An Efficacy and Safety Study of CNTO 148 Subcutaneous Injection Compared With Placebo in Patients With Active Rheumatoid Arthritis

Sponsor
Centocor, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00207714
Collaborator
Centocor BV (Industry)
172
3
27

Study Details

Study Description

Brief Summary

Multicenter, randomized, double-blind, placebo-controlled, 5-arm, dose-ranging study to assess the efficacy of subcutaneous injections of Golimumab (CNTO 148), 50 or 100 mg, at either 2- or 4- week intervals in subjects with active RA despite MTX therapy.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

This is an experimental medical research study. The purpose of this study is to determine if Golimumab is safe and effective in the treatment of rheumatoid arthritis.

Subjects will receive subcutaneous injections of either 50 or 100 mg Golimumab or placebo every two or four weeks or an infusion of infliximab at week 20, 22, 28, 36, 44 for 48 weeks

Study Design

Study Type:
Interventional
Actual Enrollment :
172 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-blind, Dose-ranging Trial of CNTO 148 Subcutaneous Injection Compared With Placebo in Subjects With Active Rheumatoid Arthritis Despite Treatment With Methotrexate
Study Start Date :
Nov 1, 2003
Actual Primary Completion Date :
Feb 1, 2005
Actual Study Completion Date :
Feb 1, 2006

Arms and Interventions

Arm Intervention/Treatment
Experimental: Golimumab (CNTO 148) with Methotrexate (MTX)

Drug: Golimumab
Type=exact, unit=mg/ml, number= 50 to 100 , form=powder for solution for infusion, route=sub cutaneous.

Drug: MTX
Type=exact, unit=mg/ml, number= 10, form=powder for solution for infusion, route=sub cutaneous

Experimental: Infliximab with MTX

Drug: MTX
Type=exact, unit=mg/ml, number= 10, form=powder for solution for infusion, route=sub cutaneous

Drug: Infliximab
Type=exact, unit=mg/ml number= 10, form=powder for solution for infusion, route=sub cutaneous

Placebo Comparator: Placebo with MTX

Drug: MTX
Type=exact, unit=mg/ml, number= 10, form=powder for solution for infusion, route=sub cutaneous

Drug: Placebo
Type=exact, unit=mg/ml, form=powder for solution for infusion, route=sub cutaneous

Outcome Measures

Primary Outcome Measures

  1. Number of Participants Meeting the American College of Rheumatology 20 (ACR 20) Response at Week 16 [Week 16]

    ACR 20 response is a decrease of at least 20 per cent in both tender and swollen joint count and in 3 to 5 assessments (participant's assessment of pain visual analog scale [VAS] with 0, no pain to 10, worst pain; patient's and physician's global assessment of disease activity VAS scales: overall disease activity [0, very well to 10, very poor and 0, no arthritis activity to 10, extremely active, respectively]; Health Assessment Questionnaire [HAQ]: 20-questions on life activities [0, no difficulty to 3, inability to perform a task]; C-reactive protein[CRP]).

Secondary Outcome Measures

  1. Summary of ACR-N, Index of Improvement at Week 16 [Week 16]

    The ACR-N index of improvement is the minimum of the following: 1) the percent decrease from baseline in tender joint counts; 2) the percent decrease from baseline in swollen joint counts; 3) the median percent decrease from baseline for the following: a. Patient's assessment of pain as measured on a 10 cm visual assessment scale (0-10, 10 worst pain) Patient's global assessment of disease activity (VAS 0-10); c. Physician's global assessment of disease activity (VAS 0-10) d. Physical function as measured by the Health Assessment Questionnaire; e. C-Reactive Protein measurement.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Diagnosis of RA according to the American College of Rheumatology criteria for at least 3 months prior to screening

  • Have active Rheumatoid Arthritis at the time of screening and at baseline, as defined by 6 or more swollen joints and 6 or more tender joints and additional laboratory criteria

