A Study of PF-06438179 (Infliximab-Pfizer) and Infliximab in Combination With Methotrexate in Subjects With Active Rheumatoid Arthritis (REFLECTIONS B537-02).
- Conditions
- Rheumatoid Arthritis
- Interventions
- Biological: InfliximabBiological: PF-06438179
- Registration Number
- NCT02222493
- Lead Sponsor
- Pfizer
- Brief Summary
The study will assess the efficacy and safety of PF-06438179 and infliximab in combination with methotrexate in subjects with active rheumatoid arthritis who have had an inadequate response to methotrexate.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 650
Diagnosis of rheumatoid arthritis based on 2010 ACR/EULAR criteria for at least 4 months.
At least 6 tender (of 68 assessed) and 6 swollen (of 66 assessed) joints at screening and baseline.
HS-CRP equal or greater than 10 mg/L.
Must have received methotrexate for at least 12 weeks and be on a stable dose for at least 4 weeks.
Evidence of untreated or inadequately treated latent or active TB.
Evidence or history of moderate or severe heart failure (NYHA Class III/IV)
Infection requiring hospitalization or parenteral antimicrobial therapy judged clinically significant by the investigator within 6 months prior to first dose of study drug.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Infliximab Infliximab - PF-06438179 PF-06438179 -
- Primary Outcome Measures
Name Time Method Number of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 14: Period 1 Week 14 ACR20 response: greater than or equal to (\>=) 20 percent (%) improvement in tender joint count (TJC); \>= 20% improvement in swollen joint count (SJC); and \>= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity (PGA); physician global assessment of disease activity; self-assessed disability (health assessment questionnaire-disability index \[HAQ-DI\]); and C-Reactive Protein (CRP).
- Secondary Outcome Measures
Name Time Method Number of Participants With an American College of Rheumatology 50% (ACR50) and ACR 70% Response at Week 62, 70 and 78: Period 3 Week 62, 70 and 78 ACR50 response: \>=50% improvement in tender joint count, \>=50% improvement in swollen joint count improvement and \>=50% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP. ACR70 response: \>=70% improvement in tender joint count, \>=70% improvement in swollen joint count improvement and \>=70% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP.
Number of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 2, 4, 6, 12, 22 and 30 (Pre-dose): Period 1 Week 2, 4, 6, 12, 22 and 30 (pre-dose) ACR20 response: \>=20% improvement in tender joint count; \>=20% improvement in swollen joint count; and \>=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; HAQ-DI and CRP.
Number of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 38, 46 and 54 (Pre-dose): Period 2 Week 38, 46 and 54 (pre-dose) ACR20 response: \>=20% improvement in tender joint count; \>=20% improvement in swollen joint count; and \>=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; HAQ-DI and CRP.
Number of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 62, 70 and 78: Period 3 Week 62, 70 and 78 ACR20 response: \>=20% improvement in tender joint count; \>=20% improvement in swollen joint count; and \>=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; HAQ-DI and CRP.
Number of Participants With an American College of Rheumatology 50% (ACR50) and ACR 70% Response at Week 2, 4, 6, 12, 14, 22 and 30 (Pre-dose): Period 1 Week 2, 4, 6, 12, 14, 22 and 30 (pre-dose) ACR50 response: \>=50% improvement in tender joint count, \>=50% improvement in swollen joint count improvement and \>=50% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP. ACR70 response: \>=70% improvement in tender joint count, \>=70% improvement in swollen joint count improvement and \>=70% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP.
Number of Participants With an American College of Rheumatology 50% (ACR50) and ACR 70% Response at Week 38, 46 and 54 (Pre-dose): Period 2 Week 38, 46 and 54 (pre-dose) ACR50 response: \>=50% improvement in tender joint count, \>=50% improvement in swollen joint count improvement and \>=50% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP. ACR70 response: \>=70% improvement in tender joint count, \>=70% improvement in swollen joint count improvement and \>=70% in at least 3 of 5 remaining ACR core measures: participant assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, HAQ-DI and CRP.
Change From Baseline in Disease Activity Score-CRP (4 Variables) (DAS28-4 [CRP]) and HAQ-DI at Week 62, 70 and 78: Period 3 Baseline (Week 54 pre-dose), Week 62, 70 and 78 DAS28 is measure of disease activity in participants. DAS28-4 (CRP): calculated from SJC, TJC, CRP(mg/L) and PGA (participant rated disease activity on VAS from 0 to 100 mm; high score=worse health). Total score range of DAS28-4 (CRP): 0 to 9.4(0=no activity; 9.4=extreme disease activity), higher score=more disease activity. DAS28-4(CRP) \<2.6=remission, \<3.2=low disease activity, \>=3.2-5.1=moderate disease activity and \>5.1=high disease activity. HAQ-DI assess degree of difficulty a participant experienced (past week) in 8 domain of daily activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip and other activities. Each item scored on a 4-point scale ranging from 0 to 3(0=no difficulty; 3=extreme difficulty). Overall score: sum of domain scores/number of domains answered. Total possible score range (0=least difficulty; 3=extreme difficulty); high scores=more difficulty in performing daily living activities.
