JUNCTURE
A Randomized, Double-blind, Placebo Controlled, Multicenter Study of Subcutaneous Secukinumab in Autoinjectors to Demonstrate Efficacy After Twelve Weeks of Treatment, and to Assess the Safety, Tolerability, Usability and Long-term Efficacy in Subjects With Chronic Plaque-type Psoriasis
Sponsor study identifier
Secondary identifiers
EUDRACT_NUMBER
interventional
182
5 countries
39
Study Start
October 17, 2012
Actual (reported)Primary Completion
October 27, 2016
Actual (reported)Study Completion
October 27, 2016
Actual (reported)The purpose of this study was to demonstrate efficacy of autoinjector administered secukinumab at Week 12 based on PASI and IGA response rates versus placebo in subjects with moderate to severe chronic plaque-type psoriasis.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
October 27, 2016
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
July 6, 2012
Actual (reported)July 10, 2012
Actual (reported)October 17, 2012
Actual (reported)October 27, 2016
Actual (reported)October 27, 2016
Actual (reported)September 27, 2018
Actual (reported)Psoriasis Area and Severity Index (PASI) 75 Response and Investigators' Global Assessment (IGA) Mod 2011 0 or 1 Response
Efficacy of secukinumab compared to placebo in subjects with moderate to severe chronic plaque-type psoriasis. PASI score was based on assessment of the head, trunk, upper limbs and lower limbs for erythema, thickening (plaque elevation, induration), and scaling (desquamation). PASI scores can range from 0, corresponding to no signs of psoriasis, up to a theoretical maximum of 72.0. PASI-based secondary variables included absolute PASI score, response rates for PASI 75. PASI 50 and PASI 90 were defined as ≥ 50% and ≥ 90% improvement from Baseline in PASI score, respectively, while PASI 100 response corresponded to complete clearing of psoriasis (PASI = 0). IGA mod 2011 was used to evaluate the overall severity of psoriatic disease, with scores ranging from 0 (clear) to 4 (severe). Treatment success was defined as achievement of IGA mod 2011 0 or 1 score.
12 weeks
Percentages of Subjects With Successful Self-administration of Study Drug at Week 1
Week 1
Subjects who were in placebo at Week 52 cannot continue in the extension treatment period
After the data base lock of week 52 data has been performed, subjects received secukinumab 150 mg treatment as open label for the remainder of the extension treatment period.
After the data base lock of week 52 data has been performed, subjects received secukinumab 300 mg treatment as open label for the remainder of the extension treatment period.
Secukinumab 150mg: 1 injection of 150 mg secukinumab and 1 injection of placebo to secukinumab 150mg per dose. After Week 52 database lock, study is open label so only 1 injection of secukinumab 150mg per dose were administered
Novartis Investigative Site
Phoenix, Arizona, 85032, United States
Novartis Investigative Site
Los Angeles, California, 90045, United States
Novartis Investigative Site
Oceanside, California, 92056, United States
Novartis Investigative Site
Overland Park, Kansas, 66215, United States
Novartis Investigative Site
Louisville, Kentucky, 40202, United States
Novartis Investigative Site
Louisville, Kentucky, 40291, United States
Novartis Investigative Site
Omaha, Nebraska, 68144, United States
Sticherling M, Nikkels AF, Hamza AM, Kwong P, Szepietowski JC, El Sayed M, Ghislain PD, Khotko AA, Patekar M, Ortmann CE, Forrer P, Papanastasiou P, Keefe D. Secukinumab in Pediatric Patients with Plaque Psoriasis: Pooled Safety Analysis from Two Phase 3 Randomized Clinical Trials. Am J Clin Dermatol. 2023 Sep;24(5):821-835. doi: 10.1007/s40257-023-00782-8. Epub 2023 Jun 21.
Merola JF, McInnes IB, Deodhar AA, Dey AK, Adamstein NH, Quebe-Fehling E, Aassi M, Peine M, Mehta NN. Effect of Secukinumab on Traditional Cardiovascular Risk Factors and Inflammatory Biomarkers: Post Hoc Analyses of Pooled Data Across Three Indications. Rheumatol Ther. 2022 Jun;9(3):935-955. doi: 10.1007/s40744-022-00434-z. Epub 2022 Mar 19.
Efficacy results after Wk 160 can't be interpreted meaningfully due to low # of evaluable patients. As per protocol, availability of AIN457 in participating countries led to discontinuation of most patients before they reached the later visits.
Novartis Pharmaceuticals
Novartis Pharmaceuticals
182 participants (actual enrollment reported by the registry).
