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Over time and across adult PsO and PsA

COSENTYX has a robust and well-studied safety profile

Adult PsO safety profile at Week 121

  • Infections were reported in 28.7% of patients on COSENTYX (n=1382) vs 18.9% on placebo (n=694)*

  • Serious infections occurred in 0.14% of patients treated with COSENTYX (n=1382) vs 0.3% of those receiving placebo (n=694)

*Phase III data showed an increasing trend for some types of infection with increasing serum concentration of COSENTYX, including Candida infections, herpes viral infections, staphylococcal skin infections, and infections requiring treatment.1 

In adults with PsO at Week 12 and at 5 years1,2

In adults with PsA at Week 16 and at 5 years1,3

The safety profile observed in adults with PsA treated with COSENTYX is consistent with the safety profile observed in PsO.1

A robust safety profile1

A robust safety profile
  • No new cases of CD and 3 cases of exacerbation (in which 1 patient received COSENTYX); 2 new cases of ulcerative colitis and 2 cases of exacerbation; no cases of IBD in patients with placebo

  • 29% of patients experienced infections (n=1382) vs 19% with placebo (n=694)

  • 0.1% of patients reported serious infections (n=1382) vs 0.3% with placebo (n=694)

  • If a serious infection develops, discontinue COSENTYX until the infection resolves

A well-studied safety profile1

Trust in a long-term safety profile

Safety data up to Year 1 based on a post hoc analysis of the SCULPTURE core study in patients treated with 300 mg who achieved PASI 75 at Week 12, who were rerandomized to 300 mg FI arm, and reconsented at Week 52 to enter the SCULPTURE extension study. Year 2 to Year 5 safety data are presented in this same patient subpopulation; thus, not all patients who started with 300 mg in the SCULPTURE core study were included.

Patient exposure is calculated as a sum of individual subject durations in days divided by 365 for each interval. A patient with multiple occurrences of the same AE in a 1-year interval was counted only once, while a patient with multiple occurrences of the same AE in different-year intervals was counted for each year.
Includes neutropenia adverse events reported by investigators in the SCULPTURE study; does not include lab reports of neutropenia.2
§Of the 2 cases of ulcerative colitis
 in Year 2, 1 case was an exacerbation of previously existing UC.
1 case of cholangiocarcinoma, 1 case of invasive ductal breast carcinoma.
#1 case of breast cancer.

Low immunogenicity

  • Neutralizing antibodies developed in less than 0.5% of patients at 1 year and were not associated with loss of efficacy1**

**The detection of antibody formation is highly dependent on the sensitivity and specificity of the assay. Additionally, the observed incidence of antibody (including neutralizing antibody) positivity in an assay may be influenced by several factors, including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease.

Incidence of inflammatory bowel disease in PsO patients treated with COSENTYX up to 52 weeks1

Of the 3430 patients treated with COSENTYX, 3 experienced Crohn's disease exacerbation, 0 experienced new onset of Crohn's disease, 2 experienced ulcerative colitis exacerbation, and 2 experienced new onset of ulcerative colitis. There were no cases of inflammatory bowel disease in placebo patients (n=793). One case of exacerbation of Crohn's disease was reported from long-term, noncontrolled portions of ongoing clinical trials in PsO.1

Tap to see IMPORTANT SAFETY INFORMATION and INDICATIONS

Important Safety Information

CONTRAINDICATIONS
COSENTYX® (secukinumab) is contraindicated in patients with a previous serious hypersensitivity reaction to secukinumab or to any of the excipients in COSENTYX. Cases of anaphylaxis have been reported during treatment with COSENTYX...

CONTRAINDICATIONS

COSENTYX® (secukinumab) is contraindicated in patients with a previous serious hypersensitivity reaction to secukinumab or to any of the excipients in COSENTYX. Cases of anaphylaxis have been reported during treatment with COSENTYX.

WARNINGS AND PRECAUTIONS

Infections

COSENTYX may increase the risk of infections. In clinical trials, a higher rate of infections was observed in COSENTYX treated subjects compared to placebo-treated subjects. In placebo-controlled clinical trials in subjects with moderate to severe plaque psoriasis, higher rates of common infections, such as nasopharyngitis (11.4% versus 8.6%), upper respiratory tract infection (2.5% versus 0.7%) and mucocutaneous infections with candida (1.2% versus 0.3%) were observed with COSENTYX compared with placebo. A similar increase in risk of infection was seen in placebo-controlled trials in subjects with psoriatic arthritis, ankylosing spondylitis and non-radiographic axial spondyloarthritis. The incidence of some types of infections appeared to be dose-dependent in clinical studies. In the postmarketing setting, serious and some fatal infections have been reported in patients receiving COSENTYX.

Exercise caution when considering the use of COSENTYX in patients with a chronic infection or a history of recurrent infection.

