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Novartis provides update on Phase III GCAptAIN study of Cosentyx速 in giant cell arteritis (GCA)

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Novartis (NYSE:NVS) announced that its Phase III GCAptAIN study of Cosentyx速 (secukinumab) in giant cell arteritis (GCA) did not meet its primary endpoint of sustained remission at Week 52. The study evaluated Cosentyx in combination with a 26-week steroid taper versus placebo with a 52-week steroid taper in adults with newly diagnosed or relapsing GCA.

While secondary outcomes showed numerically better results for cumulative steroid dose and steroid-related toxicity compared to placebo, they did not achieve statistical superiority. The safety profile remained consistent with Cosentyx's known safety data across approved indications. Novartis plans to conduct a full evaluation of the study data and share detailed results in the future.

Novartis (NYSE:NVS) ha annunciato che lo studio di Fase III GCAptAIN su Cosentyx速 (secukinumab) nella arterite a cellule giganti (GCA) non ha raggiunto l'endpoint primario di remissione sostenuta alla Settimana 52. Lo studio ha valutato Cosentyx in combinazione con una riduzione graduale del dosaggio di steroidi di 26 settimane rispetto al placebo con una riduzione graduale di 52 settimane in adulti con GCA di nuova diagnosi o in recidiva.

Gli esiti secondari hanno mostrato risultati numericamente migliori per la dose cumulativa di steroidi e la tossicit correlata agli steroidi rispetto al placebo, ma senza raggiungere una superiorit statistica. Il profilo di sicurezza 竪 rimasto coerente con i dati di sicurezza noti di Cosentyx nelle indicazioni approvate. Novartis prevede di effettuare una valutazione completa dei dati dello studio e di condividere i risultati dettagliati in futuro.

Novartis (NYSE:NVS) anunci坦 que su estudio de Fase III GCAptAIN con Cosentyx速 (secukinumab) en arteritis de c辿lulas gigantes (GCA) no alcanz坦 el objetivo principal de remisi坦n sostenida en la Semana 52. El estudio evalu坦 Cosentyx en combinaci坦n con una reducci坦n de esteroides durante 26 semanas frente a placebo con una reducci坦n de esteroides durante 52 semanas en adultos con GCA reci辿n diagnosticada o en reca鱈da.

Los resultados secundarios mostraron num辿ricamente mejores resultados para la dosis acumulativa de esteroides y la toxicidad relacionada con esteroides en comparaci坦n con el placebo, pero no lograron una superioridad estad鱈stica. El perfil de seguridad se mantuvo consistente con los datos de seguridad conocidos de Cosentyx en las indicaciones aprobadas. Novartis planea realizar una evaluaci坦n completa de los datos del estudio y compartir resultados detallados en el futuro.

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Novartis (NYSE:NVS) a annonc辿 que son 辿tude de phase III GCAptAIN sur Cosentyx速 (s辿cukinumab) dans l'art辿rite cellules g辿antes (GCA) n'a pas atteint son crit竪re principal d'efficacit辿, savoir une r辿mission soutenue la semaine 52. L'辿tude a 辿valu辿 Cosentyx en association avec une r辿duction progressive des st辿ro誰des sur 26 semaines versus placebo avec une r辿duction sur 52 semaines chez des adultes nouvellement diagnostiqu辿s ou en rechute de GCA.

Les r辿sultats secondaires ont montr辿 des tendances num辿riques en faveur d'une dose cumulative de st辿ro誰des plus faible et d'une toxicit辿 li辿e aux st辿ro誰des compar辿 au placebo, sans toutefois atteindre une sup辿riorit辿 statistique. Le profil de s辿curit辿 est rest辿 conforme aux donn辿es connues de Cosentyx dans ses indications approuv辿es. Novartis pr辿voit d'effectuer une analyse compl竪te des donn辿es de l'辿tude et de partager les r辿sultats d辿taill辿s l'avenir.