Exclusion Criteria:
  • Have other inflammatory diseases, including but not limited to ankylosing spondylitis, systemic lupus erythematosus, Lyme disease

  • Received disease-modifying antirheumatic drugs ([DMARDs] eg, D penicillamine, hydroxychloroquine, chloroquine, oral or parenteral gold, interleukin [IL]-1 receptor antagonist [anakinra], azathioprine, sulphasalazine, agents other than MTX) within 4 weeks prior to the first study dose

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Centocor, Inc.
  • Centocor BV

Investigators

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

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00207714
Other Study ID Numbers:
  • CR005263
  • C0524T02
First Posted:
Sep 21, 2005
Last Update Posted:
Oct 18, 2012
Last Verified:
Oct 1, 2012

Study Results

Participant Flow

Recruitment Details A total of 172 participants were randomly assigned to treatments at 33 sites: 16 in North America (13 in the US and 3 in Canada), 12 in Europe (3 in Belgium, 4 in the UK, 5 in Germany), and 5 in Australia. The study period extended from 01 Dec 2003 to 21 Feb 2006.
Pre-assignment Detail
Arm/Group Title Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks
Arm/Group Description Placebo subcutaneous (SC) injections every 2 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus Methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); after all study evaluations at Wk 20, open-label infliximab intravenous (IV) infusions: 3 milligrams per kilogram (mg/kg) at Wks 20, 22, 28 and then every 8 Wks thru Wk 44. Continue stable dose of MTX throughout the study. Golimumab (CNTO148) 50 milligram (mg) SC injections every 4 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks thru Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as Group II: golimumab 50 mg plus placebo every 4 Wks. Golimumab 50 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as GroupIII: Golimumab 50 mg every 2 or 4 Wks. Golimumab 100 mg SC injections every 4 Wks thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded through the end of study. Also referred to as Group IV: golimumab 100 mg plus placebo every 4 Wks. Golimumab 100 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as Group V: Golimumab 100 mg every 2 or 4 Wks.
Period Title: Overall Study
STARTED 35 35 34 34 34
COMPLETED 21 28 24 26 29
NOT COMPLETED 14 7 10 8 5

Baseline Characteristics

Arm/Group Title Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks Total
Arm/Group Description Placebo subcutaneous (SC) injections every 2 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus Methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); after all study evaluations at Wk 20, open-label infliximab intravenous (IV) infusions: 3 milligrams per kilogram (mg/kg) at Wks 20, 22, 28 and then every 8 Wks thru Wk 44. Continue stable dose of MTX throughout the study. Golimumab (CNTO148) 50 milligram (mg) SC injections every 4 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks thru Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as Group II: golimumab 50 mg plus placebo every 4 Wks. Golimumab 50 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as GroupIII: Golimumab 50 mg every 2 or 4 Wks. Golimumab 100 mg SC injections every 4 Wks thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded through the end of study. Also referred to as Group IV: golimumab 100 mg plus placebo every 4 Wks. Golimumab 100 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Also referred to as Group V: Golimumab 100 mg every 2 or 4 Wks. Total of all reporting groups
Overall Participants 35 35 34 34 34 172
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
53.8
(12.9)
56.1
(10.5)
50.4
(13.1)
56.3
(12.1)
54.1
(14.1)
54.2
(12.6)
Sex: Female, Male (Count of Participants)
Female
26
74.3%
30
85.7%
23
67.6%
26
76.5%
27
79.4%
132
76.7%
Male
9
25.7%
5
14.3%
11
32.4%
8
23.5%
7
20.6%
40
23.3%

Outcome Measures

1. Primary Outcome
Title Number of Participants Meeting the American College of Rheumatology 20 (ACR 20) Response at Week 16
Description ACR 20 response is a decrease of at least 20 per cent in both tender and swollen joint count and in 3 to 5 assessments (participant's assessment of pain visual analog scale [VAS] with 0, no pain to 10, worst pain; patient's and physician's global assessment of disease activity VAS scales: overall disease activity [0, very well to 10, very poor and 0, no arthritis activity to 10, extremely active, respectively]; Health Assessment Questionnaire [HAQ]: 20-questions on life activities [0, no difficulty to 3, inability to perform a task]; C-reactive protein[CRP]).
Time Frame Week 16

