Secukinumab (9) – Cosentyx®

Hidradenitis suppurativa (Acne inversa)

Characteristics

Start date 15.06.2023 – Marketing authorisation: 26.05.2023
Resolution 07.12.2023
INN Secukinumab
Brand name Cosentyx®
Pharm. company Novartis Pharma GmbH
G-BA Procedure ID D-942
ATC code L04AC10 Interleukin inhibitors (L04AC)
ICD-10 codes (AIS) L73.2Hidradenitis suppurativa
Alpha-ID codes (AIS) I6373Hidradenitis suppurativa
Therapeutic area Skin diseases Hidradenitis suppurativa (Acne inversa)
Reason for procedure New therapeutic indication

Therapeutic indication of the resolution

Cosentyx is indicated for the treatment of adult patients with moderate to severe active hidradenitis suppurativa (acne inversa) who have had an inadequate response to conventional systemic HS therapy.

Subpopulation Indication Comparator
Adults with moderate to severe active hidradenitis suppurativa (HS) who do not respond adequately to conventional systemic HS therapy Adalimumab

Studies and Results

No. of studies
(best subpopulation)
2 (CAIN457M2301, CAIN457M2302)
Study design
(best subpopulation)
H2H vs. non-ACT + no ITC
Meta analysis
(best subpopulation)
no

  • Clinical trials
    • In the dossier, the pharmaceutical manufacturer refers to the registration trials CAIN457M2301 and CAIN457M2302. These were double-blind, randomised, multicentre trials in which the efficacy of secukinumab compared with placebo was investigated in the above-mentioned patient population over a period of 16 weeks.

Adults with moderate to severe active hidradenitis suppurativa (HS) who have an inadequate response to conventional systemic HS therapy

  • For adults with moderate to severe active hidradenitis suppurativa who have an inadequate response to conventional systemic HS therapy, the additional benefit of secukinumab compared with the appropriate comparator therapy is not proven.
  • Overall, therefore, there are no data suitable for a benefit assessment that would allow a comparison of secukinumab with the appropriate comparator therapy. The additional benefit of secukinumab compared with the appropriate comparator therapy is therefore not proven.
  • Overall assessment
    • On balance, the additional benefit of secukinumab compared with the appropriate comparator therapy is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Secukinumab (9) Cosentyx® Novartis Pharma GmbH Skin diseases Hidradenitis suppurativa (Acne inversa) 4,800–6,400 100% additional benefit not proven
Secukinumab (8) Cosentyx® Novartis Pharma GmbH Skin diseases Juvenile psoriatic arthritis (PA), ≥ 6 years 120–180 100% additional benefit not proven
Secukinumab (7) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Enthesitis-related arthritis (ERA) 240–290 100% additional benefit not proven
Secukinumab (5) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP), ≥ 6 to < 18 years 270–2,035 100% Hint for minor additional benefit
Secukinumab (6) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Axial spondyloarthritis 19,500 100% additional benefit not proven
Secukinumab (4) Cosentyx® Novartis Pharma GmbH Skin diseases Psoriatic arthritis (PA) 29,100 35% Indication of minor additional benefit
Secukinumab (3) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP) 19,800–137,300 100% Indication of considerable additional benefit
Secukinumab (2) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Psoriatic arthritis (PA), Radiographic axial spondyloarthritis (AS)Psoriatic arthritis (PA), Bekhterev's disease 40,400–141,600 100% additional benefit not proven
Secukinumab (1) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP) 32,400–97,100
52,200–234,400
8% Indication of considerable additional benefit repealed subpopulations


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