Phase
Condition
Polymyalgia Rheumatica (Pmr)
Connective Tissue Diseases
Vascular Diseases
Treatment
Secukinumab
Clinical Study ID
Ages 50-100 All Genders
Study Summary
Eligibility Criteria
Inclusion
Key Inclusion Criteria:
Inclusion Criteria for GCA:
Male or non-pregnant, non-lactating female participants at least 50 years of age
Diagnosis of GCA based on meeting all of the following criteria:
Unequivocal cranial symptoms of GCA (e.g., new-onset localized headache, scalpor temporal artery tenderness, permanent or temporary ischemia-related visionloss, or otherwise unexplained mouth or jaw pain upon mastication), and/orunequivocal symptoms of PMR (defined as shoulder and/or hip girdle painassociated with inflammatory morning stiffness) and/or symptoms of limbischemia (claudication)
Temporal artery biopsy (TAB) revealing features of GCA and/or cross-sectionalimaging study such as ultrasound (e.g., cranial or axillary), MRI/MRA, CTA, orPET-CT with evidence of vasculitis
- Active GCA disease within 6 months prior to Baseline as defined by meeting both ofthe following:
Presence of signs or symptoms attributed to active GCA and not related to priordamage (e.g., vision loss that occurred without new findings)
Elevated ESR >= 30 mm/hr or CRP >= 10 mg/L attributed to active GCA or activeGCA on TAB or on imaging study
Inclusion Criteria for PMR:
Male or non-pregnant, non-lactating female participants at least 50 years of age
Diagnosis of PMR according to the provisional ACR/EULAR classification criteria:Participants >= 50 years of age with a history of bilateral shoulder painaccompanied by elevated CRP concentration (>= 10 mg/L) and/or elevated ESR (>= 30mm/hr) who scored at least 4 points from the following optional classificationcriteria:
Morning stiffness >45 min (2 points)
Hip pain or restricted range of motion (1 point)
Absence of rheumatoid factor and/or anti-citrullinated protein antibodies (2points)
Absence of other joint involvement (1 point)
- Active PMR disease within 6 months prior to Baseline as defined by signs andsymptoms attributable to PMR meeting the following:
- Bilateral shoulder girdle and/or bilateral hip girdle pain associated withinflammatory stiffness with or without additional symptoms indicative of a PMRrelapse (such as constitutional symptoms) that are in the opinion of theInvestigator not due to other diseases that may mimic PMR such asosteoarthritis in shoulders or hips, polyarticular calcium pyrophosphatedeposition disease, rotator cuff disease, adhesive capsulitis (frozen shoulder)or fibromyalgia
Exclusion
Key Exclusion Criteria:
Exclusion Criteria for GCA:
Pregnant or nursing (lactating) women where pregnancy is defined as the state of afemale after conception and until the termination of gestation, confirmed by apositive human chorionic gonadotropin (hCG) laboratory test
History of hypersensitivity or contraindication to any of the study treatments orits excipients or to drugs of similar chemical classes
Use of other investigational drugs within 5 half-lives of enrollment or within 30days (e.g., small molecules) or until the expected pharmacodynamic effect hasreturned to BSL (e.g., biologics), whichever is longer; or longer if required bylocal regulations
History of clinically significant liver disease or liver injury as indicated byclinically significantly abnormal liver function tests (LFTs), such as SGOT (AST),SGPT (ALT) and serum bilirubin. The Investigator should be guided by the followingcriteria:
AST (Aspartate Aminotransferase) and ALT (Alanine Aminotransferase) may notexceed 3 x the upper limit of normal (ULN)
Total bilirubin concentration may not exceed 1.5 x ULN Any one of theseparameters, if elevated above ULN, should be re-checked once more as soon aspossible, and in all cases, at least prior to enrollment, to rule-outlaboratory error.
