Drugs / Canakinumab
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Canakinumab

also known as ACZ885 · Ilaris · ACZ885D · AIN457

Monoclonal antibody targets IL1B via inhibition

Developed for
gout · non-small cell lung carcinoma · systemic-onset juvenile idiopathic arthritis · Muckle-Wells syndrome · rheumatoid arthritis · CINCA syndrome · familial cold autoinflammatory syndrome · myelodysplastic syndrome
+60 more · type 2 diabetes mellitus · Schnitzler syndrome · adult-onset Still disease · atherosclerosis · cytokine release syndrome · familial Mediterranean fever · hereditary periodic fever syndrome · lung carcinoma · triple-negative breast carcinoma · type 1 diabetes mellitus · vasculitis · abdominal aortic aneurysm · allergic contact dermatitis · Alzheimer disease · anemia · atherosclerotic cardiovascular disease · atrial fibrillation · autoinflammatory syndrome · Behcet disease · cardiovascular disorder · chronic idiopathic urticaria · chronic myelomonocytic leukemia · chronic obstructive pulmonary disease · clear cell renal carcinoma · clonal hematopoiesis of indeterminate potential · cognitive impairment with or without cerebellar ataxia · colorectal cancer · cryopyrin-associated periodic syndrome · dry eye syndrome · Duchenne muscular dystrophy · glucose intolerance · HIV infectious disease · inflammatory disease · juvenile idiopathic arthritis · Kawasaki disease · lung cancer · malignant pancreatic neoplasm · melanoma · mevalonate kinase deficiency · myelofibrosis · osteoarthritis · osteoarthritis, knee · pancreatic adenocarcinoma · pancreatic ductal adenocarcinoma · periodic fever syndrome · peripheral arterial disease · PFAPA syndrome · polymyalgia rheumatica · prediabetes syndrome · primary myelofibrosis · proliferative diabetic retinopathy · pulmonary sarcoidosis · pyoderma gangrenosum · sickle cell disease · TNF receptor 1-associated periodic fever syndrome · urticaria · wet macular degeneration · alcoholic hepatitis · COVID-19 · hypoglycemia
Investigated by
Novartis Pharmaceuticals · Novartis · Charite University, Berlin, Germany · M.D. Anderson Cancer Center · Massachusetts General Hospital · NYU Langone Health
+39 more · Pancreatic Cancer Action Network · Pediatric Rheumatology International Trials Organization · University of Zurich · AbbVie · Bristol-Myers Squibb · Broad Institute of MIT and Harvard · Children's National Research Institute · Columbia University · Eli Lilly and Company · Foundation to Eradicate Duchenne · H. Lee Moffitt Cancer Center and Research Institute · Illumination Health · International Maternal Pediatric Adolescent AIDS Clinical Trials Group · Jeffrey Curtis · John Mascarenhas · Mario Negri Institute for Pharmacological Research · Memorial Sloan Kettering Cancer Center · National Cancer Institute (NCI) · National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · National Institutes of Health (NIH) · PD Dr. med. Stephan Michels · PRINTO / PRCSG · Peter Shields · Pfizer · Priscilla Hsue, MD · Rabin Medical Center · Radboud University Medical Center · Southwest Pediatric Nephrology Study Group · Uma Borate · Universitaire Ziekenhuizen KU Leuven · University Hospital, Basel, Switzerland · University Hospital, Zürich · University of Alabama at Birmingham · University of Leipzig · University of Nebraska · University of Pennsylvania · Wei-Che Ko · Yale University

Regulatory milestones approvals, filings & regulatory actions · 11 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (5) US (FDA) ILARIS — 2013-05-09 – 2023-08-25 fda.gov ↗
Filed US (FDA) — cardiovascular risk reduction 2018-01-24

“Für ACZ885 (Canakinumab) wurden bei der FDA und EMA ein Ergänzungsantrag (supplemental Biologics License Application) sowie ein Marktzulassungsantrag (Marketing Authorization...” novartis.com ↗

“ACZ885 (canakinumab) pour la réduction du risque cardiovasculaire: une demande supplémentaire de licence de produit biologique et d'autorisation de mise sur le marché a été...” novartis.com ↗

“ACZ885 (canakinumab) submitted supplemental Biologics License Application and Marketing Authorization Application for cardiovascular risk reduction to the FDA and EMA.” novartis.com ↗

“ACZ885 submitted to FDA and EMA for cardiovascular risk reduction” novartis.com ↗