Novartis (NYSE:NVS) gab bekannt, dass die Phase-III-Studie GCAptAIN mit Cosentyx速 (Secukinumab) bei Riesenzellarteriitis (GCA) den prim辰ren Endpunkt einer anhaltenden Remission in Woche 52 nicht erreichte. Die Studie bewertete Cosentyx in Kombination mit einem 26-w旦chigen Steroid-Reduktionsschema gegen端ber Placebo mit einem 52-w旦chigen Steroid-Reduktionsschema bei Erwachsenen mit neu diagnostizierter oder rezidivierender GCA.

Sekund辰re Endpunkte zeigten numerisch bessere Ergebnisse hinsichtlich der kumulativen Steroiddosis und steroidbedingter Toxizit辰t im Vergleich zu Placebo, erreichten jedoch keine statistische Signifikanz. Das Sicherheitsprofil entsprach den bekannten Sicherheitsdaten von Cosentyx in zugelassenen Indikationen. Novartis plant eine umfassende Auswertung der Studiendaten und wird zuk端nftig detaillierte Ergebnisse ver旦ffentlichen.

Positive
  • Safety profile remained consistent with known Cosentyx data
  • Numerically better outcomes in steroid dose and toxicity versus placebo
Negative
  • Failed to meet primary endpoint of sustained remission at Week 52
  • Secondary outcomes did not achieve statistical superiority
  • Phase III results did not replicate positive Phase II outcomes
  • The GCAptAIN study did not meet its primary endpoint of sustained remission at Week 52 in adults with newly diagnosed or relapsing GCA1
  • Safety in GCA patients was consistent with known safety profile of Cosentyx (secukinumab)1

EAST HANOVER, N.J., July 3, 2025 /PRNewswire/ --油Novartis today announced top-line results from the Phase III GCAptAIN study evaluating Cosentyx (secukinumab) in adults with newly diagnosed or relapsing giant cell arteritis (GCA).

In the study, Cosentyx was evaluated in combination with a 26-week steroid taper and compared to placebo plus a 52-week steroid taper.油Cosentyx did not demonstrate a statistically significant improvement in sustained remission at Week 52 compared to placebo. While the secondary outcomes did not show statistical superiority, Cosentyx showed numerically better outcomes compared to placebo for cumulative steroid dose and steroid-related toxicity1. Safety in GCA was consistent with the known safety profile of Cosentyx1, which is supported by robust evidence and 10 years of real-world data across its approved indications2-7.

"While the Phase III results of GCAptAIN did not replicate the positive outcomes observed in the Phase II trial, we remain committed to continuing to drive scientific progress and deepening the understanding of immune-mediated diseases," said Shreeram Aradhye, M.D., President, Development and Chief Medical Officer, Novartis. "We are grateful to the patients, investigators, and teams who made this study possible and will continue focusing on addressing areas of unmet medical need."

Novartis will complete a full evaluation of the GCAptAIN data and share the results at a later date.

About GCAptAIN trial
The GCAptAIN trial (NCT04930094) is a global Phase III, multicenter, randomized, double-blind, placebo-controlled, parallel-group study conducted across 27 countries, evaluating the efficacy and safety of Cosentyx in patients with giant cell arteritis (GCA). Patients were randomized into three treatment arms: Cosentyx 300 mg, Cosentyx 150 mg, or placebo, all in combination with a glucocorticoid (GC) taper regimen. The primary endpoint of the trial is to assess whether secukinumab 300 mg s.c. plus a 26-week GC taper is superior to placebo plus a 52-week GC taper in achieving sustained remission at Week 52 and the first secondary endpoint is the cumulative GC dose through Week 528.

About Cosentyx (secukinumab)
Cosentyx is a fully human biologic that directly inhibits interleukin-17A, an important cytokine involved in the inflammation underlying multiple immune-mediated inflammatory diseases. It is approved for use in adults with psoriatic arthritis (PsA), moderate to severe plaque psoriasis (PsO), ankylosing spondylitis (AS), non-radiographic axial spondyloarthritis (nr-axSpA), and hidradenitis suppurativa (HS)9-11, as well as in pediatric patients with PsO, enthesitis-related arthritis (ERA), and juvenile psoriatic arthritis (JPsA)12,13.Cosentyx is supported by robust evidence and 10 years of real-world data demonstrating its long-term safety and sustained efficacy2-7. Since its launch in 2015, it has been used to treat more than 1.8 million patients worldwide and is now approved in over 100 countries2.

