Study Evaluating the Efficacy and Safety of Etanercept and Methotrexate in Japanese Subjects With Rheumatoid Arthritis

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00445770
Collaborator
(none)
550
41
3
48
13.4
0.3

Study Details

Study Description

Brief Summary

The purpose of this study is to examine the effects of etanercept (10 mg and 25 mg) compared with methotrexate (up to 8 mg per week) on the slowing of joint destruction.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
550 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Multicenter, Comparative Study Evaluating the Efficacy and Safety of Etanercept and Methotrexate in Japanese Subjects With Active Rheumatoid Arthritis
Study Start Date :
Jul 1, 2006
Actual Primary Completion Date :
Jul 1, 2010
Actual Study Completion Date :
Jul 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

Drug: Etanercept
10 mg twice weekly, subcutaneous injection for 52 weeks

Experimental: 2

Drug: Etanercept
25 mg, twice weekly, subcutaneous injection for 52 weeks

Active Comparator: 3

Drug: Methotrexate
up to 8 mg per week, oral dosing for 52 weeks

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Modified Total Sharp Score (mTSS) at Week 52 [Week 52]

    mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score). Change = scores at observation minus score at Baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

Secondary Outcome Measures

  1. Change From Baseline in Modified Total Sharp Score (mTSS) at Week 24 [Week 24]

    mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score). Change = scores at observation minus score at Baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

  2. Change From Baseline in Erosion Score at Weeks 24 and 52 [Baseline, Week 24, and Week 52]

    Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. Change = score at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  3. Change From Baseline in Joint Space Narrowing (JSN) Score at Weeks 24 and 52 [Baseline, Week 24, and Week 52]

    JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  4. Percentage of Participants With no Progression of Joint Destruction at Week 52 [Baseline and Week 52]

    Absence of joint destruction defined by 3 categories (mTSS change <=0.5, <=3.0, and <smallest detectable difference [SDD] where SDDs were scores >3.0). mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score).

  5. Change From Baseline in Swollen Joint Count at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    American College of Rheumatology (ACR) swollen joint count was an assessment of 68 joints. Joints classified as either swollen or not swollen. Change = scores at observation minus score at Baseline, and total possible scores ranged from -68 to 68. An increase in swollen joints from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  6. Change From Baseline in Number of Painful Joints on Pressure or on Motion at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    71 joints assessed by the investigator using criteria based on pressure and joint manipulation. Change = scores at observation minus score at Baseline, and total possible scores ranged from -71 to 71. An increase in tender joint count from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  7. Change From Baseline in Physician's Global Assessment of Symptoms at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    Physician Global Assessment of symptoms, assessed using a 11-point rating scale, where 0=asymptomatic and 10=severe symptoms. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  8. Change From Baseline in Patient's Global Assessment at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    Patient's Global Assessment of symptoms, assessed using a 11-point rating scale, where 0=asymptomatic and 10=severe symptoms. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  9. Change From Baseline in Mean Duration of Morning Stiffness at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    Morning stiffness in and around the joints lasting at least 1 hour before maximal improvement. Change = scores at observation minus score at Baseline. An increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  10. Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    100 millimeter (mm) line (VAS) marked by participant. Intensity of pain range (over past week): 0mm = no pain to 100mm = worst possible pain. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  11. Change From Baseline in VAS for Participant General Health at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    100mm line (VAS) marked by participant. Participants asked, "In general how would you rate your health over the last 2-3 weeks?" 0mm=very well to 100mm=extremely bad. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.

  12. Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    HAQ-DI: participant-reported assessment of ability to perform tasks: 1) dress/groom; 2) arise; 3) eat; 4) walk; 5) reach; 6) grip; 7) hygiene; and 8) common activities over past week. Each item scored on 4-point Likert scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Change = scores at observation minus score at Baseline and total possible scores ranged from -3 to 3. An increase in score from baseline represented disease progression and/or joint worsening and a decrease represented improvement.

  13. Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    ACR20 response: greater than or equal to (≥) 20 percent (%) improvement in tender joint count; ≥ 20% improvement in swollen joint count; and ≥ 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP).

  14. Percentage of Participants With an ACR50 Response [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    ACR50 response: ≥ 50% improvement in tender joint count; ≥ 50% improvement in swollen joint count; and ≥ 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.

  15. Percentage of Participants With an ACR70 Response [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    ACR70 response: ≥ 70% improvement in tender joint count; ≥ 70% improvement in swollen joint count; and ≥ 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.

  16. Change From Baseline in Disease Activity Score (DAS) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    DAS: weighted calculation of joint tenderness score (Ritchie Articular Index[RAI]), swollen joint count of 44 joints, natural logarithm (ln) of erythrocyte sedimentation rate (ESR) in millimeters per hour (mm/hr), and general health (GH) using VAS. RAI defined as sum of 26 possible 0 to 3 tender scores. DAS = 0.53938 square root (√) (RAI) + 0.06465 (swollen joint count) + 0.330 (ln ESR) + 0.00722 (GH). Change from baseline = DAS at Week x minus Baseline DAS. Total DAS scores could range from 10 (worse outcome) to 0 (better outcome).

  17. Change From Baseline in Disease Activity Score in 28 Joints (DAS28) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    DAS based on 28 painful joint counts, 28 swollen joint counts, ESR, and GH. DAS28 score calculated as 0.56 √ (28 painful joint count) + 0.28 √ (28 swollen joint count) + 0.70 (ln ESR mm/hr) + 0.014 GH. Change from baseline = DAS at Week x minus Baseline DAS. Total DAS scores could range from 10 (worse outcome) to 0 (better outcome).

  18. Change From Baseline in C-reactive Protein (CRP) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    CRP: marker of inflammation. Higher level consistent with inflammation. Normal CRP range: 0 to 1.0 milligrams per deciliter (mg/dL).

  19. Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52 [Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52]

    ESR: laboratory test that provided a non-specific measure of inflammation. The test assessed the rate at which red blood cells fell in a test tube and was measured in mm/hour. Normal range: 0-30mm/h. Higher rate consistent with inflammation.

