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Trial · NCT04209205

Study to Demonstrate the Efficacy, Safety and Tolerability of Intravenous Secukinumab up to 52 Weeks in Subjects With Active Psoriatic Arthritis

NCT04209205, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2024-04-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Demonstrate the Efficacy, Safety and Tolerability of Intravenous Secukinumab up to 52 Weeks in Subjects With Active Psoriatic Arthritis. Trials, record NCT04209205. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04209205

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Trial

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

Title
Study to Demonstrate the Efficacy, Safety and Tolerability of Intravenous Secukinumab up to 52 Weeks in Subjects With Active Psoriatic Arthritis
NCT number
NCT04209205
Status
Completed
Phases
Phase 3
Enrollment
381 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Psoriatic Arthritis
Interventions
AIN457 6 mg/kg i.v., Placebo, AIN457 3 mg/kg
First posted
2019-12-24
Last updated
2025-05-16
Results first posted
2024-04-26

Source ClinicalTrials.gov

Registered outcomes11

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With American College of Rheumatology 50 (ACR50) Response Comparison Between Treatment Groups Using Non-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16
Percentage of participants with active psoriatic arthritis (PsA) who achieved an American College of Rheumatology 50 (ACR50) response The ACR50 is a composite measure defined as both improvement of 50% in the number of tender and number of swollen joints, and a 50% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure \[most often Health Assessment Questionnaire (HAQ)\], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP)
SecondaryPercentage of Participants With American College of Rheumatology 20 (ACR20) Response Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16
Percentage of participants with an American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦ C-Reactive Protein.
SecondaryPercentage of Participants With Minimal Disease Activity (MDA 5/7) Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16MDA is assessed as 5 of the 7 following: ≤ 1 tender and swollen joint; entheseal count, PASI ≤ 1 or BSA ≤3%, PsA ≤ 15 and disease activity ≤ 20 (VAS) and HAQ-DI© ≤ 0.5
Secondary
Percentage of Participants With Psoriasis Area and Severity Index 90 (PASi90) Score for Patients With a >= 3% Body Surface Area Psoriasis at Baseline Using On-responder Imputation at Week 16 (Full Analysis Set)
Baseline up to Week 16
Change from baseline of a 90% reduction in the PASI score for patients with a \>= 3% body surface area psoriasis at baseline. Four body surface areas are evaluated (head, trunk and upper and lower limbs) for plaque, erythema, scaling and thickness. The degree of severity of each sign in each of the 4 body areas was assigned a score of 0 to 4. Scores ranged from 0 to 72 and higher scores represent worsening severity.
SecondaryPsoriatic Arthritis Disease Activity Score (PASDAS) Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16
PASDAS is a composite measure developed to assess disease activity in Psoriatic arthritis. It is calculated by utilizing seven measures: Patient reported measures (excluding mental component) (SF-36-PCS), skin, peripheral joint counts (tender and swollen joint counts), dactylitis (LDI), enthesitis (LEI), acute phase response (CRP), and patient and physician global VAS scores. The typical score range is between 0 and 10. Smaller values on PASDAS indicate a better condition; a negative change from baseline indicates improvement.
SecondaryHealth Assessment Questionnaire - Disability Index (HAQ-DI) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
SecondaryShort Form 36-Physical Component Summary (SF36-PCS) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16
The SF-36 is used to measure health-related quality of life with acute and chronic conditions. It consists of eight subscales that can be scored individually: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. Range of scoring is 0 -100, with higher scores indicating better health status.
SecondaryFunctional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16
The FACIT-Fatigue is a 13 item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. Response scale ranges from 0-4 and the total score range is 0 - 52. Higher scores indicate better quality of life
SecondaryModified Nail Psoriasis Severity Index (mNAPSI) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16
The mNAPSI is an instrument to assess psoriatic nail involvement. Three groups of features (onycholysis and oil-drop dyshromia, pitting and crumbling) were graded on a scale from 0 to 3 for a total subscale of 0 to 9. The next 4 abnormalities (leukonychia, splinter hemorrhages, hyperkeratosis and red spots in the lunula) were graded as absent (0) or present (1) for a total subscale of 0 to 4. The total score was from 0-13 where higher scores represent worse nail disease.
SecondaryPercentage of Participants With Complete Resolution of Dactylitis at Week 16 Using Non-responder Imputation (Dactylitis Subset)Baseline up to Week 16
Dactylitis is characterized by swelling of the entire finger or toe. The Leeds Dactylitis Index (LDI) measures the ratio of the circumference of the affected (swollen) digit. The ratio of circumference is multiplied by a tenderness score, using a modification of LDI that is a binary score (1 for tender, 0 for non-tender). The LDI requires a finger circumference gauge or a dactylometer to measure digital circumference. Scores range from 0 - 20 and lower score indicates better outcome.