Instruct patients to seek medical advice if signs or symptoms suggestive of an infection occur. If a patient develops a serious infection, monitor the patient closely and discontinue COSENTYX until the infection resolves.

Pre-treatment Evaluation for Tuberculosis

Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with COSENTYX. Avoid administration of COSENTYX to patients with active TB infection. Initiate treatment of latent TB prior to administering COSENTYX. Consider anti-TB therapy prior to initiation of COSENTYX in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Monitor patients closely for signs and symptoms of active TB during and after treatment.

Inflammatory Bowel Disease

Caution should be used when prescribing COSENTYX to patients with inflammatory bowel disease. Exacerbations, in some cases serious, occurred in COSENTYX treated subjects during clinical trials in plaque psoriasis, psoriatic arthritis, ankylosing spondylitis and non-radiographic axial spondyloarthritis. In addition, new onset inflammatory bowel disease cases occurred in clinical trials with COSENTYX. In an exploratory trial in 59 subjects with active Crohn’s disease, there were trends toward greater disease activity and increased adverse events in the secukinumab group as compared to the placebo group. Patients who are treated with COSENTYX should be monitored for signs and symptoms of inflammatory bowel disease.

Eczematous Eruptions

In postmarketing reports, cases of severe eczematous eruptions, including atopic dermatitis-like eruptions, dyshidrotic eczema, and erythroderma, were reported in patients receiving COSENTYX; some cases resulted in hospitalization. The onset of eczematous eruptions was variable, ranging from days to months after the first dose of COSENTYX. 

Treatment may need to be discontinued to resolve the eczematous eruption. Some patients were successfully treated for eczematous eruptions while continuing COSENTYX. 

Hypersensitivity Reactions

Anaphylaxis and cases of urticaria occurred in COSENTYX treated subjects in clinical trials. If an anaphylactic or other serious allergic reaction occurs, administration of COSENTYX should be discontinued immediately and appropriate therapy initiated.

The removable caps of the COSENTYX Sensoready® pen and the COSENTYX 1 mL and 0.5 mL prefilled syringes contain natural rubber latex, which may cause an allergic reaction in latex-sensitive individuals. The safe use of the COSENTYX Sensoready pen or prefilled syringe in latex-sensitive individuals has not been studied.

Immunizations

Prior to initiating therapy with COSENTYX, consider completion of all age appropriate immunizations according to current immunization guidelines. COSENTYX may alter a patient’s immune response to live vaccines. Avoid use of live vaccines in patients treated with COSENTYX.

MOST COMMON ADVERSE REACTIONS

Most common adverse reactions (>1%) are nasopharyngitis, diarrhea, and upper respiratory tract infection.

Please see full Prescribing Information , including Medication Guide .

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Indications

COSENTYX is indicated for the treatment of moderate to severe plaque psoriasis in patients 6 years and older who are candidates for systemic therapy or phototherapy.

COSENTYX is indicated for the treatment of active psoriatic arthritis (PsA) in patients 2 years of age and older...

COSENTYX is indicated for the treatment of moderate to severe plaque psoriasis in patients 6 years and older who are candidates for systemic therapy or phototherapy.

COSENTYX is indicated for the treatment of active psoriatic arthritis (PsA) in patients 2 years of age and older.

COSENTYX is indicated for the treatment of adult patients with active ankylosing spondylitis (AS).

COSENTYX is indicated for the treatment of adult patients with active non-radiographic axial spondyloarthritis (nr‑axSpA) with objective signs of inflammation.

COSENTYX is indicated for the treatment of active enthesitis-related arthritis (ERA) in patients 4 years of age and older.

*Limitations apply. Up to a $16,000 annual limit. Offer not valid under Medicare, Medicaid, or any other federal or state program. Novartis reserves the right to rescind, revoke, or amend this program without notice. Limitations may apply in MA and CA. For complete Terms and Conditions details, call 1-844-267-3689.

Definitions
AE, adverse event; CD, Crohn’s disease; EAIR, exposure-adjusted incidence rate (patient incidence rate per 100 patient-years); FI, fixed interval; IBD, inflammatory bowel disease; MACE, major adverse cardiovascular event; NMSC, nonmelanoma skin cancer; PASI, Psoriasis Area and Severity Index; PsA, psoriatic arthritis; PsO, plaque psoriasis; TB, tuberculosis; UC, ulcerative colitis; URTI, upper respiratory tract infection.

References
1. Cosentyx. Prescribing information. Novartis Pharmaceuticals Corp.
2. Bissonnette R et al. 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;32(9):1507-1514.
3. Data on file. CAIN457F2312 3-Year Interim Report. Novartis Pharmaceuticals Corp; September 2017.
4. Data on file. CAIN457A2304E1 Clinical Study Report. Novartis Pharmaceuticals Corp; February 2018.