Outcome Measure Data

Analysis Population Description
Intent to treat (ITT). Participants considered non-responder if used any pre-specified prohibited medications or discontinued subcutaneous (SC) study agent due to lack of efficacy. Missing ACR components were imputed by Last Observation Carried Forward (LOCF) unless all ACR components are missing in which case considered non-responders.
Arm/Group Title Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks Combined: Groups II, III, IV & V
Arm/Group Description Placebo SC injections every 2 weeks (Wks) from week (Wk) 0 thru Wk 18 plus Methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); after all study evaluations at Wk 20, open-label infliximab IV infusions: 3 mg/kg at Wks 20, 22, 28 and then every 8 Wks thru Wk 44. Continue stable dose of MTX throughout the study. Golimumab (CNTO148) 50 mg SC injections every 4 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks thru Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Golimumab 50 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 50 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Golimumab 100 mg SC injections every 4 Wks thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded through the end of study. Golimumab 100 mg SC injections every 2 Wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Combines Groups II (golimumab 50 mg plus placebo), III (golimumab 50 mg every 2/4 Wks), IV (golimumab 100 mg plus placebo) & V (golimumab 100 mg every 2/4 Wks).
Measure Participants 35 35 34 34 34 137
Number [Participants]
13
37.1%
21
60%
17
50%
19
55.9%
27
79.4%
84
48.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Combined: Groups II, III, IV & V
Comments Null hypothesis: No difference in ACR 20 response at Week 16 between combined golimumab groups and Placebo +MTX group. Sample of 35 participants per treatment groups (140 in combined golimumab group and 35 in Placebo +MTX group) provides greater than 90% power assuming 60% golimumab response and 25 % response in Placebo +MTX.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.010
Comments A positive test is concluded if there is a significant difference between combined golimumab and placebo groups and at least one of the pair-wise comparisons at 0.05 level.
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group II: Golimumab 50 mg Every 4 Weeks
Comments Null hypothesis: No difference in ACR 20 response at Wk 16 between golimumab 50 mg every 4 weeks and Placebo + MTX. Sample of 35 participants per treatment groups (140 in combined golimumab group and 35 in Placebo +MTX group) provides greater than 90% power assuming 60% golimumab response and 25% response in placebo.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.056
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group III: Golimumab 50 mg Every 2 or 4 Weeks
Comments Null hypothesis: No difference in ACR 20 response at Wk 16 between Golimumab 50 mg every 2 or 4 Weeks and Placebo + MTX. Sample of 35 participants per treatment groups (140 in combined golimumab group and 35 in Placebo +MTX group) provides greater than 90% power assuming 60% golimumab response and 25% response in placebo.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.281
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group IV: Golibumab 100 mg Every 4 Weeks
Comments Null hypothesis: No difference in ACR 20 response at Wk 16 between Golimumab 100 mg every 4 weeks and Placebo + MTX. Sample of 35 participants per treatment groups (140 in combined golimumab group and 35 in Placebo +MTX group) provides greater than 90% power assuming 60% golimumab response and 25% response in placebo.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.119
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group V: Golimumab 100 mg Every 2 or 4 Weeks
Comments Null hypothesis: No difference in ACR 20 response at Wk 16 between Golimumab 100 mg every 2 or 4 Weeks and Placebo + MTX. Sample of 35 participants per treatment groups (140 in combined golimumab group and 35 in Placebo +MTX group) provides greater than 90% power assuming 60% golimumab response and 25% response in placebo.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Cochran-Mantel-Haenszel
Comments
2. Secondary Outcome
Title Summary of ACR-N, Index of Improvement at Week 16
Description The ACR-N index of improvement is the minimum of the following: 1) the percent decrease from baseline in tender joint counts; 2) the percent decrease from baseline in swollen joint counts; 3) the median percent decrease from baseline for the following: a. Patient's assessment of pain as measured on a 10 cm visual assessment scale (0-10, 10 worst pain) Patient's global assessment of disease activity (VAS 0-10); c. Physician's global assessment of disease activity (VAS 0-10) d. Physical function as measured by the Health Assessment Questionnaire; e. C-Reactive Protein measurement.
Time Frame Week 16