Filed EU (EMA) — cardiovascular risk reduction 2018-01-24

“Für ACZ885 (Canakinumab) wurden bei der FDA und EMA ein Ergänzungsantrag (supplemental Biologics License Application) sowie ein Marktzulassungsantrag (Marketing Authorization...” novartis.com ↗

“ACZ885 (canakinumab) pour la réduction du risque cardiovasculaire: une demande supplémentaire de licence de produit biologique et d'autorisation de mise sur le marché a été...” novartis.com ↗

“ACZ885 (canakinumab) submitted supplemental Biologics License Application and Marketing Authorization Application for cardiovascular risk reduction to the FDA and EMA.” novartis.com ↗

“ACZ885 submitted to FDA and EMA for cardiovascular risk reduction” novartis.com ↗

Filed US (FDA) Ilaris — 2016-04-27

“Based on this study Novartis submitted three supplemental Biologic License Applications in the US to register Ilaris for use in these indications.” novartis.com ↗

Approved EU (EMA) Ilaris — 2009-10-23 europa.eu ↗
Approved US (FDA) ILARIS — 2009-06-17 fda.gov ↗
Rejected (CRL) US (FDA) — cardiovascular risk reduction —

“ACZ885 (canakinumab) a reçu, en octobre, une lettre de réponse complète («complete response letter») de la FDA concernant une demande supplémentaire d'homologation de produit...” novartis.com ↗

“Für ACZ885 (Canakinumab) erhielt Novartis im Oktober ein vollständiges Antwortschreiben (Complete Response Letter, CRL) der FDA bezüglich des ergänzenden Zulassungsantrags...” novartis.com ↗

“ACZ885 (canakinumab) received a complete response letter (CRL) from FDA in October regarding the supplemental Biologics License Application for cardiovascular risk reduction.” novartis.com ↗

