CClinicalTrials.gg
CompletedNCT04517669Updated Oct 14, 2025Results posted

Effectiveness of Treatment With Tofacitinib in Patients With Psoriatic Arthritis in Routine Clinical Practice

An observational study in Psoriatic Arthritis, sponsored by Pfizer. Completed at 41 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-14.

Sponsored by Pfizer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
116
Ages
18 Years and older
Sex
All
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Study summary

This is a Multinational Study of Tofacitinib in Patients Treated for Psoriatic Arthritis in order to evaluate the effectiveness of treatment with tofacitinib on disease activity, remission, and Quality of Life, in a real-world setting over a 12-month observation period

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Conditions studied

  • Psoriatic Arthritis

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03

In context

Arthritis, Psoriatic

579 studies on the registry are indexed under Arthritis, Psoriatic; 132 are open to participants now.

This study's enrollment of 116 is below the median of 300 across 235 observational studies indexed under Arthritis, Psoriatic.

Browse Arthritis, Psoriatic studies →

Lead sponsor

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

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

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

This study will enroll approximately 500 patients from rheumatologists and/or PsA specialist centers in 10 countries (Belgium, Czech Republic, Denmark, Finland, France, Israel, Netherlands, Spain, Sweden, and Switzerland) over an enrollment period of 12 months. The above list of countries are anticipated to participate in this study, however additional countries may be included at a later time. Each patient will have up to 12 months of follow-up for a total study duration of 24 months. Consecutive patients attending a routine clinical visit will be invited to participate if they meet the eligibility criteria for the study and are to start on treatment with tofacitinib for active PsA.

Eligibility criteria

Inclusion Criteria: Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:

  1. Patients aged ≥ 18 years
  2. Moderate to severe PsA disease activity diagnosed
  3. Patients for whom the physician's decision has been made to initiate treatment with tofacitinib, in usual clinical practice conditions and in compliance with the local label
  4. Patients are treatment naïve to tofacitinib on the date of providing informed consent
  5. Evidence of a personally signed and dated informed consent document indicating that the patient (or a legally acceptable representative) has been informed of all pertinent aspects of the study
  6. Patients on DMARDs must have not had a treatment change in the past 3 months

Exclusion Criteria: Patients meeting any of the following criteria will not be included in the study:

  1. Contraindications according to the Xeljanz® (tofacitinib) Prescribing Information
  2. Receipt of any investigational drug within 3 months before study inclusion
  3. Patient is pregnant or breastfeeding
  4. Recent herpes zoster infection (within past 6 months) or history of severe disseminated herpes zoster infection
  5. Active treatment for a malignancy
  6. Concomitant treatment with a biological disease-modifying antirheumatic drugs (bDMARD)
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
116 participants (actual)
Target follow-up
12 Months
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieved Low Disease Activity (LDA) Based on Psoriatic Arthritis Disease Activity Score (PASDAS) at Month 6

    PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global psoriatic arthritis assessment (PAA), physician global PAA, each scored on 100 mm visual analog scale (VAS), 0=no disease activity (DA), 100=maximum DA; tender joint count (TJC) (0-68); swollen joint count (SJC) (0-66); Leed's Enthesitis index (LEI) score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; physical component summary (PCS) of short form 36 (SF-36) score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and C-reactive protein (CRP) in milligram per liter (mg/L). PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. LDA was defined as PASDAS score less than or equal to (\<=) 3.2.

    Time frame: At Month 6

Secondary outcomes

  1. Percentage of Participants Who Achieved LDA Based on PASDAS at Months 3 and 12

    PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. LDA was defined as PASDAS score less than or equal to (\<=) 3.2.

    Time frame: At Month 3 and Month 12

  2. Percentage of Participants Who Achieved Minimum Disease Activity (MDA) at Months 3, 6 and 12

    A participant was classified as MDA achieved if they met 5 of 7 criteria: (i) (TJC66) \<=1, (ii) (SJC68)\<=1, (iii) psoriasis area and severity index (PASI) score \<=1 (PASI=combined assessment of lesion severity and area affected into single score; range=0 \[no disease\] to 72 \[maximal disease\], higher scores=more disease. or body surface area (BSA) \<=3%,(iv) patient pain assessment (VAS, 0-100) \<=15; where 0='no pain' and 100='pain as severe as can be imagined', higher scores=more pain, (v) patient global assessment (VAS, 0-100) \<=20, where 0='lowest level of disease activity' and 100= 'highest level of disease activity, higher scores=more disease activity, (vi) health assessment questionnaire-disability index (HAQ- DI) \<=0.5; scale ranged=0-3, where 0='normal or no difficulty' and 3='inability to perform', higher scores=more difficulty, (vii) tender enthesial points \<=1 using Leed's index range=0=non tender to 6=more enthesitis burden, higher scores=more burden.

    Time frame: At Month 3, Month 6 and Month 12

  3. Percentage of Participants Who Achieved Remission Based on PASDAS at Months 3, 6 and 12

    PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. Remission was defined as PASDAS score less than or equal to (\<=) 1.9.

    Time frame: At Month 3, Month 6 and Month 12

  4. Percentage of Participants Who Achieved Remission Based on Disease Activity in Psoriatic Arthritis (DAPSA) Score at Months 3, 6 and 12

    DAPSA was composite disease activity measure and was calculated as: SJC66 + TJC68 + patient global assessment VAS (0 to 10 cm VAS, 0= excellent and 10= poor, higher scores indicated more disease activity) + patient pain assessment (0 to 10 cm VAS, 0= no pain, 10= worst possible pain, higher scores indicated more pain) + CRP (mg/dL). DAPSA score ranged from 0 to 164, higher scores indicated more disease activity. Remission was defined as DAPSA score =\<4.0.

    Time frame: At Month 3, Month 6 and Month 12

  5. Change From Baseline in Psoriatic Arthritis Impact of Disease 12 Questions (PsAID12) Score at Months 3, 6 and 12

    PsAID12: questionnaire used for evaluating how much PsA impacted quality of life (QoL) and comprised of following domains: Pain, Fatigue, Skin problems, Work and/or leisure activities, Function, Discomfort, Sleep disturbance, Coping, Anxiety, Embarrassment, Social life and Depression. Each one of domain was based on a 0-10 numerical rating scale (NRS) and with different weight. PsAID12= (PsAID12.Q1 \[pain\] NRS value\*3) +(PsAID12.Q2\[fatigue\] NRS value\*2) +(PsAID12.Q3 \[skin\] NRS value\*2) +(PsAID12.Q4\[Work and/or leisure activities\] NRS value\*2) +(PsAID12.Q5\[function\] NRS value\*2) +(PsAID12.Q6\[discomfort\]NRS value\*2) +(PsAID12.Q7\[sleep\] NRS value\*2) +(PsAID12.Q8 \[coping\]NRS value\*1) +(PsAID12.Q9\[anxiety\] NRS value\*1) +(PsAID12.Q10\[embarrassment\] NRS value\*1) +(PsAID12.Q11\[social life\] NRS value\*1) +(PsAID12.Q12\[depression\] NRS value\*1). Total is divided by 20 for final score. Range of final PsAID score is 0-10 (higher numbers indicate worse status).

    Time frame: Baseline (measurement at enrollment), at Month 3, Month 6 and Month 12

  6. Change From Baseline in Spondyloarthritis Research Consortium of Canada Enthesitis Index (SPARCC-EI) Score at Months 3, 6 and 12

    The SPARCC-EI evaluated 16 enthesial sites: greater trochanter (Right/Left \[R/L\]), quadriceps tendon insertion into the patella (R/L), patellar ligament insertion into the patella and tibial tuberosity (R/L), achilles tendon insertion (R/L), plantar fascia insertion (R/L), medial epicondyles (R/L), lateral epicondyles (R/L) and supraspinatus insertion (R/L) for the presence or absence of tenderness. Tenderness at each site was quantified as: 0 = non-tender and 1 = tender. The maximum score of the SPARCC-EI was 16. SPARCC-EI score range: 0 (no enthesitis) to 16 (enthesitis is present at all assessed sites), higher scores indicated more presence of enthesitis.

