A Phase 3 interventional study of Otilimab (GSK3196165) and csDMARD(s) in Arthritis, Rheumatoid, sponsored by GlaxoSmithKline. Terminated at 377 sites in 27 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-07.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment
RA is a chronic, systemic inflammatory autoimmune disease which requires treatment for a long time period, hence it is important to study the long-term safety and efficacy of the continuous treatment with GSK3196165 over several years. This is a Phase 3, multicenter, parallel group treatment and long-term extension study primarily to assess safety with efficacy assessment as a secondary objective. Adult participants with RA who have completed the treatment phase of a qualifying GSK3196165 clinical studies (Phase 3 studies contRAst 1 (201790: NCT03980483), contRAst 2 (201791: NCT03970837) and contRAst 3 (202018: NCT04134728) and who, in investigator's judgement will benefit from extended treatment with GSK3196165 will be included in this study (contRAst X [209564: NCT04333147]). Participants will continue to receive the same background conventional synthetic disease modifying anti-rheumatic drug(s) [csDMARD(s)] treatment as they received in their qualifying study. Eligible participants will be enrolled to receive weekly GSK3196165 90 milligrams (mg) or 150 mg by subcutaneous (SC) injection. The anticipated study duration is approximately 4 years which will enable participants to receive treatment with GSK3196165 until it is expected to become commercially available. Approximately 3000 participants from the qualifying studies will participate in this long-term extension study
3,554 studies on the registry are indexed under Arthritis; 318 are open to participants now.
This study's enrollment of 2,916 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.
Browse Arthritis studies →GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.
Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
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Exclusion Criteria:
Evidence of latent TB (as documented by a positive QuantiFERON-TB Gold plus test or T-SPOT.TB test, no findings on medical history or clinical examination consistent with active TB, and a normal chest radiograph) except for participants that
Participants who received Otilimab 90mg in a qualifying study and continued on Otilimab 90mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 90mg in study 209564. Otilimab 90mg was administered through subcutaneous (SC) injection once weekly.
Biological: Otilimab (GSK3196165) · Drug: csDMARD(s)
Participants who received Otilimab 150mg in a qualifying study and continued on Otilimab 150mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 150mg in study 209564. Otilimab 150mg was administered through subcutaneous (SC) injection once weekly.
Biological: Otilimab (GSK3196165) · Drug: csDMARD(s)
GSK3196165 solution in vial/pre-filled syringe (PFS) and auto injector (AI) to be administered SC.
Stable dose of csDMARD(s) as standard of care (SoC).
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI)
An AE is defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. SAEs are defined as any untoward medical occurrence that, at any dose: results in death, cause life threatening events which requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability or incapacity and birth defect or congenital anomaly. Protocol defined AESIs were included.
Time frame: Up to approximately 145 Weeks
Change From Baseline in Hematology Parameter of Platelet Count at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in Hematology Parameter of Platelet Count at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in Hematology Parameter of Platelet Count at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in Hematology Parameter of Platelet Count at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Time frame: Baseline (Day 01) and Week 144
Change From Baseline in Hematology Parameter of Hemoglobin at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in Hematology Parameter of Hemoglobin at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in Hematology Parameter of Hemoglobin at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in Hematology Parameter of Hemoglobin at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Time frame: Baseline (Day 01) and Week 144
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Time frame: Baseline (Day 01) and Week 144
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Time frame: Baseline (Day 01) and Week 144
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 24
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 48
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 96
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 144
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Time frame: Baseline (Day 01) and Week 144
Number of Participants With National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE)>=Grade 3 Hematological/Clinical Chemistry Abnormalities
Number of participants with NCI-CTCAE \>=Grade 3 hematological/clinical chemistry abnormalities were summarized. Hematological and Clinical chemistry parameters were summarized according to the NCI-CTCAE, version 5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: life-threatening or disabling. Higher grade indicates more severity. Data is presented for only those parameters for which participants had worst case \>=Grade 3 shifts from Baseline.
Time frame: Up to approximately 145 Weeks
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Time frame: Baseline (Day 01) and Week 24
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Time frame: Baseline (Day 01) and Week 48
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Time frame: Baseline (Day 01) and Week 96
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Time frame: Baseline (Day 01) and Week 144
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score Lesser Than or Equal to (<=)10 (CDAI) Low Disease Activity (LDA) at Week 24, 48, 96 and 144
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. Low disease activity (LDA) is achieved when CDAI total score \<=10. Percentage values are rounded off.