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) and missing ACR components were imputed by LOCF unless all ACR components are missing in which case considered non-responders. The joint evaluability rules were also applied.
Arm/Group Title Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks Combined: Groups II, III, IV & V
Arm/Group Description Placebo SC injections every 2 wks from Wk 0 thru Wk 18 plus Methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); after all study evaluations at Wk 20, open-label infliximab IV infusions: 3 mg/kg at Wks 20, 22, 28 and then every 8 wks thru Wk 44. Continue stable dose of MTX throughout the study. Golimumab (CNTO148) 50 mg SC injections every 4 wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 50 mg of golimumab at Wk 20, and then every 4 wks thru Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Golimumab 50 mg SC injections every 2 wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 50 mg of golimumab at Wk 20, and then every 4 weeks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Golimumab 100 mg SC injections every 4 wks thru Wk 18 plus MTX (Weeks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Weeks 2, 6, 10, 14, and 18) plus MTX. Participants continued at 100 mg of golimumab at Wk 20, and then every 4 wks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded through the end of study. Golimumab 100 mg SC injections every 2 wks from Wk 0 thru Wk 18 plus MTX (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Participants continued at 100 mg of golimumab at Wk 20, and then every 4 weeks through Wk 48. Continue stable dose of MTX throughout the study. Participants remained blinded thru the end of study. Combines Groups II (golimumab 50 mg plus placebo), III (golimumab 50 mg every 2/4 wks), IV (golimumab 100 mg plus placebo) & V (golimumab 100 mg every 2/4 wks).
Measure Participants 35 35 34 34 34 137
Median (Inter-Quartile Range) [Scores on scale]
0.0
37.4
19.4
22.3
35.6
33.3
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Combined: Groups II, III, IV & V
Comments No difference in ACRn scores measured as percentage of improvement from baseline at Week 16 between Placebo + MTX and combined golimumab groups.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.001
Comments
Method ANOVA on van der Waerden normal scores.
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group II: Golimumab 50 mg Every 4 Weeks
Comments No difference in ACRn scores measured as percentage of improvement from baseline at Week 16 between Placebo + MTX and Golimumab 50 mg every 4 weeks
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.006
Comments
Method ANOVA on van der Waerden normal scores.
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group III: Golimumab 50 mg Every 2 or 4 Weeks
Comments No difference in ACRn scores measured as percentage of improvement from baseline at Week 16 between Placebo + MTX and Golimumab 50 mg every 2 or 4 Weeks
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.095
Comments
Method ANOVA on van der Waerden normal scores.
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group IV: Golibumab 100 mg Every 4 Weeks
Comments No difference in ACRn scores measured as percentage of improvement from baseline at Week 16 between Placebo + MTX Golibumab 100 mg every 4 weeks
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.010
Comments
Method ANOVA on van der Waerden normal scores.
Comments ANOVA on van der Waerden normal scores
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Group I: Placebo Crossover to Infliximab, Group V: Golimumab 100 mg Every 2 or 4 Weeks
Comments No difference in ACRn scores measured as percentage of improvement from baseline at Week 16 between Placebo + MTX Golimumab 100 mg every 2 or 4 Weeks
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANOVA on van der Waerden normal scores.
Comments