    Time frame: Baseline (measurement at enrollment), at Month 3, Month 6 and Month 12

  7. Number of Participants Who Achieved LDA According to Body Mass Index (BMI) at Months 3, 6 and 12

    BMI = Weight (kilograms \[kg\]) / Height (meter square \[m\]\^2). LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. In this outcome measure, participants with PASDAS scores are reported according to BMI categories of 18.5 - \<25 kg/m\^2, 25 - \<30 kg/m\^2, \>= 30 kg/m\^2 and missing.

    Time frame: At Month 3, Month 6 and Month 12

  8. Number of Participants Who Achieved LDA According to Treatment Line at Months 3, 6 and 12

    Participants who achieved LDA according to treatment line were reported in this outcome measure. Treatment line included: tofacitinib monotherapy, combination therapy with MTX, and combination therapy with other csDMARDs. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  9. Number of Participants Who Achieved LDA According to Duration of Current Episode Symptoms of at Least 6 Weeks Prior to Enrollment at Months 3, 6 and 12

    Duration of current episode of symptoms prior to enrollment were presented as: \< 6, \>=6 weeks. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  10. Number of Participants Who Achieved LDA According to Erythrocyte Sedimentation Rate (ESR) Results at Months 3, 6 and 12

    ESR result=abnormal if test result was above normal range. ESR normal range:0-50 years(male \<15 mm/h, female \<20 mm/h), 51-85 years(\<20 mm/h males and \<30 mm/h females),older than 85 years(\<30 mm/h males and \<42 mm/h females). Number of participants who achieved LDA according to ESR results(normal and abnormal) were reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following:participant global PAA,physician global PAA,each scored on 100 mm VAS,0=no DA, 100=maximum DA; TJC(0-68); SJC(0-66); LEI score=0-6;0=non tender,6=more enthesitis burden; tender dactylitis digit score=0-3,0=no tenderness,3=participant withdrew digit; PCS of SF-36 score=0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged=0(no disease)to 10(severe disease);higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  11. Number of Participants Who Achieved LDA According to C-reactive Protein (CRP) Results at Months 3, 6 and 12

    For CRP, result was considered abnormal if t the test result was above the normal range (0.3 to 10 mg/L). LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  12. Number of Participants Who Achieved LDA According to Presence of Rheumatoid Nodules at Months 3, 6 and 12

    Number of participants who achieved LDA according to presence (present/absent) of rheumatoid nodules is presented in this outcome measure. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  13. Number of Participants Who Achieved LDA According to Presence of Unequivocal Radiological Erosion at Months 3, 6 and 12

    Unequivocal radiological erosion: 'present',if Sharp-Van der Heijde modified score (S-VH MS)for erosion \>0;'absent',if S-VH MS for erosion score=0. S-VH MS sum of erosion,JSN scores(range 0-528). Higher score=more severe disease. If a component score is missing, S-VH MS is missing. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA,physician global PAA,each scored on 100 mm VAS,0=no DA,100=maximum DA; TJC(0-68); SJC(0-66); LEI score range=0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score range=0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score range=0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0(no disease)to 10(severe disease); higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  14. Number of Participants Who Achieved LDA According to Presence of Unequivocal Bony Decalcification Localized to the Joints of the Hands and Wrists at Months 3, 6 and 12

    Unequivocal Bony decalcification was reported as present or absent at enrollment. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  15. Number of Participants Who Achieved LDA According to Presence of Symmetric Arthritis at Months 3, 6 and 12

    Arthritis at enrollment was identified when a participant reported swelling and/or tenderness/pain in any joint. Number of participants who achieved LDA according to presence (Yes/No) of symmetric arthritis was reported. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  16. Number of Participants Who Achieved LDA According to Arthritis of the Hand Joints at Months 3, 6 and 12

    Hand joints included metacarpal phalangeal joints(MCP), finger proximal interphalangeal and finger distal interphalangeal joints. Number of participants who achieved LDA according to presence(Yes/No) of arthritis of any of hand joints was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA,physician global PAA, each scored on 100 mm VAS,0=no DA,100=maximum DA;TJC(0-68); SJC(0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  17. Number of Participants Who Achieved LDA According to Arthritis of Only 1 Medium-Large Joint at Months 3, 6 and 12

    Medium joints=temporomandibular, sternoclavicular, acromioclavicular, finger proximal interphalangeal, finger distal interphalangeal and tarsus/midfoot(feet) joints. Large joints=glenohumeral, elbows, hips, knees and ankles joint. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of only 1 medium-large joint was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA;TJC(0-68);SJC(0-66); LEI score ranging from 0-6;0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3;0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100;0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS score (0-10) uses a weighted formula; higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  18. Number of Participants Who Achieved LDA According to Arthritis of 2-10 Medium-Large Joints and/or 1-3 Small Joints at Months 3, 6 and 12

    Medium joints=temporomandibular, sternoclavicular, acromioclavicular, finger proximal interphalangeal (IP), finger distal interphalangeal, tarsus/midfoot (feet). Large joints=glenohumeral, elbows, hips, knees, ankles. Small joints=MCP, proximal IP, second through fifth metatarsal phalangeal (MTP), thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) arthritis of 2-10 medium-large joints and/or 1-3 small joints was reported. LDA=PASDAS score =\<3.2. PASDAS is a composite PsA activity score including: participant /physician global (VAS 0-100; 0=no DA, 100=maximum DA), TJC (0-68), SJC (0-66), LEI (0-6; 0=non tender, 6=more enthesitis burden), tender dactylitis digit score (0-3; 0=no tenderness, 3=participant withdrew digit), SF-36 PCS (0-100; 0=severe physical health limitations, 100=excellent physical health),CRP in mg/L. PASDAS score (0-10) uses a weighted formula; higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  19. Number of Participants Who Achieved LDA According to Arthritis of 4-10 Small Joints With or Without Involvement of Large Joints at Months 3, 6 and 12

    Large joints=glenohumeral, elbows, hips, knees and ankles joint. Small joints=MCP, proximal IP, second through fifth MTP, thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of 4-10 small joints with or without involvement of large joints was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA;TJC(0-68); SJC(0-66); LEI score range=0-6; 0=non tender, 6=more enthesitis burden; tender dactylitis digit score range=0-3; 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  20. Number of Participants Who Achieved LDA According to Arthritis of >10 Joints (With at Least One Small Joint) at Months 3, 6 and 12

    Small joints=MCP, proximal IP, second through fifth MTP, thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of \>10 joints (with at least one small joint) was reported in this outcome measure. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC(0-68); SJC(0-66); LEI score ranging from 0-6; 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3; 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores=more severe disease.

    Time frame: At Month 3, Month 6 and Month 12

  21. Change From Baseline in Quality of Life (QoL) Based on Short Form 36 (SF-36) Score at Months 3, 6 and 12

    The SF-36 is a participant administered scale assessing general quality of life. It consists of self-administered 36-item questionnaire that measured 8 health domains: physical function, role-physical, bodily pain, general health, vitality, social function, role-emotional, and mental health. These 8 domains are also summarized as physical and mental component scores. The score for each domain and component score is the mean of the individual question scores, which are scaled from 0 (minimum) to 100 (maximum), where high scores in each dimension and high overall scores indicate a better quality of life.

