis Set (FAS) comprised all patients to whom study treatment had been assigned by randomization and who received at least one dose of randomized study treatment (secukinumab or placebo). The change from baseline at each visit is calculated only for subjects with a value at baseline and the particular visit.
scores on a scaleMEAN

Results by group286

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants in Sustained Remission Until Week 28Secukinumab19Participants
Percentage of Participants in Sustained Remission Until Week 28Placebo6Participants
Percentage of Participants in Remission at Week 12Secukinumab22Participants
Percentage of Participants in Remission at Week 12Placebo12Participants
Time to First GCA Flare After Clinical RemissionSecukinumabNA95% Confidence Interval NA to NAdays
Time to First GCA Flare After Clinical RemissionPlacebo197.095% Confidence Interval 101.0 to 280.0days
Total Cumulative Prednisolone Dose Over 28 Weeks and 52 WeeksSecukinumabBaseline to Week 282689.70Standard Deviation 935.860milligrams
Total Cumulative Prednisolone Dose Over 28 Weeks and 52 WeeksPlaceboBaseline to Week 282693.74Standard Deviation 1241.907milligrams
Total Cumulative Prednisolone Dose Over 28 Weeks and 52 WeeksSecukinumabBaseline to Week 522841.26Standard Deviation 1116.192milligrams
Total Cumulative Prednisolone Dose Over 28 Weeks and 52 WeeksPlaceboBaseline to Week 523375.58Standard Deviation 1720.978milligrams

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSecukinumab27
Overall StudySTARTEDPlacebo25
Overall StudyCOMPLETEDSecukinumab22
Overall StudyCOMPLETEDPlacebo17
Overall StudyNOT COMPLETEDSecukinumab5
Overall StudyNOT COMPLETEDPlacebo8

Adverse events231

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCushingoidEndocrine disordersSecukinumab127
otherCushingoidEndocrine disordersPlacebo225
otherCushingoidEndocrine disordersAll Participants352
otherGlaucomaEye disordersSecukinumab227
otherGlaucomaEye disordersPlacebo225
otherGlaucomaEye disordersAll Participants452
otherVision blurredEye disordersSecukinumab127
otherVision blurredEye disordersPlacebo225
otherVision blurredEye disordersAll Participants352
otherDental cariesGastrointestinal disordersSecukinumab227

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySecukinumab127
Total, all-cause mortalityPlacebo125
Total, all-cause mortalityAll Participants252
Total, other adverse eventsSecukinumab2527
Total, other adverse eventsPlacebo2325
Total, other adverse eventsAll Participants4852
Total, serious adverse eventsSecukinumab627
Total, serious adverse eventsPlacebo1125
Total, serious adverse eventsAll Participants1752

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34404463DERIVEDPubMed
38251601DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Secukinumab vs Placebo: Percentage of Participants With GCA Who Had Sustained Remission Until Week 52Trial comparisons
Secukinumab vs Placebo: Percentage of Participants in Remission at Week 12Trial comparisons
Secukinumab vs Placebo: Percentage of Participants in Sustained Remission Until Week 28Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03765788

GET https://conductscience.org/api/trials/v1/NCT03765788/results?page=2