Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Intravenous Secukinumab in Patients With GCA or PMR

Last updated: March 28, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

1

Condition

Polymyalgia Rheumatica (Pmr)

Connective Tissue Diseases

Vascular Diseases

Treatment

Secukinumab

Clinical Study ID

NCT06130540
CAIN457E22101
2023-507667-19-00
  • Ages 50-100
  • All Genders

Study Summary

This study will examine how intravenous (i.v.) Secukinumab will be processed in the body (pharmacokinetics [PK]) and whether it will be safe and tolerable after multiple doses of i.v. Secukinumab infusion in adult patients with giant cell arteritis (GCA) or polymyalgia rheumatica (PMR).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

Inclusion Criteria for GCA:

  1. Male or non-pregnant, non-lactating female participants at least 50 years of age

  2. 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

  1. 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:

  1. Male or non-pregnant, non-lactating female participants at least 50 years of age

  2. 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)

  1. 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:

  1. 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

  2. History of hypersensitivity or contraindication to any of the study treatments orits excipients or to drugs of similar chemical classes

  3. 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

  4. 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.

  1. 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)

  1. Active inflammatory bowel disease or active uveitis

  2. 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

  3. 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

  1. Confirmed diagnosis of any primary form of systemic vasculitis, other than GCA

Exclusion Criteria for PMR:

  1. 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

  2. History of hypersensitivity or contraindication to any of the study treatments orits excipients or to drugs of similar chemical classes

  3. 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

  4. 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.

  1. 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)

  1. Active inflammatory bowel disease or active uveitis

  2. 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

  3. 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

  1. 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

  1. 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

  2. Concurrent diagnosis or history of neuropathic muscular diseases includingfibromyalgia

  3. 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

Total Participants: 65
Treatment Group(s): 1
Primary Treatment: Secukinumab
Phase: 1
Study Start date:
March 27, 2024
Estimated Completion Date:
May 07, 2025

Study Description

This is a 12-week, open-label, multicenter, basket design study followed by an 8-week follow-up period in two cohorts of participants, one cohort with GCA and one cohort with PMR.

This study will consist of 3 phases: screening, treatment and follow-up.

Participants will enter a screening period: up to 6 weeks to assess eligibility [or up to 8 weeks in the event of a major healthcare disruption or a need to complete screening requirements (e.g., required washouts, TB testing, and work up and treatment as needed per local guidelines. Participants will enter a treatment period of 12 weeks: 2 cohorts (GCA and PMR cohorts) receiving total of 3 i.v. doses of Secukinumab (Week 0, Week 4 and Week 8). After treatment participants will enter a follow-up period: 8 weeks treatment-free follow-up (12 weeks after last dose of study treatment).

The total duration of the trial for a participant (from screening to follow up) is approximately 26 weeks (maximum of approximately 28 weeks) including safety follow-up.

Connect with a study center

  • Novartis Investigative Site

    Brno-Zidonice, CZE 61500
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Brno Bohunice, 625 00
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Uherske Hradiste, 686 01
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Brescia, BS 25123
    Italy

    Site Not Available

  • Novartis Investigative Site

    Firenze, FI 50134
    Italy

    Site Not Available

  • Novartis Investigative Site

    Reggio Emilia, RE 42123
    Italy

    Site Not Available

  • Novartis Investigative Site

    Verona, VR 37126
    Italy

    Site Not Available

  • Novartis Investigative Site

    Lisboa, 1649 035
    Portugal

    Site Not Available

  • Novartis Investigative Site

    Santiago De Compostela, Galicia 15706
    Spain

    Site Not Available

  • Novartis Investigative Site

    Madrid, 28009
    Spain

    Site Not Available

  • Novartis Investigative Site

    Basel, 4031
    Switzerland

    Site Not Available

  • Novartis Investigative Site

    Bern, 3010
    Switzerland

    Site Not Available

  • Novartis Investigative Site

    St Gallen, 9007
    Switzerland

    Site Not Available

  • Rheuma Asso Of South Florida

    Boca Raton, Florida 33486
    United States

    Site Not Available

  • Rheumatology Associates of South Florida

    Boca Raton, Florida 33486
    United States

    Site Not Available

  • FL Medical Clinic Orlando Health

    Zephyrhills, Florida 33542
    United States

    Site Not Available

  • Florida Medical Clinic PA

    Zephyrhills, Florida 33542
    United States

    Active - Recruiting

  • Illinois Bone And Joint Institute

    Hinsdale, Illinois 60521
    United States

    Site Not Available

  • Willow Rheumatology Wellness

    Willowbrook, Illinois 60527
    United States

    Site Not Available

  • University Of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Graves Gilbert Clinic

    Bowling Green, Kentucky 42101
    United States

    Site Not Available

  • Infusion Associates

    Traverse City, Michigan 49686
    United States

    Site Not Available

  • Infusion Associates Research

    Traverse City, Michigan 49686
    United States

    Active - Recruiting

  • Inspire Santa Fe Medical Group

    Santa Fe, New Mexico 87505
    United States

    Site Not Available

  • Inspire Santa Fe Medical Group Rheumatology

    Santa Fe, New Mexico 87505
    United States

    Active - Recruiting

  • University Of Cincinnati

    Cincinnati, Ohio 45267
    United States

    Active - Recruiting

  • University Of Cincinnati University of Cincinnati

    Cincinnati, Ohio 45267
    United States

    Site Not Available

  • Altoona Center for Clin Res

    Duncansville, Pennsylvania 16635
    United States

    Site Not Available

  • Low Country Rheumatology PA

    Charleston, South Carolina 29460
    United States

    Site Not Available

  • Low Country Rheumatology PA Articulitis Healthcare

    Charleston, South Carolina 29460
    United States

    Active - Recruiting

  • West Tennessee Research Institute

    Jackson, Tennessee 38305
    United States

    Site Not Available

  • Stryde Research-Allen Arthritis

    Allen, Texas 75013
    United States

    Site Not Available

  • Houston Rheumatology & Arthrit

    Katy, Texas 77494
    United States

    Site Not Available

  • Houston Rheumatology & Arthrit Houston Rheum and Arthritis

    Katy, Texas 77494
    United States

    Active - Recruiting

  • Accurate Clinical Research Inc

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Accurate Clinical Research Inc .

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Accurate Clinical Research, Inc .

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Accurate Clinical Research, Inc. .

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Overlake Internal Med Associates

    Bellevue, Washington 98004
    United States

    Site Not Available

  • Overlake Internal Med Associates Research

    Bellevue, Washington 98004
    United States

    Active - Recruiting

  • Rheumatology Pulmonary Clinic

    Beckley, West Virginia 25801
    United States

    Site Not Available

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