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score <=2.8 (CDAI Remission) at Week 24, 48, 96 and 144
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. CDAI remission is achieved when CDAI total score \<=2.8. Percentage values are rounded off.
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP) <2.6 at Week 24, 48, 96 and 144
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28- CRP scores range from 1.0 to 9.4, where lower scores indicates less disease activity. Low disease activity (LDA) is achieved when DAS28-CRP greater than or equal to (\<=)3.2. A negative change from baseline in DAS28-CRP indicates an improvement. Percentage values are rounded off.
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (ESR) <2.6 (DAS28-ESR Remission) at Week 24, 48, 96 and 132
The DAS28-ESR is a measure of RA disease activity calculated using TJC28,SJC28, ESR (in mm/hr), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity. Remission is achieved when DAS28-ESR \<2.6. A negative change from baseline in DAS28-ESR indicates an improvement. Percentage values are rounded off.
Time frame: Week 24, 48, 96 and 132
Percentage of Participants Achieving American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) Remission at Week 24, 48, 96 and 144
Boolean-based ACR/EULAR remission is achieved if all of the following requirements are met at the same timepoint: Tender Joint Count 68 (TJC68) \<= 1, Swollen Joint Count 66 (SJC66) \<= 1, high sensitivity C-reactive Protein (hsCRP) \<= 1mg/dl and patient's global assessment of disease activity (PtGA) \<= 10. Simple Disease Activity Index based ACR/EULAR remission is achieved if a has SDAI \<= 3.3. The SDAI is the sum of the tender/painful joint count and swollen joint count, employing 28 joints; PtGA and PhGA (on a scale of 0-10); and hsCRP (mg/L). Percentage values are rounded off.
Time frame: Week 24, 48, 96 and 144
Absolute Values for Clinical Disease Activity Index (CDAI) Total Score
CDAI total score is a composite score consisting of the sum of TJC28, TJC28, PtGA (visual analogue scale with values from 0=best to 100=worst) and PhGA (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity.
Time frame: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP)
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). DAS28- PtGA is transformed to a 0-10 scale before computing the total score. CRP scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
Time frame: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (DAS28-ESR)
The DAS28-ESR is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), Erythrocyte sedimentation rate (ESR) (in millimeter \[mm\]/hour\[hr\]), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
Time frame: Week 24, 48, 96 and 132
Absolute Values of Van Der Heijde Modified Total Sharp Scores (mTSS)
Van der Heijde mTSS is utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes 16 areas of erosions, and 15 areas for joint space narrowing (JSN) in each hand, and 6 areas for erosions and 6 areas JSN in each foot. The total mTSS score is the sum of erosion (maximum of 280) and JSN (maximum of 168) scores. The score ranges from 0 to 448 for mTSS with higher values representing higher disease activity.
Time frame: Week 24 and 48
Absolute Values for Health Assessment Questionnaire Disability Index (HAQ-DI)
The HAQ-DI includes 20 questions which assesses difficulty in performing activities of daily living. The questionnaire assesses eight domains of physical functioning: Dressing and Grooming, Hygiene, Arising, Reach, Eating, Grip, Walking, Common Daily Activities. The questions assess domain scores ranging from 0 "without any difficulty" to 3 "unable to do." Scores on each domain were summed and averaged to provide an overall score ranging from 0 to 3, where higher score reflected worse status and a lower score indicates better quality of life.
Time frame: Week 24, 48, 96 and 144
Absolute Values for Arthritis Pain Visual Analogue Scale (VAS)
For the Arthritis Pain VAS, participants assess the severity of their current arthritis pain using a continuous visual analogue scale (VAS) with anchors at "0" (no pain) and "100" (most severe pain). A negative change from baseline indicates an improvement.
Time frame: Week 24, 48, 96 and 144
Absolute Values Short Form (SF)-36 Mental Component Scores (MCS)
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning,bodily pain,role limitations due to physical/emotional problems,general health,mental health(MH),social functioning(SF),vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.MCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health. MCS is primarily derived from 4 domains (SF,vitality,MH,role-emotional) representing overall mental health. Quality Metric software was used for scoring.
