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    Clinical Trial Results:
    A multicenter extension trial of subcutaneously administered AIN457 in patients with moderate to severe chronic plaque-type psoriasis Due to EudraCT system limitations, which EMA is aware of, data using 999 as data points in this record are not an accurate representation of the clinical trial results. Please use https://www.novctrd.com/CtrdWeb/home.novfor complete trial results.

    Summary
    EudraCT number
    2009-017234-51
    Trial protocol
    DE   FR   IS   NO  
    Global end of trial date
    18 Oct 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jul 2018
    First version publication date
    06 Jul 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CAIN457A2211E1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01132612
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Oct 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Oct 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the long-term safety and tolerability of subcutaneously administered secukinumab in the treatment of moderate to severe chronic plaque-type psoriasis as assessed by vital signs, clinical laboratory variables, and adverse events (AEs) monitoring.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 May 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 22
    Country: Number of subjects enrolled
    Germany: 74
    Country: Number of subjects enrolled
    Iceland: 16
    Country: Number of subjects enrolled
    Israel: 8
    Country: Number of subjects enrolled
    Japan: 37
    Country: Number of subjects enrolled
    Norway: 7
    Country: Number of subjects enrolled
    United States: 111
    Worldwide total number of subjects
    275
    EEA total number of subjects
    119
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    262
    From 65 to 84 years
    13
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Participants continued their regimens as assigned in CAIN457A2211 (NCT00941031) and were enrolled into one of the following: fixed time interval regimen (FI), treatment at start of relapse regimen (SR) or open-label (OL). There were no more placebo treated patients at the end of the core. Therefore, there is no placebo arm in the extension.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Fixed-time interval regimen
    Arm description
    Secukinumab 150 mg subcutaneous (sc) administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter
    Arm type
    Experimental

    Investigational medicinal product name
    Secukinumab
    Investigational medicinal product code
    AIN457
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Secukinumab 150 mg subcutaneous (sc) administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter

    Arm title
    Treatment at start of relapse regimen
    Arm description
    Placebo administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter. If relapse, then switch to secukinumab 150 mg sc administered every 4 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Placebo administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter. If relapse, then switch to secukinumab 150 mg sc administered every 4 weeks

    Investigational medicinal product name
    Secukinumab
    Investigational medicinal product code
    AIN457A
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Placebo administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter. If relapse, then switch to secukinumab 150 mg sc administered every 4 weeks

    Arm title
    Open-label
    Arm description
    Secukinumab 150 mg sc administered every 4 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Secukinumab
    Investigational medicinal product code
    Ain457
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Secukinumab 150 mg sc administered every 4 weeks

    Number of subjects in period 1
    Fixed-time interval regimen Treatment at start of relapse regimen Open-label
    Started
    46
    42
    187
    Completed
    6
    7
    17
    Not completed
    40
    35
    170
         Adverse event, serious fatal
    -
    -
    1
         Consent withdrawn by subject
    5
    8
    19
         Adverse event, non-fatal
    5
    2
    15
         Protocol deviation
    -
    -
    3
         Administrative problems
    5
    1
    52
         Lost to follow-up
    2
    2
    7
         Lack of efficacy
    23
    22
    73

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Fixed-time interval regimen
    Reporting group description
    Secukinumab 150 mg subcutaneous (sc) administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter

    Reporting group title
    Treatment at start of relapse regimen
    Reporting group description
    Placebo administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter. If relapse, then switch to secukinumab 150 mg sc administered every 4 weeks

    Reporting group title
    Open-label
    Reporting group description
    Secukinumab 150 mg sc administered every 4 weeks.

    Reporting group values
    Fixed-time interval regimen Treatment at start of relapse regimen Open-label Total
    Number of subjects
    46 42 187 275
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0
        Newborns (0-27 days)
    0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0
        Children (2-11 years)
    0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0
        Adults (18-64 years)
    44 42 176 262
        From 65-84 years
    2 0 11 13
        85 years and over
    0 0 0 0
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    43.0 ± 13.71 39.9 ± 12.12 45.0 ± 11.78 -
    Gender, Male/Female
    Units: Subjects
        Female
    15 12 39 66
        Male
    31 30 148 209

    End points

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    End points reporting groups
    Reporting group title
    Fixed-time interval regimen
    Reporting group description
    Secukinumab 150 mg subcutaneous (sc) administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter

    Reporting group title
    Treatment at start of relapse regimen
    Reporting group description
    Placebo administered at Week 1 (baseline) of the extension study and every 12 weeks thereafter. If relapse, then switch to secukinumab 150 mg sc administered every 4 weeks

    Reporting group title
    Open-label
    Reporting group description
    Secukinumab 150 mg sc administered every 4 weeks.

