Methods of treating non-radiographic axial spondyloarthritis using interleukin-17 (IL-17) antagonists
A spinal arthritis and radiology technology, applied in chemical instruments and methods, anti-inflammatory agents, antibody medical components, etc., can solve problems such as failure to prevent joint structure damage
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Embodiment 1
[0129] Example 1: Proof of Concept AS Trial CAIN457A2209
Embodiment 11
[0130] Example 1.1 - Study Design CAIN457A2209
[0131] This is the treatment of patients diagnosed with moderate to severe AS, previously treated or A two-part multicenter proof-of-concept study in patients undergoing TNF antagonist therapy. In Part 1, 30 patients received secukinumab 10 mg / kg or placebo 4:1. In Part 2, an additional 30 patients received secukinumab 0.1 mg / kg, 1.0 mg / kg, or 10 mg / kg in a 2:2:1 ratio. The study included a 28-day screening period, a 3-week treatment period, and a 25-week follow-up period. Subjects who met the inclusion / exclusion criteria at screening were evaluated at baseline, including ASAS core set domain (1-6) (Zochling et al. (2006) Ann Rheum Dis 65:442-452), BASMI score, BASDAI score A full evaluation with a physician. The primary endpoint of this trial is the proportion of patients achieving an ASAS20 response at week 6.
[0132] Patients meeting the revised New York criteria for diagnosis of AS with moderate to severe AS and diseas...
Embodiment 12
[0165] Example 1.2 - Secukinumab Shows Good Safety and Efficacy in the Treatment of Active Ankylosing Spondylitis
[0166] Demographics and baseline characteristics were comparable between groups. The mean (SD) BASDAI at baseline was 7.1 (1.4) for secukinumab-treated patients and 7.2 (1.8) for placebo-treated patients. Three patients in the placebo group and two patients in the secukinumab group discontinued the study before the primary endpoint, mainly because of unsatisfactory treatment effects. Efficacy data were not available for 1 patient because of a protocol violation after randomization. At week 6, 14 / 23 secukinumab-treated patients entering the efficacy analysis achieved an ASAS20 response compared to 1 / 6 placebo-treated patients (61% vs. 17%, positive treatment difference probability of 99.8%, 95% confidence interval 11.5%, 56.3%) (Table 3).
[0167]
[0168] Table 3: Week 6 results of trial CAIN457A2209
[0169] Patients treated with secukinumab had ASAS40 an...
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