Outcomes11

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With American College of Rheumatology 50 (ACR50) Response Comparison Between Treatment Groups Using Non-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set from which subset of ACR50 responders was analyzedPercentage of participantsNUMBER
SECONDARYPercentage of Participants With American College of Rheumatology 20 (ACR20) Response Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set from which subset of ACR20 responders was analyzedPercentage of participantsNUMBER
SECONDARYPercentage of Participants With Minimal Disease Activity (MDA 5/7) Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set from which subset of MDA 5/7 responders was analyzedPercentage of participantsNUMBER
SECONDARY
Percentage of Participants With Psoriasis Area and Severity Index 90 (PASi90) Score for Patients With a >= 3% Body Surface Area Psoriasis at Baseline Using On-responder Imputation at Week 16 (Full Analysis Set)
Baseline up to Week 16Full analysis set from which subset of PASi90 responders was analyzedPercentage of participantsNUMBER
SECONDARYPsoriatic Arthritis Disease Activity Score (PASDAS) Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set with participants with valid measures at baseline and Week 16scores on a scaleLEAST_SQUARES_MEAN
SECONDARYHealth Assessment Questionnaire - Disability Index (HAQ-DI) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set with participants with valid measures at baseline and Week 16scores on a scaleLEAST_SQUARES_MEAN
SECONDARYShort Form 36-Physical Component Summary (SF36-PCS) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set with participants with valid measures at baseline and Week 16scores on a scaleLEAST_SQUARES_MEAN
SECONDARYFunctional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set with participants with valid measures at baseline and Week 16scores on a scaleLEAST_SQUARES_MEAN
SECONDARYModified Nail Psoriasis Severity Index (mNAPSI) Score Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Baseline up to Week 16Full analysis set with participants with valid measures at baseline and Week 16scores on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With Complete Resolution of Dactylitis at Week 16 Using Non-responder Imputation (Dactylitis Subset)Baseline up to Week 16Dactylitis subset - participants with dactylitis at baselinePercentage of participantsNUMBER

