A Phase 2B, Randomized, Double Blind, Placebo-Controlled, Multicenter Study To Compare 6 Dose Regimens Of CP-690,550 Vs. Placebo, Each Combined With Methotrexate, Administered For 6 Months In The Treatment Of Subjects With Active Rheumatoid Arthritis Who Have Had An Inadequate Response To Methotrexate Alone
Overview
- Phase
- Phase 2
- Intervention
- CP-690,550
- Conditions
- Arthritis, Rheumatoid
- Sponsor
- Pfizer
- Enrollment
- 509
- Locations
- 1
- Primary Endpoint
- Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of this study is to determine the effectiveness and safety, over 6 months, of 6 dose regimens of CP-690,550, combined with methotrexate, for the treatment of adults with active rheumatoid arthritis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Active rheumatoid arthritis
- •Inadequate response to stably dosed methotrexate
Exclusion Criteria
- •Current therapy with any DMARD or biologic other than methotrexate
Arms & Interventions
CP 690,550 5 mg BID
Intervention: CP-690,550
CP 690,550 1 mg BID
Intervention: CP-690,550
CP 690,550 10 mg BID
Intervention: CP-690,550
CP 690,550 15 mg
Intervention: CP-690,550
CP 690,550 3 mg BID
Intervention: CP-690,550
CP-690,550 20 mg QD
Intervention: CP-690,550
Placebo
Dummy tablets
Intervention: placebo
Outcomes
Primary Outcomes
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
Time Frame: Week 12
ACR20 response: \>= 20% improvement in tender joints count (TJC); \>= 20% improvement in swollen joints 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; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire \[HAQ\]); and C-Reactive Protein (CRP).
Secondary Outcomes
- Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response(Week 2, 4, 6, 8, 16, 20, 24/Early Termination (ET))
- Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response(Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response(Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Area Under the Numeric Index of American College of Rheumatology Response (ACR-n) Curve(Baseline up to Week 2, 4, 6, 8, 12)
- Tender Joints Count (TJC)(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Tender Joints Count (TJC) at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Swollen Joints Count (SJC)(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Swollen Joints Count (SJC) at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Patient Assessment of Arthritis Pain(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Patient Assessment of Arthritis Pain at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Patient Global Assessment (PtGA) of Arthritis(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Patient Global Assessment (PtGA) of Arthritis at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Physician Global Assessment of Arthritis(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Physician Global Assessment of Arthritis at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Health Assessment Questionnaire-Disability Index (HAQ-DI)(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- C-Reactive Protein (CRP)(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in C-Reactive Protein (CRP) at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP])(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Change From Baseline in Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) at Week 2, 4, 6, 8, 12, 16, 20 and 24/ET(Baseline, Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Percentage of Participants With Categorization of Disease Improvement Based on DAS28-3 (CRP)(Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- Percentage of Participants With Disease Remission Based on DAS28-3 (CRP)(Week 2, 4, 6, 8, 12, 16, 20, 24/ET)
- 36-Item Short-Form Health Survey (SF-36)(Baseline, Week 12, 24/ET)
- Change From Baseline in 36-Item Short-Form Health Survey (SF-36) at Week 12 and 24/ET(Baseline, Week 12, 24/ET)
- Euro Quality of Life-5 Dimentions (EQ-5D) - Health State Profile Utility Score(Baseline, Week 12, 24/ET)
- Change From Baseline in Euro Quality of Life-5 Dimentions (EQ-5D) - Health State Profile Utility at Week 12 and 24/ET(Baseline, Week 12, 24/ET)
- Medical Outcome Study- Sleep Scale (MOS-SS)(Baseline, Week 2, 12, 24/ET)
- Change From Baseline in Medical Outcome Study- Sleep Scale (MOS-SS) at Week 2, 12 and 24/ET(Baseline, Week 2, 12, 24/ET)
- Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale(Baseline, Week 2, 12, 24/ET)
- Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale at Week 2, 12 and 24/ET(Baseline, Week 2, 12, 24/ET)