About giant cell arteritis (GCA)
Giant cell arteritis (GCA) is the most common form of systemic vasculitis, primarily affecting people over 50 years of age14-16. Because of its potential to cause irreversible vision loss and life-threatening aortic aneurysms, GCA is considered a medical emergency requiring prompt recognition and treatment17-19. Beyond its physical complications, GCA significantly impairs quality of life, contributing to fatigue, cognitive difficulties, and reduced independence20-22.油

Disclaimer
This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified by words such as "potential," "can," "will," "plan,"油"may," "could," "would,"油"expect," "anticipate," "look forward," "believe," "committed," "investigational," "pipeline," "launch," or similar terms, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this press release, or regarding potential future revenues from such products. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. In particular, our expectations regarding such products could be affected by, among other things, the uncertainties inherent in research and development, including clinical trial results and additional analysis of existing clinical data; regulatory actions or delays or government regulation generally; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; our ability to obtain or maintain proprietary intellectual property protection; the particular prescribing preferences of physicians and patients; general political, economic and business conditions, including the effects of and efforts to mitigate pandemic diseases; safety, quality, data integrity or manufacturing issues; potential or actual data security and data privacy breaches, or disruptions of our information technology systems, and other risks and factors referred to in Novartis AG's current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements contained in this press release as a result of new information, future events or otherwise.

About Novartis油
Novartis is an innovative medicines company. Every day, we work to reimagine medicine to improve and extend people's lives so that patients, healthcare professionals and societies are empowered in the face of serious disease. Our medicines reach nearly 300 million people worldwide.

Reimagine medicine with us: Visit us at 油温稼糸 油温稼糸 connect with us on ,油,油,油,油油温稼糸 .

