CClinicalTrials.gg
CompletedNCT01039688ORAL1069Updated Apr 6, 2018Results posted

Comparing The Effectiveness And Safety Of 2 Doses Of An Experimental Drug, CP-690,550, To Methotrexate (MTX) In Patients With Rheumatoid Arthritis Who Have Not Previously Received MTX

A Phase 3 interventional study of CP-690,550 and CP-690,550 in Arthritis, Rheumatoid, sponsored by Pfizer. Completed at 176 sites in 30 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2018-04-06.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
956
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This study is designed to compare the effectiveness of the experimental drug, CP-690,550, to methotrexate in preventing joint damage and improving symptoms of rheumatoid arthritis. This study will also compare the safety of CP-690,550 with methotrexate.

02

Conditions studied

  • Arthritis, Rheumatoid

Keywords

  • oral JAK inhibitor
  • MTX
  • DMARD
  • clinical trial
  • joint diseases
  • autoimmune diseases
  • anti-Inflammatory agents
  • rheumatic diseases
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 956 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults with moderate to severe RA (Rheumatoid Arthritis) who have not been treated with methotrexate.
  • Diagnosis of RA based on the American College of Rheumatology 1987 revised criteria.
  • Active disease as defined by both >=6 tender or painful joints on motion and >= 6 joints swollen; and either an erythrocyte sedimentation rate (ESR) > 28 mm or a C-reactive protein (CRP) concentration > 7 mg/dL

Exclusion criteria

Exclusion Criteria:

  • Blood dyscrasias including confirmed: Hemoglobin \<9 g/dL or Hematocrit \<30%; White blood cell count \<3.0 x 109/L; Absolute neutrophil count \<1.2 x 109/L; Platelet count \<100 x 109/L
  • History of any other rheumatic autoimmune disease other than Sjogren's syndrome
  • No malignancy or history of malignancy
  • History of infection requiring hospitalization, parenteral antimicrobial therapy, or as otherwise judged clinically significant by the investigator, within the 6 months prior to the first dose of study drug
  • No chronic liver disease, recent or active hepatitis or other contraindication to methotrexate therapy
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
956 participants (actual)

Study arms

  • Experimental
    5 mg BID CP-690,550

    Drug: CP-690,550

  • Experimental
    10 mg BID CP-690,550

    Drug: CP-690,550

  • Active comparator
    methotrexate

    Drug: Disease-modifying antirheumatic drug

Interventions

  • DrugCP-690,550

    Oral tablets administered at a dose of 5 mg BID for 24 months

  • DrugCP-690,550

    Oral tablets administered at a dose of 10 mg BID for 24 months

  • DrugDisease-modifying antirheumatic drug

    Oral capsules,administered as 10 mg per week for 4 weeks titrated to 15 mg per week for 4 weeks, then titrated to 20 mg week for 24 months

    Also known as: DMARD, MTX

06

What researchers measure

Primary outcomes

  1. Modified Total Sharp Score (mTSS) at Month 6

    mTSS: sum of erosion and joint space narrowing (JSN) scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score).

    Time frame: Month 6

  2. Change From Baseline at Month 6 in mTSS

    mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

    Time frame: Month 6

  3. Percentage of Participants Achieving American College of Rheumatology 70 (ACR70) Response at Month 6

    ACR70 response: greater than or equal to (≥) 70 percent (%) improvement in tender joints count (TJC) or swollen joints count (SJC) and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of the Health Assessment Questionnaire \[HAQ\]), and 5) C-reactive protein (CRP).

    Time frame: Month 6

  4. Absolute Blood Pressure (BP) Values (mmHg)

    BP: pressure exerted by the blood upon the walls of the blood vessels and especially arteries, usually measured on the radial artery using a sphygmomanometer. Systolic BP: the highest arterial blood pressure of a cardiac cycle occurring immediately after systole of the left ventricle of the heart. Diastolic BP: the lowest arterial blood pressure of a cardiac cycle occurring during diastole of the heart.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, and 24

  5. Change From Baseline in BP Values (mmHg)

    BP: pressure exerted by the blood upon the walls of the blood vessels and especially arteries, usually measured on the radial artery using a sphygmomanometer. Systolic BP: the highest arterial blood pressure of a cardiac cycle occurring immediately after systole of the left ventricle of the heart. Diastolic BP: the lowest arterial blood pressure of a cardiac cycle occurring during diastole of the heart.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, and 24

Secondary outcomes

  1. mTSS Score at Baseline, Months 12 and 24

    mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score).

    Time frame: Baseline, Months 12 and 24

  2. Change From Baseline in mTSS Score at Months 12 and 24

    mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

    Time frame: Months 12 and 24

  3. Percentage of Participants With no Progression in mTSS at Months 6, 12, and 24

    mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). A increase of less than or equal to (≤)0.5 in mTSS is considered to be no progression in the mTSS.

    Time frame: Months 6, 12, and 24

  4. Percentage of Participants With no Worsening in Erosion Score (Increase ≤0.5) at Months 6, 12, and 24

    Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. An increase of ≤0.5 in Erosion Score is considered to be 'no worsening' in the Erosion Score.

    Time frame: Months 6, 12, and 24

  5. Erosion Scores

    Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280.

    Time frame: Baseline, Months 6, 12, and 24

  6. JSN Scores

    JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168.

    Time frame: Baseline, Months 6, 12, and 24

  7. Change From Baseline in Erosion Scores

    Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. Change = score at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

    Time frame: Months 6, 12, and 24

  8. Change From Baseline in JSN Scores

    JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

    Time frame: Months 6, 12, and 24

  9. Percentage of Participants Achieving an ACR70 Response

    ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 1, 2, 3, 9, 12, 15, 18, 21, and 24

  10. Percentage of Participants Achieving an ACR20 Response

    ACR20 response: ≥20% improvement in TJC or SJC and ≥20% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  11. Percentage of Participants Achieving an ACR50 Response

    ACR50 response: ≥50% improvement in TJC or SJC and ≥50% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  12. Tender Joints Count (TJC)

    Sixty-eight (68) joints were assessed by a blinded joint assessor to determine the number of joints considered tender or painful. The response to pressure/motion on each joint was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 68 joints to be assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), metacarpophalangeals (MCP I, II, III, IV, V), thumb interphalangeal (IP), proximal interphalangeals (PIP II, III, IV, V), distal interphalangeals (DIP II, III, IV, V); lower extremity: hip, knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), metatarsophalangeals (MTP I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  13. Change From Baseline in TJC

    Sixty-eight (68) joints were assessed by a blinded joint assessor to determine the number of joints considered tender or painful. The response to pressure/motion on each joint was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 68 joints to be assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: hip, knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  14. Swollen Joints Count (SJC)

    Sixty-six (66) joints were assessed by a blinded joint assessor for swelling using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 66 joints assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  15. Change From Baseline in SJC

    Sixty-six (66) joints were assessed by a blinded joint assessor for swelling using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 66 joints assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  16. Patient Assessment of Arthritis Pain

    Participants rated the severity of arthritis pain on a 0 to 100 millimeter (mm) visual analogue scale (VAS), where 0 mm=no pain and 100 mm=most severe pain.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  17. Change From Baseline in Patient Assessment of Arthritis Pain

    Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm=no pain and 100 mm=most severe pain.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  18. Physician Global Assessment of Arthritis

    Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm=very good and 100 mm=very bad.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  19. Change From Baseline in Physician Global Assessment of Arthritis

    Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm=very good and 100 mm=very bad.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  20. Patient Global Assessment of Arthritis

    Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0=very well and 100=very poorly.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  21. Change From Baseline in Patient Global Assessment of Arthritis

    Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0=very well and 100=very poorly.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  22. C-Reactive Protein

    CRP measured in milligrams per liter (mg/L)

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  23. Change From Baseline in CRP

    Change from Baseline in CRP measured in mg/L.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  24. Disease Activity Score Based on 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3) CRP

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) less than or equal to (≤)3.2 implied low disease activity, greater than (\>)3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) less than (\<)2.6 = remission.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  25. Disease Activity Score Based on 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR])

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (millimeter/hour \[mm/hour\]) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  26. Change From Baseline in DAS28-3(CRP)

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  27. Change From Baseline in DAS28-4(ESR)

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  28. Percentage of Participants With DAS28-3(CRP) ≤3.2

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  29. Percentage of Participants With DAS28-4(ESR) ≤3.2

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  30. Percentage of Participants With DAS28-3(CRP) <2.6

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  31. Percentage of Participants With DAS28-4(ESR) <2.6

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  32. Percentage of Participants With DAS28-3(CRP) Response (Good or Moderate Improvement)

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28 categorical responses define a good (absolute: \<3.2 or \>1.2 improvement from baseline \[BL\]), moderate (absolute: 3.2-5.1 or 0.6-1.2 change from BL), or no response (absolute: \>5.1 or \<0.6 change from BL).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  33. Percentage of Participants With DAS28-4(ESR) Response (Good or Moderate Improvement)

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28 categorical responses define a good (absolute: \<3.2 or \>1.2 improvement from BL), moderate (absolute: 3.2-5.1 or 0.6-1.2 change from BL), or no response (absolute: \>5.1 or \<0.6 change from BL).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  34. Percentage of Participants With an ACR70 Response Sustained at Least 6 Months

    ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 6, 9, 12, 15, 18, 21, and 24

  35. Percentage of Participants With Consecutive Visits of ACR20 Response by Number of Consecutive Visits

    ACR20 response: ≥20% improvement in TJC or SJC and ≥20% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 3, 6, 9, 12, 15, 18, 21, and 24

  36. Percentage of Participants With Consecutive Visits of ACR50 Response by Number of Consecutive Visits

    ACR50 response: ≥50% improvement in TJC or SJC and ≥50% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 3, 6, 9, 12, 15, 18, 21, and 24

  37. Percentage of Participants With Consecutive Visits of ACR70 Response by Number of Consecutive Visits

    ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

    Time frame: Months 3, 6, 9, 12, 15, 18, 21, and 24

  38. Percentage of Participants With Consecutive Visits of DAS28-3(CRP) <2.6 by Number of Consecutive Visits

    DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

    Time frame: Months 3, 6, 9, 12, 15, 18, 21, and 24

  39. Percentage of Participants With Consecutive Visits of DAS28-4(ESR) <2.6 by Number of Consecutive Visits

    DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

    Time frame: Months 3, 6, 9, 12, 15, 18, 21, and 24

  40. Health Assessment Questionnaire Disability Index (HAQ-DI)

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  41. Change From Baseline in HAQ-DI Score

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  42. Percentage of Participants With at Least 0.22 Improvement in HAQ-DI Score

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  43. Percentage of Participants With at Least 0.3 Improvement in HAQ-DI Score

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  44. Percentage of Participants With at Least 0.5 Improvement in HAQ-DI

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  45. Short Form 36 (SF-36) Mental Component Score

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  46. SF-36 Physical Component Score

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  47. Change From Baseline in SF-36 Mental Component Score

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  48. Change From Baseline in SF-36 Physical Component Score

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  49. SF-36 Domain Scores

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning).

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  50. Change From Baseline in SF-36 Domain Scores

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  51. Work Limitation Questionnaire (WLQ) Score

    WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time).

    Time frame: Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  52. Change From Baseline in WLQ Scores

    WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5 items); Physical Demands scale (6 items); Mental-Interpersonal Demands Scale (9 items); Output Demands scale (5 items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time).

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  53. WLQ Work Loss Index Score

    WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work Loss Index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0 \[no loss\] to 100 \[complete loss of work\]).

    Time frame: Baseline and Months 3, 6, and 12

  54. Change From Baseline in WLQ Work Loss Index Score

    WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work Loss Index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0 \[no loss\] to 100 \[complete loss of work\]).

    Time frame: Months 3, 6, 12, 15, 18, 21, and 24

  55. European Quality of Life (EuroQol) Five Dimensions (EQ-5D) Health State Profile Utility Score

    EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.

    Time frame: Baseline and Months 3, 6, 12, 18, and 24

  56. Change From Baseline in EQ-5D Health State Profile Utility Score

    EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.

    Time frame: Months 3, 6, 12, 18, and 24

  57. Work Productivity and Healthcare Resource Utilization (HCRU) at Baseline and Months 3 and 6

    Rheumatoid Arthritis (RA)-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, emergency room (ER) treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

    Time frame: Baseline and Months 3 and 6

  58. Work Productivity and Healthcare Resource Utilization (HCRU) at Months 12, 18, and 24

    RA-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

    Time frame: Months 12, 18, and 24

  59. Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Baseline and Months 3 and 6

    RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

    Time frame: Baseline and Months 3 and 6

  60. Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

    Time frame: Months 12, 18, and 24

  61. Number of Days as Assessed Using RA-HCRU at Baseline and Months 3 and 6

    RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

    Time frame: Baseline and Months 3 and 6

  62. Number of Days as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

    Time frame: Months 12, 18, and 24

  63. Number of Hours Per Day as Assessed Using RA-HCRU at Baseline and Months 3 and 6

    RA-HCRU assessed healthcare (HC) usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done, and work missed were reported.

    Time frame: Baseline and Months 3 and 6

  64. Number of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done, and work missed were reported.

    Time frame: Months 12, 18, and 24

  65. Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU

    Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.

    Time frame: Baseline, Months 3, 6, 12, 18, and 24

  66. Change From Baseline in Work Productivity and HCRU at Months 3 and 6

    RA-HCRU assessed HC usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

    Time frame: Months 3 and 6

  67. Change From Baseline in Work Productivity and HCRU at Months 12, 18, and 24

    RA-HCRU assessed HC usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

    Time frame: Months 12, 18, and 24

  68. Change From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 3 and 6

    RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

    Time frame: Months 3 and 6

  69. Change From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

    Time frame: Months 12, 18, and 24

  70. Change From Baseline in Number of Days as Assessed Using RA-HCRU at Months 3 and 6

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

    Time frame: Months 3 and 6

  71. Change From Baseline in Number of Days as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

    Time frame: Months 12, 18, and 24

  72. Change From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 3 and 6

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home HC services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.

    Time frame: Months 3 and 6

  73. Change From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24

    RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home HC services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.

    Time frame: Months 12, 18, and 24

  74. Change From Baseline in Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU

    Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.

    Time frame: Months 3, 6, 12, 18, and 24

  75. Medical Outcomes Study Sleep Scale (MOS-SS) at Baseline and Months 1, 2, and 3

    Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

    Time frame: Baseline and Months 1, 2, and 3

  76. Percentage of Participants With Optimal Sleep Assessed Using MOS-SS

    MOS-SS: participant-rated 12 item questionnaire to assess constructs of sleep over past week. It included 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence, sleep quantity and optimal sleep. Participants responded whether their sleep was optimal or not by choosing yes or no. Number of participants with optimal sleep are reported

    Time frame: Months 1, 2, 3, 6, 12, 18, and 24

  77. Medical Outcomes Study Sleep Scale (MOS-SS) at Months 6, 12, 18, and 24

    Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

    Time frame: Months 6, 12, 18, and 24

  78. Change From Baseline in MOS-SS at Months 1, 2, and 3

    Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

    Time frame: Months 1, 2, and 3

  79. Change From Baseline in MOS-SS at Months 6, 12, 18, and 24

    Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

    Time frame: Months 6, 12, 18, and 24

  80. Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale

    FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status

    Time frame: Baseline and Months 1, 2, 3, 6, 12, 18, and 24

  81. Change From Baseline in FACIT-Fatigue Scale

    FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status

    Time frame: Months 1, 2, 3, 6, 12, 18, and 24

  82. Change From Baseline in Heart Rate

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

  83. Change From Baseline in Temperature

    Time frame: Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24

07

Results

Posted Apr 6, 2018

Participant flow

Participant flow — Overall Study
MilestoneCP-690,550 5 mg Twice Daily (BID)CP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Started373397186
Completed266286106
Not completed10711180
Withdrew: Adverse event383924
Withdrew: Lack of efficacy201126
Withdrew: Lost to follow-up1195
Withdrew: Other132512
Withdrew: Withdrawal by subject232713
Withdrew: Death200

Outcome measures

PrimaryModified Total Sharp Score (mTSS) at Month 6

mTSS: sum of erosion and joint space narrowing (JSN) scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score).

Time frame:
Month 6
Reported as:
Least squares mean · score on a scale
Modified Total Sharp Score (mTSS) at Month 6
score on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Modified Total Sharp Score (mTSS) at Month 620.50 ± 40.5818.85 ± 39.2117.54 ± 29.96
PrimaryChange From Baseline at Month 6 in mTSS

mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

Time frame:
Month 6
Reported as:
Least squares mean · score on a scale
Change From Baseline at Month 6 in mTSS
score on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Change From Baseline at Month 6 in mTSS0.20 ± 0.090.15 ± 0.080.65 ± 0.12
Statistical analysis
  • CP-690,550 5 mg BID vs MTX 10, 15, or 20 mg, Weekly · ANCOVA · p = 0.0014 (A stepdown procedure was used to control for multiple comparisons. In order for the comparison of CP-690,550 5 mg to be statistically significant versus MTX, the comparison of CP-690,550 10 mg versus MTX had to be statistically significant.) · Mean difference (final values): -0.45 · 95% CI -0.73 to -0.18
  • CP-690,550 10 mg BID vs MTX 10, 15, or 20 mg, Weekly · ANCOVA · p = 0.0004 (A stepdown procedure was used to control for multiple comparisons. In order for the comparison of CP-690,550 5 mg to be statistically significant versus MTX, the comparison of CP-690,550 10 mg versus MTX had to be statistically significant.) · Mean difference (final values): -0.50 · 95% CI -0.77 to -0.23
PrimaryPercentage of Participants Achieving American College of Rheumatology 70 (ACR70) Response at Month 6

ACR70 response: greater than or equal to (≥) 70 percent (%) improvement in tender joints count (TJC) or swollen joints count (SJC) and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of the Health Assessment Questionnaire \[HAQ\]), and 5) C-reactive protein (CRP).

Time frame:
Month 6
Reported as:
Number · percentage of participants
Percentage of Participants Achieving American College of Rheumatology 70 (ACR70) Response at Month 6
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Percentage of Participants Achieving American College of Rheumatology 70 (ACR70) Response at Month 625.4137.3412.09
Statistical analysis
  • CP-690,550 5 mg BID vs MTX 10, 15, or 20 mg, Weekly · Normal approximation · p = <0.0001 (A stepdown procedure was used to control for multiple comparisons. For comparison of 5 mg to be statistically significant, comparison of 10 mg to MTX in ACR70 and comparison of 5 mg to MTX in change from BL in mTSS had to be statistically significant) · Risk difference (rd): 13.32 · 95% CI 6.81 to 19.82
  • CP-690,550 10 mg BID vs MTX 10, 15, or 20 mg, Weekly · Normal approximation · p = <0.0001 (A stepdown procedure was used to control for multiple comparisons. For comparison of 10 mg to MTX in ACR70 to be statistically significant, comparison of 10 mg to MTX in change from BL in mTSS had to be statistically significant) · Risk difference (rd): 25.25 · 95% CI 18.51 to 31.99
PrimaryAbsolute Blood Pressure (BP) Values (mmHg)

BP: pressure exerted by the blood upon the walls of the blood vessels and especially arteries, usually measured on the radial artery using a sphygmomanometer. Systolic BP: the highest arterial blood pressure of a cardiac cycle occurring immediately after systole of the left ventricle of the heart. Diastolic BP: the lowest arterial blood pressure of a cardiac cycle occurring during diastole of the heart.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, and 24
Reported as:
Mean · mmHg
Absolute Blood Pressure (BP) Values (mmHg)
mmHgCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline: systolic BP123.37 ± 15.41124.30 ± 14.79123.47 ± 13.73
Baseline: diastolic BP77.64 ± 8.9777.59 ± 8.9078.02 ± 8.89
Month 1: systolic BP123.76 ± 15.28124.57 ± 14.17123.41 ± 14.59
Month 1: diastolic BP77.79 ± 9.1178.30 ± 8.6276.09 ± 9.00
Month 2: systolic BP123.65 ± 14.87124.28 ± 13.33122.59 ± 13.89
Month 2: diastolic BP77.77 ± 9.0878.68 ± 8.8176.22 ± 9.82
Month 3: systolic BP124.08 ± 14.94124.24 ± 14.40122.61 ± 13.18
Month 3: diastolic BP77.80 ± 9.1978.33 ± 9.5476.52 ± 7.80
Month 6: systolic BP123.71 ± 14.56125.02 ± 14.37122.28 ± 12.81
Month 6: diastolic BP77.74 ± 8.7078.56 ± 8.6976.50 ± 8.32
Month 9: systolic BP123.90 ± 13.98123.89 ± 13.71121.94 ± 13.01
Month 9: diastolic BP78.01 ± 9.1177.70 ± 8.3876.34 ± 8.53
Month 12: systolic BP125.61 ± 15.05124.34 ± 13.68122.22 ± 12.70
Month 12: diastolic BP78.08 ± 9.1478.08 ± 8.1676.59 ± 8.12
Month 15: systolic BP124.63 ± 14.24124.28 ± 13.48123.71 ± 13.46
Month 15: diastolic BP77.98 ± 8.7778.04 ± 8.4276.46 ± 8.95
Month 18: systolic BP124.48 ± 13.65124.39 ± 12.75121.57 ± 13.08
Month 18: diastolic BP77.66 ± 8.9078.34 ± 8.0276.76 ± 8.89
Month 21: systolic BP123.83 ± 13.53124.52 ± 12.91123.29 ± 11.98
Month 21: diastolic BP77.28 ± 8.2478.44 ± 7.5676.45 ± 8.34
Month 24: systolic BP124.48 ± 13.15124.34 ± 12.24122.47 ± 12.56
Month 24: diastolic BP78.25 ± 8.1578.07 ± 7.7376.57 ± 8.46
PrimaryChange From Baseline in BP Values (mmHg)

BP: pressure exerted by the blood upon the walls of the blood vessels and especially arteries, usually measured on the radial artery using a sphygmomanometer. Systolic BP: the highest arterial blood pressure of a cardiac cycle occurring immediately after systole of the left ventricle of the heart. Diastolic BP: the lowest arterial blood pressure of a cardiac cycle occurring during diastole of the heart.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, and 24
Reported as:
Mean · mmHg
Change From Baseline in BP Values (mmHg)
mmHgCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1: systolic BP0.44 ± 11.700.32 ± 11.03-0.02 ± 11.75
Month 1: diastolic BP0.11 ± 7.350.78 ± 7.88-1.91 ± 7.96
Month 2: systolic BP0.41 ± 12.740.07 ± 12.84-0.43 ± 10.93
Month 2: diastolic BP0.13 ± 8.561.18 ± 8.86-1.63 ± 8.07
Month 3: systolic BP0.91 ± 13.84-0.25 ± 12.71-0.48 ± 11.64
Month 3: diastolic BP0.16 ± 8.700.70 ± 8.37-1.31 ± 8.08
Month 6: systolic BP0.34 ± 12.600.36 ± 12.15-0.97 ± 10.45
Month 6: diastolic BP-0.04 ± 8.290.87 ± 8.34-1.41 ± 7.95
Month 9: systolic BP0.35 ± 12.33-0.43 ± 12.52-1.69 ± 10.79
Month 9: diastolic BP0.14 ± 9.120.04 ± 8.47-1.79 ± 8.42
Month 12: systolic BP2.32 ± 12.94-0.02 ± 13.17-1.36 ± 11.19
Month 12: diastolic BP0.29 ± 9.000.37 ± 8.03-1.41 ± 7.25
Month 15: systolic BP0.93 ± 12.90-0.00 ± 13.57-0.16 ± 12.14
Month 15: diastolic BP-0.11 ± 8.980.41 ± 8.38-1.63 ± 8.78
Month 18: systolic BP1.09 ± 12.610.23 ± 12.45-2.38 ± 13.23
Month 18: diastolic BP-0.30 ± 8.420.59 ± 9.09-1.49 ± 8.82
Month 21: systolic BP0.49 ± 13.080.31 ± 13.68-0.68 ± 11.18
Month 21: diastolic BP-0.71 ± 8.940.65 ± 9.14-1.63 ± 8.06
Month 24: systolic BP1.30 ± 12.730.06 ± 13.55-1.11 ± 12.42
Month 24: diastolic BP0.38 ± 8.940.28 ± 9.62-1.50 ± 7.75
SecondarymTSS Score at Baseline, Months 12 and 24

mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score).

