A Study of CNTO 136 (Sirukumab), a Human Anti-IL-6 Monoclonal Antibody, Administered Subcutaneously, in Patients With Active Rheumatoid Arthritis Despite Anti-TNF-Alpha Therapy (SIRROUND-T)
Study Details
Study Description
Brief Summary
The purpose of this study is to assess the efficacy of sirukumab as measured by the reduction of the signs and symptoms of rheumatoid arthritis (RA) in patients with active RA who are unresponsive or intolerant to treatment with anti-TNF-alpha agents.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Patients will be randomly assigned to treatment groups, and they and study personnel will not know the identity of the treatments given. Some patients will receive a placebo, which resembles a medication, but does not contain an active substance. This helps to determine if the study agent is effective. Patients will receive placebo or sirukumab by injection under the skin. The expected duration of the study is 68 weeks, which includes 52 weeks of treatment. Participants who complete participation in the study will be eligible for inclusion into the long term extension study if enrollment at a participating site is available to them. If they do not participate in the long-term study, they will continue into the safety follow-up for approximately 16 weeks. The placebo-controlled portion of the study is through Week 24, when placebo patients will cross over to one of two sirukumab dose regimens. Patient safety will be monitored throughout the study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Group 1 Patients will receive placebo every 2 weeks from Week 0 through Week 22, followed by a subcutaneous (SC) sirukumab dose regimen every 2 weeks through Week 52. |
Drug: Placebo
Form=solution for injection, route=subcutaneous use; every 2 weeks from Week 0 through Week 22.
Drug: Sirukumab
Type=exact, unit=mg, number=50 or 100, form=solution for injection, route=subcutaneous use; every 2 weeks for 100 mg and every 4 weeks for 50 mg, Week 23 through Week 52.
|
Experimental: Group 2 Patients will receive sirukumab 100 mg SC at Weeks 0, 2, and every 2 weeks through Week 52. |
Drug: Sirukumab
Type=exact, unit=mg, number=100, form=solution for injection, route=subcutaneous use; Weeks 0, 2, and every 2 weeks through Week 52.
|
Experimental: Group 3 Patients will receive sirukumab 50 mg SC at Weeks 0, 4, and every 4 weeks through Week 52. Between sirukumab injections, placebo SC administrations will be made at Weeks 2, 6, and every 4 weeks through Week 52. |
Drug: Placebo
Form=solution for injection, route=subcutaneous use; Weeks 2, 6, and every 4 weeks through Week 52.
Drug: Sirukumab
Type=exact, unit=mg, number=50, form=solution for injection, route=subcutaneous use; Weeks 0, 4, and every 4 weeks through Week 52.
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants Achieving American College of Rheumatology (ACR) 20 Response at Week 16 [Week 16]
The ACR 20 Response is defined as greater than or equal to (>=) 20 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and >=20 percent improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 =no pain to 10 =worst possible pain]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI 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
- Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score at Week 24 [Baseline and Week 24]
The HAQ-DI is a 20-question instrument that assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping and activities of daily living). Responses in each functional area are scored from 0 to 3 (0=no difficulty and 3=inability to perform a task in that area). Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
- Percentage of Participants Achieving American College of Rheumatology (ACR) 50 Response at Week 24 [Week 24]
The ACR 50 Response is defined as >= 50 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and >=50 percent improvement in 3 of following 5 assessments: patient's assessment of pain using VAS ( 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 =no pain to 10 =worst possible pain]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by HAQ-DI (defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and serum C-Reactive Protein (CRP).