Other Outcome Measures

  1. Comparison of Etanercept Serum Concentrations Between the 10 mg and 25 mg Etanercept Doses [Weeks 12, 24, 52]

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Must be Japanese and live in Japan

  • Must be age 20 to 75 years

  • Diagnosed less than or equal to 10 years from time of first visit

Exclusion Criteria:
  • Anyone who has received etanercept or TNF-inhibitors such as infliximab or adalimumab in the past

  • Patient with other rheumatic diseases or conditions that could predispose the patient to infection

  • Pregnant or lactating women

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Nagoya Aichi Japan 460-0001
2 Pfizer Investigational Site Nagoya Aichi Japan 4678602
3 Pfizer Investigational Site Goshogawara Aomori Japan 037-0053
4 Pfizer Investigational Site Asahi Chiba Japan 289-2511
5 Pfizer Investigational Site Matsuyama Ehime Japan 790-8524
6 Pfizer Investigational Site Iizuka Fukuoka Japan 820-8505
7 Pfizer Investigational Site Kurume Fukuoka Japan 830-8543
8 Pfizer Investigational Site Kurume Fukuoka Japan 8390863
9 Pfizer Investigational Site Munakata Fukuoka Japan 8113431
10 Pfizer Investigational Site Takasaki Gunma Japan 370-0053
11 Pfizer Investigational Site Asahikawa Hokkaido Japan 078-8243
12 Pfizer Investigational Site Sapporo Hokkaido Japan 060-0001
13 Pfizer Investigational Site Kakogawa Hyogo Japan 6750009
14 Pfizer Investigational Site Katoh Hyougo Japan 673-1462
15 Pfizer Investigational Site Yuki Ibaraki Japan 307-0001
16 Pfizer Investigational Site Komatsu Ishikawa Japan 923-8560
17 Pfizer Investigational Site Kawasaki Kanagawa Japan 2120014
18 Pfizer Investigational Site Sagamihara Kanagawa Japan 228-8522
19 Pfizer Investigational Site Yokohama Kanagawa Japan 2310045
20 Pfizer Investigational Site Sendai Miyagi Japan 9820032
21 Pfizer Investigational Site Hyuga Miyazaki Japan 8830043
22 Pfizer Investigational Site Sasebo Nagasaki Japan 857-1195
23 Pfizer Investigational Site Ikoma Nara Japan 630-0293
24 Pfizer Investigational Site Kawagoe Saitama Japan 350-8550
25 Pfizer Investigational Site Tokorozawa Saitama Japan 359-1111
26 Pfizer Investigational Site Bunkyo-ku Tokyo Japan 113-8549
27 Pfizer Investigational Site Ota Tokyo Japan 1438541
28 Pfizer Investigational Site Sumida-ku Tokyo Japan 130-0013
29 Pfizer Investigational Site Fukui Japan 9108561
30 Pfizer Investigational Site Fukuoka Japan 814-0002
31 Pfizer Investigational Site Fukuoka Japan 815-8588
32 Pfizer Investigational Site Fukuoka Japan 8150063
33 Pfizer Investigational Site Hiroshima Japan 7300031
34 Pfizer Investigational Site Kagoshima Japan 8900067
35 Pfizer Investigational Site Kagoshima Japan 891-0133
36 Pfizer Investigational Site Kato city Fujita letter Higashiyama Japan 944-25
37 Pfizer Investigational Site Kumamoto Japan 862-0976
38 Pfizer Investigational Site Kumamoto Japan 8620965
39 Pfizer Investigational Site Miyagi Japan 9810112
40 Pfizer Investigational Site Miyazaki Japan 8800122
41 Pfizer Investigational Site Toyama Japan 9338525

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00445770
Other Study ID Numbers:
  • 0881A1-315
  • B1801002
First Posted:
Mar 9, 2007
Last Update Posted:
Aug 15, 2011
Last Verified:
Aug 1, 2011
Keywords provided by , ,
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Period Title: Overall Study
STARTED 176 192 182
COMPLETED 123 157 151
NOT COMPLETED 53 35 31

Baseline Characteristics

Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg Total
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks Total of all reporting groups
Overall Participants 176 192 182 550
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
50.40
(11.91)
51.46
(12.21)
51.81
(11.07)
51.24
(11.74)
Sex: Female, Male (Count of Participants)
Female
140
79.5%
154
80.2%
145
79.7%
439
79.8%
Male
36
20.5%
38
19.8%
37
20.3%
111
20.2%
modified Total Sharp Score (mTSS) (scores on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [scores on a scale]
43.01
(46.78)
45.17
(38.75)
41.98
(41.51)
43.42
(42.28)
Erosion Score (scores on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [scores on a scale]
25.09
(26.30)
26.66
(22.1)
25.23
(23.88)
25.69
(24.05)
Joint Space Narrowing (JSN) Score (scores on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [scores on a scale]
17.92
(21.93)
18.50
(19.14)
16.75
(19.11)
17.73
(20.03)

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Modified Total Sharp Score (mTSS) at Week 52
Description mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score). Change = scores at observation minus score at Baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Radiographic intent-to-treat (rITT) population: all participants who received at least 1 dose of the assigned test article and provided radiographic data for baseline and at least 1 post-baseline visit
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 171 190 181
Mean (Standard Error) [Scores on a scale]
9.82
(1.16)
5.19
(0.93)
3.33
(0.73)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments It was estimated that with 180 participants per group, there would be 81% power for the overall test. With this sample size and 0.05 (2-sided) type I error, there was 88% power to detect a 1.33 difference for the change of mTSS from baseline to 52 weeks between the etanercept 25 mg twice weekly group and Methotrexate group, assuming that the common standard deviation of the change of mTSS from baseline was 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Based on rank transformed data: rank of change = rank baseline+treatment +pooled study center+prior methotrexate use. If overall treatment effect statistically significant, 3 pairwise comparisons conducted, otherwise no further testing was made.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments An outcome showing that etanercept 10 mg was superior to methotrexate and the presence of numerical difference ≤0.5 mTSS units between etanercept 25 mg and etanercept 10 mg would support non-inferiority for the 2 etanercept treatments.
Statistical Test of Hypothesis p-Value 0.2634
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
2. Secondary Outcome
Title Change From Baseline in Modified Total Sharp Score (mTSS) at Week 24
Description mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score). Change = scores at observation minus score at Baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
rITT
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 171 190 181
Mean (Standard Error) [Scores on a scale]
5.11
(0.58)
2.42
(0.48)
1.74
(0.45)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2248
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
3. Secondary Outcome
Title Change From Baseline in Erosion Score at Weeks 24 and 52
Description Joint erosion score: erosion severity in 44 joints (16 per hand, 6 per foot). Each joint scored according to surface area involved, from 0 (no erosion) to 5 (extensive bone loss from more than one half of articulating bone). Because each side of foot joint was graded, maximum erosion score for foot joint was 10. Thus, maximum erosion score was 280. Change = score at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline, Week 24, and Week 52

