Trial Outcomes & Findings for 1 Year of Treatment With Canakinumab in Behçet's Disease Patients With Neurologic or Vascular Involvement (NCT NCT02756650)
NCT ID: NCT02756650
Last Updated: 2020-06-11
Results Overview
Resolution of acute exacerbation findings related to Behçet's Disease (BD). The attacks were assessed by pyhsician global assesment. For patients with parenchymal neurologic disease: Resolution of acute exacerbation of parenchymal neurologic findings based on improvements in any of the following items without deterioration on Day 30 This was an exploratory trial that was not powered for a statistical analysis.
COMPLETED
PHASE2
8 participants
30 days
2020-06-11
Participant Flow
8 subjects enrolled 5 subjects were evaluated in Rheumatology clinic. 3 subjects were evaluated in Neurology clinic.
Ten patients were planned to be enrolled. Nine patients were screened. Eight patients were enrolled. Six patients completed the study. One patient was dropped out in the 7th visit because of an unknown drug abuse. One patient was dropped out in the 11th visit because of adverse event, worsening in pulmonary artery aneurysm.
Participant milestones
| Measure |
ACZ885N
Canakinumab
|
|---|---|
|
Overall Study
STARTED
|
8
|
|
Overall Study
COMPLETED
|
6
|
|
Overall Study
NOT COMPLETED
|
2
|
Reasons for withdrawal
| Measure |
ACZ885N
Canakinumab
|
|---|---|
|
Overall Study
Physician Decision
|
1
|
|
Overall Study
Adverse Event
|
1
|
Baseline Characteristics
1 Year of Treatment With Canakinumab in Behçet's Disease Patients With Neurologic or Vascular Involvement
Baseline characteristics by cohort
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Age, Continuous
|
27.25 years
STANDARD_DEVIATION 2.320 • n=39 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=39 Participants
|
|
Sex: Female, Male
Male
|
8 Participants
n=39 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
White
|
8 Participants
n=39 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=39 Participants
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Intent-to-Treat (ITT) population: all 8 subjects who took at least one dose of study medication
Resolution of acute exacerbation findings related to Behçet's Disease (BD). The attacks were assessed by pyhsician global assesment. For patients with parenchymal neurologic disease: Resolution of acute exacerbation of parenchymal neurologic findings based on improvements in any of the following items without deterioration on Day 30 This was an exploratory trial that was not powered for a statistical analysis.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Number of Participants With Attacks
|
0 Participants
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Behçet's Disease set
The Expanded Disability Status Scale (EDSS) is a method of quantifying disability in multiple sclerosis and monitoring changes in the level of disability over time. It is widely used in clinical trials and in the assessment of people with MS. Scale range is between 0-10 with 10 being most disability. Mean score of 3 participants who were evaluated in Neurology clinic. Other 5 participants were not evaluated for EDSS.
Outcome measures
| Measure |
ACZ885N
n=3 Participants
Canakinumab
|
|---|---|
|
Modified Expanded Disability Status Scale (EDSS)
|
1.16 scores on a scale
Standard Deviation 2.02
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Behçet's disease set
Neuro-Behçet's disability score (NBDS) has been proposed for parenchymal-NBD patients to quantify disabilities. This comprises scores for motor and cognitive status. NBDS is the arithmetic sum of both scores and ranges from 0 to 8, with 8 being death due to NBD. 3 neurologic participants were evaluated.
Outcome measures
| Measure |
ACZ885N
n=3 Participants
Canakinumab
|
|---|---|
|
Neuro-Behçet's Disability Score (NBDS)
|
0.66 scores on a scale
Standard Deviation 1.15
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Behçet's disease set
Mean Modified Rankin Scale (mRS): mRS is a scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. Scores range from 0-5 with 5 being the worst outcome. Only 3 participants from neurology clinic were evaluated with this scale.
Outcome measures
| Measure |
ACZ885N
n=3 Participants
Canakinumab
|
|---|---|
|
Modified Ranking Score (mRS)
|
0.66 scores on a scale
Standard Deviation 1.15
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Randomized set
Number of the partcipants with ataxia. 3 participants from neurology clinic were evaluated.
Outcome measures
| Measure |
ACZ885N
n=3 Participants
Canakinumab
|
|---|---|
|
Ataxia
|
1 Participants
|
PRIMARY outcome
Timeframe: 30 daysPopulation: Behçet's disease set
All 4 extremties were evaluated for muscle strength (upper right, upper left, lower right and lower left) fro each patient. Score 0 is the worst outcome whereas 5 is the best outcome for muscle strength. 3 participants from neurology clinic were assessed.
