Secukinumab

(Cosentyx®)

Cosentyx®

Drug updated on 10/31/2024

Dosage FormInjection (subcutaneous; 300 mg/2 mL, 150 mg/mL); Pediatric injection (subcutaneous; 75 mg/0.5 mL); Injection (intravenous infusion; 125 mg/5 mL);
Drug ClassInterleukin-17A antagonists
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of moderate to severe plaque psoriasis (PsO) in patients 6 years and older who are candidates for systemic therapy or phototherapy
  • Indicated for the treatment of active psoriatic arthritis (PsA) in patients 2 years of age and older
  • Indicated for the treatment of adults with active ankylosing spondylitis (AS)
  • Indicated for the treatment of adults with active non-radiographic axial spondyloarthritis (nr-axSpA) with objective signs of inflammation
  • Indicated for the treatment of active enthesitis-related arthritis (ERA) in patients 4 years of age and older.

Latest News

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Summary
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  • This summary is based on the review of 99 systematic review(s)/meta-analysis(es). [1-99]
  • Effectiveness in Fatigue for Axial Spondyloarthritis (axSpA): Secukinumab demonstrated effectiveness in reducing fatigue across three out of four studies, with a dose-dependent effect observed for secukinumab specifically. Its effects were comparable to anti-TNF and JAK inhibitors in axSpA fatigue management.
  • Generalized Pustular Psoriasis (GPP) in Pediatric Patients: In a cohort of 46 pediatric patients with GPP, secukinumab achieved substantial efficacy, with 96% reaching complete lesion clearance (GPPASI 100 or JDA0) and all patients attaining a GPPASI score of 90 or higher.
  • Mental Disorders (MDs) in Psoriasis: Secukinumab was shown to effectively alleviate symptoms of mental disorders, with a particularly strong effect on anxiety (HADS-A (Hospital Anxiety and Depression Scale - Anxiety) index) among patients with psoriasis, standing out in its impact on MD-related outcomes compared to other therapies.
  • Drug Survival and Persistence in Psoriasis: Secukinumab displayed high drug survival rates, with estimates exceeding 0.8 at one year, especially in biologic-naive patients, although it ranked lower in long-term persistence compared to other agents like guselkumab and risankizumab.
  • General Safety in axSpA: Secukinumab demonstrated no significant safety concerns for patients with axial spondyloarthritis, with a generally favorable tolerability profile.
  • Adverse Events in Pediatric GPP: Among children with generalized pustular psoriasis, 17% experienced adverse events related to secukinumab, though none were classified as severe.
  • Risk of Major Adverse Cardiovascular Events (MACEs): Secukinumab did not show a significant increase in the risk of MACEs in patients with psoriasis or psoriatic arthritis, maintaining a safety profile consistent with other IL-17 inhibitors.
  • Injection Site Reactions: Secukinumab had one of the lowest rates of injection site reactions (1.9%) among biologics, alongside nasopharyngitis and upper respiratory tract infections as the most common adverse events in nail psoriasis treatment.
  • Axial Spondyloarthritis and Fatigue: Secukinumab demonstrated greater effectiveness in reducing fatigue among men and patients with non-radiographic axial spondyloarthritis, highlighting specific subgroup responses within this population.

Product Monograph / Prescribing Information

Document TitleYearSource
Cosentyx (secukinumab) Prescribing Information.2024Novartis Pharmaceuticals Corporation, East Hanover, NJ

