Study Stopped
Due to unexpected operational issues outside of Lilly's control the study has been closed
Study of Ixekizumab in Participants With Active Ankylosing Spondylitis (AS)
SPIRIT A1
A Multicenter, Randomized, Double-Blind, Active and Placebo-Controlled 16-Week Study Followed by Long Term Evaluation of Efficacy and Safety of Ixekizumab (LY2439821) in Patients With Active Ankylosing Spondylitis
2 other identifiers
interventional
N/A
15 countries
125
Brief Summary
This study will assess the safety and efficacy of ixekizumab (LY2439821) compared to placebo in participants with active AS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Jul 2014
Typical duration for phase_3
125 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 3, 2013
CompletedFirst Posted
Study publicly available on registry
June 6, 2013
CompletedStudy Start
First participant enrolled
July 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2018
CompletedSeptember 16, 2014
September 1, 2014
1.8 years
June 3, 2013
September 15, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Efficacy of Ixekizumab in Participants with Ankylosing Spondylitis (AS). Measure: Assessment of SpondyloArthritis International Society Criteria (ASAS20)
16 Weeks
Secondary Outcomes (6)
Efficacy of Ixekizumab in Participants with AS. Measure: ASAS
16 Weeks
Quality of Life and Outcome Assessments. Measures: Patient Reported Outcomes (PRO)
Baseline through 16 Weeks
Efficacy of Ixekizumab in Participants with AS. Measure: Non-Arthritic Disease Assessments
Baseline through 16 Weeks
Efficacy of Ixekizumab in Participants with AS. Measure: Peripheral Joint Counts
16 Weeks
Efficacy of Ixekizumab in Participants with AS. Measure: Spinal Mobility
Baseline through 16 Weeks
- +1 more secondary outcomes
Study Arms (4)
Ixekizumab Dosing Regimen 1
EXPERIMENTALAdministered by 80 milligram (mg) subcutaneous (SC) injection
Ixekizumab Dosing Regimen 2
EXPERIMENTALAdministered by 80 mg SC Injection
Placebo
PLACEBO COMPARATORPlacebo for ixekizumab and placebo for adalimumab administered by SC injection
Adalimumab
ACTIVE COMPARATORAdministered by 40 mg SC injection
Interventions
Administered SC
Eligibility Criteria
You may qualify if:
- Diagnosis of moderate to severe AS with prior documented radiologic evidence (X-ray) fulfilling the Modified New York criteria for AS (1984)
- Have active AS defined as Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) ≥4 and the spinal pain (back pain) score ≥4 on a numeric rating scale (NRS)
- Participants should have been on nonsteroidal anti-inflammatory drugs (NSAIDs) with an inadequate response
- Participants who are regularly taking NSAIDs or cyclooxygenase-2 (COX-2) inhibitors as part of their AS therapy are required to be on a stable dose
- Participants who have been on a tumor necrosis factor alpha (TNF) inhibitor (not more than one) must have experienced an inadequate response
- Total duration of prior therapy (NSAIDs and/or adequate physical therapy) should be at least 12 weeks
- Men must agree to use a reliable method of birth control or remain abstinent during the study
- Women must agree to use reliable birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment
You may not qualify if:
- Participants with a total ankylosis of the spine
- Prior or current treatment with adalimumab
- Participants previously treated with any biological or other immunomodulating agents except for those targeting TNF
- Evidence of active inflammatory arthritic syndromes or spondyloarthropathies other than ankylosing spondylitis
- Have participated in any study with interleukin 17 (IL-17) antagonists, including ixekizumab
- Serious disorder or illness other than ankylosing spondylitis
- Serious infection within the last 3 months
- Breastfeeding or nursing (lactating) women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (125)
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Birmingham, Alabama, 35205, United States
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Little Rock, Arkansas, 72205, United States
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Upland, California, 91786, United States
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Denver, Colorado, 80230, United States
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Trumbull, Connecticut, 06611, United States
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Tampa, Florida, 33609, United States
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Atlanta, Georgia, 30342, United States
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Decatur, Georgia, 30033, United States
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Marietta, Georgia, 30060, United States
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Boise, Idaho, 83704, United States
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Idaho Falls, Idaho, 83404, United States
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Cedar Rapids, Iowa, 52401, United States
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Wichita, Kansas, 67207, United States
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Cumberland, Maryland, 21502, United States
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Hagerstown, Maryland, 21740, United States
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Worcester, Massachusetts, 01605, United States
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Ann Arbor, Michigan, 48109, United States
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Albany, New York, 12206, United States
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Brooklyn, New York, 11201, United States
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Mineola, New York, 11501, United States
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Asheville, North Carolina, 28803, United States
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Charlotte, North Carolina, 28210, United States
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Toledo, Ohio, 43606, United States
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Lake Oswego, Oregon, 97035, United States
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Portland, Oregon, 97239, United States
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Charleston, South Carolina, 29407, United States
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Columbia, South Carolina, 29204, United States
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North Charleston, South Carolina, 29406, United States
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Hixon, Tennessee, 37343, United States
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Jackson, Tennessee, 38305, United States
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Dallas, Texas, 75231, United States
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Houston, Texas, 77036, United States
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Kennewick, Washington, 99336, United States
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Seattle, Washington, 98104, United States
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Buenos Aires, C1428DQG, Argentina
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Caba, 1181, Argentina
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Córdoba, X5004BAL, Argentina