Outcome Measure Data

Analysis Population Description
rITT
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 171 190 181
Change at Week 24
2.90
(0.33)
1.25
(0.29)
1.12
(0.30)
Change at Week 52
5.43
(0.64)
2.75
(0.57)
2.03
(0.48)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7260
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5717
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
4. Secondary Outcome
Title Change From Baseline in Joint Space Narrowing (JSN) Score at Weeks 24 and 52
Description JSN score: severity of JSN in 42 joints (15 per hand and 6 per foot), including subluxation, scored from 0 (no/normal JSN) to 4 (complete loss of joint space, bony ankylosis, or luxation). Maximum JSN score was 168. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline, Week 24, and Week 52

Outcome Measure Data

Analysis Population Description
rITT
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 171 190 181
Change at Week 24
2.21
(0.34)
1.18
(0.23)
0.62
(0.20)
Change at Week 52
4.39
(0.66)
2.44
(0.42)
1.31
(0.33)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0013
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0186
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1123
Comments P-values from ANCOVA model based on rank transformed data: rank of change = rank baseline + treatment + pooled study center + prior methotrexate use.
Method ANCOVA
Comments
5. Secondary Outcome
Title Percentage of Participants With no Progression of Joint Destruction at Week 52
Description Absence of joint destruction defined by 3 categories (mTSS change <=0.5, <=3.0, and <smallest detectable difference [SDD] where SDDs were scores >3.0). mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score).
Time Frame Baseline and Week 52

