A Study of Effectiveness and Safety of CNTO 136 in Patients With Active Rheumatoid Arthritis Despite Methotrexate Therapy

Sponsor
Centocor, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00718718
Collaborator
(none)
187
38
7
30.7
4.9
0.2

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the effectiveness and safety of subcutaneous (under the skin) administration of anti-interleukin-6 monoclonal antibody (CNTO 136) in reducing signs and symptoms of participants with active rheumatoid arthritis (RA) with methotrexate (MTX) therapy.

Condition or Disease Intervention/Treatment Phase
  • Drug: CNTO 136 100 mg
  • Drug: CNTO 136 50 mg
  • Drug: CNTO 136 25 mg
  • Drug: Placebo
  • Drug: Methotrexate
Phase 2

Detailed Description

This is a multicenter, double-blind (neither physician nor participants knows the treatment that the participant receives), randomized (study medication is assigned by chance), placebo-controlled (an inactive substance is compared with a medication to test whether the medication has a real effect in a clinical study) study. This study will be conducted in 2 parts (Part A and Part B). Each part consists of 3 phases: screening (approximately 1 month prior to the start of study medication), treatment phase (Part A: 22 weeks and Part B: 24 weeks), and follow-up phase (approximately 4 months after the last administration of study medication). In Part A, participants will be randomly assigned to 2 groups to receive CNTO 136 100 mg and placebo for 22 weeks. All participants in Part A, will be crossed over at Week 12 from placebo to CNTO 136 (for Group 1) and from CNTO 136 to placebo (for Group 2). In Part B, participants will be randomly assigned to 5 groups to receive placebo and/or 1 of 3 doses of CNTO 136 (100mg, 50mg or 25mg) for 24 weeks. Participants in Part B, Group 1 will be crossed over at Week 12 from placebo to CNTO 136. All participants should be maintained on a stable dose of MTX for at least 6 weeks prior to the start of study medication through Week 24. Safety will be evaluated by the assessment of adverse events, vital signs, clinical findings, 12-lead electrocardiogram, and clinical laboratory tests which will be monitored throughout the study. The total duration of study participation for a participant will be approximately 42 weeks.

Study Design

Study Type:
Interventional
Actual Enrollment :
187 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 2, 2-Part, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled, Proof-of-concept, Dose-finding Study Evaluating the Efficacy and Safety of CNTO 136 Administered Subcutaneously in Subjects With Active Rheumatoid Arthritis Despite Methotrexate Therapy
Actual Study Start Date :
Aug 11, 2008
Actual Primary Completion Date :
Mar 3, 2011
Actual Study Completion Date :
Mar 3, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part A, Group 1

Participants will receive placebo (Week 0 to Week 10) and later CNTO 136 100 mg (Week 12 to Week 22) every 2 weeks. Stable dose of methotrexate will be maintained through Week 24.

Drug: CNTO 136 100 mg
CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.
Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part A, Group 2

    Participants will receive CNTO 136 100 mg (Week 0 to Week 10) and later placebo (Week 12 to Week 22) every 2 weeks. Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 100 mg
    CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.
    Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part B, Group 1

    Participants will receive placebo (Week 0 to Week 10) and later CNTO 136 100 mg (Week 12 to Week 24) every 2 weeks. Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 100 mg
    CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.
    Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part B, Group 2

    Participants will receive CNTO 136 100 mg (Week 0 to Week 24) every 2 weeks. Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 100 mg
    CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.
    Other Names:
  • Sirukumab
  • Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part B, Group 3

    Participants will receive CNTO 136 100 mg (Week 0 to Week 24) every 4 weeks and placebo at interim visits (Weeks 2, 6, 10, 14, 18, and 22). Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 100 mg
    CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.
    Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part B, Group 4

    Participants will receive CNTO 136 50 mg (Week 0 to Week 24) every 4 weeks and placebo at interim visits (Weeks 2, 6,10, 14, 18, and 22). Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 50 mg
    CNTO 136 50 mg will be administered subcutaneously every 4 weeks from Week 0 to Week 24.
    Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Experimental: Part B, Group 5

    Participants will receive CNTO 136 25 mg (Week 0 to Week 24) every 4 weeks and placebo at interim visits (Weeks 2, 6,10, 14, 18, and 22). Stable dose of methotrexate will be maintained through Week 24.