Number of Participants Achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) and Disease Activity Score (DAS <2.6) Remission: Period 1 Week 2, 4, 6, 12, 14, 22 and Week 30 (pre-dose) ACR/EULAR remission was considered if the scores on tender joint count, swollen joint count, hs-CRP (mg/dL), and patient's global assessment of arthritis (PGA) all were less than or equal to (=\<) 1 or the score on the simplified disease activity index (SDAI) was =\<3.3. SDAI was calculated as the sum of number of tender and swollen joint count (using 28 joints), PGA, physician global assessment, and CRP (mg/dL). PGA was assessed on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. Physician global assessment was recorded on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicated more disease activity. DAS28 calculated from number of swollen joints and painful joints using the 28 joints count, CRP (mg/dL) and PGA using a 10 mm-VAS from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. DAS28 \<3.2: low disease activity, DAS28 \<2.6: remission.
Change From Baseline in Disease Activity Score-CRP (4 Variables) (DAS28-4 [CRP]) and HAQ-DI at Week 2, 4, 6, 12, 14, 22 and 30: Period 1 Baseline (Day 1), Week 2, 4, 6, 12, 14, 22 and 30 DAS28 is measure of disease activity in participants. DAS28-4 (CRP): calculated from SJC, TJC, CRP(mg/L) and PGA (participant rated disease activity on visual analogue scale \[VAS\] from 0 to 100 mm; high score=worse health). Total score range of DAS28-4 (CRP): 0 to 9.4(0=no activity; 9.4=extreme disease activity), higher score=more disease activity. DAS28-4(CRP) less than (\<)2.6=remission, \<3.2=low disease activity, \>=3.2-5.1=moderate disease activity and greater than (\>) 5.1=high disease activity. HAQ-DI assess degree of difficulty a participant experienced (past week) in 8 domain of daily activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip and other activities. Each item scored on a 4-point scale ranging from 0 to 3(0=no difficulty; 3=extreme difficulty). Overall score: sum of domain scores/number of domains answered. Total possible score range (0=least difficulty; 3=extreme difficulty); high scores=more difficulty in performing daily living activities.
Change From Baseline in Disease Activity Score-CRP (4 Variables) (DAS28-4 [CRP]) and HAQ-DI at Week 38, 46 and 54: Period 2 Baseline (Week 30 pre-dose), Week 38, 46 and 54 DAS28 is measure of disease activity in participants. DAS28-4 (CRP): calculated from SJC, TJC, CRP(mg/L) and PGA (participant rated disease activity on VAS from 0 to 100 millimeter \[mm\]; high score=worse health). Total score range of DAS28-4 (CRP): 0 to 9.4(0=no activity; 9.4=extreme disease activity), higher score=more disease activity. DAS28-4(CRP) \<2.6=remission, \<3.2=low disease activity, \>=3.2-5.1=moderate disease activity and \>5.1=high disease activity. HAQ-DI assess degree of difficulty a participant experienced (past week) in 8 domain of daily activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip and other activities. Each item scored on a 4-point scale ranging from 0 to 3(0=no difficulty; 3=extreme difficulty). Overall score: sum of domain scores/number of domains answered. Total possible score range (0=least difficulty; 3=extreme difficulty); high scores=more difficulty in performing daily living activities.
Number of Participants Achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) and Disease Activity Score (DAS <2.6) Remission: Period 2 Week 38, 46 and 54 (pre-dose) ACR/EULAR remission was considered if the scores on tender joint count, swollen joint count, hs-CRP (mg/dL), and PGA all were =\<1 or the score on the SDAI was =\<3.3. SDAI was calculated as the sum of number of tender and swollen joint count (using 28 joints), PGA, physician global assessment, and CRP (mg/dL). PGA was assessed on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. Physician global assessment was recorded on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicated more disease activity. DAS28 calculated from number of swollen joints and painful joints using the 28 joints count, CRP (mg/dL) and PGA using a 10 mm-VAS from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. DAS28 \<3.2: low disease activity, DAS28 \<2.6: remission.
Number of Participants Achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) and Disease Activity Score (DAS <2.6) Remission: Period 3 Week 62, 70 and 78 ACR/EULAR remission was considered if the scores on tender joint count, swollen joint count, hs-CRP (mg/dL), and PGA all were =\<1 or the score on the SDAI was =\<3.3. SDAI was calculated as the sum of number of tender and swollen joint count (using 28 joints), PGA, physician global assessment, and CRP (mg/dL). PGA was assessed on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. Physician global assessment was recorded on a 10 mm VAS ranging from 0 (very well) to 10 (very poor), where higher scores indicated more disease activity. DAS28 calculated from number of swollen joints and painful joints using the 28 joints count, CRP (mg/dL) and PGA using a 10 mm-VAS from 0 (very well) to 10 (very poor), where higher scores indicate worse health condition. DAS28 \<3.2: low disease activity, DAS28 \<2.6: remission.