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · score on a scale
mTSS Score at Baseline, Months 12 and 24
score on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline19.05 ± 38.2717.89 ± 38.4916.11 ± 29.44
Month 1219.23 ± 38.3718.08 ± 38.4117.32 ± 30.27
Month 2419.70 ± 38.6918.23 ± 38.4318.26 ± 30.99
SecondaryChange From Baseline in mTSS Score at Months 12 and 24

mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

Time frame:
Months 12 and 24
Reported as:
Least squares mean · score on a scale
Change From Baseline in mTSS Score at Months 12 and 24
score on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 120.37 ± 0.140.17 ± 0.141.20 ± 0.20
Month 240.57 ± 0.250.28 ± 0.242.11 ± 0.35
SecondaryPercentage of Participants With no Progression in mTSS at Months 6, 12, and 24

mTSS: sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). A increase of less than or equal to (≤)0.5 in mTSS is considered to be no progression in the mTSS.

Time frame:
Months 6, 12, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With no Progression in mTSS at Months 6, 12, and 24
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 687.0789.2573.65
Month 1282.4287.6769.01
Month 2479.8983.6564.91
SecondaryPercentage of Participants With no Worsening in Erosion Score (Increase ≤0.5) at Months 6, 12, and 24

Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. An increase of ≤0.5 in Erosion Score is considered to be 'no worsening' in the Erosion Score.

Time frame:
Months 6, 12, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With no Worsening in Erosion Score (Increase ≤0.5) at Months 6, 12, and 24
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 691.6793.0181.44
Month 1288.4790.8874.85
Month 2485.3488.2070.18
SecondaryErosion Scores

Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280.

Time frame:
Baseline, Months 6, 12, and 24
Reported as:
Mean · units on a scale
Erosion Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline9.05 ± 19.009.06 ± 19.508.38 ± 15.24
Month 69.18 ± 19.109.15 ± 19.508.78 ± 15.54
Month 129.05 ± 18.979.18 ± 19.428.97 ± 15.46
Month 249.21 ± 18.959.22 ± 19.369.37 ± 15.67
SecondaryJSN Scores

JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168.

Time frame:
Baseline, Months 6, 12, and 24
Reported as:
Mean · score on a scale
JSN Scores
score on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline10.01 ± 20.588.82 ± 19.807.72 ± 15.28
Month 610.09 ± 20.628.86 ± 19.798.17 ± 15.70
Month 1210.18 ± 20.748.90 ± 19.778.35 ± 16.01
Month 2410.50 ± 21.129.01 ± 19.878.89 ± 16.76
SecondaryChange From Baseline in Erosion Scores

Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. Change = score at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

Time frame:
Months 6, 12, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in Erosion Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 60.14 ± 0.040.10 ± 0.040.35 ± 0.06
Month 120.13 ± 0.070.12 ± 0.060.58 ± 0.09
Month 240.16 ± 0.110.16 ± 0.100.98 ± 0.15
SecondaryChange From Baseline in JSN Scores

JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

Time frame:
Months 6, 12, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in JSN Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 60.06 ± 0.060.05 ± 0.060.29 ± 0.09
Month 120.23 ± 0.100.05 ± 0.100.60 ± 0.14
Month 240.39 ± 0.180.12 ± 0.171.10 ± 0.25
SecondaryPercentage of Participants Achieving an ACR70 Response

ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 1, 2, 3, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants Achieving an ACR70 Response
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 15.229.230.55
Month 216.1623.023.30
Month 319.9526.605.49
Month 929.2337.8513.19
Month 1228.6937.8515.38
Month 1530.0537.8517.03
Month 1832.2436.5715.93
Month 2132.2436.8317.58
Month 2434.1537.6015.38
SecondaryPercentage of Participants Achieving an ACR20 Response

ACR20 response: ≥20% improvement in TJC or SJC and ≥20% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants Achieving an ACR20 Response
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 149.3258.2721.20
Month 263.5971.5742.39
Month 369.9277.9251.63
Month 671.2776.1450.54
Month 972.0973.6055.43
Month 1267.7571.5751.09
Month 1568.8366.2447.28
Month 1864.2365.9946.74
Month 2165.0462.1845.11
Month 2464.2364.2142.39
SecondaryPercentage of Participants Achieving an ACR50 Response

ACR50 response: ≥50% improvement in TJC or SJC and ≥50% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants Achieving an ACR50 Response
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 117.9827.993.80
Month 232.6140.1011.41
Month 340.1150.0020.11
Month 646.6156.3526.63
Month 949.8656.8535.33
Month 1249.8655.5833.70
Month 1550.6854.3133.15
Month 1847.9751.7830.43
Month 2149.0550.5130.43
Month 2449.3249.2428.26
SecondaryTender Joints Count (TJC)

Sixty-eight (68) joints were assessed by a blinded joint assessor to determine the number of joints considered tender or painful. The response to pressure/motion on each joint was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 68 joints to be assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), metacarpophalangeals (MCP I, II, III, IV, V), thumb interphalangeal (IP), proximal interphalangeals (PIP II, III, IV, V), distal interphalangeals (DIP II, III, IV, V); lower extremity: hip, knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), metatarsophalangeals (MTP I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · tender joints
Tender Joints Count (TJC)
tender jointsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline25.65 ± 13.8125.12 ± 13.5125.41 ± 15.03
Month 115.75 ± 12.9813.66 ± 12.6120.07 ± 14.83
Month 212.12 ± 12.3110.67 ± 12.3116.39 ± 14.16
Month 310.03 ± 11.528.61 ± 10.6714.05 ± 14.13
Month 68.71 ± 11.046.59 ± 10.2811.99 ± 13.34
Month 97.31 ± 10.456.14 ± 10.118.82 ± 11.27
Month 126.60 ± 9.785.46 ± 10.169.13 ± 12.67
Month 155.55 ± 9.155.17 ± 9.798.23 ± 10.50
Month 185.12 ± 7.154.46 ± 7.986.97 ± 8.74
Month 214.60 ± 6.874.19 ± 6.407.07 ± 9.68
Month 244.50 ± 6.754.66 ± 8.526.01 ± 6.81
SecondaryChange From Baseline in TJC

Sixty-eight (68) joints were assessed by a blinded joint assessor to determine the number of joints considered tender or painful. The response to pressure/motion on each joint was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 68 joints to be assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: hip, knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · tender joints
Change From Baseline in TJC
tender jointsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-9.43 ± 0.54-11.40 ± 0.52-5.11 ± 0.75
Month 2-12.95 ± 0.54-14.33 ± 0.52-8.63 ± 0.76
Month 3-14.95 ± 0.55-16.34 ± 0.52-10.69 ± 0.77
Month 6-16.00 ± 0.55-18.09 ± 0.53-12.38 ± 0.79
Month 9-17.16 ± 0.56-18.29 ± 0.54-15.39 ± 0.81
Month 12-17.85 ± 0.56-18.44 ± 0.54-14.74 ± 0.82
Month 15-18.86 ± 0.58-18.57 ± 0.55-15.70 ± 0.83
Month 18-19.08 ± 0.58-19.41 ± 0.56-16.41 ± 0.86
Month 21-19.54 ± 0.59-19.70 ± 0.57-16.24 ± 0.87
Month 24-19.64 ± 0.59-19.23 ± 0.57-17.01 ± 0.89
SecondarySwollen Joints Count (SJC)

Sixty-six (66) joints were assessed by a blinded joint assessor for swelling using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 66 joints assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · swollen joints
Swollen Joints Count (SJC)
swollen jointsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline16.27 ± 9.2415.58 ± 8.3716.76 ± 10.27
Month 19.90 ± 9.608.02 ± 7.0312.56 ± 9.40
Month 26.84 ± 7.745.69 ± 6.299.97 ± 9.05
Month 35.81 ± 8.764.32 ± 5.537.88 ± 7.98
Month 64.70 ± 7.403.69 ± 6.056.30 ± 7.12
Month 93.83 ± 5.673.22 ± 5.934.83 ± 6.74
Month 123.30 ± 6.122.88 ± 6.775.17 ± 9.44
Month 152.63 ± 6.353.00 ± 7.954.92 ± 8.21
Month 182.44 ± 4.072.25 ± 5.283.91 ± 4.85
Month 212.28 ± 4.122.02 ± 4.003.47 ± 4.14
Month 242.00 ± 3.702.29 ± 6.443.38 ± 4.26
SecondaryChange From Baseline in SJC

Sixty-six (66) joints were assessed by a blinded joint assessor for swelling using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). Artificial joints were not assessed. 66 joints assessed were: upper body (temporomandibular, sternoclavicular, acromioclavicular); upper extremity: shoulder, elbow, wrist (radiocarpal, carpal and carpometacarpal considered as one unit), MCP (I, II, III, IV, V), thumb IP, PIP (II, III, IV, V), DIP (II, III, IV, V); lower extremity: knee, ankle, tarsus (includes subtalar, transverse tarsal and tarsometatarsal considered as one unit), MTP (I, II, III, IV, V), great toe IP, proximal and distal interphalangeals combined (PIP II, III, IV, V).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · swollen joints
Change From Baseline in SJC
swollen jointsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-5.99 ± 0.36-7.75 ± 0.35-3.55 ± 0.51
Month 2-8.95 ± 0.37-10.03 ± 0.35-5.98 ± 0.51
Month 3-9.97 ± 0.37-11.42 ± 0.35-7.97 ± 0.52
Month 6-10.89 ± 0.37-11.97 ± 0.36-9.35 ± 0.53
Month 9-11.47 ± 0.38-12.39 ± 0.36-11.00 ± 0.55
Month 12-11.97 ± 0.38-12.54 ± 0.37-10.48 ± 0.56
Month 15-12.55 ± 0.39-12.30 ± 0.38-10.69 ± 0.57
Month 18-12.63 ± 0.39-13.10 ± 0.38-11.31 ± 0.59
Month 21-12.74 ± 0.40-13.28 ± 0.38-11.89 ± 0.60
Month 24-12.99 ± 0.40-13.06 ± 0.39-11.96 ± 0.61
SecondaryPatient Assessment of Arthritis Pain

Participants rated the severity of arthritis pain on a 0 to 100 millimeter (mm) visual analogue scale (VAS), where 0 mm=no pain and 100 mm=most severe pain.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · mm
Patient Assessment of Arthritis Pain
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline59.06 ± 23.8761.37 ± 23.1458.77 ± 23.58
Month 136.62 ± 23.7232.78 ± 23.3146.34 ± 24.47
Month 231.97 ± 22.9430.33 ± 23.6639.74 ± 23.72
Month 329.41 ± 21.5327.07 ± 21.5436.83 ± 21.99
Month 627.07 ± 21.2124.22 ± 21.5330.94 ± 22.87
Month 926.11 ± 20.3523.76 ± 21.2431.22 ± 22.50
Month 1226.09 ± 21.2922.64 ± 20.1529.91 ± 20.76
Month 1524.25 ± 20.3923.72 ± 21.9729.85 ± 22.94
Month 1823.66 ± 19.2922.72 ± 21.7827.81 ± 20.66
Month 2123.30 ± 19.8622.85 ± 21.7929.18 ± 21.46
Month 2423.03 ± 19.8021.09 ± 19.3227.52 ± 20.28
SecondaryChange From Baseline in Patient Assessment of Arthritis Pain

Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm=no pain and 100 mm=most severe pain.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · mm
Change From Baseline in Patient Assessment of Arthritis Pain
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-22.98 ± 1.17-27.26 ± 1.12-13.43 ± 1.62
Month 2-27.73 ± 1.17-29.71 ± 1.12-19.90 ± 1.64
Month 3-29.97 ± 1.18-32.90 ± 1.13-22.22 ± 1.66
Month 6-31.94 ± 1.19-35.35 ± 1.15-27.71 ± 1.70
Month 9-32.34 ± 1.21-35.26 ± 1.16-27.09 ± 1.75
Month 12-32.31 ± 1.22-35.85 ± 1.18-27.76 ± 1.79
Month 15-33.71 ± 1.25-34.54 ± 1.20-28.10 ± 1.82
Month 18-34.26 ± 1.26-35.73 ± 1.22-29.42 ± 1.87
Month 21-34.57 ± 1.27-35.66 ± 1.23-27.87 ± 1.90
Month 24-34.78 ± 1.28-37.57 ± 1.24-29.51 ± 1.93
SecondaryPhysician Global Assessment of Arthritis

Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm=very good and 100 mm=very bad.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · mm
Physician Global Assessment of Arthritis
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline61.97 ± 16.4560.50 ± 16.9359.25 ± 17.70
Month 136.70 ± 19.2433.05 ± 18.3245.52 ± 19.73
Month 227.84 ± 18.2625.80 ± 17.6237.19 ± 18.61
Month 325.06 ± 17.1022.80 ± 16.3632.07 ± 17.28
Month 622.19 ± 17.3118.32 ± 14.7427.25 ± 16.80
Month 918.68 ± 15.0916.61 ± 15.0123.65 ± 16.55
Month 1217.63 ± 15.0914.19 ± 12.6322.22 ± 15.30
Month 1516.65 ± 14.0314.97 ± 13.1323.29 ± 17.36
Month 1816.47 ± 12.7014.02 ± 12.5120.19 ± 14.74
Month 2115.73 ± 12.7314.61 ± 13.3920.01 ± 14.02
Month 2415.31 ± 14.1414.42 ± 13.6320.04 ± 15.54
SecondaryChange From Baseline in Physician Global Assessment of Arthritis

Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm=very good and 100 mm=very bad.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · mm
Change From Baseline in Physician Global Assessment of Arthritis
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-24.89 ± 0.86-28.32 ± 0.82-15.79 ± 1.19
Month 2-33.92 ± 0.86-35.49 ± 0.82-24.17 ± 1.20
Month 3-36.41 ± 0.87-38.48 ± 0.83-28.62 ± 1.22
Month 6-39.04 ± 0.88-42.49 ± 0.84-33.41 ± 1.25
Month 9-42.09 ± 0.89-43.94 ± 0.85-36.54 ± 1.29
Month 12-43.07 ± 0.90-46.02 ± 0.87-37.43 ± 1.32
Month 15-43.91 ± 0.92-45.40 ± 0.88-36.17 ± 1.34
Month 18-44.00 ± 0.93-46.50 ± 0.90-38.65 ± 1.38
Month 21-44.76 ± 0.94-46.02 ± 0.90-38.92 ± 1.40
Month 24-45.07 ± 0.95-46.30 ± 0.91-38.93 ± 1.42
SecondaryPatient Global Assessment of Arthritis

Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0=very well and 100=very poorly.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · mm
Patient Global Assessment of Arthritis
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline60.20 ± 24.5660.88 ± 22.6557.71 ± 24.30
Month 138.27 ± 24.8332.63 ± 23.0946.15 ± 22.82
Month 231.91 ± 22.9028.94 ± 22.6341.29 ± 22.73
Month 330.36 ± 21.7828.60 ± 22.2137.43 ± 21.20
Month 628.37 ± 21.2324.84 ± 21.6132.12 ± 21.92
Month 926.73 ± 20.3824.98 ± 22.3032.79 ± 22.42
Month 1226.72 ± 20.8424.38 ± 22.3432.40 ± 21.69
Month 1525.19 ± 20.1223.79 ± 21.9632.26 ± 22.79
Month 1824.76 ± 19.9324.38 ± 22.5929.31 ± 20.91
Month 2124.72 ± 20.9323.86 ± 21.5230.19 ± 21.15
Month 2424.42 ± 21.4323.61 ± 20.8628.81 ± 20.54
SecondaryChange From Baseline in Patient Global Assessment of Arthritis

Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0=very well and 100=very poorly.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · mm
Change From Baseline in Patient Global Assessment of Arthritis
mmCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-22.22 ± 1.17-27.87 ± 1.12-14.12 ± 1.62
Month 2-28.74 ± 1.17-31.54 ± 1.12-18.86 ± 1.64
Month 3-30.03 ± 1.18-31.72 ± 1.13-22.18 ± 1.66
Month 6-31.65 ± 1.19-35.11 ± 1.15-27.00 ± 1.70
Month 9-32.70 ± 1.21-34.48 ± 1.16-26.15 ± 1.76
Month 12-32.75 ± 1.22-34.62 ± 1.18-26.07 ± 1.79
Month 15-33.82 ± 1.25-34.94 ± 1.20-26.70 ± 1.82
Month 18-34.18 ± 1.26-34.65 ± 1.22-28.64 ± 1.87
Month 21-34.18 ± 1.27-35.26 ± 1.23-27.56 ± 1.90
Month 24-34.41 ± 1.29-35.74 ± 1.24-28.81 ± 1.93
SecondaryC-Reactive Protein

CRP measured in milligrams per liter (mg/L)

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · mg/L
C-Reactive Protein
mg/LCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline22.68 ± 27.0920.25 ± 23.9225.92 ± 30.94
Month 16.62 ± 9.683.23 ± 5.3517.37 ± 24.26
Month 26.47 ± 15.243.48 ± 9.3816.12 ± 26.55
Month 36.75 ± 12.813.05 ± 5.6011.90 ± 17.11
Month 65.22 ± 11.563.14 ± 5.5112.21 ± 19.32
Month 96.01 ± 12.893.39 ± 6.328.18 ± 12.36
Month 125.26 ± 9.932.72 ± 4.469.64 ± 16.36
Month 155.57 ± 15.522.96 ± 4.408.61 ± 13.02
Month 184.57 ± 8.713.59 ± 11.428.98 ± 11.72
Month 214.89 ± 7.584.07 ± 8.129.54 ± 13.72
Month 245.57 ± 11.493.71 ± 7.0010.07 ± 17.04
SecondaryChange From Baseline in CRP

Change from Baseline in CRP measured in mg/L.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · mg/L
Change From Baseline in CRP
mg/LCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-15.64 ± 0.68-18.84 ± 0.66-5.55 ± 0.95
Month 2-16.02 ± 0.69-18.59 ± 0.66-6.83 ± 0.97
Month 3-15.69 ± 0.69-19.01 ± 0.66-9.86 ± 0.97
Month 6-16.98 ± 0.70-18.76 ± 0.67-9.68 ± 1.00
Month 9-16.03 ± 0.71-18.48 ± 0.68-12.75 ± 1.03
Month 12-16.58 ± 0.72-19.16 ± 0.69-11.12 ± 1.05
Month 15-16.10 ± 0.73-18.80 ± 0.70-12.35 ± 1.07
Month 18-17.06 ± 0.74-18.17 ± 0.72-11.62 ± 1.10
Month 21-16.83 ± 0.75-17.67 ± 0.72-11.07 ± 1.11
Month 24-15.97 ± 0.75-17.96 ± 0.73-10.31 ± 1.14
SecondaryDisease Activity Score Based on 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3) CRP

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) less than or equal to (≤)3.2 implied low disease activity, greater than (\>)3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) less than (\<)2.6 = remission.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
Disease Activity Score Based on 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3) CRP
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline5.56 ± 0.915.46 ± 0.945.62 ± 0.95
Month 14.21 ± 1.083.77 ± 1.094.96 ± 1.17
Month 23.67 ± 1.213.31 ± 1.184.50 ± 1.19
Month 33.41 ± 1.213.05 ± 1.124.14 ± 1.27
Month 63.21 ± 1.252.76 ± 1.083.85 ± 1.34
Month 93.05 ± 1.222.69 ± 1.153.49 ± 1.20
Month 122.92 ± 1.182.52 ± 1.073.42 ± 1.30
Month 152.78 ± 1.102.50 ± 1.123.38 ± 1.27
Month 182.70 ± 1.062.47 ± 0.983.32 ± 1.17
Month 212.67 ± 1.102.48 ± 1.073.33 ± 1.27
Month 242.65 ± 1.082.44 ± 1.033.22 ± 1.15
SecondaryDisease Activity Score Based on 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR])

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (millimeter/hour \[mm/hour\]) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
Disease Activity Score Based on 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR])
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline6.62 ± 0.986.54 ± 0.966.60 ± 1.02
Month 15.18 ± 1.284.70 ± 1.325.84 ± 1.24
Month 24.54 ± 1.454.17 ± 1.395.35 ± 1.24
Month 34.21 ± 1.453.94 ± 1.314.98 ± 1.37
Month 64.05 ± 1.443.62 ± 1.314.61 ± 1.48
Month 93.84 ± 1.373.53 ± 1.364.27 ± 1.36
Month 123.69 ± 1.333.37 ± 1.294.23 ± 1.38
Month 153.59 ± 1.233.32 ± 1.314.17 ± 1.46
Month 183.51 ± 1.223.33 ± 1.184.05 ± 1.37
Month 213.49 ± 1.263.33 ± 1.294.09 ± 1.39
Month 243.43 ± 1.253.29 ± 1.293.99 ± 1.33
SecondaryChange From Baseline in DAS28-3(CRP)