Outcome Measure Data

Analysis Population Description
rITT
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 171 190 181
Progression ≤0.5
25.7
14.6%
45.3
23.6%
49.2
27%
Progression ≤3.0
46.8
26.6%
64.2
33.4%
68.0
37.4%
Progression ≤SDD
81.9
46.5%
88.9
46.3%
94.5
51.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52 for progression <=0.5
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52 for progression <=0.5
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52 for progression <=0.5
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3022
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52 for progression <=3.0
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52 for progression <=3.0
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52 for progression <=3.0
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3120
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52 for progression <=SDD
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0010
Comments Stratified by pooled study center and prior methotrexate use.
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52 for progression <=SDD
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0285
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52 for progression <=SDD
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0433
Comments Stratified by pooled study center and prior methotrexate use
Method Cochran-Mantel-Haenszel
Comments
6. Secondary Outcome
Title Change From Baseline in Swollen Joint Count at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description American College of Rheumatology (ACR) swollen joint count was an assessment of 68 joints. Joints classified as either swollen or not swollen. Change = scores at observation minus score at Baseline, and total possible scores ranged from -68 to 68. An increase in swollen joints from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
Modified ITT (mITT) population: participants who received at least 1 dose of the assigned test article; Last Observation Carried Forward (LOCF)
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
13.84
(7.81)
14.23
(8.97)
14.00
(8.80)
Change at Week 2
-3.39
(6.59)
-5.96
(6.94)
-5.02
(5.66)
Change at Week 4
-4.31
(6.68)
-7.03
(7.57)
-6.95
(6.35)
Change at Week 8
-5.76
(6.41)
-8.38
(7.77)
-7.91
(6.71)
Change at Week 12
-6.36
(6.97)
-9.05
(7.79)
-8.55
(6.72)
Change at Week 16
-6.59
(6.77)
-9.29
(7.93)
-8.78
(6.89)
Change at Week 20
-7.21
(7.47)
-9.68
(7.92)
-9.43
(7.45)
Change at Week 24
-7.06
(7.52)
-9.58
(7.98)
-9.57
(7.51)
Change at Week 32
-7.47
(7.74)
-9.89
(8.51)
-9.79
(7.62)
Change at Week 40
-7.93
(7.83)
-9.97
(8.53)
-10.05
(8.02)
Change at Week 48
-7.53
(8.26)
-9.87
(8.51)
-10.30
(8.41)
Change at Week 52
-7.53
(8.09)
-9.79
(8.58)
-10.49
(8.14)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0032
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1224
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8037
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5495
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4948
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4663
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9357
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7439
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8611
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6731
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2616
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1158
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
7. Secondary Outcome
Title Change From Baseline in Number of Painful Joints on Pressure or on Motion at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description 71 joints assessed by the investigator using criteria based on pressure and joint manipulation. Change = scores at observation minus score at Baseline, and total possible scores ranged from -71 to 71. An increase in tender joint count from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
17.12
(10.78)
16.30
(10.56)
17.48
(11.21)
Change at Week 2
-3.41
(7.48)
-6.81
(7.67)
-7.73
(7.81)
Change at Week 4
-5.58
(8.34)
-7.74
(9.21)
-8.65
(7.75)
Change at Week 8
-6.83
(8.30)
-9.27
(9.50)
-10.86
(9.07)
Change at Week 12
-8.42
(9.08)
-9.94
(9.63)
-11.36
(9.20)
Change at Week 16
-8.82
(9.44)
-10.70
(9.79)
-11.81
(9.29)
Change at Week 20
-9.15
(9.93)
-10.86
(9.85)
-12.38
(10.10)
Change at Week 24
-9.47
(10.30)
-10.94
(9.64)
-12.48
(9.81)
Change at Week 32
-9.91
(10.56)
-10.93
(9.75)
-12.97
(10.14)
Change at Week 40
-9.97
(10.43)
-11.07
(10.32)
-12.73
(10.87)
Change at Week 48
-10.45
(10.69)
-10.78
(9.84)
-13.17
(11.20)
Change at Week 52
-10.27
(10.60)
-10.75
(9.99)
-13.23
(11.13)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4237
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5738
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1606
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0016
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2412
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5882
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2257
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2075
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0050
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0461
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0101
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2351
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1179
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0214
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0790
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0168
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
8. Secondary Outcome
Title Change From Baseline in Physician's Global Assessment of Symptoms at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description Physician Global Assessment of symptoms, assessed using a 11-point rating scale, where 0=asymptomatic and 10=severe symptoms. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
6.34
(1.98)
6.23
(1.79)
6.20
(1.86)
Week 2
-1.23
(1.67)
-2.20
(1.71)
-2.25
(1.71)
Week 4
-1.66
(1.81)
-2.65
(1.91)
-2.67
(1.90)
Week 8
-2.13
(2.05)
-3.02
(1.89)
-3.14
(1.89)
Week 12
-2.43
(2.13)
-3.30
(2.04)
-3.34
(1.94)
Week 16
-2.51
(2.21)
-3.46
(2.02)
-3.53
(1.99)
Week 20
-2.54
(2.29)
-3.51
(2.07)
-3.76
(2.01)
Week 24
-2.60
(2.43)
-3.52
(2.22)
-3.76
(2.07)
Week 32
-2.70
(2.36)
-3.54
(2.24)
-3.94
(2.09)
Week 40
-2.63
(2.41)
-3.62
(2.28)
-3.97
(2.27)
Week 48
-2.70
(2.52)
-3.59
(2.45)
-4.03
(2.20)
Week 52
-2.72
(2.40)
-3.68
(2.42)
-4.07
(2.11)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6337
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7407
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3473
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7529
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5216
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1078
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1280
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0291
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0729
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0271
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0453
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
9. Secondary Outcome
Title Change From Baseline in Patient's Global Assessment at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description Patient's Global Assessment of symptoms, assessed using a 11-point rating scale, where 0=asymptomatic and 10=severe symptoms. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
6.01
(2.28)
6.12
(2.17)
5.95
(2.01)
Change at Week 2
-0.65
(1.95)
-1.81
(1.86)
-1.79
(1.82)
Change at Week 4
-1.11
(1.99)
-1.89
(2.06)
-1.91
(2.04)
Change at Week 8
-1.34
(2.31)
-2.37
(2.05)
-2.27
(2.13)
Change at Week 12
-1.63
(2.52)
-2.57
(2.22)
-2.38
(2.29)
Change at Week 16
-1.71
(2.45)
-2.55
(2.37)
-2.54
(2.40)
Change at Week 20
-1.85
(2.42)
-2.59
(2.36)
-2.69
(2.34)
Change at Week 24
-1.85
(2.66)
-2.65
(2.45)
-2.79
(2.45)
Change at Week 32
-1.89
(2.71)
-2.84
(2.44)
-2.92
(2.58)
Change at Week 40
-1.88
(2.68)
-2.89
(2.44)
-2.82
(2.67)
Change at Week 48
-1.97
(2.77)
-2.95
(2.46)
-2.98
(2.52)
Change at Week 52
-1.97
(2.70)
-3.04
(2.58)
-2.91
(2.60)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7488
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5680
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9241
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7146
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6574
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2936
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2179
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3704
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8047
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5277
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9371
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
10. Secondary Outcome
Title Change From Baseline in Mean Duration of Morning Stiffness at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description Morning stiffness in and around the joints lasting at least 1 hour before maximal improvement. Change = scores at observation minus score at Baseline. An increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
204.74
(338.70)
203.80
(304.92)
223.48
(344.75)
Change at Week 2
-46.39
(250.13)
-98.73
(259.91)
-108.37
(256.49)
Change at Week 4
-34.43
(249.33)
-94.87
(280.56)
-107.09
(255.06)
Change at Week 8
-52.53
(247.74)
-122.13
(304.33)
-127.55
