Evidence map›Paper›PMID 30590813›Full record

Trial reportRheumatology (Oxford, England)2019

Secukinumab shows sustained efficacy and low structural progression in ankylosing spondylitis: 4-year results from the MEASURE 1 study.

Jürgen Braun, Xenofon Baraliakos, Atul Deodhar, Denis Poddubnyy, Paul Emery, Eumorphia M Delicha, Zsolt Talloczy, Brian Porter

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Rheumatology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01863732 (An Extension Study to Evaluate the Sustainability of Clinical Benefits, Safety and Tolerability of Secukinumab in Patients With Active Ankylosing Spondylitis), which is not on this map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
15.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01863732 phase3completednot on this map

An Extension Study to Evaluate the Sustainability of Clinical Benefits, Safety and Tolerability of Secukinumab in Patients With Active Ankylosing Spondylitis

TypeinterventionalSponsorNovartis PharmaceuticalsRan2013 to 2018Enrolled274ConditionsSpondylitis, AnkylosingArmsSecukinumab, Placebo (Pbo)
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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  14. Year in Review: Axial Spondyloarthritis.Mediterranean journal of rheumatology · 2026
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Jürgen BraunRheumazentrum Ruhrgebiet, Herne and Ruhr-University Bochum, Germany.
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Herne and Ruhr-University Bochum, Germany.
Atul DeodharDivision of Arthritis & Rheumatic Diseases, Oregon Health & Science University, Portland, OR, USA.
Denis PoddubnyyDepartment of Rheumatology, Med. Department I, Benjamin Franklin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Paul EmeryLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Eumorphia M DelichaNovartis Pharma AG, Basel, Switzerland.
Zsolt TalloczyNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Brian PorterNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Novartis (United States) · USRuhr University Bochum · DECharité - Universitätsmedizin Berlin · DELeeds Teaching Hospitals NHS Trust · GBNovartis (Switzerland) · CHOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of secukinumab, a fully human anti-interleukin-17A monoclonal antibody, on efficacy, imaging outcomes, and safety through 4 years (208 weeks) in patients with ankylosing spondylitis.

methodsPatients opting to enrol had completed 2 years' treatment in the MEASURE 1 core study with subcutaneous secukinumab 150 or 75 mg every 4 weeks (q4Wk), following intravenous loading to Week (Wk) 4, or placebo treatment to Wk16/24. Up-titration from secukinumab 75-150 mg q4Wk was permitted following a protocol amendment. Efficacy is reported for patients originally randomized to secukinumab. Radiographic changes were assessed using the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) and changes in MRI measures of inflammation using the Berlin scoring method. Safety and tolerability were evaluated.

resultsAmong 274 extension study participants, 89.7% (78/87) and 93.0% (93/100) originally randomized to secukinumab 150 and 75 mg, respectively, completed 208Wk. Through Wk208, Assessment of Spondyloarthritis International Society 20/40 (observed) were 79.7%/60.8% (150 mg), 71.0%/43.5% (75 mg) and 80.0%/76% (up-titrators; n = 25). Mean (s.d.) changes in mSASSS were 1.2 (3.91) (150 mg), 1.8 (4.32) (75 mg) and 1.6 (5.67) (up-titrators). No radiographic progression (mSASSS change from Baseline < 2) was observed in 79% of patients receiving either secukinumab dose. Exposure-adjusted incidence rates per 100 patient-years were: serious infections (1.0), Candida infections (0.4), Crohn's disease (0.6), ulcerative colitis (0.2), and malignant/unspecified tumours (0.5), with no new safety signals.

conclusionThrough 4 years, secukinumab provided sustained efficacy on signs and symptoms, and MRI outcomes, a low rate of radiographic progression and a consistent safety profile.

trial registrationNCT01863732.

Indexed as

Administration, IntravenousAdultAgedAntibodies, Monoclonal, HumanizedAntirheumatic AgentsDisease ProgressionDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSpondylitis, AnkylosingTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic Agentssecukinumabankylosing spondylitisMEASURE 1radiographic progressionsecukinumab

Identifiers

PMID30590813
PMCPMC6477523
OpenAlexW2906474174

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.