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in DAS28-3(CRP)
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-1.30 ± 0.06-1.71 ± 0.06-0.58 ± 0.08
Month 2-1.85 ± 0.06-2.16 ± 0.06-1.02 ± 0.08
Month 3-2.09 ± 0.06-2.42 ± 0.06-1.36 ± 0.08
Month 6-2.27 ± 0.06-2.68 ± 0.06-1.62 ± 0.09
Month 9-2.40 ± 0.06-2.72 ± 0.06-1.95 ± 0.09
Month 12-2.52 ± 0.06-2.85 ± 0.06-1.99 ± 0.09
Month 15-2.65 ± 0.06-2.85 ± 0.06-2.03 ± 0.09
Month 18-2.72 ± 0.06-2.91 ± 0.06-2.05 ± 0.10
Month 21-2.75 ± 0.06-2.89 ± 0.06-2.05 ± 0.10
Month 24-2.76 ± 0.07-2.94 ± 0.06-2.12 ± 0.10
SecondaryChange From Baseline in DAS28-4(ESR)

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in DAS28-4(ESR)
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-1.40 ± 0.07-1.83 ± 0.07-0.72 ± 0.10
Month 2-2.03 ± 0.07-2.36 ± 0.07-1.17 ± 0.10
Month 3-2.34 ± 0.07-2.59 ± 0.07-1.53 ± 0.10
Month 6-2.47 ± 0.07-2.88 ± 0.07-1.87 ± 0.10
Month 9-2.64 ± 0.07-2.93 ± 0.07-2.19 ± 0.10
Month 12-2.78 ± 0.07-3.05 ± 0.07-2.20 ± 0.11
Month 15-2.87 ± 0.07-3.08 ± 0.07-2.25 ± 0.11
Month 18-2.92 ± 0.07-3.09 ± 0.07-2.34 ± 0.11
Month 21-2.96 ± 0.08-3.10 ± 0.07-2.30 ± 0.11
Month 24-2.99 ± 0.08-3.16 ± 0.07-2.40 ± 0.12
SecondaryPercentage of Participants With DAS28-3(CRP) ≤3.2

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-3(CRP) ≤3.2
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 116.6733.165.98
Month 235.4247.9714.13
Month 340.3356.8519.57
Month 647.6862.6927.72
Month 952.0460.4133.15
Month 1252.5964.9732.61
Month 1553.4158.8829.89
Month 1852.5956.0925.00
Month 2152.5955.8428.26
Month 2452.3256.8529.35
SecondaryPercentage of Participants With DAS28-4(ESR) ≤3.2

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-4(ESR) ≤3.2
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 17.4014.092.99
Month 218.4225.814.71
Month 325.1530.389.94
Month 627.7838.1714.04
Month 929.2439.7818.13
Month 1233.3341.1318.71
Month 1533.0440.8618.13
Month 1832.1635.2216.37
Month 2134.2138.1716.37
Month 2434.8036.0215.79
SecondaryPercentage of Participants With DAS28-3(CRP) <2.6

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-3(CRP) <2.6
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 17.3814.142.72
Month 220.4428.685.43
Month 325.8937.829.78
Month 631.3447.2115.22
Month 936.2445.6917.39
Month 1236.5149.4920.65
Month 1537.6049.2419.57
Month 1838.4244.6719.02
Month 2137.0644.6717.39
Month 2438.4243.9118.48
SecondaryPercentage of Participants With DAS28-4(ESR) <2.6

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-4(ESR) <2.6
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12.075.690.00
Month 29.0612.902.35
Month 313.7417.474.68
Month 614.6221.777.60
Month 916.3723.669.94
Month 1218.7123.3911.70
Month 1516.3724.1912.87
Month 1816.9619.8911.11
Month 2118.4221.428.77
Month 2420.7622.319.94
SecondaryPercentage of Participants With DAS28-3(CRP) Response (Good or Moderate Improvement)

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28 categorical responses define a good (absolute: \<3.2 or \>1.2 improvement from baseline \[BL\]), moderate (absolute: 3.2-5.1 or 0.6-1.2 change from BL), or no response (absolute: \>5.1 or \<0.6 change from BL).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-3(CRP) Response (Good or Moderate Improvement)
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 171.8680.4637.50
Month 280.1185.7958.15
Month 383.6589.3468.48
Month 682.8385.0364.13
Month 980.3882.7464.13
Month 1276.2978.6860.87
Month 1575.2073.3559.24
Month 1873.0271.5755.98
Month 2169.4869.2950.54
Month 2468.9469.8049.46
SecondaryPercentage of Participants With DAS28-4(ESR) Response (Good or Moderate Improvement)

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28 categorical responses define a good (absolute: \<3.2 or \>1.2 improvement from BL), moderate (absolute: 3.2-5.1 or 0.6-1.2 change from BL), or no response (absolute: \>5.1 or \<0.6 change from BL).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With DAS28-4(ESR) Response (Good or Moderate Improvement)
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 162.4374.2533.53
Month 274.2782.2650.00
Month 380.4188.1766.67
Month 678.9584.1460.82
Month 978.3681.7261.40
Month 1276.6179.5759.65
Month 1574.8573.1256.73
Month 1870.1870.9752.05
Month 2169.8869.8948.54
Month 2468.7169.6249.12
SecondaryPercentage of Participants With an ACR70 Response Sustained at Least 6 Months

ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With an ACR70 Response Sustained at Least 6 Months
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Percentage of Participants With an ACR70 Response Sustained at Least 6 Months28.4238.5413.98
SecondaryPercentage of Participants With Consecutive Visits of ACR20 Response by Number of Consecutive Visits

ACR20 response: ≥20% improvement in TJC or SJC and ≥20% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Consecutive Visits of ACR20 Response by Number of Consecutive Visits
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
2 consecutive visits8.66.57.5
3 consecutive visits8.611.114.5
4 consecutive visits5.66.810.2
5 consecutive visits7.04.35.4
6 consecutive visits6.76.04.8
7 consecutive visits6.76.85.9
8 consecutive visits9.44.55.4
9 consecutive visits9.711.69.7
10 consecutive visits23.630.54.8
SecondaryPercentage of Participants With Consecutive Visits of ACR50 Response by Number of Consecutive Visits

ACR50 response: ≥50% improvement in TJC or SJC and ≥50% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Consecutive Visits of ACR50 Response by Number of Consecutive Visits
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
2 consecutive visits9.99.89.1
3 consecutive visits10.79.18.1
4 consecutive visits6.47.35.4
5 consecutive visits9.75.33.2
6 consecutive visits4.64.85.4
7 consecutive visits6.26.05.9
8 consecutive visits5.67.12.2
9 consecutive visits5.68.31.6
10 consecutive visits5.911.81.1
SecondaryPercentage of Participants With Consecutive Visits of ACR70 Response by Number of Consecutive Visits

ACR70 response: ≥70% improvement in TJC or SJC and ≥70% improvement in at least 3 of 5 remaining ACR core measures: 1) physician's global assessment of disease activity, 2) participant's assessment of disease activity, 3) participant's assessment of pain, 4) participant's assessment of functional disability (disability index of HAQ), and 5) CRP.

Time frame:
Months 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Consecutive Visits of ACR70 Response by Number of Consecutive Visits
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
2 consecutive visits10.78.85.9
3 consecutive visits5.97.83.8
4 consecutive visits5.46.04.3
5 consecutive visits4.35.81.6
6 consecutive visits3.83.31.1
7 consecutive visits2.94.82.7
8 consecutive visits2.94.0NA
9 consecutive visits3.25.81.1
10 consecutive visits1.32.80
SecondaryPercentage of Participants With Consecutive Visits of DAS28-3(CRP) <2.6 by Number of Consecutive Visits

DAS28-3(CRP) was calculated from the SJC and TJC using 28-joints count and CRP (mg/L). Total score range: 0 to approximately 10, higher score indicated more disease activity. DAS28-3(CRP) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-3(CRP) \<2.6 = remission.

Time frame:
Months 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Consecutive Visits of DAS28-3(CRP) <2.6 by Number of Consecutive Visits
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
2 consecutive visits10.210.67.0
3 consecutive visits8.68.67.0
4 consecutive visits6.47.33.8
5 consecutive visits5.15.54.3
6 consecutive visits5.44.01.1
7 consecutive visits4.07.31.6
8 consecutive visits3.26.51.1
9 consecutive visits4.07.6NA
10 consecutive visits1.32.8NA
SecondaryPercentage of Participants With Consecutive Visits of DAS28-4(ESR) <2.6 by Number of Consecutive Visits

DAS28-4(ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hour) and patient's global assessment of disease activity (participant rated arthritis activity assessment). Total score range: 0 to approximately 10, higher score=more disease activity. DAS28-4(ESR) ≤3.2 implied low disease activity, \>3.2 to 5.1 implied moderate disease activity, \>5.1 implied high disease activity, and DAS28-4(ESR) \<2.6 = remission.

Time frame:
Months 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Consecutive Visits of DAS28-4(ESR) <2.6 by Number of Consecutive Visits
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
2 consecutive visits6.27.64.3
3 consecutive visits5.45.32.7
4 consecutive visits4.04.03.2
5 consecutive visitsNA1.31.6
6 consecutive visits2.42.0NA
7 consecutive visits1.93.0NA
8 consecutive visitsNA2.00
9 consecutive visitsNA2.51.1
10 consecutive visitsNANA0
SecondaryHealth Assessment Questionnaire Disability Index (HAQ-DI)

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
Health Assessment Questionnaire Disability Index (HAQ-DI)
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline1.54 ± 0.651.50 ± 0.671.52 ± 0.65
Month 11.05 ± 0.670.89 ± 0.651.30 ± 0.67
Month 20.89 ± 0.670.74 ± 0.621.17 ± 0.66
Month 30.78 ± 0.640.67 ± 0.631.03 ± 0.63
Month 60.69 ± 0.640.57 ± 0.590.92 ± 0.62
Month 90.66 ± 0.620.56 ± 0.580.83 ± 0.57
Month 120.64 ± 0.610.51 ± 0.560.79 ± 0.58
Month 150.59 ± 0.590.51 ± 0.560.83 ± 0.64
Month 180.58 ± 0.580.48 ± 0.550.74 ± 0.60
Month 210.59 ± 0.580.49 ± 0.560.76 ± 0.64
Month 240.58 ± 0.600.48 ± 0.560.77 ± 0.64
SecondaryChange From Baseline in HAQ-DI Score

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in HAQ-DI Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-0.48 ± 0.03-0.62 ± 0.03-0.23 ± 0.04
Month 2-0.65 ± 0.03-0.77 ± 0.03-0.35 ± 0.4
Month 3-0.75 ± 0.03-0.85 ± 0.03-0.47 ± 0.04
Month 6-0.83 ± 0.03-0.94 ± 0.03-0.58 ± 0.04
Month 9-0.85 ± 0.03-0.95 ± 0.03-0.65 ± 0.04
Month 12-0.87 ± 0.03-0.98 ± 0.03-0.68 ± 0.04
Month 15-0.90 ± 0.03-0.98 ± 0.03-0.65 ± 0.05
Month 18-0.90 ± 0.03-1.01 ± 0.03-0.74 ± 0.05
Month 21-0.90 ± 0.03-1.00 ± 0.03-0.72 ± 0.05
Month 24-0.90 ± 0.03-1.01 ± 0.03-0.70 ± 0.05
SecondaryPercentage of Participants With at Least 0.22 Improvement in HAQ-DI Score

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With at Least 0.22 Improvement in HAQ-DI Score
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 164.3873.9145.65
Month 269.1379.8561.41
Month 372.9580.3665.22
Month 674.3277.8163.04
Month 973.5073.2161.41
Month 1268.0371.4358.70
Month 1565.3067.8651.63
Month 1864.2164.8048.91
Month 2162.3065.0546.74
Month 2460.1165.0546.74
SecondaryPercentage of Participants With at Least 0.3 Improvement in HAQ-DI Score

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With at Least 0.3 Improvement in HAQ-DI Score
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 154.7965.7332.61
Month 262.3073.2147.83
Month 365.5774.2354.89
Month 669.6773.2153.80
Month 969.1369.3953.26
Month 1265.0367.3552.72
Month 1561.2065.3147.83
Month 1859.8463.2746.20
Month 2158.7461.2244.02
Month 2456.8362.7643.48
SecondaryPercentage of Participants With at Least 0.5 Improvement in HAQ-DI

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, hygiene, common activities over past week. Each item scored on 4-point scale from 0-3: 0=no difficulty, 1=some difficulty, 2=much difficulty, and 3=unable to do. Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With at Least 0.5 Improvement in HAQ-DI
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15 or 20 mg, Weekly
Month 147.9555.7526.09
Month 255.4667.8639.67
Month 360.6669.6443.48
Month 663.1168.8848.91
Month 965.3065.0547.28
Month 1259.5663.0145.65
Month 1558.2060.7144.57
Month 1856.2860.7141.30
Month 2155.1958.1641.85
Month 2453.2859.4437.50
SecondaryShort Form 36 (SF-36) Mental Component Score

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
Short Form 36 (SF-36) Mental Component Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline40.48 ± 12.0040.73 ± 11.7340.93 ± 11.27
Month 144.90 ± 11.4046.70 ± 10.7843.98 ± 10.71
Month 245.95 ± 12.1046.09 ± 11.2844.35 ± 10.48
Month 346.82 ± 11.2146.59 ± 11.3345.27 ± 10.42
Month 647.08 ± 10.9747.55 ± 10.2645.73 ± 12.06
Month 946.91 ± 10.7448.04 ± 10.4246.86 ± 10.85
Month 1247.04 ± 10.6748.05 ± 9.9945.71 ± 11.01
Month 1547.40 ± 10.3148.04 ± 10.1345.03 ± 11.75
Month 1847.64 ± 10.3248.25 ± 9.8646.76 ± 11.49
Month 2146.93 ± 10.8548.50 ± 10.0446.70 ± 11.66
Month 2447.32 ± 10.2348.96 ± 10.3646.42 ± 10.62
SecondarySF-36 Physical Component Score

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
SF-36 Physical Component Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline32.92 ± 7.3633.20 ± 7.3333.58 ± 7.82
Month 133.81 ± 8.4740.61 ± 8.1135.40 ± 8.28
Month 240.98 ± 8.4442.52 ± 8.3837.51 ± 8.22
Month 342.25 ± 8.5743.35 ± 8.5338.60 ± 8.01
Month 642.82 ± 8.4244.34 ± 8.7940.37 ± 8.11
Month 942.96 ± 8.6944.77 ± 8.8040.30 ± 7.97
Month 1243.65 ± 8.6845.72 ± 8.4341.27 ± 8.05
Month 1544.54 ± 8.8345.62 ± 8.7841.02 ± 8.27
Month 1844.53 ± 8.4245.50 ± 8.9541.15 ± 8.50
Month 2145.06 ± 8.3645.56 ± 8.8441.67 ± 8.44
Month 2444.95 ± 8.7645.78 ± 8.5041.53 ± 8.30
SecondaryChange From Baseline in SF-36 Mental Component Score

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in SF-36 Mental Component Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 14.37 ± 0.516.14 ± 0.493.25 ± 0.70
Month 25.39 ± 0.515.51 ± 0.493.41 ± 0.71
Month 36.12 ± 0.515.89 ± 0.494.33 ± 0.72
Month 66.36 ± 0.526.53 ± 0.504.84 ± 0.73
Month 95.99 ± 0.526.83 ± 0.506.04 ± 0.75
Month 126.21 ± 0.536.62 ± 0.514.72 ± 0.77
Month 156.38 ± 0.546.30 ± 0.524.09 ± 0.78
Month 186.51 ± 0.546.70 ± 0.525.78 ± 0.80
Month 215.80 ± 0.556.94 ± 0.535.58 ± 0.81
Month 246.23 ± 0.557.49 ± 0.535.54 ± 0.82
SecondaryChange From Baseline in SF-36 Physical Component Score

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in SF-36 Physical Component Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 15.83 ± 0.437.54 ± 0.412.17 ± 0.59
Month 28.04 ± 0.439.45 ± 0.414.23 ± 0.60
Month 39.23 ± 0.4310.32 ± 0.414.98 ± 0.60
Month 69.66 ± 0.4411.24 ± 0.426.55 ± 0.62
Month 99.63 ± 0.4411.53 ± 0.426.56 ± 0.63
Month 1210.30 ± 0.4412.35 ± 0.437.48 ± 0.65
Month 1510.87 ± 0.4512.06 ± 0.437.43 ± 0.65
Month 1810.76 ± 0.4512.04 ± 0.447.47 ± 0.67
Month 2111.19 ± 0.4612.19 ± 0.447.93 ± 0.68
Month 2411.03 ± 0.4612.46 ± 0.447.63 ± 0.68
SecondarySF-36 Domain Scores

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning).

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
SF-36 Domain Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline Vitality41.87 ± 9.9041.63 ± 10.0141.77 ± 9.56
Month 1 Vitality47.94 ± 9.9848.99 ± 9.5544.83 ± 9.67
Month 2 Vitality49.24 ± 10.9049.68 ± 10.4745.51 ± 9.53
Month 3 Vitality50.10 ± 10.3750.59 ± 10.0047.06 ± 9.11
Month 6 Vitality50.35 ± 10.0950.69 ± 10.2748.03 ± 9.87
Month 9 Vitality50.52 ± 10.0551.34 ± 10.1748.52 ± 9.79
Month 12 Vitality50.43 ± 10.3551.96 ± 9.5048.83 ± 8.94
Month 15 Vitality51.40 ± 9.8451.23 ± 9.8948.21 ± 10.18
Month 18 Vitality51.18 ± 9.4851.83 ± 9.6248.93 ± 10.48
Month 21 Vitality51.29 ± 9.7451.68 ± 9.8649.26 ± 10.59
Month 24 Vitality50.81 ± 9.4552.00 ± 10.1249.07 ± 9.94
Baseline Social Functioning36.41 ± 11.3236.66 ± 11.0637.64 ± 11.32
Month 1 Social Functioning41.33 ± 10.4544.13 ± 9.8540.12 ± 10.72
Month 2 Social Functioning43.56 ± 10.8943.78 ± 10.4441.36 ± 10.28
Month 3 Social Functioning44.75 ± 10.2044.60 ± 10.4942.52 ± 9.75
Month 6 Social Functioning45.21 ± 9.9746.18 ± 9.6844.15 ± 10.42
Month 9 Social Functioning45.37 ± 9.4746.46 ± 9.5045.08 ± 9.71
Month 12 Social Functioning45.43 ± 10.0046.88 ± 9.4543.22 ± 9.94
Month 15 Social Functioning46.09 ± 9.5646.99 ± 9.2542.96 ± 10.84
Month 18 Social Functioning46.39 ± 9.3246.82 ± 9.3444.44 ± 10.94
Month 21 Social Functioning46.22 ± 9.0547.22 ± 9.6144.49 ± 9.98
Month 24 Social Functioning46.52 ± 9.1147.76 ± 9.2743.87 ± 10.38
Basline Role Emotional34.01 ± 13.3234.69 ± 13.0634.69 ± 12.57
Month 1 Role Emotional39.21 ± 12.3541.31 ± 11.7236.93 ± 12.10
Month 2 Role Emotional40.59 ± 12.2141.60 ± 11.6238.30 ± 11.87
Month 3 Role Emotional41.55 ± 11.5942.18 ± 11.4339.15 ± 11.72
Month 6 Role Emotional41.95 ± 11.6943.80 ± 10.7540.34 ± 12.72
Month 9 Role Emotional41.84 ± 11.8244.08 ± 10.8541.12 ± 11.81
Month 12 Role Emotional42.19 ± 11.4344.29 ± 10.8540.90 ± 11.62
Month 15 Role Emotional43.07 ± 10.9344.72 ± 10.9839.83 ± 12.09
Month 18 Role Emotional43.36 ± 11.0244.00 ± 10.9142.43 ± 11.81
Month 21 Role Emotional42.38 ± 11.4444.53 ± 10.6541.25 ± 12.14
Month 24 Role Emotional43.49 ± 11.1245.27 ± 11.0241.14 ± 11.68
Baseline Mental Health38.87 ± 11.8839.51 ± 11.7639.75 ± 11.30
Month 1 Mental Health43.56 ± 11.2845.59 ± 10.9242.83 ± 10.84
Month 2 Mental Health44.57 ± 12.3445.27 ± 11.4343.35 ± 10.34
Month 3 Mental Health45.78 ± 11.7345.71 ± 11.8644.09 ± 10.55
Month 6 Mental Health46.21 ± 11.2946.48 ± 11.0744.06 ± 11.85
Month 9 Mental Health45.85 ± 11.1247.31 ± 10.9345.41 ± 11.36
Month 12 Mental Health46.54 ± 11.3347.43 ± 10.6844.78 ± 11.25
Month 15 Mental Health46.48 ± 10.8747.16 ± 10.7144.38 ± 11.92
Month 18 Mental Health46.78 ± 10.8248.05 ± 10.1744.95 ± 12.62
Month 21 Mental Health46.37 ± 11.6448.06 ± 10.7446.03 ± 12.31
Month 24 Mental Health46.47 ± 10.5348.18 ± 10.6945.95 ± 10.96
Baseline Physical Functioning30.21 ± 9.4731.57 ± 9.8632.04 ± 9.57
Month 1 Physical Functioning36.41 ± 10.4538.68 ± 10.3132.82 ± 10.09
Month 2 Physical Functioning38.24 ± 11.0540.41 ± 10.8235.29 ± 10.26
Month 3 Physical Functioning39.91 ± 10.7741.39 ± 10.8436.12 ± 9.97
Month 6 Physical Functioning40.62 ± 10.9842.79 ± 10.8337.61 ± 10.17
Month 9 Physical Functioning41.05 ± 11.0343.45 ± 10.2338.52 ± 10.34
Month 12 Physical Functioning41.72 ± 11.2044.29 ± 10.1739.66 ± 9.70
Month 15 Physical Functioning42.67 ± 10.8444.03 ± 10.5838.85 ± 10.12
Month 18 Physical Functioning43.06 ± 10.3244.30 ± 10.6439.01 ± 10.90
Month 21 Physical Functioning43.01 ± 10.6544.25 ± 10.3139.32 ± 10.57
Month 24 Physical Functioning43.45 ± 10.2944.55 ± 10.4039.85 ± 10.74
Baseline Role Physical33.54 ± 9.6434.11 ± 9.3533.98 ± 9.42
Month 1 Role Physical39.05 ± 9.7441.30 ± 9.2836.39 ± 9.36
Month 2 Role Physical41.30 ± 9.8542.73 ± 9.5838.43 ± 9.33
Month 3 Role Physical42.37 ± 9.8343.51 ± 9.4339.37 ± 9.67
Month 6 Role Physical43.27 ± 9.4244.46 ± 9.8240.78 ± 9.76
Month 9 Role Physical42.78 ± 9.6045.04 ± 9.4740.80 ± 9.66
Month 12 Role Physical43.67 ± 9.3645.81 ± 9.3941.28 ± 9.28
Month 15 Role Physical44.46 ± 9.4145.90 ± 9.4741.17 ± 9.35
Month 18 Role Physical44.44 ± 90.445.27 ± 9.3042.31 ± 10.15
Month 21 Role Physical44.51 ± 9.1845.77 ± 9.4542.72 ± 9.72
Month 24 Role Physical44.73 ± 9.3446.20 ± 9.0441.83 ± 10.15
Baseline Bodily Pain33.29 ± 8.1133.27 ± 7.2533.80 ± 7.53
Month 1 Bodily Pain40.54 ± 8.4742.81 ± 8.5737.54 ± 7.55
Month 2 Bodily Pain42.78 ± 9.0944.15 ± 9.1938.93 ± 7.89
Month 3 Bodily Pain44.14 ± 8.7344.79 ± 9.3540.61 ± 8.19
Month 6 Bodily Pain44.44 ± 8.8746.05 ± 9.4742.36 ± 8.66
Month 9 Bodily Pain44.37 ± 8.9046.40 ± 9.5842.62 ± 8.32
Month 12 Bodily Pain45.32 ± 9.3247.17 ± 9.2542.47 ± 8.85
Month 15 Bodily Pain45.97 ± 9.3847.18 ± 9.3442.72 ± 9.75
Month 18 Bodily Pain45.72 ± 9.2647.38 ± 9.3143.35 ± 9.25
Month 21 Bodily Pain46.42 ± 9.3047.43 ± 9.3443.70 ± 9.47
Month 24 Bodily Pain46.24 ± 9.4647.66 ± 9.4243.37 ± 9.43
Baseline General Health Perception38.02 ± 9.0337.24 ± 8.5537.63 ± 8.60
Month 1 General Health Perception41.69 ± 9.3742.40 ± 8.7839.58 ± 8.69
Month 2 General Health Perception43.11 ± 9.1943.18 ± 9.1940.68 ± 8.10
Month 3 General Health Perception43.86 ± 9.4343.72 ± 8.9941.35 ± 8.07
Month 6 General Health Perception44.00 ± 9.4844.32 ± 9.2442.53 ± 8.11
Month 9 General Health Perception44.17 ± 9.3244.53 ± 9.7342.09 ± 8.51
Month 12 General Health Perception44.24 ± 9.1845.06 ± 9.3542.74 ± 8.30
Month 15 General Health Perception44.78 ± 9.2345.14 ± 9.4041.85 ± 8.40
Month 18 General Health Perception44.92 ± 8.9345.00 ± 9.6042.15 ± 9.92
Month 21 General Health Perception45.03 ± 9.0845.02 ± 9.7342.69 ± 9.06
Month 24 General Health Perception44.75 ± 8.7845.14 ± 9.4142.75 ± 8.65
SecondaryChange From Baseline in SF-36 Domain Scores