    Drug: CNTO 136 25 mg
    CNTO 136 25 mg will be administered subcutaneously every 4 weeks from Week 0 to Week 24.
    Other Names:
  • Sirukumab
  • Drug: Placebo
    Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

    Drug: Methotrexate
    Stable dose of methotrexate will be maintained through Week 24.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B) [Week 12]

      An American College of Rheumatology (ACR) 50 response is defined as greater than or equal to (>=) 50 percent (%) improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and >= 50% improvement in 3 of the following 5 assessments: participant's assessment of pain using Visual Analogue Scale (Score) VAS (0-10 scale, 0=no pain and 10=worst possible pain), participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 = very well to 10 = very poor]), physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, [0=no arthritis activity to 10=extremely active arthritis]), participant's assessment of physical function as measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and serum C-reactive protein (CRP).

    Secondary Outcome Measures

    1. Change From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B) [Baseline, Week 12]

      The DAS28 based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. A negative change from baseline in DAS28 (CRP) (that is, a decrease from baseline) indicates improvement from baseline.

    2. Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A) [Week 12]

      An ACR 50 response is defined as >= 50% improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and >= 50% improvement in 3 of the following 5 assessments: Participant's assessment of pain using VAS (0-10 scale, 0=no pain and 10=worst possible pain), Participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 = very well to 10 = very poor]), Physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, [0=no arthritis activity to 10=extremely active arthritis]), Participant's assessment of physical function as measured by HAQ-DI (the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and Serum CRP.

    3. Serum Sirukumab Concentrations Through Week 38 (Part A) [Week 0, Day 2, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 10, Week 10 Day 4, Week 10 Day 7, Week 12, Week 14, Week 18, Week 22, Week 24, and Week 38]

      Sirukumab Concentrations in serum were measured.

    4. Serum Sirukumab Concentrations Through Week 38 (Part B) [Week 0, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 24 Day4, Week 24 Day7, Week 26, Week 28, Week 30, Week 34 and Week 38]

      Sirukumab Concentrations in serum were measured.

    5. Percent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B) [Baseline, Week 2]

      Serum CRP is a marker of systemic inflammation. A negative change from baseline in CRP represents improvement.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosed with rheumatoid arthritis (RA) for at least 4 months prior to screening

    • Have been treated and having an inadequate response with the tolerated dose of methotrexate (MTX) (at least 15mg/week) for at least 4 months prior to screening. MTX doses of 10 or 12.5 mg/week are allowed if participant had intolerance of 15 mg/week

    • MTX route of administration and dose (not to exceed 25 mg/week) should be stable for at least 6 weeks prior to the start of the study medication

    • Have active RA as defined by persistent disease activity with at least 6 swollen and 6 tender joints, at the time of screening and baseline, and either anti-cyclic citrullinated peptide antibody-positive or rheumatoid factor positive at screening

    • C-reactive protein greater than or equal to 1.0 mg/dL (10 mg/L)

    • Agree to use one of the contraception methods defined in the protocol

    Exclusion Criteria:
    • Have inflammatory diseases other than RA that might confound the evaluation of the benefit of CNTO 136 therapy in arthritis

    • Family history of/ have long QT syndrome; or a history of second or third-degree heart block

    • Received systemic immunosuppressives or disease modifying antirheumatic drug other than MTX, sulfasalazine, hydroxychloroquine or chloroquine within 4 weeks prior to the start of study medication

    • Received intra articular (into joints), intramuscular, or intravenous corticosteroids within 4 weeks prior to the start of study medication

    • Positive human immunodeficiency virus test, hepatitis B or hepatitis C

    • History of / have chronic or recurrent infectious disease, history of / active tuberculosis

    • Have serious infection within 2 months prior to start of study medication

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Aventura Florida United States
    2 Lexington Kentucky United States
    3 Frederick Maryland United States
    4 Kalamazoo Michigan United States
    5 Charlotte North Carolina United States
    6 Winston-Salem North Carolina United States
    7 Duncansville Pennsylvania United States
    8 Anderson South Carolina United States
    9 Budapest Hungary
    10 Győr Hungary
    11 Kecskemét Hungary
    12 Goshogawara Japan
    13 Hitachi Japan
    14 Kawagoe Japan
    15 Kitakyushu Japan
    16 Miyazaki Japan
    17 Sasebo Japan
    18 Shinjuku-Ku Japan
    19 Tomigusuku Japan
    20 Busan Korea, Republic of
    21 Dae-Gu Korea, Republic of
    22 Daejeon Korea, Republic of
    23 Seoul Korea, Republic of
    24 Ciudad De Mexico Mexico
    25 Guadalajara Mexico
    26 Mexico Mexico
    27 Bialystok Poland
    28 Bydgoszcz N/A Poland
    29 Elblag Poland
    30 Gdynia Poland
    31 Krakow Poland
    32 Lublin Poland
    33 Poznan Poland
    34 Warszawa Poland
    35 Kemerovo Russian Federation
    36 Moscow Russian Federation
    37 Novosibirsk Russian Federation
    38 St Petersburg Russian Federation

    Sponsors and Collaborators

    • Centocor, Inc.