Systematic Reviews / Meta-Analyses

Document TitleYearSource
Impact of treatments on fatigue in axial spondyloarthritis: a systematic review and meta-analysis2024Rheumatology (Oxford, England)
A systematic review of recent randomized controlled trials for palmoplantar pustulosis2024The Journal of Dermatological Treatment
Clinical efficacy and safety of secukinumab in the treatment of generalized pustular psoriasis in the pediatric population: a systematic review of the literature2024Frontiers in Medicine
Efficacy and safety of drugs for psoriasis patients with mental disorders: A systematic review2024Journal of Affective Disorders
The Impact of Interleukin-17 Inhibitors on Major Adverse Cardiovascular Events in Psoriasis or Psoriatic Arthritis Patients Naive to Biologic Agents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials2024Cureus
Response to Biologic Therapy in Skin of Colour Participants With Moderate-to-Severe Psoriasis and Atopic Dermatitis: A Systematic Review2024Journal of Cutaneous Medicine and Surgery
Drug Survival of IL-17 and IL-23 Inhibitors for Psoriasis: A Systematic Review and Meta-Analysis2024Drugs
Assessing the 5-year persistence in positive clinical response with innovative psoriasis treatments: a network meta-analysis of Psoriasis Area and Severity Index score2024Clinical and Experimental Dermatology
Comparative efficacy and therapeutic positioning of biologics in hidradenitis suppurativa: A systematic review with network meta-analysis of randomised trials2024Indian Journal of Dermatology, Venereology and Leprology
Effectiveness and safety of biological and target synthetic drugs treatment for psoriatic arthritis: a systematic review with network meta-analysis2024Advances in Rheumatology (London, England)
Effects of secukinumab and ixekizumab on major adverse cardiovascular events in patients with psoriasis: a meta-analysis of randomized controlled trials2024Frontiers in Medicine
Efficacy and safety of pharmacological treatment of psoriatic arthritis: a systematic literature research informing the 2023 update of the EULAR recommendations for the management of psoriatic arthritis2024Annals of the Rheumatic Diseases
Formation and clinical effects of anti-drug antibodies against biologics in psoriasis treatment: An analysis of current evidence2024Autoimmunity Reviews
Small-Molecule Inhibitors and Biologics for Palmoplantar Psoriasis and Palmoplantar Pustulosis: A Systematic Review and Network Meta-Analysis2024American Journal of Clinical Dermatology
Efficacy of anti-interleukin-17A biological agents for palmoplantar psoriasis and palmoplantar pustulosis: A network meta-analysis2024International Immunopharmacology
From PsO to PsA: the role of T(RM) and Tregs in psoriatic disease, a systematic review of the literature2024Frontiers in Medicine
Bony proliferations in rheumatoid arthritis, psoriatic arthritis and osteoarthritis using high-resolution peripheral quantitative computed tomography-A systematic literature review2024International Journal of Rheumatic Diseases
Comparative Effectiveness of Bimekizumab in Psoriatic Arthritis: A Model-Based Meta-Analysis of American College of Rheumatology Response Criteria2024Clinical Pharmacology and Therapeutics
Comparative efficacy and safety of bimekizumab in axial spondyloarthritis: a systematic literature review and network meta-analysis2024Rheumatology (Oxford, England)
Efficacy and Safety of Secukinumab for the Treatment of Psoriasis: A Meta-Analysis of Pivotal Phase III Trials2024Dermatology (Basel, Switzerland)
Efficacy of pharmacological interventions: a systematic review informing the 2023 EULAR recommendations for the management of fatigue in people with inflammatory rheumatic and musculoskeletal diseases2023RMD Open
Efficacy of biologic agents for palmoplantar psoriasis: a systematic review and network meta-analysis2023Expert Review of Clinical Immunology
A Systematic Review and Meta-Analysis of Injection Site Reactions in Randomized-Controlled Trials of Biologic Injections2023Journal of Cutaneous Medicine and Surgery
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis2023The Cochrane Database of Systematic Reviews