(279.88)
Change at Week 12
-73.48
(236.69)
-128.02
(309.89)
-129.74
(284.58)
Change at Week 16
-78.60
(252.64)
-136.18
(318.85)
-148.13
(304.03)
Change at Week 20
-87.11
(276.35)
-137.18
(320.34)
-153.01
(314.41)
Change at Week 24
-89.94
(295.48)
-137.72
(317.24)
-143.03
(332.16)
Change at Week 32
-95.32
(330.07)
-137.26
(332.50)
-163.64
(320.36)
Change at Week 40
-97.76
(332.93)
-142.06
(335.44)
-157.52
(336.53)
Change at Week 48
-99.38
(306.33)
-136.23
(333.45)
-163.03
(326.06)
Change at Week 52
-98.98
(303.71)
-124.86
(361.03)
-171.36
(322.43)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0027
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8875
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9694
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0020
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7271
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0235
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0061
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6427
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0029
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9713
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0060
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0060
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9762
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0554
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0181
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6642
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0073
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0290
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5919
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0371
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0346
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9955
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0187
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0645
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5920
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0095
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2112
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1649
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
11. Secondary Outcome
Title Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description 100 millimeter (mm) line (VAS) marked by participant. Intensity of pain range (over past week): 0mm = no pain to 100mm = worst possible pain. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
54.91
(23.62)
54.37
(23.10)
52.63
(21.54)
Change at Week 2
-5.98
(19.11)
-18.85
(19.76)
-18.67
(20.32)
Change at Week 4
-10.64
(21.45)
-18.18
(22.95)
-19.16
(21.86)
Change at Week 8
-13.48
(25.21)
-23.09
(22.37)
-22.46
(22.34)
Change at Week 12
-16.95
(25.09)
-24.70
(22.74)
-24.01
(22.70)
Change at Week 16
-17.97
(26.61)
-24.41
(24.53)
-25.63
(25.04)
Change at Week 20
-19.53
(24.67)
-25.39
(24.01)
-26.52
(24.58)
Change at Week 24
-19.53
(27.02)
-26.86
(24.37)
-26.73
(24.99)
Change at Week 32
-19.72
(27.01)
-28.68
(25.00)
-28.10
(25.85)
Change at Week 40
-19.68
(27.35)
-28.81
(26.09)
-27.17
(25.26)
Change at Week 48
-20.85
(28.08)
-28.28
(25.04)
-28.77
(25.50)
Change at Week 52
-20.03
(27.74)
-29.08
(25.85)
-28.34
(25.92)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8972
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3736
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9324
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8982
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3180
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3302
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6563
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8894
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7826
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5343
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9313
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
12. Secondary Outcome
Title Change From Baseline in VAS for Participant General Health at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description 100mm line (VAS) marked by participant. Participants asked, "In general how would you rate your health over the last 2-3 weeks?" 0mm=very well to 100mm=extremely bad. Change = scores at observation minus score at Baseline. An increase in score from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
58.37
(24.04)
58.71
(23.08)
55.70
(21.68)
Change at Week 2
-8.06
(19.00)
-21.07
(20.39)
-20.27
(22.08)
Change at Week 4
-13.51
(21.35)
-20.65
(23.18)
-20.69
(22.47)
Change at Week 8
-15.59
(24.92)
-26.16
(23.39)
-25.57
(22.59)
Change at Week 12
-20.05
(25.50)
-28.08
(24.87)
-26.34
(23.27)
Change at Week 16
-20.89
(27.29)
-28.37
(26.15)
-27.30
(24.73)
Change at Week 20
-22.35
(25.37)
-29.51
(25.05)
-29.16
(24.79)
Change at Week 24
-21.78
(27.55)
-30.23
(25.23)
-29.52
(25.39)
Change at Week 32
-22.87
(27.60)
-31.92
(24.91)
-31.11
(25.86)
Change at Week 40
-22.69
(28.18)
-31.49
(27.26)
-30.36
(25.54)
Change at Week 48
-23.76
(29.21)
-32.15
(26.01)
-31.27
(25.42)
Change at Week 52
-23.34
(28.48)
-32.25
(27.02)
-31.08
(26.60)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8044
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4652
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5612
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9749
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7290
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5004
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5727
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6713
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7663
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7073
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7973
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
13. Secondary Outcome
Title Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description HAQ-DI: participant-reported assessment of ability to perform tasks: 1) dress/groom; 2) arise; 3) eat; 4) walk; 5) reach; 6) grip; 7) hygiene; and 8) common activities over past week. Each item scored on 4-point Likert scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Change = scores at observation minus score at Baseline and total possible scores ranged from -3 to 3. An increase in score from baseline represented disease progression and/or joint worsening and a decrease represented improvement.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
1.01
(0.65)
1.17
(0.66)
1.06
(0.67)
Change at Week 2
-0.06
(0.36)
-0.30
(0.34)
-0.34
(0.41)
Change at Week 4
-0.12
(0.44)
-0.33
(0.39)
-0.40
(0.43)
Change at Week 8
-0.21
(0.49)
-0.46
(0.45)
-0.48
(0.46)
Change at Week 12
-0.29
(0.54)
-0.51
(0.48)
-0.52
(0.49)
Change at Week 16
-0.30
(0.55)
-0.52
(0.51)
-0.54
(0.52)
Change at Week 20
-0.32
(0.58)
-0.49
(0.53)
-0.57
(0.54)
Change at Week 24
-0.33
(0.62)
-0.54
(0.52)
-0.59
(0.55)
Change at Week 32
-0.33
(0.64)
-0.56
(0.52)
-0.59
(0.59)
Change at Week 40
-0.35
(0.64)
-0.56
(0.55)
-0.60
(0.60)
Change at Week 48
-0.34
(0.65)
-0.57
(0.57)
-0.59
(0.57)
Change at Week 52
-0.35
(0.64)
-0.56
(0.56)
-0.58
(0.59)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1053
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0144
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1851
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2883
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2221
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0147
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0201
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0789
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1903
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0048
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1059
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0018
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2589
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0040
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2326
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
14. Secondary Outcome
Title Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response
Description ACR20 response: greater than or equal to (≥) 20 percent (%) improvement in tender joint count; ≥ 20% improvement in swollen joint count; and ≥ 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP).
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Week 2
16.1
9.1%
54.0
28.1%
49.4
27.1%
Week 4
27.3
15.5%
55.5
28.9%
56.9
31.3%
Week 8
43.2
24.5%
68.1
35.5%
68.7
37.7%
Week 12
48.3
27.4%
70.2
36.6%
77.5
42.6%
Week 16
51.7
29.4%
73.8
38.4%
75.3
41.4%
Week 20
58.5
33.2%
75.4
39.3%
78.6
43.2%
Week 24
56.3
32%
77.0
40.1%
77.5
42.6%
Week 32
58.0
33%
79.1
41.2%
80.8
44.4%
Week 40
59.7
33.9%
78.5
40.9%
75.3
41.4%
Week 48
59.1
33.6%
76.4
39.8%
79.7
43.8%
Week 52
62.5
35.5%
75.9
39.5%
78.6
43.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4751
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4653
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7953
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0848
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6112
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3671
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7618
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4358
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6267
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3564
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0035
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4749