    Investigators

    • Study Director: Centocor Clinical Trial, Centocor, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Centocor, Inc.
    ClinicalTrials.gov Identifier:
    NCT00718718
    Other Study ID Numbers:
    • CR015214
    • C1377T04
    • 2007-006603-20
    First Posted:
    Jul 21, 2008
    Last Update Posted:
    Jan 23, 2018
    Last Verified:
    Dec 1, 2017

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Part A - Placebo (Wk 0-Wk 12) Part A - Placebo Then Sirukumab (Wk 12 to End of Study) Part A - Sirukumab (Wk 0-Wk 12) Part A - Sirukumab Then Placebo (Wk 12 to End of Study) Part B - Placebo (Wk 0-Wk 12) Part B - Placebo Then Sirukumab 100 mg q2 Weeks Part B - Sirukumab 100mg q2w Part B - Sirukumab 100mg q4w Part B - Sirukumab 50mg q4w Part B: Sirukumab 25 mg q4 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Participants received placebo at Weeks 12 and q2w through Week 22. Participants received placebo subcutaneously (SC) at Week 0 and q2w for 10 weeks. Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously every 4 weeks (q4w) for 24 weeks and in between placebo SC injections was received at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously every 4 weeks (q4w) for 24 weeks and in between placebo SC injections was received at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
    Period Title: Prior to Week 12
    STARTED 19 0 17 0 30 0 30 30 30 31
    COMPLETED 18 0 16 0 27 0 29 28 28 31
    NOT COMPLETED 1 0 1 0 3 0 1 2 2 0
    Period Title: Prior to Week 12
    STARTED 0 18 0 16 0 27 29 28 28 31
    Treated 0 18 0 16 0 26 29 28 28 31
    COMPLETED 0 17 0 15 0 24 27 27 27 31
    NOT COMPLETED 0 1 0 1 0 3 2 1 1 0

