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Monoclonal Antibodies
Secukinumab for Plaque Psoriasis (STEPin Trial)
Phase 4
Waitlist Available
Research Sponsored by Novartis Pharmaceuticals
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be between 18 and 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 104
Awards & highlights
Summary
This trial is testing whether a new medication can prevent plaque psoriasis from getting worse or spreading.
Eligible Conditions
- Plaque Psoriasis
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ week 104
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 104
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Proportion of patients who achieve Pain Assessment Severity Index (PASI) 90 at Week 52.
Secondary outcome measures
Proportion of all randomized patients who achieve PASI 90 at Week 104
Side effects data
From 2019 Phase 4 trial • 102 Patients • NCT0305549419%
Nasopharyngitis
13%
Upper respiratory tract infection
7%
Cough
7%
Back pain
6%
Headache
4%
Aphthous ulcer
4%
Sinus congestion
4%
Gastroenteritis viral
4%
Diarrhoea
4%
Conjunctivitis
4%
Fatigue
4%
Pharyngitis streptococcal
4%
Fall
4%
Influenza
4%
Muscle strain
4%
Urinary tract infection
4%
Postoperative wound infection
4%
Anxiety
4%
Rhinorrhoea
2%
Sneezing
2%
Rash
2%
Actinic keratosis
2%
Palpitations
2%
Abdominal distension
2%
Cyst
2%
Dermatitis
2%
Pruritus
2%
Ear pain
2%
Anaemia
2%
Lacrimation increased
2%
Suicidal ideation
2%
Toothache
2%
Peripheral swelling
2%
Pyrexia
2%
Ear discomfort
2%
Influenza like illness
2%
Nausea
2%
Cellulitis
2%
Glossodynia
2%
Otitis media
2%
Cystitis
2%
Intertrigo
2%
Ligament sprain
2%
Tooth abscess
2%
Road traffic accident
2%
Hordeolum
2%
Post procedural contusion
2%
Pruritus generalised
2%
Otitis externa candida
2%
Dehydration
2%
Tonsillitis
2%
Sinusitis
2%
Ligament rupture
2%
Tinea pedis
2%
Blood pressure increased
2%
Decreased appetite
2%
Hypoglycaemia
2%
Seborrhoeic dermatitis
2%
Wound dehiscence
2%
Insomnia
2%
Muscle spasms
2%
Myalgia
2%
Productive cough
2%
Squamous cell carcinoma
2%
Oropharyngeal pain
2%
Irritability
2%
Nasal congestion
100%
80%
60%
40%
20%
0%
Study treatment Arm
Secukinumab 300 mg
Placebo/Secukinumab 300 mg
Trial Design
5Treatment groups
Experimental Treatment
Active Control
Group I: Arm C2: chronic plaque psoriasis to be treated with secukinumabExperimental Treatment1 Intervention
Eligible patients with chronic plaque psoriasis will receive 300 mg secukinumab by s.c. injection at baseline, Weeks 1, 2, 3 and 4 and then every 4 weeks until Week 100 inclusive (last dose administered at Week 100) (treatment duration = 104 weeks).
Group II: Arm C1: chronic plaque psoriasis to be treated with secukinumabExperimental Treatment1 Intervention
Eligible patients with chronic plaque psoriasis will receive 300 mg secukinumab by s.c. injection at baseline, Weeks 1, 2, 3 and 4 and then every 4 weeks until Week 48 inclusive (last dose administered at Week 48) (treatment duration = 52 weeks).
Group III: Arm A2: new-onset plaque psoriasis to be treated with secukinumabExperimental Treatment1 Intervention
Eligible patients with new-onset psoriasis will receive 300 mg secukinumab by s.c. injection at baseline, Weeks 1, 2, 3 and 4 and then every 4 weeks until Week 100 inclusive (last dose administered at Week 100) (treatment duration = 104 weeks).
Group IV: Arm A1 (A1a and A1b): new-onset plaque psoriasis to be treated with secukinumabExperimental Treatment1 Intervention
80 patients (68 in Arm A1a and 12 in Arm A1b) with new-onset psoriasis will receive 300 mg secukinumab by s.c. injection at baseline, Weeks 1, 2, 3, 4 and then every 4 weeks until Week 48 inclusive (treatment duration = 52 weeks).
Group V: Arm B1 (B1a and B1b): new-onset plaque psoriasis to be treated with nb-UVBActive Control3 Interventions
80 patients (68 in Arm B1a and 12 in Arm B1b) with new-onset psoriasis will receive 1 or 2 cycles of nb UVB of 12 weeks each with a maximum break of 28 weeks between cycles (patients with PASI 90 at Week 40 will not receive a second treatment cycle). Only during the first 4 weeks of each cycle, nb-UVB treatment should be applied in combination with topical calcipotriol 50 µg/g and betamethasone 0.5 mg/g (treatment duration = 52 weeks).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Secukinumab
2015
Completed Phase 4
~22170
Find a Location
Who is running the clinical trial?
Novartis PharmaceuticalsLead Sponsor
2,874 Previous Clinical Trials
4,199,795 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- Your psoriasis is not the common type called plaque psoriasis.You recently developed psoriasis within the past year and have not received any medications or light therapy for it yet.You have received treatment in the past using light therapy or any medications taken throughout your entire body.You are currently taking medications or treatments that are not allowed in this study.You have had chronic plaque psoriasis for at least 5 years and have tried different treatments, including light therapy and medications, but they haven't worked well for you. However, if you have tried IL-17A inhibitors, you can still participate.
Research Study Groups:
This trial has the following groups:- Group 1: Arm C1: chronic plaque psoriasis to be treated with secukinumab
- Group 2: Arm A1 (A1a and A1b): new-onset plaque psoriasis to be treated with secukinumab
- Group 3: Arm A2: new-onset plaque psoriasis to be treated with secukinumab
- Group 4: Arm B1 (B1a and B1b): new-onset plaque psoriasis to be treated with nb-UVB
- Group 5: Arm C2: chronic plaque psoriasis to be treated with secukinumab
Awards:
This trial has 3 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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