Outcome measures
| Measure |
ACZ885N
n=3 Participants
Canakinumab
|
|---|---|
|
Physical Examination Scores Indicating Change in Muscle Strength
Upper right extremity
|
5.0 scores on a scale
Standard Deviation 0
|
|
Physical Examination Scores Indicating Change in Muscle Strength
Lower right extremity
|
5.0 scores on a scale
Standard Deviation 0
|
|
Physical Examination Scores Indicating Change in Muscle Strength
Upper left extremity
|
4.7 scores on a scale
Standard Deviation 0.57
|
|
Physical Examination Scores Indicating Change in Muscle Strength
Lower left extremity
|
5.0 scores on a scale
Standard Deviation 0
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Mean CRP (C-reactive protein) value (8 participants)
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
C-reactive Protein (CRP) Values
|
14.58 mg/L
Standard Deviation 20.26
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Mean erythrocyte sedimentation rate (ESR) value (8 participants)
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Erythrocyte Sedimentation Rate (ESR)
|
17.5 mm/H
Standard Deviation 12.77
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Mean Serum Amyloid A value (8 participants)
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
SAA (Serum Amyloid A)
|
78.66 mg/L
Standard Deviation 108.17
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
The number of the participants with hemoptysis
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Hemoptysis
|
1 Participants
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Headache intensity was measured by VAS where score 0 means "no pain," and score 10 means "the worst pain''. Physician and participant determined the VAS score separately.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Visual Analogue Scores (VAS) for Headache
VAS by participants
|
0.27 average of scores on a scale
Standard Deviation 0.32
|
|
Visual Analogue Scores (VAS) for Headache
VAS by Physicians
|
0.2 average of scores on a scale
Standard Deviation 0.18
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Stomacheache intensity was measured by VAS where score 0 means "no pain," and score 10 means "the worst pain''. VAS is determined separately by physician and the participants.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Visual Analogue Scores (VAS) for Stomachache
VAS by participants
|
0.27 average of scores on a scale
Standard Deviation 0.32
|
|
Visual Analogue Scores (VAS) for Stomachache
VAS by physicians
|
0.18 average of scores on a scale
Standard Deviation 0.17
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Extremity assessments were measured by VAS where score 0 means "no pain," and score 10 means "the worst possible pain''. The physicians and participants evaluated VAS separately.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Visual Analogue Scores (VAS) for Extremity Assessments
VAS by participants
|
1.07 average of scores on a scale
Standard Deviation 1.13
|
|
Visual Analogue Scores (VAS) for Extremity Assessments
VAS by physicians
|
0.87 average of scores on a scale
Standard Deviation 0.98
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Participants assessed their own well-being with VAS (visual analogue scale). Score 0 means the best outcome, score 10 is the worst outcome.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Visual Analogue Scores (VAS) for Patients' General Assessments
|
1.72 scores on a scale
Standard Deviation 1.36
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Physician's General Assessments is VAS scale, ranging between 0-5, showing the disease status of participants. Score 0 is the worst outcome; 5 is the best outcome
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Physician's Global Assessment
|
3.75 scores on a scale
Standard Deviation 0.46
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Mean steroid treatment dose (8 participants)
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Steroid Dose Regimen
|
9.5 mg/day
Standard Deviation 2.73
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
BDCAF is an assessment that is made by physician for evaluating the disease activity in last four weeks. Score range is 0 to 12, 0 is the best outcome, 12 is the worst outcome.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
BDCAF (Behçet's Disease Current Activity Form)
|
1.62 scores
Standard Deviation 1.5
|
PRIMARY outcome
Timeframe: 30 daysPopulation: randomized set
Localized pain in the extremities were assessed by visual analogue scale scores ranging between Scale; 0 is the best outcome; 10 is worst.
Outcome measures
| Measure |
ACZ885N
n=8 Participants
Canakinumab
|
|---|---|
|
Extremity (Localized) Pain Assessment (VAS)
|
1.28 scores on a scale
Standard Deviation 1.22
|
Adverse Events
ACZ885N
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
ACZ885N
n=8 participants at risk
Canakinumab
|
|---|---|
|
Nervous system disorders
Tension headache
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Renal and urinary disorders
Haematuria
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Renal and urinary disorders
Nephrolithiasis
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Reproductive system and breast disorders
Genital ulceration
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Reproductive system and breast disorders
Testicular swelling
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Respiratory, thoracic and mediastinal disorders
Haemoptysis
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary artery aneurysm
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Skin and subcutaneous tissue disorders
Acne
|
25.0%
2/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Ear and labyrinth disorders
Middle ear inflammation
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Eye disorders
Swelling of eyelid
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Gastrointestinal disorders
Abdominal pain upper
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Gastrointestinal disorders
Aphthous ulcer
|
87.5%
7/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Gastrointestinal disorders
Gastrooesophageal reflux disease
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Folliculitis
|
37.5%
3/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Influenza
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Pilonidal cyst
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Rash pustular
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Rhinitis
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Infections and infestations
Tonsillitis
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Investigations
Alanine aminotransferase increased
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Investigations
Aspartate aminotransferase increased
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Investigations
Hepatic enzyme increased
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Nervous system disorders
Headache
|
25.0%
2/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Nervous system disorders
Nystagmus
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Skin and subcutaneous tissue disorders
Erythema nodosum
|
12.5%
1/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
|
Vascular disorders
Thrombophlebitis superficial
|
37.5%
3/8 • Adverse events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment
An AE is any sign or symptom that occurs during the study treatment plus the # days post treatment
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial
- Publication restrictions are in place
Restriction type: OTHER