E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
E.1.1.1 | Medical condition in easily understood language |
Ankylosing Spondylitis is a form of arthritis that primarily affects
the spine. |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10002556 |
E.1.2 | Term | Ankylosing spondylitis |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Assess the long-term safety and tolerability of bimekizumab
administered over a period of up to 4 years. |
|
E.2.2 | Secondary objectives of the trial |
Assess the long-term efficacy of bimekizumab. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- In the opinion of the Investigator, the subject is expected to benefit
from participation in an Open Label Extension (OLE) study.
- Subject completed AS0008 without meeting any withdrawal criteria.
- Female subjects must be postmenopausal, permanently sterilized or, if
of childbearing potential, must be willing to use a highly effective
method of contraception.
- Male subjects with a partner of childbearing potential must be willing
to use a condom when sexually active. |
|
E.4 | Principal exclusion criteria |
- Female subjects who plan to become pregnant during the study or
within 20 weeks following the last dose of investigational medicinal
product (IMP). Male subjects who are planning a partner pregnancy during the study or within 20 weeks following the last dose.
- Subjects with any current sign or symptom that may indicate a medically significant active infection (except for the common cold) or has had an infection requiring systemic antibiotics within 2 weeks of study entry.
- Subjects who meet any withdrawal criteria in AS0008. For any subject
with an ongoing Serious Adverse Event, or a history of serious infections
(including hospitalizations) in the lead-in study, the Medical Monitor
must be consulted prior to the subject's entry into AS0009. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
1. Incidence of Treatment-Emergent Adverse Events (TEAEs) during the study
2. Incidence of Serious Adverse Event (SAE) during the study |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
1-2. From Entry Visit (Visit 1) until Last Visit (up to Week 208) |
|
E.5.2 | Secondary end point(s) |
3. Subjects who withdrew due to a Treatment-Emergent Adverse Event (TEAE) during the study
4. Subjects with Axial Spondyloarthritis International Society 40 % response criteria (ASAS40) at Week 48 calculated relative to Baseline of AS0008
5. Subjects with Axial Spondyloarthritis International Society 20 % response criteria (ASAS20) at Week 48 calculated relative to Baseline of AS0008
6. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) to Week 48
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
3: From Entry Visit (Visit 1) until Last Visit (up to Week 208)
4-6: Baseline of AS0008, Week 48
|
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 70 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 8 |