Time frame: Week 24, 48, 96 and 144
Absolute Values SF-36 Domain Scores
Short-Form 36 (SF-36) is a health-related survey that assesses quality of life covering 8 domains: physical functioning, bodily pain, role limitations due to physical and emotional problems, general health, mental health, social functioning, vitality. The MCS consists of 4 domains (social functioning, vitality, mental health, and role-emotional domains) and PCS consists of 4 domains (physical functioning, role-physical, bodily pain and general health). The individual question items are first summed for each item under the various sections. Then, those domain scores are weighted to a scale between 0 to 100, where higher score represents better health. Quality Metric software was used for scoring for SF-36.
Time frame: Week 24, 48, 96 and 144
Absolute Values SF-36 Physical Component Scores (PCS)
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning(PF),bodily pain(BP),role limitations due to physical/emotional problems,general health(GH),mental health,social functioning,vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.PCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health.PCS is primarily derived from 4 domains(PF,role-physical,BP,GH) representing overall physical health. Quality Metric software was used for scoring.
Time frame: Week 24, 48, 96 and 144
Absolute Values Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue
The Functional Assessment of Chronic Illness Therapy (FACIT)-fatigue is a validated patient-reported measure of 13 statements regarding the feeling of fatigue. The total score ranges from 0 to 52 with higher values representing a lower fatigue and a better quality of life.
Time frame: Week 24, 48, 96 and 144
Number of Participants With Anti-GSK3196165 Antibodies
Serum samples were collected for the determination of anti- GSK3196165 antibodies (ADA) using a validated electrochemiluminescence (ECL) immunoassay. The assay involved screening, confirmation and titration steps. If serum samples tested positive in the screening assay, they were considered 'potentially positive' and were further analyzed for the specificity using the confirmation assay. Samples that confirmed positive in the confirmation assay were reported as 'positive'. Confirmed positive ADA samples were further characterized in the titration assay to quasi-quantitate the amount of ADA in the sample. Additionally, confirmed positive ADA samples were also tested in a validated neutralizing antibody assay to determine the potential neutralizing activity of the ADA
Time frame: Week 120
Participants who consented, were enrolled and assigned to receive Otilimab 90 milligram (mg) or 150 mg weekly. Participants who received Otilimab in their qualifying study (202018, 201790 and 201791) were enrolled into this study on the same dose. Participants who received an active comparator in their qualifying study were centrally randomized using Interactive Response Technology (IRT) in a ratio of 1:1 to receive either Otilimab 90 mg or 150 mg weekly.
| Milestone | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Started | 1456 | 1459 |
| Completed | 0 | 0 |
| Not completed | 1456 | 1459 |
| Withdrew: Adverse event | 43 | 40 |
| Withdrew: Lack of efficacy | 49 | 48 |
| Withdrew: Lost to follow-up | 19 | 16 |
| Withdrew: Physician decision | 17 | 20 |
| Withdrew: Withdrawal by subject | 65 | 68 |
| Withdrew: Investigator site closed | 6 | 2 |
| Withdrew: Protocol-specified withdrawal criterion met | 6 | 9 |
| Withdrew: Study terminated by sponsor | 1251 | 1256 |
An AE is defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. SAEs are defined as any untoward medical occurrence that, at any dose: results in death, cause life threatening events which requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability or incapacity and birth defect or congenital anomaly. Protocol defined AESIs were included.
| Participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Participants with AEs | 902 | 931 |
| Participants with SAEs | 123 | 114 |
| Participants with AESI | 120 | 95 |
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Platelet Count at Week 24 | -11.9 ± 66.86 | -9.7 ± 66.82 |
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Platelet Count at Week 48 | -12.5 ± 66.47 | -7.6 ± 71.36 |
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Platelet Count at Week 96 | -13.8 ± 60.72 | -5.7 ± 72.81 |
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Platelet Count at Week 144 | 17.0 ± NA | -37.5 ± 40.31 |
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
| Gram Per Liter (g/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Hemoglobin at Week 24 | 0.4 ± 10.10 | 0.3 ± 9.89 |
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
| Gram Per Liter (g/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Hemoglobin at Week 48 | -0.5 ± 10.38 | -1.1 ± 10.62 |
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
| Gram Per Liter (g/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Hemoglobin at Week 96 | 1.0 ± 11.37 | 1.2 ± 10.24 |
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
| Gram Per Liter (g/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Change From Baseline in Hematology Parameter of Hemoglobin at Week 144 | -1.0 ± NA | 2.0 ± 2.83 |
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Neutrophils | -0.348 ± 2.18 | -0.390 ± 2.13 |
| Lymphocytes | -0.001 ± 0.55 | -0.012 ± 0.55 |
| Monocytes | 0.003 ± 0.18 | 0.00 ± 0.194 |
| Eosinophils | 0.027 ± 0.1623 | 0.022 ± 0.171 |
| Basophils | -0.001 ± 0.0405 | -0.001 ± 0.04 |
| Total WBC | -0.32 ± 2.212 | -0.38 ± 2.230 |
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Neutrophils | -0.318 ± 2.2215 | -0.541 ± 2.1426 |
| Lymphocytes | -0.022 ± 0.5385 | -0.051 ± 0.5725 |
| Monocytes | -0.002 ± 0.1871 | -0.013 ± 0.2461 |
| Eosinophils | 0.018 ± 0.1435 | 0.028 ± 0.1844 |
| Basophils | -0.004 ± 0.0391 | -0.006 ± 0.0403 |
| Total WBC | -0.33 ± 2.283 | -0.58 ± 2.262 |
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Neutrophils | -0.243 ± 1.8851 | -0.582 ± 2.4346 |
| Lymphocytes | 0.090 ± 0.6453 | 0.018 ± 0.5816 |
| Monocytes | -0.042 ± 0.2001 | -0.001 ± 0.2035 |
| Eosinophils | 0.025 ± 0.1725 | 0.029 ± 0.1526 |
| Basophils | -0.007 ± 0.0423 | -0.013 ± 0.0346 |
| Total WBC | -0.18 ± 2.043 | -0.53 ± 2.568 |
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
| Giga cells per liter (10^9 cells/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Neutrophils | -0.360 ± NA | -0.935 ± 0.6718 |
| Lymphocytes | -0.320 ± NA | 0.010 ± 0.3253 |
| Monocytes | -0.220 ± NA | 0.010 ± 0.0424 |
| Eosinophils | -0.130 ± NA | — |
| Basophils | 0.000 ± NA | 0.000 ± 0.0141 |
| Total WBC | -1.00 ± NA | -0.85 ± 1.061 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
| International units per liter (IU/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Aspartate Aminotransferase (AST) | 1.0 ± 11.09 | 0.8 ± 9.70 |
| Alanine Aminotransferase (ALT) | 0.0 ± 15.80 | -0.1 ± 15.20 |
| Alkaline Phosphatase (AP) | 3.0 ± 18.85 | 3.1 ± 21.05 |
| Gamma Glutamyl Transferase (GGT) | -0.9 ± 20.32 | -0.4 ± 18.94 |
| Creatine Kinase (CPK) | 5.4 ± 103.03 | -3.8 ± 66.66 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
| International units per liter (IU/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Aspartate Aminotransferase (AST) | 0.4 ± 11.11 | 0.4 ± 11.32 |
| Alanine Aminotransferase (ALT) | -0.9 ± 16.35 | -1.2 ± 16.26 |
| Alkaline Phosphatase (AP) | 5.4 ± 20.07 | 5.2 ± 21.32 |
| Gamma Glutamyl Transferase (GGT) | -0.0 ± 22.44 | -0.4 ± 22.14 |
| Creatine Kinase (CPK) | 7.8 ± 153.24 | -3.7 ± 71.52 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
| International units per liter (IU/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Aspartate Aminotransferase (AST) | 0.1 ± 11.65 | 2.0 ± 7.47 |
| Alanine Aminotransferase (ALT) | -2.4 ± 19.02 | -1.1 ± 9.33 |
| Alkaline Phosphatase (AP) | 0.0 ± 18.98 | 8.6 ± 27.79 |
| Gamma Glutamyl Transferase (GGT) | -1.9 ± 18.52 | -0.1 ± 19.67 |
| Creatine Kinase (CPK) | 1.4 ± 39.73 | 3.6 ± 93.29 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
| International units per liter (IU/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Aspartate Aminotransferase (AST) | -8.0 ± NA | 2.0 ± 0.0 |
| Alanine Aminotransferase (ALT) | -14.0 ± NA | — |
| Alkaline Phosphatase (AP) | 39.0 ± NA | -1.5 ± 6.36 |