First Submitted
July 6, 2012
First Posted
July 10, 2012
Study Start
October 17, 2012
Actual (reported)Percentage of Subjects With Possible Use-related Hazards
Week 1
Absolute Change From Baseline in Self-Injection Assessment Questionnaire (SIAQ) Domain Scores at Week 12
Week 12
Absolute Change From Baseline in Self-Injection Assessment Questionnaire (SIAQ) Domain Scores at Week 48
Absolute change from baseline at week 48
Percentages of Participants With PASI 50, PASI 75, PASI 90, PASI 100 and IGA Mod 2011 0 or 1 Response - Induction Period
Week 12
Secukinumab 300mg (2 injections of 150mg secukinumab per dose)
Contact the study team to confirm eligibility.
Novartis Investigative Site
Rochester, New York, 14623, United States
Novartis Investigative Site
Duncansville, Pennsylvania, 16635, United States
Novartis Investigative Site
Johnston, Rhode Island, 02919, United States
Novartis Investigative Site
Nashville, Tennessee, 37203, United States
Novartis Investigative Site
Norfolk, Virginia, 23507, United States
Novartis Investigative Site
Calgary, Alberta, T3A 2N1, Canada
Novartis Investigative Site
Halifax, Nova Scotia, B3H 1Z2, Canada
Novartis Investigative Site
Hamilton, Ontario, L8N 1V6, Canada
Novartis Investigative Site
Mississauga, Ontario, L5H 1G9, Canada
Novartis Investigative Site
Montreal, Quebec, H3H 1V4, Canada
Novartis Investigative Site
Sainte-Foy, Quebec, G1V 4X7, Canada
Novartis Investigative Site
Tallinn, 10134, Estonia
Novartis Investigative Site
Tallinn, 13619, Estonia
Novartis Investigative Site
Nice, 06202, France
Novartis Investigative Site
Poitiers, 86021, France
Novartis Investigative Site
Toulouse, 31400, France
Novartis Investigative Site
Regensburg, Bavaria, 93053, Germany
Novartis Investigative Site
Augsburg, 86163, Germany
Novartis Investigative Site
Augsburg, 86179, Germany
Novartis Investigative Site
Bielefeld, 33647, Germany
Novartis Investigative Site
Bonn, 53105, Germany
Novartis Investigative Site
Dresden, 01307, Germany
Novartis Investigative Site
Erlangen, 91054, Germany
Novartis Investigative Site
Frankfurt, 60590, Germany
Novartis Investigative Site
Gera, 07548, Germany
Novartis Investigative Site
Hamburg, 22143, Germany
Novartis Investigative Site
Hamburg, 22391, Germany
Novartis Investigative Site
Heidelberg, 69115, Germany
Novartis Investigative Site
Münster, 48149, Germany
Novartis Investigative Site
Osnabrück, 49074, Germany
Novartis Investigative Site
Selters, 56242, Germany
Novartis Investigative Site
Tübingen, 72076, Germany
Houghton K, Patil D, Gomez B, Feldman SR. Correlation Between Change in Psoriasis Area and Severity Index and Dermatology Life Quality Index in Patients with Psoriasis: Pooled Analysis from Four Phase 3 Clinical Trials of Secukinumab. Dermatol Ther (Heidelb). 2021 Aug;11(4):1373-1384. doi: 10.1007/s13555-021-00564-2. Epub 2021 Jun 10.
Menter A, Cather JC, Jarratt M, Meng X, Guana A, Nyirady J. Efficacy of Secukinumab on Moderate-to-severe Plaque Psoriasis Affecting Different Body Regions: a Pooled Analysis of Four Phase 3 Studies. Dermatol Ther (Heidelb). 2016 Dec;6(4):639-647. doi: 10.1007/s13555-016-0140-7. Epub 2016 Aug 30.
Kircik L, Fowler J, Weiss J, Meng X, Guana A, Nyirady J. Efficacy of Secukinumab for Moderate-to-Severe Head and Neck Psoriasis Over 52 Weeks: Pooled Analysis of Four Phase 3 Studies. Dermatol Ther (Heidelb). 2016 Dec;6(4):627-638. doi: 10.1007/s13555-016-0139-0. Epub 2016 Aug 30.
Paul C, Lacour JP, Tedremets L, Kreutzer K, Jazayeri S, Adams S, Guindon C, You R, Papavassilis C; JUNCTURE study group. Efficacy, safety and usability of secukinumab administration by autoinjector/pen in psoriasis: a randomized, controlled trial (JUNCTURE). J Eur Acad Dermatol Venereol. 2015 Jun;29(6):1082-90. doi: 10.1111/jdv.12751. Epub 2014 Sep 22.
Primary Completion
October 27, 2016
Actual (reported)Study Completion
October 27, 2016
Actual (reported)Last Updated
September 27, 2018
Results First Posted
September 27, 2018
Record last verified: 2018-09
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