Adverse Events

Time Frame Baseline to Week 52
Adverse Event Reporting Description Twelve participants received an incorrect study agent or incorrect dose of Golimumab (CNTO 148) at least once through Week 16. For analyses performed by actual treatment received, 10 subjects were counted in treatment groups (based on total dose received) that differed from the treatment groups to which they had been randomly assigned.
Arm/Group Title Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks
Arm/Group Description Placebo subcutaneous (SC) injections every 2 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus Methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); after all study evaluations at Wk 20, open-label infliximab intravenous (IV) infusions: 3 milligrams per kilogram (mg/kg) at Wks 20, 22, 28 and then every 8 Wks thru Wk 44. Continue stable dose of MTX throughout the study. Golimumab (CNTO148) 50 milligram (mg) subcutaneous (SC) injections every 4 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus methotrexate (MTX) (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Patients continued at 50 mg of golimumab at Wk 20, and then every 4 Wks thru Wk 48. Continue stable dose of MTX throughout the study. Patients remained blinded thru the end of study. Also referred to as Group II: golimumab 50 mg plus placebo every 4 Wks. Golimumab 50 miligram (mg) subcutaneous (SC) injections every 2 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Patients continued at 50 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Patients remained blinded thru the end of study. Also referred to as GroupIII: Golimumab 50 mg every 2 or 4 Wks. Golimumab 100 mg subcutaneous (SC) injections every 4 weeks (Wks) thru Week (Wk) 18 plus methotrexate (MTX) (Wks 0, 4, 8, 12, and 16); Placebo SC injections were to be administered at interim visits (Wks 2, 6, 10, 14, and 18) plus MTX. Patients continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Patients remained blinded through the end of study. Also referred to as Group IV: golimumab 100 mg plus placebo every 4 Wks. Golimumab 100 milligrams (mg) subcutaneous (SC) injections every 2 weeks (Wks) from Week (Wk) 0 thru Wk 18 plus methotrexate (MTX) (Wks 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18); Patients continued at 100 mg of golimumab at Wk 20, and then every 4 Wks through Wk 48. Continue stable dose of MTX throughout the study. Patients remained blinded thru the end of study. Also referred to as Group V: Golimumab 100 mg every 2 or 4 Wks.
All Cause Mortality
Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/34 (5.9%) 7/37 (18.9%) 5/32 (15.6%) 5/33 (15.2%) 5/35 (14.3%)
Cardiac disorders
Angina unstable 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Cardiac failure congestive 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Cardiac tamponade 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Coronary artery stenosis 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Gastrointestinal disorders
Inguinal hernia 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Enterocolitis 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
General disorders
Chest pain 0/34 (0%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Infections and infestations