    Baseline Characteristics

    Arm/Group Title Part A: Placebo Part A: Sirukumab 100 mg q2 Weeks Part B: Placebo Part B: Sirukumab 100 mg q2 Weeks Part B: Sirukumab 100 mg q4 Weeks Part B: Sirukumab 50 mg q4 Weeks Part B: Sirukumab 25 mg q4 Weeks Total
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Week 12 and q2w through week 22. Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Total of all reporting groups
    Overall Participants 19 17 30 30 30 30 31 187
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    46.2
    (10.24)
    50.1
    (10.72)
    54.1
    (12.72)
    53.8
    (13.02)
    52
    (11)
    50.9
    (10.29)
    52.8
    (9.41)
    51.8
    (11.26)
    Sex: Female, Male (Count of Participants)
    Female
    11
    57.9%
    14
    82.4%
    25
    83.3%
    27
    90%
    27
    90%
    26
    86.7%
    23
    74.2%
    153
    81.8%
    Male
    8
    42.1%
    3
    17.6%
    5
    16.7%
    3
    10%
    3
    10%
    4
    13.3%
    8
    25.8%
    34
    18.2%
    Region of Enrollment (Count of Participants)
    Hungary
    0
    0%
    0
    0%
    2
    6.7%
    5
    16.7%
    3
    10%
    3
    10%
    4
    12.9%
    17
    9.1%
    Japan
    0
    0%
    0
    0%
    5
    16.7%
    5
    16.7%
    5
    16.7%
    6
    20%
    6
    19.4%
    27
    14.4%
    Mexico
    0
    0%
    0
    0%
    5
    16.7%
    3
    10%
    4
    13.3%
    5
    16.7%
    6
    19.4%
    23
    12.3%
    Poland
    13
    68.4%
    12
    70.6%
    9
    30%
    10
    33.3%
    6
    20%
    5
    16.7%
    7
    22.6%
    62
    33.2%
    Republic of Korea
    0
    0%
    0
    0%
    0
    0%
    1
    3.3%
    1
    3.3%
    2
    6.7%
    1
    3.2%
    5
    2.7%
    Russian Federation
    0
    0%
    0
    0%
    9
    30%
    6
    20%
    10
    33.3%
    9
    30%
    7
    22.6%
    41
    21.9%
    United States
    6
    31.6%
    5
    29.4%
    0
    0%
    0
    0%
    1
    3.3%
    0
    0%
    0
    0%
    12
    6.4%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)
    Description An American College of Rheumatology (ACR) 50 response is defined as greater than or equal to (>=) 50 percent (%) improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and >= 50% improvement in 3 of the following 5 assessments: participant's assessment of pain using Visual Analogue Scale (Score) VAS (0-10 scale, 0=no pain and 10=worst possible pain), participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 = very well to 10 = very poor]), physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, [0=no arthritis activity to 10=extremely active arthritis]), participant's assessment of physical function as measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and serum C-reactive protein (CRP).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included all randomized participants in Part B.
    Arm/Group Title Part B: Placebo Part B: Sirukumab 100 mg q2 Weeks Part B: Sirukumab 100 mg q4 Weeks Part B: Sirukumab 50 mg q4 Weeks Part B: Sirukumab 25 mg q4 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
    Measure Participants 30 30 30 30 31
    Number [Percentage of Participants]
    3.3
    17.4%
    26.7
    157.1%
    23.3
    77.7%
    26.7
    89%
    19.4
    64.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 100 mg q2 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.026
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 100 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.052
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 50 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.026
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 25 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.104
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    2. Secondary Outcome
    Title Change From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)
    Description The DAS28 based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. A negative change from baseline in DAS28 (CRP) (that is, a decrease from baseline) indicates improvement from baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included randomized subjects in Part A (excluding a site based on sponsor audit for data integrity) and Part B. Here 'n' signifies participants who were evaluable at specific time points, for each arm, respectively.
    Arm/Group Title Part A: Placebo Part A: Sirukumab 100 mg q2 Weeks Part B: Placebo Part B: Sirukumab 100 mg q2 Weeks Part B: Sirukumab 100 mg q4 Weeks Part B: Sirukumab 50 mg q4 Weeks Part B: Sirukumab 25 mg q4 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22. Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
    Measure Participants 19 17 30 30 30 30 31
    Baseline
    6.341
    (0.9034)
    5.919
    (0.9676)
    5.908
    (0.7332)
    5.755
    (0.9706)
    6.190
    (0.6829)
    6.051
    (0.8791)
    5.688
    (0.9529)
    Change at Week 12
    -0.619
    (0.8541)
    -2.075
    (0.7979)
    -1.073
    (0.9766)
    -2.248
    (1.2050)
    -2.011
    (0.8843)
    -2.198
    (0.8550)
    -1.964
    (0.9532)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 100 mg q2 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Van Der Waerden ANOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Part B: Sirukumab 100 mg q4 Weeks, Part B: Sirukumab 50 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Van Der Waerden ANOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Part B: Sirukumab 100 mg q4 Weeks, Part B: Sirukumab 25 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Van Der Waerden ANOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Part B: Sirukumab 100 mg q4 Weeks, Part B: Sirukumab 50 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Van Der Waerden ANOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Part B: Sirukumab 100 mg q4 Weeks, Part B: Sirukumab 25 mg q4 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Van Der Waerden ANOVA
    Comments
    3. Secondary Outcome
    Title Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A)
    Description An ACR 50 response is defined as >= 50% improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and >= 50% improvement in 3 of the following 5 assessments: Participant's assessment of pain using VAS (0-10 scale, 0=no pain and 10=worst possible pain), Participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 = very well to 10 = very poor]), Physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, [0=no arthritis activity to 10=extremely active arthritis]), Participant's assessment of physical function as measured by HAQ-DI (the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and Serum CRP.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included all randomized participants in Part A (excluding a site based on sponsor audit for data integrity). Here 'N'(number of participants analyzed) signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Part A: Placebo Part A: Sirukumab 100 mg q2 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22.
    Measure Participants 17 14
    Number [Percentage of Participants]
    5.9
    31.1%
    28.6
    168.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Part B: Placebo, Part B: Sirukumab 100 mg q2 Weeks
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.148
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    4. Secondary Outcome
    Title Serum Sirukumab Concentrations Through Week 38 (Part A)
    Description Sirukumab Concentrations in serum were measured.
    Time Frame Week 0, Day 2, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 10, Week 10 Day 4, Week 10 Day 7, Week 12, Week 14, Week 18, Week 22, Week 24, and Week 38