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in SF-36 Domain Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1 Vitality6.04 ± 0.497.27 ± 0.473.03 ± 0.68
Month 2 Vitality7.36 ± 0.497.94 ± 0.473.68 ± 0.69
Month 3 Vitality8.13 ± 0.498.79 ± 0.474.99 ± 0.69
Month 6 Vitality8.36 ± 0.508.58 ± 0.485.89 ± 0.71
Month 9 Vitality8.32 ± 0.509.06 ± 0.496.33 ± 0.73
Month 12 Vitality8.30 ± 0.519.31 ± 0.496.44 ± 0.74
Month 15 Vitality9.00 ± 0.528.33 ± 0.505.79 ± 0.75
Month 18 Vitality8.65 ± 0.529.09 ± 0.516.46 ± 0.77
Month 21 Vitality8.66 ± 0.538.94 ± 0.516.73 ± 0.78
Month 24 Vitality8.19 ± 0.539.29 ± 0.516.47 ± 0.79
Month 1 Social Functioning4.69 ± 0.507.46 ± 0.483.10 ± 0.69
Month 2 Social Functioning6.97 ± 0.507.15 ± 0.484.18 ± 0.70
Month 3 Social Functioning8.06 ± 0.507.90 ± 0.485.18 ± 0.71
Month 6 Social Functioning8.35 ± 0.519.23 ± 0.496.82 ± 0.72
Month 9 Social Functioning8.39 ± 0.519.37 ± 0.497.78 ± 0.75
Month 12 Social Functioning8.46 ± 0.529.60 ± 0.505.83 ± 0.76
Month 15 Social Functioning8.85 ± 0.539.49 ± 0.515.85 ± 0.77
Month 18 Social Functioning8.99 ± 0.549.44 ± 0.527.33 ± 0.79
Month 21 Social Functioning8.76 ± 0.549.87 ± 0.527.37 ± 0.80
Month 24 Social Functioning9.05 ± 0.5510.43 ± 0.536.85 ± 0.82
Month 1 Role Emotional5.06 ± 0.566.88 ± 0.542.58 ± 0.77
Month 2 Role Emotional6.39 ± 0.567.26 ± 0.543.62 ± 0.78
Month 3 Role Emotional7.20 ± 0.567.73 ± 0.544.38 ± 0.79
Month 6 Role Emotional7.49 ± 0.579.17 ± 0.555.58 ± 0.81
Month 9 Role Emotional7.21 ± 0.589.35 ± 0.556.37 ± 0.83
Month 12 Role Emotional7.63 ± 0.589.38 ± 0.565.94 ± 0.85
Month 15 Role Emotional8.21 ± 0.599.61 ± 0.574.97 ± 0.86
Month 18 Role Emotional8.43 ± 0.609.16 ± 0.587.53 ± 0.89
Month 21 Role Emotional7.48 ± 0.609.70 ± 0.586.32 ± 0.90
Month 24 Role Emotional8.61 ± 0.6110.51 ± 0.596.59 ± 0.91
Month 1 Mental Health4.57 ± 0.526.37 ± 0.503.50 ± 0.72
Month 2 Mental Health5.53 ± 0.526.05 ± 0.503.94 ± 0.72
Month 3 Mental Health6.59 ± 0.526.35 ± 0.504.67 ± 0.73
Month 6 Mental Health7.05 ± 0.536.81 ± 0.514.65 ± 0.75
Month 9 Mental Health6.46 ± 0.537.39 ± 0.516.10 ± 0.77
Month 12 Mental Health7.27 ± 0.547.31 ± 0.525.38 ± 0.78
Month 15 Mental Health7.01 ± 0.556.73 ± 0.535.02 ± 0.79
Month 18 Mental Health7.21 ± 0.557.74 ± 0.545.41 ± 0.82
Month 21 Mental Health6.78 ± 0.567.75 ± 0.546.39 ± 0.83
Month 24 Mental Health6.88 ± 0.568.05 ± 0.546.40 ± 0.84
Month 1 Physical Functioning5.74 ± 0.527.41 ± 0.491.34 ± 0.71
Month 2 Physical Functioning7.59 ± 0.529.19 ± 0.503.66 ± 0.72
Month 3 Physical Functioning9.18 ± 0.5210.16 ± 0.504.30 ± 0.73
Month 6 Physical Functioning9.70 ± 0.5311.39 ± 0.505.69 ± 0.74
Month 9 Physical Functioning9.98 ± 0.5312.00 ± 0.516.32 ± 0.76
Month 12 Physical Functioning10.68 ± 0.5412.76 ± 0.527.41 ± 0.77
Month 15 Physical Functioning11.18 ± 0.5512.29 ± 0.526.89 ± 0.79
Month 18 Physical Functioning11.50 ± 0.5512.66 ± 0.537.05 ± 0.81
Month 21 Physical Functioning11.33 ± 0.5512.71 ± 0.537.35 ± 0.82
Month 24 Physical Functioning11.66 ± 0.5613.04 ± 0.547.93 ± 0.83
Month 1 Role Physical5.52 ± 0.487.57 ± 0.462.75 ± 0.66
Month 2 Role Physical7.81 ± 0.489.05 ± 0.464.57 ± 0.67
Month 3 Role Physical8.77 ± 0.489.81 ± 0.465.24 ± 0.67
Month 6 Role Physical9.55 ± 0.4910.63 ± 0.476.60 ± 0.69
Month 9 Role Physical8.88 ± 0.4911.13 ± 0.476.57 ± 0.71
Month 12 Role Physical9.79 ± 0.5011.72 ± 0.487.03 ± 0.72
Month 15 Role Physical10.27 ± 0.5011.64 ± 0.497.06 ± 0.73
Month 18 Role Physical10.10 ± 0.5111.23 ± 0.498.20 ± 0.75
Month 21 Role Physical10.11 ± 0.5111.78 ± 0.498.65 ± 0.76
Month 24 Role Physical10.31 ± 0.5212.26 ± 0.507.78 ± 0.77
Month 1 Bodily Pain7.21 ± 0.489.54 ± 0.464.10 ± 0.66
Month 2 Bodily Pain9.45 ± 0.4810.88 ± 0.465.40 ± 0.67
Month 3 Bodily Pain10.69 ± 0.4811.49 ± 0.466.81 ± 0.68
Month 6 Bodily Pain10.90 ± 0.4912.58 ± 0.478.32 ± 0.69
Month 9 Bodily Pain10.66 ± 0.4912.74 ± 0.478.77 ± 0.71
Month 12 Bodily Pain11.64 ± 0.5013.32 ± 0.488.43 ± 0.73
Month 15 Bodily Pain12.09 ± 0.5113.10 ± 0.498.72 ± 0.74
Month 18 Bodily Pain11.75 ± 0.5113.43 ± 0.509.11 ± 0.76
Month 21 Bodily Pain12.35 ± 0.5213.52 ± 0.509.39 ± 0.77
Month 24 Bodily Pain12.16 ± 0.5213.80 ± 0.509.06 ± 0.78
Month 1 General Health Perception3.94 ± 0.415.19 ± 0.392.15 ± 0.57
Month 2 General Health Perception5.37 ± 0.415.97 ± 0.393.27 ± 0.57
Month 3 General Health Perception6.04 ± 0.416.44 ± 0.393.86 ± 0.58
Month 6 General Health Perception6.14 ± 0.426.84 ± 0.404.87 ± 0.59
Month 9 General Health Perception6.08 ± 0.426.89 ± 0.404.71 ± 0.60
Month 12 General Health Perception6.08 ± 0.427.20 ± 0.415.33 ± 0.61
Month 15 General Health Perception6.41 ± 0.437.04 ± 0.414.57 ± 0.62
Month 18 General Health Perception6.50 ± 0.436.95 ± 0.424.61 ± 0.64
Month 21 General Health Perception6.62 ± 0.447.06 ± 0.424.96 ± 0.64
Month 24 General Health Perception6.39 ± 0.447.37 ± 0.424.75 ± 0.65
SecondaryWork Limitation Questionnaire (WLQ) Score

WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time).

Time frame:
Baseline and Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · units on a scale
Work Limitation Questionnaire (WLQ) Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline: Time Management46.41 ± 25.5947.79 ± 28.2947.26 ± 28.19
Baseline: Physical Demands51.18 ± 23.0250.99 ± 25.4750.15 ± 25.54
Baseline: Mental Demands31.29 ± 24.7233.84 ± 26.7228.57 ± 26.35
Baseline: Output Demands40.77 ± 27.3640.50 ± 28.0738.34 ± 28.09
Month 1: Time Management40.00 ± NA37.50 ± 53.0340.00 ± NA
Month 2: Time Management25.00 ± 35.3615.00 ± NA95.00 ± 8.66
Month 3: Time Management31.47 ± 27.9929.02 ± 29.1934.76 ± 27.70
Month 3: Physical Demands48.11 ± 31.3345.77 ± 32.8654.47 ± 28.36
Month 3: Mental Demands23.84 ± 26.6722.50 ± 27.2822.66 ± 24.71
Month 3: Output Demands26.46 ± 26.2625.63 ± 28.3027.77 ± 26.38
Month 6: Physical Demands50.13 ± 31.8145.76 ± 35.4546.46 ± 30.78
Month 6: Time Management29.18 ± 28.1625.11 ± 28.0827.87 ± 25.18
Month 6: Mental Demands22.01 ± 24.0518.00 ± 24.1120.29 ± 23.90
Month 6: Output Demands24.55 ± 24.4720.31 ± 23.3324.66 ± 25.38
Month 9: Time Management70.00 ± NA35.00 ± 33.9162.92 ± 32.12
Month 12: Time Management30.82 ± 29.7624.43 ± 28.4925.86 ± 25.57
Month 12: Physical Demands47.87 ± 33.2946.42 ± 37.1839.98 ± 32.42
Month 12: Mental Demands22.99 ± 25.5915.11 ± 21.9417.21 ± 21.88
Month 12: Output Demands25.65 ± 25.7417.36 ± 22.9821.49 ± 26.87
Month 15: Time Management5.00 ± NA8.33 ± 14.4375.00 ± NA
Month 15: Physical Demands8.33 ± NA33.33 ± 57.7454.17 ± 25.34
Month 15: Mental Demands5.56 ± NA0.00 ± 0.0037.50 ± 53.03
Month 15: Output Demands0.00 ± NA6.67 ± 11.5548.33 ± 44.78
Month 18: Time Management23.19 ± 25.2822.16 ± 26.7725.09 ± 28.46
Month 18: Physical Demands50.79 ± 34.5143.14 ± 37.0643.93 ± 33.15
Month 18: Mental Demands19.24 ± 23.1517.51 ± 23.8317.78 ± 22.99
Month 18: Output Demands22.85 ± 24.6019.83 ± 25.3722.63 ± 26.31
Month 21: Time Management67.50 ± 17.6860.00 ± 35.3680.00 ± NA
Month 21: Physical Demands62.50 ± 29.1727.08 ± 20.6262.50 ± NA
Month 21: Mental Demands29.63 ± 26.9887.50 ± 17.6825.00 ± NA
Month 21: Output Demands31.67 ± 27.5482.50 ± 24.7545.00 ± NA
Month 24: Time Management28.17 ± 29.3821.06 ± 25.3725.11 ± 25.07
Month 24: Physical Demands51.10 ± 35.2645.94 ± 36.6543.75 ± 33.06
Month 24: Mental Demands19.44 ± 22.7017.25 ± 23.2917.50 ± 24.04
Month 24: Output Demands22.98 ± 25.2319.39 ± 24.0320.02 ± 23.85
SecondaryChange From Baseline in WLQ Scores

WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5 items); Physical Demands scale (6 items); Mental-Interpersonal Demands Scale (9 items); Output Demands scale (5 items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time).

Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in WLQ Scores
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15 or 20 mg, Weekly
Month 3 Time Management Scale-14.28 ± 2.11-16.87 ± 2.04-10.46 ± 2.98
Month 6 Time Management Scale-16.99 ± 2.16-20.12 ± 2.10-15.78 ± 3.10
Month 12 Time Management Scale-16.22 ± 2.23-20.72 ± 2.20-18.32 ± 3.29
Month 15 Time Management Scale-32.18 ± 21.24-14.92 ± 15.0429.59 ± 21.29
Month 18 Time Management Scale-21.55 ± 2.33-22.60 ± 2.30-18.68 ± 3.47
Month 21 Time Management Scale5.99 ± 14.90-16.26 ± 20.82-7.27 ± 20.89
Month 24 Time Management Scale-15.44 ± 2.37-22.25 ± 2.35-18.54 ± 3.64
Month 3 Physical Demand-6.44 ± 2.62-8.36 ± 2.550.13 ± 3.74
Month 6 Physical Demand-1.25 ± 2.68-9.48 ± 2.64-6.45 ± 3.88
Month 12 Physical Demand-5.36 ± 2.77-6.66 ± 2.76-14.62 ± 4.11
Month 15 Physical Demand-28.94 ± 28.32-12.26 ± 16.51-13.80 ± 16.68
Month 18 Physical Demand-2.35 ± 2.86-11.77 ± 2.95-7.77 ± 4.38
Month 21 Physical Demand3.65 ± 16.22-18.17 ± 27.874.80 ± 27.94
Month 24 Physical Demand-2.71 ± 3.02-9.56 ± 3.03-8.03 ± 4.62
Month 3 Mental/Interpersonal Demands-6.81 ± 1.68-8.56 ± 1.64-5.99 ± 2.39
Month 6 Mental/Interpersonal Demands-10.03 ± 1.72-12.35 ± 1.69-9.36 ± 2.49
Month 12 Mental/Interpersonal Demands-9.35 ± 1.77-15.21 ± 11.76-11.64 ± 2.63
Month 15 Mental/Interpersonal Demands-17.52 ± 17.41-21.78 ± 10.1815.00 ± 12.54
Month 18 Mental/Interpersonal Demands-11.09 ± 1.83-13.08 ± 1.86-11.33 ± 2.76
Month 21 Mental/Interpersonal Demands-4.00 ± 9.9623.24 ± 17.09-29.23 ± 17.14
Month 24 Mental/Interpersonal Demands-9.34 ± 1.89-13.58 ± 1.90-13.14 ± 2.87
Month 3 Output Demand-12.69 ± 1.84-13.43 ± 1.82-8.73 ± 2.72
Month 6 Output Demand-14.78 ± 1.89-19.16 ± 1.89-14.02 ± 2.80
Month 12 Output Demand-14.83 ± 1.93-21.15 ± 1.96-15.84 ± 2.95
Month 15 Output Demand-29.63 ± 18.09-18.43 ± 10.6117.17 ± 13.10
Month 18 Output Demand-14.17 ± 1.98-18.82 ± 2.06-14.15 ± 3.09
Month 21 Output Demand0.32 ± 12.6916.85 ± 17.72-20.75 ± 17.79
Month 24 Output Demand-13.60 ± 2.05-20.77 ± 2.08-16.40 ± 3.17
SecondaryWLQ Work Loss Index Score

WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work Loss Index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0 \[no loss\] to 100 \[complete loss of work\]).

Time frame:
Baseline and Months 3, 6, and 12
Reported as:
Mean · units on a scale
WLQ Work Loss Index Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline11.00 ± 5.9311.21 ± 6.0810.55 ± 6.24
Month 38.05 ± 6.257.60 ± 6.438.32 ± 5.78
Month 67.72 ± 5.746.49 ± 5.627.29 ± 5.69
Month 127.89 ± 6.075.88 ± 5.316.47 ± 5.90
SecondaryChange From Baseline in WLQ Work Loss Index Score

WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: Time Management scale (5-items); Physical Demands scale (6-item); Mental-Interpersonal Demands Scale (9-items); Output Demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work Loss Index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0 \[no loss\] to 100 \[complete loss of work\]).

Time frame:
Months 3, 6, 12, 15, 18, 21, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in WLQ Work Loss Index Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15 or 20 mg, Weekly
Month 3-2.82 ± 0.41-3.21 ± 0.40-2.03 ± 0.59
Month 6-3.24 ± 0.42-4.23 ± 0.41-3.18 ± 0.61
Month 12-3.35 ± 0.44-4.99 ± 0.43-3.84 ± 0.65
Month 15-7.10 ± 4.07-4.99 ± 2.39-0.19 ± 2.43
Month 18-3.61 ± 0.45-4.90 ± 0.45-3.48 ± 0.68
Month 21-1.14 ± 2.332.24 ± 3.99-4.92 ± 4.00
Month 24-3.18 ± 0.46-4.96 ± 0.46-4.11 ± 0.70
SecondaryEuropean Quality of Life (EuroQol) Five Dimensions (EQ-5D) Health State Profile Utility Score

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.

Time frame:
Baseline and Months 3, 6, 12, 18, and 24
Reported as:
Mean · units on a scale
European Quality of Life (EuroQol) Five Dimensions (EQ-5D) Health State Profile Utility Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline0.39 ± 0.330.42 ± 0.310.46 ± 0.30
Month 30.67 ± 0.250.69 ± 0.230.63 ± 0.23
Month 60.68 ± 0.230.72 ± 0.220.63 ± 0.26
Month 120.70 ± 0.250.74 ± 0.220.66 ± 0.21
Month 180.73 ± 0.220.75 ± 0.230.66 ± 0.24
Month 240.72 ± 0.240.76 ± 0.220.71 ± 0.19
SecondaryChange From Baseline in EQ-5D Health State Profile Utility Score

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.