Bronchopneumonia 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Pneumonia 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Pneumonia legionella 0/34 (0%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Septic shock 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Sinusitis 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Listeria sepsis 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Lower respiratory tract infection 1/34 (2.9%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Injury, poisoning and procedural complications
Femur fracture 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Fractured coccyx 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Medical device complication 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Metabolism and nutrition disorders
Hyperglycaemia 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis 2/34 (5.9%) 1/37 (2.7%) 1/32 (3.1%) 1/33 (3%) 0/35 (0%)
Back pain 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Fracture delayed union 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Intervertebral disc protrusion 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 0/34 (0%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Lung adenocarcinoma 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Squamous cell carcinoma 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Nervous system disorders
Nerve root compression 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive airways disease exacerbated 0/34 (0%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Vascular disorders
Thrombophlebitis superficial 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Other (Not Including Serious) Adverse Events
Group I: Placebo Crossover to Infliximab Group II: Golimumab 50 mg Every 4 Weeks Group III: Golimumab 50 mg Every 2 or 4 Weeks Group IV: Golibumab 100 mg Every 4 Weeks Group V: Golimumab 100 mg Every 2 or 4 Weeks
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 28/34 (82.4%) 34/37 (91.9%) 29/32 (90.6%) 29/33 (87.9%) 33/35 (94.3%)
Blood and lymphatic system disorders
Eosinophilia 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 0/33 (0%) 0/35 (0%)
Ear and labyrinth disorders
Vertigo 1/34 (2.9%) 0/37 (0%) 2/32 (6.3%) 1/33 (3%) 2/35 (5.7%)
Tinnitus 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Eye disorders
Dry eye 1/34 (2.9%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 1/35 (2.9%)
Conjunctivitis 1/34 (2.9%) 2/37 (5.4%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Gastrointestinal disorders
Nausea 2/34 (5.9%) 5/37 (13.5%) 8/32 (25%) 7/33 (21.2%) 8/35 (22.9%)
Diarrhoea 4/34 (11.8%) 5/37 (13.5%) 3/32 (9.4%) 3/33 (9.1%) 6/35 (17.1%)
Vomiting 2/34 (5.9%) 5/37 (13.5%) 0/32 (0%) 2/33 (6.1%) 5/35 (14.3%)
Abdominal pain upper 4/34 (11.8%) 2/37 (5.4%) 2/32 (6.3%) 3/33 (9.1%) 1/35 (2.9%)
Abdominal pain 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 2/33 (6.1%) 1/35 (2.9%)
Constipation 1/34 (2.9%) 2/37 (5.4%) 1/32 (3.1%) 0/33 (0%) 1/35 (2.9%)
Dyspepsia 0/34 (0%) 4/37 (10.8%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Mouth ulceration 0/34 (0%) 2/37 (5.4%) 0/32 (0%) 0/33 (0%) 1/35 (2.9%)
Gingival pain 0/34 (0%) 2/37 (5.4%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Toothache 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 0/33 (0%) 0/35 (0%)
General disorders
Injection site erythema 4/34 (11.8%) 5/37 (13.5%) 5/32 (15.6%) 4/33 (12.1%) 10/35 (28.6%)
Fatigue 0/34 (0%) 2/37 (5.4%) 4/32 (12.5%) 2/33 (6.1%) 3/35 (8.6%)