- Percentage of Participants With Disease Activity Index Score 28 (CRP) Remission at Week 24 [Week 24]
The Disease Activity Index Score 28 (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. DAS28 (CRP) remission is defined as a DAS28 (CRP) value of less than (<) 2.6 at any study visit.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Have a diagnosis of rheumatoid arthritis (RA) for at least 3 months before screening
-
Have moderately to severely active RA with at least 4 of 68 tender joints and 4 of 66 swollen joints, at screening and at baseline
-
Have had anti-tumor necrosis factor (TNF)-alpha therapy and were unresponsive by 1 of the following 2 reasons: Lack of benefit to at least 1 anti-TNF-alpha biologic therapy, as assessed by the treating physician, after at least 12 weeks of etanercept, yisaipu, adalimumab, golimumab, or certolizumab pegol therapy and/or at least a 14-week dosage regimen (ie, at least 4 doses) of infliximab; Intolerance to at least 2 anti-TNF-alpha biologic therapies, as assessed by the treating physician, to etanercept, yisaipu, adalimumab, golimumab, certolizumab pegol, or infliximab or have documented intolerance to an anti-TNF-alpha agent as described above that precludes further administration of anti-TNF-alpha agents
-
If using oral corticosteroids, must be on a stable dose equivalent to less than or equal to 10 mg/day of prednisone for at least 2 weeks prior to the first administration of study agent. If currently not using corticosteroids, must not have received oral corticosteroids for at least 2 weeks prior to the first administration of study agent
-
If using non nonsteroidal anti-inflammatory drug (NSAIDs) or other analgesics for RA, must be on a stable dose for at least 2 weeks prior to the first administration of study agent
-
If using non-biologic disease modifying antirheumatic drugs (DMARDs) such as methotrexate (MTX), sulfasalazine (SSZ), hydroxychloroquine, chloroquine, or bucillamine, must be on a stable dose for at least 4 weeks prior to the first administration of study agent and should have no serious toxic side effects attributable to the DMARD
-
C-reactive protein (CRP) 8.00 mg/L or more or erythrocyte sedimentation rate (ESR) 28 mm/hr or more at screening
Exclusion Criteria:
-
Has received infliximab, infliximab biosimilar, or golimumab intravenous (IV) within 8 weeks of the first study agent administration
-
Has received subcutaneously (SC) golimumab, adalimumab, or certolizumab pegol within 6 weeks of the first study agent administration
-
Has received etanercept or yisaipu within 4 weeks of the first study agent administration
-
Has a history of intolerance to tocilizumab that precluded further treatment with it, or inadequate response to 3 months of tocilizumab (anti-IL-6 receptor) therapy. Has used tocilizumab within 8 weeks of the first study agent administration
-
Has used B-cell-depleting therapy (eg, rituximab) within 7 months of first study agent administration or have evidence during screening of abnormally low B-cell level caused by previous B-cell depletion therapy
-
Has used anakinra within 1 week of first study agent administration
-
Has used abatacept or any other biologic therapy for the treatment of RA within 8 weeks of the first study agent administration
-
Has received intra-articular (IA), intramuscular (IM), or IV corticosteroids for RA, including adrenocorticotrophic hormone during the 4 weeks prior to first study agent administration
-
Has received leflunomide within 24 months before the first study agent administration and has not undergone a drug elimination procedure, unless the M1 metabolite is measured and is undetectable
-
Has a history of cyclophosphamide or cytotoxic agent use
-
Has received cyclosporine A, azathioprine, tacrolimus, mycophenolate mofetil, oral or parenteral gold, or D-penicillamine within 4 weeks of the first study agent administration
-
Has received an investigational drug (including investigational vaccines) or used an investigational medical device within 3 months or 5 half-lives, whichever is longer, before the first study agent administration
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Birmingham | Alabama | United States | ||
2 | Glendale | Arizona | United States | ||
3 | Mesa | Arizona | United States | ||
4 | Phoenix | Arizona | United States | ||
5 | Covina | California | United States | ||
6 | El Cajon | California | United States | ||
7 | Hemet | California | United States | ||
8 | Huntington Beach | California | United States | ||
9 | La Jolla | California | United States | ||
10 | La Palma | California | United States | ||
11 | Placentia | California | United States | ||
12 | Santa Monica | California | United States | ||
13 | Tustin | California | United States | ||
14 | Upland | California | United States | ||
15 | Victorville | California | United States | ||
16 | Whittier | California | United States | ||
17 | Hamden | Connecticut | United States | ||
18 | Aventura | Florida | United States | ||
19 | Boca Raton | Florida | United States | ||
20 | Brandon | Florida | United States | ||
21 | Daytona Beach | Florida | United States | ||
22 | Lake Mary | Florida | United States | ||
23 | Miami | Florida | United States | ||
24 | Naples | Florida | United States | ||
25 | Orlando | Florida | United States | ||
26 | Palm Harbor | Florida | United States | ||
27 | Plantation | Florida | United States | ||
28 | Sarasota | Florida | United States | ||
29 | Tampa | Florida | United States | ||
30 | Zephyrhills | Florida | United States | ||
31 | Boise | Idaho | United States | ||
32 | Idaho Falls | Idaho | United States | ||
33 | Indianapolis | Indiana | United States | ||
34 | Cedar Rapids | Iowa | United States | ||
35 | Bowling Green | Kentucky | United States | ||
