Novartis AG Faces Setback with Cosentyx® in Giant Cell Arteritis GCAptAIN Study
- Novartis AG's GCAptAIN study for Cosentyx® did not meet its primary endpoint in treating giant cell arteritis.
- Despite mixed results, Cosentyx® showed potential benefits in secondary endpoints related to steroid dosage and toxicity.
- Novartis plans further analysis and remains committed to advancing treatments for immune-mediated diseases.

Novartis Faces GCAptAIN Study Setback with Cosentyx® in Giant Cell Aritis Treatment
In a recent development, Novartis AG announces mixed results from the Phase III GCAptAIN study, which evaluates the efficacy of its drug Cosentyx® (secukinumab) in treating adults diagnosed with giant cell arteritis (GCA). This large-scale trial, spanning 27 countries and involving both 300 mg and 150 mg doses of Cosentyx, did not meet its primary endpoint of achieving sustained remission at the 52-week mark when compared to a placebo. While the primary outcome was not statistically significant, Cosentyx demonstrated numerically better results in secondary endpoints concerning cumulative steroid dosage and steroid-related toxicity, indicative of its potential benefit despite the primary outcome.
Dr. Shreeram Aradhye, President of Development and Chief Medical Officer at Novartis, expresses disappointment over the inability to replicate the positive results seen in earlier Phase II trials. However, he emphasizes the company's ongoing commitment to advancing scientific knowledge in immune-mediated diseases, suggesting that further analysis of the GCAptAIN data will be conducted. The trial's outcomes are crucial, as they provide insights into the drug’s efficacy and safety profile, which has been supported by a decade of real-world data across multiple approved indications, including psoriatic arthritis and ankylosing spondylitis.
The GCAptAIN trial, registered under NCT04930094, specifically investigates the effects of secukinumab, a fully human biologic that inhibits interleukin-17A—an important cytokine involved in inflammation. Although the primary endpoint was not met, the secondary findings hint at potential advantages for patients, particularly regarding steroid management. Novartis plans to share a comprehensive evaluation of the GCAptAIN study results in the near future, as it seeks to maintain its leadership in the biopharmaceutical industry and further expand its portfolio targeting immune-mediated conditions.
In addition to the GCAptAIN study, Novartis continues to focus on its existing therapies and research initiatives, reinforcing its commitment to addressing complex health challenges. The company remains a key player in the biopharmaceutical sector, with a broad range of medications that combat various inflammatory and autoimmune diseases. As Novartis navigates this setback, it remains dedicated to innovation and improving patient outcomes through rigorous research and development efforts.