    Time frame: Baseline (measurement at enrollment), Month 3, Month 6 and Month 12

  22. Change From Baseline in QoL Based on Health Assessment Questionnaire - Disability Index (HAQ-DI41) at Months 3, 6 and 12

    The HAQ-DI41 assessed the degree of difficulty a participant had experienced during the past week in 8 domains of daily living activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities. Each activity category consisted of 2-3 items. For each question in the questionnaire, the level of difficulty was scored from 0 to 3 with 0 =no difficulty," 1 = "some difficulty," 2 = "much difficulty," and 3 = "unable to do". The disability index was computed by adding the scores for each of the components and dividing by the number of components with an available score. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0 (least difficulty) and 3 (extreme difficulty), where higher scores indicate more difficulty while performing daily living activities.

    Time frame: Baseline (measurement at enrollment), Month 3, Month 6 and Month 12

07

Results

Posted Oct 14, 2025

Participant flow

Participants diagnosed with psoriatic arthritis (PsA) and treated with tofacitinib in routine clinical practice were included in this prospective study.

Participant flow — Overall Study
MilestoneAll Participants
Started116
Safety (started tofacitinib irrespective of eligibility criteria)113
Full analysis set109
Completed59
Not completed57
Withdrew: Lost to follow-up2
Withdrew: Withdrawal by subject3
Withdrew: Drug withdrawn44
Withdrew: Other1
Withdrew: Eligibility criteria not met4
Withdrew: Did not receive treatment3

Outcome measures

PrimaryPercentage of Participants Who Achieved Low Disease Activity (LDA) Based on Psoriatic Arthritis Disease Activity Score (PASDAS) at Month 6

PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global psoriatic arthritis assessment (PAA), physician global PAA, each scored on 100 mm visual analog scale (VAS), 0=no disease activity (DA), 100=maximum DA; tender joint count (TJC) (0-68); swollen joint count (SJC) (0-66); Leed's Enthesitis index (LEI) score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; physical component summary (PCS) of short form 36 (SF-36) score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and C-reactive protein (CRP) in milligram per liter (mg/L). PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. LDA was defined as PASDAS score less than or equal to (\<=) 3.2.

Time frame:
At Month 6
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Low Disease Activity (LDA) Based on Psoriatic Arthritis Disease Activity Score (PASDAS) at Month 6
Percentage of participantsAll Participants
Overall43.1 (29.9 to 56.3)
Tofacitinib monotherapy46.9 (31.4 to 62.4)
Combined tofacitinib and methotrexate (MTX) therapy33.4 (9.4 to 57.5)
Combined tofacitinib and other conventional synthetic disease-modifying antirheumatic drug (csDMARD)4.0 (NA to NA)
SecondaryPercentage of Participants Who Achieved LDA Based on PASDAS at Months 3 and 12

PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. LDA was defined as PASDAS score less than or equal to (\<=) 3.2.

Time frame:
At Month 3 and Month 12
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA Based on PASDAS at Months 3 and 12
Percentage of participantsAll Participants
Overall-Month 323.5 (13.9 to 36.9)
Tofacitinib monotherapy-Month 321.1 (10.8 to 36.6)
Combined tofacitinib and MTX therapy-Month 333.3 (13.6 to 61.2)
Combined tofacitinib and other csDMARD-Month 30 (0.0 to 82.9)
Overall-Month 1246.2 (28.7 to 64.5)
Tofacitinib monotherapy-Month 1247.4 (27.3 to 68.3)
Combined tofacitinib and MTX therapy-Month 1242.9 (15.8 to 75.0)
SecondaryPercentage of Participants Who Achieved Minimum Disease Activity (MDA) at Months 3, 6 and 12

A participant was classified as MDA achieved if they met 5 of 7 criteria: (i) (TJC66) \<=1, (ii) (SJC68)\<=1, (iii) psoriasis area and severity index (PASI) score \<=1 (PASI=combined assessment of lesion severity and area affected into single score; range=0 \[no disease\] to 72 \[maximal disease\], higher scores=more disease. or body surface area (BSA) \<=3%,(iv) patient pain assessment (VAS, 0-100) \<=15; where 0='no pain' and 100='pain as severe as can be imagined', higher scores=more pain, (v) patient global assessment (VAS, 0-100) \<=20, where 0='lowest level of disease activity' and 100= 'highest level of disease activity, higher scores=more disease activity, (vi) health assessment questionnaire-disability index (HAQ- DI) \<=0.5; scale ranged=0-3, where 0='normal or no difficulty' and 3='inability to perform', higher scores=more difficulty, (vii) tender enthesial points \<=1 using Leed's index range=0=non tender to 6=more enthesitis burden, higher scores=more burden.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Minimum Disease Activity (MDA) at Months 3, 6 and 12
Percentage of participantsAll Participants
Overall-Month 317.6 (11.0 to 26.8)
Tofacitinib monotherapy-Month 316.7 (9.4 to 27.6)
Combined tofacitinib and MTX therapy-Month 321.7 (9.2 to 42.3)
Combined tofacitinib and other csDMARD-Month 30 (0.0 to 71.1)
Overall-Month 642.3 (31.4 to 53.9)
Tofacitinib monotherapy-Month 642.0 (29.4 to 55.8)
Combined tofacitinib and MTX therapy-Month 645.0 (25.8 to 65.8)
Combined tofacitinib and other csDMARD-Month 60 (0.0 to 82.9)
Overall-Month 1243.9 (31.8 to 56.7)
Tofacitinib monotherapy-Month 1245.0 (30.7 to 60.2)
Combined tofacitinib and MTX therapy-Month 1243.8 (23.1 to 66.8)
Combined tofacitinib and other csDMARD-Month 120 (0.0 to 82.9)
SecondaryPercentage of Participants Who Achieved Remission Based on PASDAS at Months 3, 6 and 12

PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. Remission was defined as PASDAS score less than or equal to (\<=) 1.9.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission Based on PASDAS at Months 3, 6 and 12
Percentage of participantsAll Participants
Overall-Month 312.1 (6.0 to 22.4)
Tofacitinib monotherapy-Month 314.3 (6.8 to 27.0)
Combined tofacitinib and MTX therapy-Month 37.1 (0.0 to 33.5)
Combined tofacitinib and other csDMARD-Month 30 (0.0 to 62.0)
Overall-Month 615.7 (7.9 to 28.3)
Tofacitinib monotherapy-Month 620.0 (9.7 to 36.2)
Combined tofacitinib and MTX therapy-Month 66.7 (0.0 to 31.8)
Combined tofacitinib and other csDMARD-Month 60 (0.0 to 82.9)
Overall-Month 1221.6 (11.1 to 37.4)
Tofacitinib monotherapy-Month 1225.9 (12.9 to 44.9)
Combined tofacitinib and MTX therapy-Month 1211.1 (0.0 to 45.7)
Combined tofacitinib and other csDMARD-Month 120 (0.0 to 82.9)
SecondaryPercentage of Participants Who Achieved Remission Based on Disease Activity in Psoriatic Arthritis (DAPSA) Score at Months 3, 6 and 12