Time frame:
Months 3, 6, 12, 18, and 24
Reported as:
Least squares mean · units on a scale
Change From Baseline in EQ-5D Health State Profile Utility Score
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 30.26 ± 0.010.28 ± 0.010.21 ± 0.02
Month 60.27 ± 0.010.30 ± 0.010.20 ± 0.02
Month 120.28 ± 0.010.31 ± 0.010.23 ± 0.02
Month 180.31 ± 0.010.33 ± 0.010.23 ± 0.02
Month 240.30 ± 0.010.33 ± 0.010.28 ± 0.02
SecondaryWork Productivity and Healthcare Resource Utilization (HCRU) at Baseline and Months 3 and 6

Rheumatoid Arthritis (RA)-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, emergency room (ER) treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

Time frame:
Baseline and Months 3 and 6
Reported as:
Mean · units on a scale
Work Productivity and Healthcare Resource Utilization (HCRU) at Baseline and Months 3 and 6
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
BL: seen any doctor1.12 ± 0.331.13 ± 0.331.12 ± 0.32
BL: treated in ER1.95 ± 0.211.91 ± 0.281.91 ± 0.28
BL:admitted for overnight stay0.24 ± 0.560.31 ± 0.830.25 ± 0.58
BL: hospitalized1.89 ± 0.311.93 ± 0.261.88 ± 0.33
BL: any outpatient surgery1.98 ± 0.151.96 ± 0.191.98 ± 0.15
BL: non-study diagnostic tests1.74 ± 0.441.74 ± 0.441.69 ± 0.46
BL: in a nursing home2.00 ± 0.001.99 ± 0.111.98 ± 0.13
BL: home healthcare services1.99 ± 0.101.99 ± 0.111.98 ± 0.13
BL: used aids/devices1.90 ± 0.301.91 ± 0.291.91 ± 0.29
BL: non-medical practitioner1.97 ± 0.171.96 ± 0.201.96 ± 0.19
BL: currently employed1.55 ± 0.501.53 ± 0.501.54 ± 0.50
BL: feel well enough to work1.78 ± 0.421.78 ± 0.421.78 ± 0.42
BL: unable to work due to RA1.45 ± 0.501.49 ± 0.501.42 ± 0.50
BL: Lost job/retired early1.75 ± 0.441.81 ± 0.401.77 ± 0.43
BL: work disabled due to RA1.55 ± 0.501.58 ± 0.501.59 ± 0.50
BL: retired1.60 ± 0.491.61 ± 0.491.53 ± 0.50
BL: sick leave due to RA1.74 ± 0.441.73 ± 0.451.74 ± 0.44
BL: performed part time work1.90 ± 0.301.88 ± 0.331.83 ± 0.38
BL: performed paid work1.61 ± 0.491.57 ± 0.501.57 ± 0.50
BL: unable to do chores1.41 ± 0.491.40 ± 0.491.44 ± 0.50
BL: chores by housekeeper1.91 ± 0.291.87 ± 0.331.93 ± 0.26
BL: chores by family/friends1.48 ± 0.501.50 ± 0.501.49 ± 0.50
Month 3: seen any doctor1.36 ± 0.481.30 ± 0.461.30 ± 0.46
Month 3: treated in ER1.97 ± 0.181.96 ± 0.201.98 ± 0.13
Month 3:admitted for overnight stay0.08 ± 0.290.06 ± 0.250.33 ± 0.58
Month 3:hospitalization1.99 ± 0.111.99 ± 0.091.99 ± 0.11
Month 3: outpatient surgery1.99 ± 0.121.98 ± 0.131.99 ± 0.11
Month 3: non-study diagnostic tests1.90 ± 0.301.90 ± 0.311.92 ± 0.27
Month 3: in nursing home2.00 ± 0.051.99 ± 0.092.00 ± 0.00
Month 3: home healthcare services2.00 ± 0.051.99 ± 0.102.00 ± 0.00
Month 3: required aids/devices1.94 ± 0.231.95 ± 0.221.92 ± 0.27
Month 3: non-medical practitioner1.98 ± 0.141.98 ± 0.121.99 ± 0.11
Month 3: currently employed1.51 ± 0.501.53 ± 0.501.53 ± 0.50
Month 3: feel well enough to work1.62 ± 0.491.58 ± 0.501.67 ± 0.47
Month 3: unable to work due to RA1.56 ± 0.501.64 ± 0.481.50 ± 0.50
Month 3: lost job/retired early1.70 ± 0.461.79 ± 0.411.83 ± 0.38
Month 3: work disabled due to RA1.64 ± 0.481.68 ± 0.471.67 ± 0.47
Month 3: retired1.56 ± 0.501.59 ± 0.491.54 ± 0.50
Month 3: sick leave due to RA1.87 ± 0.331.90 ± 0.311.85 ± 0.36
Month 3: performed part-time work1.93 ± 0.251.95 ± 0.211.92 ± 0.27
Month 3: performed paid work1.69 ± 0.461.72 ± 0.451.66 ± 0.47
Month 3: unable to do chores1.69 ± 0.461.71 ± 0.451.54 ± 0.50
Month 3: chores by housekeeper1.95 ± 0.221.92 ± 0.271.89 ± 0.31
Month 3: chores by family/friends1.70 ± 0.461.71 ± 0.451.58 ± 0.50
Month 6: seen any doctor1.40 ± 0.491.39 ± 0.491.35 ± 0.48
Month 6: treated in ER1.96 ± 0.201.95 ± 0.221.98 ± 0.14
Month 6:admitted for overnight stay0.36 ± 0.740.21 ± 0.541.33 ± 1.15
Month 6: Hospitalization1.99 ± 0.091.98 ± 0.141.97 ± 0.16
Month 6: outpatient surgery1.98 ± 0.131.98 ± 0.141.97 ± 0.16
Month 6: non-study diagnostic test1.91 ± 0.291.88 ± 0.321.89 ± 0.31
Month 6: in nursing home2.00 ± 0.052.00 ± 0.051.99 ± 0.08
Month 6: home healthcare services1.99 ± 0.091.99 ± 0.072.00 ± 0.00
Month 6: required aids/devices1.94 ± 0.241.96 ± 0.191.95 ± 0.22
Month 6: non-medical practitioner1.99 ± 0.121.99 ± 0.071.97 ± 0.16
Month 6: currently employed1.50 ± 0.501.53 ± 0.501.55 ± 0.50
Month 6: feel well enough to work1.55 ± 0.501.57 ± 0.501.65 ± 0.48
Month 6: unable to work due to RA1.64 ± 0.481.66 ± 0.471.52 ± 0.50
Month 6: lost job/retired early1.74 ± 0.441.81 ± 0.401.78 ± 0.42
Month 6: work disabled due to RA1.68 ± 0.471.70 ± 0.461.68 ± 0.47
Month 6: retired1.55 ± 0.501.57 ± 0.501.52 ± 0.50
Month 6: sick leave due to RA1.94 ± 0.241.94 ± 0.231.89 ± 0.31
Month 6: performed part-time work1.97 ± 0.161.97 ± 0.171.95 ± 0.22
Month 6: performed paid work1.77 ± 0.421.82 ± 0.381.69 ± 0.46
Month 6: unable to do chores1.79 ± 0.411.81 ± 0.401.70 ± 0.46
Month 6: chores by housekeeper1.96 ± 0.201.94 ± 0.241.94 ± 0.24
Month 6: chores by family/friends1.78 ± 0.411.83 ± 0.371.71 ± 0.46
SecondaryWork Productivity and Healthcare Resource Utilization (HCRU) at Months 12, 18, and 24

RA-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · units on a scale
Work Productivity and Healthcare Resource Utilization (HCRU) at Months 12, 18, and 24
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: seen any doctor1.45 ± 0.501.44 ± 0.501.41 ± 0.49
Month 12: treated in ER1.95 ± 0.211.98 ± 0.151.96 ± 0.19
Month12:admitted for overnight stay0.19 ± 0.540.25 ± 0.460.20 ± 0.45
Month 12: hospitalized1.98 ± 0.151.99 ± 0.111.99 ± 0.12
Month 12:any outpatient surgery1.97 ± 0.171.98 ± 0.151.98 ± 0.15
Month 12:non-study diagnostic tests1.90 ± 0.301.88 ± 0.331.92 ± 0.27
Month 12: in a nursing home2.00 ± 0.001.99 ± 0.081.99 ± 0.09
Month 12: home healthcare services1.99 ± 0.081.99 ± 0.082.00 ± 0.00
Month 12: used aids/devices1.94 ± 0.241.97 ± 0.161.97 ± 0.17
Month 12: non-medical practitioner1.99 ± 0.081.99 ± 0.112.00 ± 0.00
Month 12: currently employed1.51 ± 0.501.53 ± 0.501.53 ± 0.50
Month 12: feel well enough to work1.61 ± 0.491.56 ± 0.501.61 ± 0.49
Month 12: unable to work due to RA1.64 ± 0.481.73 ± 0.441.61 ± 0.49
Month 12: Lost job/retired early1.75 ± 0.441.81 ± 0.391.80 ± 0.40
Month 12: work disabled due to RA1.66 ± 0.481.73 ± 0.441.73 ± 0.45
Month 12: retired1.51 ± 0.501.52 ± 0.501.42 ± 0.50
Month 12: sick leave due to RA1.94 ± 0.241.98 ± 0.141.93 ± 0.26
Month 12: performed part time work1.97 ± 0.181.97 ± 0.161.97 ± 0.16
Month 12: performed paid work1.80 ± 0.401.84 ± 0.361.72 ± 0.45
Month 12: unable to do chores1.79 ± 0.411.83 ± 0.371.79 ± 0.41
Month 12: chores by housekeeper1.96 ± 0.181.95 ± 0.211.96 ± 0.19
Month 12: chores by family/friends1.83 ± 0.381.86 ± 0.351.79 ± 0.41
Month 18: seen any doctor1.43 ± 0.501.49 ± 0.501.41 ± 0.49
Month 18: treated in ER1.96 ± 0.181.97 ± 0.171.96 ± 0.20
Month18:admitted for overnight stay0.60 ± 0.970.33 ± 0.710.40 ± 0.89
Month 18:hospitalization1.99 ± 0.101.98 ± 0.141.97 ± 0.16
Month 18: outpatient surgery1.98 ± 0.141.98 ± 0.151.97 ± 0.16
Month 18:non-study diagnostic tests1.91 ± 0.291.91 ± 0.291.90 ± 0.31
Month 18: in nursing home2.00 ± 0.062.00 ± 0.002.00 ± 0.00
Month 18: home healthcare services2.00 ± 0.062.00 ± 0.002.00 ± 0.00
Month 18: required aids/devices1.96 ± 0.201.97 ± 0.161.97 ± 0.18
Month 18: non-medical practitioner1.99 ± 0.081.99 ± 0.121.99 ± 0.09
Month 18: currently employed1.50 ± 0.501.51 ± 0.501.55 ± 0.50
Month 18: feel well enough to work1.53 ± 0.501.57 ± 0.501.67 ± 0.48
Month 18: unable to work due to RA1.73 ± 0.451.72 ± 0.451.59 ± 0.50
Month 18: lost job/retired early1.80 ± 0.401.83 ± 0.381.80 ± 0.40
Month 18: work disabled due to RA1.76 ± 0.431.78 ± 0.421.66 ± 0.48
Month 18: retired1.49 ± 0.501.53 ± 0.501.48 ± 0.50
Month 18: sick leave due to RA1.94 ± 0.231.96 ± 0.201.95 ± 0.22
Month 18: performed part-time work1.98 ± 0.151.98 ± 0.141.98 ± 0.14
Month 18: performed paid work1.78 ± 0.411.83 ± 0.381.79 ± 0.41
Month 18: unable to do chores1.84 ± 0.361.84 ± 0.361.78 ± 0.42
Month 18: chores by housekeeper1.98 ± 0.141.96 ± 0.201.95 ± 0.22
Month 18: chores by family/friends1.86 ± 0.351.89 ± 0.321.84 ± 0.37
Month 24: seen any doctor1.46 ± 0.501.50 ± 0.501.47 ± 0.50
Month 24: treated in ER1.96 ± 0.191.96 ± 0.201.97 ± 0.17
Month24:admitted for overnight stay0.20 ± 0.630.67 ± 0.980.00 ± 0.00
Month 24: Hospitalization1.99 ± 0.111.99 ± 0.121.98 ± 0.14
Month 24: outpatient surgery1.98 ± 0.121.98 ± 0.131.99 ± 0.10
Month 24:non-study diagnostic test1.92 ± 0.271.89 ± 0.321.86 ± 0.35
Month 24: in nursing home2.00 ± 0.061.99 ± 0.081.98 ± 0.14
Month 24: home healthcare services2.00 ± 0.001.99 ± 0.101.99 ± 0.10
Month 24: required aids/devices1.95 ± 0.221.96 ± 0.201.96 ± 0.19
Month 24: non-medical practitioner1.99 ± 0.111.98 ± 0.132.00 ± 0.00
Month 24: currently employed1.49 ± 0.501.54 ± 0.501.55 ± 0.50
Month 24: feel well enough to work1.55 ± 0.501.57 ± 0.501.65 ± 0.48
Month 24: unable to work due to RA1.70 ± 0.461.75 ± 0.431.52 ± 0.50
Month 24: lost job/retired early1.76 ± 0.431.83 ± 0.381.81 ± 0.39
Month 24: work disabled due to RA1.75 ± 0.431.77 ± 0.421.70 ± 0.46
Month 24: retired1.47 ± 0.501.49 ± 0.501.52 ± 0.50
Month 24: sick leave due to RA1.96 ± 0.201.98 ± 0.131.90 ± 0.31
Month 24: performed part-time work1.98 ± 0.151.99 ± 0.091.95 ± 0.21
Month 24: performed paid work1.82 ± 0.391.82 ± 0.391.75 ± 0.44
Month 24: unable to do chores1.83 ± 0.371.86 ± 0.351.80 ± 0.40
Month 24: chores by housekeeper1.96 ± 0.191.96 ± 0.201.97 ± 0.17
Month 24: chores by family/friends1.87 ± 0.341.88 ± 0.331.81 ± 0.39
SecondaryNumber of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Baseline and Months 3 and 6

RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

Time frame:
Baseline and Months 3 and 6
Reported as:
Mean · events
Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Baseline and Months 3 and 6
eventsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
BL: doctor visits4.81 ± 5.574.37 ± 3.864.82 ± 5.31
BL: RA-related doctor visits1.55 ± 1.071.46 ± 0.951.56 ± 0.96
BL: hospital ER visit2.13 ± 2.731.49 ± 0.981.38 ± 0.65
BL: RA-related ER visits1.12 ± 0.861.00 ± 0.831.13 ± 1.02
BL: hospitalization1.03 ± 0.161.00 ± 0.001.05 ± 0.21
BL: RA-related hospitalization1.27 ± 0.551.24 ± 0.691.13 ± 0.55
BL: outpatient surgery2.56 ± 3.242.13 ± 2.611.25 ± 0.50
BL: RA-related outpatient surgery0.33 ± 0.500.80 ± 0.860.00 ± 0.00
BL:non-study diagnostic tests2.25 ± 1.602.05 ± 1.271.75 ± 1.18
BL: RA-related diagnostic tests1.20 ± 1.221.21 ± 1.211.09 ± 0.91
BL: non-medical practitioner visits23.82 ± 56.1010.07 ± 19.728.57 ± 11.13
BL: RA-related non-medical visits1.00 ± 0.821.13 ± 0.811.14 ± 0.69
Month 3: doctor visits3.45 ± 2.993.44 ± 3.123.57 ± 2.94
Month 3: RA-related doctor visits0.99 ± 0.770.96 ± 0.621.03 ± 0.72
Month 3: hospital ER visits1.83 ± 1.341.94 ± 2.081.00 ± 0.00
Month 3: RA-related ER visits0.33 ± 0.650.13 ± 0.340.00 ± 0.00
Month 3: hospitalization1.00 ± 0.001.00 ± 0.001.00 ± 0.00
Month 3: RA-related hospitalization0.25 ± 0.500.33 ± 0.580.50 ± 0.71
Month 3: outpatient surgery1.25 ± 0.501.00 ± 0.001.00 ± 0.00
Month 3:RA-related outpatient surgery0.00 ± 0.000.00 ± 0.000.00 ± 0.00
Month 3: non-study diagnostic tests1.32 ± 0.641.33 ± 0.731.57 ± 1.02
Month 3: RA-related diagnostic tests0.18 ± 0.390.27 ± 0.500.21 ± 0.80
Month 3:non-medical practitioner visits10.33 ± 15.134.50 ± 2.439.00 ± 7.07
Month 3:RA-related non-medical visits0.67 ± 0.821.00 ± 0.632.00 ± 0.00
Month 6: doctor visits2.57 ± 3.642.48 ± 2.822.12 ± 1.72
Month 6: RA-related doctor visits0.82 ± 0.720.74 ± 0.640.74 ± 0.54
Month 6: hospital ER visits1.36 ± 0.841.22 ± 0.735.33 ± 5.86
Month 6: RA-related ER visits0.07 ± 0.260.26 ± 0.651.00 ± 1.00
Month 6: hospitalization1.00 ± 0.002.29 ± 3.401.00 ± 0.00
Month 6: RA-related hospitalization0.00 ± 0.000.14 ± 0.380.75 ± 0.96
Month 6: outpatient surgery1.50 ± 1.221.43 ± 0.791.25 ± 0.50
Month 6:RA-related outpatient surgery0.00 ± 0.000.14 ± 0.380.25 ± 0.50
Month 6: non-study diagnostic tests1.73 ± 1.391.54 ± 1.001.47 ± 0.94
Month 6: RA related diagnostic tests0.26 ± 0.630.12 ± 0.400.35 ± 0.79
Month 6:non-medical practitioner visits10.40 ± 14.055.50 ± 6.364.75 ± 1.26
Month 6:RA-related non-medical visits1.20 ± 1.301.50 ± 0.711.25 ± 1.26
SecondaryNumber of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · events
Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24
eventsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: doctor visit2.19 ± 1.812.19 ± 1.722.22 ± 1.62
Month 12: RA-related doctor visit0.77 ± 0.610.74 ± 0.700.89 ± 0.77
Month 12: hospital ER visit1.06 ± 0.251.13 ± 0.351.00 ± 0.00
Month 12: RA-related ER visit0.13 ± 0.500.00 ± 0.000.20 ± 0.45
Month 12: hospitalization1.00 ± 0.001.00 ± 0.001.00 ± 0.00
Month 12: RA-related hospitalization0.29 ± 0.490.00 ± 0.000.50 ± 0.71
Month 12: outpatient surgery1.00 ± 0.001.50 ± 1.071.33 ± 0.58
Month 12: RA-related outpatient surgery0.11 ± 0.330.13 ± 0.350.00 ± 0.00
Month 12:non-study diagnostic tests1.61 ± 1.051.34 ± 0.571.18 ± 0.40
Month 12: RA-related diagnostic tests0.13 ± 0.500.22 ± 0.570.36 ± 0.67
Month 12:non-medical practitioner visits17.00 ± 18.3813.33 ± 6.43—
Month 12:RA-related non-medical visits1.00 ± 1.411.33 ± 1.15—
Month 18: doctor visits2.17 ± 1.912.21 ± 1.832.93 ± 3.02
Month 18: RA-related doctor visit0.78 ± 0.740.82 ± 0.660.80 ± 0.65
Month 18: hospital ER visit1.60 ± 1.351.89 ± 1.361.40 ± 0.89
Month 18: RA-related ER visit0.20 ± 0.630.00 ± 0.000.00 ± 0.00
Month 18: hospitalization2.33 ± 2.311.00 ± 0.001.00 ± 0.00
Month 18:RA-related hospitalization0.00 ± 0.000.67 ± 1.030.67 ± 1.15
Month 18: outpatient surgery1.00 ± 0.002.14 ± 1.683.00 ± 2.65
Month 18:RA-related outpatient surgery0.33 ± 0.820.14 ± 0.380.00 ± 0.00
Month 18:non-study diagnostic tests1.48 ± 0.771.85 ± 1.431.50 ± 0.80
Month 18:RA-related diagnostic tests0.08 ± 0.390.19 ± 0.490.08 ± 0.29
Month 18:non-medical practitioner visits16.00 ± 19.8018.00 ± 16.254.00 ± NA
Month 18:RA-related non-medical visits2.00 ± 0.001.50 ± 1.910.00 ± NA
Month 24: doctor visits2.27 ± 2.172.78 ± 3.802.75 ± 2.03
Month 24: RA-related doctor visits0.83 ± 0.600.76 ± 0.710.93 ± 0.80
Month 24 hospital ER visits1.40 ± 0.701.33 ± 0.651.00 ± 0.00
Month 24: RA-related ER visits0.00 ± 0.000.00 ± 0.001.33 ± 1.15
Month 24: hospitalization1.00 ± 0.001.25 ± 0.501.50 ± 0.71
Month 24:RA-related hospitalization0.00 ± 0.000.00 ± 0.000.00 ± 0.00
Month 24: outpatient surgery3.25 ± 4.502.00 ± 2.243.00 ± NA
Month 24:RA-related outpatient surgery0.00 ± 0.000.00 ± 0.002.00 ± NA
Month 24:non-study diagnostic tests1.50 ± 0.831.29 ± 0.531.40 ± 0.51
Month 24:RA related diagnostic tests0.11 ± 0.320.03 ± 0.180.27 ± 0.59
Month 24:non-medical practitioner visits20.67 ± 3.063.50 ± 1.91—
Month 24:RA-related non-medical visits0.67 ± 1.151.00 ± 1.15—
SecondaryNumber of Days as Assessed Using RA-HCRU at Baseline and Months 3 and 6

RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

Time frame:
Baseline and Months 3 and 6
Reported as:
Mean · days
Number of Days as Assessed Using RA-HCRU at Baseline and Months 3 and 6
daysCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
BL: hospital length of stay19.07 ± 10.8623.76 ± 18.9515.45 ± 11.61
BL: days in nursing home—30.60 ± 33.6241.67 ± 42.00
BL: days aids/devices used99.94 ± 107.8393.06 ± 130.53162.88 ± 140.39
BL: RA-related aids used1.61 ± 1.151.75 ± 1.362.24 ± 1.95
BL: days of work per week5.11 ± 0.984.96 ± 0.975.12 ± 0.91
BL: days on sick leave due to RA23.52 ± 25.5516.59 ± 22.3827.67 ± 30.63
BL: days of part-time work11.94 ± 20.5612.12 ± 18.1011.39 ± 14.06
BL: paid work, bothered by RA35.69 ± 30.2438.54 ± 47.2831.68 ± 30.31
BL: chores by housekeeper19.56 ± 27.6225.46 ± 33.2921.25 ± 32.37
BL: chores by family32.35 ± 34.4634.13 ± 34.1934.35 ± 33.04
Month 3: hospital length of stay14.25 ± 17.197.00 ± 7.2120.00 ± 1.41
Month 3: days in nursing home28.00 ± NA43.33 ± 40.43—
Month 3: days aids/devices used109.00 ± 116.27123.85 ± 76.69105.86 ± 77.06
Month 3: RA-related aids used1.45 ± 1.231.75 ± 0.551.71 ± 0.91
Month 3: days of work per week5.16 ± 1.064.99 ± 1.025.08 ± 0.80
Month 3:days on sick leave due to RA20.76 ± 30.1526.97 ± 34.5336.61 ± 37.92
Month 3: days of part time work14.85 ± 25.9929.67 ± 38.1016.17 ± 25.29
Month 3: paid work, bothered by RA21.04 ± 26.2419.48 ± 25.2322.13 ± 28.03
Month 3: chores by housekeeper22.53 ± 30.4921.43 ± 28.4517.33 ± 28.24
Month 3: chores by family23.13 ± 29.6121.06 ± 27.8124.80 ± 28.39
Month 6: hospital length of stay9.33 ± 5.039.00 ± 13.6210.75 ± 9.00
Month 6: days in nursing home14.00 ± NA90.00 ± NA61.00 ± NA
Month 6: days aids/devices used74.15 ± 65.25159.08 ± 138.46190.25 ± 93.12
Month 6: RA-related aids used1.25 ± 0.552.00 ± 1.362.38 ± 0.74
Month 6: days of work per week5.11 ± 0.954.93 ± 1.055.10 ± 0.99
Month 6:days on sick leave due to RA18.00 ± 19.6821.94 ± 33.3240.07 ± 41.32
Month 6: days of part time work14.13 ± 14.717.11 ± 5.4911.71 ± 21.31
Month 6: paid work, bothered by RA26.23 ± 30.0016.41 ± 23.1524.49 ± 28.36
Month 6: chores by housekeeper21.57 ± 29.1020.57 ± 28.2213.80 ± 27.20
Month 6: chores by family23.62 ± 29.7720.05 ± 26.3522.09 ± 28.50
SecondaryNumber of Days as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · days
Number of Days as Assessed Using RA-HCRU at Months 12, 18, and 24
daysCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: hospital length of stay10.43 ± 8.629.25 ± 3.599.00 ± 8.49
Month 12: days in nursing home—54.00 ± 50.9120.00 ± NA
Month 12: days aids/devices used118.05 ± 99.31231.00 ± 190.2765.75 ± 16.50
Month 12: RA-related aids used1.50 ± 0.831.89 ± 1.961.50 ± 0.58
Month 12: days of work per week5.14 ± 0.984.95 ± 1.015.05 ± 0.93
Month 12:days on sick leave due to RA17.47 ± 28.4110.14 ± 9.942.75 ± 1.49
Month 12: days of part-time work5.56 ± 6.8212.17 ± 10.1116.00 ± 15.56
Month 12:paid work, bothered by RA19.31 ± 21.3416.23 ± 22.3621.10 ± 26.11
Month 12: chores by housekeeper13.09 ± 25.8924.36 ± 35.967.40 ± 3.58
Month 12: chores by family22.04 ± 30.7220.11 ± 27.1917.74 ± 25.33
Month 18: hospital length of stay6.67 ± 3.0613.67 ± 9.4233.33 ± 11.55
Month 18: days in nursing home15.00 ± NA——
Month 18: days aids/devices used126.67 ± 125.26169.50 ± 157.29159.50 ± 41.00
Month 18: RA-related aids used2.25 ± 1.062.25 ± 1.672.50 ± 1.00
Month 18: days of work per week5.13 ± 1.005.01 ± 0.995.00 ± 0.69
Month 18:days on sick leave due to RA16.93 ± 23.976.09 ± 5.874.20 ± 1.64
Month 18: days of part time work4.33 ± 3.016.80 ± 4.6631.00 ± 41.01
Month 18:paid work, bothered by RA16.82 ± 22.6716.30 ± 22.6019.35 ± 25.33
Month 18: chores by housekeeper9.40 ± 6.9921.75 ± 33.153.83 ± 2.48
Month 18: chores by family20.49 ± 29.7721.30 ± 30.3827.37 ± 35.36
Month 24: hospital length of stay5.33 ± 5.7721.00 ± 10.656.00 ± 2.83
Month 24: days in nursing home2.00 ± NA21.00 ± NA15.50 ± 7.78
Month 24: days aids/devices used137.85 ± 150.03178.20 ± 178.98136.50 ± 87.00
Month 24: RA-related aids used2.15 ± 1.521.82 ± 2.091.50 ± 1.00
Month 24: days of work per week5.10 ± 1.025.03 ± 1.015.15 ± 0.80
Month 24:days on sick leave due to RA19.33 ± 27.953.25 ± 2.507.25 ± 12.46
Month 24: days of part time work6.60 ± 4.103.00 ± 2.8319.00 ± 30.69
Month 24: paid work, bothered by RA21.95 ± 27.309.17 ± 9.5016.95 ± 17.31
Month 24: chores by housekeeper6.90 ± 8.284.75 ± 2.994.00 ± 2.00
Month 24: chores by family16.65 ± 23.8212.18 ± 21.4617.21 ± 26.87
SecondaryNumber of Hours Per Day as Assessed Using RA-HCRU at Baseline and Months 3 and 6

RA-HCRU assessed healthcare (HC) usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done, and work missed were reported.