| Gamma Glutamyl Transferase (GGT) | -21.0 ± NA | 5.0 ± 14.14 |
| Creatine Kinase (CPK) | -47.0 ± NA | -2.5 ± 31.82 |
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
| Millimoles per liter (mmol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Cholesterol | -0.038 ± 0.8542 | -0.011 ± 0.9685 |
| HDL Cholesterol, Direct | -0.020 ± 0.2703 | -0.022 ± 0.2869 |
| LDL Cholesterol | -0.031 ± 0.7239 | 0.010 ± 0.7818 |
| Triglycerides | 0.033 ± 0.6503 | 0.011 ± 0.7895 |
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
| Millimoles per liter (mmol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Cholesterol | -0.053 ± 0.9271 | -0.078 ± 0.9826 |
| HDL Cholesterol, Direct | -0.021 ± 0.2979 | -0.027 ± 0.2959 |
| LDL Cholesterol | -0.038 ± 0.7865 | -0.034 ± 0.7899 |
| Triglycerides | 0.015 ± 0.6772 | -0.019 ± 0.7376 |
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
| Millimoles per liter (mmol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Cholesterol | -0.178 ± 1.0350 | -0.130 ± 1.0570 |
| HDL Cholesterol, Direct | -0.032 ± 0.2665 | -0.058 ± 0.3233 |
| LDL Cholesterol | -0.159 ± 0.8948 | -0.031 ± 0.8546 |
| Triglycerides | 0.009 ± 0.8042 | -0.056 ± 0.7262 |
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
| Millimoles per liter (mmol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Cholesterol | -2.360 ± NA | -2.240 ± 2.8709 |
| HDL Cholesterol, Direct | 0.160 ± NA | -0.095 ± 0.0212 |
| LDL Cholesterol | -2.250 ± NA | -1.750 ± 2.4183 |
| Triglycerides | -0.580 ± NA | -0.865 ± 0.9687 |
Number of participants with NCI-CTCAE \>=Grade 3 hematological/clinical chemistry abnormalities were summarized. Hematological and Clinical chemistry parameters were summarized according to the NCI-CTCAE, version 5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: life-threatening or disabling. Higher grade indicates more severity. Data is presented for only those parameters for which participants had worst case \>=Grade 3 shifts from Baseline.
| Participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Hypercalcemia, Total, Grade 3 | 1 | 0 |
| Hyperkalemia, Total, Grade 4 | 2 | 0 |
| Hypernatremia, Total, Grade 3 | 1 | 0 |
| Hypernatremia, Total, Grade 4 | 0 | 1 |
| Chronic Kidney Disease, Total, Grade 3 | 0 | 1 |
| Creatinine increased, Total, Grade 3 | 1 | 0 |
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. Low disease activity (LDA) is achieved when CDAI total score \<=10. Percentage values are rounded off.
| Percentage of participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 47.0 | 46.0 |
| Week 48 | 44.0 | 47.0 |
| Week 96 | 40.0 | 47.0 |
| Week 144 | — | 0.0 |
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. CDAI remission is achieved when CDAI total score \<=2.8. Percentage values are rounded off.
| Percentage of participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 11.0 | 10.0 |
| Week 48 | 12.0 | 9.0 |
| Week 96 | 13.0 | 9.0 |
| Week 144 | — | 0.0 |
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28- CRP scores range from 1.0 to 9.4, where lower scores indicates less disease activity. Low disease activity (LDA) is achieved when DAS28-CRP greater than or equal to (\<=)3.2. A negative change from baseline in DAS28-CRP indicates an improvement. Percentage values are rounded off.
| Percentage of participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 26.0 | 25.0 |
| Week 48 | 25.0 | 25.0 |
| Week 96 | 26.0 | 28.0 |
| Week 144 | — | 0.0 |
The DAS28-ESR is a measure of RA disease activity calculated using TJC28,SJC28, ESR (in mm/hr), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity. Remission is achieved when DAS28-ESR \<2.6. A negative change from baseline in DAS28-ESR indicates an improvement. Percentage values are rounded off.
| Percentage of participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 15.0 | 14.0 |
| Week 48 | 14.0 | 13.0 |
| Week 96 | 16.0 | 12.0 |
| Week 132 | 0.0 | 33.0 |
Boolean-based ACR/EULAR remission is achieved if all of the following requirements are met at the same timepoint: Tender Joint Count 68 (TJC68) \<= 1, Swollen Joint Count 66 (SJC66) \<= 1, high sensitivity C-reactive Protein (hsCRP) \<= 1mg/dl and patient's global assessment of disease activity (PtGA) \<= 10. Simple Disease Activity Index based ACR/EULAR remission is achieved if a has SDAI \<= 3.3. The SDAI is the sum of the tender/painful joint count and swollen joint count, employing 28 joints; PtGA and PhGA (on a scale of 0-10); and hsCRP (mg/L). Percentage values are rounded off.