Number of Participants With European League Against Rheumatism (EULAR) Response: Period 1 Week 2, 4, 6, 12, 14, 22 and Week 30 (pre-dose) EULAR response was based on DAS28 EULAR response criteria which was defined as good response = DAS28 change of \>1.2 with DAS28 =\<3.2; moderate response = DAS28 change of \>0.6 to =\<1.2 with DAS28 \>3.2-5.1 and no-response = DAS28 change of =\<0.6 with DAS28 \>5.1.
Number of Participants With European League Against Rheumatism (EULAR) Response: Period 2 Week 38, 46 and Week 54 (pre-dose) EULAR response was based on DAS28 EULAR response criteria which was defined as good response = DAS28 change of \>1.2 with DAS28 =\<3.2; moderate response = DAS28 change of \>0.6 to =\<1.2 with DAS28 \>3.2-5.1 and no-response = DAS28 change of =\<0.6 with DAS28 \>5.1.
Number of Participants With European League Against Rheumatism (EULAR) Response: Period 3 Week 62, 70 and Week 78 EULAR response was based on DAS28 EULAR response criteria which was defined as good response = DAS28 change of \>1.2 with DAS28 =\<3.2; moderate response = DAS28 change of \>0.6 to =\<1.2 with DAS28 \>3.2-5.1 and no-response = DAS28 change of =\<0.6 with DAS28 \>5.1.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Related TEAEs: Period 1 Baseline (Day 1) up to Week 30 An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to Week 30 that were absent before treatment or that worsened relative to pre-treatment state. Treatment-related TEAE was any untoward medical occurrence attributed to study drug in a participant who received study drug. AEs included both serious and non-serious adverse events.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Related TEAEs: Period 2 Baseline (Week 30 pre-dose) up to Week 54 An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to Week 54 that were absent before treatment or that worsened relative to pre-treatment state. Treatment-related TEAE was any untoward medical occurrence attributed to study drug in a participant who received study drug. AEs included both serious and non-serious adverse events.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Related TEAEs: Period 3 Baseline (Week 54 pre-dose) up to Week 78 An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to Week 78 that were absent before treatment or that worsened relative to pre-treatment state. Treatment-related TEAE was any untoward medical occurrence attributed to study drug in a participant who received study drug. AEs included both serious and non-serious adverse events.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) of Grade 3 or Higher Severity: Period 1 Baseline (Day 1) up to Week 30 AEs were graded in accordance with National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE) Version 4.03 as Grades 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life threatening AEs and Grade 5= death related to AE. AEs of Grade 3 and higher severity are reported in this outcome measure.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) of Grade 3 or Higher Severity: Period 2 Baseline (Week 30 pre-dose) up to Week 54 AEs were graded in accordance with National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE) Version 4.03 as Grades 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life threatening AEs and Grade 5= death related to AE. AEs of Grade 3 and higher severity are reported in this outcome measure.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) of Grade 3 or Higher Severity: Period 3 Baseline (Week 54 pre-dose) up to Week 78 AEs were graded in accordance with National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE) Version 4.03 as Grades 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life threatening AEs and Grade 5= death related to AE. AEs of Grade 3 and higher severity are reported in this outcome measure.
Number of Participants With Laboratory Abnormalities: Period 1 Baseline (Day 1) up to Week 30 Criteria for abnormality:hematology: hemoglobin, hematocrit, red blood cell count, lymphocytes, neutrophils: \<0.8\*lower limit of normal (LLN); platelets: \>1.75\*upper limit of normal (ULN); white blood cell count: \<0.6\*LLN; basophils, eosinophils, monocytes: \>1.2\*ULN. liver function: bilirubin: \>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>3.0\*ULN; protein, albumin: \<0.8\*LLN\>\</0\>1.2\*ULN; renal function:blood urea nitrogen,creatinine: \>1.3\*ULN; uric acid: \>1.2\*ULN; electrolytes: sodium, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN,\>1.1\*ULN; urinalysis: pH\<4.5, \>8; glucose, protein, blood, ketones, urobilinogen, bilirubin, nitrite; Other(glucose: \<0.6\*LLN,\>1.5\*ULN). Participants with any laboratory abnormality in Period 1 were reported in this outcome measure.
Number of Participants With Laboratory Abnormalities: Period 2 Baseline (Week 30 pre-dose) up to Week 54 Criteria for abnormality:hematology: hemoglobin, hematocrit, red blood cell count, lymphocytes, neutrophils: \<0.8\*lower limit of normal (LLN); platelets: \>1.75\*upper limit of normal (ULN); white blood cell count: \<0.6\*LLN; basophils, eosinophils, monocytes: \>1.2\*ULN. liver function: bilirubin: \>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>3.0\*ULN; protein, albumin: \<0.8\*LLN\>\</0\>1.2\*ULN; renal function:blood urea nitrogen,creatinine: \>1.3\*ULN; uric acid: \>1.2\*ULN; electrolytes: sodium, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN,\>1.1\*ULN; urinalysis: pH\<4.5, \>8; glucose, protein, blood, ketones, urobilinogen, bilirubin, nitrite; Other(glucose: \<0.6\*LLN,\>1.5\*ULN). Participants with any laboratory abnormality in Period 2 were reported in this outcome measure.
