Study of Efficacy and Safety and of AIN457/Secukinumab in Patients With Rotator Cuff Tendinopathy

• Status: Not yet recruiting
• Trial end date: 2024-12-31
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study is to investigate the efficacy and safety of AIN457 (secukinumab s.c.) compared to placebo in adult patients with moderate to severe rotator cuff tendinopathy and failure to conventional therapy.

• The study duration will be 24 weeks.

• The treatment duration will 12 weeks with 12 weeks follow-up.

• The visit frequency will be weekly until visit 7 and 4-weekly until end of treatment and 4 follow-up visits.

• Phase: Phase 3
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Novartis Pharmaceuticals

Criteria

Inclusion Criteria:

1. Signed informed consent must be obtained prior to participation in the study.

2. Males and non-pregnant, non-nursing females between 18 and 65 years of age

3. Rotator cuff tendinopathy (unilateral) with positive "Painful Arc Test" on examination

4. Symptoms present for at least 6 weeks but not more than 6 months at Baseline

5. Moderate to severe rotator cuff tendinopathy demonstrated by all of the following criteria:

1. WORC score ≤ 40 at Baseline

2. NRS pain score ≥ 5 at Baseline and at least 3 days of the past 7 days prior to Baseline

3. Nocturnal pain at least 4 out of past 7 days in the week prior to Baseline

6. Failure to at least 8 weeks of conventional therapy prior to Baseline: inadequate response to NSAIDs and/or paracetamol and physiotherapy; or intolerance to NSAIDs and/or paracetamol

Exclusion Criteria:

1. Greater than 50% partial thickness tear as established by MRI or ultrasound during assessment in Run-in phase

2. Patients who are expected to require glucocorticoid treatment throughout the trial duration at Baseline (e.g., systemic, intramuscular, local injections in shoulder)

3. Previous surgery, or plans for surgery, during the study period, in the affected shoulder

4. Rheumatologic and chronic inflammatory diseases, including but not limited to inflammatory bowel disease, polymyalgia rheumatica (PMR), PsA, axSpA and rheumatoid arthritis (RA), fibromyalgia or severe pain disorder unrelated to the target shoulder

5. Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies positive at Screening

6. History of adhesive capsulitis/frozen shoulder or calcification in the tendon (in affected or contralateral shoulder) confirmed clinically or by medical imaging

7. Symptomatic osteoarthritis of the shoulder (glenohumeral, acromioclavicular) in affected or contralateral shoulder confirmed by medical imaging

8. Patients with traumatic rupture that would be considered eligible for surgery for repair of cuff tear.

9. Neurological conditions including but not limited to cervical radiculopathy, which in the opinion of the investigator may explain the patient's symptoms

10. Any intra-articular/subacromial glucocorticoid treatment within 12 weeks prior to Baseline or more than 2 injections for the current tendinopathy.

11. Any oral, intramuscular or i.v. glucocorticoid treatment 12 weeks prior to Baseline or during the current tendinopathy, whichever takes longer

12. Previous platelet rich plasma (PRP) injections or fluroquinolone/quinolone antibiotics within 12 weeks prior to Baseline or during the current tendinopathy, whichever takes longer

13. Neuromuscular or primary/secondary muscular deficiency which limits the ability to perform functional measurement (e.g., shoulder strength test)

14. Previous hyaluronic injections within 12 weeks prior to Baseline or during the current tendinopathy, whichever takes longer