| Percentage of participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Boolean-based ACR/EULAR, Week 24 | 7.0 | 6.0 |
| Boolean-based ACR/EULAR, Week 48 | 8.0 | 4.0 |
| Boolean-based ACR/EULAR, Week 96 | 8.0 | 9.0 |
| Boolean-based ACR/EULAR, Week 144 | — | 0.0 |
CDAI total score is a composite score consisting of the sum of TJC28, TJC28, PtGA (visual analogue scale with values from 0=best to 100=worst) and PhGA (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 13.42 ± 10.669 | 14.26 ± 11.637 |
| Week 48 | 13.85 ± 10.612 | 14.07 ± 11.186 |
| Week 96 | 14.62 ± 11.443 | 15.22 ± 13.997 |
| Week 144 | — | 11.30 ± NA |
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). DAS28- PtGA is transformed to a 0-10 scale before computing the total score. CRP scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 3.49 ± 1.237 | 3.55 ± 1.269 |
| Week 48 | 3.51 ± 1.224 | 3.54 ± 1.232 |
| Week 96 | 3.44 ± 1.188 | 3.52 ± 1.389 |
| Week 144 | — | 3.21 ± NA |
The DAS28-ESR is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), Erythrocyte sedimentation rate (ESR) (in millimeter \[mm\]/hour\[hr\]), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 3.97 ± 1.295 | 4.01 ± 1.333 |
| Week 48 | 4.02 ± 1.284 | 4.05 ± 1.306 |
| Week 96 | 3.92 ± 1.216 | 4.04 ± 1.470 |
| Week 132 | 3.77 ± NA | 4.26 ± 1.560 |
Van der Heijde mTSS is utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes 16 areas of erosions, and 15 areas for joint space narrowing (JSN) in each hand, and 6 areas for erosions and 6 areas JSN in each foot. The total mTSS score is the sum of erosion (maximum of 280) and JSN (maximum of 168) scores. The score ranges from 0 to 448 for mTSS with higher values representing higher disease activity.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 23.26 ± 34.191 | 30.31 ± 40.236 |
| Week 48 | 23.27 ± 33.953 | 30.34 ± 40.432 |
The HAQ-DI includes 20 questions which assesses difficulty in performing activities of daily living. The questionnaire assesses eight domains of physical functioning: Dressing and Grooming, Hygiene, Arising, Reach, Eating, Grip, Walking, Common Daily Activities. The questions assess domain scores ranging from 0 "without any difficulty" to 3 "unable to do." Scores on each domain were summed and averaged to provide an overall score ranging from 0 to 3, where higher score reflected worse status and a lower score indicates better quality of life.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 1.045 ± 0.6764 | 1.060 ± 0.6849 |
| Week 48 | 1.072 ± 0.6679 | 1.096 ± 0.6691 |
| Week 96 | 1.074 ± 0.6852 | 1.156 ± 0.7582 |
| Week 144 | — | 2.00 ± NA |
For the Arthritis Pain VAS, participants assess the severity of their current arthritis pain using a continuous visual analogue scale (VAS) with anchors at "0" (no pain) and "100" (most severe pain). A negative change from baseline indicates an improvement.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 34.6 ± 23.51 | 36.6 ± 23.85 |
| Week 48 | 37.0 ± 23.55 | 36.0 ± 23.88 |
| Week 96 | 39.3 ± 24.62 | 38.1 ± 27.08 |
| Week 144 | — | 26.0 ± NA |
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning,bodily pain,role limitations due to physical/emotional problems,general health,mental health(MH),social functioning(SF),vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.MCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health. MCS is primarily derived from 4 domains (SF,vitality,MH,role-emotional) representing overall mental health. Quality Metric software was used for scoring.
