ClinicalTrials.gg
TerminatedNCT03281304Updated Mar 21, 2023Results posted

A Study of Tofacitinib in Patients With Ulcerative Colitis in Stable Remission

A Phase 4 interventional study of CP-690,500 5 mg and CP-690,550 10 mg in Ulcerative Colitis, sponsored by Pfizer. Terminated at 80 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-21.

Sponsored by Pfizer · Phase 4, Interventional, and Treatment

Why this study was terminated
The study terminated early due to business reasons, with the study already meeting its primary objective. The decision to terminate the trial was not based on any safety and/or efficacy concerns.
Phase
Phase 4
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies testing tofacitinib in Colitis, Ulcerative — 3 open to participants now, 6 under way, 1 of them phase 3. tofacitinib · Colitis, Ulcerative.

Enrollment
6th of 14
140 · median 107
Started
2017
the only one that year
Phase 4
4 of 14
1 open now
Registered
6th of 14
by date
Lead sponsor
7 of 14
Pfizer

Among the 14 studies testing tofacitinib in Colitis, Ulcerative, this one is the 6th largest by enrollment, is the only one that started in 2017, is one of 4 in phase 4, and was the 6th registered.

Colitis, Ulcerative

1,854 studies on the registry are indexed under Colitis, Ulcerative; 473 are open to participants now.

Browse Colitis, Ulcerative studies →

Open to participants now

3 of the 14 studies testing tofacitinib in Colitis, Ulcerative are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About tofacitinib

tofacitinib: first FDA approval 2012 (XELJANZ), first EMA approval 2017. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 307 Colitis, Ulcerative studies recruiting now, 134 (44%) set no upper age limit and 136 (44%) stop at 75 or younger; 71 take children under 18; 41 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies testing tofacitinib in Colitis, Ulcerative, or all of them as a file.
02

Study summary

This study is a follow up study for subjects with Ulcerative Colitis (UC) in stable remission designed to evaluate flexible dosing of CP-690,550.

03

Conditions studied

  • Ulcerative Colitis

Keywords

  • ulcerative colitis
  • inflammatory bowel disease
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Currently enrolled in Study A3921139 receiving CP-690,550 10 mg BID for at least 2 years consecutively.
  • In stable remission on CP-690,550 10 mg BID
  • Agree to use highly effective
  • Negative pregnancy test
  • Comply with visits, treatments, lab tests, diary and other study procedures
  • Signed and dated document.

Exclusion criteria

Exclusion Criteria:

  • Subjects who were initially assigned to tofacitinib 10 mg BID at baseline of Study A3921139 whose tofacitinib dose was reduced to 5 mg BID due to safety or efficacy.
  • Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis or findings suggestive of Crohn's disease
  • Likely to require surgery for ulcerative colitis during study
  • Expected to receive any prohibited medication
  • Expected to receive live or attenuated virus vaccination during study
  • Women who are pregnant or breastfeeding or planning to become pregnant during the study
  • Evidence of colonic or any dysplasia
  • Acute or chronic medical or psychiatric condition that may increase risk of participation
  • Investigator site staff member
  • Subjects likely to be uncooperative or unable to comply with study procedures
  • Participation in other studies involving drugs during study
  • Subjects with any of the following risk factors for pulmonary embolism at baseline as defined by EMA's PRAC:

    • has heart failure;
    • has inherited coagulation disorders;
    • has had venous thromboembolism, either deep venous thrombosis or pulmonary embolism;
    • is taking combined hormonal or hormone replacement therapy;
    • has malignancy (association is strongest with cancers other than non-melanoma skin cancers);
    • is undergoing major surgery
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    CP-690,550 5 mg

    CP-690,550 5 mg tablet by mouth twice a day (BID)

    Drug: CP-690,500 5 mg

  • Experimental
    CP-690,550 10 mg

    CP-690,550 10 mg BID

    Drug: CP-690,550 10 mg

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Remission Based on Modified Mayo Score at Month 6

    Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0 at Month 6. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.

    Time frame: Month 6

Secondary outcomes

  1. Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method

    Time to loss of remission(flare): time from first drug administration until time of meeting loss of remission criteria based on modified mayo score. Loss of remission: meeting at least (\>=)1 criteria: increase from Baseline in rectal bleeding subscore by \>=1 point and increase in endoscopic subscore by \>=1 point; increase from Baseline in rectal bleeding subscore by \>=2 points and endoscopic subscore \>0; increase in stool frequency subscore by \>=2 points and increase in endoscopic subscore by \>=1 point; increase in endoscopic subscore by \>=2 points. Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores: Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores, each subscore graded from 0 to 3 with higher scores for each score=more severe disease. All scores summed up to give total modified mayo score range from 0 to 9; higher scores=more severe disease.

    Time frame: Up to Month 42

  2. Number of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Remission as per modified partial mayo score was defined as stool frequency subscore of 0 or 1, and rectal bleeding sub score of 0 at the specified time points. Modified partial mayo scores consisted of 2 components: stool frequency and rectal bleeding: each subscore graded from 0 to 3 with higher scores for each score = more severe disease. These scores were summed up to give a total modified partial mayo score range of 0 to 6; where higher scores indicating more severe disease.

    Time frame: Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  3. Number of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42

    Remission as per total mayo score was defined by a total mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and physician global assessment (PGA), each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

    Time frame: Months 6, 18, 30 and 42

  4. Number of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Remission as per partial mayo score was defined as partial mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

    Time frame: Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  5. Number of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42

    Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.