DAPSA was composite disease activity measure and was calculated as: SJC66 + TJC68 + patient global assessment VAS (0 to 10 cm VAS, 0= excellent and 10= poor, higher scores indicated more disease activity) + patient pain assessment (0 to 10 cm VAS, 0= no pain, 10= worst possible pain, higher scores indicated more pain) + CRP (mg/dL). DAPSA score ranged from 0 to 164, higher scores indicated more disease activity. Remission was defined as DAPSA score =\<4.0.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission Based on Disease Activity in Psoriatic Arthritis (DAPSA) Score at Months 3, 6 and 12
Percentage of participantsAll Participants
Overall-Month 311.3 (4.9 to 22.9)
Tofacitinib monotherapy-Month 311.6 (4.6 to 24.9)
Combined tofacitinib and MTX therapy-Month 311.1 (0.0 to 45.7)
Combined tofacitinib and other csDMARD-Month 30 (0.0 to 82.9)
Overall-Month 628.9 (17.6 to 43.5)
Tofacitinib monotherapy-Month 636.4 (22.1 to 53.4)
Combined tofacitinib and MTX therapy-Month 68.3 (0.0 to 37.5)
Overall-Month 1238.7 (23.7 to 56.2)
Tofacitinib monotherapy-Month 1247.6 (28.3 to 67.6)
Combined tofacitinib and MTX therapy-Month 1220.0 (4.6 to 52.1)
SecondaryChange From Baseline in Psoriatic Arthritis Impact of Disease 12 Questions (PsAID12) Score at Months 3, 6 and 12

PsAID12: questionnaire used for evaluating how much PsA impacted quality of life (QoL) and comprised of following domains: Pain, Fatigue, Skin problems, Work and/or leisure activities, Function, Discomfort, Sleep disturbance, Coping, Anxiety, Embarrassment, Social life and Depression. Each one of domain was based on a 0-10 numerical rating scale (NRS) and with different weight. PsAID12= (PsAID12.Q1 \[pain\] NRS value\*3) +(PsAID12.Q2\[fatigue\] NRS value\*2) +(PsAID12.Q3 \[skin\] NRS value\*2) +(PsAID12.Q4\[Work and/or leisure activities\] NRS value\*2) +(PsAID12.Q5\[function\] NRS value\*2) +(PsAID12.Q6\[discomfort\]NRS value\*2) +(PsAID12.Q7\[sleep\] NRS value\*2) +(PsAID12.Q8 \[coping\]NRS value\*1) +(PsAID12.Q9\[anxiety\] NRS value\*1) +(PsAID12.Q10\[embarrassment\] NRS value\*1) +(PsAID12.Q11\[social life\] NRS value\*1) +(PsAID12.Q12\[depression\] NRS value\*1). Total is divided by 20 for final score. Range of final PsAID score is 0-10 (higher numbers indicate worse status).

Time frame:
Baseline (measurement at enrollment), at Month 3, Month 6 and Month 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Psoriatic Arthritis Impact of Disease 12 Questions (PsAID12) Score at Months 3, 6 and 12
Units on a scaleAll Participants
Overall-Month 3-1.3 (-1.69 to -0.84)
Tofacitinib monotherapy-Month 3-1.4 (-1.91 to -0.86)
Combined tofacitinib and MTX therapy-Month 3-1.0 (-1.84 to -0.15)
Combined tofacitinib and other csDMARD-Month 3NA (NA to NA)
Overall-Month 6-1.3 (-1.79 to -0.80)
Tofacitinib monotherapy-Month 6-1.5 (-2.06 to -0.87)
Combined tofacitinib and MTX therapy-Month 6-0.9 (-1.91 to 0.08)
Combined tofacitinib and other csDMARD-Month 6NA (NA to NA)
Overall-Month 12-1.1 (-1.61 to -0.56)
Tofacitinib monotherapy-Month 12-1.3 (-1.94 to -0.64)
Combined tofacitinib and MTX therapy-Month 12-0.7 (-1.69 to 0.25)
Combined tofacitinib and other csDMARD-Month 12NA (NA to NA)
SecondaryChange From Baseline in Spondyloarthritis Research Consortium of Canada Enthesitis Index (SPARCC-EI) Score at Months 3, 6 and 12

The SPARCC-EI evaluated 16 enthesial sites: greater trochanter (Right/Left \[R/L\]), quadriceps tendon insertion into the patella (R/L), patellar ligament insertion into the patella and tibial tuberosity (R/L), achilles tendon insertion (R/L), plantar fascia insertion (R/L), medial epicondyles (R/L), lateral epicondyles (R/L) and supraspinatus insertion (R/L) for the presence or absence of tenderness. Tenderness at each site was quantified as: 0 = non-tender and 1 = tender. The maximum score of the SPARCC-EI was 16. SPARCC-EI score range: 0 (no enthesitis) to 16 (enthesitis is present at all assessed sites), higher scores indicated more presence of enthesitis.

Time frame:
Baseline (measurement at enrollment), at Month 3, Month 6 and Month 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Spondyloarthritis Research Consortium of Canada Enthesitis Index (SPARCC-EI) Score at Months 3, 6 and 12
Units on a scaleAll Participants
Overall-Month 30.1 (-0.67 to 0.85)
Tofacitinib monotherapy-Month 30.1 (-0.80 to 0.95)
Combined tofacitinib and MTX therapy-Month 30.2 (-1.87 to 2.18)
Combined tofacitinib and other csDMARD-Month 3NA (NA to NA)
Overall-Month 6-0.8 (-1.47 to -0.21)
Tofacitinib monotherapy-Month 6-0.4 (-1.17 to 0.28)
Combined tofacitinib and MTX therapy-Month 6-1.8 (-3.20 to -0.39)
Overall-Month 12-0.3 (-0.95 to 0.44)
Tofacitinib monotherapy-Month 120.0 (-0.81 to 0.82)
Combined tofacitinib and MTX therapy-Month 12-0.9 (-2.42 to 0.71)
SecondaryNumber of Participants Who Achieved LDA According to Body Mass Index (BMI) at Months 3, 6 and 12

BMI = Weight (kilograms \[kg\]) / Height (meter square \[m\]\^2). LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease. In this outcome measure, participants with PASDAS scores are reported according to BMI categories of 18.5 - \<25 kg/m\^2, 25 - \<30 kg/m\^2, \>= 30 kg/m\^2 and missing.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Body Mass Index (BMI) at Months 3, 6 and 12
ParticipantsAll Participants
Overall: 18.5 - <25 kg/m^2-Month 32
Overall: 25 - <30 kg/m^2-Month 36
Overall: >= 30 kg/m^2-Month 33
Overall: Missing-Month 31
Overall: 18.5 - <25 kg/m^2-Month 68
Overall: 25 - <30 kg/m^2-Month 68
Overall: >= 30 kg/m^2-Month 62
Overall: Missing-Month 62
Overall: 18.5 - <25 kg/m^2-Month 125
Overall: 25 - <30 kg/m^2-Month 124
Overall: >= 30 kg/m^2-Month 122
Overall: Missing-Month 121
Tofacitinib monotherapy: 18.5 - <25 kg/m^2-Month 31
Tofacitinib monotherapy: 25 - <30 kg/m^2-Month 35
Tofacitinib monotherapy: >= 30 kg/m^2-Month 31
Tofacitinib monotherapy: Missing-Month 31
Tofacitinib monotherapy: 18.5 - <25 kg/m^2-Month 64
Tofacitinib monotherapy: 25 - <30 kg/m^2-Month 68
Tofacitinib monotherapy: >= 30 kg/m^2-Month 61
Tofacitinib monotherapy: Missing-Month 62
Tofacitinib monotherapy: 18.5 - <25 kg/m^2-Month 123
Tofacitinib monotherapy: 25 - <30 kg/m^2-Month 124
Tofacitinib monotherapy: >= 30 kg/m^2-Month 121
Tofacitinib monotherapy: Missing-Month 121
Combined tofacitinib and MTX therapy: 18.5 - <25 kg/m^2-Month 31
Combined tofacitinib and MTX therapy: 25 - <30 kg/m^2-Month 31
Combined tofacitinib and MTX therapy: >= 30 kg/m^2-Month 32
Combined tofacitinib and MTX therapy: Missing-Month 30
Combined tofacitinib and MTX therapy: 18.5 - <25 kg/m^2-Month 64
Combined tofacitinib and MTX therapy: 25 - <30 kg/m^2-Month 60
Combined tofacitinib and MTX therapy: >= 30 kg/m^2-Month 61
Combined tofacitinib and MTX therapy: Missing-Month 60
Combined tofacitinib and MTX therapy: 18.5 - <25 kg/m^2-Month 122
Combined tofacitinib and MTX therapy: >= 30 kg/m^2-Month 121
Combined tofacitinib and other csDMARD: >= 30 kg/m^2-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Treatment Line at Months 3, 6 and 12

