CClinicalTrials.gg
CompletedNCT04721808Updated Sep 29, 2023Results posted

A Study To Investigate And Describe The Treatment Patterns And Effect Of Tofacitinib Indicators For Patients With Rheumatoid Arthritis

An observational study in Arthritis, Rheumatoid, sponsored by Pfizer. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2023-09-29.

Sponsored by Pfizer · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1,712
Sex
All
01

Study summary

This study is to investigate and describe the treatment patterns and effect of tofacitinib indicators for patients with Rheumatoid Arthritis (RA) assessing real world patient data entered in the Corrona RA Registry on or after November 2012

02

Conditions studied

  • Arthritis, Rheumatoid
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 318 are open to participants now.

This study's enrollment of 1,712 is above the median of 155 across 1,057 observational studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

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

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

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Data will be collected from the Corrona RA Registry. The Corrona registry is a prospective, multicenter, observational disease-based registry launched in 2001.

Inclusion criteria

  • Enrolled in the Corrona RA Registry and initiated tofacitinib on or after November 2012
  • Initiate tofacitinib (defined as first ever use of tofacitinib) at the Corrona enrollment visit or at a Corrona follow-up visit from November 2012 onward.
  • Have CDAI measured at baseline
  • Have at least a 6-month follow-up visit and CDAI measured at the 6-month follow-up visit

Exclusion criteria

Exclusion Criteria:

  • There are no exclusion criteria for this study
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1,712 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with Rheumatoid Arthritis (RA)

    Patients receiving tofacitinib from the Corrona RA Registry from November 2012 onward

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieved Low Disease Activity (LDA) (Clinical Disease Activity Index [CDAI] <=10) at 6 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: tender joint count and swollen joint count (both out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a visual analog scale (VAS) from 0 to 100 millimeter (mm); higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; between \>10 and \<=22 indicated moderate disease activity and \>22 indicated high disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  2. Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: tender joint count (TJC) and swollen joint count (\[SJC\] both out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  3. Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Line of Therapy

    CDAI=composite index for assessing disease activity (DA) based on summation of four components: TJC and SJC (both out of 28 evaluated joints), patient global assessment of DA and physician global assessment of DA, both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score range: 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate DA and score \>22 indicated high DA. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any disease modifying antirheumatic drug \[DMARD\]) and by each line of therapy, second line: participants with prior use of at least 1 conventional synthetic (cs) DMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

    Time frame: At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  4. Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Line of Therapy

    CDAI=composite index for assessing DA based on numerical summation of four components: TJC and SJC (both out of 28 evaluated joints), patient global assessment of DA and physician global assessment of DA, both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score range: 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate DA and score \>22 indicated high DA. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any DMARD) and by each line of therapy, second line: participants with prior use of at least 1 csDMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

    Time frame: At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  5. Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Tofa Dose

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by dose of tofacitinib at initiation i.e. 5 mg twice daily (BID) or 11 mg once daily (QD).

    Time frame: At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  6. Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Tofa Dose

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by dose of tofacitinib at initiation i.e. 5 mg BID or 11 mg QD.

    Time frame: At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  7. Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Time Periods of Initiation

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by year of tofacitinib initiation (2012-2014, 2015-2017, 2018-2020).

    Time frame: At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)

  8. Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Time Periods of Initiation

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by year of tofacitinib initiation (2012-2014, 2015-2017, 2018-2020).

    Time frame: At 12 months after tofacitinib initiation (from the data retrieved and observed for approximately 10 months of this retrospective study)

Secondary outcomes

  1. Percentage of Participants Who Achieved Remission at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  2. Change From Baseline in CDAI at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  3. Change From Baseline in Health Assessment Questionnaire (HAQ) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas:dressing,arising,eating,walking,reaching,gripping,hygiene,and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score=sum of domain scores and divided by number of domains answered. Total scores range from 0 to 3 where 0=least difficulty and 3=extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  4. Change From Baseline in Participant Pain Visual Analog Scale (VAS) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  5. Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for overall tofa initiators and participants who initiated tofacitinib as either monotherapy or as combination therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  6. Percentage of Participants Achieving Modified American College of Rheumatology 20% (mACR20) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    mACR20 response: \>= 20 percent (%) improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  7. Percentage of Participants Achieving Modified American College of Rheumatology 50% (mACR50) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  8. Percentage of Participants Achieving Modified American College of Rheumatology 70% (mACR70) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

    mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  9. Percentage of Participants Achieving Low Disease Activity or Remission Defined by Disease Activity Score in 28 Joints (DAS28) (Erythrocyte Sedimentation Rate [ESR]) <= 3.2 at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy

    DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. Components included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and patient's global assessment (PtGA) recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores=more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28)+0.28\*sqrt (SJC28)+0.70\*ln (ESR \[mm/hour\]+0.014\*PtGA \[mm\]; where, ln=natural logarithm, sqrt=square root of. Total score range: 0 to 9.4, higher score=more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy, participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  10. Percentage of Participants With Mild Pain at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  11. Percentage of Participants Who Achieved Remission at Month 6 and 12: by Line of Therapy