References

  1. Novartis Data on File油
  2. Data on油file_Cosentyx WW LTD patients Q1'25
  3. Uta Kiltz et al. Secukinumab Retention and Effectiveness in Patients with PsA and Radiographic Axial Spondyloarthritis: 5-year Final Results of a Prospective AG寔繁郊圭-world Study. Abstract no:2344. ACR 2024 [Link]
  4. Ippoliti et al. Long-Term AG寔繁郊圭-World Safety Profile of Secukinumab Assessed Through a 9-Year Experience in Patients Affected by Psoriasis, Psoriatic Arthritis and Ankylosing Spondylitis: Results From a Multicentric Retrospective Study. Dermatologic Therapy. 2025. Article Number: 9618241 [Link]
  5. Mease油PJ, Kavanaugh油A, Reimold油A, Tahir油H, Rech油J, Hall油S, Geusens油P, Pascale油P, Delicha油EM, Pricop油L, Mpofu油S.油 "Secukinumab Provides Sustained Improvements in the Signs and Symptoms in Psoriatic Arthritis: Final 5Year Efficacy and Safety Results from a Phase 3 Trial". ACR/ARHP 2020 Annual Meeting Abstract. Presented in ACR Open Rheumatology (2020); CONCL�00511 (Secukinumab Provides Sustained Improvements in the Signs and Symptoms of Psoriatic Arthritis: Final 5-year Results from the Phase 3 FUTURE 1 Study - PubMed)
  6. McInnes油IB, Mease油PJ, Kivitz油AJ, Nash油P, Rahman油P, Rech油J, Conaghan油PG, Kirkham油B, Navarra油S, Belsare油AD, Delicha油EM, Pricop油L, Mpofu油S; FUTURE油2 Study Group.油 "Longterm efficacy and safety of secukinumab in patients with psoriatic arthritis: 5year (endofstudy) results from the phase III FUTURE油2 study." Lancet Rheumatology. 2020; 2(4):油e227e235. (Long-term efficacy and safety of secukinumab in patients with psoriatic arthritis: 5-year (end-of-study) results from the phase 3 FUTURE 2 study)
  7. Bissonnette R, Luger T, Tha巽i D, Toth D, Lacombe A, Xia S, Mazur R, Patekar M, Charef P, Milutinovic M, Leonardi C, Mrowietz U.Secukinumab demonstrates high sustained efficacy and a favourable safety profile in patients with moderate-to-severe psoriasis through 5 years of treatment (SCULPTURE Extension Study). J Eur Acad Dermatol Venereol. 2018 Sep;32(9):1507�1514. (Secukinumab demonstrates high sustained efficacy and a favourable safety profile in patients with moderate-to-severe psoriasis through 5 years of treatment (SCULPTURE Extension Study) - PubMed)
  8. ClinicalTrials.gov. NCT04930094. [Last accessed: May 2025].油
  9. Novartis Europharm Limited. Cosentyx速 (secukinumab): Summary of Product Characteristics. Available at: https://www.ema.europa.eu/en/documents/product-information/cosentyx-epar-product-information_en.pdf [Last accessed: May 2025].油
  10. Girolomoni G, Mrowietz U and Paul C. Psoriasis: rationale for targeting interleukin-17. Br J Dermatol 2012; 167: 717-724.油
  11. Novartis AG. 2022. shows clinically meaningful symptom improvements in patients with hidradenitis suppurativa in pivotal Phase III trials. [Press release]. Available at: [Last accessed: May 2025].油
  12. Novartis AG. 2021. Novartis Cosentyx速 receives FDA approval for the treatment of children and adolescents with enthesitis-related arthritis and psoriatic arthritis. [Press release]. Available at: [Last accessed: May 2025].油
  13. Novartis AG. 2022. Novartis Cosentyx速 (secukinumab) receives positive CHMP opinion for expanded use in childhood arthritic conditions. [Press release]. Available at: [Last accessed: May 2025].油油
  14. Gonz叩lez-Gay MA, Garc鱈a-Porr炭a C. Medicine (Baltimore). 1999;78(5):292-308.油油
  15. Li KJ,油et al. Arthritis Res Ther. 2021;23(1):82.油油
  16. Albrecht K, et al. Z Rheumatol. 2024;83(Suppl 1):20-30.油油油
  17. Chen油JJ, et al. Ophthalmology. 2016;123(9):1999-2003.油油
  18. Donaldson L, et al. Pract Neurol. 2022;22(2):138-140.油油
  19. Hayreh SS, et al. Am J Ophthalmol. 1998;125(4):509-520.油油
  20. de油Boysson H, et al. Front Med (Lausanne). 2021;8:777310.油油
  21. Robson JC, et al. Rheumatology (Oxford). 2021;60(10):4671-4680.油油
  22. Martins-Martinho J, et al. Rheumatol Adv Pract. 2024;8(1):rkae013

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FAQ

What were the results of Novartis (NVS) Phase III GCAptAIN trial for Cosentyx?

The trial did not meet its primary endpoint of sustained remission at Week 52 in giant cell arteritis (GCA) patients, and secondary outcomes did not show statistical superiority versus placebo.

How did Cosentyx perform in terms of safety in the GCAptAIN study?

The safety profile in GCA patients was consistent with the known safety profile of Cosentyx, supported by 10 years of real-world data across approved indications.

What was the study design of Novartis GCAptAIN Phase III trial?

The study evaluated Cosentyx with a 26-week steroid taper compared to placebo with a 52-week steroid taper in adults with newly diagnosed or relapsing giant cell arteritis.

What are the next steps for Novartis following the GCAptAIN study results?

Novartis will conduct a full evaluation of the GCAptAIN data and plans to share the detailed results at a later date.

Did Cosentyx show any positive outcomes in the Phase III GCAptAIN trial?

While not statistically significant, Cosentyx showed numerically better outcomes compared to placebo for cumulative steroid dose and steroid-related toxicity.
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