    Time frame: Months 18, 30 and 42

  6. Change From Baseline in Modified Mayo Score at Month 6

    Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.

    Time frame: Baseline, Month 6

  7. Change From Baseline in Modified Mayo Score at Months 18, 30 and 42

    Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.

    Time frame: Baseline, Months 18, 30 and 42

  8. Change From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6

    Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total Modified partial mayo score ranges from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.

    Time frame: Baseline, Months 1, 3 and 6

  9. Change From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total modified partial mayo score range from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.

    Time frame: Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  10. Change From Baseline in Total Mayo Score at Month 6

    Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

    Time frame: Baseline, Month 6

  11. Change From Baseline in Total Mayo Score at Months 18, 30 and 42

    Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

    Time frame: Baseline, Months 18, 30 and 42

  12. Change From Baseline in Partial Mayo Score at Months 1, 3 and 6

    Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

    Time frame: Baseline, Months 1, 3 and 6

  13. Change From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score ranges from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

    Time frame: Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  14. Number of Participants With Mucosal Healing at Months 6, 18, 30 and 42

    Mucosal healing in participants was defined as the mayo endoscopic subscore of 0 or 1. The Mayo endoscopic subscore consisted of the findings of centrally read flexible sigmoidoscopy, graded from 0 to 3 with higher scores indicated more severe disease.

    Time frame: Months 6, 18, 30 and 42

  15. Number of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42

    Clinical response was defined as a decrease from baseline in mayo score of at least 3 points and at least 30 percent, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of 0 or 1. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a mayo score range of 0 to 12, where higher scores indicating more severe disease.

    Time frame: Months 6, 18, 30 and 42

  16. Change From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Change from baseline in fecal calprotectin (in micrograms per gram \[mcg/g\]) was reported.

    Time frame: Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  17. Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

    Change From baseline in hs-CRP level (in milligrams per liter \[mg/L\]) is reported.

    Time frame: Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

  18. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment or worsened during the treatment period relative to the pretreatment state. AEs included both serious and all non-serious adverse events (irrespective of frequency threshold used to report other AEs in safety section).

    Time frame: Baseline up to 43 months

  19. Number of Participants With Serious Infections

    Serious infections were defined as any infections (viral, bacterial, and fungal) requiring parenteral antimicrobial therapy, hospitalization for treatment, or meeting other criteria that require the infection to be classified as serious adverse event. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events.

    Time frame: Baseline up to 43 months

  20. Number of Participants With Clinical Laboratory Abnormalities

    Abnormality criteria: Hematology: hemoglobin(Hg): \<0.8\* lower limit of normal (LLN); hematocrit: \<0.8\*LLN; lymphocytes: \<0.8\* LLN; lymphocytes/leukocytes: \<0.8\*LLN; erythrocytes: \<0.8\*LLN; erythrocytes mean corpuscular volume: \<0.9\*LLN; erythrocytes mean corpuscular Hg: \<0.9\*LLN; reticulocytes, reticulocytes/erythrocytes:\>1.5\* upper limit of normal (ULN); neutrophils, neutrophils/leukocytes: \>1.2\*ULN; basophils/leukocytes, eosinophils, eosinophils/leukocytes, monocytes/leukocytes: \>1.2\*ULN; leukocyte esterase: \>=1; Clinical chemistry: bicarbonate:\<0.9\*LLN, bilirubin: \>1.5\*ULN; indirect bilirubin: \>1.5\* ULN; aspartate aminotransferase(AT): \>3.0\*ULN; alanine AT: \>3.0\*ULN; gamma glutamyl transferase: \>3.0\* ULN; creatine kinase: \>2.0\*ULN; potassium: \>1.1\*ULN; blood urea nitrogen: \>1.3\*ULN; creatinine: \>1.3\*ULN; urate: \>1.2\*ULN; cholesterol: \>1.3\*ULN; HDL-cholesterol: \<0.8\* LLN; LDL-cholesterol: \>1.2\*ULN; triglycerides: \>1.3\*ULN; glucose: \>1.5\*ULN; and urine Hg \>=1.

    Time frame: Baseline up to 27 months

  21. Number of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation

    Laboratory abnormalities leading to study treatment discontinuation: 2 sequential neutrophil counts \<750 neutrophils per cubic millimeter (mm\^3); 2 sequential lymphocyte counts \<500 lymphocytes/mm\^3; 2 sequential hemoglobin \<8.0 grams per deciliter; 2 sequential platelet counts \<75000 platelets/mm\^3; 2 sequential AST or ALT elevations \>=3\*ULN with at least one total bilirubin value \>=2\*ULN; 2 sequential AST or ALT elevations \>=3\*ULN accompanied by signs or symptoms consistent with hepatic injury; 2 sequential AST or ALT elevations \>=5\*ULN; 2 sequential increases in creatinine \>50% and \>0.5 milligrams per deciliter over A3921139 baseline; 2 sequential CK elevations \>10\*ULN unless the causality is known not to be medically serious (eg, exercise induced).

    Time frame: Baseline up to 43 months

  22. Number of Participants With Vital Sign Abnormalities

    Vital signs abnormality criteria included: 1) a) diastolic blood pressure (DBP) of (less than) \<50 millimeter of mercury (mmHg), b) change greater than equal to (\>=) 20 mmHg increase, c) change \>=20 mmHg decrease; 2) a) systolic blood pressure (SBP) of \<90 mmHg, b) change \>=30 mmHg increase, c) change \>=30 mmHg decrease; 3) a) pulse rate value of \<40 beats per minute (bpm), b) pulse rate \>120 bpm. Only those categories in which at least 1 participant had data were reported.

