Clinical trial
A Randomized, Double-blind, Multicenter, 24-week Study of Subcutaneous Secukinumab to Assess Anti-interleukin-17A Treatment in Plaque Psoriasis Patients With Coexisting Non-alcoholic Fatty Liver Disease (pINPOINt)
Name
CAIN457ADE15
Description
The aim of this study was to assess the therapeutic efficacy of secukinumab on the psoriatic skin and to explore the anti-inflammatory (reduction of hepatic inflammation and cell damage), anti-steatotic (reduction of hepatic triglyceride content) and anti-fibrotic (reduction of hepatic fibrosis) effects of secukinumab in patients with psoriasis and coexisting non-alcoholic fatty liver disease (NAFLD).
Trial arms
Trial start
2020-02-19
Estimated PCD
2021-06-29
Trial end
2021-07-23
Status
Terminated
Phase
Early phase I
Treatment
Investigational Arm - secukinumab
secukinumab 300mg s.c. weekly in first 4 weeks, followed by q4w up to Week 20; and placebo 300mg s.c. at weeks 13, 14 and 15 to maintain the blind
Arms:
Investigational Arm - secukinumab
Other names:
AIN457
Control Arm - placebo
placebo 300 mg s.c. weekly in first 4 weeks, followed by q4w up to Week 8; and secukinumab 300 mg s.c. weekly for 4 weeks starting at Week 12, followed by q4w up to Week 20
Arms:
Control Arm - placebo
Other names:
AIN457
Size
10
Primary endpoint
Mean and SD Change From Baseline of PASI Score up to Week 12
12 weeks
Eligibility criteria
Inclusion Criteria:
* Male/female patients, 18 years or older
* Moderate to severe plaque-type psoriasis, candidate for systemic therapy
* Diagnosis of NAFLD by either ultrasound at Screening or liver histology within 6 months before Baseline
* BMI \> 25 kg/ m 2
* ALT 1.2 to 3.0 × ULN
* MRI confirmed Liver fat ≥ 8% at Screening
Exclusion Criteria:
* Forms of psoriasis other than chronic plaque-type Psoriasis
* Drug induced psoriasis
* Pregnant or nursing (lactating) women
* Women of child bearing potential unless they are using effective methods of contraception
* Ongoing use of prohibited treatments
* Previous treatment with biological drug targeting IL-17 or the IL-17 receptor
* Past medical history record of infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to Screening
* Unstable weight over the last 6 months prior to Screening.
* Type I diabetes, or uncontrolled diabetes (Type I or Type II) defined as HbAlc ≥ 10% at screening.
* Evidence of hepatic decompensation or severe liver impairment or cirrhosis
* History of liver transplantation or planned liver transplant or biliary diversion.
* Presence or history of other liver disease
* Current, or history of, significant alcohol consumption for a period of more than 3 consecutive months within 1 year prior to screening
* Prior or planned bariatric surgery
* Inability or unwillingness to undergo MRI of the abdomen
* Past medical history record of infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to Screening
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'The primary objective of this study was to demonstrate superiority of secukinumab compared to placebo in patients with moderate to severe chronic plaque-type psoriasis and non-alcoholic fatty liver disease (NAFLD) with respect to psoriasis area and severity index (PASI) 90 response at Week 12.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'maskingDescription': 'double-blind', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 10, 'type': 'ACTUAL'}}
Updated at
2024-02-29
1 organization
4 products
2 indications
Organization
Novartis PharmaceuticalsProduct
SecukinumabIndication
PsoriasisIndication
Non-alcoholic Fatty Liver DiseaseProduct
Control ArmProduct
Control Arm - placebo