    Primary: Number of participants with Adverse Events, Serious Adverse Events and Deaths

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    End point title
    Number of participants with Adverse Events, Serious Adverse Events and Deaths [1]
    End point description
    Safety was assessed by frequency of adverse events including serious adverse events.
    End point type
    Primary
    End point timeframe
    up to week 351
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analysis does not apply to this end point.
    End point values
    Fixed-time interval regimen Treatment at start of relapse regimen Open-label
    Number of subjects analysed
    46
    42
    187
    Units: Participants
        Adverse events
    44
    41
    180
        Serious adverse events
    9
    4
    43
        Deaths
    0
    0
    1
    No statistical analyses for this end point

    Secondary: Number of participants with at least 50%, 75% or 90% improvement from baseline in Psoriasis Area and Severity Index (PASI) and IGA mod 2009 0 or 1 response

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    End point title
    Number of participants with at least 50%, 75% or 90% improvement from baseline in Psoriasis Area and Severity Index (PASI) and IGA mod 2009 0 or 1 response
    End point description
    PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section (head: 0.1, arms: 0.2 body: 0.3 legs: 0.4). The IGA scale is static, i.e. it referred exclusively to the participant's disease at the time of the assessment, and did not compare with any of the participant's previous disease states at previous visits. The scores are: 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe and 5 = very severe.
    End point type
    Secondary
    End point timeframe
    Extension weeks: 1, 25, 73 and 301 (too few data points were available to perform analysis at week 301)
    End point values
    Fixed-time interval regimen Treatment at start of relapse regimen Open-label
    Number of subjects analysed
    46
    42
    187
    Units: Number of participants
        Extension week 1, PASI 50 (n=46,40,174)
    43
    34
    163
        Extension week 1, PASI 75 (n=46,40,174)
    31
    16
    102
        Extension week 1, PASI 90 (n=46,40,174)
    17
    3
    61
        Ext. week 1, IGA mod 2009 0 or 1 (n=44,38,168)
    24
    7
    70
        Extension week 25, PASI 50 (n=35,33,159)
    29
    27
    142
        Extension week 25, PASI 75 (n=35,33,159)
    19
    10
    91
        Extension week 25, PASI 90 (n=35,33,159)
    12
    2
    42
        Ext. week 25, IGA mod 2009 0 or 1 (n=35,33,159)
    15
    4
    48
        Extension week 73, PASI 50 (n=19,19,114)
    18
    17
    100
        Extension week 73, PASI 75 (n=19,19,114)
    14
    8
    66
        Extension week 73, PASI 90 (n=19,19,114)
    8
    1
    31
        Ext. week 73, IGA mod 2009 0 or 1 (n=19,19,114)
    9
    4
    35
        Extension week 301, PASI 50 (n=0,0,3)
    9999
    9999
    3
        Extension week 301, PASI 75 (n=0,0,3)
    9999
    9999
    2
        Extension week 301, PASI 90 (n=0,0,3)
    9999
    9999
    1
        Extension week 301, IGA mod 2009 0 or 1 (n=0,0,3)
    9999
    9999
    1
    No statistical analyses for this end point

    Secondary: Long-term immunogenicity assessed by the number of participants developing anti secukinumab antibodies during the trial

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    End point title
    Long-term immunogenicity assessed by the number of participants developing anti secukinumab antibodies during the trial
    End point description
    Describes the number of participants tested positive for anti-secukinumab antibodies. It refers to the number of participants who had no positive values at baseline but developed them only after start of secukinumab treatment.
    End point type
    Secondary
    End point timeframe
    up to week 351
    End point values
    Fixed-time interval regimen Treatment at start of relapse regimen Open-label
    Number of subjects analysed
    46
    41
    184
    Units: Participants
    0
    0
    1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All adverse events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Consistent with EudraCT disclosure specifications, Novartis has reported under the Serious adverse events field “number of deaths resulting from adverse events” all those deaths, resulting from serious adverse events that are deemed to be causally related to treatment by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    AIN457A Fixed interval
    Reporting group description
    AIN457A Fixed interval