Number of Participants With Laboratory Abnormalities: Period 3 Baseline (Week 54 pre-dose) up to Week 78 Criteria for abnormality:hematology: hemoglobin, hematocrit, red blood cell count, lymphocytes, neutrophils: \<0.8\*lower limit of normal (LLN); platelets: \>1.75\*upper limit of normal (ULN); white blood cell count: \<0.6\*LLN; basophils, eosinophils, monocytes: \>1.2\*ULN. liver function: bilirubin: \>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>3.0\*ULN; protein, albumin: \<0.8\*LLN\>\</0\>1.2\*ULN; renal function:blood urea nitrogen,creatinine: \>1.3\*ULN; uric acid: \>1.2\*ULN; electrolytes: sodium, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN,\>1.1\*ULN; urinalysis: pH\<4.5, \>8; glucose, protein, blood, ketones, urobilinogen, bilirubin, nitrite; Other(glucose: \<0.6\*LLN,\>1.5\*ULN). Participants with any laboratory abnormality in Period 3 were reported in this outcome measure.
Change From Baseline in Tender Joint Count and Swollen Joint Count at Week 2, 4, 6, 12, 14, 22 and 30: Period 1 Baseline (Day 1), Week 2, 4, 6, 12, 14, 22 and Week 30 Tender joint count was an assessment of 68 joints (upper body, upper extremity, and lower extremity). Each joint's response to pressure/motion was assessed as: Present or Absent. Swollen joint count was an assessment of 66 joints (upper body, upper extremity, and lower extremity). Each joint was assessed for swelling as: Present or Absent.
Change From Baseline in Tender Joint Count and Swollen Joint Count at Week 38, 46 and 54: Period 2 Baseline (Week 30 pre-dose), Week 38, 46 and Week 54 Tender joint count was an assessment of 68 joints (upper body, upper extremity, and lower extremity). Each joint's response to pressure/motion was assessed as: Present or Absent. Swollen joint count was an assessment of 66 joints (upper body, upper extremity, and lower extremity). Each joint was assessed for swelling as: Present or Absent.
Change From Baseline in Tender Joint Count and Swollen Joint Count at Week 62, 70 and 78: Period 3 Baseline (Week 54 pre-dose), Week 62, 70 and 78 Tender joint count was an assessment of 68 joints (upper body, upper extremity, and lower extremity). Each joint's response to pressure/motion was assessed as: Present or Absent. Swollen joint count was an assessment of 66 joints (upper body, upper extremity, and lower extremity). Each joint was assessed for swelling as: Present or Absent.
Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Concentration at Week 38, 46 and 54: Period 2 Baseline (Week 30 pre-dose), Week 38, 46 and 54 Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Concentration at Week 62, 70 and 78: Period 3 Baseline (Week 54 pre-dose), Week 62, 70 and 78 Number of Participants With Positive Anti-drug Antibodies (ADA) and Neutralizing Antibodies (Nab) Status: Period 1 Baseline (Day 1) up to Week 30 ADA positive results was defined as ADA titer level \>=1.30 and NAb positive was defined as NAb titer level \>=0.70.
Number of Participants With Positive Anti-drug Antibodies (ADA) and Neutralizing Antibodies (Nab) Status: Period 2 Baseline (Week 30 pre-dose) up to Week 54 ADA positive results was defined as ADA titer level \>=1.30 and NAb positive was defined as NAb titer level \>=0.70.
Number of Participants With Positive Anti-drug Antibodies (ADA) and Neutralizing Antibodies (Nab) Status: Period 3 Baseline (Week 54 pre-dose) up to Week 78 ADA positive results was defined as ADA titer level \>=1.30 and NAb positive was defined as NAb titer level \>=0.70.
Serum Concentration Versus Time Summary: Period 1 Pre dose on Day 1, 15, 43, 99, 155 and 211; 2 hours post dose on Day 1 and 99; and 336 hours post dose on Day 29 Serum Concentration Versus Time Summary: Period 2 Pre dose on Day 211, 267, 379 and 547 Serum Concentration Versus Time Summary: Period 3 Pre dose on Day 379, 435 and 547 Change From Baseline in Patient's Assessment of Arthritis Pain (PAAP), Patient's Global Assessment of Arthritis (PGA) and Physician's Global Assessment of Arthritis (PGAA) at Week 2, 4, 6, 12, 14, 22, 30: Period 1 Baseline (Day 1), Week 2, 4, 6, 12, 14, 22 and 30 PAAP: Participants assessed the severity of their arthritis pain by using a 100 mm VAS ranging from 0 (no pain) to 100 (most severe pain), which corresponded to the magnitude of their pain, where higher scores indicated more pain. PGA: Participants were asked the following question, "Considering all the ways your arthritis affects you, how are you feeling today?" and their response was recorded on a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated worse health condition. PGAA: Participants were assessed how their overall arthritis appears at the time of the visit. The evaluation was based on the participant's disease signs, functional capacity and physical examination, and was independent of the PAAP and PGA assessments. The physician's response was recorded using a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated more disease activity.
