Ankylosing Spondylitis Symptoms | COSENTYX® (secukinumab)

For adults with active ankylosing spondylitis

WHAT IS ANKYLOSING SPONDYLITIS?

Ankylosing spondylitis (AS) is an inflammatory disease that includes pain and stiffness in the spine and may affect other joints. AS is an autoimmune disease that typically begins in young adulthood, but often gets overlooked or incorrectly diagnosed as pain from a previous injury or aging.

Over time, if left untreated, AS inflammation can damage the spine and cause the spine to fuse, resulting in what some people call “bamboo spine.” This damage to the spine is irreversible.

an.ky.lo.sing

(pronounced an-kih-low-sing)

refers to joints becoming abnormally stiff and immobile due to fused bones

spon.dyl.i.tis

(pronounced spon-dill-eye-tiss)

defined as inflammation of the spine

ANKYLOSING SPONDYLITIS AND AXIAL SPONDYLOARTHRITIS

Ankylosing spondylitis is part of a family of diseases called axial spondyloarthritis (axSpA). AxSpA includes 2 related inflammatory diseases, AS and non-radiographic axial spondyloarthritis (nr-axSpA). Both diseases include symptoms like back pain and may damage the spine. The main difference is that nr-axSpA may not show visible damage on an X-ray, while AS damage may be visible.

WHAT ARE THE MOST COMMON SYMPTOMS OF AS?

HOW DO I KNOW IF MY BACK PAIN IS FROM AS?

The only way to know that your back pain is from AS is to get diagnosed by a doctor, like a rheumatologist. Rheumatologists are doctors that treat many diseases that are difficult to diagnose, like diseases of the spine and autoimmune diseases.

A rheumatologist could help you understand more about your back pain, and if you may be suffering from mechanical back pain or inflammatory back pain.

Find a rheumatologist in your area.

Mechanical back pain

Mechanical back pain may be caused by an injury or overuse. It usually goes away after 6 weeks.

Inflammatory back pain

Inflammatory back pain is usually caused by certain diseases and is chronic, which means it never really goes away. It usually appears in people under the age of 35. The symptoms, like back pain and stiffness, may last 3 months or longer and tend to come and go, but never really improve.

Watch to learn more about back pain and symptoms of AS from Dr Elizabeth Perkins, as she sits down and talks to real people with AS taking COSENTYX.

Dr Perkins was compensated for her time.

WHO CAN GET ANKYLOSING SPONDYLITIS?

AS affects men and women differently. Compared with men, women with AS typically are younger at onset, are diagnosed later, and have more neck pain and pain in the joints farther away from the spine, like the knees, elbows, and ankles. Women may also have less spinal involvement than men.

Men and Women

Both men and women can get AS

1.7 Million

Estimated number of people in the United States with axSpA and related conditions

34

The average age of diagnosis is around 34, but it often takes people almost 9 years from the time they feel symptoms until they get an official diagnosis

WHO IS AT RISK OF GETTING ANKYLOSING SPONDYLITIS?

Individual results may vary. Wendy was compensated for her time.

"I just started noticing a lot of joint pain that didn't really seem to make sense. At first, I thought I had overdone it at the gym."

WATCH WENDY'S STORY

Tap to see IMPORTANT SAFETY INFORMATION AND APPROVED USES

IMPORTANT SAFETY INFORMATION

Do not use COSENTYX if you have had a severe allergic reaction to secukinumab or any of the other ingredients in COSENTYX. See the Medication Guide for a complete list of ingredients.

What is the most important information I should know about COSENTYX?

COSENTYX is a medicine that affects your immune system. COSENTYX may increase your risk of having serious side effects such as…

Do not use COSENTYX if you have had a severe allergic reaction to secukinumab or any of the other ingredients in COSENTYX. See the Medication Guide for a complete list of ingredients.

What is the most important information I should know about COSENTYX?

COSENTYX is a medicine that affects your immune system. COSENTYX may increase your risk of having serious side effects such as:

Infections

COSENTYX may lower the ability of your immune system to fight infections and may increase your risk of infections. Some people have died from these infections.

Your doctor should check you for tuberculosis (TB) before starting treatment with COSENTYX.
If your doctor feels that you are at risk for TB, you may be treated with medicine for TB before you begin treatment with COSENTYX and during treatment with COSENTYX.
Your doctor should watch you closely for signs and symptoms of TB during treatment with COSENTYX. Do not use COSENTYX if you have an active TB infection.

Before starting COSENTYX, tell your doctor if you:

are being treated for an infection
have an infection that does not go away or that keeps coming back
have TB or have been in close contact with someone with TB
think you have an infection or have symptoms of an infection such as: fevers, sweats, or chills; muscle aches; cough; shortness of breath; blood in your phlegm; weight loss; warm, red, or painful skin or sores on your body; diarrhea or stomach pain; burning when you urinate or urinate more often than normal

After starting COSENTYX, call your doctor right away if you have any signs of infection listed above. Do not use COSENTYX if you have any signs of infection unless you are instructed to by your doctor.