36 | Monroe | Louisiana | United States | ||
37 | Shreveport | Louisiana | United States | ||
38 | Cumberland | Maryland | United States | ||
39 | Frederick | Maryland | United States | ||
40 | Hagerstown | Maryland | United States | ||
41 | Eagan | Minnesota | United States | ||
42 | Rochester | Minnesota | United States | ||
43 | Flowood | Mississippi | United States | ||
44 | Tupelo | Mississippi | United States | ||
45 | Saint Louis | Missouri | United States | ||
46 | Springfield | Missouri | United States | ||
47 | Omaha | Nebraska | United States | ||
48 | Las Vegas | Nevada | United States | ||
49 | Freehold | New Jersey | United States | ||
50 | Albuquerque | New Mexico | United States | ||
51 | Brooklyn | New York | United States | ||
52 | Lake Success | New York | United States | ||
53 | Plainview | New York | United States | ||
54 | Charlotte | North Carolina | United States | ||
55 | Hickory | North Carolina | United States | ||
56 | Cincinnati | Ohio | United States | ||
57 | Columbus | Ohio | United States | ||
58 | Dayton | Ohio | United States | ||
59 | Middleburg Heights | Ohio | United States | ||
60 | Edmond | Oklahoma | United States | ||
61 | Tulsa | Oklahoma | United States | ||
62 | Erie | Pennsylvania | United States | ||
63 | Pittsburgh | Pennsylvania | United States | ||
64 | Wyomissing | Pennsylvania | United States | ||
65 | East Greenwich | Rhode Island | United States | ||
66 | Charleston | South Carolina | United States | ||
67 | Austin | Texas | United States | ||
68 | Carrollton | Texas | United States | ||
69 | Corpus Christi | Texas | United States | ||
70 | Cypress | Texas | United States | ||
71 | Dallas | Texas | United States | ||
72 | Houston | Texas | United States | ||
73 | Katy | Texas | United States | ||
74 | Lubbock | Texas | United States | ||
75 | Mesquite | Texas | United States | ||
76 | Richmond | Texas | United States | ||
77 | Victoria | Texas | United States | ||
78 | Kennewick | Washington | United States | ||
79 | Seattle | Washington | United States | ||
80 | Beckley | West Virginia | United States | ||
81 | Clarksburg | West Virginia | United States | ||
82 | Ciudad Autónoma De Buenos Aires | Argentina | |||
83 | Rosario | Argentina | |||
84 | San Miguel De Tucuman | Argentina | |||
85 | Campbelltown | Australia | |||
86 | Victoria Park | Australia | |||
87 | Vienna | Austria | |||
88 | Wien | Austria | |||
89 | Liège | Belgium | |||
90 | Victoria | British Columbia | Canada | ||
91 | Winnipeg | Manitoba | Canada | ||
92 | St. John'S | Newfoundland and Labrador | Canada | ||
93 | Kitchener | Ontario | Canada | ||
94 | Burlington | Canada | |||
95 | Saint-John'S | Canada | |||
96 | Toronto N/A | Canada | |||
97 | Zagreb | Croatia | |||
98 | Paris | France | |||
99 | Toulouse Cedex 9 | France | |||
100 | Berlin | Germany | |||
101 | Dresden | Germany | |||
102 | Erfurt | Germany | |||
103 | Frankfurt/Main | Germany | |||
104 | Gÿttingen N/A | Germany | |||
105 | Hamburg | Germany | |||
106 | Herne | Germany | |||
107 | Kiel Kronshagen | Germany | |||
108 | Köln | Germany | |||
109 | Schwerin | Germany | |||
110 | Vogelsang-Gommern | Germany | |||
111 | Würzburg | Germany | |||
112 | Zerbst | Germany | |||
113 | Ayauta | Japan | |||
114 | Bunkyo-Ku | Japan | |||
115 | Fukuoka | Japan | |||
116 | Fukuyama | Japan | |||
117 | Higashihiroshima | Japan | |||
118 | Hiroshima | Japan | |||
119 | Izumo | Japan | |||
120 | Kagoshima | Japan | |||
121 | Kato | Japan | |||
122 | Kawagoe | Japan | |||
123 | Kita-Gun | Japan | |||
124 | Kumamoto | Japan | |||
125 | Kurume | Japan | |||
126 | Matsuyama | Japan | |||
127 | Miyazaki | Japan | |||
128 | Nagano | Japan | |||
129 | Nagasaki | Japan | |||
130 | Nagoya | Japan | |||
131 | Nishimuro-Gun | Japan | |||
132 | Nishinomiya | Japan | |||
133 | Okayama | Japan | |||
134 | Osaka | Japan | |||
135 | Sapporo | Japan | |||
136 | Sasebo | Japan | |||
137 | Shibata | Japan | |||
138 | Shimonoseki | Japan | |||
139 | Shimotsuke | Japan | |||
140 | Shinjuku-Ku | Japan | |||
141 | Sumida-Ku | Japan | |||
142 | Takaoka,Toyama | Japan | |||
143 | Takasaki | Japan | |||
144 | Tokorozawa | Japan | |||
145 | Tokushima | Japan | |||
146 | Tomakomai | Japan | |||
147 | Tomishiro | Japan | |||
148 | Tonami | Japan | |||
149 | Tsu | Japan | |||
150 | Ureshino | Japan | |||
151 | Yokohama | Japan | |||
152 | Busan | Korea, Republic of | |||
153 | Daegu | Korea, Republic of | |||
154 | Daejeon | Korea, Republic of | |||
155 | Gwangju | Korea, Republic of | |||
156 | Incheon | Korea, Republic of | |||
157 | Jeonju-Si | Korea, Republic of | |||
158 | Seongnam-Si | Korea, Republic of | |||
159 | Seoul | Korea, Republic of | |||
160 | Suwon | Korea, Republic of | |||
161 | Kaunas | Lithuania | |||
162 | Klaipeda | Lithuania | |||
163 | Guadalajara | Mexico | |||
164 | Merida | Mexico | |||
165 | San Luis Potosí | Mexico | |||
166 | Sneek | Netherlands | |||
167 | Christchurch | New Zealand | |||
168 | Hamilton | New Zealand | |||
169 | Wellington | New Zealand | |||
170 | Bydgoszcz | Poland | |||
171 | Elblag | Poland | |||
172 | Lublin | Poland | |||
173 | Poznan | Poland | |||
174 | Ustron | Poland | |||
175 | Warszawa | Poland | |||
176 | Coimbra | Portugal | |||
177 | Lisboa | Portugal | |||
178 | Lisbon | Portugal | |||
179 | San Juan | Puerto Rico | |||
180 | Barnaul | Russian Federation | |||
181 | Moscow N/A | Russian Federation | |||
182 | Moscow | Russian Federation | |||
183 | Novosibirsk | Russian Federation | |||
184 | Omsk | Russian Federation | |||
185 | Orenburg | Russian Federation | |||
186 | Ryazan | Russian Federation | |||
187 | Saint Petersburg | Russian Federation | |||
188 | Saratov | Russian Federation | |||
189 | Ulyanovsk | Russian Federation | |||
190 | Bilbao | Spain | |||
191 | Coruña | Spain | |||