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any DMARD) and by each line of therapy including second line: participants with prior use of at least 1 csDMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

    Time frame: At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  12. Change From Baseline in CDAI at Month 6 and 12: by Line of Therapy

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  13. Change From Baseline in HAQ Score at Month 6 and 12: by Line of Therapy

    HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  14. Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Line of Therapy

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  15. Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Line of Therapy

    Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  16. Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Line of Therapy

    mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  17. Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Line of Therapy

    mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  18. Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Line of Therapy

    mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  19. Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Line of Therapy

    DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  20. Percentage of Participants With Mild Pain at Month 6 and 12: by Line of Therapy

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  21. Percentage of Participants Who Achieved Remission at Month 6 and 12: by Tofa Dose

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  22. Change From Baseline in CDAI at Month 6 and 12: by Tofa Dose

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  23. Change From Baseline in HAQ Score at Month 6 and 12: by Tofa Dose

    HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  24. Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Tofa Dose

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  25. Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Tofa Dose

    Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  26. Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Tofa Dose

    mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  27. Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Tofa Dose

    mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  28. Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Tofa Dose

    mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  29. Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Tofa Dose

    DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  30. Percentage of Participants With Mild Pain at Month 6 and 12: by Tofa Dose

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  31. Percentage of Participants Who Achieved Remission at Month 6 and 12: by Time Periods of Initiation

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  32. Change From Baseline in CDAI at Month 6 and 12: by Time Periods of Initiation

    CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  33. Change From Baseline in HAQ Score at Month 6 and 12: by Time Periods of Initiation

    HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  34. Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Time Periods of Initiation

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  35. Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Time Periods of Initiation

    Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  36. Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Time Periods of Initiation

    mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  37. Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Time Periods of Initiation

    mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  38. Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Time Periods of Initiation

    mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  39. Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Time Periods of Initiation

    DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

  40. Percentage of Participants With Mild Pain at Month 6 and 12: by Time Periods of Initiation

    Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

    Time frame: Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)

07

Results

Posted Sep 29, 2023

Participant flow

Participants with a diagnosis of rheumatoid arthritis enrolled in Corrona Rheumatoid Arthritis (RA) Registry who initiated tofacitinib (tofa) on or after 06-Nov-2012 and had a 6-month follow-up visit or 12-month follow-up visit on or before 31-Jan-2021 were observed retrospectively in this study. Data was retrieved and analyzed during approximately 10 months of this observational retrospective study.

Participant flow — Overall Study
MilestoneTofacitinib Initiators
Started1712
Completed1712
Not completed0

Outcome measures

PrimaryPercentage of Participants Who Achieved Low Disease Activity (LDA) (Clinical Disease Activity Index [CDAI] <=10) at 6 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: tender joint count and swollen joint count (both out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a visual analog scale (VAS) from 0 to 100 millimeter (mm); higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; between \>10 and \<=22 indicated moderate disease activity and \>22 indicated high disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Low Disease Activity (LDA) (Clinical Disease Activity Index [CDAI] <=10) at 6 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators30.1 (27.5 to 32.7)
Tofacitinib monotherapy initiators29.5 (25.8 to 33.6)
Tofacitinib combination therapy initiators30.4 (27.1 to 34)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: tender joint count (TJC) and swollen joint count (\[SJC\] both out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators31.9 (29 to 35)
Tofacitinib monotherapy33.1 (28.5 to 37.9)
Tofacitinib combination therapy31.1 (27.3 to 35.2)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Line of Therapy

CDAI=composite index for assessing disease activity (DA) based on summation of four components: TJC and SJC (both out of 28 evaluated joints), patient global assessment of DA and physician global assessment of DA, both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score range: 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate DA and score \>22 indicated high DA. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any disease modifying antirheumatic drug \[DMARD\]) and by each line of therapy, second line: participants with prior use of at least 1 conventional synthetic (cs) DMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

Time frame:
At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy29.9 (27.4 to 32.6)
Second line therapy35.7 (28.5 to 43.6)
Third line therapy37.4 (31.4 to 43.9)
Fourth line therapy26.7 (23.7 to 29.9)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Line of Therapy

CDAI=composite index for assessing DA based on numerical summation of four components: TJC and SJC (both out of 28 evaluated joints), patient global assessment of DA and physician global assessment of DA, both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score range: 0 to 76 where lower scores=lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate DA and score \>22 indicated high DA. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any DMARD) and by each line of therapy, second line: participants with prior use of at least 1 csDMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

Time frame:
At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy31.9 (28.9 to 35)
Second line therapy39.4 (30.7 to 48.9)
Third line therapy39.0 (31.7 to 46.8)
Fourth line therapy28.8 (25.3 to 32.5)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Tofa Dose

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by dose of tofacitinib at initiation i.e. 5 mg twice daily (BID) or 11 mg once daily (QD).

Time frame:
At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID30.0 (26.2 to 34.1)
Tofacitinib 11 mg QD34.6 (30.5 to 39)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Tofa Dose

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by dose of tofacitinib at initiation i.e. 5 mg BID or 11 mg QD.