    Time frame: Baseline up to 43 months

  23. Number of Participants With Clinically Significant Physical Examinations Abnormalities

    Physical examination included assessment of the weight, general appearance, eyes, mouth, lungs, heart, abdomen, musculoskeletal, extremities, skin and lymph nodes. Clinical significance was assessed by the Investigator.

    Time frame: Baseline up to 43 months

  24. Number of Participants With Opportunistic Infections, All Malignancy, Gastrointestinal Perforation and Cardiovascular Events Adjudicated by Adjudication Committee

    Number of participants with adjudicated opportunistic infections including herpes zoster (non-adjacent or \>2 adjacent dermatomes); all malignancies including non-melanoma skin cancer; gastrointestinal perforation and cardiovascular events including pulmonary embolism and cerebrovascular accident, adjudicated by adjudication committee were reported.

    Time frame: Baseline up to 43 months

07

Results

Posted Apr 15, 2021

Participant flow

The study enrolled participants from A3921139 (NCT01470612) who were on tofacitinib 10 milligram (mg) twice daily (BID) for at least 2 consecutive years, who were in stable remission for at least 6 months prior to baseline of A3921288 and who were not receiving any corticosteroid treatment to treat their ulcerative colitis (UC) for at least 4 weeks prior to enrollment.

Treatment Phase (up to 42 Months)
Participant flow — Treatment Phase (up to 42 Months)
MilestoneTofacitinib 5 mg BIDTofacitinib 10 mg BID
Started7070
Completed3627
Not completed3443
Withdrew: Adverse event1010
Withdrew: Lack of efficacy32
Withdrew: Pregnancy10
Withdrew: Withdrawal by subject512
Withdrew: Death01
Withdrew: Study terminated by sponsor1516
Withdrew: Other02
Follow-up Phase (up to 4 Weeks)
Participant flow — Follow-up Phase (up to 4 Weeks)
MilestoneTofacitinib 5 mg BIDTofacitinib 10 mg BID
Started6357
Completed6156
Not completed21
Withdrew: Other21

Outcome measures

PrimaryNumber of Participants With Remission Based on Modified Mayo Score at Month 6

Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0 at Month 6. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.

Time frame:
Month 6
Reported as:
Count of participants · Participants
Number of Participants With Remission Based on Modified Mayo Score at Month 6
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Number of Participants With Remission Based on Modified Mayo Score at Month 65463
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 12.9 · 95% CI 0.5 to 25.0
SecondaryTime to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method

Time to loss of remission(flare): time from first drug administration until time of meeting loss of remission criteria based on modified mayo score. Loss of remission: meeting at least (\>=)1 criteria: increase from Baseline in rectal bleeding subscore by \>=1 point and increase in endoscopic subscore by \>=1 point; increase from Baseline in rectal bleeding subscore by \>=2 points and endoscopic subscore \>0; increase in stool frequency subscore by \>=2 points and increase in endoscopic subscore by \>=1 point; increase in endoscopic subscore by \>=2 points. Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores: Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores, each subscore graded from 0 to 3 with higher scores for each score=more severe disease. All scores summed up to give total modified mayo score range from 0 to 9; higher scores=more severe disease.

Time frame:
Up to Month 42
Reported as:
Median · Days
Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method
DaysTofacitinib 5 mg BIDTofacitinib 10 mg BID
Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier MethodNA (29 to 1268)1270 (28 to 1270)
SecondaryNumber of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Remission as per modified partial mayo score was defined as stool frequency subscore of 0 or 1, and rectal bleeding sub score of 0 at the specified time points. Modified partial mayo scores consisted of 2 components: stool frequency and rectal bleeding: each subscore graded from 0 to 3 with higher scores for each score = more severe disease. These scores were summed up to give a total modified partial mayo score range of 0 to 6; where higher scores indicating more severe disease.

Time frame:
Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Count of participants · Participants
Number of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 16264
Month 35765
Month 65767
Month 95266
Month 125061
Month 154858
Month 184555
Month 214651
Month 244751
Month 274349
Month 304446
Month 334243
Month 364244
Month 394037
Month 422629
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -7.5 to 13.4
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI 0.1 to 22.8
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 14.3 · 95% CI 2.9 to 25.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 20.0 · 95% CI 8.0 to 31.8
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 15.7 · 95% CI 2.2 to 28.7
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 14.3 · 95% CI 0.0 to 27.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 14.3 · 95% CI -0.7 to 28.5
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 7.1 · 95% CI -8.0 to 21.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 5.7 · 95% CI -9.3 to 20.4
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 8.6 · 95% CI -7.0 to 23.6
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -12.8 to 18.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 1.4 · 95% CI -14.4 to 17.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -13.0 to 18.5
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: -4.3 · 95% CI -20.2 to 11.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 4.3 · 95% CI -11.7 to 19.9
SecondaryNumber of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42

Remission as per total mayo score was defined by a total mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and physician global assessment (PGA), each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