Change From Baseline in Patient's Assessment of Arthritis Pain (PAAP), Patient's Global Assessment of Arthritis (PGA) and Physician's Global Assessment of Arthritis (PGAA) at Week 38, 46 and 54: Period 2 Baseline (Week 30 pre-dose), Week 38, 46 and 54 PAAP: Participants assessed the severity of their arthritis pain by using a 100 mm VAS ranging from 0 (no pain) to 100 (most severe pain), which corresponded to the magnitude of their pain, where higher scores indicated more pain. PGA: Participants were asked the following question, "Considering all the ways your arthritis affects you, how are you feeling today?" and their response was recorded on a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated worse health condition. PGAA: Participants were assessed how their overall arthritis appears at the time of the visit. The evaluation was based on the participant's disease signs, functional capacity and physical examination, and was independent of the PAAP and PGA assessments. The physician's response was recorded using a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated more disease activity.
Change From Baseline in Patient's Assessment of Arthritis Pain (PAAP), Patient's Global Assessment of Arthritis (PGA) and Physician's Global Assessment of Arthritis (PGAA) at Week 62, 70 and 78: Period 3 Baseline (Week 54 pre-dose), Week 62, 70 and 78 PAAP: Participants assessed the severity of their arthritis pain by using a 100 mm VAS ranging from 0 (no pain) to 100 (most severe pain), which corresponded to the magnitude of their pain, where higher scores indicated more pain. PGA: Participants were asked the following question, "Considering all the ways your arthritis affects you, how are you feeling today?" and their response was recorded on a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated worse health condition. PGAA: Participants were assessed how their overall arthritis appears at the time of the visit. The evaluation was based on the participant's disease signs, functional capacity and physical examination, and was independent of the PAAP and PGA assessments. The physician's response was recorded using a 100 mm VAS ranging from 0 (very well) to 100 (very poor), where higher scores indicated more disease activity.
Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Concentration at Week 2, 4, 6, 12, 14, 22 and 30: Period 1 Baseline (Day 1), Week 2, 4, 6, 12, 14, 22 and 30
Trial Locations
- Locations (183)
Rabta Hospital
🇹🇳Tunis, Tunisia
Regional Medical Clinic
🇺🇸Rapid City, South Dakota, United States
LTD Tbilisi Central Hospital
🇬🇪Tbilisi, Georgia
LTD Medulla" Chemotherapy and Immunotherapy Clinic
🇬🇪Tbilisi, Georgia
National Hospital Organization Sagamihara National Hospital
🇯🇵Sagamihara, Kanagawa, Japan
Low Country Rheumatology, PA
🇺🇸Charleston, South Carolina, United States
General Hospital "Prim.dr.Abdulah Nakas"
🇧🇦Sarajevo, Kanton Sarajevo, Bosnia and Herzegovina
University Clinical Center Tuzla
🇧🇦Tuzla, Tuzlanski Kanton, Bosnia and Herzegovina
Ramesh C Gupta, MD
🇺🇸Memphis, Tennessee, United States
Clinical Center University of Sarajevo
🇧🇦Sarajevo, Kanton Sarajevo, Bosnia and Herzegovina
University Multiprofile Hospital for Active Treatment (UMHAT) "Kaspela" EOOD
🇧🇬Plovdiv, Bulgaria
Tbilisi Heart and Vascular Clinic LTD
🇬🇪Tbilisi, Georgia
LTD MediClubGeorgia
🇬🇪Tbilisi, Georgia
LTD Adapti
🇬🇪Tbilisi, Georgia
DRC Gyógyszervizsgáló Központ Kft.
🇭🇺Balatonfüred, Hungary
Sasebo Chuo Hospital
🇯🇵Sasebo, Nagasaki, Japan
Kurashiki Sweet Hospital
🇯🇵Kurashiki, Okayama, Japan
Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem
🇮🇱Jerusalem, Israel
Inoue Hospital
🇯🇵Takasaki, Gunma, Japan
Mazda Hospital
🇯🇵Aki-gun, Hiroshima, Japan
Sapporo City General Hospital
🇯🇵Sapporo, Hokkaido, Japan
Hokkaido University Hospital
🇯🇵Sapporo, Hokkaido, Japan
National Hospital Organization Nagasaki Medical Center
🇯🇵Omura, Nagasaki, Japan
Centro de Alta Especialidad en Reumatología e Investigación del Potosí, S.C.