192 | La Laguna | Spain | |||
193 | Madrid | Spain | |||
194 | Mérida | Spain | |||
195 | Santander | Spain | |||
196 | Santiago De Compostela | Spain | |||
197 | Kaohsiung | Taiwan | |||
198 | Taichung City | Taiwan | |||
199 | Taichung | Taiwan | |||
200 | Taipei | Taiwan | |||
201 | Barnsley | United Kingdom | |||
202 | London | United Kingdom | |||
203 | Middlesbrough | United Kingdom | |||
204 | Sheffield | United Kingdom | |||
205 | Wigan | United Kingdom |
Sponsors and Collaborators
- Janssen Research & Development, LLC
- GlaxoSmithKline
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CR100864
- CNTO136ARA3003
- 2010-022243-38
- U1111-1135-6365
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | A total of 878 participants (placebo [n=294], sirukumab 50 mg every 4 week (q4w) [n=292], and sirukumab 100 milligram (mg) every 2 week (q2w) [n=292]) were randomized and included in the study. |
Arm/Group Title | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Placebo to 50 mg q4w Due to EE or CO | Placebo to 100 mg q2w Due to EE or CO |
---|---|---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. Participants who discontinued or completed study agent administration before and up to Week 52 entered the safety follow-up period as well as those who completed through Week 52 were followed up for safety. | All participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | All participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who received matching placebo in the placebo controlled period were re-randomized (due to early escape [EE] at Week 18 or crossed over [CO] at Week 24) to receive subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who received matching placebo in the placebo controlled period were re-randomized (due to EE at Week 18 or CO at Week 24) to receive subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. |
Period Title: Prior to Week 24 | |||||
STARTED | 294 | 292 | 292 | 0 | 0 |
Participants Re-randomized at Week 18 | 94 | 0 | 0 | 0 | 0 |
COMPLETED | 252 | 237 | 245 | 0 | 0 |
NOT COMPLETED | 42 | 55 | 47 | 0 | 0 |
Period Title: Prior to Week 24 | |||||
STARTED | 0 | 237 | 245 | 126 | 126 |
Treated | 0 | 237 | 245 | 124 | 126 |
COMPLETED | 0 | 204 | 212 | 109 | 106 |
NOT COMPLETED | 0 | 33 | 33 | 17 | 20 |
Period Title: Prior to Week 24 | |||||
STARTED | 28 | 65 | 62 | 9 | 19 |
Safety Population | 28 | 65 | 62 | 7 | 19 |
COMPLETED | 24 | 55 | 45 | 7 | 11 |
NOT COMPLETED | 4 | 10 | 17 | 2 | 8 |
Baseline Characteristics
Arm/Group Title | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Total |
---|---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. Participants who discontinued or completed study agent administration before and up to Week 52 entered the safety follow-up period as well as those who completed through Week 52 were followed up for safety. | All participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | All participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Total of all reporting groups |
Overall Participants | 294 | 292 | 292 | 878 |
Age (Count of Participants) | ||||
<=18 years |
0
(12.19)
0%
|
0
(11.89)
0%
|
0
(12.28)
0%
|
0
0%
|
Between 18 and 65 years |
228
77.6%
|
225
77.1%
|
230
78.8%
|
683
77.8%
|
>=65 years |
66
22.4%
|
67
22.9%
|
62
21.2%
|
195
22.2%
|
Age (years) [Mean (Standard Deviation) ] | ||||
Mean (Standard Deviation) [years] |
55.4
(12.19)
|
55.8
(11.89)
|
55
(12.28)
|
55.4
(12.11)
|
Sex: Female, Male (Count of Participants) | ||||
Female |
240
81.6%
|
232
79.5%
|
240
82.2%
|
712
81.1%
|
Male |
54
18.4%
|
60
20.5%
|
52
17.8%
|
166
18.9%
|
Region of Enrollment (Count of Participants) | ||||
Argentina |
10
3.4%
|
6
2.1%
|
3
1%
|
19
2.2%
|
Australia |
1
0.3%
|
2
0.7%
|
0
0%
|
3
0.3%
|
Austria |
2
0.7%
|
0
0%
|
0
0%
|
2
0.2%
|
Belgium |
1
0.3%
|
0
0%
|
0
0%
|
1
0.1%
|
Canada |
2
0.7%
|
7
2.4%
|
1
0.3%
|
10
1.1%
|
France |
0
0%
|
1
0.3%
|
0
0%
|
1
0.1%
|
Germany |
7
2.4%
|
13
4.5%
|
7
2.4%
|
27
3.1%
|
Italy |
5
1.7%
|
0
0%
|
4
1.4%
|
9
1%
|
Japan |
37
12.6%
|
35
12%
|
44
15.1%
|
116
13.2%
|
Lithuania |
4
1.4%
|
7
2.4%
|
5
1.7%
|
16
1.8%
|
Mexico |
7
2.4%
|
4
1.4%
|
6
2.1%
|
17
1.9%
|
Netherlands |
4
1.4%
|
1
0.3%
|
1
0.3%
|
6
0.7%
|
Poland |
21
7.1%
|
29
9.9%
|
26
8.9%
|
76
8.7%
|
Portugal |
3
1%
|
4
1.4%
|
4
1.4%
|
11
1.3%
|
Puerto Rico |
1
0.3%
|
6
2.1%
|
1
0.3%
|
8
0.9%
|
Republic of Korea |
5
1.7%
|
7
2.4%
|
5
1.7%
|
17
1.9%
|
Russian Federation |
18
6.1%
|
11
3.8%
|
21
7.2%
|
50
5.7%
|
Spain |
8
2.7%
|
8
2.7%
|
7
2.4%
|
23
2.6%
|
Taiwan, Province of China |
8
2.7%
|
2
0.7%
|
2
0.7%
|
12
1.4%
|
United Kingdom |
2
0.7%
|
4
1.4%
|
3
1%
|
9
1%
|
United States |
148
50.3%
|
145
49.7%
|
152
52.1%
|
445
50.7%
|
Outcome Measures
Title | Percentage of Participants Achieving American College of Rheumatology (ACR) 20 Response at Week 16 |
---|---|
Description | The ACR 20 Response is defined as greater than or equal to (>=) 20 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and >=20 percent improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 =no pain to 10 =worst possible pain]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI 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 16 |
Outcome Measure Data
Analysis Population Description |
---|
Efficacy full analysis set included all participants who were randomized into the study. |
Arm/Group Title | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. | Participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. | Participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. |
Measure Participants | 294 | 292 | 292 |
Number [Percentage of Participants] |
24.1
8.2%
|
40.1
13.7%
|
45.2
15.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 50 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 15.9 | |
Confidence Interval |