Time frame:
Months 6, 18, 30 and 42
Reported as:
Count of participants · Participants
Number of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 65361
Month 183347
Month 303544
Month 422224
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI -1.5 to 24.1
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 20.0 · 95% CI 3.6 to 35.0
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 12.9 · 95% CI -3.5 to 28.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -12.5 to 18.0
SecondaryNumber of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Remission as per partial mayo score was defined as partial mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

Time frame:
Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Count of participants · Participants
Number of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 16264
Month 35765
Month 65666
Month 95266
Month 125061
Month 154858
Month 184455
Month 214650
Month 244651
Month 274249
Month 304346
Month 334243
Month 364244
Month 393937
Month 422628
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -7.5 to 13.4
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI 0.1 to 22.8
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 14.3 · 95% CI 2.4 to 25.6
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 20.0 · 95% CI 8.0 to 31.8
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 15.7 · 95% CI 2.2 to 28.7
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 14.3 · 95% CI 0.0 to 27.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 15.7 · 95% CI 0.7 to 29.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 5.7 · 95% CI -9.5 to 20.6
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 7.1 · 95% CI -8.0 to 21.9
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 10.0 · 95% CI -5.7 to 25.1
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 4.3 · 95% CI -11.4 to 19.7
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 1.4 · 95% CI -14.4 to 17.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -13.0 to 18.5
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: -2.9 · 95% CI -18.8 to 13.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -13.0 to 18.5
SecondaryNumber of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42

Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.

Time frame:
Months 18, 30 and 42
Reported as:
Count of participants · Participants
Number of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 183748
Month 303544
Month 422324
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 15.7 · 95% CI -0.4 to 30.8
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 12.9 · 95% CI -3.5 to 28.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 1.4 · 95% CI -14.0 to 16.7
SecondaryChange From Baseline in Modified Mayo Score at Month 6

Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.

Time frame:
Baseline, Month 6
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Modified Mayo Score at Month 6
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change From Baseline in Modified Mayo Score at Month 60.6 ± 0.20.3 ± 0.2
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Mean difference: -0.3 · 95% CI -0.8 to 0.1
SecondaryChange From Baseline in Modified Mayo Score at Months 18, 30 and 42

Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.

Time frame:
Baseline, Months 18, 30 and 42
Reported as:
Mean · Units on a scale
Change From Baseline in Modified Mayo Score at Months 18, 30 and 42
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 180.5 ± 1.30.3 ± 1.5
Change at Month 300.3 ± 1.20.1 ± 0.9
Change at Month 420.3 ± 0.90.2 ± 1.1
SecondaryChange From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6

Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total Modified partial mayo score ranges from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.

Time frame:
Baseline, Months 1, 3 and 6
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 10.1 ± 0.10.2 ± 0.1
Change at Month 30.2 ± 0.10.1 ± 0.1
Change at Month 60.1 ± 0.10.2 ± 0.1
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Least squares (ls) mean difference: 0.1 · 95% CI -0.1 to 0.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: 0.0 · 95% CI -0.2 to 0.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: 0.0 · 95% CI -0.2 to 0.3
SecondaryChange From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total modified partial mayo score range from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.

Time frame:
Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Mean · Units on a scale
Change From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 90.1 ± 0.70.1 ± 0.6
Change at Month 120.1 ± 0.50.1 ± 0.7
Change at Month 150.2 ± 0.80.1 ± 0.6
Change at Month 180.1 ± 0.60.1 ± 0.8
Change at Month 210.1 ± 0.50.2 ± 1.1
Change at Month 240.0 ± 0.50.0 ± 0.6
Change at Month 270.1 ± 0.50.1 ± 0.7
Change at Month 300.1 ± 0.70.0 ± 0.6
Change at Month 330.0 ± 0.40.2 ± 0.7
Change at Month 360.0 ± 0.50.0 ± 0.5
Change at Month 390.0 ± 0.50.0 ± 0.5
Change at Month 420.1 ± 0.40.1 ± 0.7
SecondaryChange From Baseline in Total Mayo Score at Month 6

Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

Time frame:
Baseline, Month 6
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Total Mayo Score at Month 6
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change From Baseline in Total Mayo Score at Month 60.9 ± 0.20.4 ± 0.3
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: -0.6 · 95% CI -1.2 to 0.1
SecondaryChange From Baseline in Total Mayo Score at Months 18, 30 and 42

Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.

Time frame:
Baseline, Months 18, 30 and 42
Reported as:
Mean · Units on a scale
Change From Baseline in Total Mayo Score at Months 18, 30 and 42
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 180.7 ± 1.70.4 ± 1.9
Change at Month 300.4 ± 1.40.1 ± 1.2
Change at Month 420.4 ± 1.20.2 ± 1.4
SecondaryChange From Baseline in Partial Mayo Score at Months 1, 3 and 6

Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

Time frame:
Baseline, Months 1, 3 and 6
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Partial Mayo Score at Months 1, 3 and 6
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 10.2 ± 0.10.2 ± 0.1
Change at Month 30.3 ± 0.10.2 ± 0.1
Change at Month 60.3 ± 0.10.3 ± 0.1
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: 0.0 · 95% CI -0.3 to 0.3
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: 0.0 · 95% CI -0.3 to 0.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Ls mean difference: 0.0 · 95% CI -0.3 to 0.3
SecondaryChange From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score ranges from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.