🇲🇽San Luis De Potosí, SAN LUIS DE Potosi, Mexico
Yokohama Minami Kyosai Hospital
🇯🇵Yokohama, Kanagawa, Japan
Centro de diagnóstico por imágenes, Radiología General y Especial
🇵🇪Arequipa, Peru
Unidad de Investigación en Medicina Interna y Enfermedades Críticas
🇵🇪Arequipa, Peru
Centro de Investigación Reumatología CAA
🇵🇪Lima, Peru
Instituto de Ginecología y Reproducción & Cirugía Mínimamente Invasiva
🇵🇪Santiago de Surco, Lima, Peru
Yuaikai Tomishiro Central Hospital
🇯🇵Tomigusuku, Okinawa, Japan
Saitama Medical Center
🇯🇵Kawagoe-shi, Saitama, Japan
Hirose Clinic
🇯🇵Tokorozawa-shi, Saitama, Japan
National Hospital Organization Shizuoka Medical Center
🇯🇵Sunto-gun, Shizuoka, Japan
St. Luke's International Hospital
🇯🇵Chuo-ku, Tokyo, Japan
National Hospital Organization Chiba-East Hospital
🇯🇵Chiba, Japan
Kondo clinic for rheumatism and orthopaedics
🇯🇵Fukuoka, Japan
Toho University Ohashi Medical Center
🇯🇵Meguro-ku, Tokyo, Japan
Showa University Hospital
🇯🇵Shinagawa-ku, Tokyo, Japan
National Hospital Organization Kyushu Medical Center
🇯🇵Fukuoka, Japan
Unidad de Investigaciones Reumatológicas A.C - Hospital Central "Dr. Ignacio Morones Prieto"
🇲🇽Zona Universitaria, SAN LUIS DE Potosi, Mexico
El Ayachi Hospital
🇲🇦Salé, Morocco
Clinica Medica Cayetano Heredia
🇵🇪Lima, Peru
Servicio de Inmunología y Reumatología
🇵🇪Lima, Peru
Medical Center Manila
🇵🇭Manila, Philippines
Twoja Przychodnia - Centrum Medyczne Nowa Sol
🇵🇱Nowa Sol, Poland
GBUZ of city of Moscow
🇷🇺Moscow, Russian Federation
Komunalnyi zaklad Sumskoi oblasnoi rady "Sumska oblasna klinichna likarnia"
🇺🇦M. Sumy, Ukraine
Advance Medical Research Services Corporation
🇺🇸Miami, Florida, United States
Accurate Clinical Research, Inc.
🇺🇸Houston, Texas, United States
Desert Valley Medical Group
🇺🇸Victorville, California, United States
Alastair C. Kennedy, MD
🇺🇸Vero Beach, Florida, United States
Sarasota Arthritis Research Center
🇺🇸Sarasota, Florida, United States
Graves-Gilbert Clinic Bowling Green
🇺🇸Bowling Green, Kentucky, United States
Clinical Research Center of Reading, LLC
🇺🇸Wyomissing, Pennsylvania, United States
Austin Regional Clinic
🇺🇸Austin, Texas, United States
CETI - Centro de Estudos em Terapias Inovadoras
🇧🇷Curitiba, Paraná, Brazil
Clinical Research and Arthritis Center
🇨🇦Windsor, Ontario, Canada
Elisabeth-Klinik gGmbH
🇩🇪Olsberg, Germany
Clínica Médica especializada en Medicina Interna
🇬🇹Guatemala, Guatemala
Qualiclinic Kft.
🇭🇺Budapest, Hungary
Anjo Kosei Hospital
🇯🇵Anjo-shi, Aichi, Japan
Meir Medical Center
🇮🇱Kfar Saba, Israel
Aso Iizuka Hospital
🇯🇵Iiduka, Fukuoka, Japan
Hospital María Auxiliadora - Centro de Investigaciones Medicas
🇵🇪San juan de Miraflores, Lima, Peru
Groupe Radiologique de Salé
🇲🇦Salé, Morocco
Laboratoire les Arcades d'Analyses Médicales
🇲🇦Salé, Morocco
Mary Mediatrix Medical Center
🇵🇭Lipa City, Batangas, Philippines
Philippine General Hospital
🇵🇭Manila, Philippines
Spitalul Clinic Judetean de Urgenta Galati "Sf. Apostol Andrei"
🇷🇴Galati, Romania
MTZ Clinical Research Sp. z o.o.