Trials 100 · started per year

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US approved 2009
EU approved 2009
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04028245 Aug 2019 → Mar 2025 clear cell renal carcinoma Columbia University Completed No outcome recorded
Phase 110 trials
Phase 1 NCT05984602 Jul 2023 → Sep 2025 overdue malignant pancreatic neoplasm NYU Langone Health Active not recruiting No outcome recorded
Phase 1 NCT04810611 Jun 2021 → Apr 2024 myelodysplastic syndrome Novartis Pharmaceuticals Terminated No outcome recorded Stop: Business
Phase 1 NCT04581343 Nov 2020 → Nov 2022 pancreatic ductal adenocarcinoma Pancreatic Cancer Action Network Completed No outcome recorded
Phase 1 NCT03742349 Jan 2019 → Feb 2023 triple-negative breast carcinoma Novartis Pharmaceuticals Terminated No outcome recorded Stop: Business
Phase 1 NCT03064854 May 2017 → Jul 2021 non-small cell lung carcinoma Novartis Pharmaceuticals Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT02900664 Aug 2016 → Mar 2021 colorectal cancer, non-small cell lung carcinoma, triple-negative breast carcinoma Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT02775994 Aug 2016 → Jan 2020 PFAPA syndrome Rabin Medical Center Unknown No outcome recorded
Phase 1 NCT01589029 Apr 2012 → Nov 2014 proliferative diabetic retinopathy PD Dr. med. Stephan Michels Terminated No outcome recorded
Phase 1 NCT00421226 Dec 2006 → Oct 2007 — Novartis Completed No outcome recorded
Phase 1 NCT00503022 Jul 2006 → ? wet macular degeneration Novartis Completed No outcome recorded
Phase 1/25 trials
Phase 1/2 NCT04798339 Mar 2021 → May 2025 overdue myelodysplastic syndrome H. Lee Moffitt Cancer Center and Research Institute Active not recruiting No outcome recorded
Phase 1/2 NCT03936894 May 2019 → Apr 2024 Duchenne muscular dystrophy Children's National Research Institute Unknown No outcome recorded
Phase 1/2 NCT00505089 Aug 2007 → May 2009 rheumatoid arthritis Novartis Terminated No outcome recorded
Phase 1/2 NCT00581945 Jan 2007 → May 2010 chronic obstructive pulmonary disease Novartis Completed No outcome recorded
Phase 1/2 NCT00426218 Dec 2006 → Mar 2010 juvenile idiopathic arthritis Novartis Completed No outcome recorded
Phase 249 trials · 4 met primary · 8 missed
Phase 2 NCT06691217 Mar 2026 → Jan 2029 expected atherosclerotic cardiovascular disease, vasculitis Massachusetts General Hospital Recruiting No outcome recorded
Phase 2 NCT07138898 Dec 2025 → Jan 2028 expected rheumatic disorder NYU Langone Health Recruiting No outcome recorded
Phase 2 NCT06038526 Mar 2024 → Feb 2026 lung carcinoma Peter Shields Completed No outcome recorded
Phase 2 NCT05641831 Feb 2023 → Dec 2028 expected clonal hematopoiesis of indeterminate potential Uma Borate Recruiting No outcome recorded
Phase 2 NCT05467800 Aug 2022 → Oct 2026 expected myelofibrosis, primary myelofibrosis John Mascarenhas Active not recruiting No outcome recorded
Phase 2 NCT05237713 Apr 2022 → Feb 2024 anemia, myelodysplastic syndrome University of Leipzig Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT04795466 Oct 2021 → Mar 2024 Alzheimer disease, cognitive impairment with or without cerebellar ataxia Novartis Pharmaceuticals Terminated Missed primary
Phase 2 NCT04814368 Aug 2021 → Jun 2024 osteoarthritis, knee Novartis Pharmaceuticals Terminated No outcome recorded Stop: Business
Phase 2 NCT04789681 Jul 2021 → Dec 2027 expected lung carcinoma M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT04905316 May 2021 → Jul 2026 non-small cell lung carcinoma Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 2/32 trials · 1 missed
Phase 2/3 NCT05535738 Nov 2022 → Jan 2027 expected allergic contact dermatitis Wei-Che Ko Active not recruiting No outcome recorded
Phase 2/3 NCT00900146 Apr 2009 → Nov 2010 type 2 diabetes mellitus Novartis Terminated Missed primary
Phase 331 trials · 5 met primary · 5 missed
Phase 3 NCT05725343 Feb → Apr 2022 lung cancer Mario Negri Institute for Pharmacological Research Terminated No outcome recorded
Phase 3 NCT04717635 Mar 2021 → Apr 2025 adult-onset Still disease Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT04362813 Apr → Sep 2020 cytokine release syndrome Novartis Pharmaceuticals Completed Missed primary
Phase 3 NCT04229004 Jan 2020 → Feb 2025 pancreatic adenocarcinoma Pancreatic Cancer Action Network Completed No outcome recorded
Phase 3 NCT03626545 Jan 2019 → Jan 2021 non-small cell lung carcinoma Novartis Pharmaceuticals Terminated Missed primary
Phase 3 NCT03631199 Dec 2018 → Aug 2021 non-small cell lung carcinoma Novartis Pharmaceuticals Terminated Missed primary
Phase 3 NCT03447769 Mar 2018 → Mar 2022 non-small cell lung carcinoma Novartis Pharmaceuticals Terminated Missed primary
Phase 3 NCT02911857 Oct 2016 → Jan 2017 periodic fever syndrome Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT02396212 May 2015 → Mar 2017 systemic-onset juvenile idiopathic arthritis Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT02296424 Nov 2014 → Oct 2016 systemic-onset juvenile idiopathic arthritis Novartis Pharmaceuticals Completed No outcome recorded
Phase 41 trial
Phase 4 NCT05080218 Nov 2021 → Apr 2024 psoriatic arthritis, spondyloarthropathy Jeffrey Curtis Completed No outcome recorded