Time frame:
Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Mean · Units on a scale
Change From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Units on a scaleTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 90.2 ± 0.80.2 ± 0.9
Change at Month 120.1 ± 0.70.2 ± 0.9
Change at Month 150.3 ± 1.20.1 ± 0.8
Change at Month 180.2 ± 0.80.2 ± 1.2
Change at Month 210.1 ± 0.70.4 ± 1.7
Change at Month 240.1 ± 0.60.0 ± 0.8
Change at Month 270.1 ± 0.60.1 ± 0.9
Change at Month 300.2 ± 0.80.1 ± 0.8
Change at Month 330.0 ± 0.50.2 ± 1.0
Change at Month 360.0 ± 0.6-0.1 ± 0.6
Change at Month 390.1 ± 0.6-0.1 ± 0.6
Change at Month 420.1 ± 0.50.2 ± 1.1
SecondaryNumber of Participants With Mucosal Healing at Months 6, 18, 30 and 42

Mucosal healing in participants was defined as the mayo endoscopic subscore of 0 or 1. The Mayo endoscopic subscore consisted of the findings of centrally read flexible sigmoidoscopy, graded from 0 to 3 with higher scores indicated more severe disease.

Time frame:
Months 6, 18, 30 and 42
Reported as:
Count of participants · Participants
Number of Participants With Mucosal Healing at Months 6, 18, 30 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 65664
Month 184356
Month 303847
Month 423636
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI -0.3 to 23.1
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 18.6 · 95% CI 3.5 to 32.6
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 12.9 · 95% CI -3.3 to 28.1
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 0.0 · 95% CI -16.1 to 16.1
SecondaryNumber of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42

Clinical response was defined as a decrease from baseline in mayo score of at least 3 points and at least 30 percent, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of 0 or 1. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a mayo score range of 0 to 12, where higher scores indicating more severe disease.

Time frame:
Months 6, 18, 30 and 42
Reported as:
Count of participants · Participants
Number of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Month 65967
Month 184250
Month 304148
Month 422628
Statistical analysis
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI 1.3 to 22.0
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 11.4 · 95% CI -4.2 to 26.4
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 10.0 · 95% CI -5.8 to 25.2
  • Tofacitinib 5 mg BID vs Tofacitinib 10 mg BID · Adjusted (weighted) difference: 2.9 · 95% CI -13.0 to 18.5
SecondaryChange From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Change from baseline in fecal calprotectin (in micrograms per gram \[mcg/g\]) was reported.

Time frame:
Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Mean · Micrograms per gram
Change From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Micrograms per gramTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 1-137.5 ± 980.6-21.9 ± 304.7
Change at Month 3-45.3 ± 1075.8-38.5 ± 313.6
Change at Month 6-24.1 ± 1444.6-47.3 ± 331.4
Change at Month 9-173.5 ± 1106.5-59.3 ± 380.8
Change at Month 12-28.8 ± 1113.4-45.0 ± 350.7
Change at Month 15-104.8 ± 1210.269.3 ± 480.5
Change at Month 18-51.0 ± 1114.66.6 ± 565.4
Change at Month 21-71.0 ± 1254.6-29.3 ± 462.7
Change at Month 24118.3 ± 1591.4-69.8 ± 407.0
Change at Month 2787.3 ± 478.8-49.1 ± 366.3
Change at Month 30-8.5 ± 458.5-8.9 ± 518.5
Change at Month 3384.4 ± 434.5-4.9 ± 484.8
Change at Month 36230.7 ± 1162.5-0.4 ± 449.4
Change at Month 39-116.2 ± 472.8-98.3 ± 532.9
Change at Month 42-44.7 ± 278.9-101.0 ± 452.0
SecondaryChange From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42

Change From baseline in hs-CRP level (in milligrams per liter \[mg/L\]) is reported.

Time frame:
Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Reported as:
Mean · Milligrams per liter
Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Milligrams per literTofacitinib 5 mg BIDTofacitinib 10 mg BID
Change at Month 11.1 ± 9.8-0.7 ± 3.4
Change at Month 30.7 ± 7.9-0.2 ± 3.7
Change at Month 60.9 ± 5.80.1 ± 4.0
Change at Month 90.7 ± 11.11.1 ± 8.4
Change at Month 12-0.3 ± 3.5-0.2 ± 2.2
Change at Month 15-0.7 ± 3.20.2 ± 2.4
Change at Month 181.0 ± 6.40.2 ± 1.9
Change at Month 21-0.5 ± 3.3-0.1 ± 1.4
Change at Month 24-0.6 ± 3.0-0.5 ± 2.2
Change at Month 27-0.3 ± 2.80.7 ± 6.1
Change at Month 300.6 ± 4.1-0.3 ± 1.9
Change at Month 330.1 ± 2.20.0 ± 3.9
Change at Month 36-0.1 ± 3.1-0.1 ± 3.9
Change at Month 39-0.3 ± 3.52.8 ± 8.6
Change at Month 420.6 ± 3.75.9 ± 28.1
SecondaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment or worsened during the treatment period relative to the pretreatment state. AEs included both serious and all non-serious adverse events (irrespective of frequency threshold used to report other AEs in safety section).

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
TEAEs5558
SAEs716
SecondaryNumber of Participants With Serious Infections

Serious infections were defined as any infections (viral, bacterial, and fungal) requiring parenteral antimicrobial therapy, hospitalization for treatment, or meeting other criteria that require the infection to be classified as serious adverse event. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events.