Pyrexia 1/34 (2.9%) 3/37 (8.1%) 1/32 (3.1%) 4/33 (12.1%) 2/35 (5.7%)
Injection site pain 0/34 (0%) 1/37 (2.7%) 2/32 (6.3%) 3/33 (9.1%) 2/35 (5.7%)
Oedema peripheral 0/34 (0%) 3/37 (8.1%) 3/32 (9.4%) 1/33 (3%) 1/35 (2.9%)
Chest pain 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 1/33 (3%) 3/35 (8.6%)
Injection site pruritus 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 1/33 (3%) 3/35 (8.6%)
Chills 2/34 (5.9%) 0/37 (0%) 1/32 (3.1%) 2/33 (6.1%) 1/35 (2.9%)
Injection site induration 0/34 (0%) 1/37 (2.7%) 1/32 (3.1%) 0/33 (0%) 2/35 (5.7%)
Malaise 0/34 (0%) 2/37 (5.4%) 0/32 (0%) 1/33 (3%) 1/35 (2.9%)
Injection site haemorrhage 1/34 (2.9%) 0/37 (0%) 2/32 (6.3%) 1/33 (3%) 0/35 (0%)
Infections and infestations
Nasopharyngitis 3/34 (8.8%) 8/37 (21.6%) 3/32 (9.4%) 2/33 (6.1%) 8/35 (22.9%)
Upper respiratory tract infection 7/34 (20.6%) 6/37 (16.2%) 6/32 (18.8%) 5/33 (15.2%) 4/35 (11.4%)
Influenza 0/34 (0%) 4/37 (10.8%) 2/32 (6.3%) 2/33 (6.1%) 1/35 (2.9%)
Sinusitis 2/34 (5.9%) 3/37 (8.1%) 3/32 (9.4%) 2/33 (6.1%) 1/35 (2.9%)
Bronchitis 1/34 (2.9%) 3/37 (8.1%) 0/32 (0%) 0/33 (0%) 5/35 (14.3%)
Herpes simplex 1/34 (2.9%) 3/37 (8.1%) 2/32 (6.3%) 1/33 (3%) 1/35 (2.9%)
Urinary tract infection 2/34 (5.9%) 2/37 (5.4%) 0/32 (0%) 3/33 (9.1%) 1/35 (2.9%)
Gastroenteritis viral 1/34 (2.9%) 1/37 (2.7%) 1/32 (3.1%) 2/33 (6.1%) 1/35 (2.9%)
Lower respiratory tract infection 3/34 (8.8%) 1/37 (2.7%) 0/32 (0%) 3/33 (9.1%) 1/35 (2.9%)
Respiratory tract infection 1/34 (2.9%) 3/37 (8.1%) 1/32 (3.1%) 1/33 (3%) 0/35 (0%)
Viral infection 0/34 (0%) 2/37 (5.4%) 1/32 (3.1%) 1/33 (3%) 1/35 (2.9%)
Pharyngitis 0/34 (0%) 2/37 (5.4%) 0/32 (0%) 1/33 (3%) 1/35 (2.9%)
Rhinitis 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 3/35 (8.6%)
Nail infection 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 1/33 (3%) 0/35 (0%)
Ear infection 0/34 (0%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Fungal rash 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 0/33 (0%) 0/35 (0%)
Gingival infection 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 0/33 (0%) 0/35 (0%)
Injury, poisoning and procedural complications
Contusion 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 2/33 (6.1%) 2/35 (5.7%)
Thermal burn 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 1/33 (3%) 2/35 (5.7%)
Excoriation 1/34 (2.9%) 1/37 (2.7%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Arthropod bite 0/34 (0%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Investigations
Alanine aminotransferase increased 0/34 (0%) 1/37 (2.7%) 4/32 (12.5%) 3/33 (9.1%) 1/35 (2.9%)
Aspartate aminotransferase increased 0/34 (0%) 1/37 (2.7%) 3/32 (9.4%) 3/33 (9.1%) 1/35 (2.9%)
Blood cholesterol increased 0/34 (0%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 2/35 (5.7%)
Blood pressure increased 0/34 (0%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Liver function test abnormal 0/34 (0%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis 5/34 (14.7%) 8/37 (21.6%) 7/32 (21.9%) 4/33 (12.1%) 7/35 (20%)
Arthralgia 0/34 (0%) 3/37 (8.1%) 5/32 (15.6%) 2/33 (6.1%) 5/35 (14.3%)
Back pain 1/34 (2.9%) 3/37 (8.1%) 3/32 (9.4%) 2/33 (6.1%) 2/35 (5.7%)
Muscle spasms 1/34 (2.9%) 3/37 (8.1%) 2/32 (6.3%) 1/33 (3%) 2/35 (5.7%)
Pain in extremity 2/34 (5.9%) 1/37 (2.7%) 3/32 (9.4%) 1/33 (3%) 3/35 (8.6%)
Osteoarthritis 0/34 (0%) 3/37 (8.1%) 0/32 (0%) 0/33 (0%) 2/35 (5.7%)