Phase not stated1 trial
— NCT04476706 — cytokine release syndrome Novartis Pharmaceuticals No longer available No outcome recorded
Comparator or background therapy7 trials
Phase 1 NCT06481189 Comparator Sep 2022 → Mar 2023 — AO GENERIUM Completed No outcome recorded
Phase 1/2 NCT00619905 Comparator Dec 2003 → Aug 2005 rheumatoid arthritis Novartis Completed No outcome recorded
Phase 2 NCT04365153 Comparator Apr 2020 → Feb 2021 COVID-19 The Cleveland Clinic Completed No outcome recorded
Phase 2 NCT03775109 Comparator Feb 2019 → Mar 2023 alcoholic hepatitis Imperial College London Completed No outcome recorded
Phase 3 NCT06497491 Comparator Dec 2023 → May 2025 adult-onset Still disease AO GENERIUM Completed No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2022-10-25 The Medicines Company Results Novartis maintient sa dynamique de croissance et confirme les prévisions de l’exercice 2022 pour le Groupe novartis.com ↗
L’essai CANOPY-A de phase III n’a pas satisfait à son critère principal de survie sans récidive quand il était administré en tant qu’adjuvant chez les patients atteints d’un CPNPC complétement réséqué aux stades II-IIIA et IIIB.
2022-08-15 Novartis Pharmaceuticals Results Novartis provides update on Phase III CANOPY-A study evaluating canakinumab as adjuvant treatment in non-small cell lung cancer novartis.com ↗
Phase III CANOPY-A trial did not meet primary endpoint of disease-free survival in patients with stages II-IIIA and IIIB completely resected non-small cell lung cancer
2021-10-25 Novartis Pharmaceuticals Results Novartis top-line results for CANOPY-1 Phase III study support further evaluation of canakinumab in lung cancer novartis.com ↗
CANOPY-1 Phase III study did not meet its primary endpoints of overall survival (OS) and progression-free survival (PFS) in patients with previously untreated locally advanced or metastatic non-small cell lung cancer (NSCLC)
2021-03-09 Novartis Pharmaceuticals Results Novartis provides update on Phase III study evaluating canakinumab (ACZ885) as second or third-line treatment in combination with chemotherapy in non-small cell lung cancer novartis.com ↗
Novartis announced today the Phase III CANOPY-2 study evaluating canakinumab (ACZ885), an inhibitor of interleukin-1beta (IL-1β), in combination with the chemotherapy agent docetaxel, did not meet its primary endpoint of overall survival (OS) 1 .
2020-11-06 Novartis Pharmaceuticals Results Novartis provides update on CAN-COVID trial in hospitalized patients with COVID-19 pneumonia and cytokine release syndrome (CRS) novartis.com ↗
The trial did not meet its key secondary endpoint of reducing the COVID-19-related death rate during the 4-week period after treatment 1 .
2017-11-13 Novartis Pharmaceuticals Results Novartis canakinumab (ACZ885) reduced cardiovascular risk by 25% in subgroup of CANTOS Phase III trial participants novartis.com ↗
Subgroup of patients had a 25% reduction in major adverse cardiovascular events when treated with canakinumab in a new analysis of Phase III CANTOS trial presented at the American Heart Association Scientific Sessions 2017[1]
2017-08-27 Novartis Pharmaceuticals Results Novartis Phase III CANTOS study demonstrates that targeting inflammation with ACZ885 reduces cardiovascular risk novartis.com ↗
The study showed that ACZ885 led to a statistically significant 15% reduction in the risk of major adverse cardiovascular events (MACE), a composite of non-fatal heart attack, non-fatal stroke and cardiovascular death, compared to placebo (p-value 0.021).
2017-08-27 Novartis Pharmaceuticals Results Novartis announces analysis published in The Lancet showing ACZ885 reduced lung cancer mortality by 77% in the CANTOS study with further studies planned novartis.com ↗
An additional pre-planned analysis showed that ACZ885 reduced the rate of lung cancer incidence and mortality among study participants.
2016-12-16 Novartis Pharmaceuticals Regulatory Novartis receives positive CHMP recommendation for Ilaris® to treat rare diseases in adults and children called Periodic Fever Syndromes novartis.com ↗
Novartis announced today that the Committee for Medicinal Products for Human Use (CHMP) has recommended approval of Ilaris ® (canakinumab) in Europe to treat three rare and distinct Periodic Fever Syndromes.
2016-09-23 Novartis Pharmaceuticals Regulatory Novartis receives three new FDA approvals for the expanded use of Ilaris treating rare Periodic Fever Syndrome conditions novartis.com ↗
Novartis announced today that the US Food and Drug Administration (FDA) has granted three simultaneous approvals for the expanded use of Ilaris ® (canakinumab) to treat three rare and distinct types of Periodic Fever Syndromes.
2016-04-27 Novartis Pharmaceuticals Regulatory Novartis receives three FDA Breakthrough Therapy Designations for Ilaris to treat rare types of Periodic Fever Syndromes novartis.com ↗
Novartis announced today that the US Food and Drug Administration (FDA) has granted three Breakthrough Therapy Designations for Ilaris ® (canakinumab) to treat three rare types of Periodic Fever Syndromes, also known as Hereditary Periodic Fevers[1].