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Serious Infections
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Number of Participants With Serious Infections36
SecondaryNumber of Participants With Clinical Laboratory Abnormalities

Abnormality criteria: Hematology: hemoglobin(Hg): \<0.8\* lower limit of normal (LLN); hematocrit: \<0.8\*LLN; lymphocytes: \<0.8\* LLN; lymphocytes/leukocytes: \<0.8\*LLN; erythrocytes: \<0.8\*LLN; erythrocytes mean corpuscular volume: \<0.9\*LLN; erythrocytes mean corpuscular Hg: \<0.9\*LLN; reticulocytes, reticulocytes/erythrocytes:\>1.5\* upper limit of normal (ULN); neutrophils, neutrophils/leukocytes: \>1.2\*ULN; basophils/leukocytes, eosinophils, eosinophils/leukocytes, monocytes/leukocytes: \>1.2\*ULN; leukocyte esterase: \>=1; Clinical chemistry: bicarbonate:\<0.9\*LLN, bilirubin: \>1.5\*ULN; indirect bilirubin: \>1.5\* ULN; aspartate aminotransferase(AT): \>3.0\*ULN; alanine AT: \>3.0\*ULN; gamma glutamyl transferase: \>3.0\* ULN; creatine kinase: \>2.0\*ULN; potassium: \>1.1\*ULN; blood urea nitrogen: \>1.3\*ULN; creatinine: \>1.3\*ULN; urate: \>1.2\*ULN; cholesterol: \>1.3\*ULN; HDL-cholesterol: \<0.8\* LLN; LDL-cholesterol: \>1.2\*ULN; triglycerides: \>1.3\*ULN; glucose: \>1.5\*ULN; and urine Hg \>=1.

Time frame:
Baseline up to 27 months
Reported as:
Count of participants · Participants
Number of Participants With Clinical Laboratory Abnormalities
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Number of Participants With Clinical Laboratory Abnormalities3351
SecondaryNumber of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation

Laboratory abnormalities leading to study treatment discontinuation: 2 sequential neutrophil counts \<750 neutrophils per cubic millimeter (mm\^3); 2 sequential lymphocyte counts \<500 lymphocytes/mm\^3; 2 sequential hemoglobin \<8.0 grams per deciliter; 2 sequential platelet counts \<75000 platelets/mm\^3; 2 sequential AST or ALT elevations \>=3\*ULN with at least one total bilirubin value \>=2\*ULN; 2 sequential AST or ALT elevations \>=3\*ULN accompanied by signs or symptoms consistent with hepatic injury; 2 sequential AST or ALT elevations \>=5\*ULN; 2 sequential increases in creatinine \>50% and \>0.5 milligrams per deciliter over A3921139 baseline; 2 sequential CK elevations \>10\*ULN unless the causality is known not to be medically serious (eg, exercise induced).

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Number of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation11
SecondaryNumber of Participants With Vital Sign Abnormalities

Vital signs abnormality criteria included: 1) a) diastolic blood pressure (DBP) of (less than) \<50 millimeter of mercury (mmHg), b) change greater than equal to (\>=) 20 mmHg increase, c) change \>=20 mmHg decrease; 2) a) systolic blood pressure (SBP) of \<90 mmHg, b) change \>=30 mmHg increase, c) change \>=30 mmHg decrease; 3) a) pulse rate value of \<40 beats per minute (bpm), b) pulse rate \>120 bpm. Only those categories in which at least 1 participant had data were reported.

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Vital Sign Abnormalities
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
DBP: <50 mmHg30
DBP: Change >= 20mmHg increase95
DBP: Change >= 20mmHg decrease77
SBP: <90mmHg20
SBP: Change >= 30mmHg increase74
SBP: Change >= 30mmHg decrease66
SecondaryNumber of Participants With Clinically Significant Physical Examinations Abnormalities

Physical examination included assessment of the weight, general appearance, eyes, mouth, lungs, heart, abdomen, musculoskeletal, extremities, skin and lymph nodes. Clinical significance was assessed by the Investigator.

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Physical Examinations Abnormalities
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Number of Participants With Clinically Significant Physical Examinations Abnormalities2827
SecondaryNumber of Participants With Opportunistic Infections, All Malignancy, Gastrointestinal Perforation and Cardiovascular Events Adjudicated by Adjudication Committee

Number of participants with adjudicated opportunistic infections including herpes zoster (non-adjacent or \>2 adjacent dermatomes); all malignancies including non-melanoma skin cancer; gastrointestinal perforation and cardiovascular events including pulmonary embolism and cerebrovascular accident, adjudicated by adjudication committee were reported.

Time frame:
Baseline up to 43 months
Reported as:
Count of participants · Participants
Number of Participants With Opportunistic Infections, All Malignancy, Gastrointestinal Perforation and Cardiovascular Events Adjudicated by Adjudication Committee
ParticipantsTofacitinib 5 mg BIDTofacitinib 10 mg BID
Opportunistic Infections01
All Malignancy43
Gastrointestinal Perforation00
Cardiovascular Events22