Joint swelling 0/34 (0%) 2/37 (5.4%) 1/32 (3.1%) 0/33 (0%) 1/35 (2.9%)
Neck pain 0/34 (0%) 1/37 (2.7%) 2/32 (6.3%) 0/33 (0%) 1/35 (2.9%)
Arthritis 0/34 (0%) 1/37 (2.7%) 0/32 (0%) 0/33 (0%) 2/35 (5.7%)
Bursitis 0/34 (0%) 2/37 (5.4%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Myalgia 0/34 (0%) 0/37 (0%) 3/32 (9.4%) 0/33 (0%) 0/35 (0%)
Shoulder pain 0/34 (0%) 0/37 (0%) 1/32 (3.1%) 0/33 (0%) 2/35 (5.7%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign breast neoplasm 0/34 (0%) 0/37 (0%) 0/32 (0%) 2/33 (6.1%) 0/35 (0%)
Nervous system disorders
Headache 7/34 (20.6%) 8/37 (21.6%) 6/32 (18.8%) 9/33 (27.3%) 3/35 (8.6%)
Dizziness 6/34 (17.6%) 1/37 (2.7%) 3/32 (9.4%) 4/33 (12.1%) 3/35 (8.6%)
Paraesthesia 0/34 (0%) 3/37 (8.1%) 2/32 (6.3%) 1/33 (3%) 0/35 (0%)
Hypoaesthesia 0/34 (0%) 1/37 (2.7%) 1/32 (3.1%) 1/33 (3%) 2/35 (5.7%)
Sciatica 0/34 (0%) 3/37 (8.1%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Balance disorder 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 2/35 (5.7%)
Psychiatric disorders
Insomnia 0/34 (0%) 0/37 (0%) 2/32 (6.3%) 0/33 (0%) 0/35 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 1/34 (2.9%) 3/37 (8.1%) 5/32 (15.6%) 4/33 (12.1%) 4/35 (11.4%)
Dyspnoea 0/34 (0%) 2/37 (5.4%) 2/32 (6.3%) 3/33 (9.1%) 2/35 (5.7%)
Pharyngolaryngeal pain 2/34 (5.9%) 2/37 (5.4%) 3/32 (9.4%) 2/33 (6.1%) 1/35 (2.9%)
Nasal congestion 0/34 (0%) 2/37 (5.4%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Rhinitis seasonal 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 2/35 (5.7%)
Skin and subcutaneous tissue disorders
Pruritus 3/34 (8.8%) 2/37 (5.4%) 0/32 (0%) 1/33 (3%) 3/35 (8.6%)
Rash 3/34 (8.8%) 2/37 (5.4%) 1/32 (3.1%) 1/33 (3%) 2/35 (5.7%)
Dermatitis 0/34 (0%) 3/37 (8.1%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Ecchymosis 0/34 (0%) 1/37 (2.7%) 2/32 (6.3%) 1/33 (3%) 0/35 (0%)
Hyperhidrosis 1/34 (2.9%) 0/37 (0%) 3/32 (9.4%) 0/33 (0%) 1/35 (2.9%)
Rash pruritic 0/34 (0%) 2/37 (5.4%) 1/32 (3.1%) 0/33 (0%) 0/35 (0%)
Increased tendency to bruise 0/34 (0%) 0/37 (0%) 0/32 (0%) 0/33 (0%) 2/35 (5.7%)
Skin exfoliation 0/34 (0%) 2/37 (5.4%) 0/32 (0%) 0/33 (0%) 0/35 (0%)
Urticaria 2/34 (5.9%) 0/37 (0%) 0/32 (0%) 1/33 (3%) 0/35 (0%)
Vascular disorders
Hypertension 1/34 (2.9%) 4/37 (10.8%) 3/32 (9.4%) 1/33 (3%) 2/35 (5.7%)
Hot flush 2/34 (5.9%) 1/37 (2.7%) 2/32 (6.3%) 1/33 (3%) 0/35 (0%)

Limitations/Caveats

The count of patients with any nonserious adverse events (NAE) excludes patients who only had NAE that occurred in <= 5% of patients. This information may vary from existing approved labeling and publications due to the requirement of this website.

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Certain Agreements

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

Generally, the only disclosure restriction on the Principal Investigator is that the sponsor has 60 days to review results communications prior to public release and can embargo communications regarding trial results for a period that does not exceed 180 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Director Clinical Research
Organization Centocor Research & Development, Inc.
Phone 1-800-457-6399
Email
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00207714
Other Study ID Numbers:
  • CR005263
  • C0524T02
First Posted:
Sep 21, 2005
Last Update Posted:
Oct 18, 2012
Last Verified:
Oct 1, 2012