All press releases naming this drug 13 releases

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 113 sources stand behind the page.

FieldValueCited text
Known as canakinumab “Canakinumab, a fully human interleukin-1β monoclonal antibody, approved for the cryoporin-associated periodic syndrome, may offer a practical advantage because its half-life of...” PMID 22901459 ↗ Aug 2012
87

“An Open-label, Multi-arm, Non-comparative Safety and Tolerability Study of Canakinumab (ACZ885) in Patients With Active Systemic Juvenile Idiopathic Arthritis (SJIA)” NCT01676948 ↗

“Pharmacokinetics and pharmacodynamics of the anti-interleukin (IL)-1β monoclonal antibody, canakinumab, in gouty arthritis patients from three studies are reported.” PMID 24122883 ↗ Sep 2013

“Rapid and Sustained Long-Term Efficacy and Safety of Canakinumab in Patients With Cryopyrin-Associated Periodic Syndrome Ages Five Years and Younger.” PMID 31161734 ↗ Sep 2019

“Canakinumab is a human anti-interleukin-1beta monoclonal antibody.” PMID 19494217 ↗ Jun 2009

“Canakinumab 150 mg s.c.” NCT01593527 ↗

NCT01589029 ↗

NCT01431638 ↗

NCT05401578 ↗

NCT01080131 ↗

NCT00991146 ↗

Show 77 more sources

Known as ACZ885 “A Randomized, Controlled Study of ACZ885 (Canakinumab) on the Treatment and Prevention of Gout Flares in Patients With Frequent Flares for Whom NSAIDs and/or Colchicine Are...” NCT01080131 ↗
33

“Canakinumab (ACZ885) will be dosed at 200mg via subcutaneous injection every 3 weeks x 3 injections that will start with concurrent chemoradiation, followed by 200mg via...” NCT04905316 ↗

“This 8-week study is designed to determine the target dose of canakinumab (ACZ885) for the management of acute flare in gout patients who are contraindicated to Non-Steroidal...” NCT00798369 ↗

“An Open-label, Multi-arm, Non-comparative Safety and Tolerability Study of Canakinumab (ACZ885) in Patients With Active Systemic Juvenile Idiopathic Arthritis (SJIA)” NCT01676948 ↗

“Canakinumab (ACZ885, a fully human IgG1 anti-IL-1β mAb) induces sustained remission in pediatric patients with cryopyrin-associated periodic syndrome (CAPS).” PMID 21356079 ↗ Feb 2011

“This study combines canakinumab (ACZ885), a high-affinity human anti-interleukin-1β (IL-1β) monoclonal antibody (mAb)” NCT04581343 ↗

“A 12 Weeks Randomized, Controlled Core Study of ACZ885 (Canakinumab) on the Treatment and Prevention of Gout Flares” NCT01029652 ↗

“An Open-label Extension Study of Canakinumab (ACZ885) in Patients With Systemic Juvenile Idiopathic Arthritis” NCT00891046 ↗

“Patients will receive a standard dose at an equivalent of 2 mg/kg s.c. of canakinumab (ACZ885) every 8 weeks.” NCT01576367 ↗

“Participants received an initial dose of 1 mg/kg canakinumab (ACZ885) via intravenous infusion.” NCT00581945 ↗

“Patients will be treated on demand with canakinumab (ACZ885) in this extension study.” NCT00927810 ↗

Show 23 more sources

Known as ACZ885D “canakinumab (company code: ACZ885D)” NCT01105507 ↗
Known as AIN457 “Canakinumab (AIN457)” NCT02911857 ↗
Known as Ilaris “This is a multi-center double-blind placebo-controlled study to assess the efficacy and safety of canakinumab (trade name Ilaris®), a high-affinity monoclonal antibody that...” NCT01390350 ↗
8

“The pilot study evaluates the efficacy and safety of Canakinumab (ILARIS®) in subjects with proliferative diabetic retinopathy secondary to type 1 and 2 diabetes.” NCT01589029 ↗

“Canakinumab (Ilaris®, Novartis Switzerland) will be used in the recommended standard dose of 150 mg subcutaneously once.” NCT05401578 ↗

“Canakinumab (Ilaris, Novartis Pharma) is a fully human anti-interleukin-1-bèta monoclonal antibody.” NCT01245127 ↗

“Single Escalating Dose Pilot Trial of Canakinumab (ILARIS®) in Duchenne Muscular Dystrophy” NCT03936894 ↗

“single doses of canakinumab (trade name Ilaris®), a high-affinity monoclonal antibody” NCT01170936 ↗

“CANAKINUMAB (ILARIS®)” NCT06691217 ↗

NCT06481189 ↗

NCT06497491 ↗

Action Inhibit “Canakinumab is a fully human anti-interleukin IL-1beta monoclonal antibody, being investigated for the treatment of rheumatoid arthritis (RA).” PMID 21736751 ↗ Jul 2011
Modality Monoclonal antibody “Canakinumab is a fully human anti-interleukin IL-1beta monoclonal antibody, being investigated for the treatment of rheumatoid arthritis (RA).” PMID 21736751 ↗ Jul 2011
Route Intravenous “administered via intravenous infusion” NCT00421226 ↗
Target IL1B “Canakinumab, a fully human anti-IL-1β antibody, produces sustained selective inhibition of IL-1β.” PMID 21356079 ↗ Feb 2011