What are the possible side effects of COSENTYX?

COSENTYX may cause serious side effects, including:

Serious allergic reactions

Serious allergic reactions can occur. Get emergency medical help right away if you get any of the following symptoms: feeling faint; swelling of your face, eyelids, lips, mouth, tongue, or throat; trouble breathing or throat tightness; chest tightness; skin rash or hives (red, itchy bumps).

If you have a severe allergic reaction, do not give another injection of COSENTYX.

Inflammatory bowel disease

New cases of inflammatory bowel disease or "flare-ups" can happen with COSENTYX, and can sometimes be serious. If you have inflammatory bowel disease (ulcerative colitis or Crohn's disease), tell your doctor if you have worsening disease symptoms during treatment with COSENTYX or develop new symptoms of stomach pain or diarrhea.

Severe skin reactions that look like eczema can happen during treatment with COSENTYX from days to months after your first dose and can sometimes lead to hospitalization. Your doctor may temporarily stop treatment with COSENTYX if you develop severe skin reactions. Tell your doctor if you have any of the following signs or symptoms: redness or rash; itching; small bumps or patches; your skin is dry or feels like leather; blisters on the hands or feet that ooze or become crusty or skin peeling.

The most common side effects of COSENTYX include: cold symptoms, diarrhea, and upper respiratory tract infections.

These are not all of the possible side effects of COSENTYX. Call your doctor for medical advice about side effects.

Before using COSENTYX, tell your doctor if you:

have any of the conditions or symptoms listed above for infections.
have inflammatory bowel disease (Crohn's disease or ulcerative colitis).
are allergic to latex. The needle cap on the COSENTYX Sensoready® pen, and 150 mg/mL and 75 mg/0.5 mL prefilled syringes contains latex.
have recently received or are scheduled to receive an immunization (vaccine). People who take COSENTYX should not receive live vaccines. Children should be brought up to date with all vaccines before starting COSENTYX.
have any other medical conditions and all the medicines you take, including prescription and over‑the‑counter medicines, vitamins, and herbal supplements. Keep a list of your medicines to show your healthcare provider and pharmacist when you get a new medicine.
are pregnant or plan to become pregnant. It is not known if COSENTYX can harm your unborn baby. You and your doctor should decide if you will use COSENTYX.
are breastfeeding or plan to breastfeed. It is not known if COSENTYX passes into your breast milk.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch ↗, or call 1-800-FDA-1088.

Please see full Prescribing Information, including Medication Guide.

10/23 308659

WHAT IS ANKYLOSING SPONDYLITIS?

an.ky.lo.sing

(pronounced an-kih-low-sing)

spon.dyl.i.tis

(pronounced spon-dill-eye-tiss)

EXPERIENCE ALL COSENTYX^® (secukinumab) HAS TO OFFER.

ANKYLOSING SPONDYLITIS AND AXIAL SPONDYLOARTHRITIS

WHAT ARE THE MOST COMMON SYMPTOMS OF AS?

HOW DO I KNOW IF MY BACK PAIN IS FROM AS?

Mechanical back pain

Inflammatory back pain

Watch to learn more about back pain and symptoms of AS from Dr Elizabeth Perkins, as she sits down and talks to real people with AS taking COSENTYX.

WHO CAN GET ANKYLOSING SPONDYLITIS?

Men and Women

1.7 Million

34

WHO IS AT RISK OF GETTING ANKYLOSING SPONDYLITIS?

"I just started noticing a lot of joint pain that didn't really seem to make sense. At first, I thought I had overdone it at the gym."

Tap to see IMPORTANT SAFETY INFORMATION AND APPROVED USES

IMPORTANT SAFETY INFORMATION

INDICATIONS

WHAT IS ANKYLOSING SPONDYLITIS?

an.ky.lo.sing

(pronounced an-kih-low-sing)

spon.dyl.i.tis

(pronounced spon-dill-eye-tiss)

EXPERIENCE ALL COSENTYX® (secukinumab) HAS TO OFFER.

ANKYLOSING SPONDYLITIS AND AXIAL SPONDYLOARTHRITIS

WHAT ARE THE MOST COMMON SYMPTOMS OF AS?

HOW DO I KNOW IF MY BACK PAIN IS FROM AS?

Mechanical back pain

Inflammatory back pain

Watch to learn more about back pain and symptoms of AS from Dr Elizabeth Perkins, as she sits down and talks to real people with AS taking COSENTYX.

WHO CAN GET ANKYLOSING SPONDYLITIS?

Men and Women

1.7 Million

34

WHO IS AT RISK OF GETTING ANKYLOSING SPONDYLITIS?

"I just started noticing a lot of joint pain that didn't really seem to make sense. At first, I thought I had overdone it at the gym."

EXPERIENCE ALL COSENTYX^® (secukinumab) HAS TO OFFER.