Adverse events

Collected over From baseline up to 4 weeks after last dose (maximum up to 43 months). Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tofacitinib 5 mg BID0/70 (0%)7/70 (10%)47/70 (67.1%)
Tofacitinib 10 mg BID1/70 (1.4%)16/70 (22.9%)47/70 (67.1%)
Most frequent serious events
Showing 10 of 24
Most frequent serious events
EventTofacitinib 5 mg BIDTofacitinib 10 mg BID
COVID-19Infections and infestations0/702/70
COVID-19 pneumoniaInfections and infestations0/702/70
Angina pectorisCardiac disorders0/701/70
CellulitisInfections and infestations1/700/70
Urinary tract infectionInfections and infestations1/700/70
Limb injuryInjury, poisoning and procedural complications0/701/70
Back painMusculoskeletal and connective tissue disorders0/701/70
Squamous cell carcinoma of the vulvaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/700/70
Cerebrovascular accidentNervous system disorders1/700/70
Breast disorderReproductive system and breast disorders1/700/70
Most frequent other events
Showing 10 of 49
Most frequent other events
EventTofacitinib 5 mg BIDTofacitinib 10 mg BID
Colitis ulcerativeGastrointestinal disorders16/7014/70
NasopharyngitisInfections and infestations7/708/70
SARS-CoV-2 test positiveInvestigations2/707/70
Abdominal painGastrointestinal disorders5/703/70
BronchitisInfections and infestations1/705/70
Herpes zosterInfections and infestations2/705/70
Oral herpesInfections and infestations5/700/70
Blood creatine phosphokinase increasedInvestigations2/705/70
HypertensionVascular disorders4/705/70
LymphopeniaBlood and lymphatic system disorders2/705/70

Baseline characteristics

Full analysis set included all participants who were randomized and received at least 1 dose of investigational product.

Age, Categorical
Age, Categorical(Participants)Tofacitinib 5 mg BIDTofacitinib 10 mg BIDTotal
<=18 years000
Between 18 and 65 years5963122
>=65 years11718
Sex: Female, Male
Sex: Female, Male(Participants)Tofacitinib 5 mg BIDTofacitinib 10 mg BIDTotal
Female262248
Male444892
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Tofacitinib 5 mg BIDTofacitinib 10 mg BIDTotal
Hispanic or Latino112
Not Hispanic or Latino6867135
Unknown or Not Reported123
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tofacitinib 5 mg BIDTofacitinib 10 mg BIDTotal
American Indian or Alaska Native000
Asian151429
Native Hawaiian or Other Pacific Islander000
Black or African American303
White5050100
More than one race011
Unknown or Not Reported257
08

