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• Cosentyx® (secukinumab) achieved statistically significant and clinically meaningful sustained remission vs placebo at Week 52¹
• Trial showed reduction in annual cumulative steroid dose vs placebo through Week 52; safety profile consistent with known profile of Cosentyx¹
• Data highlight potential of Cosentyx as novel targeted PMR treatment, second most common inflammatory disease in adults ≥50², with limited options available

Basel, October 22, 2025 – Novartis today announced that Cosentyx® (secukinumab) met the primary endpoint and all secondary endpoints in the Phase III REPLENISH trial¹. Cosentyx demonstrated statistically significant and clinically meaningful sustained remission vs placebo at Week 52 in adults with polymyalgia rheumatica (PMR)¹. Data will be presented at an upcoming medical congress and submitted to health authorities in the first half of 2026.

“Polymyalgia rheumatica is an inflammatory rheumatic disease characterized by bilateral pain of the neck, shoulders, or hips, morning stiffness, and fatigue. It tends to flare and significantly impact patients’ quality of life,” said Angelika Jahreis, Global Head, Immunology Development, Novartis. “These results highlight the potential of Cosentyx to help patients achieve and sustain disease remission and reduce corticosteroids, which can lead to significant side effects in this typically elderly patient population. Today’s results represent another breakthrough in transforming care in rheumatology.”

A key secondary endpoint of the REPLENISH trial was adjusted annual cumulative steroid dose through Week 52. Other secondary measures included complete sustained remission at Week 52, and time until patients needed additional treatment³.

About REPLENISH trial
The REPLENISH trial (NCT05767034) is a global Phase III, multicenter, randomized, double-blind, placebo-controlled, parallel-group study conducted across 27 countries, evaluating the efficacy and safety of Cosentyx in patients with polymyalgia rheumatica (PMR). Patients were randomized into three treatment arms: Cosentyx 300mg, Cosentyx 150mg, or placebo, all in combination with a 24-week steroid taper regimen. The primary endpoint of the trial is to assess whether secukinumab 300mg sc. plus a 24-week steroid taper is superior to placebo plus a 24-week steroid taper in achieving sustained remission at Week 52. Key secondary endpoints include the proportion of patients achieving complete sustained remission at Week 52, the adjusted annual cumulative steroid dose, and the time to first use of escape or rescue treatment through Week 52³.

About Cosentyx (secukinumab)
Cosentyx is a fully human biologic that directly inhibits interleukin-17A, an important cytokine involved in the inflammation underlying multiple immune-mediated inflammatory diseases. It is approved for use in adults with psoriatic arthritis (PsA), moderate to severe plaque psoriasis (PsO), ankylosing spondylitis (AS), non-radiographic axial spondyloarthritis (nr-axSpA), and hidradenitis suppurativa (HS)^4–6, as well as in pediatric patients with PsO, enthesitis-related arthritis (ERA), and juvenile psoriatic arthritis (JPsA)^7–8.Cosentyx is supported by robust evidence and 10 years of real-world data demonstrating its long-term safety and sustained efficacy^9–14. Since its launch in 2015, it has been used to treat more than 1.8 million patients worldwide and is now approved in over 100 countries⁹.

About polymyalgia rheumatica (PMR)
Polymyalgia rheumatica (PMR) is the second most common inflammatory rheumatic disease in adults aged 50 years and older, typically characterized by acute pain and stiffness in the shoulders, neck, and hips². Relapses are frequent, affecting up to 40% of patients in the first year¹⁵, and long-term steroid use, the standard of care, carries significant risks including osteoporosis and diabetes¹⁶. Beyond physical complications, PMR substantially impairs quality of life through pain, fatigue, restricted mobility, and fear of relapse¹⁷.

Disclaimer
This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified by words such as “potential,” “can,” “will,” “plan,” “may,” “could,” “would,” “expect,” “anticipate,” “look forward,” “believe,” “committed,” “investigational,” “pipeline,” “launch,” or similar terms, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this press release, or regarding potential future revenues from such products. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. In particular, our expectations regarding such products could be affected by, among other things, the uncertainties inherent in research and development, including clinical trial results and additional analysis of existing clinical data; regulatory actions or delays or government regulation generally; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; our ability to obtain or maintain proprietary intellectual property protection; the particular prescribing preferences of physicians and patients; general political, economic and business conditions, including the effects of and efforts to mitigate pandemic diseases; safety, quality, data integrity or manufacturing issues; potential or actual data security and data privacy breaches, or disruptions of our information technology systems, and other risks and factors referred to in Novartis AG’s current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements contained in this press release as a result of new information, future events or otherwise.