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included participants treated with CNTO 136 (Sirukumab) in Part A (excluding a site based on sponsor audit for data integrity). Here 'N' (number of participants analyzed) signifies participants evaluable for this outcome measure whereas 'n' signifies participants evaluable at specific time points, for each arm, respectively.
    Arm/Group Title Part A: Placebo Part A: Sirukumab 100 mg q2 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22.
    Measure Participants 17 14
    Week 0
    NA
    (NA)
    0.01
    (0.030)
    Day 2
    NA
    (NA)
    3.73
    (2.581)
    Day 5
    NA
    (NA)
    7.40
    (3.402)
    Day 8
    NA
    (NA)
    6.01
    (2.861)
    Day 11
    NA
    (NA)
    5.42
    (1.866)
    Week 2
    NA
    (NA)
    4.78
    (1.549)
    Week 4
    NA
    (NA)
    8.83
    (3.251)
    Week 6
    NA
    (NA)
    10.49
    (3.327)
    Week 8
    NA
    (NA)
    12.36
    (3.133)
    Week 10
    NA
    (NA)
    13.49
    (3.670)
    Week 10 Day 4
    NA
    (NA)
    19.07
    (4.630)
    Week 10 Day 7
    NA
    (NA)
    18.71
    (4.111)
    Week 12
    NA
    (NA)
    14.31
    (3.438)
    Week 14
    4.78
    (1.779)
    7.07
    (2.544)
    Week 18
    8.52
    (4.338)
    2.74
    (1.737)
    Week 22
    10.79
    (5.830)
    1.18
    (0.816)
    Week 24
    11.37
    (6.177)
    0.88
    (0.599)
    Week 38
    0.41
    (0.525)
    0.02
    (0.051)
    5. Secondary Outcome
    Title Serum Sirukumab Concentrations Through Week 38 (Part B)
    Description Sirukumab Concentrations in serum were measured.
    Time Frame Week 0, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 24 Day4, Week 24 Day7, Week 26, Week 28, Week 30, Week 34 and Week 38

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included participants treated with CNTO 136 (Sirukumab) in Part B. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure whereas 'n' signifies participants who were evaluable at specific time points, for each arm, respectively.
    Arm/Group Title Part B: Placebo Part B: Sirukumab 100 mg q2 Weeks Part B: Sirukumab 100 mg q4 Weeks Part B: Sirukumab 50 mg q4 Weeks Part B: Sirukumab 25 mg q4 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
    Measure Participants 26 30 30 30 31
    Week 0
    NA
    (NA)
    0.03
    (0.087)
    0.00
    (0.000)
    0.02
    (0.076)
    0.01
    (0.048)
    Day 5
    NA
    (NA)
    6.75
    (3.212)
    6.21
    (2.933)
    2.66
    (1.447)
    1.59
    (0.808)
    Day 8
    NA
    (NA)
    5.67
    (2.398)
    5.85
    (2.774)
    2.61
    (1.339)
    1.49
    (0.556)
    Day 11
    0.02
    (0.063)
    4.50
    (2.307)
    4.68
    (2.539)
    2.54
    (1.233)
    1.26
    (0.516)
    Week 2
    NA
    (NA)
    4.30
    (2.265)
    3.81
    (1.934)
    1.97
    (0.916)
    1.16
    (0.426)
    Week 4
    NA
    (NA)
    7.16
    (3.290)
    2.02
    (1.073)
    0.97
    (0.470)
    0.85
    (1.167)
    Week 8
    NA
    (NA)
    10.54
    (5.008)
    3.08
    (1.806)
    1.45
    (0.764)
    0.99
    (0.560)
    Week 12
    NA
    (NA)
    11.63
    (5.232)
    3.10
    (1.633)
    1.79
    (0.836)
    0.99
    (0.478)
    Week 16
    6.84
    (2.270)
    9.96
    (5.107)
    3.51
    (2.545)
    2.03
    (1.366)
    0.98
    (0.425)
    Week 20
    9.94
    (3.646)
    10.29
    (4.951)
    3.92
    (2.665)
    1.80
    (1.030)
    1.03
    (0.496)
    Week 24
    11.04
    (4.607)
    10.73
    (5.182)
    3.80
    (2.815)
    1.89
    (1.042)
    1.04
    (0.491)
    Week 24 Day 4
    16.46
    (6.826)
    17.34
    (9.046)
    9.06
    (5.632)
    4.42
    (1.293)
    3.36
    (1.578)
    Week 24 Day 7
    15.14
    (5.991)
    15.01
    (7.853)
    9.58
    (5.721)
    4.52
    (1.719)
    2.80
    (1.580)
    Week 26
    10.97
    (4.565)
    10.09
    (6.808)
    6.49
    (5.401)
    3.72
    (1.434)
    1.91
    (1.009)
    Week 28
    6.93
    (3.378)
    6.69
    (4.329)
    4.15
    (2.830)
    1.84
    (0.764)
    1.06
    (0.539)
    Week 30
    4.49
    (2.708)
    4.06
    (2.341)
    2.42
    (1.931)
    1.07
    (0.529)
    0.52
    (0.335)
    Week 34
    1.88
    (1.451)
    1.92
    (1.403)
    0.94
    (0.948)
    0.39
    (0.396)
    0.10
    (0.138)
    Week 38
    0.71
    (0.756)
    0.72
    (0.704)
    0.29
    (0.382)
    0.08
    (0.114)
    0.01
    (0.037)
    6. Secondary Outcome
    Title Percent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)
    Description Serum CRP is a marker of systemic inflammation. A negative change from baseline in CRP represents improvement.
    Time Frame Baseline, Week 2