Time frame:
At 12 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg dose34.0 (29.5 to 38.7)
Tofacitinib 11 mg dose35.4 (30.5 to 40.6)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Time Periods of Initiation

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by year of tofacitinib initiation (2012-2014, 2015-2017, 2018-2020).

Time frame:
At 6 months after initiation of tofacitinib (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 6 Months: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-201425.4 (21.1 to 30.4)
Initiation period: 2015-201730.1 (26.3 to 34.1)
Initiation period: 2018-202034.5 (29.7 to 39.6)
PrimaryPercentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Time Periods of Initiation

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=10 indicated LDA; score between \>10 and \<=22 indicated moderate disease activity and score \>22 indicated high disease activity. In this outcome measure, data is reported by year of tofacitinib initiation (2012-2014, 2015-2017, 2018-2020).

Time frame:
At 12 months after tofacitinib initiation (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved LDA (CDAI <=10) at 12 Months: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-201429.7 (24.6 to 35.5)
Initiation period: 2015-201732.9 (28.5 to 37.6)
Initiation period: 2018-202032.7 (26.9 to 39.1)
SecondaryPercentage of Participants Who Achieved Remission at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 68.9 (7.6 to 10.4)
Tofacitinib monotherapy initiators: At Month 68.8 (6.9 to 11.1)
Tofacitinib combination therapy initiators: At Month 69.1 (7.3 to 11.1)
Overall tofacitinib initiators: At Month 1210.1 (8.5 to 11.9)
Tofacitinib monotherapy initiators: At Month 129.6 (7.3 to 12.4)
Tofacitinib combination therapy initiators: At Month 1210.4 (8.4 to 12.9)
SecondaryChange From Baseline in CDAI at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in CDAI at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Units on a scaleTofacitinib Initiators
Overall tofacitinib initiators: At Month 6-3.47 ± 13.11
Tofacitinib monotherapy initiators: At Month 6-2.96 ± 13.37
Tofacitinib combination therapy initiators: At Month 6-3.86 ± 12.90
Overall tofacitinib initiators: At Month 12-3.46 ± 13.47
Tofacitinib monotherapy initiators: At Month 12-3.18 ± 13.76
Tofacitinib combination therapy initiators: At Month 12-3.67 ± 13.26
SecondaryChange From Baseline in Health Assessment Questionnaire (HAQ) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas:dressing,arising,eating,walking,reaching,gripping,hygiene,and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score=sum of domain scores and divided by number of domains answered. Total scores range from 0 to 3 where 0=least difficulty and 3=extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Health Assessment Questionnaire (HAQ) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Units on a scaleTofacitinib Initiators
Overall tofacitinib initiators: At Month 6-0.04 ± 0.48
Tofacitinib monotherapy initiators: At Month 6-0.03 ± 0.49
Tofacitinib combination therapy initiators: At Month 6-0.06 ± 0.48
Overall tofacitinib initiators: At Month 12-0.06 ± 0.51
Tofacitinib monotherapy initiators: At Month 12-0.04 ± 0.50
Tofacitinib combination therapy initiators: At Month 12-0.07 ± 0.52
SecondaryChange From Baseline in Participant Pain Visual Analog Scale (VAS) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Pain Visual Analog Scale (VAS) Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Units on a scaleTofacitinib Initiators
Overall tofacitinib initiators: At Month 6-5.72 ± 28.64
Tofacitinib monotherapy initiators: At Month 6-4.92 ± 30.18
Tofacitinib combination therapy initiators: At Month 6-6.35 ± 27.37
Overall tofacitinib initiators: At Month 12-5.69 ± 28.16
Tofacitinib monotherapy initiators: At Month 12-4.18 ± 28.09
Tofacitinib combination therapy initiators: At Month 12-6.84 ± 28.18
SecondaryChange From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for overall tofa initiators and participants who initiated tofacitinib as either monotherapy or as combination therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Units on a scaleTofacitinib Initiators
Overall tofacitinib initiators: At Month 6-3.84 ± 26.06
Tofacitinib monotherapy initiators: At Month 6-2.37 ± 26.40
Tofacitinib combination therapy initiators: At Month 6-4.97 ± 25.74
Overall tofacitinib initiators: At Month 12-3.36 ± 26.26
Tofacitinib monotherapy initiators: At Month 12-2.49 ± 24.85
Tofacitinib combination therapy initiators: At Month 12-4.01 ± 27.28
SecondaryPercentage of Participants Achieving Modified American College of Rheumatology 20% (mACR20) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

mACR20 response: \>= 20 percent (%) improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Modified American College of Rheumatology 20% (mACR20) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 621.4 (19.5 to 23.5)
Tofacitinib monotherapy initiators: At Month 620.8 (18 to 23.9)
Tofacitinib combination therapy initiators: At Month 621.9 (19.4 to 24.7)
Overall tofacitinib initiators: At Month 1222.4 (20.2 to 24.8)
Tofacitinib monotherapy initiators: At Month 1221.2 (18 to 24.9)
Tofacitinib combination therapy initiators: At Month 1223.3 (20.3 to 26.6)
SecondaryPercentage of Participants Achieving Modified American College of Rheumatology 50% (mACR50) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Modified American College of Rheumatology 50% (mACR50) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 611.4 (9.9 to 13)
Tofacitinib monotherapy initiators: At Month 611.2 (9.1 to 13.7)
Tofacitinib combination therapy initiators: At Month 611.5 (9.6 to 13.8)
Overall tofacitinib initiators: At Month 1210.4 (8.8 to 12.2)
Tofacitinib monotherapy initiators: At Month 129.6 (7.4 to 12.4)
Tofacitinib combination therapy initiators: At Month 1211.0 (8.9 to 13.6)
SecondaryPercentage of Participants Achieving Modified American College of Rheumatology 70% (mACR70) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators

mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Modified American College of Rheumatology 70% (mACR70) Response at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy Initiators
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 65.3 (4.3 to 6.5)
Tofacitinib monotherapy initiators: At Month 65.0 (3.6 to 6.8)
Tofacitinib combination therapy initiators: At Month 65.5 (4.2 to 7.2)
Overall tofacitinib initiators: At Month 125.0 (3.9 to 6.4)
Tofacitinib monotherapy initiators: At Month 125.7 (4 to 8)
Tofacitinib combination therapy initiators: At Month 124.4 (3.1 to 6.2)
SecondaryPercentage of Participants Achieving Low Disease Activity or Remission Defined by Disease Activity Score in 28 Joints (DAS28) (Erythrocyte Sedimentation Rate [ESR]) <= 3.2 at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy

DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. Components included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and patient's global assessment (PtGA) recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores=more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28)+0.28\*sqrt (SJC28)+0.70\*ln (ESR \[mm/hour\]+0.014\*PtGA \[mm\]; where, ln=natural logarithm, sqrt=square root of. Total score range: 0 to 9.4, higher score=more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy, participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Low Disease Activity or Remission Defined by Disease Activity Score in 28 Joints (DAS28) (Erythrocyte Sedimentation Rate [ESR]) <= 3.2 at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 613.7 (12.1 to 15.6)
Tofacitinib monotherapy initiators: At Month 613.7 (11.2 to 16.5)
Tofacitinib combination therapy initiators: At Month 613.8 (11.6 to 16.3)
Overall tofacitinib initiators: At Month 1215.5 (13.4 to 17.7)
Tofacitinib monotherapy initiators: At Month 1216.4 (13.4 to 20)
Tofacitinib combination therapy: At Month 1214.7 (12.2 to 17.7)
SecondaryPercentage of Participants With Mild Pain at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported separately for overall number of participants who initiated tofacitinib as either monotherapy or as combination therapy (i.e. tofacitinib in combination with methotrexate, arava, azulfidine, plaquenil, or cyclosporine), participants who initiated tofacitinib as monotherapy and participants who initiated tofacitinib as combination therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants With Mild Pain at Month 6 and 12: by Overall Tofa Initiators, Monotherapy and Combination Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib initiators: At Month 618.7 (16.8 to 20.9)
Tofacitinib monotherapy initiators: At Month 618.3 (15.3 to 21.6)
Tofacitinib combination therapy initiators: At Month 619.1 (16.5 to 22)
Overall tofacitinib initiators: At Month 1219.0 (16.7 to 21.5)
Tofacitinib monotherapy initiators: At Month 1217.5 (14.2 to 21.4)
Tofacitinib combination therapy initiators: At Month 1220.1 (17.1 to 23.6)
SecondaryPercentage of Participants Who Achieved Remission at Month 6 and 12: by Line of Therapy

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. Data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy (first line: no prior use of any DMARD) and by each line of therapy including second line: participants with prior use of at least 1 csDMARD and no prior use of any biologic; third line: participants with prior use of any csDMARDs and 1 biologic and fourth line: participants with prior use of any csDMARDs and more than 2 biologics.

Time frame:
At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 68.9 (7.6 to 10.5)
Second line therapy: At Month 613.6 (9.6 to 18.9)
Third line therapy: At Month 610.3 (7.4 to 14.3)
Fourth line therapy: At Month 67.4 (6 to 9.2)
Overall tofacitinib therapy: At Month 1210.2 (8.6 to 12.1)
Second line therapy: At Month 1220.9 (15.2 to 27.9)
Third line therapy: At Month 1210.2 (6.8 to 15.1)
Fourth line therapy: At Month 127.9 (6.2 to 10)
SecondaryChange From Baseline in CDAI at Month 6 and 12: by Line of Therapy

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in CDAI at Month 6 and 12: by Line of Therapy
Units on a scaleTofacitinib Initiators
Overall tofacitinib therapy: At Month 6-3.51 ± 12.95
Second line therapy: At Month 6-4.36 ± 12.31
Third line therapy: At Month 6-4.96 ± 12.61
Fourth line therapy: At Month 6-2.85 ± 13.08
Overall tofacitinib therapy: At Month 12-3.54 ± 13.41
Second line therapy: At Month 12-4.45 ± 12.71
Third line therapy: At Month 12-4.64 ± 12.37
Fourth line therapy: At Month 12-3.03 ± 13.73
SecondaryChange From Baseline in HAQ Score at Month 6 and 12: by Line of Therapy

HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in HAQ Score at Month 6 and 12: by Line of Therapy
Units on a scaleTofacitinib Initiators
Overall tofacitinib therapy: At Month 6-0.05 ± 0.48
Second line therapy: At Month 6-0.05 ± 0.52
Third line therapy: At Month 6-0.07 ± 0.48
Fourth line therapy: At Month 6-0.04 ± 0.47
Overall tofacitinib therapy: At Month 12-0.06 ± 0.51
Second line therapy: At Month 12-0.06 ± 0.52
Third line therapy: At Month 12-0.07 ± 0.49
Fourth line therapy: At Month 12-0.06 ± 0.50
SecondaryChange From Baseline in Participant Pain VAS Score at Month 6 and 12: by Line of Therapy

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Line of Therapy
Units on a scaleTofacitinib Initiators
Overall tofacitinib therapy: At Month 6-5.71 ± 28.49
Second line therapy: At Month 6-8.03 ± 29.83
Third line therapy: At Month 6-7.30 ± 28.73
Fourth line therapy: At Month 6-4.77 ± 28.02
Overall tofacitinib therapy: At Month 12-5.91 ± 28.03
Second line therapy: At Month 12-7.09 ± 29.14
Third line therapy: At Month 12-8.18 ± 26.49
Fourth line therapy: At Month 12-5.17 ± 28.06
SecondaryChange From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Line of Therapy

Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Line of Therapy
Units on a scaleTofacitinib Initiators
Overall tofacitinib therapy: At Month 6-4.03 ± 25.98
Second line therapy: At Month 6-6.73 ± 26.14
Third line therapy: At Month 6-3.70 ± 28.02
Fourth line therapy: At Month 6-3.53 ± 25.17
Overall tofacitinib therapy: At Month 12-3.63 ± 26.29
Second line therapy: At Month 12-5.46 ± 26.16
Third line therapy: At Month 120.28 ± 24.23
Fourth line therapy: At Month 12-4.31 ± 26.69
SecondaryPercentage of Participants Achieving mACR20 Response at Month 6 and 12: by Line of Therapy

mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 621.3 (19.4 to 23.4)
Second line therapy: At Month 625.0 (19.7 to 31.1)
Third line therapy: At Month 624.5 (20.1 to 29.6)
Fourth line therapy: At Month 619.4 (17.1 to 21.9)
Overall tofacitinib therapy: At Month 1222.4 (20.2 to 24.9)
Second line therapy: At Month 1225.5 (19.3 to 32.8)
Third line therapy: At Month 1226.9 (21.5 to 33)
Fourth line therapy: At Month 1220.5 (17.9 to 23.5)
SecondaryPercentage of Participants Achieving mACR50 Response at Month 6 and 12: by Line of Therapy

mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 611.3 (9.9 to 13)
Second line therapy: At Month 612.3 (8.5 to 17.3)
Third line therapy: At Month 614.3 (10.9 to 18.7)
Fourth line therapy: At Month 610.2 (8.5 to 12.2)
Overall tofacitinib therapy: At Month 1210.7 (9.1 to 12.6)
Second line therapy: At Month 1215.5 (10.7 to 22)
Third line therapy: At Month 1212.3 (8.7 to 17.3)
Fourth line therapy: At Month 129.2 (7.4 to 11.4)
SecondaryPercentage of Participants Achieving mACR70 Response at Month 6 and 12: by Line of Therapy

mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 65.1 (4.2 to 6.3)
Second line therapy: At Month 66.8 (4.2 to 11)
Third line therapy: At Month 67.6 (5.2 to 11.2)
Fourth line therapy: At Month 64.0 (3 to 5.4)
Overall tofacitinib therapy: At Month 125.1 (4 to 6.5)
Second line therapy: At Month 126.2 (3.4 to 11.2)
Third line therapy: At Month 125.7 (3.4 to 9.6)
Fourth line therapy: At Month 124.7 (3.5 to 6.4)
SecondaryPercentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Line of Therapy

DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 613.8 (12.1 to 15.7)
Second line therapy: At Month 618.0 (13.1 to 24.1)
Third line therapy: At Month 618.6 (14.4 to 23.7)
Fourth line therapy: At Month 611.5 (9.6 to 13.6)
Overall tofacitinib therapy: At Month 1215.4 (13.3 to 17.7)
Second line therapy: At Month 1222.4 (16.3 to 29.9)
Third line therapy: At Month 1225.0 (19.3 to 31.7)
Fourth line therapy: At Month 1211.4 (9.3 to 13.9)
SecondaryPercentage of Participants With Mild Pain at Month 6 and 12: by Line of Therapy

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for overall tofacitinib initiators who initiated tofacitinib as first, second, third or fourth line of therapy and by each line of therapy including second line, third line and fourth line of therapy.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants With Mild Pain at Month 6 and 12: by Line of Therapy
Percentage of participantsTofacitinib Initiators
Overall tofacitinib therapy: At Month 618.6 (16.6 to 20.8)
Second line therapy: At Month 626.6 (20.3 to 34)
Third line therapy: At Month 622.7 (18 to 28.3)
Fourth line therapy: At Month 616.0 (13.8 to 18.6)
Overall tofacitinib therapy: At Month 1219.0 (16.7 to 21.6)
Second line therapy: At Month 1234.2 (26 to 43.5)
Third line therapy: At Month 1222.8 (17.2 to 29.5)
Fourth line therapy: At Month 1215.7 (13.1 to 18.6)
SecondaryPercentage of Participants Who Achieved Remission at Month 6 and 12: by Tofa Dose