Time frame:
Baseline and Months 3 and 6
Reported as:
Mean · hours per day
Number of Hours Per Day as Assessed Using RA-HCRU at Baseline and Months 3 and 6
hours per dayCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
BL: home healthcare services1.50 ± 0.582.20 ± 1.641.00 ± 1.00
BL: RA-related home HC services1.00 ± 0.820.83 ± 0.751.33 ± 0.58
BL: work done8.53 ± 5.338.25 ± 4.027.68 ± 1.81
BL: missed work due to RA4.36 ± 4.985.62 ± 13.586.21 ± 8.96
BL: chores by housekeeper4.85 ± 2.316.46 ± 9.834.75 ± 2.45
BL: chores by family4.26 ± 4.563.92 ± 4.234.08 ± 4.01
Month 3: home healthcare services0.00 ± NA1.25 ± 0.50—
Month 3:RA-related home HC services0.00 ± NA0.25 ± 0.50—
Month 3: work done8.53 ± 4.708.55 ± 5.238.33 ± 3.71
Month 3: missed work due to RA4.11 ± 2.518.86 ± 15.725.58 ± 7.95
Month 3: chores by housekeeper4.50 ± 2.435.40 ± 4.614.00 ± 2.55
Month 3: chores by family3.44 ± 3.773.35 ± 3.503.61 ± 4.19
Month 6: home healthcare services5.00 ± 6.084.50 ± 0.71—
Month 6: RA-related home HC services0.67 ± 0.582.00 ± 2.83—
Month 6: work done7.97 ± 2.848.29 ± 4.407.85 ± 1.47
Month 6: missed work due to RA4.14 ± 2.674.11 ± 3.446.33 ± 5.75
Month 6: chores by housekeeper4.93 ± 2.705.17 ± 2.924.80 ± 2.20
Month 6: chores by family3.86 ± 2.843.28 ± 2.294.22 ± 6.14
SecondaryNumber of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done, and work missed were reported.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · hours per day
Number of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24
hours per dayCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: home healthcare services2.00 ± 0.0025.00 ± 32.53—
Month 12:RA-related home HC services0.00 ± 0.000.00 ± 0.00—
Month 12: work done8.38 ± 3.907.99 ± 3.598.34 ± 4.32
Month 12: missed work due to RA2.25 ± 1.284.83 ± 5.343.50 ± 0.71
Month 12: chores by housekeeper6.64 ± 4.674.60 ± 2.293.80 ± 1.92
Month 12: chores by family3.44 ± 3.663.29 ± 2.403.19 ± 2.25
Month 18: home healthcare services2.00 ± NA——
Month 18:RA-related home HC services0.00 ± NA——
Month 18: work done8.18 ± 3.738.32 ± 4.168.02 ± 1.45
Month 18: missed work due to RA3.00 ± 2.531.80 ± 1.642.50 ± 0.71
Month 18: chores by housekeeper5.60 ± 1.344.92 ± 2.944.33 ± 3.01
Month 18: chores by family3.74 ± 4.423.70 ± 3.283.44 ± 2.57
Month 24:home healthcare services—2.67 ± 1.152.00 ± NA
Month 24: RA-related home HC services—0.00 ± 0.002.00 ± NA
Month 24: work done8.63 ± 4.697.84 ± 2.368.02 ± 1.48
Month 24: missed work due to RA6.50 ± 6.612.00 ± 0.004.50 ± 7.72
Month 24: chores by housekeeper8.50 ± 8.635.25 ± 2.934.33 ± 0.58
Month 24: chores by family2.97 ± 2.142.81 ± 2.223.75 ± 3.19
SecondaryWork Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU

Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.

Time frame:
Baseline, Months 3, 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline4.94 ± 3.264.71 ± 3.074.57 ± 3.15
Month 33.59 ± 2.923.25 ± 3.783.57 ± 2.80
Month 62.97 ± 3.582.27 ± 2.583.04 ± 2.75
Month 122.69 ± 2.752.08 ± 2.382.94 ± 3.85
Month 182.33 ± 2.632.11 ± 2.472.11 ± 2.38
Month 242.47 ± 2.632.35 ± 2.752.52 ± 2.68
SecondaryChange From Baseline in Work Productivity and HCRU at Months 3 and 6

RA-HCRU assessed HC usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

Time frame:
Months 3 and 6
Reported as:
Mean · units on a scale
Change From Baseline in Work Productivity and HCRU at Months 3 and 6
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 3: seen any doctor0.24 ± 0.490.18 ± 0.480.18 ± 0.46
Month 3: treated in ER0.01 ± 0.250.04 ± 0.320.06 ± 0.31
Month 3:admitted for overnight stay0.00 ± 0.00-0.60 ± 0.89—
Month 3:hospitalization0.10 ± 0.330.07 ± 0.260.12 ± 0.36
Month 3: outpatient surgery0.01 ± 0.190.02 ± 0.240.01 ± 0.17
Month 3: non-study diagnostic test0.16 ± 0.510.17 ± 0.470.23 ± 0.50
Month 3: in nursing home-0.00 ± 0.050.00 ± 0.110.02 ± 0.13
Month 3: home healthcare services0.01 ± 0.120.00 ± 0.110.02 ± 0.13
Month 3: required aids/devices0.05 ± 0.290.04 ± 0.27-0.01 ± 0.25
Month 3: non-medical practitioner0.01 ± 0.180.03 ± 0.200.03 ± 0.20
Month 3: currently employed-0.03 ± 0.26-0.00 ± 0.270.00 ± 0.27
Month 3: feel well enough to work-0.16 ± 0.46-0.17 ± 0.45-0.11 ± 0.45
Month 3: unable to work due to RA0.12 ± 0.440.13 ± 0.520.05 ± 0.55
Month 3: lost job/retired early-0.07 ± 0.47-0.02 ± 0.380.05 ± 0.45
Month 3: work disabled due to RA0.10 ± 0.420.11 ± 0.490.06 ± 0.43
Month 3: retired-0.01 ± 0.24-0.02 ± 0.280.01 ± 0.33
Month 3: sick leave due to RA0.14 ± 0.420.18 ± 0.450.13 ± 0.44
Month 3: performed part-time work0.04 ± 0.310.08 ± 0.360.09 ± 0.41
Month 3: performed paid work0.09 ± 0.480.16 ± 0.510.12 ± 0.46
Month 3: unable to do chores0.28 ± 0.570.32 ± 0.540.09 ± 0.53
Month 3: chores by housekeeper0.04 ± 0.290.05 ± 0.29-0.04 ± 0.29
Month 3: chores by family/friends0.21 ± 0.530.21 ± 0.490.09 ± 0.53
Month 6: seen any doctor0.28 ± 0.530.26 ± 0.500.22 ± 0.47
Month 6: treated in ER0.00 ± 0.290.03 ± 0.330.05 ± 0.29
Month 6:admitted for overnight stay—-0.20 ± 0.45—
Month 6: Hospitalization0.10 ± 0.330.06 ± 0.290.09 ± 0.35
Month 6: outpatient surgery0.01 ± 0.210.02 ± 0.24-0.01 ± 0.21
Month 6: non-study diagnostic test0.17 ± 0.540.15 ± 0.520.18 ± 0.54
Month 6: in nursing home-0.00 ± 0.050.01 ± 0.090.01 ± 0.14
Month 6: home healthcare services0.00 ± 0.140.01 ± 0.140.01 ± 0.11
Month 6: required aids/devices0.04 ± 0.280.05 ± 0.290.04 ± 0.27
Month 6: non-medical practitioner0.01 ± 0.180.04 ± 0.200.00 ± 0.20
Month 6: currently employed-0.04 ± 0.28-0.01 ± 0.270.00 ± 0.28
Month 6: feel well enough to work-0.24 ± 0.55-0.19 ± 0.45-0.10 ± 0.53
Month 6: unable to work due to RA0.18 ± 0.540.15 ± 0.500.05 ± 0.55
Month 6: lost job/retired early0.00 ± 0.470.01 ± 0.350.04 ± 0.46
Month 6: work disabled due to RA0.14 ± 0.490.13 ± 0.440.07 ± 0.42
Month 6: retired-0.01 ± 0.30-0.03 ± 0.300.03 ± 0.36
Month 6: sick leave due to RA0.21 ± 0.460.23 ± 0.430.17 ± 0.44
Month 6: performed part-time work0.09 ± 0.340.09 ± 0.330.12 ± 0.45
Month 6: performed paid work0.18 ± 0.510.26 ± 0.520.14 ± 0.48
Month 6: unable to do chores0.37 ± 0.540.41 ± 0.540.24 ± 0.56
Month 6: chores by housekeeper0.04 ± 0.250.08 ± 0.320.01 ± 0.24
Month 6: chores by family/friends0.30 ± 0.520.34 ± 0.500.22 ± 0.56
SecondaryChange From Baseline in Work Productivity and HCRU at Months 12, 18, and 24

RA-HCRU assessed HC usage during last 3 months for direct, indirect medical cost domains. Direct cost: visit to doctor, non-medical practitioner, nursing home, hospital, surgery, ER treatment, diagnostic tests, overnight stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability: employment status, willingness to work, work disability due to RA, sick leave, part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale; higher score=higher medical cost.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · units on a scale
Change From Baseline in Work Productivity and HCRU at Months 12, 18, and 24
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: seen any doctor0.34 ± 0.510.31 ± 0.520.26 ± 0.46
Month 12: treated in ER0.00 ± 0.270.05 ± 0.290.04 ± 0.31
Month12:admitted for overnight stay0.00 ± 0.000.50 ± 0.710.00 ± NA
Month 12: hospitalized0.08 ± 0.330.06 ± 0.290.09 ± 0.33
Month 12:any outpatient surgery-0.00 ± 0.230.01 ± 0.23-0.01 ± 0.19
Month 12:non-study diagnostic tests0.15 ± 0.510.13 ± 0.510.21 ± 0.51
Month 12: in a nursing home0.00 ± 0.000.01 ± 0.080.01 ± 0.15
Month 12: home healthcare services0.01 ± 0.140.01 ± 0.140.01 ± 0.12
Month 12: used aids/devices0.04 ± 0.280.06 ± 0.290.06 ± 0.29
Month 12: non-medical practitioner0.03 ± 0.180.03 ± 0.180.02 ± 0.15
Month 12: currently employed-0.03 ± 0.34-0.01 ± 0.34-0.02 ± 0.26
Month 12: feel well enough to work-0.17 ± 0.52-0.18 ± 0.47-0.19 ± 0.50
Month 12: unable to work due to RA0.18 ± 0.520.23 ± 0.530.18 ± 0.58
Month 12: Lost job/retired early0.02 ± 0.43-0.01 ± 0.440.02 ± 0.49
Month 12: work disabled due to RA0.10 ± 0.550.13 ± 0.480.11 ± 0.48
Month 12: retired-0.02 ± 0.35-0.07 ± 0.35-0.03 ± 0.43
Month 12: sick leave due to RA0.21 ± 0.450.27 ± 0.460.20 ± 0.45
Month 12: performed part time work0.09 ± 0.320.09 ± 0.330.17 ± 0.42
Month 12: performed paid work0.22 ± 0.500.28 ± 0.540.18 ± 0.52
Month 12: unable to do chores0.36 ± 0.560.44 ± 0.560.30 ± 0.55
Month 12: chores by housekeeper0.04 ± 0.260.09 ± 0.300.01 ± 0.21
Month 12: chores by family/friends0.35 ± 0.530.36 ± 0.510.28 ± 0.54
Month 18: seen any doctor0.32 ± 0.540.36 ± 0.550.28 ± 0.54
Month 18: treated in ER0.01 ± 0.270.04 ± 0.310.03 ± 0.28
Month18:admitted for overnight stay0.00 ± NA2.00 ± NA0.00 ± 0.00
Month 18:hospitalization0.10 ± 0.330.05 ± 0.300.08 ± 0.33
Month 18: outpatient surgery0.01 ± 0.210.01 ± 0.24-0.01 ± 0.21
Month 18:non-study diagnostic tests0.16 ± 0.490.17 ± 0.540.19 ± 0.57
Month 18: in nursing home-0.00 ± 0.060.01 ± 0.120.02 ± 0.13
Month 18: home healthcare services0.01 ± 0.130.01 ± 0.100.02 ± 0.13
Month 18: required aids/devices0.06 ± 0.250.06 ± 0.290.07 ± 0.29
Month 18: non-medical practitioner0.02 ± 0.180.03 ± 0.180.02 ± 0.19
Month 18: currently employed-0.03 ± 0.36-0.03 ± 0.390.01 ± 0.28
Month 18: feel well enough to work-0.27 ± 0.54-0.17 ± 0.44-0.08 ± 0.55
Month 18: unable to work due to RA0.28 ± 0.570.21 ± 0.580.15 ± 0.56
Month 18: lost job/retired early0.05 ± 0.460.03 ± 0.480.00 ± 0.51
Month 18: work disabled due to RA0.21 ± 0.560.17 ± 0.480.02 ± 0.49
Month 18: retired-0.04 ± 0.38-0.05 ± 0.390.02 ± 0.49
Month 18: sick leave due to RA0.20 ± 0.490.26 ± 0.460.22 ± 0.47
Month 18: performed part-time work0.09 ± 0.310.11 ± 0.360.19 ± 0.43
Month 18: performed paid work0.18 ± 0.550.27 ± 0.520.27 ± 0.54
Month 18: unable to do chores0.41 ± 0.530.47 ± 0.560.29 ± 0.58
Month 18: chores by housekeeper0.06 ± 0.270.10 ± 0.330.00 ± 0.26
Month 18: chores by family/friends0.37 ± 0.530.41 ± 0.510.34 ± 0.54
Month 24: seen any doctor0.34 ± 0.530.36 ± 0.550.34 ± 0.50
Month 24: treated in ER0.01 ± 0.250.03 ± 0.330.03 ± 0.29
Month24:admitted for overnight stay0.00 ± 0.000.00 ± NA—
Month 24: Hospitalization0.09 ± 0.320.06 ± 0.290.07 ± 0.32
Month 24: outpatient surgery0.01 ± 0.170.02 ± 0.230.01 ± 0.17
Month 24:non-study diagnostic test0.18 ± 0.520.16 ± 0.530.13 ± 0.60
Month 24: in nursing home-0.00 ± 0.060.01 ± 0.130.00 ± 0.20
Month 24: home healthcare services0.02 ± 0.120.00 ± 0.15-0.01 ± 0.10
Month 24: required aids/devices0.05 ± 0.270.04 ± 0.300.08 ± 0.27
Month 24: non-medical practitioner0.02 ± 0.190.02 ± 0.170.03 ± 0.17
Month 24: currently employed-0.04 ± 0.370.00 ± 0.400.01 ± 0.32
Month 24: feel well enough to work-0.26 ± 0.58-0.19 ± 0.51-0.13 ± 0.54
Month 24: unable to work due to RA0.30 ± 0.580.27 ± 0.610.08 ± 0.50
Month 24: lost job/retired early0.00 ± 0.500.04 ± 0.460.04 ± 0.41
Month 24: work disabled due to RA0.18 ± 0.520.19 ± 0.570.13 ± 0.53
Month 24: retired-0.05 ± 0.38-0.05 ± 0.440.08 ± 0.49
Month 24: sick leave due to RA0.22 ± 0.440.29 ± 0.460.16 ± 0.56
Month 24: performed part-time work0.10 ± 0.330.12 ± 0.340.15 ± 0.46
Month 24: performed paid work0.24 ± 0.560.28 ± 0.530.20 ± 0.56
Month 24: unable to do chores0.41 ± 0.520.47 ± 0.560.32 ± 0.58
Month 24: chores by housekeeper0.04 ± 0.270.08 ± 0.330.03 ± 0.22
Month 24: chores by family/friends0.40 ± 0.520.40 ± 0.530.31 ± 0.54
SecondaryChange From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 3 and 6

RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

Time frame:
Months 3 and 6
Reported as:
Mean · events
Change From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 3 and 6
eventsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 3: doctor visits-1.83 ± 5.24-1.12 ± 4.13-1.52 ± 5.46
Month 3: RA-related doctor visit-0.55 ± 1.30-0.50 ± 1.14-0.48 ± 0.99
Month 3: hospital ER visit-4.33 ± 5.861.60 ± 3.78—
Month 3: RA-related ER visit-0.67 ± 1.15-1.00 ± 1.58—
Month 3: hospitalization—0.00 ± 0.00—
Month 3: RA-related hospitalization—-0.50 ± 0.71—
Month 3: non-study diagnostic test-0.73 ± 2.24-0.61 ± 1.500.38 ± 1.19
Month 3: RA-related diagnostic test-0.73 ± 1.01-0.67 ± 1.20-0.50 ± 0.93
Month 3:non-medical practitioner visit-62.33 ± 102.11-2.33 ± 2.520.00 ± NA
Month 3:RA-related non-medical visit-0.67 ± 0.58-0.33 ± 0.580.00 ± NA
Month 6: doctor visit-2.44 ± 4.87-1.98 ± 4.65-2.72 ± 5.43
Month 6: RA-related doctor visit-0.69 ± 1.27-0.66 ± 1.23-0.77 ± 1.10
Month 6: hospital ER visit—0.60 ± 1.34—
Month 6: RA-related ER visit—-0.40 ± 1.14—
Month 6: hospitalization—0.00 ± 0.000.00 ± NA
Month 6: RA-related hospitalization—-1.50 ± 0.710.00 ± NA
Month 6: non-study diagnostic test-0.60 ± 1.52-0.40 ± 1.30-0.67 ± 2.16
Month 6: RA related diagnostic test-0.80 ± 1.64-0.88 ± 1.09-0.67 ± 0.82
Month 6:non-medical practitioner visit-8.00 ± 2.83-5.00 ± NA1.00 ± NA
Month 6:RA-related non-medical visit0.00 ± 0.00-1.00 ± NA1.00 ± NA
SecondaryChange From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · events
Change From Baseline in Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Months 12, 18, and 24
eventsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: doctor visit-2.57 ± 5.87-2.32 ± 4.33-3.17 ± 5.86
Month 12: RA-related doctor visit-0.72 ± 1.30-0.68 ± 1.12-0.72 ± 1.14
Month 12: hospital ER visit-3.50 ± 5.070.00 ± 0.00—
Month 12: RA-related ER visit-1.25 ± 0.96-1.00 ± 1.410.00 ± NA
Month 12: hospitalization0.00 ± 0.00——
Month 12: RA-related hospitalization-0.50 ± 0.71——
Month 12:non-study diagnostic tests-0.09 ± 2.88-0.71 ± 1.69-1.00 ± 1.00
Month 12: RA-related diagnostic tests-0.82 ± 1.25-0.88 ± 1.69-0.60 ± 0.89
Month 12:non-medical practitioner visit-8.00 ± NA8.00 ± 11.31—
Month 12:RA-related non-medical visit-2.00 ± NA0.00 ± 0.00—
Month 18: doctor visits-2.58 ± 4.37-1.98 ± 3.67-2.20 ± 6.97
Month 18: RA-related doctor visit-0.69 ± 1.17-0.51 ± 1.03-0.69 ± 1.21
Month 18: hospital ER visit0.00 ± NA-1.00 ± NA—
Month 18: RA-related ER visit1.00 ± NA-1.00 ± NA-0.50 ± 0.71
Month 18: hospitalization——0.00 ± NA
Month 18:RA-related hospitalization——-1.00 ± NA
Month 18: outpatient surgery0.00 ± NA——
Month 18:RA-related outpatient surgery2.00 ± NA——
Month 18:non-study diagnostic test-1.55 ± 2.730.00 ± 2.24-0.50 ± 2.12
Month 24:RA-related diagnostic test-0.33 ± 0.58-0.64 ± 0.67-0.50 ± 0.71
Month 18:non-medical practitioner visit-10.00 ± NA-15.67 ± 28.01—
Month 18:RA-related non-medical visit0.00 ± NA0.33 ± 1.53—
Month 24: doctor visit-2.78 ± 6.00-1.65 ± 5.42-2.41 ± 6.48
Month 24: RA-related doctor visit-0.71 ± 1.37-0.63 ± 1.15-0.63 ± 1.10
Month 24: hospital ER visit0.00 ± 0.00-1.00 ± NA—
Month 24: RA-related ER visit-0.67 ± 1.15-2.00 ± NA—
Month 24: outpatient surgery4.00 ± NA——
Month 24:RA-relate outpatient surgery-1.00 ± NA——
Month 24:non-study diagnostic test-1.50 ± 4.20-0.18 ± 1.08-0.50 ± 0.71
Month 24:RA related diagnostic test-0.33 ± 0.58-0.64 ± 0.67-0.50 ± 0.71
Month 24:non-medical practitioner visit-168.00 ± NA-1.00 ± 1.41—
Month 24:RA-related non-medical visit0.00 ± NA-0.33 ± 0.58—
SecondaryChange From Baseline in Number of Days as Assessed Using RA-HCRU at Months 3 and 6