🇵🇱Warszawa, Poland
Spitalul Clinic Judetean de Urgenta Targu Mures
🇷🇴Targu Mures, Romania
GAUZ of Kemerovo Region "Regional clinical hospital for war veterans"
🇷🇺Kemerovo, Russian Federation
KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital #20 n.a. I.S.Berzon"
🇷🇺Krasnoyarsk, Russian Federation
GBUZ "Republican hospital n.a. V.A.Baranov"
🇷🇺Petrozavodsk, Republic OF Karelia, Russian Federation
GBOU VPO "Ryazan State medical university n.a. academician I.P.Pavlov"
🇷🇺Ryazan, Russian Federation
GMU " Kursk regional clinical hospital" of the Committee of Healthcare of the Kursk region
🇷🇺Kursk, Russian Federation
Krasnoyarsk State Medical University n.a.Prof.V.F.Voyno-Yasenetsky
🇷🇺Krasnoyarsk, Russian Federation
GBOUVPO "Ryazan State Medical University n.a. Academician I.P.Pavlov"
🇷🇺Ryazan, Russian Federation
GBOU of Ryazan region "Regional clinical hospital"
🇷🇺Ryazan, Russian Federation
GBU of Ryazan region "Regional clinical cardiology dispanser"
🇷🇺Ryazan, Russian Federation
Spb GBUZ "Clinical rheumatology hospital # 25" City CDC prevention of osteoporosis
🇷🇺Saint-Petersburg, Russian Federation
GUZ "Regional clinical hospital"
🇷🇺Saratov, Russian Federation
Charlotte Maxeke Johannesburg Academic Hospital
🇿🇦Johannesburg, Gauteng, South Africa
GBUZ VO 'Regional clinical hospital"
🇷🇺Vladimir, Russian Federation
GBKUZ of Yaroslavl region "City hospital n. a. N.A. Semashko"
🇷🇺Yaroslavl, Russian Federation
Institute for Treatment and Rehabilitation "Niska Banja"
🇷🇸Niska Banja, Serbia
Emmed Research
🇿🇦Pretoria, Gauteng, South Africa
Arthritis Clinical Research Unit
🇿🇦Cape Town, Western CAPE, South Africa
Vincent Pallotti Hospital
🇿🇦Cape Town, Western CAPE, South Africa
Derzhavna ustanova "Ukrainskyi derzhavnyi naukovo-doslidnyi instytut
🇺🇦Dnipropetrovsk, Ukraine
Oblasna klinichna likarnia, revmatolohichne viddilennia, Derzhavnyi vyshchyi navchalnyi zaklad
🇺🇦Ivano-Frankivsk, Ukraine
Komunalnyi zaklad okhorony zdorovia "Kharkivska miska klinichna likarnia #8"
🇺🇦Kharkiv, Ukraine
Klinichnyi hospital Derzhavnoi prykordonnoi sluzhby Ukrainy
🇺🇦Lviv, Ukraine
Khmelnytska oblasna likarnia
🇺🇦Khmelnytskyi, Ukraine
Komunalnyi zaklad "Kryvorizka miska klinichna likarnia #2" Dnipropetrovskoi oblasnoi rady"
🇺🇦M. Kryvyi Rih, Ukraine
Vinnytska oblasna klinichna likarnia im. M.I.Pyrohova, revmatolohichne
🇺🇦M. Vinnytsia, Ukraine
Komunalna ustanova "Odeska oblasna klinichna likarnia"
🇺🇦Odesa, Ukraine
R.K. Will Pty Ltd
🇦🇺Victoria Park, Western Australia, Australia
Arizona Arthritis & Rheumatology Associates, P.C.
🇺🇸Phoenix, Arizona, United States
Arthritis & Osteoporosis Medical Center
🇺🇸La Palma, California, United States
Lekarna U Robina, s.r.o.
🇨🇿Praha, Czechia
Achieve Clinical Research, LLC
🇺🇸Birmingham, Alabama, United States
Inland Rheumatology Clinical Trials, Inc.
🇺🇸Upland, California, United States
Harbin Clinic
🇺🇸Rome, Georgia, United States
Arthritis and Rheumatic Disease Specialties
🇺🇸Aventura, Florida, United States
Clinical and Translational Research Center of Alabama, PC
🇺🇸Tuscaloosa, Alabama, United States
Sun Valley Arthritis Center, Ltd.
🇺🇸Peoria, Arizona, United States
Javed Rheumatology Associates, Inc
🇺🇸Newark, Delaware, United States
International Medical Research
🇺🇸Daytona Beach, Florida, United States
St. Jude Hospital Yorba Linda DBA St. Joseph Heritage Healthcare
🇺🇸Fullerton, California, United States
Arthritis, Rheumatic & Back Disease Associates
🇺🇸Voorhees, New Jersey, United States
San Marcus Research Clinic, Inc.
🇺🇸Miami, Florida, United States
Indian River Primary Care
🇺🇸Vero Beach, Florida, United States
Physician's Clinic of Iowa, P.C.
🇺🇸Cedar Rapids, Iowa, United States
West Tennessee Research Institute
🇺🇸Jackson, Tennessee, United States
Gilbert-Graves Clinic
🇺🇸Bowling Green, Kentucky, United States
Ochsner Clinic Baton Rouge
🇺🇸Baton Rouge, Louisiana, United States
Advanced Clinical Research
🇺🇸Meridian, Idaho, United States
Arthritis and Diabetes Clinic, Inc.
🇺🇸Monroe, Louisiana, United States
Trinity Health Center-Medical Arts
🇺🇸Minot, North Dakota, United States
Altoona Center for Clinical Research
🇺🇸Duncansville, Pennsylvania, United States
Regional Health Clinical Research
🇺🇸Rapid City, South Dakota, United States
The Queen Elizabeth Hospital
🇦🇺Woodville South, South Australia, Australia
The Center for Rheumatology and Bone Research
🇺🇸Wheaton, Maryland, United States
University Hospital Clinical Center Banja Luka
🇧🇦Banja Luka, Bosnia and Herzegovina
Metroplex Clinical Research Center
🇺🇸Dallas, Texas, United States
Pharmacy Services, Sentara Leigh Hospital
🇺🇸Norfolk, Virginia, United States
Sentara Medical Group, Clinical Research
🇺🇸Norfolk, Virginia, United States
Gold Coast Private Hospital Pty Ltd
🇦🇺Southport, Queensland, Australia
HPS Pharmacies
🇦🇺Southport, Queensland, Australia
Paradise Arthritis and Rheumatology Pty Ltd
🇦🇺Southport, Queensland, Australia
CliniPath Pathology
🇦🇺Osborne Park, Western Australia, Australia
Lekarna Hradebni s.r.o.