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
15. Secondary Outcome
Title Percentage of Participants With an ACR50 Response
Description ACR50 response: ≥ 50% improvement in tender joint count; ≥ 50% improvement in swollen joint count; and ≥ 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Week 2
2.3
1.3%
14.7
7.7%
16.0
8.8%
Week 4
4.0
2.3%
28.1
14.6%
22.5
12.4%
Week 8
15.3
8.7%
38.5
20.1%
35.7
19.6%
Week 12
23.9
13.6%
47.4
24.7%
42.3
23.2%
Week 16
26.1
14.8%
50.0
26%
44.0
24.2%
Week 20
30.7
17.4%
50.0
26%
50.5
27.7%
Week 24
32.4
18.4%
53.6
27.9%
54.4
29.9%
Week 32
34.7
19.7%
60.4
31.5%
59.3
32.6%
Week 40
36.9
21%
60.4
31.5%
58.8
32.3%
Week 48
39.2
22.3%
57.3
29.8%
57.7
31.7%
Week 52
36.9
21%
59.4
30.9%
62.1
34.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4376
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3947
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7378
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5680
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3978
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7229
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7236
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9719
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9349
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7226
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5512
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
16. Secondary Outcome
Title Percentage of Participants With an ACR70 Response
Description ACR70 response: ≥ 70% improvement in tender joint count; ≥ 70% improvement in swollen joint count; and ≥ 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Week 2
0
0%
4.2
2.2%
3.8
2.1%
Week 4
0.6
0.3%
7.8
4.1%
8.2
4.5%
Week 8
2.8
1.6%
15.1
7.9%
11.0
6%
Week 12
9.7
5.5%
21.9
11.4%
15.4
8.5%
Week 16
9.7
5.5%
17.7
9.2%
18.7
10.3%
Week 20
13.1
7.4%
25.0
13%
25.3
13.9%
Week 24
11.9
6.8%
25.5
13.3%
25.8
14.2%
Week 32
11.9
6.8%
28.1
14.6%
31.3
17.2%
Week 40
14.8
8.4%
31.3
16.3%
35.7
19.6%
Week 48
18.2
10.3%
34.4
17.9%
36.3
19.9%
Week 52
15.9
9%
33.9
17.7%
36.3
19.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0162
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0035
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8928
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6348
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0026
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4629
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0841
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1957
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0093
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0326
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7426
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0013
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6552
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6294
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4652
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2233
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6772
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6160
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by pooled study center and prior methotrexate use
17. Secondary Outcome
Title Change From Baseline in Disease Activity Score (DAS) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description DAS: weighted calculation of joint tenderness score (Ritchie Articular Index[RAI]), swollen joint count of 44 joints, natural logarithm (ln) of erythrocyte sedimentation rate (ESR) in millimeters per hour (mm/hr), and general health (GH) using VAS. RAI defined as sum of 26 possible 0 to 3 tender scores. DAS = 0.53938 square root (√) (RAI) + 0.06465 (swollen joint count) + 0.330 (ln ESR) + 0.00722 (GH). Change from baseline = DAS at Week x minus Baseline DAS. Total DAS scores could range from 10 (worse outcome) to 0 (better outcome).
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
4.07
(0.95)
4.03
(0.89)
4.05
(0.88)
Change at Week 2
-0.48
(0.64)
-1.09
(0.72)
-1.05
(0.70)
Change at Week 4
-0.69
(0.67)
-1.26
(0.90)
-1.26
(0.80)
Change at Week 8
-0.93
(0.79)
-1.48
(0.88)
-1.54
(0.86)
Change at Week 12
-1.12
(0.93)
-1.66
(0.97)
-1.65
(0.83)
Change at Week 16
-1.19
(0.98)
-1.69
(0.98)
-1.72
(0.88)
Change at Week 20
-1.28
(1.00)
-1.74
(0.97)
-1.80
(0.93)
Change at Week 24
-1.31
(1.09)
-1.77
(1.03)
-1.87
(0.98)
Change at Week 32
-1.37
(1.08)
-1.80
(1.02)
-1.95
(1.01)
Change at Week 40
-1.36
(1.08)
-1.90
(1.10)
-1.97
(1.02)
Change at Week 48
-1.46
(1.17)
-1.86
(1.13)
-2.02
(1.04)
Change at Week 52
-1.42
(1.14)
-1.86
(1.14)
-2.01
(1.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4929
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9693
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4139
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8905
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6877
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4511
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2786
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1230
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5061
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1354
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1734
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
18. Secondary Outcome
Title Change From Baseline in Disease Activity Score in 28 Joints (DAS28) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description DAS based on 28 painful joint counts, 28 swollen joint counts, ESR, and GH. DAS28 score calculated as 0.56 √ (28 painful joint count) + 0.28 √ (28 swollen joint count) + 0.70 (ln ESR mm/hr) + 0.014 GH. Change from baseline = DAS at Week x minus Baseline DAS. Total DAS scores could range from 10 (worse outcome) to 0 (better outcome).
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
5.84
(1.13)
5.75
(1.17)
5.82
(1.02)
Change at Week 2
-0.52
(0.75)
-1.32
(0.86)
-1.38
(0.88)
Change at Week 4
-0.77
(0.83)
-1.51
(1.05)
-1.60
(1.02)
Change at Week 8
-1.08
(0.99)
-1.79
(1.05)
-1.96
(1.11)
Change at Week 12
-1.33
(1.16)
-2.00
(1.15)
-2.09
(1.13)
Change at Week 16
-1.42
(1.24)
-2.08
(1.22)
-2.20
(1.17)
Change at Week 20
-1.54
(1.28)
-2.13
(1.24)
-2.31
(1.21)
Change at Week 24
-1.54
(1.34)
-2.20
(1.31)
-2.36
(1.27)
Change at Week 32
-1.63
(1.34)
-2.22
(1.29)
-2.45
(1.31)
Change at Week 40
-1.61
(1.36)
-2.31
(1.44)
-2.45
(1.33)
Change at Week 48
-1.75
(1.48)
-2.28
(1.51)
-2.51
(1.37)
Change at Week 52
-1.71
(1.44)
-2.25
(1.55)
-2.50
(1.38)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6417
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4698
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1214
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4654
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4006
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1636
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2635
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0965
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4437
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1663
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1049
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Method ANCOVA
Comments
19. Secondary Outcome
Title Change From Baseline in C-reactive Protein (CRP) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description CRP: marker of inflammation. Higher level consistent with inflammation. Normal CRP range: 0 to 1.0 milligrams per deciliter (mg/dL).
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
21.13
(22.30)
22.86
(29.77)
22.09
(24.17)
Change at Week 2
-3.08
(13.08)
-13.41
(19.53)
-15.62
(17.70)
Change at Week 4
-3.25
(15.82)
-11.05
(17.73)
-13.33
(16.58)
Change at Week 8
-4.19
(17.81)
-13.18
(20.74)
-15.17
(19.05)
Change at Week 12
-7.30
(18.00)
-13.04
(20.48)
-14.87
(20.36)
Change at Week 16
-6.51
(19.28)
-13.31
(20.73)
-15.15
(20.82)
Change at Week 20
-7.18
(21.29)
-12.21
(22.31)
-15.86
(20.23)
Change at Week 24
-6.31
(21.74)
-13.69
(21.26)
-16.28
(21.25)
Change at Week 32
-6.41
(21.68)
-13.45
(21.76)
-16.10
(21.38)
Change at Week 40
-6.23
(22.16)
-13.13
(22.47)
-15.38
(21.80)
Change at Week 48
-6.34
(22.18)
-13.01
(22.03)
-15.73
(22.44)
Change at Week 52
-5.20
(22.55)
-12.90
(22.96)
-15.08
(22.29)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0442
Comments
Method ANCOVA
Comments P-values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0681
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0966
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1242
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1521
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0070
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0140
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0815
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0886
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1488
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0979
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1740
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior methotrexate use + treatment.
20. Secondary Outcome
Title Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52
Description ESR: laboratory test that provided a non-specific measure of inflammation. The test assessed the rate at which red blood cells fell in a test tube and was measured in mm/hour. Normal range: 0-30mm/h. Higher rate consistent with inflammation.
Time Frame Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52