(2-Sided) 95% 8.5 to 23.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 100 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 21.0 | |
Confidence Interval |
(2-Sided) 95% 13.6 to 28.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score at Week 24 |
---|---|
Description | The HAQ-DI is a 20-question instrument that assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping and activities of daily living). Responses in each functional area are scored from 0 to 3 (0=no difficulty and 3=inability to perform a task in that area). Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty. |
Time Frame | Baseline and Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
Efficacy full analysis set included all participants who were randomized into the study. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this endpoint. |
Arm/Group Title | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. | Participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. | Participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. |
Measure Participants | 294 | 291 | 292 |
Baseline |
1.5663
(0.65223)
|
1.6499
(0.59743)
|
1.6122
(0.61320)
|
Change at Week 24 |
-0.12
(0.491)
|
-0.31
(0.543)
|
-0.33
(0.526)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 50 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Least Square (LS) mean difference |
Estimated Value | -0.17 | |
Confidence Interval |
(2-Sided) 95% -0.251 to -0.088 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 100 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | LS Mean Difference |
Estimated Value | -0.194 | |
Confidence Interval |
(2-Sided) 95% -0.275 to -0.112 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants Achieving American College of Rheumatology (ACR) 50 Response at Week 24 |
---|---|
Description | The ACR 50 Response is defined as >= 50 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and >=50 percent improvement in 3 of following 5 assessments: patient's assessment of pain using VAS ( 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, [0 =no pain to 10 =worst possible pain]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by HAQ-DI (defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI 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 24 |
Outcome Measure Data
Analysis Population Description |
---|
Efficacy full analysis set included all participants who were randomized into the study. |
Arm/Group Title | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. | Participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. | Participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. |
Measure Participants | 294 | 292 | 292 |
Number [Percentage of Participants] |
8.8
3%
|
20.9
7.2%
|
21.6
7.4%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 50 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 12.0 | |
Confidence Interval |
(2-Sided) 95% 6.4 to 17.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 100 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 12.7 | |
Confidence Interval |
(2-Sided) 95% 7.0 to 18.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With Disease Activity Index Score 28 (CRP) Remission at Week 24 |
---|---|
Description | The Disease Activity Index Score 28 (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. DAS28 (CRP) remission is defined as a DAS28 (CRP) value of less than (<) 2.6 at any study visit. |
Time Frame | Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
Efficacy full analysis set included all participants who were randomized into the study. |
Arm/Group Title | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
---|---|---|---|
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossed over (CO) at Week 24. Participants who met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 50 mg dose regimen q4w up to Week 52. | Participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. | Participants received Sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 24. Participants who received matching placebo in the placebo controlled period and met EE criteria at Week 18 or crossover (CO) at Week 24 re-randomized and received subcutaneous (SC) sirukumab 100 mg dose regimen q2w up to Week 52. |
Measure Participants | 294 | 292 | 292 |
Number [Percentage of Participants] |
8.2
2.8%
|
19.2
6.6%
|
21.6
7.4%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 50 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 11.0 | |
Confidence Interval |
(2-Sided) 95% 5.5 to 16.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo, Sirukumab 100 mg |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | < 0.001 |
Comments | ||
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | 13.4 | |
Confidence Interval |
(2-Sided) 95% 7.8 to 19.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Adverse Events
Time Frame | Up to Week 68 | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | For treatment period (up to Week 52), safety population (SP) included all participants who received at least 1 partial or complete dose of study agent. For safety follow-up (SFU) (Week 52-68), SP included participants who decided to enter in safety follow-up period and had at least 1 SFU visit after the discontinuation of study agent (Week 52-68). | |||||||||||||||||||
Arm/Group Title | Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w | ||||||||||
