Comparison of Secukinumab 300 mg Combined With a Lifestyle Intervention to Secukinumab Alone for the Treatment of Moderate to Severe Psoriasis Patients With Concomitant Metabolic Syndrome
Study Purpose
Around 40% of moderate to severe psoriasis patients are affected by concomitant metabolic syndrome, making it one of the clinically most relevant comorbidities. Psoriasis as well as the metabolic syndrome are both characterized by a state of low-grade systemic inflammation (e.g. in the skin, joints, adipose tissue, liver or vascular endothelium). This shared pathophysiology makes systemic inflammation an attractive target for the treatment of both diseases. Secukinumab as well as lifestyle intervention are able to reduce systemic inflammation. This trial is designed to answer the question whether the combination of Secukinumab with lifestyle intervention can primarily improve skin symptoms and secondly cardiometabolic status more than Secukinumab alone in psoriasis patients with concomitant metabolic syndrome by targeting the shared pathophysiology behind both diseases, which is systemic inflammation.
Recruitment Criteria
Accepts Healthy Volunteers
Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms |
No |
Study Type
An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes. An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes. Searching Both is inclusive of interventional and observational studies. |
Interventional |
Eligible Ages | 18 Years and Over |
Gender | All |
Inclusion Criteria:
1. Written informed consent must be obtained before any assessment is performed. 2. Men or women of at least 18 years of age at the time of screening. 3. Patients must be able to understand and communicate with the investigator and must be willing and able to comply with all study procedures. 4. Patients with moderate to severe plaque-type psoriasis who are candidates for systemic therapy, diagnosed at least 6 month before randomization and baseline value of.- - PASI > 10 and.
- - DLQI > 10 and.
- - Body Surface Area (BSA) affected by plaque-type psoriasis ≥ 10% 5.
- - Fasting (8 hours) plasma glucose ≥ 100 mg/dl or ongoing antidiabetic drug treatment (defined as: metformin, DPP4 inhibitors, GLP1 analogues, SGLT2 inhibitors) - Abdominal obesity defined by elevated waist circumference (measured as defined in section 6.4.
- - Fasting (8 hours) triglycerides ≥ 150 mg/dl or ongoing drug treatment for elevated triglycerides (defined as: fibrates or nicotinic acid).
- - Fasting (8 hours) HDL-C < 40 mg/dl in men or < 50 mg/dl in women or ongoing drug treatment for reduced HDL-C (defined as: fibrates, nicotinic acid or statins).
- - Resting blood pressure: Systolic blood pressure ≥ 130 and/ or diastolic blood pressure ≥ 85 mmHg (measured as defined in section 6.4.
Exclusion Criteria:
Patients fulfilling any of the following criteria are not eligible for inclusion in this study. No additional exclusions may be applied by the investigator, in order to ensure that the study population will be representative of all eligible patients. 1. Forms of psoriasis other than chronic plaque-type (e.g. pustular, erythrodermic and guttate psoriasis) at screening. 2. Previous exposure to Secukinumab or any other biologic drug directly targeting IL17A or the IL17A receptor (e.g. Brodalumab, Ixekizumab). 3. Exposure to anti-TNF treatment during 1 year prior to baseline. 4. Drug-induced psoriasis (i.e., new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) at screening. 5. History of hypersensitivity to Secukinumab, trehalose-dihydrate, L-histidine, L-histidinhydrochloride-monohydrate, L-methionine, polysorbate 80, water for injection, or to substances of similar chemical classes. 6. History of latex hypersensitivity. 7. Ongoing participation (including safety follow-up period) in other interventional or non-interventional studies in any dermatological indication. 8. Ongoing use of prohibited treatments. Washout periods detailed in the protocol have to be adhered to (Table 5-1). Note: Administration of live vaccines 6 weeks prior to baseline (visit 2) or during the study period is also prohibited. 9. Diagnosis of type 1 diabetes. 10. Patients with diagnosed type 2 diabetes, if they fulfill one or more of the following conditions:- - uncontrolled type 2 diabetes, meaning HbA1c > 8.0%, - pharmacological therapy with one or more of the following agents: Insulin, sulfonylurea agents/analogues, thiazolidinediones/glitazones.
- - also in regard to participation in the lifestyle intervention - or put the subject at increased risk when participating in the trial (e.g. broken leg, congestive heart failure NYHA III/IV, uncontrolled hypertension with systolic ≥ 160 mmHg and/or diastolic ≥ 95 mmHg, severe uncontrolled asthma) 17.
- - Total abstinence (when this is in line with the preferred and usual lifestyle of the subject.
- - Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy or tubal ligation at least six weeks before taking investigational drug.
- - Male sterilization (at least 6 m prior to screening).
- - Barrier methods of contraception: Condom or Occlusive cap (diaphragm or cervical/vault caps).
- - Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) - In case of use of oral contraception women should have been stable on the same pill for a minimum of 3 months before taking investigational drug.
- - Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy), total hysterectomy or tubal ligation at least six weeks ago.
Trial Details
Trial ID:
This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries. |
NCT03440736 |
Phase
Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans. Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data. Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs. Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use. |
Phase 4 |
Lead Sponsor
The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data. |
Novartis Pharmaceuticals |
Principal Investigator
The person who is responsible for the scientific and technical direction of the entire clinical study. |
N/A |
Principal Investigator Affiliation | N/A |
Agency Class
Category of organization(s) involved as sponsor (and collaborator) supporting the trial. |
Industry |
Overall Status | Recruiting |
Countries | Germany |
Conditions
The disease, disorder, syndrome, illness, or injury that is being studied. |
Psoriasis, Metabolic Syndrome |
Arms
Active Comparator: Secukinumab 300 mg s.c.
Patients in arm A receive therapy with Secukinumab 300 mg s.c., which consists of two injections with 150 mg prefilled syringes at weeks 0, 1, 2, 3, 4, 8, 12, 16, 20 and 24 (last injection is performed at week 24)
Experimental: Secukinumab 300 mg s.c. and lifestyle intervention
Arm B: Patients in arm B receive therapy with Secukinumab 300 mg s.c., which consists of two injections with 150 mg prefilled syringes at weeks 0, 1, 2, 3, 4, 8, 12, 16, 20 and 24 (last injection is performed at week 24). In addition they participate in a lifestyle intervention program.
Interventions
Drug: - Secukinumab
Secukinumab 300 mg s.c., which consists of two injections with 150 mg prefilled syringes at weeks 0, 1, 2, 3, 4, 8, 12, 16, 20 and 24 (last injection is performed at week 24)
Behavioral: - Life-style intervention
A structured program to guide weight loss and increased physical activity
Contact a Trial Team
If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.
International Sites
Status
Withdrawn
Address
Novartis Investigative Site
Mannheim, Baden-Wuerttemberg, 68305
Status
Recruiting
Address
Novartis Investigative Site
Regensburg, Bavaria, 93053
Status
Completed
Address
Novartis Investigative Site
Magdeburg, Sachen Anhalt, 39120
Status
Recruiting
Address
Novartis Investigative Site
Andernach, , 56626
Status
Recruiting
Address
Novartis Investigative Site
Augsburg, , 86179
Status
Recruiting
Address
Novartis Investigative Site
Bad Soden, , 65812
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 10117
Status
Withdrawn
Address
Novartis Investigative Site
Berlin, , 10247
Status
Completed
Address
Novartis Investigative Site
Berlin, , 10783
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 10789
Status
Withdrawn
Address
Novartis Investigative Site
Berlin, , 12459
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13055
Status
Withdrawn
Address
Novartis Investigative Site
Berlin, , 13086
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13088
Status
Completed
Address
Novartis Investigative Site
Berlin, , 13125
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13187
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13353
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13507
Status
Recruiting
Address
Novartis Investigative Site
Berlin, , 13597
Status
Recruiting
Address
Novartis Investigative Site
Bielefeld, , 33647
Status
Recruiting
Address
Novartis Investigative Site
Bochum, , 44791
Status
Recruiting
Address
Novartis Investigative Site
Bochum, , 44793
Status
Recruiting
Address
Novartis Investigative Site
Bonn, , 53105
Status
Recruiting
Address
Novartis Investigative Site
Bramsche, , 49565
Status
Recruiting
Address
Novartis Investigative Site
Braunschweig, , 38100
Status
Completed
Address
Novartis Investigative Site
Darmstadt, , 64283
Status
Recruiting