Outcome Measure Data

Analysis Population Description
mITT; LOCF
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 176 192 182
Baseline
42.55
(28.24)
42.00
(29.44)
43.66
(27.64)
Change at Week 2
-1.86
(10.65)
-13.67
(13.07)
-16.91
(15.01)
Change at Week 4
-2.92
(11.78)
-13.26
(14.94)
-16.62
(16.03)
Change at Week 8
-5.50
(16.89)
-13.99
(17.39)
-18.01
(17.83)
Change at Week 12
-8.89
(17.38)
-15.18
(17.63)
-18.98
(19.04)
Change at Week 16
-8.56
(18.73)
-15.45
(18.54)
-19.78
(20.32)
Change at Week 20
-10.56
(20.45)
-15.68
(19.15)
-19.40
(20.18)
Change at Week 24
-9.88
(20.15)
-16.52
(20.09)
-20.01
(20.86)
Change at Week 32
-9.92
(20.51)
-16.06
(21.14)
-20.16
(21.54)
Change at Week 40
-9.33
(20.50)
-15.93
(21.47)
-18.28
(21.81)
Change at Week 48
-10.70
(20.93)
-15.61
(23.07)
-19.25
(21.77)
Change at Week 52
-10.22
(21.69)
-14.79
(23.06)
-18.85
(21.67)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior Methotrexate use + treatment.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0274
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0344
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 8
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0293
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0452
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 16
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0313
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 20
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0781
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 24
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1279
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 32
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0807
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 40
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4180
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0061
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 48
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1615
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Methotrexate, Etanercept 10 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0130
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection Etanercept 10 mg, Etanercept 25 mg
Comments Week 52
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0948
Comments
Method ANCOVA
Comments p-Values from ANCOVA model: change = baseline + pooled study center + prior MTX use + treatment.
21. Other Pre-specified Outcome
Title Comparison of Etanercept Serum Concentrations Between the 10 mg and 25 mg Etanercept Doses
Description
Time Frame Weeks 12, 24, 52

Outcome Measure Data

Analysis Population Description
mITT; n = evaluable participants at the specified time point.
Arm/Group Title Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
Measure Participants 179 171
Week 12 (n=179, 164)
1012
(30.3)
2490
(79.6)
Week 24 (n=171, 171)
1094
(32.2)
2500
(79.3)
Week 52 (n=158, 149)
1097
(34.4)
2754
(136)