Arm/Group Description | Participants received matching placebo every 2 week (q2w) until either early escape (EE) at Week 18, or crossover (CO) at Week 24. | Participants who received matching placebo in the placebo controlled period and were re-randomized (due to early escape [EE] at Week 18 or crossed over [CO] at Week 24) to receive subcutaneous (SC) sirukumab 50 mg q4w dose regimen up to Week 52. | Participants received Sirukumab 50 mg SC at Week 0, 4 and q4w up to Week 52. | Participants who received matching placebo in the placebo controlled period and were re-randomized (due to early escape [EE] at Week 18 or crossed over [CO] at Week 24) to receive subcutaneous (SC) sirukumab 100 mg q4w dose regimen up to Week 52. | Participants received sirukumab 100 mg SC at Week 0, 2 and q2w up to Week 52. | Participants who discontinued or completed study agent administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who discontinued or completed sirukumab 50 mg q4w due to EE or CO administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who discontinued or completed sirukumab 50 mg q4w administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who discontinued or completed sirukumab 100 mg q2w due to EE or CO administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | Participants who discontinued or completed sirukumab 100 mg q2w administration up to Week 52 and decided to enter the safety follow-up period were followed up for safety from Week 52 to Week 68. | ||||||||||
All Cause Mortality |
||||||||||||||||||||
Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w | |||||||||||
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 |
||||||||||||||||||||
Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w | |||||||||||
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 | 15/294 (5.1%) | 8/124 (6.5%) | 51/292 (17.5%) | 18/126 (14.3%) | 37/292 (12.7%) | 0/28 (0%) | 0/7 (0%) | 1/65 (1.5%) | 2/19 (10.5%) | 0/62 (0%) | ||||||||||
Blood and lymphatic system disorders | ||||||||||||||||||||
Anaemia | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Normochromic Normocytic Anaemia | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pancytopenia | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Thrombocytopenia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Cardiac disorders | ||||||||||||||||||||
Acute Coronary Syndrome | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Angina Unstable | 0/294 (0%) | 0/124 (0%) | 3/292 (1%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Atrial Fibrillation | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Atrial Flutter | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Coronary Artery Disease | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Coronary Artery Stenosis | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Myocardial Infarction | 1/294 (0.3%) | 0/124 (0%) | 1/292 (0.3%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Endocrine disorders | ||||||||||||||||||||
Goitre | 0/294 (0%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Eye disorders | ||||||||||||||||||||
Diplopia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastrointestinal disorders | ||||||||||||||||||||
Anal Fissure | 0/294 (0%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Diverticular Perforation | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Diverticulum Intestinal | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Duodenal Ulcer | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Duodenal Ulcer Perforation | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Faecal Incontinence | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastric Ulcer | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastric Ulcer Perforation | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastritis Erosive | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastrooesophageal Reflux Disease | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Intestinal Obstruction | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Large Intestine Polyp | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Lower Gastrointestinal Haemorrhage | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pancreatic Pseudocyst | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pancreatitis Acute | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Tongue Ulceration | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
General disorders | ||||||||||||||||||||
Chest Pain | 1/294 (0.3%) | 1/124 (0.8%) | 1/292 (0.3%) | 0/126 (0%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Device Dislocation | 0/294 (0%) | 0/124 (0%) | 2/292 (0.7%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Impaired Healing | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Non-Cardiac Chest Pain | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Sudden Death | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Hepatobiliary disorders | ||||||||||||||||||||
Cholecystitis Acute | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Cholelithiasis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Immune system disorders | ||||||||||||||||||||
Drug Hypersensitivity | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Food Allergy | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Infections and infestations | ||||||||||||||||||||
Abdominal Abscess | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Abscess Jaw | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Alpha Haemolytic Streptococcal Infection | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Appendicitis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Arthritis Infective | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Bacteraemia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Cellulitis | 0/294 (0%) | 0/124 (0%) | 3/292 (1%) | 2/126 (1.6%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Clostridium Difficile Colitis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Colonic Abscess | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Cystitis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Device Related Infection | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Diverticulitis | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Empyema | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Erysipelas | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 2/126 (1.6%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Escherichia Sepsis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Gastroenteritis | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Herpes Zoster | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Infectious Pleural Effusion | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Influenza | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Necrotising Fasciitis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Osteomyelitis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Peritonitis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pneumonia | 1/294 (0.3%) | 0/124 (0%) | 5/292 (1.7%) | 0/126 (0%) | 5/292 (1.