    Outcome Measure Data

    Analysis Population Description
    Population analyzed included randomized participants in Part A (excluding a site based on sponsor audit for data integrity) and Part B. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Part B: Placebo Part B: Sirukumab 100 mg q2 Weeks Part B: Sirukumab 100 mg q4 Weeks Part B: Sirukumab 50 mg q4 Weeks Part B: Sirukumab 25 mg q4 Weeks Part A: Placebo Part A: Sirukumab 100 mg q2 Weeks
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22. Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22.
    Measure Participants 30 30 30 30 31 17 14
    Mean (Standard Deviation) [Percent change]
    -49.31
    (246.040)
    81.46
    (25.000)
    88.53
    (12.675)
    85.42
    (18.242)
    81.22
    (24.484)
    19.97
    (41.232)
    91.19
    (4.812)

    Adverse Events

    Time Frame Screening up to Week 38
    Adverse Event Reporting Description Safety population (SP) included all participants who received at least 1 dose of study agent (including safety data from all investigator sites irrespective of audit findings).
    Arm/Group Title Part A - Placebo (Wk 0-Wk 12) Part A - Placebo Then Sirukumab (Wk 12 to End of Study) Part A - Sirukumab (Wk 0-Wk 12) Part A - Sirukumab Then Placebo (Wk 12 to End of Study) Part B - Placebo (Wk 0-Wk 12) Part B - Placebo Then Sirukumab 100 mg q2 Weeks Part B - Sirukumab 100mg q2w Part B - Sirukumab 100mg q4w Part B - Sirukumab 50mg q4w Part B - Sirukumab 25mg q4w
    Arm/Group Description Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Weeks 12 and q2w through week 22. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Participants received placebo at Weeks 12 and q2w through Week 22. Participants received placebo subcutaneously (SC) at Week 0 and q2w for 10 weeks. Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 24. Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24. Participants received 100 mg of sirukumab subcutaneously every 4 weeks (q4w) for 24 weeks and in between placebo SC injections was received at Weeks 2, 6, and q4w through week 22. Participants received 50 mg of sirukumab subcutaneously every 4 weeks (q4w) for 24 weeks and in between placebo SC injections was received at Weeks 2, 6, and q4w through week 22. Participants received 25 mg of sirukumab subcutaneously every 4 weeks (q4w) for 24 weeks and in between placebo SC injections was received at Weeks 2, 6, and q4w through week 22.
    All Cause Mortality
    Part A - Placebo (Wk 0-Wk 12) Part A - Placebo Then Sirukumab (Wk 12 to End of Study) Part A - Sirukumab (Wk 0-Wk 12) Part A - Sirukumab Then Placebo (Wk 12 to End of Study) Part B - Placebo (Wk 0-Wk 12) Part B - Placebo Then Sirukumab 100 mg q2 Weeks Part B - Sirukumab 100mg q2w Part B - Sirukumab 100mg q4w Part B - Sirukumab 50mg q4w Part B - Sirukumab 25mg q4w
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Part A - Placebo (Wk 0-Wk 12) Part A - Placebo Then Sirukumab (Wk 12 to End of Study) Part A - Sirukumab (Wk 0-Wk 12) Part A - Sirukumab Then Placebo (Wk 12 to End of Study) Part B - Placebo (Wk 0-Wk 12) Part B - Placebo Then Sirukumab 100 mg q2 Weeks Part B - Sirukumab 100mg q2w Part B - Sirukumab 100mg q4w Part B - Sirukumab 50mg q4w Part B - Sirukumab 25mg q4w
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 4/30 (13.3%) 2/26 (7.7%) 2/30 (6.7%) 5/30 (16.7%) 1/30 (3.3%) 3/31 (9.7%)
    Eye disorders
    Blindness 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Infections and infestations
    Appendicitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Arthritis Bacterial 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Bursitis Infective 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Cellulitis Staphylococcal 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Pelvic Inflammatory Disease 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Pneumonia 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Pyelonephritis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Investigations
    Transaminases Increased 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Musculoskeletal and connective tissue disorders
    Rheumatoid Arthritis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Fibrosarcoma 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Nervous system disorders
    Facial Paresis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Intracranial Aneurysm 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Subarachnoid Haemorrhage 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Vertebral Artery Occlusion 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Reproductive system and breast disorders
    Uterine Polyp 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Skin and subcutaneous tissue disorders