- Active infections or history of ongoing, chronic or recurrent infectious diseaseincluding but not limited to below:
Active infections during the last 2 weeks prior to BSL
Known infection with human immunodeficiency virus (HIV), hepatitis B (HBV) orhepatitis C (HCV) at screening or BSL, except for HCV successfully treated andcured, according to local/global guidelines
Evidence of tuberculosis (TB) infection as defined by a positive QuantiFERONTB-Gold Plus test. Participants with a positive test may participate in thestudy if further work-up (according to local practice/guidelines) establishesconclusively that the participant has no evidence of active TB. If the testresult is indeterminate, the Investigator may repeat the test once or mayproceed directly to perform the work-up for TB as per local procedures. Ifpresence of latent TB is established, then treatment must be initiated prior toBSL (both treatment and timing prior to BSL according to local countryguidelines)
Active inflammatory bowel disease or active uveitis
Active ongoing diseases which in the opinion of the Investigator immuno-compromisesthe participant and/or places the participant at unacceptable risk for treatmentwith immunomodulatory therapy
Current severe progressive or uncontrolled disease, which in the judgment of theInvestigator renders the participant unsuitable for the trial, including but notlimited to below:
Major ischemic event (e.g., myocardial infarction, stroke, etc.) or transientischemic attack (TIA) within 12 weeks of screening
Significant medical conditions or diseases, including but not limited to thefollowing: uncontrolled hypertension, congestive heart failure (New York HeartAssociation (NYHA) status of class III or IV) and uncontrolled diabetesmellitus
Any other current severe progressive or uncontrolled diseases per theInvestigator's discretion
- Confirmed diagnosis of any primary form of systemic vasculitis, other than GCA
Exclusion Criteria for PMR:
Pregnant or nursing (lactating) women where pregnancy is defined as the state of afemale after conception and until the termination of gestation, confirmed by apositive human chorionic gonadotropin (hCG) laboratory test
History of hypersensitivity or contraindication to any of the study treatments orits excipients or to drugs of similar chemical classes
Use of other investigational drugs within 5 half-lives of enrollment or within 30days (e.g., small molecules) or until the expected pharmacodynamic effect hasreturned to BSL (e.g., biologics), whichever is longer; or longer if required bylocal regulations
History of clinically significant liver disease or liver injury as indicated byclinically significantly abnormal liver function tests (LFTs), such as SGOT (AST),SGPT (ALT) and serum bilirubin. The Investigator should be guided by the followingcriteria:
AST (Aspartate Aminotransferase) and ALT (Alanine Aminotransferase) may notexceed 3 x the upper limit of normal (ULN)
Total bilirubin concentration may not exceed 1.5 x ULN Any one of theseparameters, if elevated above ULN, should be re-checked once more as soon aspossible, and in all cases, at least prior to enrollment, to rule-outlaboratory error.
- Active infections or history of ongoing, chronic or recurrent infectious diseaseincluding but not limited to below:
Active infections during the last 2 weeks prior to BSL
Known infection with human immunodeficiency virus (HIV), hepatitis B (HBV) orhepatitis C (HCV) at screening or BSL, except for HCV successfully treated andcured, according to local/global guidelines
Evidence of TB infection as defined by a positive QuantiFERON TB-Gold Plustest. Participants with a positive test may participate in the study if furtherwork-up (according to local practice/guidelines) establishes conclusively thatthe participant has no evidence of active TB. If the test result isindeterminate, the Investigator may repeat the test once or may proceeddirectly to perform the work-up for TB as per local procedures. If presence oflatent TB is established, then treatment must be initiated prior to BSL (bothtreatment and timing prior to BSL according to local country guidelines)
Active inflammatory bowel disease or active uveitis
Active ongoing diseases which in the opinion of the Investigator immuno-compromisesthe participant and/or places the participant at unacceptable risk for treatmentwith immunomodulatory therapy
Current severe progressive or uncontrolled disease, which in the judgment of theInvestigator renders the participant unsuitable for the trial, including but notlimited to below:
Major ischemic event (e.g., myocardial infarction, stroke, etc.) or transientischemic attack (TIA) within 12 weeks of screening
Significant medical conditions or diseases, including but not limited to thefollowing: uncontrolled hypertension, congestive heart failure (New York HeartAssociation (NYHA) status of class III or IV) and uncontrolled diabetesmellitus
Any other current severe progressive or uncontrolled diseases per theInvestigator's discretion
- Evidence of GCA as indicated by typical (cranial) symptoms (e.g., persistent orrecurrent localized headache, temporal artery or scalp tenderness, jaw claudication,blurry or loss of vision, symptoms of stroke), extremity claudication, imagingand/or temporal artery biopsy result
• Note: Imaging and/or temporal artery biopsy are not standard of care for PMRmanagement and diagnosis and are therefore not mandated as part of the screening;Patients with PMR symptoms only who have a temporal artery biopsy in line with GCAand/or radiologic signs of vasculitis may be eligible for the GCA cohort
Concurrent rheumatoid arthritis or other inflammatory arthritis or other connectivetissue diseases, such as but not limited to systemic lupus erythematosus, systemicsclerosis, vasculitis, myositis, mixed connective tissue disease, and ankylosingspondylitis
Concurrent diagnosis or history of neuropathic muscular diseases includingfibromyalgia
Inadequately treated hypothyroidism (e.g., persistence of symptoms, lack ofnormalization of serum TSH despite regular hormonal replacement treatment)
Additional protocol-defined inclusion / exclusion criteria may apply.