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Sepsis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Urinary Tract Infection | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Urosepsis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Wound Infection Pseudomonas | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Injury, poisoning and procedural complications | ||||||||||||||||||||
Femur Fracture | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Periprosthetic Fracture | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Tendon Rupture | 0/294 (0%) | 0/124 (0%) | 2/292 (0.7%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Investigations | ||||||||||||||||||||
Aspartate Aminotransferase Increased | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Hepatic Enzyme Abnormal | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Hepatic Enzyme Increased | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Liver Function Test Abnormal | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Morganella Test Positive | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Metabolism and nutrition disorders | ||||||||||||||||||||
Hypoglycaemia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Hypokalaemia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Musculoskeletal and connective tissue disorders | ||||||||||||||||||||
Arthralgia | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Arthropathy | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Back Pain | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Foot Deformity | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 2/292 (0.7%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Haemarthrosis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Intervertebral Disc Protrusion | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Musculoskeletal Chest Pain | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Osteoarthritis | 0/294 (0%) | 1/124 (0.8%) | 3/292 (1%) | 1/126 (0.8%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Osteochondrosis | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Osteonecrosis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Rheumatoid Arthritis | 2/294 (0.7%) | 2/124 (1.6%) | 3/292 (1%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 1/65 (1.5%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Soft Tissue Necrosis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Spondylolisthesis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||||||
Breast Cancer Metastatic | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Chondroma | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Invasive Ductal Breast Carcinoma | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Lung Adenocarcinoma | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Lymphoproliferative Disorder | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Oropharyngeal Squamous Cell Carcinoma | 0/294 (0%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Rectal Adenocarcinoma | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Nervous system disorders | ||||||||||||||||||||
Carotid Artery Stenosis | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Cerebrovascular Accident | 0/294 (0%) | 1/124 (0.8%) | 2/292 (0.7%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Diabetic Neuropathy | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Lumbar Radiculopathy | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Transient Ischaemic Attack | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pregnancy, puerperium and perinatal conditions | ||||||||||||||||||||
Abortion Missed | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Psychiatric disorders | ||||||||||||||||||||
Anxiety | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Mental Status Changes | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Renal and urinary disorders | ||||||||||||||||||||
Acute Kidney Injury | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Calculus Ureteric | 1/294 (0.3%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Calculus Urinary | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Nephrolithiasis | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Nephrotic Syndrome | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Renal Colic | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Reproductive system and breast disorders | ||||||||||||||||||||
Cervical Dysplasia | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||||||
Acute Respiratory Failure | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Interstitial Lung Disease | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Laryngeal Oedema | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Oropharyngeal Discomfort | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pleural Effusion | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pulmonary Embolism | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Skin and subcutaneous tissue disorders | ||||||||||||||||||||