Study locations

80 sites
  • Surgicare of Mobile
    Mobile, Alabama 36606, United States
  • Alabama Medical Group, P.C.
    Mobile, Alabama 36608, United States
  • Clinical Applications Laboratories, Inc.
    San Diego, California 92103, United States
  • Bristol Hospital
    Bristol, Connecticut 06010, United States
  • Connecticut Clinical Research Institute
    Bristol, Connecticut 06010, United States
  • Central Connecticut Endoscopy Center
    Plainville, Connecticut 06062, United States
  • Advanced Medical Research Center
    Port Orange, Florida 32127, United States
  • Florida Medical Clinic, P.A.
    Zephyrhills, Florida 33542, United States
  • Cotton-O'Neil Clinical Research Center, Digestive Health
    Topeka, Kansas 66606, United States
  • Chevy Chase Endoscopy Center
    Chevy Chase, Maryland 20815, United States
  • MGG Group Co., Inc., Chevy Chase Clinical Research
    Chevy Chase, Maryland 20815, United States
  • Clinical Research Institute of Michigan, LLC
    Chesterfield, Michigan 48047, United States
  • Eastside Endoscopy Center
    Macomb, Michigan 48044, United States
  • Clinical Research Institute of Michigan, LLC
    Troy, Michigan 48098, United States
  • NYU Langone Long Island Clinical Research Associates
    Lake Success, New York 11042, United States
  • Columbia University Irving Medical Center
    New York, New York 10032, United States
  • Columbia University Medical Center Research Pharmacy/ Milstein Hospital
    New York, New York 10032, United States
  • Great Lakes Gastroenterology Research, LLC
    Mentor, Ohio 44060, United States
  • Memorial Hermann Hospital
    Houston, Texas 77030, United States
  • The University of Texas Health Science Center at Houston (UTHealth)- McGovern Medical School
    Houston, Texas 77030, United States
  • Christus Trinity Mother Frances Endoscopy Center
    Tyler, Texas 75701, United States
  • Tyler Research Institute, LLC
    Tyler, Texas 75701, United States
  • Alpine Medical Group
    Salt Lake City, Utah 84102, United States
  • Wasatch Clinical Research, LLC
    Salt Lake City, Utah 84107, United States
  • UZ Leuven (University Hospital Leuven), Campus Gasthuisberg
    Leuven, 3000, Belgium
  • London Health Sciences Centre - University Hospital
    London, Ontario N6A 5A5, Canada
  • Royal University Hospital
    Saskatoon, Saskatchewan S7N 0W8, Canada
  • Nemocnice Strakonice a.s.
    Strakonice, 386 01, Czechia
  • CHU Hotel Dieu
    Nantes, 44093, France
  • CHU de Bordeaux Hopital Haut Leveque
    Pessac, 33600, France
  • Universitaetsklinikum Schleswig-Holstein
    Kiel, 24105, Germany
  • Szent Janos Korhaz és Eszak-budai Egyesitett Korhazak
    Budapest, 1125, Hungary
  • Pannonia Maganorvosi Centrum Kft.
    Budapest, 1136, Hungary
  • Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz Endoszkopos Laboratorium
    Gyula, 5700, Hungary
  • Università "Magna Graecia" di Catanzaro
    Catanzaro, CZ 88100, Italy
  • Aichi Medical University Hospital
    Nagakute, Aichi 480-1195, Japan
  • Fukuoka University Chikushi Hospital
    Chikushino, Fukuoka 818-8502, Japan
  • Kurume University Hospital
    Kurume, Fukuoka 830-0011, Japan
  • Hokkaido P.W.F.A.C Sapporo-Kosei General Hospital
    Sapporo, Hokkaido 060-0033, Japan
  • Osaka Medical and Pharmaceutical University Hospital
    Takatsuki-shi, Osaka 569-8686, Japan
  • Shiga University of Medical Science Hospital
    Otsu, Shiga 520-2192, Japan
  • Tokyo Medical And Dental University Hospital, Faculty of Medicine
    Bunkyo-ku, Tokyo 113-8519, Japan
  • Tokai University Hachioji Hospital
    Hachioji, Tokyo 192-0032, Japan
  • Kitasato University Kitasato Institute Hospital
    Minato-ku, Tokyo 108-8642, Japan
  • Showa University Hospital
    Shinagawa-ku, Tokyo 142-8666, Japan
  • Toho University Sakura Medical Center
    Chiba, 285-8741, Japan
  • Hiroshima University Hospital
    Hiroshima, 734-8551, Japan
  • Osaka Metropolitan University Hospital
    Osaka, 545-8586, Japan
  • Keio University Hospital
    Tokyo, 160-8582, Japan
  • Hanyang University Guri Hospital
    Gyeonggi-do, 11923, Korea, Republic of
  • Kyung Hee University Hospital
    Seoul, 02447, Korea, Republic of
  • Severance Hospital, Yonsei University Health System
    Seoul, 03722, Korea, Republic of
  • Academic Medical Centre
    Amsterdam, 1105 AZ, Netherlands
  • North Shore Hospital (Waitemata District Health Board)
    Takapuna, Auckland 0620, New Zealand
  • Christchurch Hospital (Canterbury District Health Board)
    Christchurch, 8011, New Zealand
  • Southern District Health Board
    Dunedin, 9016, New Zealand
  • Endoskopia Sp. z o.o.
    Sopot, 81-756, Poland
  • Lexmedica
    Wroclaw, 53-114, Poland
  • Federal State Budgetary Institution "State Scientific Centre of Coloproctology
    Moscow, 123423, Russian Federation
  • LLC Novosibirskiy Gastrocenter
    Novosibirsk, 630007, Russian Federation
  • Federal State Budgetary Scientific Institution "Scientific Research Institute of Physiology
    Novosibirsk, 630117, Russian Federation
  • Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology
    Belgrade, 11000, Serbia
  • Clinical Hospital Centre Zvezdara
    Belgrade, 11000, Serbia
  • Military Medical Academy, Clinic for Gastroenterology and Hepatology
    Belgrade, 11000, Serbia
  • Clinical Center Kragujevac
    Kragujevac, 34000, Serbia
  • General Hospital "Djordje Joanovic"
    Zrenjanin, 23000, Serbia
  • Medak s.r.o.
    Bratislava, 851 01, Slovakia
  • KM Management spol. s.r.o.
    Nitra, 949 01, Slovakia
  • Gastro I., s.r.o., Gastroenterologicka ambulancia
    Presov, 080 01, Slovakia
  • Kingsbury Hospital
    Claremont, Cape Town 7708, South Africa
  • Wits Clinical Research (WCR) Bara Site, Chris Hani Baragwanath Academic Hospital
    Soweto, Johannesburg, Gauteng 2013, South Africa
  • Chris Hani Baragwanath Academic Hospital
    Soweto, Johannesburg 2013, South Africa
  • Endocare Research Centre
    Paarl, Western CAPE 7646, South Africa
  • Panorama Mediclinic
    Panorama, Western CAPE 7500, South Africa
  • Hospital Clinic de Barcelona
    Barcelona, 08036, Spain
  • Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Clinical Hospital" Surgery Departm
    Chernivtsi, 58001, Ukraine
  • Kyiv Municipal Clinical Hospital #18
    Kyiv, 01030, Ukraine
  • MI Uzhgorod Regional Hospital
    Uzhgorod, 88009, Ukraine
  • Vinnytsia Regional Clinical Hospital for War Veterans, Therapeutics Dept. No. 2
    Vinnytsia, 21005, Ukraine
  • University Hospitals Bristol NHS Foundation Trust
    Bristol, Avon BS2 8HW, United Kingdom
09

References and documents

Publications

  • Winthrop KL, Vermeire S, Long MD, Panes J, Ng SC, Kulisek N, Mundayat R, Lawendy N, Vranic I, Modesto I, Su C, Melmed GY. Long-term Risk of Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib. Inflamm Bowel Dis. 2023 Jan 5;29(1):85-96. doi: 10.1093/ibd/izac063. PubMed 35648151 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Feb 2020, 26 months.

Results were first posted in Apr 2021, 1 year 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2017
First posted
Sep 13, 2017
StartActual
Nov 16, 2017
Primary completionActual
Feb 14, 2020
CompletionActual
Mar 18, 2022
Results first posted
Apr 15, 2021
Last update
Mar 21, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03281304
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Sep 13, 2017
Start date
Nov 16, 2017
Primary completion
Feb 14, 2020
Completion
Mar 18, 2022
Results posted
Apr 15, 2021
Last update
Mar 21, 2023

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tofacitinib

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