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San Miguel de Tucumán, T4000AXL, Argentina
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Genk, 3600, Belgium
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Ghent, 9000, Belgium
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Liège, 4000, Belgium
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Mons, 7000, Belgium
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Edmonton, Alberta, T6G 2R7, Canada
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Winnipeg, Manitoba, R3N 0K6, Canada
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Toronto, Ontario, M5T 2S8, Canada
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Québec, Quebec, G1W 4R4, Canada
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Rimouski, Quebec, G5L 8W1, Canada
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Sainte-Foy, Quebec, G1V 3M7, Canada
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Brno, 638 00, Czechia
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Bruntál, 79201, Czechia
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Kladno, 272 01, Czechia
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Ostrava - Trebovice, 722 00, Czechia
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Prague, 140 00, Czechia
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Zlín, 760 01, Czechia
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Amiens, 80054, France
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Bordeaux, 33076, France
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Montpellier, 34295, France
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Nantes, 44093, France
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Orléans, 45032, France
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Paris, 75679, France
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Rennes, 35202, France
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Strasbourg, 67098, France
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Bad Doberan, 18209, Germany
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Berlin, 12203, Germany
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Halle, 06108, Germany
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Heidelberg, 69121, Germany
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Ratingen, 40882, Germany
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Balatonfüred, 8230, Hungary
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Budapest, 1036, Hungary
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Debrecen, 4032, Hungary
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Kalocsa, H-6300, Hungary
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Nyíregyháza, 4400, Hungary
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Veszprém, 8200, Hungary
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Guadalajara, 45040, Mexico
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Mexico City, 06700, Mexico
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Monterrey, 64000, Mexico
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Morelia, 58249, Mexico
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San Luis, 78200, Mexico
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Amsterdam, 1105 AZ, Netherlands
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Breda, 4818 CK, Netherlands
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Leiden, 2333 ZA, Netherlands
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Maastricht, 6229 HX, Netherlands
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Nijmegen, 6522 JV, Netherlands
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Rotterdam, 3079 DZ, Netherlands
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Sneek, 8601 ZK, Netherlands
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Katowice, 40-635, Poland
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Krakow, 31-501, Poland
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Lublin, 20582, Poland
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Poznan, 60-539, Poland
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Warsaw, 02-118, Poland
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Wroclaw, 51-124, Poland
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Barnaul, 656024, Russia
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Kazan', 420097, Russia
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Krasnoyarsk, 660022, Russia
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Moscow, Russia
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Novosibirsk, 630099, Russia
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Petrozavodsk, 185019, Russia
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Ryazan, 390026, Russia
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Saint Petersburg, 194291, Russia
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Yekaterinburg, 620102, Russia
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A Coruña, 15006, Spain
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Barcelona, 08034, Spain
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Bilbao, 48013, Spain
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Córdoba, 14004, Spain
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Madrid, 28007, Spain
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Málaga, 29009, Spain
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Oviedo, 33012, Spain
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Santander, 39008, Spain
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Seville, 41009, Spain
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Dnipropetrovsk, 49044, Ukraine
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Donetsk, 83045, Ukraine
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Ivano-Frankivsk, 76018, Ukraine
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Kharkiv, 61039, Ukraine
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Kyiv, 1601, Ukraine
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Lutsk, 43024, Ukraine
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Odesa, 65026, Ukraine
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Vinnytsia, 21018, Ukraine
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Zaporizhzhia, 69600, Ukraine
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London, Greater London, E11 1NR, United Kingdom
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Southampton, Hants, SO16 6YD, United Kingdom
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Norwich, Norfolk, NR4 7UY, United Kingdom
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Coventry, West Midlands, CV2 2DX, United Kingdom
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Wolverhampton, West Midlands, WV10 0QP, United Kingdom
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Bradford, West Yorkshire, BD5 0NA, United Kingdom
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Leeds, West Yorkshire, LS7 4SA, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2013
First Posted
June 6, 2013
Study Start
July 1, 2014
Primary Completion
April 1, 2016
Study Completion
April 1, 2018
Last Updated
September 16, 2014
Record last verified: 2014-09