Study Design
Study Description
Connect with a study center
Novartis Investigative Site
Brno-Zidonice, CZE 61500
CzechiaSite Not Available
Novartis Investigative Site
Brno Bohunice, 625 00
CzechiaSite Not Available
Novartis Investigative Site
Uherske Hradiste, 686 01
CzechiaSite Not Available
Novartis Investigative Site
Brescia, BS 25123
ItalySite Not Available
Novartis Investigative Site
Firenze, FI 50134
ItalySite Not Available
Novartis Investigative Site
Reggio Emilia, RE 42123
ItalySite Not Available
Novartis Investigative Site
Verona, VR 37126
ItalySite Not Available
Novartis Investigative Site
Lisboa, 1649 035
PortugalSite Not Available
Novartis Investigative Site
Santiago De Compostela, Galicia 15706
SpainSite Not Available
Novartis Investigative Site
Madrid, 28009
SpainSite Not Available
Novartis Investigative Site
Basel, 4031
SwitzerlandSite Not Available
Novartis Investigative Site
Bern, 3010
SwitzerlandSite Not Available
Novartis Investigative Site
St Gallen, 9007
SwitzerlandSite Not Available
Rheuma Asso Of South Florida
Boca Raton, Florida 33486
United StatesSite Not Available
Rheumatology Associates of South Florida
Boca Raton, Florida 33486
United StatesSite Not Available
FL Medical Clinic Orlando Health
Zephyrhills, Florida 33542
United StatesSite Not Available
Florida Medical Clinic PA
Zephyrhills, Florida 33542
United StatesActive - Recruiting
Illinois Bone And Joint Institute
Hinsdale, Illinois 60521
United StatesSite Not Available
Willow Rheumatology Wellness
Willowbrook, Illinois 60527
United StatesSite Not Available
University Of Iowa
Iowa City, Iowa 52242
United StatesSite Not Available
Graves Gilbert Clinic
Bowling Green, Kentucky 42101
United StatesSite Not Available
Infusion Associates
Traverse City, Michigan 49686
United StatesSite Not Available
Infusion Associates Research
Traverse City, Michigan 49686
United StatesActive - Recruiting
Inspire Santa Fe Medical Group
Santa Fe, New Mexico 87505
United StatesSite Not Available
Inspire Santa Fe Medical Group Rheumatology
Santa Fe, New Mexico 87505
United StatesActive - Recruiting
University Of Cincinnati
Cincinnati, Ohio 45267
United StatesActive - Recruiting
University Of Cincinnati University of Cincinnati
Cincinnati, Ohio 45267
United StatesSite Not Available
Altoona Center for Clin Res
Duncansville, Pennsylvania 16635
United StatesSite Not Available
Low Country Rheumatology PA
Charleston, South Carolina 29460
United StatesSite Not Available
Low Country Rheumatology PA Articulitis Healthcare
Charleston, South Carolina 29460
United StatesActive - Recruiting
West Tennessee Research Institute
Jackson, Tennessee 38305
United StatesSite Not Available
Stryde Research-Allen Arthritis
Allen, Texas 75013
United StatesSite Not Available
Houston Rheumatology & Arthrit
Katy, Texas 77494
United StatesSite Not Available
Houston Rheumatology & Arthrit Houston Rheum and Arthritis
Katy, Texas 77494
United StatesActive - Recruiting
Accurate Clinical Research Inc
San Antonio, Texas 78229
United StatesSite Not Available
Accurate Clinical Research Inc .
San Antonio, Texas 78229
United StatesActive - Recruiting
Accurate Clinical Research, Inc .
San Antonio, Texas 78229
United StatesActive - Recruiting
Accurate Clinical Research, Inc. .
San Antonio, Texas 78229
United StatesActive - Recruiting
Overlake Internal Med Associates
Bellevue, Washington 98004
United StatesSite Not Available
Overlake Internal Med Associates Research
Bellevue, Washington 98004
United StatesActive - Recruiting
Rheumatology Pulmonary Clinic
Beckley, West Virginia 25801
United StatesSite Not Available
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