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 69.5 (7.5 to 11.9)
Tofacitinib 11 mg QD: At Month 610.3 (8.2 to 12.9)
Tofacitinib 5 mg BID: At Month 1211.2 (8.8 to 14.1)
Tofacitinib 11 mg QD: At Month 1210.3 (7.9 to 13.4)
SecondaryChange From Baseline in CDAI at Month 6 and 12: by Tofa Dose

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in CDAI at Month 6 and 12: by Tofa Dose
Units on a scaleTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 6-3.97 ± 13.47
Tofacitinib 11 mg QD: At Month 6-3.43 ± 12.35
Tofacitinib 5 mg BID: At Month 12-4.40 ± 13.73
Tofacitinib 11 mg QD: At Month 12-2.77 ± 13.28
SecondaryChange From Baseline in HAQ Score at Month 6 and 12: by Tofa Dose

HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in HAQ Score at Month 6 and 12: by Tofa Dose
Units on a scaleTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 6-0.07 ± 0.49
Tofacitinib 11 mg QD: At Month 6-0.03 ± 0.48
Tofacitinib 5 mg BID: At Month 12-0.09 ± 0.51
Tofacitinib 11 mg QD: At Month 12-0.03 ± 0.52
SecondaryChange From Baseline in Participant Pain VAS Score at Month 6 and 12: by Tofa Dose

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Tofa Dose
Units on a scaleTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 6-5.93 ± 29.01
Tofacitinib 11 mg QD: At Month 6-6.53 ± 28.58
Tofacitinib 5 mg BID: At Month 12-8.02 ± 27.96
Tofacitinib 11 mg QD: At Month 12-3.79 ± 28.81
SecondaryChange From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Tofa Dose

Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Tofa Dose
Units on a scaleTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 6-3.89 ± 27.17
Tofacitinib 11 mg: At Month 6-3.65 ± 24.79
Tofacitinib 5 mg BID: At Month 12-3.52 ± 26.12
Tofacitinib 11 mg: At Month 12-2.84 ± 26.98
SecondaryPercentage of Participants Achieving mACR20 Response at Month 6 and 12: by Tofa Dose

mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 623.4 (20.4 to 26.6)
Tofacitinib 11 mg QD: At Month 621.4 (18.4 to 24.7)
Tofacitinib 5 mg BID: At Month 1224.2 (20.9 to 27.9)
Tofacitinib 11 mg QD: At Month 1222.1 (18.6 to 26.1)
SecondaryPercentage of Participants Achieving mACR50 Response at Month 6 and 12: by Tofa Dose

mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 613.0 (10.7 to 15.7)
Tofacitinib 11 mg QD: At Month 611.7 (9.4 to 14.4)
Tofacitinib 5 mg BID: At Month 1212.3 (9.8 to 15.2)
Tofacitinib 11 mg QD: At Month 129.7 (7.3 to 12.7)
SecondaryPercentage of Participants Achieving mACR70 Response at Month 6 and 12: by Tofa Dose

mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 65.6 (4.1 to 7.6)
Tofacitinib 11 mg QD: At Month 65.3 (3.8 to 7.3)
Tofacitinib 5 mg BID: At Month 125.3 (3.7 to 7.4)
Tofacitinib 11 mg QD: At Month 124.8 (3.2 to 7.2)
SecondaryPercentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Tofa Dose

DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 615.5 (12.9 to 18.5)
Tofacitinib 11 mg QD: At Month 614.4 (11.8 to 17.5)
Tofacitinib 5 mg BID: At Month 1215.6 (12.7 to 19)
Tofacitinib 11 mg QD: At Month 1218.2 (14.8 to 22.2)
SecondaryPercentage of Participants With Mild Pain at Month 6 and 12: by Tofa Dose

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for participants who administered tofacitinib dose as either 5 mg BID or 11 mg QD.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants With Mild Pain at Month 6 and 12: by Tofa Dose
Percentage of participantsTofacitinib Initiators
Tofacitinib 5 mg BID: At Month 620.7 (17.6 to 24.2)
Tofacitinib 11 mg QD: At Month 619.4 (16.3 to 23)
Tofacitinib 5 mg BID: At Month 1221.1 (17.6 to 25.1)
Tofacitinib 11 mg QD: At Month 1219.5 (15.9 to 23.8)
SecondaryPercentage of Participants Who Achieved Remission at Month 6 and 12: by Time Periods of Initiation