Dermatitis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Drug Eruption | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Skin Ulcer | 1/294 (0.3%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Vascular disorders | ||||||||||||||||||||
Hypertension | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Intermittent Claudication | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Phlebitis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Thrombosed Varicose Vein | 0/294 (0%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Other (Not Including Serious) Adverse Events |
||||||||||||||||||||
Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w | |||||||||||
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 | 106/294 (36.1%) | 50/124 (40.3%) | 152/292 (52.1%) | 63/126 (50%) | 169/292 (57.9%) | 0/28 (0%) | 1/7 (14.3%) | 2/65 (3.1%) | 3/19 (15.8%) | 4/62 (6.5%) | ||||||||||
Eye disorders | ||||||||||||||||||||
Blepharitis | 1/294 (0.3%) | 1/124 (0.8%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Gastrointestinal disorders | ||||||||||||||||||||
Chronic Gastritis | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Nausea | 4/294 (1.4%) | 2/124 (1.6%) | 10/292 (3.4%) | 1/126 (0.8%) | 13/292 (4.5%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
General disorders | ||||||||||||||||||||
Injection Site Erythema | 4/294 (1.4%) | 5/124 (4%) | 28/292 (9.6%) | 19/126 (15.1%) | 47/292 (16.1%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Injection Site Pruritus | 2/294 (0.7%) | 4/124 (3.2%) | 8/292 (2.7%) | 10/126 (7.9%) | 31/292 (10.6%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Injection Site Swelling | 0/294 (0%) | 2/124 (1.6%) | 4/292 (1.4%) | 7/126 (5.6%) | 24/292 (8.2%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Hepatobiliary disorders | ||||||||||||||||||||
Drug-Induced Liver Injury | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Infections and infestations | ||||||||||||||||||||
Bronchitis | 5/294 (1.7%) | 7/124 (5.6%) | 13/292 (4.5%) | 4/126 (3.2%) | 22/292 (7.5%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Conjunctivitis Bacterial | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Nasopharyngitis | 11/294 (3.7%) | 2/124 (1.6%) | 34/292 (11.6%) | 7/126 (5.6%) | 26/292 (8.9%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Pneumonia | 0/294 (0%) | 1/124 (0.8%) | 3/292 (1%) | 2/126 (1.6%) | 5/292 (1.7%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Sinusitis | 8/294 (2.7%) | 5/124 (4%) | 14/292 (4.8%) | 3/126 (2.4%) | 15/292 (5.1%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Upper Respiratory Tract Infection | 19/294 (6.5%) | 6/124 (4.8%) | 24/292 (8.2%) | 9/126 (7.1%) | 26/292 (8.9%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Urinary Tract Infection | 11/294 (3.7%) | 2/124 (1.6%) | 13/292 (4.5%) | 6/126 (4.8%) | 19/292 (6.5%) | 0/28 (0%) | 0/7 (0%) | 1/65 (1.5%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Investigations | ||||||||||||||||||||
Alanine Aminotransferase Increased | 6/294 (2%) | 12/124 (9.7%) | 27/292 (9.2%) | 8/126 (6.3%) | 23/292 (7.9%) | 0/28 (0%) | 0/7 (0%) | 1/65 (1.5%) | 1/19 (5.3%) | 1/62 (1.6%) | ||||||||||
Aspartate Aminotransferase Increased | 4/294 (1.4%) | 6/124 (4.8%) | 18/292 (6.2%) | 5/126 (4%) | 15/292 (5.1%) | 0/28 (0%) | 0/7 (0%) | 1/65 (1.5%) | 1/19 (5.3%) | 1/62 (1.6%) | ||||||||||
Hepatitis B Dna Assay Positive | 0/294 (0%) | 0/124 (0%) | 1/292 (0.3%) | 1/126 (0.8%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Lymphocyte Count Increased | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Neutrophil Count Increased | 2/294 (0.7%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
White Blood Cell Count Increased | 2/294 (0.7%) | 1/124 (0.8%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
X-Ray with Contrast Upper Gastrointestinal Tract Abnormal | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Metabolism and nutrition disorders | ||||||||||||||||||||
Hyperglycaemia | 3/294 (1%) | 2/124 (1.6%) | 3/292 (1%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Musculoskeletal and connective tissue disorders | ||||||||||||||||||||
Back Pain | 2/294 (0.7%) | 0/124 (0%) | 7/292 (2.4%) | 1/126 (0.8%) | 9/292 (3.1%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Muscle Spasms | 2/294 (0.7%) | 2/124 (1.6%) | 5/292 (1.7%) | 1/126 (0.8%) | 7/292 (2.4%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 1/62 (1.6%) | ||||||||||
Rheumatoid Arthritis | 28/294 (9.5%) | 13/124 (10.5%) | 30/292 (10.3%) | 4/126 (3.2%) | 30/292 (10.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 1/62 (1.6%) | ||||||||||
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||||||
Cough | 2/294 (0.7%) | 4/124 (3.2%) | 13/292 (4.5%) | 4/126 (3.2%) | 22/292 (7.5%) | 0/28 (0%) | 1/7 (14.3%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Nasal Pruritus | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 0/292 (0%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Skin and subcutaneous tissue disorders | ||||||||||||||||||||
Eczema Asteatotic | 0/294 (0%) | 0/124 (0%) | 0/292 (0%) | 0/126 (0%) | 1/292 (0.3%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 1/19 (5.3%) | 0/62 (0%) | ||||||||||
Rash | 3/294 (1%) | 2/124 (1.6%) | 9/292 (3.1%) | 0/126 (0%) | 15/292 (5.1%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 0/62 (0%) | ||||||||||
Vascular disorders | ||||||||||||||||||||
Hypertension | 7/294 (2.4%) | 3/124 (2.4%) | 17/292 (5.8%) | 3/126 (2.4%) | 15/292 (5.1%) | 0/28 (0%) | 0/7 (0%) | 0/65 (0%) | 0/19 (0%) | 1/62 (1.6%) |
Limitations/Caveats
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 | |
ClinicalTrialDisclosure@its.jnj.com |
- CR100864
- CNTO136ARA3003
- 2010-022243-38
- U1111-1135-6365