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

Time frame:
Months 3 and 6
Reported as:
Mean · days
Change From Baseline in Number of Days as Assessed Using RA-HCRU at Months 3 and 6
daysCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 3: hospital length of stay—-10.00 ± 7.07—
Month 3: days in nursing home—0.00 ± NA—
Month 3: days aids/devices used-45.92 ± 91.00-12.36 ± 173.11-65.50 ± 200.00
Month 3: RA-related aids used-0.31 ± 1.11-0.43 ± 1.91-0.25 ± 2.05
Month 3: days of work per week0.13 ± 0.690.06 ± 0.74-0.01 ± 0.54
Month 3:days on sick leave due to RA0.40 ± 32.447.58 ± 26.5710.94 ± 33.96
Month 3: days of part time work1.92 ± 32.7615.14 ± 34.60-0.17 ± 26.90
Month 3: paid work, bothered by RA-15.31 ± 39.58-15.16 ± 34.88-9.30 ± 31.97
Month 3: chores by housekeeper-20.70 ± 35.90-11.61 ± 31.25-9.29 ± 36.09
Month 3: chores by family-19.14 ± 40.06-17.71 ± 36.57-12.18 ± 35.70
Month 6: hospital length of stay—-22.00 ± 2.838.00 ± NA
Month 6: days in nursing home—0.00 ± NA—
Month 6: days aids/devices used-46.93 ± 127.4258.00 ± 126.45-93.20 ± 211.52
Month 6: RA-related aids used-0.64 ± 1.500.13 ± 0.99-1.60 ± 2.70
Month 6: days of work per week0.07 ± 0.670.03 ± 0.730.00 ± 0.50
Month 6:days on sick leave due to RA-18.27 ± 17.1913.56 ± 27.9213.82 ± 46.97
Month 6: days of part time work11.50 ± 14.34-2.60 ± 18.570.00 ± NA
Month 6: paid work, bothered by RA-15.90 ± 36.80-16.43 ± 30.15-7.81 ± 38.47
Month 6: chores by housekeeper-13.80 ± 19.66-11.94 ± 33.28-2.40 ± 7.70
Month 6: chores by family-14.94 ± 39.94-20.54 ± 37.40-20.94 ± 40.56
SecondaryChange From Baseline in Number of Days as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · days
Change From Baseline in Number of Days as Assessed Using RA-HCRU at Months 12, 18, and 24
daysCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10,15, or 20 mg, Weekly
Month 12: hospital length of stay-2.00 ± 2.83——
Month 12: days in nursing home—3.50 ± 4.95—
Month 12: days aids/devices used-27.07 ± 159.25-5.00 ± 81.85-75.00 ± 63.64
Month 12: RA-related aids used-0.46 ± 1.710.00 ± 0.820.00 ± 0.00
Month 12: days of work per week0.11 ± 0.86-0.01 ± 0.660.04 ± 0.42
Month 12:days on sick leave due to RA5.25 ± 28.21-2.80 ± 16.41-2.20 ± 2.49
Month 12: days of part-time work2.20 ± 6.83-15.00 ± 17.00—
Month 12:paid work, bothered by RA-18.49 ± 28.09-12.63 ± 34.77-12.35 ± 37.16
Month 12: chores by housekeeper-8.43 ± 14.55-1.92 ± 6.194.67 ± 5.03
Month 12: chores by family-13.11 ± 34.25-20.05 ± 44.57-15.24 ± 29.17
Month 18: hospital length of stay——21.00 ± NA
Month 18: days aids/devices used65.09 ± 81.8596.00 ± 53.39-77.33 ± 289.83
Month 18: RA-related aids used0.82 ± 0.871.00 ± 0.820.00 ± 1.73
Month 18: days of work per week0.13 ± 0.85-0.04 ± 0.85-0.06 ± 0.60
Month 18:days on sick leave due to RA-4.80 ± 13.18-6.78 ± 8.94-31.67 ± 47.93
Month 18: days of part time work-1.00 ± 4.85-35.00 ± NA—
Month 18:paid work, bothered by RA-15.19 ± 39.72-20.12 ± 33.90-15.07 ± 43.23
Month 18: chores by housekeeper-24.50 ± 32.54-19.22 ± 28.80-5.50 ± 7.78
Month 18: chores by family-9.15 ± 34.94-14.17 ± 35.553.36 ± 30.47
Month 24: days aids/devices used79.90 ± 127.89-38.50 ± 50.79-45.00 ± 198.24
Month 24: RA-related aids used1.10 ± 1.20-0.50 ± 1.00-0.75 ± 2.36
Month 24: days of work per week0.06 ± 0.870.05 ± 0.780.05 ± 0.79
Month 24:days on sick leave due to RA-3.86 ± 7.06-3.00 ± 5.66-5.00 ± NA
Month 24: days of part time work1.67 ± 6.03-45.00 ± NA—
Month 24: paid work, bothered by RA-12.54 ± 37.97-23.63 ± 26.77-22.47 ± 25.29
Month 24: chores by housekeeper-15.33 ± 24.10-12.00 ± 29.280.00 ± 5.66
Month 24: chores by family-7.30 ± 31.83-27.54 ± 37.94-13.86 ± 37.70
SecondaryChange From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 3 and 6

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home HC services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.

Time frame:
Months 3 and 6
Reported as:
Mean · hours per day
Change From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 3 and 6
hours per dayCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 3: home healthcare services—-1.00 ± 1.41—
Month 3:RA-related home HC services—0.00 ± 0.00—
Month 3: work done0.23 ± 4.190.34 ± 6.120.80 ± 3.82
Month 3: missed work due to RA-1.00 ± 8.941.29 ± 5.063.00 ± 9.36
Month 3: chores by housekeeper-0.80 ± 1.62-0.61 ± 2.37-1.14 ± 1.86
Month 3: chores by family-1.98 ± 4.92-0.39 ± 3.90-1.63 ± 5.14
Month 6: work done-0.34 ± 4.320.03 ± 4.790.23 ± 1.48
Month 6: missed work due to RA-1.67 ± 5.13-0.40 ± 1.14-4.00 ± NA
Month 6: chores by housekeeper-1.10 ± 2.38-0.25 ± 3.19-0.20 ± 1.30
Month 6: chores by family-0.68 ± 4.15-0.51 ± 3.02-0.45 ± 6.24
SecondaryChange From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24

RA-HCRU assessed HC usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home HC services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.

Time frame:
Months 12, 18, and 24
Reported as:
Mean · hours per day
Change From Baseline in Number of Hours Per Day as Assessed Using RA-HCRU at Months 12, 18, and 24
hours per dayCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 12: work done0.34 ± 4.30-0.21 ± 4.370.75 ± 4.43
Month 12: missed work due to RA-1.60 ± 4.930.00 ± 1.00—
Month 12: chores by housekeeper0.29 ± 2.63-5.23 ± 18.66-0.50 ± 0.71
Month 12: chores by family-0.67 ± 4.67-1.35 ± 6.69-0.24 ± 3.10
Month 18: work done0.17 ± 4.560.16 ± 5.240.04 ± 1.37
Month 18: missed work due to RA-5.80 ± 11.971.00 ± NA—
Month 18: chores by housekeeper-2.00 ± 2.16-8.78 ± 22.260.00 ± NA
Month 18: chores by family0.03 ± 3.43-1.57 ± 5.25-0.17 ± 1.19
Month 24: work done0.42 ± 5.37-0.04 ± 2.510.17 ± 1.32
Month 24: missed work due to RA-5.33 ± 7.570.00 ± NA—
Month 24: chores by housekeeper0.17 ± 3.060.50 ± 1.511.00 ± NA
Month 24: chores by family-0.97 ± 3.40-1.00 ± 3.00-0.47 ± 1.36
SecondaryChange From Baseline in Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU

Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.

Time frame:
Months 3, 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Change From Baseline in Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 3-1.40 ± 2.88-1.45 ± 3.90-0.81 ± 2.94
Month 6-2.11 ± 2.92-2.44 ± 2.97-1.22 ± 3.39
Month 12-2.15 ± 3.22-2.68 ± 3.17-1.51 ± 2.93
Month 18-2.28 ± 3.25-2.62 ± 3.15-2.22 ± 3.33
Month 24-2.24 ± 3.36-2.38 ± 3.11-1.88 ± 3.24
SecondaryMedical Outcomes Study Sleep Scale (MOS-SS) at Baseline and Months 1, 2, and 3

Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

Time frame:
Baseline and Months 1, 2, and 3
Reported as:
Mean · units on a scale
Medical Outcomes Study Sleep Scale (MOS-SS) at Baseline and Months 1, 2, and 3
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
BL: overall sleep problem42.65 ± 19.4842.82 ± 20.5142.84 ± 18.07
BL: sleep problem summary40.66 ± 19.8441.43 ± 20.7741.13 ± 18.20
BL: somnolence35.77 ± 21.6836.68 ± 22.2838.21 ± 21.19
BL: snoring34.30 ± 32.9031.99 ± 32.3732.58 ± 32.13
BL: sleep disturbance45.61 ± 25.9144.77 ± 26.5444.30 ± 25.52
BL: awaken short of breath20.43 ± 25.5219.35 ± 24.4218.71 ± 23.40
BL: adequacy46.29 ± 26.6344.41 ± 26.9544.65 ± 26.22
Month 1: overall sleep problem33.74 ± 18.2333.60 ± 20.1938.15 ± 17.57
Month 1: sleep problem summary33.11 ± 18.8433.21 ± 20.8337.28 ± 18.17
Month 1: somnolence29.75 ± 19.7129.15 ± 19.6535.11 ± 19.21
Month 1: snoring30.30 ± 29.3028.21 ± 30.2630.76 ± 31.63
Month 1: sleep disturbance33.81 ± 22.5233.58 ± 24.9437.09 ± 23.70
Month 1: awaken short of breath16.66 ± 22.8417.40 ± 23.9017.07 ± 22.76
Month 1: adequacy53.64 ± 26.2054.08 ± 27.3247.23 ± 24.62
Month 2: overall sleep problem31.73 ± 18.3732.76 ± 20.2535.25 ± 17.24
Month 2: sleep problem summary31.26 ± 18.6832.71 ± 20.6334.66 ± 17.19
Month 2: somnolence27.96 ± 19.3229.02 ± 21.1031.65 ± 19.75
Month 2: snoring31.09 ± 28.3828.92 ± 30.4028.20 ± 28.56
Month 2: sleep disturbance30.93 ± 23.0632.31 ± 24.5634.56 ± 22.32
Month 2: awaken short of breath15.44 ± 21.0417.16 ± 22.0715.96 ± 20.21
Month 2: adequacy54.83 ± 26.7155.08 ± 27.8150.84 ± 25.73
Month 3: overall sleep problem30.07 ± 18.5931.55 ± 19.8633.93 ± 18.86
Month 3: sleep problem summary29.87 ± 19.2231.76 ± 20.5533.66 ± 19.82
Month 3: somnolence27.18 ± 18.3429.16 ± 20.9930.39 ± 19.13
Month 3: snoring30.06 ± 30.1227.94 ± 30.1128.60 ± 28.46
Month 3: sleep disturbance29.24 ± 22.5429.83 ± 24.1032.76 ± 23.87
Month 3: awaken short of breath16.76 ± 22.6416.87 ± 22.2516.74 ± 21.71
Month 3: adequacy58.55 ± 27.5355.27 ± 27.6051.74 ± 26.72
SecondaryPercentage of Participants With Optimal Sleep Assessed Using MOS-SS

MOS-SS: participant-rated 12 item questionnaire to assess constructs of sleep over past week. It included 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence, sleep quantity and optimal sleep. Participants responded whether their sleep was optimal or not by choosing yes or no. Number of participants with optimal sleep are reported

Time frame:
Months 1, 2, 3, 6, 12, 18, and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Optimal Sleep Assessed Using MOS-SS
percentage of participantsCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 155.3155.2251.09
Month 257.0655.4148.88
Month 358.7160.0551.74
Month 661.7658.0458.23
Month 1258.1058.4350.00
Month 1863.0362.3752.59
Month 2461.7455.8755.66
SecondaryMedical Outcomes Study Sleep Scale (MOS-SS) at Months 6, 12, 18, and 24

Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

Time frame:
Months 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Medical Outcomes Study Sleep Scale (MOS-SS) at Months 6, 12, 18, and 24
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 6: overall sleep problem30.73 ± 18.5130.05 ± 20.0932.71 ± 19.54
Month 6: sleep problem summary30.59 ± 19.0229.81 ± 20.7532.17 ± 19.47
Month 6: somnolence26.82 ± 18.6227.34 ± 20.6929.79 ± 19.76
Month 6: snoring30.12 ± 29.4931.01 ± 30.6827.39 ± 29.11
Month 6: sleep disturbance29.26 ± 22.2028.61 ± 24.6431.76 ± 25.72
Month 6: awaken short of breath17.00 ± 22.2414.70 ± 21.2814.68 ± 20.98
Month 6: adequacy56.09 ± 26.9256.45 ± 27.8453.61 ± 26.74
Month 12: overall sleep problem30.01 ± 17.7529.30 ± 18.5033.49 ± 18.56
Month 12: sleep problem summary29.89 ± 18.8729.10 ± 18.9933.70 ± 19.36
Month 12: somnolence26.62 ± 18.2927.17 ± 20.0931.11 ± 18.47
Month 12: snoring32.13 ± 28.8031.76 ± 31.5430.67 ± 27.84
Month 12: sleep disturbance28.73 ± 20.8527.75 ± 22.7332.44 ± 23.52
Month 12: awaken short of breath15.81 ± 22.0114.73 ± 21.8916.59 ± 21.10
Month 12: adequacy56.98 ± 27.0058.18 ± 27.1354.15 ± 26.80
Month 18: overall sleep problem29.99 ± 17.4428.54 ± 17.9231.93 ± 19.62
Month 18: sleep problem summary29.94 ± 17.8228.15 ± 18.3832.24 ± 20.72
Month 18: somnolence25.77 ± 17.6226.73 ± 18.7828.68 ± 19.90
Month 18:snoring33.07 ± 28.8831.13 ± 29.8929.74 ± 29.90
Month 18: sleep disturbance29.04 ± 21.2827.30 ± 21.3229.31 ± 22.59
Month 18: awaken short of breath15.42 ± 20.1113.38 ± 19.8216.55 ± 21.47
Month 18: adequacy57.11 ± 26.3559.01 ± 27.1153.62 ± 29.50
Month 24: overall sleep problem29.78 ± 17.6429.55 ± 19.2632.25 ± 19.17
Month 24: sleep problem summary30.01 ± 18.2129.57 ± 19.8031.79 ± 19.69
Month 24: somnolence25.71 ± 18.4126.98 ± 20.5328.36 ± 18.36
Month 24: snoring32.44 ± 29.1830.22 ± 30.5330.00 ± 28.32
Month 24: sleep disturbance29.03 ± 21.0027.74 ± 23.4031.43 ± 23.59
Month 24: awaken short of breath15.45 ± 21.2315.90 ± 20.8616.60 ± 19.99
Month 24: adequacy57.46 ± 28.1557.52 ± 27.7056.42 ± 26.66
SecondaryChange From Baseline in MOS-SS at Months 1, 2, and 3

Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

Time frame:
Months 1, 2, and 3
Reported as:
Least squares mean · units on a scale
Change From Baseline in MOS-SS at Months 1, 2, and 3
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1: overall sleep problem-8.95 ± 0.86-9.14 ± 0.83-4.72 ± 1.19
Month 1: sleep problem summary-7.85 ± 0.90-8.12 ± 0.86-3.98 ± 1.24
Month 1: somnolence-6.35 ± 0.95-7.31 ± 0.91-2.15 ± 1.31
Month 1: snoring-3.12 ± 1.19-3.72 ± 1.14-1.66 ± 1.65
Month 1: quantity0.41 ± 0.060.38 ± 0.060.26 ± 0.09
Month 1: sleep disturbance-11.28 ± 1.07-11.06 ± 1.03-7.36 ± 1.48
Month 1: awaken short of breath-2.81 ± 1.04-1.92 ± 1.00-2.00 ± 1.44
Month 1: adequacy8.56 ± 1.339.73 ± 1.282.83 ± 1.84
Month 2: overall sleep problem-11.08 ± 0.87-10.15 ± 0.83-7.62 ± 1.20
Month 2: sleep problem summary-9.81 ± 0.90-8.75 ± 0.86-6.54 ± 1.25
Month 2: somnolence-8.11 ± 0.95-7.56 ± 0.91-5.45 ± 1.33
Month 2: snoring-2.31 ± 1.20-3.16 ± 1.14-4.54 ± 1.67
Month 2: quantity0.42 ± 0.060.43 ± 0.060.31 ± 0.09
Month 2: sleep disturbance-14.27 ± 1.08-12.53 ± 1.03-9.97 ± 1.50
Month 2: awaken short of breath-4.12 ± 1.05-2.15 ± 1.00-3.32 ± 1.46
Month 2: adequacy9.90 ± 1.3410.84 ± 1.286.24 ± 1.87
Month 3: overall sleep problem-12.46 ± 0.87-11.16 ± 0.83-8.99 ± 1.22
Month 3: sleep problem summary-10.98 ± 0.90-9.58 ± 0.86-7.65 ± 1.26
Month 3: somnolence-8.71 ± 0.96-7.35 ± 0.91-6.39 ± 1.34
Month 3: snoring-3.36 ± 1.21-4.25 ± 1.15-3.36 ± 1.69
Month 3: quantity0.45 ± 0.060.46 ± 0.060.40 ± 0.09
Month 3: sleep disturbance-15.67 ± 1.08-14.67 ± 1.03-11.90 ± 1.52
Month 3: awaken short of breath-2.60 ± 1.06-2.48 ± 1.01-2.67 ± 1.48
Month 3: adequacy13.46 ± 1.3511.00 ± 1.297.14 ± 1.89
SecondaryChange From Baseline in MOS-SS at Months 6, 12, 18, and 24

Participant-rated 12 item questionnaire to assess constructs of sleep over past week. 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range: 0-100); sleep quantity (range: 0-24), optimal sleep (yes or no). 9-item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher cores=more impairment. Scores transformed (actual raw score \[RS\] minus lowest possible score divided by possible RS range\*100); total score range: 0-100, higher score=more intensity of attribute.