| T-score | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 49.14 ± 10.386 | 49.44 ± 10.384 |
| Week 48 | 49.54 ± 10.577 | 49.70 ± 10.557 |
| Week 96 | 48.66 ± 11.483 | 49.75 ± 11.351 |
| Week 144 | — | 42.55 ± NA |
Short-Form 36 (SF-36) is a health-related survey that assesses quality of life covering 8 domains: physical functioning, bodily pain, role limitations due to physical and emotional problems, general health, mental health, social functioning, vitality. The MCS consists of 4 domains (social functioning, vitality, mental health, and role-emotional domains) and PCS consists of 4 domains (physical functioning, role-physical, bodily pain and general health). The individual question items are first summed for each item under the various sections. Then, those domain scores are weighted to a scale between 0 to 100, where higher score represents better health. Quality Metric software was used for scoring for SF-36.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Bodily Pain at Week 24 | 54.49 ± 21.457 | 53.83 ± 21.158 |
| Bodily Pain at Week 48 | 52.22 ± 21.099 | 52.94 ± 21.158 |
| Bodily Pain at Week 96 | 49.90 ± 20.943 | 51.11 ± 21.983 |
| Bodily Pain at Week 144 | — | 41.00 ± NA |
| General Health at week 24 | 51.00 ± 18.744 | 50.30 ± 17.980 |
| General Health at week 48 | 50.35 ± 18.817 | 49.44 ± 17.645 |
| General Health at week 96 | 48.44 ± 20.029 | 46.73 ± 18.543 |
| General Health at week 144 | — | 45.00 ± NA |
| Mental Health at week 24 | 67.47 ± 19.387 | 68.05 ± 19.150 |
| Mental Health at week 48 | 67.64 ± 19.701 | 67.97 ± 19.636 |
| Mental Health at week 96 | 66.90 ± 20.860 | 68.49 ± 20.217 |
| Mental Health at week 144 | — | 50.00 ± NA |
| Physical Function at week 24 | 56.20 ± 25.644 | 55.28 ± 25.615 |
| Physical Function at week 48 | 54.23 ± 26.222 | 53.98 ± 25.397 |
| Physical Function at week 96 | 51.87 ± 25.735 | 50.92 ± 26.175 |
| Physical Function at week 144 | — | 35.00 ± NA |
| Role Emotional At week 24 | 74.79 ± 24.653 | 75.09 ± 24.760 |
| Role Emotional At week 48 | 75.31 ± 24.008 | 76.18 ± 24.163 |
| Role Emotional At week 96 | 73.35 ± 25.188 | 74.44 ± 26.324 |
| Role Emotional At week 144 | — | 50.00 ± NA |
| Role Physical at week 24 | 58.58 ± 23.155 | 57.78 ± 23.514 |
| Role Physical at week 48 | 56.49 ± 23.645 | 57.57 ± 23.463 |
| Role Physical at week 96 | 54.27 ± 23.818 | 55.15 ± 24.956 |
| Role Physical at week 144 | — | 25.00 ± NA |
| Social Function at week 24 | 71.20 ± 24.001 | 71.39 ± 23.936 |
| Social Function at week 48 | 70.88 ± 24.596 | 71.29 ± 24.123 |
| Social Function at week 96 | 68.25 ± 24.065 | 69.43 ± 26.526 |
| Social Function at week 144 | — | 62.50 ± NA |
| Vitality at week 24 | 55.77 ± 20.690 | 55.18 ± 20.593 |
| Vitality at week 48 | 55.24 ± 20.972 | 54.49 ± 21.262 |
| Vitality at week 96 | 51.04 ± 23.127 | 54.25 ± 22.738 |
| Vitality at week 144 | — | 50.00 ± NA |
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning(PF),bodily pain(BP),role limitations due to physical/emotional problems,general health(GH),mental health,social functioning,vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.PCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health.PCS is primarily derived from 4 domains(PF,role-physical,BP,GH) representing overall physical health. Quality Metric software was used for scoring.
| T-Score | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 41.19 ± 8.173 | 40.67 ± 8.232 |
| Week 48 | 40.17 ± 8.586 | 40.13 ± 8.271 |
| Week 96 | 39.18 ± 9.280 | 38.86 ± 8.879 |
| Week 144 | — | 35.03 ± NA |
The Functional Assessment of Chronic Illness Therapy (FACIT)-fatigue is a validated patient-reported measure of 13 statements regarding the feeling of fatigue. The total score ranges from 0 to 52 with higher values representing a lower fatigue and a better quality of life.