Efficacy and Safety of Biologics and Small Molecules for Moderate-to-Severe Hidradenitis Suppurativa: A Systematic Review and Network Meta-Analysis2023Pharmaceutics
Efficacy and Safety of Nail Psoriasis Targeted Therapies: A Systematic Review2023American Journal of Clinical Dermatology
Non-anti TNFalpha biologic agents for noninfectious uveitis associated with systemic inflammatory diseases: a systematic review2023Expert Review of Clinical Immunology
Evaluation of the Synovial Effects of Biological and Targeted Synthetic DMARDs in Patients with Psoriatic Arthritis: A Systematic Literature Review and Meta-Analysis2023International Journal of Molecular Sciences
Comparative Efficacy of Biologic Disease-Modifying Anti-Rheumatic Drugs for Non-Radiographic Axial Spondyloarthritis: A Systematic Literature Review and Bucher Indirect Comparisons2023Rheumatology and Therapy
Systematic review of newer agents for the management of alopecia areata in adults: Janus kinase inhibitors, biologics and phosphodiesterase-4 inhibitors2023Journal of the European Academy of Dermatology and Venereology
Cost-Utility Analysis of Biologic Disease-Modifying Antirheumatic Drugs for Patients With Psoriatic Arthritis in Thailand2023Value in Health Regional Issues
Efficacy and safety of biological DMARDs: a systematic literature review informing the 2022 update of the ASAS-EULAR recommendations for the management of axial spondyloarthritis2023Annals of the Rheumatic Diseases
Systematic review of TNFalpha-induced paradoxical psoriasis: Treatment outcomes of switching to alternative biologic therapies in inflammatory bowel disease patients2023The Journal of Dermatological Treatment
Biologic therapies associated with development of palmoplantar pustulosis and palmoplantar pustular psoriasis: a systematic review2023International Journal of Dermatology
Biologic Disease-Modifying Antirheumatic Drugs for Preventing Radiographic Progression in Psoriatic Arthritis: A Systematic Review and Network Meta-Analysis2022Pharmaceutics
Real-life efficacy and drug continuation of secukinumab in treating moderate to severe plaque psoriasis in Aegean region of Turkey: a multicenter retrospective study and systematic review of the literature2022Asian Pacific journal of Allergy and Immunology
Biologics for pediatric moderate-to-severe plaque psoriasis: a systematic review and network meta-analysis2022Journal of the German Society of Dermatology
Anti-drug antibodies of IL-17 inhibitors for psoriasis: a systematic review2022The Journal of Dermatological Treatment
Comparative Efficacy and Safety of Janus Kinase Inhibitors and Secukinumab in Patients with Active Ankylosing Spondylitis: A Systematic Review and Meta-Analysis2022Pharmacology
Efficacy of Bimekizumab and Other Biologics in Moderate to Severe Plaque Psoriasis: A Systematic Literature Review and a Network Meta-Analysis2022Dermatology and Therapy
Biologics Can Significantly Improve Dermatology Life Quality Index (DLQI) in Psoriatic Patients: A Systematic Review2022Psoriasis (Auckland, N.Z.)
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis2022The Cochrane Database of Systematic Reviews
Efficacy of Systemic Biologic Drugs in Pediatric Psoriasis: Evidence From Five Selected Randomized Clinical Trials2022Frontiers in Pharmacology
Impact of biologics on health-related quality of life in patients with Ankylosing spondylitis: A systematic review and meta-analysis of randomized controlled trials2022Seminars in Arthritis and Rheumatism
Targeted systemic therapies for psoriatic arthritis: a systematic review and comparative synthesis of short-term articular, dermatological, enthesitis and dactylitis outcomes2022RMD Open
Therapies for hidradenitis suppurativa: a systematic review with a focus on Brazil2022Drugs in Context
Biologics for pediatric psoriasis: A systematic review and meta-analysis2022Pediatric Dermatology
Comparative efficacy of secukinumab against adalimumab and infliximab in patients with moderate-to-severe plaque psoriasis2022Chinese Medical Journal
Comparative efficacy and safety of biologic agents in patients with active rheumatoid arthritis and inadequate response to tumor necrosis factor inhibitors: A Bayesian network meta-analysis of randomized controlled trials2022International Journal of Clinical Pharmacology and Therapeutics