Participants who achieved LDA according to treatment line were reported in this outcome measure. Treatment line included: tofacitinib monotherapy, combination therapy with MTX, and combination therapy with other csDMARDs. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Treatment Line at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Tofacitinib as monotherapy-Month 38
Overall: Combination therapy with MTX-Month 34
Overall: Combination with other csDMARD-Month 30
Overall: Tofacitinib as monotherapy-Month 615
Overall: Combination therapy with MTX-Month 65
Overall: Tofacitinib as monotherapy-Month 129
Overall: Combination therapy with MTX-Month 123
Tofacitinib monotherapy: Tofacitinib as monotherapy-Month 38
Tofacitinib monotherapy: Tofacitinib as monotherapy-Month 615
Tofacitinib monotherapy: Tofacitinib as monotherapy-Month 129
Combined tofacitinib and MTX therapy: Combination therapy with MTX-Month 34
Combined tofacitinib and MTX therapy: Combination therapy with MTX-Month 65
Combined tofacitinib and MTX therapy: Combination therapy with MTX-Month 123
Combined tofacitinib and other csDMARD: Combination with other csDMARD-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Duration of Current Episode Symptoms of at Least 6 Weeks Prior to Enrollment at Months 3, 6 and 12

Duration of current episode of symptoms prior to enrollment were presented as: \< 6, \>=6 weeks. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Duration of Current Episode Symptoms of at Least 6 Weeks Prior to Enrollment at Months 3, 6 and 12
ParticipantsAll Participants
Overall: < 6 weeks-Month 34
Overall: >= 6 weeks-Month 36
Overall: Missing-Month 32
Overall: < 6 weeks-Month 611
Overall: >= 6 weeks-Month 68
Overall: Missing-Month 61
Overall: < 6 weeks-Month 124
Overall: >= 6 weeks-Month 128
Tofacitinib monotherapy: < 6 weeks-Month 33
Tofacitinib monotherapy: >= 6 weeks-Month 33
Tofacitinib monotherapy: Missing-Month 32
Tofacitinib monotherapy: < 6 weeks-Month 67
Tofacitinib monotherapy: >= 6 weeks-Month 67
Tofacitinib monotherapy: Missing-Month 61
Tofacitinib monotherapy: < 6 weeks-Month 122
Tofacitinib monotherapy: >= 6 weeks-Month 127
Combined tofacitinib and MTX therapy: < 6 weeks-Month 31
Combined tofacitinib and MTX therapy: >= 6 weeks-Month 33
Combined tofacitinib and MTX therapy: < 6 weeks-Month 64
Combined tofacitinib and MTX therapy: >= 6 weeks-Month 61
Combined tofacitinib and MTX therapy: < 6 weeks-Month 122
Combined tofacitinib and MTX therapy: >= 6 weeks-Month 121
Combined tofacitinib and other csDMARD: >= 6 weeks-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Erythrocyte Sedimentation Rate (ESR) Results at Months 3, 6 and 12

ESR result=abnormal if test result was above normal range. ESR normal range:0-50 years(male \<15 mm/h, female \<20 mm/h), 51-85 years(\<20 mm/h males and \<30 mm/h females),older than 85 years(\<30 mm/h males and \<42 mm/h females). Number of participants who achieved LDA according to ESR results(normal and abnormal) were reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following:participant global PAA,physician global PAA,each scored on 100 mm VAS,0=no DA, 100=maximum DA; TJC(0-68); SJC(0-66); LEI score=0-6;0=non tender,6=more enthesitis burden; tender dactylitis digit score=0-3,0=no tenderness,3=participant withdrew digit; PCS of SF-36 score=0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged=0(no disease)to 10(severe disease);higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Erythrocyte Sedimentation Rate (ESR) Results at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Abnormal-Month 32
Overall: Normal-Month 38
Overall: Missing-Month 32
Overall: Abnormal-Month 64
Overall: Normal-Month 610
Overall: Missing-Month 66
Overall: Abnormal-Month 123
Overall: Normal-Month 127
Overall: Missing-Month 122
Tofacitinib monotherapy: Abnormal-Month 31
Tofacitinib monotherapy: Normal-Month 36
Tofacitinib monotherapy: Missing-Month 31
Tofacitinib monotherapy: Abnormal-Month 62
Tofacitinib monotherapy: Normal-Month 68
Tofacitinib monotherapy: Missing-Month 65
Tofacitinib monotherapy: Abnormal-Month 122
Tofacitinib monotherapy: Normal-Month 125
Tofacitinib monotherapy: Missing-Month 122
Combined tofacitinib and MTX therapy: Abnormal-Month 31
Combined tofacitinib and MTX therapy: Normal-Month 32
Combined tofacitinib and MTX therapy: Missing-Month 31
Combined tofacitinib and MTX therapy: Abnormal-Month 62
Combined tofacitinib and MTX therapy: Normal-Month 62
Combined tofacitinib and MTX therapy: Missing-Month 61
Combined tofacitinib and MTX therapy: Abnormal-Month 121
Combined tofacitinib and MTX therapy: Normal-Month 122
Combined tofacitinib and MTX therapy: Missing-Month 120
Combined tofacitinib and other csDMARD: Normal-Month 30
SecondaryNumber of Participants Who Achieved LDA According to C-reactive Protein (CRP) Results at Months 3, 6 and 12

For CRP, result was considered abnormal if t the test result was above the normal range (0.3 to 10 mg/L). LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to C-reactive Protein (CRP) Results at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Abnormal-Month 37
Overall: Normal-Month 35
Overall: Abnormal-Month 68
Overall: Normal-Month 612
Overall: Abnormal-Month 124
Overall: Normal-Month 128
Tofacitinib monotherapy: Abnormal-Month 34
Tofacitinib monotherapy: Normal-Month 34
Tofacitinib monotherapy: Abnormal-Month 65
Tofacitinib monotherapy: Normal-Month 610
Tofacitinib monotherapy: Abnormal-Month 122
Tofacitinib monotherapy: Normal-Month 127
Combined tofacitinib and MTX therapy: Abnormal-Month 33
Combined tofacitinib and MTX therapy: Normal-Month 31
Combined tofacitinib and MTX therapy: Abnormal-Month 63
Combined tofacitinib and MTX therapy: Normal-Month 62
Combined tofacitinib and MTX therapy: Abnormal-Month 122
Combined tofacitinib and MTX therapy: Normal-Month 121
Combined tofacitinib and other csDMARD: Normal-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Presence of Rheumatoid Nodules at Months 3, 6 and 12

Number of participants who achieved LDA according to presence (present/absent) of rheumatoid nodules is presented in this outcome measure. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Presence of Rheumatoid Nodules at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Absent-Month 312
Overall: Missing-Month 30
Overall: Absent-Month 620
Overall: Missing-Month 60
Overall: Absent-Month 1212
Overall: Missing-Month 120
Tofacitinib monotherapy: Absent-Month 38
Tofacitinib monotherapy: Missing-Month 30
Tofacitinib monotherapy: Absent-Month 615
Tofacitinib monotherapy: Missing-Month 60
Tofacitinib monotherapy: Absent-Month 129
Tofacitinib monotherapy: Missing-Month 120
Combined tofacitinib and MTX therapy: Absent-Month 34
Combined tofacitinib and MTX therapy: Absent-Month 65
Combined tofacitinib and MTX therapy: Absent-Month 123
Combined tofacitinib and other csDMARD: Absent-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Presence of Unequivocal Radiological Erosion at Months 3, 6 and 12