About Novartis 
Novartis is an innovative medicines company. Every day, we work to reimagine medicine to improve and extend people’s lives so that patients, healthcare professionals and societies are empowered in the face of serious disease. Our medicines reach nearly 300 million people worldwide.

Reimagine medicine with us: Visit us at https://www.novartis.com and connect with us on LinkedIn, Facebook, X/Twitter and Instagram.

References

1. Novartis Data on File
2. Espígol-Frigolé G, et al. Lancet. 2023;402(10411):1459–72.
3. ClinicalTrials.gov. NCT05767034. [Last accessed: October 2025].
4. Novartis Europharm Limited. Cosentyx® (secukinumab): Summary of Product Characteristics. Available at: https://www.ema.europa.eu/en/documents/product-information/cosentyx-epar-product-information_en.pdf [Last accessed: October 2025].
5. Girolomoni G, Mrowietz U and Paul C. Psoriasis: rationale for targeting interleukin-17. Br J Dermatol 2012; 167: 717-724.
6. Novartis Cosentyx shows clinically meaningful symptom improvements in patients with hidradenitis suppurativa. [Press release]. Available at: https://www.novartis.com/news/media-releases/novartis-cosentyx-shows-clinically-meaningful-symptom-improvements-patients-hidradenitis-suppurativa-pivotal-phase-iii-trials [Last accessed: October 2025].
7. Novartis Cosentyx receives FDA approval for the treatment of children and adolescents with enthesitis-related arthritis and psoriatic arthritis. [Press release]. Available at: https://www.novartis.com/news/media-releases/novartis-cosentyx-receives-fda-approval-treatment-children-and-adolescents-enthesitis-related-arthritis-and-psoriatic-arthritis [Last accessed: October 2025].
8. Novartis Cosentyx receives positive CHMP opinion for expanded use in childhood arthritic conditions. [Press release]. Available at: https://www.novartis.com/news/media-releases/novartis-cosentyx-secukinumab-receives-positive-chmp-opinion-expanded-use-childhood-arthritic-conditions [Last accessed: October 2025].
9. Data on file_Cosentyx WW LTD patients Q1’25
10. Uta Kiltz et al. Secukinumab Retention and Effectiveness in Patients with PsA and Radiographic Axial Spondyloarthritis: 5-year Final Results of a Prospective Real-world Study. Abstract no:2344. ACR 2024 [Link]
11. Ippoliti et al. Long-Term Real-World Safety Profile of Secukinumab Assessed Through a 9-Year Experience in Patients Affected by Psoriasis, Psoriatic Arthritis and Ankylosing Spondylitis: Results From a Multicentric Retrospective Study. Dermatologic Therapy. 2025. Article Number: 9618241 [Link]
12. Mease PJ, Kavanaugh A, Reimold A, Tahir H, Rech J, Hall S, Geusens P, Pascale P, Delicha EM, Pricop L, Mpofu S. “Secukinumab Provides Sustained Improvements in the Signs and Symptoms in Psoriatic Arthritis: Final 5‑Year Efficacy and Safety Results from a Phase 3 Trial”. ACR/ARHP 2020 Annual Meeting Abstract. Presented in ACR Open Rheumatology (2020); CONCL‑00511 (Secukinumab Provides Sustained Improvements in the Signs and Symptoms of Psoriatic Arthritis: Final 5-year Results from the Phase 3 FUTURE 1 Study – PubMed)
13. McInnes IB, Mease PJ, Kivitz AJ, Nash P, Rahman P, Rech J, Conaghan PG, Kirkham B, Navarra S, Belsare AD, Delicha EM, Pricop L, Mpofu S; FUTURE 2 Study Group. “Long‑term efficacy and safety of secukinumab in patients with psoriatic arthritis: 5‑year (end‑of‑study) results from the phase III FUTURE 2 study.” Lancet Rheumatology. 2020; 2(4): e227–e235. (Long-term efficacy and safety of secukinumab in patients with psoriatic arthritis: 5-year (end-of-study) results from the phase 3 FUTURE 2 study)
14. Bissonnette R, Luger T, Thaçi D, Toth D, Lacombe A, Xia S, Mazur R, Patekar M, Charef P, Milutinovic M, Leonardi C, Mrowietz U.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 Sep;32(9):1507–1514. (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) – PubMed)
15. Floris A, et al. Clin Rheumatol. 2022;41(1):19–31.
16. Gabriel SE, et al. Arthritis Rheum. 1997;40(10):1873–8.
17. Hutchings A, et al. Arthritis Rheum. 2007;57(5):803–9; Espígol-Frigolé G, et al. Lancet.2023;402(10411):1459–72; Twohig H, et al. Patient Educ Couns. 2015;98(5):645–50.

