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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

30 days

Results posted on

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

Participant milestones
Measure
ACZ885N
Canakinumab
Overall Study
STARTED
8
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

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

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 days

Population: 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

Outcome measures
Measure
ACZ885N
n=8 Participants
Canakinumab
Number of Participants With Attacks
0 Participants

PRIMARY outcome

Timeframe: 30 days

Population: 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

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 days

Population: 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

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 days

Population: 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

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 days

Population: Randomized set

Number of the partcipants with ataxia. 3 participants from neurology clinic were evaluated.

Outcome measures

Outcome measures
Measure
ACZ885N
n=3 Participants
Canakinumab
Ataxia
1 Participants

PRIMARY outcome

Timeframe: 30 days

Population: 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

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 days

Population: randomized set

Mean CRP (C-reactive protein) value (8 participants)

Outcome measures

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 days

Population: randomized set

Mean erythrocyte sedimentation rate (ESR) value (8 participants)

Outcome measures

Outcome measures
Measure
ACZ885N
n=8 Participants
Canakinumab
Erythrocyte Sedimentation Rate (ESR)
17.5 mm/H
Standard Deviation 12.77

PRIMARY outcome

Timeframe: 30 days

Population: randomized set

Mean Serum Amyloid A value (8 participants)

Outcome measures

Outcome measures
Measure
ACZ885N
n=8 Participants
Canakinumab
SAA (Serum Amyloid A)
78.66 mg/L
Standard Deviation 108.17

PRIMARY outcome

Timeframe: 30 days

Population: randomized set

The number of the participants with hemoptysis

Outcome measures

Outcome measures
Measure
ACZ885N
n=8 Participants
Canakinumab
Hemoptysis
1 Participants

PRIMARY outcome

Timeframe: 30 days

Population: 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

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 days

Population: 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

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 days

Population: 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

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 days

Population: 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

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 days

Population: 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

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 days

Population: randomized set

Mean steroid treatment dose (8 participants)

Outcome measures

Outcome measures
Measure
ACZ885N
n=8 Participants
Canakinumab
Steroid Dose Regimen
9.5 mg/day
Standard Deviation 2.73

PRIMARY outcome

Timeframe: 30 days

Population: 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

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 days

Population: 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

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 events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Study Director

Novartis Pharmaceuticals

Phone: +1 (862) 778-8300

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