Unequivocal radiological erosion: 'present',if Sharp-Van der Heijde modified score (S-VH MS)for erosion \>0;'absent',if S-VH MS for erosion score=0. S-VH MS sum of erosion,JSN scores(range 0-528). Higher score=more severe disease. If a component score is missing, S-VH MS is missing. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA,physician global PAA,each scored on 100 mm VAS,0=no DA,100=maximum DA; TJC(0-68); SJC(0-66); LEI score range=0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score range=0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score range=0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0(no disease)to 10(severe disease); higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Presence of Unequivocal Radiological Erosion at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Present-Month 31
Overall: Absent-Month 31
Overall: Missing-Month 310
Overall: Present-Month 61
Overall: Absent-Month 62
Overall: Missing-Month 617
Overall: Present-Month 120
Overall: Absent-Month 121
Overall: Missing-Month 1211
Tofacitinib monotherapy: Present-Month 31
Tofacitinib monotherapy: Absent-Month 30
Tofacitinib monotherapy: Missing-Month 37
Tofacitinib monotherapy: Present-Month 61
Tofacitinib monotherapy: Absent-Month 62
Tofacitinib monotherapy: Missing-Month 612
Tofacitinib monotherapy: Present-Month 120
Tofacitinib monotherapy: Absent-Month 121
Tofacitinib monotherapy: Missing-Month 128
Combined tofacitinib and MTX therapy: Absent-Month 31
Combined tofacitinib and MTX therapy: Missing-Month 33
Combined tofacitinib and MTX therapy: Absent-Month 60
Combined tofacitinib and MTX therapy: Missing-Month 65
Combined tofacitinib and MTX therapy: Missing-Month 123
Combined tofacitinib and other csDMARD: Missing-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Presence of Unequivocal Bony Decalcification Localized to the Joints of the Hands and Wrists at Months 3, 6 and 12

Unequivocal Bony decalcification was reported as present or absent at enrollment. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of the following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Presence of Unequivocal Bony Decalcification Localized to the Joints of the Hands and Wrists at Months 3, 6 and 12
ParticipantsAll Participants
Overall: Present-Month 31
Overall: Absent-Month 37
Overall: Missing-Month 34
Overall: Present-Month 63
Overall: Absent-Month 612
Overall: Missing-Month 65
Overall: Present-Month 122
Overall: Absent-Month 127
Overall: Missing-Month 123
Tofacitinib monotherapy: Present-Month 31
Tofacitinib monotherapy: Absent-Month 36
Tofacitinib monotherapy: Missing-Month 31
Tofacitinib monotherapy: Present-Month 62
Tofacitinib monotherapy: Absent-Month 611
Tofacitinib monotherapy: Missing-Month 62
Tofacitinib monotherapy: Present-Month 121
Tofacitinib monotherapy: Absent-Month 126
Tofacitinib monotherapy: Missing-Month 122
Combined tofacitinib and MTX therapy: Present-Month 30
Combined tofacitinib and MTX therapy: Absent-Month 31
Combined tofacitinib and MTX therapy: Missing-Month 33
Combined tofacitinib and MTX therapy: Present-Month 61
Combined tofacitinib and MTX therapy: Absent-Month 61
Combined tofacitinib and MTX therapy: Missing-Month 63
Combined tofacitinib and MTX therapy: Present-Month 121
Combined tofacitinib and MTX therapy: Absent-Month 121
Combined tofacitinib and MTX therapy: Missing-Month 121
Combined tofacitinib and other csDMARD: Absent-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Presence of Symmetric Arthritis at Months 3, 6 and 12

Arthritis at enrollment was identified when a participant reported swelling and/or tenderness/pain in any joint. Number of participants who achieved LDA according to presence (Yes/No) of symmetric arthritis was reported. LDA was defined as PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC (0-68); SJC (0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Presence of Symmetric Arthritis at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 312
Overall: Yes-Month 30
Overall: No-Month 620
Overall: Yes-Month 60
Overall: No-Month 1212
Tofacitinib monotherapy: No-Month 38
Tofacitinib monotherapy: Yes-Month 30
Tofacitinib monotherapy: No-Month 615
Tofacitinib monotherapy: Yes-Month 60
Tofacitinib monotherapy: No-Month 129
Combined tofacitinib and MTX therapy: No-Month 34
Combined tofacitinib and MTX therapy: Yes-Month 30
Combined tofacitinib and MTX therapy: No-Month 65
Combined tofacitinib and MTX therapy: No-Month 123
Combined tofacitinib and other csDMARD: No-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Arthritis of the Hand Joints at Months 3, 6 and 12

Hand joints included metacarpal phalangeal joints(MCP), finger proximal interphalangeal and finger distal interphalangeal joints. Number of participants who achieved LDA according to presence(Yes/No) of arthritis of any of hand joints was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA which incorporated assessment of following: participant global PAA,physician global PAA, each scored on 100 mm VAS,0=no DA,100=maximum DA;TJC(0-68); SJC(0-66); LEI score ranging from 0-6; where 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3 where 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; where 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores indicated more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Arthritis of the Hand Joints at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 34
Overall: Yes-Month 38
Overall: No-Month 66
Overall: Yes-Month 614
Overall: No-Month 121
Overall: Yes-Month 1211
Tofacitinib monotherapy: No-Month 32
Tofacitinib monotherapy: Yes-Month 36
Tofacitinib monotherapy: No-Month 64
Tofacitinib monotherapy: Yes-Month 611
Tofacitinib monotherapy: No-Month 121
Tofacitinib monotherapy: Yes-Month 128
Combined tofacitinib and MTX therapy: No-Month 32
Combined tofacitinib and MTX therapy: Yes-Month 32
Combined tofacitinib and MTX therapy: No-Month 62
Combined tofacitinib and MTX therapy: Yes-Month 63
Combined tofacitinib and MTX therapy: No-Month 120
Combined tofacitinib and MTX therapy: Yes-Month 123
Combined tofacitinib and other csDMARD: Yes-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Arthritis of Only 1 Medium-Large Joint at Months 3, 6 and 12

Medium joints=temporomandibular, sternoclavicular, acromioclavicular, finger proximal interphalangeal, finger distal interphalangeal and tarsus/midfoot(feet) joints. Large joints=glenohumeral, elbows, hips, knees and ankles joint. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of only 1 medium-large joint was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA;TJC(0-68);SJC(0-66); LEI score ranging from 0-6;0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3;0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100;0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS score (0-10) uses a weighted formula; higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Arthritis of Only 1 Medium-Large Joint at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 310
Overall: Yes-Month 32
Overall: No-Month 617
Overall: Yes-Month 63
Overall: No-Month 1211
Overall: Yes-Month 121
Tofacitinib monotherapy: No-Month 37
Tofacitinib monotherapy: Yes-Month 31
Tofacitinib monotherapy: No-Month 614
Tofacitinib monotherapy: Yes-Month 61
Tofacitinib monotherapy: No-Month 129
Combined tofacitinib and MTX therapy: No-Month 33
Combined tofacitinib and MTX therapy: Yes-Month 31
Combined tofacitinib and MTX therapy: No-Month 63
Combined tofacitinib and MTX therapy: Yes-Month 62
Combined tofacitinib and MTX therapy: No-Month 122
Combined tofacitinib and MTX therapy: Yes-Month 121
Combined tofacitinib and other csDMARD: No-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Arthritis of 2-10 Medium-Large Joints and/or 1-3 Small Joints at Months 3, 6 and 12