| Scores on a scale | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Week 24 | 36.0 ± 10.33 | 35.9 ± 10.25 |
| Week 48 | 35.5 ± 10.53 | 35.4 ± 10.59 |
| Week 96 | 35.2 ± 10.77 | 34.8 ± 11.87 |
| Week 144 | — | 26.0 ± NA |
Serum samples were collected for the determination of anti- GSK3196165 antibodies (ADA) using a validated electrochemiluminescence (ECL) immunoassay. The assay involved screening, confirmation and titration steps. If serum samples tested positive in the screening assay, they were considered 'potentially positive' and were further analyzed for the specificity using the confirmation assay. Samples that confirmed positive in the confirmation assay were reported as 'positive'. Confirmed positive ADA samples were further characterized in the titration assay to quasi-quantitate the amount of ADA in the sample. Additionally, confirmed positive ADA samples were also tested in a validated neutralizing antibody assay to determine the potential neutralizing activity of the ADA
| Participants | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Number of Participants With Anti-GSK3196165 Antibodies | 11 | 10 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
| Micromoles per liter (umol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Total Bilirubin | 0.3 ± 2.87 | 0.3 ± 2.92 |
| Direct Bilirubin | 0.053 ± 0.764 | 0.027 ± 0.641 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
| Micromoles per liter (umol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Total Bilirubin | -0.0 ± 2.85 | 0.1 ± 3.04 |
| Direct Bilirubin | 0.011 ± 0.777 | 0.040 ± 0.690 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
| Micromoles per liter (umol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Total Bilirubin | -0.2 ± 3.22 | 0.5 ± 3.49 |
| Direct Bilirubin | 0.047 ± 0.815 | 0.041 ± 0.827 |
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
| Micromoles per liter (umol/L) | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| Total Bilirubin | 4.0 ± NA | 4.5 ± 6.36 |
| Direct Bilirubin | 2.000 ± NA | 1.500 ± 0.707 |
Collected over All AE and SAE were collected from the start of the study intervention. Initially the study was planned for 4 years approx. 208 weeks however due to early termination by sponsor; data for all Adverse event was collected up to approximately 145 Weeks only.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Otilimab 90 mg | 10/1,456 (0.7%) | 123/1,456 (8.4%) | 279/1,456 (19.2%) |
| Otilimab 150 mg | 9/1,459 (0.6%) | 114/1,459 (7.8%) | 308/1,459 (21.1%) |
| Event | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| COVID-19 pneumoniaInfections and infestations | 8/1456 | 10/1459 |
| OsteoarthritisMusculoskeletal and connective tissue disorders | 6/1456 | 8/1459 |
| Rheumatoid arthritisMusculoskeletal and connective tissue disorders | 7/1456 | 4/1459 |
| PneumoniaInfections and infestations | 5/1456 | 5/1459 |
| COVID-19Infections and infestations | 4/1456 | 1/1459 |
| Acute myocardial infarctionCardiac disorders | 3/1456 | 3/1459 |
| Myocardial infarctionCardiac disorders | 3/1456 | 2/1459 |
| CellulitisInfections and infestations | 3/1456 | 0/1459 |
| Femoral neck fractureInjury, poisoning and procedural complications | 1/1456 | 3/1459 |
| Femur fractureInjury, poisoning and procedural complications | 0/1456 | 3/1459 |
| Event | Otilimab 90 mg | Otilimab 150 mg |
|---|---|---|
| COVID-19Infections and infestations | 141/1456 | 141/1459 |
| Rheumatoid arthritisMusculoskeletal and connective tissue disorders | 118/1456 | 129/1459 |
| Upper respiratory tract infectionInfections and infestations | 65/1456 | 88/1459 |
One participant withdrew from 150mg GSK3196165 before receiving intervention due to Physician Decision. Hence the participant was removed from intent-to-treat (ITT) and safety population (N=1459).
| Age, Continuous(YEARS) | Otilimab 90 mg | Otilimab 150 mg | Total |
|---|---|---|---|
| Mean | 55.2 ± 11.38 | 55.7 ± 10.91 | 55.4 ± 11.15 |
| Sex: Female, Male(Participants) | Otilimab 90 mg | Otilimab 150 mg | Total |
|---|---|---|---|
| Female | 1158 | 1181 | 2339 |
| Male | 298 | 278 | 576 |
| Race/Ethnicity, Customized(Participants) | Otilimab 90 mg | Otilimab 150 mg | Total |
|---|---|---|---|
| AMERICAN INDIAN OR ALASKA NATIVE | 40 | 53 | 93 |
| ASIAN | 223 | 206 | 429 |
| BLACK OR AFRICAN AMERICAN | 33 | 28 | 61 |
| WHITE | 1147 | 1157 | 2304 |
| MULTIPLE | 13 | 15 | 28 |
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Supporting information: Study protocol, Sap, Icf, Csr
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