    Reporting group title
    AIN457A open label
    Reporting group description
    AIN457A open label

    Reporting group title
    AIN457A Start of relapse
    Reporting group description
    AIN457A Start of relapse

    Serious adverse events
    AIN457A Fixed interval AIN457A open label AIN457A Start of relapse
    Total subjects affected by serious adverse events
         subjects affected / exposed
    9 / 46 (19.57%)
    43 / 187 (22.99%)
    4 / 42 (9.52%)
         number of deaths (all causes)
    0
    1
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    0 / 46 (0.00%)
    2 / 187 (1.07%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Colon adenoma
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Colon cancer
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Malignant melanoma
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pleomorphic adenoma
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Superficial spreading melanoma stage unspecified
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Chest discomfort
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Asthma
         subjects affected / exposed
    1 / 46 (2.17%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sleep apnoea syndrome
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    0 / 46 (0.00%)
    2 / 187 (1.07%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Fibrin D dimer increased
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Streptococcus test positive
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Laceration
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Meniscus injury
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Muscle injury
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Road traffic accident
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tendon injury
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Upper limb fracture
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Arrhythmia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    0 / 46 (0.00%)
    2 / 187 (1.07%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Coronary artery stenosis
         subjects affected / exposed
    0 / 46 (0.00%)
    0 / 187 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ventricular fibrillation
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ventricular tachycardia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Facial paralysis
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hemiparesis
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatic encephalopathy
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Migraine
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 46 (2.17%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Crohn's disease
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemorrhoids
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Inguinal hernia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intestinal ischaemia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intussusception
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis allergic
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psoriasis
         subjects affected / exposed
    0 / 46 (0.00%)
    2 / 187 (1.07%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bladder stenosis
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    End stage renal disease
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Haematuria
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc disorder
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tenosynovitis
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Abscess bacterial
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Anal abscess
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Campylobacter gastroenteritis
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    0 / 46 (0.00%)
    4 / 187 (2.14%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 4
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 46 (2.17%)
    0 / 187 (0.00%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Enterocolitis infectious
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Impetigo
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infected dermal cyst
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nail infection
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Osteomyelitis
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Osteomyelitis chronic
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Paronychia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Staphylococcal abscess
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Staphylococcal infection
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Streptococcal infection
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diabetes mellitus
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diabetic ketoacidosis
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 46 (0.00%)
    1 / 187 (0.53%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    AIN457A Fixed interval AIN457A open label AIN457A Start of relapse
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    42 / 46 (91.30%)
    164 / 187 (87.70%)
    35 / 42 (83.33%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 46 (2.17%)
    12 / 187 (6.42%)
    0 / 42 (0.00%)
         occurrences all number
    1
    19
    0
    C-reactive protein increased
         subjects affected / exposed
    3 / 46 (6.52%)
    6 / 187 (3.21%)
    0 / 42 (0.00%)
         occurrences all number
    3
    6
    0
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    2 / 46 (4.35%)
    10 / 187 (5.35%)
    2 / 42 (4.76%)
         occurrences all number
    2
    16
    3
    Ligament sprain
         subjects affected / exposed
    1 / 46 (2.17%)
    10 / 187 (5.35%)
    2 / 42 (4.76%)
         occurrences all number
    1
    12
    2
    Procedural pain
         subjects affected / exposed
    4 / 46 (8.70%)
    6 / 187 (3.21%)
    0 / 42 (0.00%)
         occurrences all number
    4
    6
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    4 / 46 (8.70%)
