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secukinumab Q4W

Phase 2

Lichen Planus: Cutaneous Lichen Planus, Mucosal Lichen Planus and Lichen Planopilaris | Small molecule | Other |Novartis AG|Last Updated: Aug 22, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment111
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04300296PoC Study to Evaluate the Efficacy and Safety of Secukinumab 300 mg in Patients With Lichen PlanusPHASE2 COMPLETED 111Jul 27, 2020May 3, 2022Aug 22, 202335 United States, France +1
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Study Endpoints
Primary Endpoints
Response Rate of Investigator Global Assessment (IGA) Score of 2 or Lower at Week 16 for CLP, MLP and LPP
Baseline up to week 16

Number of treatment responders at week 16, where response is defined as an Investigator's Global Assessment (IGA) score of 2 or lower at Week 16. IGA is measured on a scale from 0 - 4 with 0 = Clear, 1 = Minimal; 2 = Mild; 3 = Moderate; and 4 = Severe with 0 being best score and 4 being worst score. CLP=Cutaneous lichen planus, MLP=Mucosal lichen planus, LPP=Lichen planopilaris. Posterior median and 95% credible interval (instead of 95% confidence interval) were derived using Bayesian method based on beta-binomial model.

Secondary Endpoints
Number (%) of Subjects With IGA ≤ 2 Response, IGA ≥2 Points Improvement Response, and IGA 0 or 1 Response by Visit - CLP Cohort (BOCF)- Entire Treatment Period (FAS)
Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, and 32
Number (%) of Subjects With IGA ≤ 2 Response, IGA ≥2 Points Improvement Response, and IGA 0 or 1 Response by Visit - MLP Cohort (BOCF)- Entire Treatment Period (FAS)
Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, and 32
Number (%) of Subjects With IGA ≤ 2 Response, IGA ≥2 Points Improvement Response, and IGA 0 or 1 Response by Visit - LPP Cohort (BOCF)- Entire Treatment Period (FAS)
Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, and 32
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cutaneous lichen planus secukinumab 300mg Q4WEXPERIMENTALSecukinumab 300 mg every 4 weeks provided in pre-filled syringe in cutaneous lichen planus patients
Cutaneous lichen planus placeboPLACEBO_COMPARATORPlacebo in 1ml PFS in cutaneous lichen patients
Mucosal lichen planus secukinumab 300 mg Q4WEXPERIMENTALSecukinumab 300 mg every 4 weeks provided in pre-filled syringe in mucosal lichen planus patients.
Mucosal lichen planus placeboPLACEBO_COMPARATORPlacebo 1 ml PFS in mucosal lichen planus patients
Lichen planopilaris secukinumab 300 mg Q4WEXPERIMENTALSecukinumab 300 mg every 4weeks provided in pre-filled syringe in lichen planopilaris patients.
Lichen planopilaris placeboPLACEBO_COMPARATORPlacebo in 1ml PFS in lichen planopilaris patients
Cutaneous lichen planus placebo to secukinumab 300 mg Q2WEXPERIMENTALNon responder patients on placebo in TP 1 received secukinumab 300 mg Q2W in TP 2
Mucosal lichen planus placebo to secukinumab 300 mg Q2WEXPERIMENTALNon responder patients on placebo in TP 1 received secukinumab 300 mg Q2W in TP 2
Lichen planopilaris placebo to secukinumab 300 mg Q2WEXPERIMENTALNon responder patients on placebo in TP 1 received secukinumab 300 mg Q2W in TP 2
Interventions
NameTypeDescription
secukinumab 300 mg Q4WDRUGsecukinumab 300 mg administered every four weeks (Q4W) via a pre-filled syringe.
secukinumab 300 mg Q2WDRUGsecukinumab 300 mg administered every two weeks (Q2W) via a pre-filled syringe.
PlaceboOTHERMatching placebo administered via a pre-filled syringe
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites35

Inclusion Criteria: 1. Written informed consent must be obtained before any assessment is performed. 2. Female and male patients ≥ 18 years of age. 3. Subjects must have biopsy-confirmed forms of cutaneous lichen planus (CLP), mucosal lichen planus (MLP), or active lichen planopilaris (LPP) eligibl...

Countries:United StatesFranceGermany
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