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. A score of \<=2.8 indicated remission. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
At Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Remission at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 68.2 (5.9 to 11.2)
Initiation period: 2015-2017: At Month 69.0 (7.1 to 11.4)
Initiation period: 2018-2020: At Month 69.5 (7.2 to 12.4)
Initiation period: 2012-2014: At Month 129.4 (6.7 to 13.1)
Initiation period: 2015-2017: At Month 1210.9 (8.6 to 13.8)
Initiation period: 2018-2020: At Month 129.2 (6.5 to 12.9)
SecondaryChange From Baseline in CDAI at Month 6 and 12: by Time Periods of Initiation

CDAI is a composite index for assessing disease activity based on the numerical summation of four components: TJC (out of 28 evaluated joints) and SJC (out of 28 evaluated joints), patient global assessment of disease activity and physician global assessment of disease activity both measured on a VAS from 0 to 100 mm; higher scores=higher disease activity. CDAI total score ranged from 0 to 76 where lower scores indicated lower disease activity. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in CDAI at Month 6 and 12: by Time Periods of Initiation
Units on a scaleTofacitinib Initiators
Initiation period: 2012-2014: At Month 6-3.48 ± 14.72
Initiation period: 2015-2017: At Month 6-3.48 ± 12.52
Initiation period: 2018-2020: At Month 6-3.44 ± 12.44
Initiation period: 2012-2014: At Month 12-4.43 ± 15.02
Initiation period: 2015-2017: At Month 12-3.38 ± 13.14
Initiation period: 2018-2020: At Month 12-2.59 ± 12.27
SecondaryChange From Baseline in HAQ Score at Month 6 and 12: by Time Periods of Initiation

HAQ is a self-reported, valid assessment of functional disability in rheumatoid arthritis. The 20-question instrument assessed ability of participants to perform daily activities in 8 functional areas: dressing, arising, eating, walking, reaching, gripping, hygiene, and carrying out daily activities. Responses in each functional area were scored from 0=no difficulty to 3=inability to perform a task in that area. Total score was computed as the sum of domain scores and divided by the number of domains answered. Total scores range from 0 to 3 where 0 = least difficulty and 3 = extreme difficulty. Higher scores indicated worse functioning. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in HAQ Score at Month 6 and 12: by Time Periods of Initiation
Units on a scaleTofacitinib Initiators
Initiation period: 2012-2014: At Month 6-0.07 ± 0.47
Initiation period: 2015-2017: At Month 6-0.02 ± 0.48
Initiation period: 2018-2020: At Month 6-0.05 ± 0.50
Initiation period: 2012-2014: At Month 12-0.12 ± 0.49
Initiation period: 2015-2017: At Month 12-0.01 ± 0.51
Initiation period: 2018-2020: At Month 12-0.07 ± 0.53
SecondaryChange From Baseline in Participant Pain VAS Score at Month 6 and 12: by Time Periods of Initiation

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Pain VAS Score at Month 6 and 12: by Time Periods of Initiation
Units on a scaleTofacitinib Initiators
Initiation period: 2012-2014: At Month 6-5.44 ± 29.31
Initiation period: 2015-2017: At Month 6-5.13 ± 29.07
Initiation period: 2018-2020: At Month 6-6.80 ± 27.42
Initiation period: 2012-2014: At Month 12-8.16 ± 28.39
Initiation period: 2015-2017: At Month 12-4.48 ± 28.56
Initiation period: 2018-2020: At Month 12-5.27 ± 27.10
SecondaryChange From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Time Periods of Initiation

Participants were asked to assess the level of fatigue by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no fatigue and 100 mm = worst possible fatigue. Higher scores indicated worsening of fatigue. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Baseline (Corrona visit with first reported use of tofacitinib), Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Mean · Units on a scale
Change From Baseline in Participant Fatigue VAS Score at Month 6 and 12: by Time Periods of Initiation
Units on a scaleTofacitinib Initiators
Initiation period: 2012-2014: At Month 6-4.84 ± 26.45
Initiation period: 2015-2017: At Month 6-3.04 ± 26.73
Initiation period: 2018-2020: At Month 6-4.08 ± 24.74
Initiation period: 2012-2014: At Month 12-4.98 ± 25.33
Initiation period: 2015-2017: At Month 12-3.08 ± 26.98
Initiation period: 2018-2020: At Month 12-2.15 ± 25.91
SecondaryPercentage of Participants Achieving mACR20 Response at Month 6 and 12: by Time Periods of Initiation

mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR20 Response at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 624.3 (20.5 to 28.6)
Initiation period: 2015-2017: At Month 619.6 (16.8 to 22.7)
Initiation period: 2018-2020: At Month 621.5 (18.1 to 25.3)
Initiation period: 2012-2014: At Month 1227.3 (22.9 to 32.3)
Initiation period: 2015-2017: At Month 1219.4 (16.4 to 22.9)
Initiation period: 2018-2020: At Month 1222.4 (18.2 to 27.3)
SecondaryPercentage of Participants Achieving mACR50 Response at Month 6 and 12: by Time Periods of Initiation

mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR50 Response at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 611.9 (9.2 to 15.3)
Initiation period: 2015-2017: At Month 610.6 (8.6 to 13.2)
Initiation period: 2018-2020: At Month 611.9 (9.4 to 15.1)
Initiation period: 2012-2014: At Month 1212.2 (9.1 to 16.1)
Initiation period: 2015-2017: At Month 1210.8 (8.5 to 13.6)
Initiation period: 2018-2020: At Month 127.8 (5.3 to 11.3)
SecondaryPercentage of Participants Achieving mACR70 Response at Month 6 and 12: by Time Periods of Initiation

mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in 2 of the following 4 criteria: 1) participant assessment of pain (scored from 0 to 100, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the HAQ (scored from 0 to 3, higher scores indicated worsening of function). In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving mACR70 Response at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 65.3 (3.5 to 7.8)
Initiation period: 2015-2017: At Month 64.6 (3.3 to 6.4)
Initiation period: 2018-2020: At Month 66.2 (4.4 to 8.6)
Initiation period: 2012-2014: At Month 125.8 (3.8 to 8.8)
Initiation period: 2015-2017: At Month 125.2 (3.7 to 7.4)
Initiation period: 2018-2020: At Month 123.7 (2.1 to 6.5)
SecondaryPercentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Time Periods of Initiation

DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (mm per hour) and PtGA recorded on 100 mm VAS (scores ranging 0 \[no disease activity\] to 100 mm \[maximum disease activity\]), higher scores indicated more disease activity. DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln (ESR \[mm/hour\] + 0.014\*PtGA \[mm\]; where, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28(ESR) score of \<=3.2 indicated LDA or remission. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Low Disease Activity or Remission Defined by DAS28 ESR <=3.2 at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 612.2 (9.4 to 15.7)
Initiation period: 2015-2017: At Month 614.6 (12 to 17.6)
Initiation period: 2018-2020: At Month 614.0 (11.1 to 17.6)
Initiation period: 2012-2014: At Month 1212.6 (9.4 to 16.7)
Initiation period: 2015-2017: At Month 1216.7 (13.6 to 20.2)
Initiation period: 2018-2020: At Month 1216.5 (12.7 to 21.3)
SecondaryPercentage of Participants With Mild Pain at Month 6 and 12: by Time Periods of Initiation

Participants were asked to assess their level of pain by marking a vertical tick on a 100 mm horizontal VAS scale. The scale ranged from 0-100 mm, where 0 mm = no pain and 100 mm = worst possible pain. Higher scores indicated worsening of pain. Mild pain was defined as \<=20 mm on 100 mm VAS scale in those participants who had pain \>20 mm on 100 mm VAS at the initiation visit. In this outcome measure, data is reported for participants who initiated tofacitinib in different initiation years (2012-2014, 2015-2017, 2018-2020), were reported.

Time frame:
Month 6 and 12 (from the data retrieved and observed for approximately 10 months of this retrospective study)
Reported as:
Number · Percentage of participants
Percentage of Participants With Mild Pain at Month 6 and 12: by Time Periods of Initiation
Percentage of participantsTofacitinib Initiators
Initiation period: 2012-2014: At Month 615.8 (12.5 to 20)
Initiation period: 2015-2017: At Month 619.7 (16.6 to 23.1)
Initiation period: 2018-2020: At Month 620.0 (16.4 to 24.2)
Initiation period: 2012-2014: At Month 1216.7 (12.8 to 21.4)
Initiation period: 2015-2017: At Month 1220.6 (17.1 to 24.5)
Initiation period: 2018-2020: At Month 1218.9 (14.6 to 24)

Adverse events

Collected over Not applicable as adverse events were not collected during the study. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tofacitinib Initiators———

Baseline characteristics

Analysis population included all eligible participants enrolled in Corrona RA registry who initiated tofacitinib on or after 06-Nov-2012 and had at least 6-month follow-up visit before 31-Jan-2021.

Age, Continuous
Age, Continuous(Years)Tofacitinib Initiators
Mean59.99 ± 12.08
Sex: Female, Male
Sex: Female, Male(Participants)Tofacitinib Initiators
Female1386
Male323
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Tofacitinib Initiators
White1424
Hispanic125
Black79
Asian25
Other21
Number of Participants According to Type of Insurance
Number of Participants According to Type of Insurance(Participants)Tofacitinib Initiators
None18
Private1166
Medicare701
Medicaid109
Number of Participants According to Their Final Education
Number of Participants According to Their Final Education(Participants)Tofacitinib Initiators
Primary50
High School667
College/University940
Other10
Number of Participants According to Their Work Status
Number of Participants According to Their Work Status(Participants)Tofacitinib Initiators
Full Time544
Part Time124
Disabled340
Retired522
Other140
Number of Participants According to Smoking Status
Number of Participants According to Smoking Status(Participants)Tofacitinib Initiators
Never835
Previous523
Current329
Weight
Weight(Pounds)Tofacitinib Initiators
Mean183.24 ± 46.62

2 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Pfizer
    New York, New York 10017, United States
09

References and documents

Study documents

  • Study protocol · Apr 18, 2022
  • Statistical analysis plan · Apr 23, 2021

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 Sep 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04721808
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jan 25, 2021
Start date
Jan 22, 2021
Primary completion
Nov 24, 2021
Completion
Nov 24, 2021
Results posted
Sep 29, 2023
Last update
Sep 29, 2023

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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