Address
Novartis Investigative Site
Darmstadt, , 64283
Status
Completed
Address
Novartis Investigative Site
Detmold, , 32756
Status
Recruiting
Address
Novartis Investigative Site
Dresden, , 01097
Status
Recruiting
Address
Novartis Investigative Site
Dresden, , 01307
Status
Recruiting
Address
Novartis Investigative Site
Duesseldorf, , 40212
Status
Recruiting
Address
Novartis Investigative Site
Duesseldorf, , 40225
Status
Recruiting
Address
Novartis Investigative Site
Erlangen, , 91054
Status
Recruiting
Address
Novartis Investigative Site
Falkensee, , 14612
Status
Recruiting
Address
Novartis Investigative Site
Frankfurt, , 60590
Status
Recruiting
Address
Novartis Investigative Site
Freiburg, , 79098
Status
Recruiting
Address
Novartis Investigative Site
Friedrichshafen, , 88045
Status
Recruiting
Address
Novartis Investigative Site
Gera, , 07548
Status
Recruiting
Address
Novartis Investigative Site
Gottingen, , 37075
Status
Recruiting
Address
Novartis Investigative Site
Greifswald, , 17475
Status
Recruiting
Address
Novartis Investigative Site
Hagen, , 58095
Status
Recruiting
Address
Novartis Investigative Site
Halle (Saale), , 06108
Status
Withdrawn
Address
Novartis Investigative Site
Hamburg, , 20354
Status
Recruiting
Address
Novartis Investigative Site
Hamburg, , 22303
Status
Recruiting
Address
Novartis Investigative Site
Hamburg, , 22391
Status
Recruiting
Address
Novartis Investigative Site
Hanau, , 63450
Status
Recruiting
Address
Novartis Investigative Site
Hannover, , 30625
Status
Completed
Address
Novartis Investigative Site
Ibbenbueren, , 49477
Status
Recruiting
Address
Novartis Investigative Site
Kiel, , 24105
Status
Withdrawn
Address
Novartis Investigative Site
Koeln, , 50674
Status
Recruiting
Address
Novartis Investigative Site
Koeln, , 50937
Status
Recruiting
Address
Novartis Investigative Site
Langenau, , 89129
Status
Recruiting
Address
Novartis Investigative Site
Leipzig, , 04103
Status
Recruiting
Address
Novartis Investigative Site
Leipzig, , 04105
Status
Recruiting
Address
Novartis Investigative Site
Lingen, , 49809
Status
Recruiting
Address
Novartis Investigative Site
Loehne, , 32584
Status
Completed
Address
Novartis Investigative Site
Luedenscheid, , 58515
Status
Recruiting
Address
Novartis Investigative Site
Magdeburg, , 39104
Status
Withdrawn
Address
Novartis Investigative Site
Mainz, , 55128
Status
Recruiting
Address
Novartis Investigative Site
Mainz, , 55131
Status
Recruiting
Address
Novartis Investigative Site
Memmingen, , 87700
Status
Recruiting
Address
Novartis Investigative Site
Moenchengladbach, , 41061
Status
Recruiting
Address
Novartis Investigative Site
Muenchen, , 80377
Status
Recruiting
Address
Novartis Investigative Site
Muenchen, , 81377
Status
Recruiting
Address
Novartis Investigative Site
Muenster, , 48149
Status
Active, not recruiting
Address
Novartis Investigative Site
München, , 80469
Status
Withdrawn
Address
Novartis Investigative Site
Neu-Ulm, , 89231
Status
Recruiting
Address
Novartis Investigative Site
Oberhausen, , 46147
Status
Recruiting
Address
Novartis Investigative Site
Oldenburg, , 26133
Status
Recruiting
Address
Novartis Investigative Site
Osnabrueck, , 49074
Status
Withdrawn
Address
Novartis Investigative Site
Osnabrueck, , 49078
Status
Completed
Address
Novartis Investigative Site
Plauen, , 08529
Status
Recruiting
Address
Novartis Investigative Site
Pommelsbrunn, , 91224
Status
Recruiting
Address
Novartis Investigative Site
Potsdam, , 14467
Status
Recruiting
Address
Novartis Investigative Site
Quedlinburg, , 06484
Status
Recruiting
Address
Novartis Investigative Site
Remscheid, , 42897
Status
Recruiting
Address
Novartis Investigative Site
Seligenstadt, , 63500
Status
Recruiting
Address
Novartis Investigative Site
Selters, , 56242
Status
Recruiting
Address
Novartis Investigative Site
Simmern, , 55469
Status
Recruiting
Address
Novartis Investigative Site
Soest, , 59494
Status
Withdrawn
Address
Novartis Investigative Site
Stade, , 21682
Status
Recruiting
Address
Novartis Investigative Site
Stuttgart, , 70178
Status
Recruiting
Address
Novartis Investigative Site
Ulm, , 89081
Status
Recruiting
Address
Novartis Investigative Site
Vechta, , 49377
Status
Withdrawn
Address
Novartis Investigative Site
Wiesbaden, , 65199
Status
Completed
Address
Novartis Investigative Site
Wuppertal, , 42105
Status
Recruiting
Address
Novartis Investigative Site
Wuppertal, , 42349