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What if the key to cleaner, cheaper fuel wasn’t waiting for tomorrow’s technology but was already here? 

In 2021, the State of Nebraska rolled out a fleet of 50 vehicles — Dodge Avengers and Chargers and Ford Fusions — for a trial, swapping regular gasoline for E30, a 30% ethanol blend. 

The goal was to answer a question for the future of clean energy: Can standard cars run reliably on higher-ethanol fuel without modification? If these workhorses within the state motor pool could handle higher-ethanol fuel without trouble, it could change what drivers everywhere put in their tanks.

And, it could have a positive ripple effect throughout the state.

“Nebraska’s bioeconomy isn’t abstract; it’s embodied in this study,” said Rajib Saha, Richard L. and Carol S. McNeel Associate Professor of Chemical and Biomolecular Engineering, who led the study alongside graduate researcher Adil Alsiyabi and undergraduate student Seth Stroh. “It’s about corn farmers seeking new markets, rural towns gaining value and policymakers finally having concrete evidence that small tweaks could yield big wins — for the state, the climate and the bottom line.

“This project was not the work of an industry lobby or an outside consultant. It began in the Department of Chemical and Biomolecular Engineering at the University of Nebraska–Lincoln, co-funded by the Nebraska Corn Board and the Nebraska Ethanol Board, and it’s indicative of the innovative, practical and high-impact research that has become synonymous with this department.” 

Each vehicle was outfitted with onboard diagnostic (OBD) trackers. Over the span of a year, the cars drove the Cornhusker state’s backroads and highways, and the trackers collected millions of data points.

The results were shared in a report:

• There were no observable negative effects on engine performance, despite the higher oxygen content in E30 fuel.
• Fuel efficiency dipped only modestly, but E30’s 2.5% price advantage made it economically equal, or better.
• A statewide shift from E15 to E30 fuel in fleet vehicles meant 66,000 more gallons of ethanol consumed annually and 529 tons fewer CO₂ emissions.
• If 10% of Nebraska’s non-flex-fuel vehicles switched, that would translate into 18.5 million gallons of additional ethanol use and 64,000 fewer tons of CO₂ — a genuinely monumental impact.

This work also was published in a peer-reviewed journal, and ethanol and energy publications called it a breakthrough, according to Saha. The Nebraska Ethanol Board championed the results as proof that E30 could work in everyday vehicles.  

Saha also noted that it provided empirical evidence that higher ethanol blends could deliver both savings and sustainability through modest MPG changes and big cost savings; no hardware failures or check-engine nightmares; and data-driven environmental benefits tied directly to corn-based ethanol.

Phase II launched in 2023, and as of mid‑2025, nearly 94 state vehicles have logged hundreds of thousands of miles on E30.

“E30 is safe, effective and economically viable,” Saha said. “The results of this project are reinforcing the idea that higher ethanol blends aren’t fringe — they’re practical and scalable.” 

The data could reshape Nebraska’s economy.

“Nebraska’s bioeconomy isn’t abstract — it’s about corn farmers seeking new markets, rural towns gaining value and policymakers finally having concrete evidence that small tweaks could yield big wins: for the state, the climate and the bottom line,” Saha said. “This isn’t just about fuel. It’s about leadership and about a department not asking, ‘Could this work?’ but ‘Why couldn’t it work?’ This team transformed every day vehicles into agents of change — bridging cornfields with cutting-edge data science.”

As part of the core project team, Loren Isom, associate director of the University of Nebraska Industrial Agricultural Products Center, emphasized that fuel economy should be viewed through the lens that matters most to drivers: cost per mile. Interim data from the Phase II study confirms that vehicles operating on E30 fuel blends are delivering savings, with the 2003–2019 vehicle group recording a 20% lower operating cost or 16 cents per mile on E30 versus 20 cents on E10.

That kind of evidence is why the Nebraska Ethanol Board views the effort as more than an experiment.

“The E30 demonstration is a terrific project for Nebraska,” said Ben Rhodes, director of the board. “This is one-of-a-kind research that is adding real value to the state. We’re showing that mid-level blends of homegrown ethanol are safe and effective across the entire US light-duty fleet, as well as demonstrating that E30 is viable under real-world market conditions.”

So far, the State of Nebraska has utilized more than 600,000 gallons of E30 fuel in the study, saving more than $300,000 in fuel costs and adding nearly $400,000 in value to Nebraska’s ethanol producers.

“It’s clear this is moving in the right direction toward the long-term goal of widespread E30 adoption and use,” Rhodes said.