Time frame:
Months 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Change From Baseline in MOS-SS at Months 6, 12, 18, and 24
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 6: overall sleep problem-11.62 ± 0.88-12.24 ± 0.84-9.77 ± 1.24
Month 6: sleep problem summary-10.13 ± 0.91-11.12 ± 0.87-8.64 ± 1.29
Month 6: somnolence-8.86 ± 0.97-8.83 ± 0.93-6.60 ± 1.37
Month 6: snoring-3.21 ± 1.22-1.11 ± 1.17-4.00 ± 1.74
Month 6: quantity0.47 ± 0.070.44 ± 0.060.44 ± 0.09
Month 6: sleep disturbance-15.44 ± 1.10-15.60 ± 1.05-12.69 ± 1.55
Month 6: awaken short of breath-2.54 ± 1.07-4.33 ± 1.02-4.23 ± 1.53
Month 6: adequacy10.76 ± 1.3611.57 ± 1.308.41 ± 1.94
Month 12: overall sleep problem-12.21 ± 0.90-11.94 ± 0.86-9.10 ± 1.30
Month 12: sleep problem summary-10.61 ± 0.93-10.76 ± 0.90-7.41 ± 1.35
Month 12: somnolence-8.85 ± 0.99-8.24 ± 0.95-5.46 ± 1.44
Month 12: snoring-1.44 ± 1.250.20 ± 1.20-1.49 ± 1.82
Month 12: quantity0.49 ± 0.070.37 ± 0.060.20 ± 0.10
Month 12: sleep disturbance-15.94 ± 1.12-15.24 ± 1.08-12.00 ± 1.63
Month 12: awaken short of breath-3.65 ± 1.10-4.04 ± 1.06-2.12 ± 1.62
Month 12: adequacy11.41 ± 1.4012.15 ± 1.359.30 ± 2.05
Month 18: overall sleep problem-11.55 ± 0.92-12.82 ± 0.89-11.27 ± 1.36
Month 18: sleep problem summary-10.02 ± 0.96-11.88 ± 0.93-9.41 ± 1.41
Month 18: somnolence-9.19 ± 1.02-8.70 ± 0.99-7.88 ± 1.51
Month 18:snoring-0.45 ± 1.29-0.59 ± 1.25-3.61 ± 1.92
Month 18: quantity0.47 ± 0.070.38 ± 0.070.44 ± 0.10
Month 18: sleep disturbance-14.89 ± 1.15-15.77 ± 1.12-15.97 ± 1.71
Month 18: awaken short of breath-3.69 ± 1.14-5.50 ± 1.11-1.55 ± 1.71
Month 18: adequacy10.91 ± 1.4413.26 ± 1.409.71 ± 2.15
Month 24: overall sleep problem-11.64 ± 0.94-11.93 ± 0.90-10.84 ± 1.39
Month 24: sleep problem summary-9.83 ± 0.98-10.59 ± 0.94-9.64 ± 1.45
Month 24: somnolence-9.29 ± 1.04-8.63 ± 1.00-8.24 ± 1.55
Month 24: snoring-1.00 ± 1.32-1.22 ± 1.27-3.49 ± 1.97
Month 24: quantity0.41 ± 0.070.31 ± 0.070.42 ± 0.11
Month 24: sleep disturbance-14.67 ± 1.18-15.43 ± 1.13-14.20 ± 1.76
Month 24: awaken short of breath-3.77 ± 1.17-3.16 ± 1.13-1.69 ± 1.77
Month 24: adequacy11.02 ± 1.4711.87 ± 1.4311.35 ± 2.22
SecondaryFunctional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale

FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status

Time frame:
Baseline and Months 1, 2, 3, 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Baseline28.47 ± 10.9029.06 ± 10.7228.55 ± 10.54
Month 134.39 ± 10.0636.03 ± 10.2531.70 ± 10.20
Month 236.08 ± 10.1636.76 ± 10.2032.83 ± 10.20
Month 336.93 ± 10.0937.63 ± 10.3034.09 ± 9.56
Month 637.55 ± 9.9638.38 ± 9.9335.38 ± 10.15
Month 1237.85 ± 10.0038.95 ± 9.7335.99 ± 9.40
Month 1838.45 ± 9.2039.22 ± 9.3935.97 ± 10.12
Month 2438.52 ± 9.3739.38 ± 9.9135.16 ± 10.65
SecondaryChange From Baseline in FACIT-Fatigue Scale

FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status

Time frame:
Months 1, 2, 3, 6, 12, 18, and 24
Reported as:
Mean · units on a scale
Change From Baseline in FACIT-Fatigue Scale
units on a scaleCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 15.79 ± 0.477.14 ± 0.453.15 ± 0.66
Month 27.44 ± 0.487.86 ± 0.454.22 ± 0.66
Month 38.12 ± 0.488.70 ± 0.465.25 ± 0.67
Month 68.71 ± 0.489.12 ± 0.466.33 ± 0.68
Month 128.75 ± 0.499.18 ± 0.476.89 ± 0.71
Month 188.98 ± 0.509.41 ± 0.497.14 ± 0.74
Month 248.97 ± 0.519.57 ± 0.496.24 ± 0.75
SecondaryChange From Baseline in Heart Rate
Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · beats per minute
Change From Baseline in Heart Rate
beats per minuteCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-1.64 ± 8.15-1.83 ± 8.34-0.73 ± 7.96
Month 2-1.37 ± 8.48-1.02 ± 9.33-2.19 ± 7.72
Month 3-1.91 ± 9.27-1.76 ± 9.40-2.37 ± 8.48
Month 6-1.62 ± 8.64-1.70 ± 9.13-2.24 ± 8.65
Month 9-1.31 ± 9.07-1.66 ± 9.23-3.50 ± 9.36
Month 12-2.36 ± 9.69-2.88 ± 9.12-4.08 ± 10.42
Month 15-1.60 ± 9.22-2.12 ± 10.24-3.78 ± 9.66
Month 18-2.45 ± 9.38-2.03 ± 8.78-2.23 ± 8.47
Month 21-1.77 ± 9.97-2.25 ± 8.71-3.34 ± 9.24
Month 24-3.08 ± 10.16-3.31 ± 9.69-4.26 ± 10.17
SecondaryChange From Baseline in Temperature
Time frame:
Months 1, 2, 3, 6, 9, 12, 15, 18, 21, and 24
Reported as:
Mean · degrees centigrade
Change From Baseline in Temperature
degrees centigradeCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
Month 1-0.07 ± 0.30-0.05 ± 0.31-0.05 ± 0.32
Month 2-0.07 ± 0.32-0.03 ± 0.37-0.04 ± 0.35
Month 3-0.08 ± 0.34-0.04 ± 0.34-0.05 ± 0.36
Month 6-0.07 ± 0.35-0.04 ± 0.36-0.09 ± 0.38
Month 9-0.07 ± 0.37-0.06 ± 0.39-0.08 ± 0.36
Month 12-0.10 ± 0.34-0.03 ± 0.39-0.12 ± 0.37
Month 15-0.08 ± 0.35-0.05 ± 0.42-0.10 ± 0.35
Month 18-0.07 ± 0.41-0.03 ± 0.42-0.11 ± 0.38
Month 21-0.09 ± 0.36-0.07 ± 0.40-0.13 ± 0.40
Month 24-0.10 ± 0.37-0.07 ± 0.40-0.12 ± 0.37

Adverse events

Collected over Baseline up to 28 days after last administration of investigational product.. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CP-690,550 5 mg BID—40/373 (10.7%)252/373 (67.6%)
CP-690,550 10 mg BID—43/397 (10.8%)279/397 (70.3%)
MTX 10, 15, or 20 mg, Weekly—22/186 (11.8%)122/186 (65.6%)
Most frequent serious events
Showing 10 of 106
Most frequent serious events
EventCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
OsteoarthritisMusculoskeletal and connective tissue disorders0/3733/3970/186
Atrial fibrillationCardiac disorders0/3730/3971/186
Atrial flutterCardiac disorders0/3730/3971/186
Atrioventicular block first degreeCardiac disorders0/3730/3971/186
HaemorrhoidsGastrointestinal disorders0/3730/3971/186
Inguinal herniaGastrointestinal disorders0/3730/3971/186
PancreatitisGastrointestinal disorders0/3730/3971/186
Salivary gland calculusGastrointestinal disorders0/3730/3971/186
CholelithiasisHepatobiliary disorders0/3730/3971/186
Chronic hepatitis CInfections and infestations0/3730/3971/186
Most frequent other events
Showing 10 of 50
Most frequent other events
EventCP-690,550 5 mg BIDCP-690,550 10 mg BIDMTX 10, 15, or 20 mg, Weekly
NauseaGastrointestinal disorders27/37330/39740/186
NasopharyngitisInfections and infestations28/37339/39712/186
Upper respiratory tract infectionInfections and infestations30/37336/39715/186
Blood creatine Phosphokinase increasedInvestigations16/37336/3972/186
HeadacheNervous system disorders26/37334/39712/186
DiarrhoeaGastrointestinal disorders15/37324/39715/186
HypertensionVascular disorders26/37329/3977/186
BronchitisInfections and infestations20/37327/3974/186
Urinary tract infectionInfections and infestations17/37326/3977/186
VomitingGastrointestinal disorders11/37313/39711/186

Baseline characteristics

All participants randomized to the study who received at least 1 dose of study drug (CP-690,550) or MTX.

Age, Continuous
Age, Continuous(years)CP-690,550 5 mg Twice Daily (BID)CP-690,550 10 mg BIDMTX 10, 15, or 20 mg, WeeklyTotal
Mean50.3 ± 12.249.3 ± 12.848.8 ± 13.349.6 ± 12.7
Sex: Female, Male
Sex: Female, Male(Participants)CP-690,550 5 mg Twice Daily (BID)CP-690,550 10 mg BIDMTX 10, 15, or 20 mg, WeeklyTotal
Female286327145758
Male877041198
08

Study locations

176 sites
  • Catalina Pointe Clinical Research, Inc.
    Tucson, Arizona 85704, United States
  • Little Rock Diagnostic Clinic
    Little Rock, Arkansas 72205, United States
  • University of California San Diego Perlman Ambulatory Clinic
    La Jolla, California 92037-0943, United States
  • University of California San Diego Center for Innovative Therapy
    La Jolla, California 92093 0943, United States
  • Keck Hospital of USC, Lower Level Pharmacy
    Los Angeles, California 90033, United States
  • Keck Hospital of USC
    Los Angeles, California 90033, United States
  • USC Keck School of Medicine
    Los Angeles, California 90033, United States
  • University of California Los Angeles (UCLA)
    Los Angeles, California 90095, United States
  • Southeastern Arthritis Center
    Gainesville, Florida 32607, United States
  • Southeastern Imaging and Diagnostics
    Gainesville, Florida 32607, United States
  • Southeastern Integrated Medical, PL dba Florida Medical Research
    Gainesville, Florida 32607, United States
  • Center for Arthritis and Rheumatic Diseases
    Miami, Florida 33173, United States
  • Sarasota Arthritis Research Center
    Sarasota, Florida 34239, United States
  • West Broward Rheumatology Associates, Inc.
    Tamarac, Florida 33321, United States
  • Bernard F. Germain, MD
    Tampa, Florida 33613, United States
  • Burnette & Silverfield, MDS PLC
    Tampa, Florida 33614, United States
  • Diagnostic Rheumatology and Research, PC
    Indianapolis, Indiana 46227, United States
  • Medical Associates Clinic, PC
    Dubuque, Iowa 52002, United States
  • Louisiana State University Health Sciences
    New Orleans, Louisiana 70115, United States
  • The Center for Rheumatology and Bone Research
    Wheaton, Maryland 20902, United States
  • Clinical Pharmacology Study Group
    Worcester, Massachusetts 01605, United States
  • Physician Research Collaboration, LLC
    Lincoln, Nebraska 68516, United States
  • The Center for Rheumatology
    Albany, New York 12206, United States
  • AAIR Research Center
    Rochester, New York 14618, United States
  • PMG Research of Hickory, LLC
    Hickory, North Carolina 28601, United States
  • PMG Research of Hickory, LLC
    Hickory, North Carolina 28602, United States
  • Lynn Health Science Institute
    Oklahoma City, Oklahoma 73112, United States
  • Altoona Center for Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • Clinical Research Center of Reading, LLP
    Wyomissing, Pennsylvania 19610, United States
  • Medical University of South Carolina - Rheumatology
    Charleston, South Carolina 29425, United States
  • Medical University of South Carolina Investigational Drug Services
    Charleston, South Carolina 29425, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Arthritis Clinic
    Jackson, Tennessee 38305, United States
  • West Tennessee Research Institute
    Jackson, Tennessee 38305, United States
  • Austin Rheumatology Research
    Austin, Texas 78705, United States
  • Metroplex Clinical Research Center
    Dallas, Texas 75231, United States
  • University of North Texas Health Science Center at Fort Worth
    Fort Worth, Texas 76107, United States
  • Investigational Drug Service
    Seattle, Washington 98101, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • Mountain State Clinical Research
    Clarksburg, West Virginia 26301, United States
  • United Hospital Center (Imaging Only)
    Clarksburg, West Virginia 26301, United States
  • OMI - Organización Médica de Investigación
    Buenos Aires, C1015ABO, Argentina
  • Saint Dennis Medical Group S.A.
    Buenos Aires, C1034ACO, Argentina
  • Consultorios Reumatológicos Pampa
    Buenos Aires, C1428DZF, Argentina
  • Rheumatology Research Unit Sunshine Coast
    Maroochydore, Queensland 4558, Australia
  • The Queen Elizabeth Hospital, Department of Rheumatology
    Woodville, South Australia 5011, Australia
  • Emeritus Research
    Malvern East, Victoria 3145, Australia
  • Universitair Ziekenhuis Gent - Reumatologie
    Gent, 9000, Belgium
  • CIP - Centro Internacional de Pesquisas
    Goiania, GO 74110-120, Brazil
  • Clinica de Raios X Nabyh Salum S/S - Clinica Sao Matheus
    Goiania, GO 74115-030, Brazil
  • Centro de Estudos em Terapias Inovadoras
    Curitiba, PR 80060-240, Brazil
  • Hospital Sao Lucas da PUCRS
    Porto Alegre, RS 90610-000, Brazil
  • CEPIC - Centro Paulista de Investigacao Clinica e Servicos Medicos Ltda
    Sao Paulo, SP 04266-010, Brazil
  • CCBR Brasil Centro de Pesquisas e Analises Clinicas Ltda
    Rio de Janeiro, 22271-100, Brazil
  • Revmatologichno Otdelenie, MBAL - Plovdiv
    Plovdiv, 4000, Bulgaria
  • MBAL-Ruse, AD, IV Terapevtichno i kardiologichno otdelenie
    Ruse, 7002, Bulgaria
  • MBAL na Voennomeditsinska Akademia - Sofia, Klinika po Revmatologia i Kardiologia
    Sofia, 1606, Bulgaria
  • MBAL Sveti Ivan Rilski Sofia; Klinika po Revmatologia
    Sofia, 1612, Bulgaria
  • DKTs "Sveta Anna", Sofia; Konsultativen kabinet po Revmatologia
    Sofia, 1709, Bulgaria
  • MOBAL "D-r Stefan Cherkezov" AD, Revmokardiologichno otdelenie s intenziven sektor
    Veliko Tarnovo, 5000, Bulgaria
  • Rheumatology Research Associates Ltd.
    Edmonton, Alberta T5M 0H4, Canada
  • PerCuro Clinical Research Ltd.
    Victoria, British Columbia V8V 3P9, Canada
  • Manitoba Clinic
    Winnipeg, Manitoba R3A 1M3, Canada
  • Burlington Rheumatology and Osteoporosis Clinic
    Burlington, Ontario L7L 0B7, Canada
  • Dr. William G. Bensen Medicine Professional Corporation
    Hamilton, Ontario L8N 1Y2, Canada
  • Office of Dr. Fernando Bianchi
    Hamilton, Ontario L8N 1Y2, Canada
  • MAC Research Inc.
    Hamilton, Ontario L8N 2B6, Canada
  • KW Musculoskeletal Research Inc.
    Kitchener, Ontario N2M 5N6, Canada
  • Rheumatology Research Associates
    Ottawa, Ontario K1H 1A2, Canada
  • Niagara Peninsula Arthritis Centre
    St. Catharines, Ontario L2N 7E4, Canada
  • Windsor Radiological Associates
    Windsor, Ontario N8X 1K7, Canada
  • Clinical Research and Arthritis Centre
    Windsor, Ontario N8X 5A6, Canada
  • Consulta Privada Dra. Lucia Ponce
    Temuco, IX Region 4790928, Chile
  • Centro de Estudios Reumatologicos
    Santiago, RM 7501126, Chile
  • Consulta Privada Dra. Marta Aliste
    Santiago, RM 7510186, Chile
  • Estudios Clinicos V Region
    Vina del Mar, V Region 2570017, Chile
  • Hospital Regional de Rancagua
    Rancagua, 2841959, Chile
  • Centro de Reumatologia y Ortopedia
    Barranquilla, Atlantico, Colombia
  • Centro Integral de Reumatologia e Inmunologia CIREI
    Bogota, Cundinamarca 0000, Colombia
  • Servimed E.U
    Bucaramanga, Santander, Colombia
  • Centro de Reumatología y Osteoporosis, Cartago
    Cartago, 00000, Costa Rica
  • Hospital Cima San Jose
    San Jose, 00000, Costa Rica
  • Revmacentrum MUDr. Mostera, s.r.o.
    Brno - Zidenice, 61500, Czechia
  • Fakultni nemocnice Brno
    Brno, 62500, Czechia
  • Fakultni nemocnice Hradec Kralove
    Hradec Kralove, 50005, Czechia
  • Revmatologicka ambulance
    Ostrava-Poruba, 70800, Czechia
  • Revmatologicky ustav
    Praha 2, 128 50, Czechia
  • Revmatologicka ambulance
    Praha 4, 140 00, Czechia
  • Patricia Alvarez Site
    Santo Domingo, 00000, Dominican Republic
  • Privat-Praxis, Rheumatologie (P515)
    Aachen, 52064, Germany
  • Schlosspark-Klinik
    Berlin, 14059, Germany
  • Studienambulanz, Medizinische Klinik 3 Universitaetsklinikum Erlangen
    Erlangen, 91054, Germany
  • Schwerpunktpraxis Rheumatologie FAE Innere Medizin
    Halle, 06108, Germany
  • Schoen Klinik Hamburg-Eilbek, Abt. Rheumatologie und Klin. Immunologie
    Hamburg, 22081, Germany
  • Arztpraxis, Internist - Rheumatologie
    Nuernberg, 90429, Germany
  • Rheumaforschung - Studienambulanz Dr. Wassenberg
    Ratingen, 40882, Germany
  • Schwerpunktpraxis fuer Rheumatologie
    Rheine, 48431, Germany
  • Drug Research Center Kft. Reumatologiai Szakrendeles
    Balatonfüred, 8230, Hungary
  • Revita Reumatologiai Rendelo
    Budapest, 1027, Hungary
  • Synexus Magyarorszag Kft.
    Budapest, H-1036, Hungary

Showing the first 100 of 176 sites across 30 countries.

09

References and documents

Publications

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  • Winthrop KL, Curtis JR, Yamaoka K, Lee EB, Hirose T, Rivas JL, Kwok K, Burmester GR. Clinical Management of Herpes Zoster in Patients With Rheumatoid Arthritis or Psoriatic Arthritis Receiving Tofacitinib Treatment. Rheumatol Ther. 2022 Feb;9(1):243-263. doi: 10.1007/s40744-021-00390-0. Epub 2021 Dec 6. PubMed 34870800 ↗
  • Bykerk VP, Lee EB, van Vollenhoven R, Gruben DC, Fallon L, Woolcott JC, Keystone E. Identification of Distinct Disease Activity Trajectories in Methotrexate-Naive Patients With Rheumatoid Arthritis Receiving Tofacitinib Over Twenty-Four Months. Arthritis Care Res (Hoboken). 2022 Jan;74(1):131-141. doi: 10.1002/acr.24709. PubMed 34057820 ↗
  • Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Wang L, Chen C, Kwok K, Biswas P, Shapiro A, Madsen A, Wollenhaupt J. Long-term safety of tofacitinib up to 9.5 years: a comprehensive integrated analysis of the rheumatoid arthritis clinical development programme. RMD Open. 2020 Oct;6(3):e001395. doi: 10.1136/rmdopen-2020-001395. PubMed 33127856 ↗
  • Strand V, Kaine J, Alten R, Wallenstein G, Diehl A, Shi H, Germino R, Murray CW. Associations between Patient Global Assessment scores and pain, physical function, and fatigue in rheumatoid arthritis: a post hoc analysis of data from phase 3 trials of tofacitinib. Arthritis Res Ther. 2020 Oct 15;22(1):243. doi: 10.1186/s13075-020-02324-7. PubMed 33059710 ↗
  • van der Heijde D, Landewe RBM, Wollenhaupt J, Strengholt S, Terry K, Kwok K, Wang L, Cohen S. Assessment of radiographic progression in patients with rheumatoid arthritis treated with tofacitinib in long-term studies. Rheumatology (Oxford). 2021 Apr 6;60(4):1708-1716. doi: 10.1093/rheumatology/keaa476. PubMed 33057725 ↗
  • Panaccione R, Isaacs JD, Chen LA, Wang W, Marren A, Kwok K, Wang L, Chan G, Su C. Characterization of Creatine Kinase Levels in Tofacitinib-Treated Patients with Ulcerative Colitis: Results from Clinical Trials. Dig Dis Sci. 2021 Aug;66(8):2732-2743. doi: 10.1007/s10620-020-06560-4. Epub 2020 Aug 20. Erratum In: Dig Dis Sci. 2021 Sep;66(9):3214-3215. doi: 10.1007/s10620-020-06638-z. PubMed 32816215 ↗
  • Kivitz AJ, Cohen S, Keystone E, van Vollenhoven RF, Haraoui B, Kaine J, Fan H, Connell CA, Bananis E, Takiya L, Fleischmann R. A pooled analysis of the safety of tofacitinib as monotherapy or in combination with background conventional synthetic disease-modifying antirheumatic drugs in a Phase 3 rheumatoid arthritis population. Semin Arthritis Rheum. 2018 Dec;48(3):406-415. doi: 10.1016/j.semarthrit.2018.07.006. Epub 2018 Jul 19. PubMed 30177460 ↗
  • Strand V, Kavanaugh A, Kivitz AJ, van der Heijde D, Kwok K, Akylbekova E, Soonasra A, Snyder M, Connell C, Bananis E, Smolen JS. Long-Term Radiographic and Patient-Reported Outcomes in Patients with Rheumatoid Arthritis Treated with Tofacitinib: ORAL Start and ORAL Scan Post-hoc Analyses. Rheumatol Ther. 2018 Dec;5(2):341-353. doi: 10.1007/s40744-018-0113-7. Epub 2018 May 14. PubMed 29761420 ↗
  • van Vollenhoven RF, Lee EB, Fallon L, Zwillich SH, Wilkinson B, Chapman D, DeMasi R, Keystone E. Tofacitinib in Rheumatoid Arthritis: Lack of Early Change in Disease Activity and the Probability of Achieving Low Disease Activity at Month 6. Arthritis Care Res (Hoboken). 2019 Jan;71(1):71-79. doi: 10.1002/acr.23585. PubMed 29696833 ↗
  • Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Thirunavukkarasu K, DeMasi R, Geier J, Kwok K, Wang L, Riese R, Wollenhaupt J. Long-term safety of tofacitinib for the treatment of rheumatoid arthritis up to 8.5 years: integrated analysis of data from the global clinical trials. Ann Rheum Dis. 2017 Jul;76(7):1253-1262. doi: 10.1136/annrheumdis-2016-210457. Epub 2017 Jan 31. PubMed 28143815 ↗
  • Fleischmann RM, Huizinga TW, Kavanaugh AF, Wilkinson B, Kwok K, DeMasi R, van Vollenhoven RF. Efficacy of tofacitinib monotherapy in methotrexate-naive patients with early or established rheumatoid arthritis. RMD Open. 2016 Jul 26;2(2):e000262. doi: 10.1136/rmdopen-2016-000262. eCollection 2016. PubMed 27493790 ↗
  • Fleischmann R, Strand V, Wilkinson B, Kwok K, Bananis E. Relationship between clinical and patient-reported outcomes in a phase 3 trial of tofacitinib or MTX in MTX-naive patients with rheumatoid arthritis. RMD Open. 2016 Apr 26;2(1):e000232. doi: 10.1136/rmdopen-2015-000232. eCollection 2016. PubMed 27175296 ↗
  • Cohen S, Radominski SC, Gomez-Reino JJ, Wang L, Krishnaswami S, Wood SP, Soma K, Nduaka CI, Kwok K, Valdez H, Benda B, Riese R. Analysis of infections and all-cause mortality in phase II, phase III, and long-term extension studies of tofacitinib in patients with rheumatoid arthritis. Arthritis Rheumatol. 2014 Nov;66(11):2924-37. doi: 10.1002/art.38779. PubMed 25047021 ↗
  • Lee EB, Fleischmann R, Hall S, Wilkinson B, Bradley JD, Gruben D, Koncz T, Krishnaswami S, Wallenstein GV, Zang C, Zwillich SH, van Vollenhoven RF; ORAL Start Investigators. Tofacitinib versus methotrexate in rheumatoid arthritis. N Engl J Med. 2014 Jun 19;370(25):2377-86. doi: 10.1056/NEJMoa1310476. PubMed 24941177 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01039688
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Dec 25, 2009
Start date
Jan 2010
Primary completion
Mar 2013
Completion
Mar 2013
Results posted
Apr 6, 2018
Last update
Apr 6, 2018

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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