Medium joints=temporomandibular, sternoclavicular, acromioclavicular, finger proximal interphalangeal (IP), finger distal interphalangeal, tarsus/midfoot (feet). Large joints=glenohumeral, elbows, hips, knees, ankles. Small joints=MCP, proximal IP, second through fifth metatarsal phalangeal (MTP), thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) arthritis of 2-10 medium-large joints and/or 1-3 small joints was reported. LDA=PASDAS score =\<3.2. PASDAS is a composite PsA activity score including: participant /physician global (VAS 0-100; 0=no DA, 100=maximum DA), TJC (0-68), SJC (0-66), LEI (0-6; 0=non tender, 6=more enthesitis burden), tender dactylitis digit score (0-3; 0=no tenderness, 3=participant withdrew digit), SF-36 PCS (0-100; 0=severe physical health limitations, 100=excellent physical health),CRP in mg/L. PASDAS score (0-10) uses a weighted formula; higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Arthritis of 2-10 Medium-Large Joints and/or 1-3 Small Joints at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 30
Overall: Yes-Month 312
Overall: No-Month 61
Overall: Yes-Month 619
Overall: No-Month 121
Overall: Yes-Month 1211
Tofacitinib monotherapy: No-Month 30
Tofacitinib monotherapy: Yes-Month 38
Tofacitinib monotherapy: No-Month 61
Tofacitinib monotherapy: Yes-Month 614
Tofacitinib monotherapy: No-Month 121
Tofacitinib monotherapy: Yes-Month 128
Combined tofacitinib and MTX therapy: Yes-Month 34
Combined tofacitinib and MTX therapy: Yes-Month 65
Combined tofacitinib and MTX therapy: Yes-Month 123
Combined tofacitinib and other csDMARD: Yes-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Arthritis of 4-10 Small Joints With or Without Involvement of Large Joints at Months 3, 6 and 12

Large joints=glenohumeral, elbows, hips, knees and ankles joint. Small joints=MCP, proximal IP, second through fifth MTP, thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of 4-10 small joints with or without involvement of large joints was reported. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA;TJC(0-68); SJC(0-66); LEI score range=0-6; 0=non tender, 6=more enthesitis burden; tender dactylitis digit score range=0-3; 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Arthritis of 4-10 Small Joints With or Without Involvement of Large Joints at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 38
Overall: Yes-Month 34
Overall: No-Month 612
Overall: Yes-Month 68
Overall: No-Month 126
Overall: Yes-Month 126
Tofacitinib monotherapy: No-Month 34
Tofacitinib monotherapy: Yes-Month 34
Tofacitinib monotherapy: No-Month 68
Tofacitinib monotherapy: Yes-Month 67
Tofacitinib monotherapy: No-Month 124
Tofacitinib monotherapy: Yes-Month 125
Combined tofacitinib and MTX therapy: No-Month 34
Combined tofacitinib and MTX therapy: Yes-Month 30
Combined tofacitinib and MTX therapy: No-Month 64
Combined tofacitinib and MTX therapy: Yes-Month 61
Combined tofacitinib and MTX therapy: No-Month 122
Combined tofacitinib and MTX therapy: Yes-Month 121
Combined tofacitinib and other csDMARD: No-Month 30
SecondaryNumber of Participants Who Achieved LDA According to Arthritis of >10 Joints (With at Least One Small Joint) at Months 3, 6 and 12

Small joints=MCP, proximal IP, second through fifth MTP, thumb IP, wrists. Number of participants who achieved LDA according to presence (Yes/No) of arthritis of \>10 joints (with at least one small joint) was reported in this outcome measure. LDA=PASDAS score =\<3.2. PASDAS=composite disease activity measure for PsA incorporated assessment of: participant global PAA, physician global PAA, each scored on 100 mm VAS, 0=no DA, 100=maximum DA; TJC(0-68); SJC(0-66); LEI score ranging from 0-6; 0=non tender, 6=more enthesitis burden; tender dactylitis digit score ranging from 0-3; 0=no tenderness, 3=participant withdrew digit; PCS of SF-36 score ranging from 0-100; 0=severe physical health limitations and 100=excellent physical health and CRP in mg/L. PASDAS total score was calculated using a weighted formula and ranged from 0 (no disease) to 10 (severe disease); higher scores=more severe disease.

Time frame:
At Month 3, Month 6 and Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved LDA According to Arthritis of >10 Joints (With at Least One Small Joint) at Months 3, 6 and 12
ParticipantsAll Participants
Overall: No-Month 310
Overall: Yes-Month 32
Overall: No-Month 616
Overall: Yes-Month 64
Overall: No-Month 1210
Overall: Yes-Month 122
Tofacitinib monotherapy: No-Month 36
Tofacitinib monotherapy: Yes-Month 32
Tofacitinib monotherapy: No-Month 611
Tofacitinib monotherapy: Yes-Month 64
Tofacitinib monotherapy: No-Month 127
Tofacitinib monotherapy: Yes-Month 122
Combined tofacitinib and MTX therapy: No-Month 34
Combined tofacitinib and MTX therapy: Yes-Month 30
Combined tofacitinib and MTX therapy: No-Month 65
Combined tofacitinib and MTX therapy: Yes-Month 60
Combined tofacitinib and MTX therapy: No-Month 123
Combined tofacitinib and MTX therapy: Yes-Month 120
Combined tofacitinib and other csDMARD: No-Month 30
SecondaryChange From Baseline in Quality of Life (QoL) Based on Short Form 36 (SF-36) Score at Months 3, 6 and 12

The SF-36 is a participant administered scale assessing general quality of life. It consists of self-administered 36-item questionnaire that measured 8 health domains: physical function, role-physical, bodily pain, general health, vitality, social function, role-emotional, and mental health. These 8 domains are also summarized as physical and mental component scores. The score for each domain and component score is the mean of the individual question scores, which are scaled from 0 (minimum) to 100 (maximum), where high scores in each dimension and high overall scores indicate a better quality of life.

Time frame:
Baseline (measurement at enrollment), Month 3, Month 6 and Month 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Quality of Life (QoL) Based on Short Form 36 (SF-36) Score at Months 3, 6 and 12
Units on a scaleAll Participants
Overall: Physical health component summary score-Month 34.8 (3.00 to 6.56)
Overall: Mental health component summary score-Month 32.4 (0.31 to 4.52)
Tofacitinib monotherapy: Physical health component summary score-Month 35.0 (2.78 to 7.20)
Tofacitinib monotherapy: Mental health component summary score-Month 32.5 (-0.23 to 5.26)
Combined tofacitinib and MTX therapy: Physical health component summary score-Month 33.6 (0.67 to 6.44)
Combined tofacitinib and MTX therapy: Mental health component summary score-Month 31.5 (-1.44 to 4.51)
Combined tofacitinib and other csDMARD: Physical health component summary score-Month 3NA (NA to NA)
Combined tofacitinib and other csDMARD: Mental health component summary score-Month 3NA (NA to NA)
Overall: Physical health component summary score-Month 65.5 (3.53 to 7.40)
Overall: Mental health component summary score-Month 62.6 (0.05 to 5.20)
Tofacitinib monotherapy: Physical health component summary score-Month 66.2 (3.94 to 8.51)
Tofacitinib monotherapy: Mental health component summary score-Month 62.9 (-0.41 to 6.20)
Combined tofacitinib and MTX therapy: Physical health component summary score-Month 63.2 (-0.48 to 6.92)
Combined tofacitinib and MTX therapy: Mental health component summary score-Month 60.9 (-3.22 to 5.01)
Combined tofacitinib and other csDMARD: Physical health component summary score-Month 6NA (NA to NA)
Combined tofacitinib and other csDMARD: Mental health component summary score-Month 6NA (NA to NA)
Overall: Physical health component summary score-Month 125.5 (3.33 to 7.69)
Overall: Mental health component summary score-Month 123.0 (0.11 to 5.83)
Tofacitinib monotherapy: Physical health component summary score-Month 126.8 (4.06 to 9.45)
Tofacitinib monotherapy: Mental health component summary score-Month 124.5 (1.04 to 8.03)
Combined tofacitinib and MTX therapy: Physical health component summary score-Month 123.8 (0.60 to 6.97)
Combined tofacitinib and MTX therapy: Mental health component summary score-Month 12-1.8 (-6.33 to 2.74)
Combined tofacitinib and other csDMARD: Physical health component summary score-Month 12NA (NA to NA)
Combined tofacitinib and other csDMARD: Mental health component summary score-Month 12NA (NA to NA)
SecondaryChange From Baseline in QoL Based on Health Assessment Questionnaire - Disability Index (HAQ-DI41) at Months 3, 6 and 12