    Skin Ulcer 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Other (Not Including Serious) Adverse Events
    Part A - Placebo (Wk 0-Wk 12) Part A - Placebo Then Sirukumab (Wk 12 to End of Study) Part A - Sirukumab (Wk 0-Wk 12) Part A - Sirukumab Then Placebo (Wk 12 to End of Study) Part B - Placebo (Wk 0-Wk 12) Part B - Placebo Then Sirukumab 100 mg q2 Weeks Part B - Sirukumab 100mg q2w Part B - Sirukumab 100mg q4w Part B - Sirukumab 50mg q4w Part B - Sirukumab 25mg q4w
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 12/19 (63.2%) 18/18 (100%) 12/17 (70.6%) 10/16 (62.5%) 15/30 (50%) 11/26 (42.3%) 20/30 (66.7%) 18/30 (60%) 25/30 (83.3%) 23/31 (74.2%)
    Blood and lymphatic system disorders
    Haemorrhagic Diathesis 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Leukopenia 0/19 (0%) 1/18 (5.6%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 3/26 (11.5%) 4/30 (13.3%) 4/30 (13.3%) 5/30 (16.7%) 3/31 (9.7%)
    Neutropenia 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 2/30 (6.7%) 2/30 (6.7%) 0/31 (0%)
    Thrombocytopenia 0/19 (0%) 2/18 (11.1%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 1/30 (3.3%) 0/30 (0%) 1/31 (3.2%)
    Cardiac disorders
    Bundle Branch Block Left 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Ear and labyrinth disorders
    Tinnitus 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Vertigo 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Eye disorders
    Eye Pain 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Uveitis 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Vision Blurred 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Gastrointestinal disorders
    Abdominal Pain 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 1/30 (3.3%) 1/30 (3.3%) 0/31 (0%)
    Abdominal Pain Upper 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 2/30 (6.7%) 1/31 (3.2%)
    Aphthous Stomatitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 1/30 (3.3%) 1/30 (3.3%) 0/31 (0%)
    Colitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 3/31 (9.7%)
    Diarrhoea 1/19 (5.3%) 0/18 (0%) 3/17 (17.6%) 0/16 (0%) 1/30 (3.3%) 1/26 (3.8%) 2/30 (6.7%) 0/30 (0%) 1/30 (3.3%) 1/31 (3.2%)
    Dyspepsia 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 2/31 (6.5%)
    Periodontitis 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Stomatitis 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Vomiting 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    General disorders
    Fatigue 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Injection Site Erythema 0/19 (0%) 4/18 (22.2%) 6/17 (35.3%) 0/16 (0%) 1/30 (3.3%) 2/26 (7.7%) 3/30 (10%) 2/30 (6.7%) 4/30 (13.3%) 6/31 (19.4%)
    Injection Site Pain 1/19 (5.3%) 1/18 (5.6%) 4/17 (23.5%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Injection Site Pruritus 0/19 (0%) 0/18 (0%) 2/17 (11.8%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Injection Site Rash 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 2/30 (6.7%) 0/31 (0%)
    Injection Site Swelling 0/19 (0%) 1/18 (5.6%) 2/17 (11.8%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Injection Site Urticaria 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Injection Site Warmth 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Pyrexia 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Hepatobiliary disorders
    Hepatitis 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Infections and infestations
    Acute Tonsillitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 2/30 (6.7%) 0/30 (0%) 0/31 (0%)
    Bronchitis 2/19 (10.5%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Gastroenteritis 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 1/30 (3.3%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 0/31 (0%)
    Herpes Zoster 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Lymphangitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Nasopharyngitis 1/19 (5.3%) 2/18 (11.1%) 2/17 (11.8%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 5/30 (16.7%) 0/30 (0%) 1/30 (3.3%) 2/31 (6.5%)
    Pharyngitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 1/30 (3.3%) 2/30 (6.7%) 2/31 (6.5%)
    Pneumonia 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Rhinitis 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Sinusitis 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 2/30 (6.7%) 1/31 (3.2%)
    Staphylococcal Skin Infection 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Upper Respiratory Tract Infection 2/19 (10.5%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 3/30 (10%) 3/30 (10%) 2/31 (6.5%)
    Injury, poisoning and procedural complications
    Synovial Rupture 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Investigations
    Alanine Aminotransferase Increased 0/19 (0%) 4/18 (22.2%) 2/17 (11.8%) 0/16 (0%) 1/30 (3.3%) 1/26 (3.8%) 4/30 (13.3%) 7/30 (23.3%) 10/30 (33.3%) 6/31 (19.4%)