Results by group22

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With American College of Rheumatology 50 (ACR50) Response Comparison Between Treatment Groups Using Non-responder Imputation at Week 16 (Full Analysis Set)AIN457 6 mg/kg - 3 mg/kg i.v.31.3595% Confidence Interval 24.80 to 37.90Percentage of participants
Percentage of Participants With American College of Rheumatology 50 (ACR50) Response Comparison Between Treatment Groups Using Non-responder Imputation at Week 16 (Full Analysis Set)Placebo to AIN457 3 mg/kg i.v.6.3395% Confidence Interval 2.87 to 9.79Percentage of participants
Percentage of Participants With American College of Rheumatology 20 (ACR20) Response Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)AIN457 6 mg/kg - 3 mg/kg i.v.59.6095% Confidence Interval 52.67 to 66.52Percentage of participants
Percentage of Participants With American College of Rheumatology 20 (ACR20) Response Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Placebo to AIN457 3 mg/kg i.v.29.0195% Confidence Interval 22.57 to 35.44Percentage of participants
Percentage of Participants With Minimal Disease Activity (MDA 5/7) Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)AIN457 6 mg/kg - 3 mg/kg i.v.22.4595% Confidence Interval 16.57 to 28.33Percentage of participants
Percentage of Participants With Minimal Disease Activity (MDA 5/7) Comparison Between Treatment Groups Using On-responder Imputation at Week 16 (Full Analysis Set)Placebo to AIN457 3 mg/kg i.v.5.2895% Confidence Interval 2.10 to 8.46Percentage of participants
Percentage of Participants With Psoriasis Area and Severity Index 90 (PASi90) Score for Patients With a >= 3% Body Surface Area Psoriasis at Baseline Using On-responder Imputation at Week 16 (Full Analysis Set)
AIN457 6 mg/kg - 3 mg/kg i.v.47.8595% Confidence Interval 38.15 to 57.54Percentage of participants
Percentage of Participants With Psoriasis Area and Severity Index 90 (PASi90) Score for Patients With a >= 3% Body Surface Area Psoriasis at Baseline Using On-responder Imputation at Week 16 (Full Analysis Set)
Placebo to AIN457 3 mg/kg i.v.6.4695% Confidence Interval 1.83 to 11.09Percentage of participants
Psoriatic Arthritis Disease Activity Score (PASDAS) Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)AIN457 6 mg/kg - 3 mg/kg i.v.-2.24Standard Error 0.103scores on a scale
Psoriatic Arthritis Disease Activity Score (PASDAS) Change From Baseline Using Mixed Model Repeated Measures (MMRM) at Week 16 (Full Analysis Set)Placebo to AIN457 3 mg/kg i.v.-1.11Standard Error 0.103scores on a scale

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAIN457 6 mg/kg - 3 mg/kg i.v.191
Overall StudySTARTEDPlacebo to AIN457 3 mg/kg i.v.190
Overall StudyCOMPLETEDAIN457 6 mg/kg - 3 mg/kg i.v.173
Overall StudyCOMPLETEDPlacebo to AIN457 3 mg/kg i.v.167
Overall StudyNOT COMPLETEDAIN457 6 mg/kg - 3 mg/kg i.v.18
Overall StudyNOT COMPLETEDPlacebo to AIN457 3 mg/kg i.v.23

Adverse events86

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersAIN457 6 mg/kg - 3 mg/kg i.v9374
otherDiarrhoeaGastrointestinal disordersPlacebo up to Week 162190
otherNauseaGastrointestinal disordersAIN457 6 mg/kg - 3 mg/kg i.v11374
otherNauseaGastrointestinal disordersPlacebo up to Week 162190
otherBronchitisInfections and infestationsAIN457 6 mg/kg - 3 mg/kg i.v8374
otherBronchitisInfections and infestationsPlacebo up to Week 160190
otherCOVID-19Infections and infestationsAIN457 6 mg/kg - 3 mg/kg i.v37374
otherCOVID-19Infections and infestationsPlacebo up to Week 167190
otherNasopharyngitisInfections and infestationsAIN457 6 mg/kg - 3 mg/kg i.v13374
otherNasopharyngitisInfections and infestationsPlacebo up to Week 163190

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAIN457 6 mg/kg - 3 mg/kg i.v0374
Total, all-cause mortalityPlacebo up to Week 161190
Total, other adverse eventsAIN457 6 mg/kg - 3 mg/kg i.v136374
Total, other adverse eventsPlacebo up to Week 1635190
Total, serious adverse eventsAIN457 6 mg/kg - 3 mg/kg i.v22374
Total, serious adverse eventsPlacebo up to Week 164190

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39300596DERIVEDPubMed
39411974DERIVEDPubMed

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 comparisons2

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

ComparisonSource
AIN457 6 mg/kg - 3 mg/kg i.v vs Placebo up to Week 16: deaths from any causeTrial comparisons
AIN457 6 mg/kg - 3 mg/kg i.v vs Placebo up to Week 16: serious adverse eventsTrial 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/NCT04209205

GET https://conductscience.org/api/trials/v1/NCT04209205/results?page=2