    26 / 187 (13.90%)
    6 / 42 (14.29%)
         occurrences all number
    5
    33
    10
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    3 / 46 (6.52%)
    4 / 187 (2.14%)
    0 / 42 (0.00%)
         occurrences all number
    3
    4
    0
    Headache
         subjects affected / exposed
    11 / 46 (23.91%)
    29 / 187 (15.51%)
    6 / 42 (14.29%)
         occurrences all number
    16
    66
    6
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    2 / 46 (4.35%)
    12 / 187 (6.42%)
    3 / 42 (7.14%)
         occurrences all number
    2
    16
    6
    Influenza like illness
         subjects affected / exposed
    1 / 46 (2.17%)
    12 / 187 (6.42%)
    2 / 42 (4.76%)
         occurrences all number
    2
    28
    5
    Pyrexia
         subjects affected / exposed
    1 / 46 (2.17%)
    9 / 187 (4.81%)
    4 / 42 (9.52%)
         occurrences all number
    3
    12
    4
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    2 / 46 (4.35%)
    11 / 187 (5.88%)
    0 / 42 (0.00%)
         occurrences all number
    4
    15
    0
    Dental caries
         subjects affected / exposed
    3 / 46 (6.52%)
    6 / 187 (3.21%)
    1 / 42 (2.38%)
         occurrences all number
    3
    8
    1
    Diarrhoea
         subjects affected / exposed
    2 / 46 (4.35%)
    20 / 187 (10.70%)
    2 / 42 (4.76%)
         occurrences all number
    3
    26
    2
    Nausea
         subjects affected / exposed
    3 / 46 (6.52%)
    12 / 187 (6.42%)
    3 / 42 (7.14%)
         occurrences all number
    4
    12
    3
    Toothache
         subjects affected / exposed
    4 / 46 (8.70%)
    14 / 187 (7.49%)
    1 / 42 (2.38%)
         occurrences all number
    4
    19
    1
    Vomiting
         subjects affected / exposed
    1 / 46 (2.17%)
    13 / 187 (6.95%)
    3 / 42 (7.14%)
         occurrences all number
    1
    17
    4
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    2 / 46 (4.35%)
    20 / 187 (10.70%)
    4 / 42 (9.52%)
         occurrences all number
    2
    26
    6
    Oropharyngeal pain
         subjects affected / exposed
    5 / 46 (10.87%)
    14 / 187 (7.49%)
    3 / 42 (7.14%)
         occurrences all number
    7
    26
    4
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    4 / 46 (8.70%)
    6 / 187 (3.21%)
    0 / 42 (0.00%)
         occurrences all number
    6
    9
    0
    Psoriasis
         subjects affected / exposed
    13 / 46 (28.26%)
    59 / 187 (31.55%)
    16 / 42 (38.10%)
         occurrences all number
    32
    145
    41
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 46 (0.00%)
    11 / 187 (5.88%)
    0 / 42 (0.00%)
         occurrences all number
    0
    13
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    9 / 46 (19.57%)
    43 / 187 (22.99%)
    6 / 42 (14.29%)
         occurrences all number
    14
    66
    8
    Arthritis
         subjects affected / exposed
    3 / 46 (6.52%)
    6 / 187 (3.21%)
    1 / 42 (2.38%)
         occurrences all number
    6
    6
    1
    Back pain
         subjects affected / exposed
    5 / 46 (10.87%)
    30 / 187 (16.04%)
    7 / 42 (16.67%)
         occurrences all number
    6
    52
    8
    Musculoskeletal pain
         subjects affected / exposed
    5 / 46 (10.87%)
    15 / 187 (8.02%)
    0 / 42 (0.00%)
         occurrences all number
    7
    20
    0
    Myalgia
         subjects affected / exposed
    2 / 46 (4.35%)
    8 / 187 (4.28%)
    3 / 42 (7.14%)
         occurrences all number
    4
    8
    4
    Neck pain
         subjects affected / exposed
    3 / 46 (6.52%)
    6 / 187 (3.21%)
    1 / 42 (2.38%)
         occurrences all number
    4
    8
    1
    Pain in extremity
         subjects affected / exposed
    4 / 46 (8.70%)
    11 / 187 (5.88%)
    1 / 42 (2.38%)
         occurrences all number
    8
    12
    1
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    2 / 46 (4.35%)
    21 / 187 (11.23%)
    1 / 42 (2.38%)
         occurrences all number
    3
    30
    1
    Conjunctivitis
         subjects affected / exposed
    4 / 46 (8.70%)
    4 / 187 (2.14%)
    0 / 42 (0.00%)
         occurrences all number
    5
    10
    0
    Gastroenteritis viral
         subjects affected / exposed
    1 / 46 (2.17%)
    9 / 187 (4.81%)
    4 / 42 (9.52%)
         occurrences all number
    1
    9
    4
    Influenza
         subjects affected / exposed
    4 / 46 (8.70%)
    14 / 187 (7.49%)
    2 / 42 (4.76%)
         occurrences all number
    5
    17
    2
    Nasopharyngitis
         subjects affected / exposed
    20 / 46 (43.48%)
    91 / 187 (48.66%)
    16 / 42 (38.10%)
         occurrences all number
    58
    260
    30
    Oral herpes
         subjects affected / exposed
    1 / 46 (2.17%)
    10 / 187 (5.35%)
    1 / 42 (2.38%)
         occurrences all number
    2
    13
    1
    Pharyngitis streptococcal
         subjects affected / exposed
    3 / 46 (6.52%)
    4 / 187 (2.14%)
    2 / 42 (4.76%)
         occurrences all number
    4
    4
    2
    Sinusitis
         subjects affected / exposed
    9 / 46 (19.57%)
    17 / 187 (9.09%)
    3 / 42 (7.14%)
         occurrences all number
    11
    21
    5
    Tonsillitis
         subjects affected / exposed
    1 / 46 (2.17%)
    14 / 187 (7.49%)
    0 / 42 (0.00%)
         occurrences all number
    1
    18
    0
    Upper respiratory tract infection
         subjects affected / exposed
    3 / 46 (6.52%)
    28 / 187 (14.97%)
    4 / 42 (9.52%)
         occurrences all number
    4
    60
    5
    Urinary tract infection
         subjects affected / exposed
    3 / 46 (6.52%)
    6 / 187 (3.21%)
    4 / 42 (9.52%)
         occurrences all number
    3
    9
    6
    Metabolism and nutrition disorders
    Hypercholesterolaemia
         subjects affected / exposed
    1 / 46 (2.17%)
    14 / 187 (7.49%)
    3 / 42 (7.14%)
         occurrences all number
    3
    20
    3
    Hypertriglyceridaemia
         subjects affected / exposed
    0 / 46 (0.00%)
    10 / 187 (5.35%)
    1 / 42 (2.38%)
         occurrences all number
    0
    12
    1