Adverse Events

Time Frame
Adverse Event Reporting Description The same event may appear as both an adverse event (AE) and a serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Arm/Group Title Methotrexate Etanercept 10 mg Etanercept 25 mg
Arm/Group Description Participants received 4 milligrams (mg) up to 8 mg orally (2.0 mg capsules), once weekly for 52 weeks and subcutaneous (SC) placebo injections twice weekly Participants received 10 mg SC twice weekly and oral placebo capsules once weekly for 52 weeks Participants received 25 mg twice weekly SC and oral placebo capsules once weekly for 52 weeks
All Cause Mortality
Methotrexate Etanercept 10 mg Etanercept 25 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Methotrexate Etanercept 10 mg Etanercept 25 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/176 (5.7%) 8/192 (4.2%) 11/182 (6%)
Ear and labyrinth disorders
Sudden hearing loss 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Vertigo positional 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Endocrine disorders
Thyroiditis subacute 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Eye disorders
Retinal detachment 0/176 (0%) 1/192 (0.5%) 1/182 (0.5%)
Gastrointestinal disorders
Food poisoning 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
General disorders
Pyrexia 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Infections and infestations
Appendicitis 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Pneumonia 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Urinary tract infection 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Injury, poisoning and procedural complications
Ankle fracture 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Femur fracture 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Fracture 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Spinal compression fracture 2/176 (1.1%) 0/192 (0%) 0/182 (0%)
Tendon rupture 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Ulna fracture 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Musculoskeletal pain 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Pain in extremity 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Rheumatoid arthritis 2/176 (1.1%) 1/192 (0.5%) 1/182 (0.5%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 1/176 (0.6%) 0/192 (0%) 2/182 (1.1%)
Prostate cancer 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Nervous system disorders
Depressed level of consciousness 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Dizziness 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Occipital neuralgia 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Pregnancy, puerperium and perinatal conditions
Abortion 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Pregnancy 0/176 (0%) 0/192 (0%) 1/182 (0.5%)
Skin and subcutaneous tissue disorders
Urticaria 0/176 (0%) 1/192 (0.5%) 0/182 (0%)
Vascular disorders
Varicose vein 1/176 (0.6%) 0/192 (0%) 0/182 (0%)
Other (Not Including Serious) Adverse Events
Methotrexate Etanercept 10 mg Etanercept 25 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 92/176 (52.3%) 106/192 (55.2%) 102/182 (56%)
Cardiac disorders
Palpitations 4/176 (2.3%) 0/192 (0%) 2/182 (1.1%)
Ear and labyrinth disorders
Vertigo 0/176 (0%) 5/192 (2.6%) 1/182 (0.5%)
Eye disorders
Conjunctivitis allergic 2/176 (1.1%) 0/192 (0%) 4/182 (2.2%)
Gastrointestinal disorders
Abdominal discomfort 4/176 (2.3%) 6/192 (3.1%) 0/182 (0%)
Abdominal pain upper 5/176 (2.8%) 3/192 (1.6%) 3/182 (1.6%)
Constipation 9/176 (5.1%) 6/192 (3.1%) 7/182 (3.8%)
Diarrhoea 5/176 (2.8%) 5/192 (2.6%) 10/182 (5.5%)
Gastritis 6/176 (3.4%) 3/192 (1.6%) 1/182 (0.5%)
Nausea 7/176 (4%) 4/192 (2.1%) 1/182 (0.5%)
Stomatitis 8/176 (4.5%) 8/192 (4.2%) 3/182 (1.6%)
Vomiting 1/176 (0.6%) 3/192 (1.6%) 4/182 (2.2%)
Dental caries 3/176 (1.7%) 4/192 (2.1%) 8/182 (4.4%)
Periodontitis 0/176 (0%) 1/192 (0.5%) 5/182 (2.7%)
General disorders
Pyrexia 6/176 (3.4%) 2/192 (1%) 8/182 (4.4%)
Hepatobiliary disorders
Hepatic function abnormal 6/176 (3.4%) 5/192 (2.6%) 3/182 (1.6%)
Infections and infestations
Bronchitis 5/176 (2.8%) 5/192 (2.6%) 6/182 (3.3%)
Cystitis 6/176 (3.4%) 4/192 (2.1%) 9/182 (4.9%)
Gastroenteritis 5/176 (2.8%) 1/192 (0.5%) 1/182 (0.5%)
Hordeolum 1/176 (0.6%) 2/192 (1%) 4/182 (2.2%)
Influenza 6/176 (3.4%) 4/192 (2.1%) 1/182 (0.5%)
Nasopharyngitis 43/176 (24.4%) 45/192 (23.4%) 37/182 (20.3%)
Oral herpes 2/176 (1.1%) 6/192 (3.1%) 2/182 (1.1%)
Otitis media 1/176 (0.6%) 4/192 (2.1%) 0/182 (0%)
Pharyngitis 12/176 (6.8%) 18/192 (9.4%) 15/182 (8.2%)
Pneumonia 0/176 (0%) 5/192 (2.6%) 2/182 (1.1%)
Upper respiratory tract infection 20/176 (11.4%) 20/192 (10.4%) 21/182 (11.5%)
Injury, poisoning and procedural complications
Contusion 4/176 (2.3%) 4/192 (2.1%) 8/182 (4.4%)
Investigations
Alanine aminotransferase increased 22/176 (12.5%) 12/192 (6.3%) 10/182 (5.5%)
Aspartate aminotransferase increased 18/176 (10.2%) 8/192 (4.2%) 8/182 (4.4%)
Blood alkaline phosphatase increased 3/176 (1.7%) 2/192 (1%) 5/182 (2.7%)
Blood pressure increased 3/176 (1.7%) 3/192 (1.6%) 4/182 (2.2%)
Blood urine present 2/176 (1.1%) 5/192 (2.6%) 2/182 (1.1%)
Transaminases increased 8/176 (4.5%) 5/192 (2.6%) 5/182 (2.7%)
Musculoskeletal and connective tissue disorders
Arthralgia 7/176 (4%) 2/192 (1%) 1/182 (0.5%)
Nervous system disorders
Dizziness 1/176 (0.6%) 6/192 (3.1%) 3/182 (1.6%)
Headache 4/176 (2.3%) 5/192 (2.6%) 9/182 (4.9%)
Psychiatric disorders
Insomnia 9/176 (5.1%) 9/192 (4.7%) 2/182 (1.1%)
Respiratory, thoracic and mediastinal disorders
Cough 0/176 (0%) 4/192 (2.1%) 6/182 (3.3%)
Rhinitis allergic 3/176 (1.7%) 6/192 (3.1%) 1/182 (0.5%)
Skin and subcutaneous tissue disorders
Dermatitis 0/176 (0%) 2/192 (1%) 4/182 (2.2%)
Dermatitis contact 4/176 (2.3%) 3/192 (1.6%) 4/182 (2.2%)
Eczema 8/176 (4.5%) 7/192 (3.6%) 8/182 (4.4%)
Erythema 1/176 (0.6%) 4/192 (2.1%) 1/182 (0.5%)
Pruritus 3/176 (1.7%) 12/192 (6.3%) 5/182 (2.7%)
Rash 8/176 (4.5%) 10/192 (5.2%) 10/182 (5.5%)
Urticaria 2/176 (1.1%) 4/192 (2.1%) 1/182 (0.5%)
Vascular disorders
Hypertension 2/176 (1.1%) 4/192 (2.1%) 4/182 (2.2%)

Limitations/Caveats

Total Sharp Score and modified total Sharp Score were used interchangeably in the protocol and meant the same thing. In the statistical analysis plan and study results, mTSS was used consistently.

More Information

Certain Agreements

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

Wyeth has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00445770
Other Study ID Numbers:
  • 0881A1-315
  • B1801002
First Posted:
Mar 9, 2007
Last Update Posted:
Aug 15, 2011
Last Verified:
Aug 1, 2011