Treatment Outcomes of IL-17 Inhibitors in Hidradenitis Suppurativa: A Systematic Review2022Journal of Cutaneous Medicine and Surgery
Gastroenterological safety of IL-17 inhibitors: a systematic literature review2022Expert Opinion on Drug Safety
Spotlight on the treatment armamentarium of concomitant psoriasis and inflammatory bowel disease: a systematic review2022The Journal of Dermatological Treatment
Biologics and small molecules in patients with scalp psoriasis: a systematic review2022The Journal of Dermatological Treatment
Targeted therapies for patients with moderate-to-severe psoriasis: a systematic review and network meta-analysis of PASI response at 1 year2022The Journal of Dermatological Treatment
Comparison of Efficacy of Anti-interleukin-17 in the Treatment of Psoriasis Between Caucasians and Asians: A Systematic Review and Meta-Analysis2021Frontiers in Medicine
Efficacy and safety of secukinumab in patients with psoriatic arthritis: A meta-analysis of different dosing regimens2021Clinics (Sao Paulo, Brazil)
Short-Term Efficacy of Biologic Therapies in Moderate-to-Severe Plaque Psoriasis: A Systematic Literature Review and an Enhanced Multinomial Network Meta-Analysis2021Dermatology and Therapy
Dose Adjustment of Biologic Treatments for Moderate-to-Severe Plaque Psoriasis in the Real World: A Systematic Review2021Dermatology and Therapy
Skin and soft tissue infections in biological therapy for psoriasis-A case report and systematic review of the literature2021International Journal of Dermatology
Impact of Biological Agents on Imaging and Biomarkers of Cardiovascular Disease in Patients with Psoriasis: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials2021The Journal of Investigative Dermatology
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis2021The Cochrane Database of Systematic Reviews
Psoriatic onycho-pachydermo periostitis (POPP): a case report treated successfully with IL-17 blockade and a literature review on characteristics, pathogenesis, and treatment2021Clinical Rheumatology
Efficacy and safety of interleukin-17 inhibitors in the treatment of chronic rheumatic diseases: A combined and updated meta-analysis2021Journal of Clinical Pharmacy and Therapeutics
Biologic disease modifying antirheumatic drugs and Janus kinase inhibitors in paediatric rheumatology - what we know and what we do not know from randomized controlled trials2021Pediatric Rheumatology Online Journal
IL-17A inhibitors in patients with chronic plaque psoriasis and history of malignancy: A case series with systematic literature review2021Dermatologic Therapy
Biologics and Targeted Synthetic Drugs Can Induce Immune-Mediated Glomerular Disorders in Patients with Rheumatic Diseases: An Updated Systematic Literature Review2021Clinical Immunotherapeutics, Biopharmaceuticals and Gene Therapy
Differences in biologics for treating ankylosing spondylitis: the contribution of network meta-analysis2021European Review for Medical and Pharmacological Sciences
Efficacy and safety of interleukin-17A inhibitors in patients with ankylosing spondylitis: a systematic review and meta-analysis of randomized controlled trials2021Clinical Rheumatology
Twelve-week secukinumab treatment is consistently efficacious for moderate-to-severe psoriasis regardless of prior biologic and non-biologic systemic treatment: Post hoc analysis of six randomised trials2021Journal of the European Academy of Dermatology and Venereology
Interventions for chronic palmoplantar pustulosis: abridged Cochrane systematic review and GRADE assessments2021The British Journal of Dermatology
Review of treatments for generalized pustular psoriasis2021The Journal of Dermatological Treatment
A systematic review of treatment strategies for erythrodermic psoriasis2021The Journal of Dermatological Treatment
Biologic Drug Survival in Psoriasis: A Systematic Review & Comparative Meta-Analysis2020Frontiers in Medicine
A Systematic Review With Network Meta-Analysis of the Available Biologic Therapies for Psoriatic Disease Domains2020Frontiers in Medicine