The HAQ-DI41 assessed the degree of difficulty a participant had experienced during the past week in 8 domains of daily living activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities. Each activity category consisted of 2-3 items. For each question in the questionnaire, the level of difficulty was scored from 0 to 3 with 0 =no difficulty," 1 = "some difficulty," 2 = "much difficulty," and 3 = "unable to do". The disability index was computed by adding the scores for each of the components and dividing by the number of components with an available score. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0 (least difficulty) and 3 (extreme difficulty), where higher scores indicate more difficulty while performing daily living activities.

Time frame:
Baseline (measurement at enrollment), Month 3, Month 6 and Month 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in QoL Based on Health Assessment Questionnaire - Disability Index (HAQ-DI41) at Months 3, 6 and 12
Units on a scaleAll Participants
Overall-Month 3-0.1 (-0.21 to -0.01)
Tofacitinib monotherapy-Month 3-0.1 (-0.24 to 0.00)
Combined tofacitinib and MTX therapy-Month 3-0.0 (-0.23 to 0.14)
Combined tofacitinib and other csDMARD-Month 3NA (NA to NA)
Overall-Month 6-0.1 (-0.23 to 0.00)
Tofacitinib monotherapy-Month 6-0.1 (-0.29 to 0.01)
Combined tofacitinib and MTX therapy-Month 60.0 (-0.20 to 0.20)
Combined tofacitinib and other csDMARD-Month 6NA (NA to NA)
Overall-Month 12-0.2 (-0.32 to -0.02)
Tofacitinib monotherapy-Month 12-0.2 (-0.39 to -0.00)
Combined tofacitinib and MTX therapy-Month 12-0.2 (-0.39 to 0.07)
Combined tofacitinib and other csDMARD-Month 12NA (NA to NA)

Adverse events

Collected over From Baseline (enrollment) until Month 12. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Participants0/113 (0%)7/113 (6.2%)50/113 (44.2%)
Most frequent serious events
Most frequent serious events
EventAll Participants
PyelonephritisInfections and infestations1/113
Subcutaneous abscessInfections and infestations1/113
MeningiomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/113
Plasma cell leukaemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/113
Acute myocardial infarctionCardiac disorders1/113
Intestinal obstructionGastrointestinal disorders1/113
Back painMusculoskeletal and connective tissue disorders1/113
Deep vein thrombosisVascular disorders1/113
Most frequent other events
Showing 10 of 11
Most frequent other events
EventAll Participants
Drug ineffectiveGeneral disorders21/113
COVID-19Infections and infestations10/113
HeadacheNervous system disorders8/113
NauseaGastrointestinal disorders5/113
Abdominal painGastrointestinal disorders4/113
ArthralgiaMusculoskeletal and connective tissue disorders4/113
PsoriasisSkin and subcutaneous tissue disorders4/113
InfluenzaInfections and infestations3/113
NasopharyngitisInfections and infestations3/113
Urinary tract infectionInfections and infestations3/113

Baseline characteristics

Safety analysis set (SAS) included all participants who received at least one dose (including partial dose) of study medication independently of inclusion/exclusion criteria.

Age, Continuous
Age, Continuous(Years)All Participants
Mean49.8 ± 10.47
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female63
Male50
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)All Participants
08

Study locations

41 sites
  • Algemeen Stedelijk Ziekenhuis
    Aalst, 9300, Belgium
  • AZ Sint-Jan
    Bruges, 8000, Belgium
  • Nova Reuma Społka Partnerska
    Genk, 3600, Belgium
  • Sygehus Vendsyssel Hospital
    Hjørring, Denmark
  • Turku University Hospital
    Turku, Finland
  • CHU Besançon - Hôpital Jean Minjoz
    Besançon, 25000, France
  • Centre Hospitalier Jean Rougier
    Cahors, 46000, France
  • Infirmerie Protestante de Lyon
    Caluire-et-Cuire, 69300, France
  • CHU Clermont Ferrand - Hopital Gabriel Montpied
    Clermont-Ferrand, 63000, France
  • Hopital Pasteur
    Nice, 6001, France
  • CHR Orleans
    Orléans, 45067, France
  • Hopital Purpan
    Toulouse, 31059, France
  • CHU Tours - Hôpital Trousseau
    Tours, 37044, France
  • Barzilai Medical Center
    Ashkelon, Israel
  • Soroka University Medical Center
    Beersheba, 84001, Israel
  • Bnai Zion Medical Center
    Haifa, 31048, Israel
  • The Lady Davis Carmel Medical Center
    Haifa, 3436212, Israel
  • Rambam Health Care Center
    Haifa, Israel
  • Hadassah University Hospital - Ein Kerem
    Jerusalem, 246000, Israel
  • Hadassah Hebrew University Medical Center - Ein Kerem
    Jerusalem, 91120, Israel
  • Galilee Medical Center
    Nahariya, Israel
  • Chaim Sheba Medical Center
    Ramat Gan, 52621, Israel
  • Sheba Medical Center
    Ramat Gan, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, Israel
  • The Baruch Padeh Medical Center - Poriya
    Tiberias, 15208, Israel
  • Medisch Spectrum Twente, Haaksbergerstraat
    Enschede, 7512 KZ, Netherlands
  • Medisch Centrum Leeuwarden
    Leeuwarden, Netherlands
  • C.H. Universitario de Vigo- Hospital Meixoeiro
    Vigo, Galicia 36200, Spain
  • Hospital Universitario Puerta del Mar
    Cadiz, 11009, Spain
  • Hospital de Especialidades de Jerez de la Frontera
    Cadiz, 11407, Spain
  • Hospital Universitario Reina Sofia
    Córdoba, 14004, Spain
  • Hospital Universitario San Cecilio
    Granada, 18012, Spain
  • Hospital Universitario Virgen de las Nieves
    Granada, 18014, Spain
  • Hospital Regional Universitario de Malaga
    Málaga, 29010, Spain
  • Hospital Universitario Central de Asturias
    Oviedo, 33011, Spain
  • Hospital Universitario Virgen Macarena
    Seville, 41009, Spain
  • Hospital Quironsalud Infanta Luisa
    Seville, 41010, Spain
  • Lund University
    Lund, Sweden
  • Skånes Universitetssjukhus, Malmö
    Malmö, Sweden
  • Karolinska University Hospital, Solna
    Stockholm, Sweden
  • Norrlands University Hospital Umeå, Reumatologiska kliniken Västerbotten
    Umeå, Sweden
09

References and documents

Study documents

  • Study protocol · Feb 14, 2023
  • Statistical analysis plan · Aug 22, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — 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.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04517669
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Aug 18, 2020
Start date
May 17, 2021
Primary completion
Jul 30, 2024
Completion
Jul 30, 2024
Results posted
Oct 14, 2025
Last update
Oct 14, 2025

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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