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Apr 2010
    The purpose of the amendment was to correct an inconsistency in the study protocol title in the protocol synopsis section embedded in the study protocol. The PK collection number at Visit F12 was rectified for coherence. The global model patient information / informed consent was also revised to correct the inconsistency in the study protocol title. The changes described in this amended protocol, which occurred prior to study unblinding, were non-substantial and did not require IRB/IEC approval prior to implementation.
    09 May 2011
    The purpose of the amendment was to update the benefit-risk assessment for the treatment of plaque-type psoriasis with secukinumab after data from phase II study had become available. This assessment confirmed that this therapy was regarded as beneficial for the treated patients and therefore it was decided that the patients in study CAIN457A2211E1 should be offered the opportunity to continue receiving secukinumab for a longer period (prolongation of 3 years) than originally planned and in selected countries where the operational feasibility and practicality does exist. In addition, prolonging the treatment period allowed for gathering long-term efficacy and safety data. Additionally an interim analysis was introduced to support the submission of secukinumab for the treatment of moderate to severe chronic plaque-type psoriasis.
    27 Jun 2014
    The main purpose of this amendment was to provide continued treatment for patients in the trial for additional two years or until drug was commercially available in the market in the country of participation. This extension of the study allowed for safety, tolerability and efficacy data to be collected from the participating patients for a longer time period. Eligible patients were considered for participation in this extension of the study prolongation at given site, provided the amendment was approved at the time the patient completed the prolongation of CAIN457A22E1 (i.e. visit of Week 225). This amendment offered further extension of the study to all patients that have completed the Week 225 visit. The patients who continued, remained on the same treatment regimen they were taking in the extension prolongation part. The patients who did not continue beyond the Week 225 were moved to the non-treatment follow-up period. At the time of this amendment about 65 patients were on the trial. No patient was treated in the placebo arm.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Due to EudraCT system limitations, which EMA is aware of, data using 999 as data points in this record are not an accurate representation of the clinical trial results. Please use https://www.novctrd.com/CtrdWeb/home.novfor complete trial results.
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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