The effects of selected biologics and a small molecule on Health-Related Quality of Life in adult plaque psoriasis patients: A systematic review and meta-analysis2020PLoS One
Short-Term Efficacy and Safety of Secukinumab for Ankylosing Spondylitis: A Systematic Review and Meta-Analysis of RCTs2020Mediators of Inflammation
Efficacy and safety of immunomodulatory drugs in patients with non-infectious intermediate and posterior uveitis, panuveitis and macular edema: A systematic literature review2020Seminars in Arthritis and Rheumatism
Association of previous treatment with anti-tumour necrosis factor inhibitors with the effectiveness of secukinumab in the treatment of psoriatic arthritis: systematic review and meta-analysis2020Rheumatology (Oxford, England)
Efficacy and Safety of Anti-Interleukin-17A Monoclonal Antibody Secukinumab in Treatment of Ankylosing Spondylitis: A Meta-Analysis2020Monoclonal Antibodies in Immunodiagnosis and Immunotherapy
Drug Survival of Biologics in Treating Ankylosing Spondylitis: A Systematic Review and Meta-analysis of Real-World Evidence2020Clinical Immunotherapeutics, Biopharmaceuticals and Gene Therapy
Effectiveness and Safety of Systemic Therapy for Psoriasis in Older Adults: A Systematic Review2020JAMA Dermatology
Effect of biologics on radiographic progression of peripheral joint in patients with psoriatic arthritis: meta-analysis2020Rheumatology (Oxford, England)
Fourteen small molecule and biological agents for psoriatic arthritis: A network meta-analysis of randomized controlled trials2020Medicine
The pharmacological and clinical aspects behind dose loading of biological disease modifying anti-rheumatic drugs (bDMARDs) in auto-immune rheumatic diseases (AIRDs): rationale and systematic narrative review of clinical evidence2020BMC Rheumatology
Short-term effectiveness of biologics in patients with moderate-to-severe plaque psoriasis: A systematic review and network meta-analysis2020Journal of Dermatological Science
Efficacy of Brodalumab for Moderate to Severe Plaque Psoriasis: A Canadian Network Meta-Analysis2020Journal of Cutaneous Medicine and Surgery
Comparing the efficacy and tolerability of biologic therapies in psoriasis: an updated network meta-analysis2020The British Journal of Dermatology
Efficacy and safety of IL-17 inhibitors for the treatment of ankylosing spondylitis: a systematic review and meta-analysis2020Arthritis Research & Therapy
Indirect comparison of anti-interleukin 17 targeted biological treatments for moderate-to-severe psoriasis2020Journal of Clinical Pharmacy and Therapeutics
Pharmacological treatment of psoriatic arthritis: a systematic literature research for the 2019 update of the EULAR recommendations for the management of psoriatic arthritis2020Annals of the Rheumatic Diseases
Treatment of erythrodermic psoriasis with biologics: A systematic review2020Journal of the American Academy of Dermatology
Efficacy of pharmacological treatment in rheumatoid arthritis: a systematic literature research informing the 2019 update of the EULAR recommendations for management of rheumatoid arthritis2020Annals of the Rheumatic Diseases
Effect of Therapy on Radiographic Progression in Axial Spondyloarthritis: A Systematic Review and Meta-Analysis2020Arthritis & Rheumatology (Hoboken, N.J.)
Biologic Treatment in Elderly Patients With Psoriasis: A Systematic Review2020Journal of Cutaneous Medicine and Surgery
Real-world evidence of secukinumab in psoriasis treatment - a meta-analysis of 43 studies2020Journal of the European Academy of Dermatology and Venereology
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis2020The Cochrane Database of Systematic Reviews
Comparison of cumulative clinical benefits of biologics for the treatment of psoriasis over 16 weeks: Results from a network meta-analysis2020Journal of the American Academy of Dermatology
Biological therapy for pustular psoriasis: a systematic review2020International Journal of Dermatology
Comparative efficacy and safety of targeted DMARDs for active psoriatic arthritis during induction therapy: A systematic review and network meta-analysis2019Seminars in Arthritis and Rheumatism

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