New drug shows promise for back pain from ankylosing spondylitis
NCT ID NCT03928743
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called bimekizumab in 332 adults with active ankylosing spondylitis, a type of arthritis that causes back pain and stiffness. Participants received either the drug or a placebo injection. The goal was to see if the drug could reduce symptoms like pain and inflammation. Results showed that more people on bimekizumab had significant improvement at 16 weeks compared to placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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332 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Aug 2022
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female patients at least 18 years of age * Subject has ankylosing spondylitis (AS) as per the Modified New York (mNY) criteria with documented radiologic evidence, and at least 3 months of symptoms with age at symptom onset less than 45 years * Subjects has moderate-to-severe active disease defined by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) \>=4 AND spinal pain \>=4 on a 0 to 10 Numeric Rating Scale * Subjects had to have either failed to respond to 2 different nonsteroidal anti-inflammatory drugs (NSAIDs) given at the maximum tolerated dose for a total of 4 weeks or have a history of intolerance to or a contraindication to NSAID therapy * Patients who have taken a tumor necrosis factor alpha (TNFα) inhibitor must have experienced an inadequate response or intolerance to treatment given at an approved dose for at least 12 weeks * Patients currently taking NSAIDs, cyclooxygenase 2 (COX-2) inhibitors, analgesics, corticosteroids, methotrexate (MTX), leflunomide (LEF), sulfasalazine (SSZ), hydroxychloroquine (HCQ) AND/OR apremilast can be allowed if they fulfill specific requirements prior to study entry Exclusion Criteria: * Total ankylosis of the spine * Treatment with more than 1 TNFα inhibitor and/or more than 2 additional non-TNFα biological response modifiers, or any interleukin (IL)-17 biological response modifier at any time are excluded * Active infection or history of recent serious infections * Viral hepatitis B or C or human immunodeficiency virus (HIV) infection * Any live (includes attenuated) vaccination within the 8 weeks prior to entering the study or TB (Bacillus Calmette-Guerin) vaccination within 1 year prior entering the study * Known tuberculosis (TB) infection, at high risk of acquiring TB infection, or current or history of nontuberculous mycobacterium (NTMB) infection * Subject has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma or in situ cervical cancer * Diagnosis of inflammatory conditions other than AxSpA, eg, rheumatoid arthritis. Patients with a diagnosis of Crohn's disease, ulcerative colitis, or other inflammatory bowel disease (IBD) are allowed as long as they have no active symptomatic disease when entering the study. * Presence of active suicidal ideation, or moderately severe major depression or severe major depression * Female patients who are breastfeeding, pregnant, or planning to become pregnant during the study * Subject has a history of chronic alcohol or drug abuse within 6 months prior to Screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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As0011 20018
Shanghai, China
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As0011 20019
Guangzhou, China
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As0011 20020
Shanghai, China
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As0011 20021
Chengdu, China
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As0011 20024
Nanjing, China
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As0011 20025
Wenzhou, China
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As0011 20026
Shanghai, China
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As0011 20030
Chūōku, Japan
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As0011 20031
Sapporo, Japan
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As0011 20032
Suita, Japan
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As0011 20034
Hefei, China
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As0011 20035
Tokyo, Japan
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As0011 20037
Osaka, Japan
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As0011 20040
Beijing, China
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As0011 20042
Sasebo, Japan
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As0011 20045
Kita-gun, Japan
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As0011 20047
Himeji-shi, Japan
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As0011 20048
Saitama, Japan
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As0011 20065
Kitakyushu, Japan
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As0011 20084
Saga, Japan
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As0011 40001
Ghent, Belgium
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As0011 40003
Genk, Belgium
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As0011 40004
Brussels, Belgium
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As0011 40005
Sofia, Bulgaria
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As0011 40006
Plovdiv, Bulgaria
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As0011 40007
Plovdiv, Bulgaria
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As0011 40008
Sofia, Bulgaria
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As0011 40009
Pardubice, Czechia
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As0011 40010
Uherské Hradiště, Czechia
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As0011 40011
Brno, Czechia
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As0011 40012
Zlín, Czechia
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As0011 40013
Prague, Czechia
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As0011 40014
Prague, Czechia
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As0011 40015
Prague, Czechia
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As0011 40016
Prague, Czechia
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As0011 40018
Boulogne-Billancourt, France
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As0011 40022
Limoges, France
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As0011 40024
Hanover, Germany
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As0011 40025
Berlin, Germany
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As0011 40026
Ratingen, Germany
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As0011 40027
Herne, Germany
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As0011 40028
Berlin, Germany
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As0011 40029
Hamburg, Germany
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As0011 40031
Szeged, Hungary
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As0011 40032
Debrecen, Hungary
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As0011 40033
Székesfehérvár, Hungary
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As0011 40034
Amsterdam, Netherlands
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As0011 40037
Lublin, Poland
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As0011 40038
Elblag, Poland
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As0011 40039
Wroclaw, Poland
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As0011 40040
Torun, Poland
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As0011 40041
Warsaw, Poland
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As0011 40042
Krakow, Poland
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As0011 40043
Wroclaw, Poland
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As0011 40044
Poznan, Poland
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As0011 40045
A Coruña, Spain
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As0011 40046
Córdoba, Spain
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As0011 40047
Madrid, Spain
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As0011 40048
Santiago de Compostela, Spain
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As0011 40049
Seville, Spain
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As0011 40050
Istanbul, Turkey (Türkiye)
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As0011 40052
Ankara, Turkey (Türkiye)
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As0011 40053
Ankara, Turkey (Türkiye)
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As0011 40054
London, United Kingdom
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As0011 40055
Norwich, United Kingdom
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As0011 40056
Leeds, United Kingdom
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As0011 40057
Edinburgh, United Kingdom
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As0011 40078
Leipzig, Germany
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As0011 40080
Szombathely, Hungary
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As0011 50001
Jackson, Tennessee, 38305, United States
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As0011 50012
Memphis, Tennessee, 38119, United States
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As0011 50015
Hagerstown, Maryland, 21740, United States
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As0011 50016
St Louis, Missouri, 63141, United States
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As0011 50020
Duncansville, Pennsylvania, 16635, United States
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As0011 50036
Mesquite, Texas, 75150, United States
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As0011 50052
Phoenix, Arizona, 85032, United States
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As0011 50054
Oklahoma City, Oklahoma, 73103, United States
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As0011 50056
Sarasota, Florida, 34239, United States
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As0011 50057
Dallas, Texas, 75231, United States
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As0011 50058
Phoenix, Arizona, 85037, United States
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As0011 50060
Upland, California, 91786, United States
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As0011 50062
Sun City, Arizona, 85351, United States
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As0011 50131
Mesa, Arizona, 85210, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can taekwondo kicks ease ankylosing spondylitis?
- Do rheumatic diseases quietly damage the Eye's oil glands?
- Could a gut microbiome transplant ease axial spondyloarthritis?
- Could a simple protein test unlock the secrets of joint disease?
- Can a biologic drug safely tame Back-Joint inflammation? a Real-World trial investigates
- New antibody aims to calm ankylosing spondylitis