🇨🇿Uherske Hradiste, Czechia
CCBR-SYNARC a.s.
🇨🇿Pardubice, Czechia
Multiprofile Hospital for Active Treatment Trimontium OOD
🇧🇬Plovdiv, Bulgaria
CCBR Czech Brno, s.r.o.
🇨🇿Brno, Czechia
Hospital Israelita Albert Einstein
🇧🇷São Paulo, Brazil
University Multiprofile Hospital for Active Treatment (UMHAT) "Sv. Ivan Rilski" EAD
🇧🇬Sofia, Bulgaria
MEDICAL PLUS, s.r.o.
🇨🇿Uherske Hradiste, Czechia
BENU Lekarna
🇨🇿Pardubice, Czechia
LTD Unimedi Kakheti
🇬🇪Tbilisi, Georgia
Lekarna Lancier, s.r.o.
🇨🇿Brno, Czechia
CCBR Czech Prague, s.r.o.
🇨🇿Praha 3, Czechia
Schlosspark-Klinik
🇩🇪Berlin, Germany
Knappschaftsklinikum Saar GmbH
🇩🇪Puettlingen, Germany
Klinikum der Universität München
🇩🇪München, Germany
Clínica Médica Especializada en Medicina Interna y Reumatología
🇬🇹Guatemala, Guatemala
Rheumazentrum Ratingen
🇩🇪Ratingen, Germany
Centro de Nutricion y Rehabilitacion Cardiorespiratoria, S.A. (NUCARE)
🇬🇹Guatemala, Guatemala
Therapeutic Research Institute and Lab S.A
🇬🇹Guatemala, Guatemala
Rambam Health Care Campus
🇮🇱Haifa, Israel
Matsubara Mayflower Hospital
🇯🇵Katoh, Hyogo, Japan
Kumamoto Orthopaedic Hospital
🇯🇵Kumamoto, Japan
Jordan Hospital
🇯🇴Amman, Jordan
King Abdullah University Hospital
🇯🇴Irbid, Jordan
LSMUL Kauno klinikos
🇱🇹Kaunas, Lithuania
Unidad Reumatologica Las Americas S.C.P
🇲🇽Merida, Yucatan, Mexico
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of
Hanyang University Seoul Hospital
🇰🇷Seoul, Korea, Republic of
Konkuk University Medical Center
🇰🇷Seoul, Korea, Republic of
Chungnam National University Hospital
🇰🇷Daejeon, Korea, Republic of
Severance Hospital, Yonsei University Health System
🇰🇷Seoul, Korea, Republic of
Chonnam National University Hospital
🇰🇷Gwangju, Korea, Republic of
Southern Philippines Medical Center
🇵🇭Davao, Davao DEL SUR, Philippines
St. Luke's Medical Center
🇵🇭Quezon, Philippines
Szpital Uniwersytecki nr 2 im. dr. Jana Biziela w Bydgoszczy
🇵🇱Bydgoszcz, Poland
NZOZ Lecznica MAK-MED. S.C.
🇵🇱Nadarzyn, Poland
Makati Medical Center
🇵🇭Makati, Metro Manila, Philippines
Szpital Specjalistyczny im. J. Dietla Malopolskie Centrum Reumatologii Immunologii i Rehabilitacji
🇵🇱Krakow, Poland
Spitalul Clinic de Recuperare Iasi
🇷🇴Iasi, Romania
Clinical Hospital Center Bezanijska Kosa
🇷🇸Belgrade, Serbia
Military Medical Academy
🇷🇸Belgrade, Serbia
Komunalna ustanova "Zaporizka oblasna klinichna likarnia" Zaporizkoi oblasnoi rady
🇺🇦Zaporizhzhia, Ukraine
Mohamed Kassab Institute of orthopedics
🇹🇳Manouba, Tunisia
Kyivska miska klinichna likarnia #6
🇺🇦Kyiv, Ukraine
Bahatoprofilnyi medychnyi tsentr (Universytetska klinika #1)
🇺🇦Odesa, Ukraine
Wrightington Hospital
🇬🇧Wigan, Lancashire, United Kingdom
Maidstone Hospital, Maidstone and Tunbridge wells NHS Trust
🇬🇧Maidstone, United Kingdom
Accurate Clinical Research
🇺🇸Nassau Bay, Texas, United States
The Seattle Arthritis Clinic
🇺🇸Seattle, Washington, United States
Western Michigan University Homer Stryker MD School of Medicine Center for Clinical Research
🇺🇸Battle Creek, Michigan, United States
Methodist Medical Center of IL
🇺🇸Peoria, Illinois, United States
Jakaranda Hospital
🇿🇦Pretoria, Gauteng, South Africa