    Aspartate Aminotransferase Increased 0/19 (0%) 0/18 (0%) 2/17 (11.8%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 3/30 (10%) 4/30 (13.3%) 6/30 (20%) 3/31 (9.7%)
    Blood Bilirubin Increased 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 2/30 (6.7%) 0/30 (0%) 1/31 (3.2%)
    Blood Cholesterol Increased 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 3/30 (10%) 1/30 (3.3%) 1/31 (3.2%)
    Blood Glucose Increased 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 1/30 (3.3%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Blood Insulin Increased 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 3/30 (10%) 0/31 (0%)
    Blood Potassium Decreased 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 2/16 (12.5%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Haemoglobin Decreased 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 2/30 (6.7%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Insulin Resistance Test 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 3/30 (10%) 0/31 (0%)
    Intraocular Pressure Increased 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Transaminases Increased 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 1/26 (3.8%) 1/30 (3.3%) 0/30 (0%) 1/30 (3.3%) 2/31 (6.5%)
    White Blood Cell Count Decreased 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 1/26 (3.8%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 2/31 (6.5%)
    Metabolism and nutrition disorders
    Hypercholesterolaemia 1/19 (5.3%) 1/18 (5.6%) 5/17 (29.4%) 2/16 (12.5%) 1/30 (3.3%) 0/26 (0%) 5/30 (16.7%) 1/30 (3.3%) 2/30 (6.7%) 4/31 (12.9%)
    Hyperlipidaemia 0/19 (0%) 1/18 (5.6%) 1/17 (5.9%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 1/31 (3.2%)
    Hypokalaemia 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 2/31 (6.5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 1/16 (6.3%) 1/30 (3.3%) 1/26 (3.8%) 2/30 (6.7%) 1/30 (3.3%) 1/30 (3.3%) 0/31 (0%)
    Intervertebral Disc Degeneration 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Musculoskeletal Chest Pain 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 1/30 (3.3%) 1/31 (3.2%)
    Musculoskeletal Pain 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Neck Pain 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Pain in Extremity 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 2/30 (6.7%) 0/30 (0%) 1/31 (3.2%)
    Rheumatoid Arthritis 2/19 (10.5%) 1/18 (5.6%) 1/17 (5.9%) 2/16 (12.5%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 1/30 (3.3%) 3/30 (10%) 1/31 (3.2%)
    Spinal Column Stenosis 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Tendon Pain 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Nervous system disorders
    Dizziness 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 3/30 (10%) 1/26 (3.8%) 0/30 (0%) 1/30 (3.3%) 0/30 (0%) 0/31 (0%)
    Headache 1/19 (5.3%) 1/18 (5.6%) 0/17 (0%) 1/16 (6.3%) 2/30 (6.7%) 1/26 (3.8%) 2/30 (6.7%) 1/30 (3.3%) 1/30 (3.3%) 2/31 (6.5%)
    Migraine 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Sciatica 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Psychiatric disorders
    Anxiety 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 1/30 (3.3%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Respiratory, thoracic and mediastinal disorders
    Upper Respiratory Tract Inflammation 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 1/30 (3.3%) 2/26 (7.7%) 0/30 (0%) 1/30 (3.3%) 1/30 (3.3%) 0/31 (0%)
    Skin and subcutaneous tissue disorders
    Dry Skin 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Rash 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Urticaria 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 1/31 (3.2%)
    Vascular disorders
    Haematoma 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 0/30 (0%) 0/26 (0%) 0/30 (0%) 0/30 (0%) 0/30 (0%) 0/31 (0%)
    Hypertension 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/16 (6.3%) 2/30 (6.7%) 0/26 (0%) 2/30 (6.7%) 0/30 (0%) 0/30 (0%) 3/31 (9.7%)
    Thrombophlebitis 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/16 (0%) 0/30 (0%) 0/26 (0%) 2/30 (6.7%) 0/30 (0%) 0/30 (0%) 0/31 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    A copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.

    Results Point of Contact

    Name/Title Associate Director
    Organization Janssen Research & Development, LLC
    Phone
    Email ClinicalTrialDisclosure@its.jnj.com
    Responsible Party:
    Centocor, Inc.
    ClinicalTrials.gov Identifier:
    NCT00718718
    Other Study ID Numbers:
    • CR015214
    • C1377T04
    • 2007-006603-20
    First Posted:
    Jul 21, 2008
    Last Update Posted:
    Jan 23, 2018
    Last Verified:
    Dec 1, 2017