Phase IIB Rheumatoid Arthritis Dose Ranging Study for BMS-945429 in Subjects Who Are Not Responding to Methotrexate

Sponsor
CSL Behring (Industry)
Overall Status
Completed
CT.gov ID
NCT01373151
Collaborator
(none)
418
100
7
48
4.2
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the effective dose of BMS-945429 in subjects with inadequate response to Methotrexate in the treatment of moderate to severe Rheumatoid Arthritis.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
418 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase IIB , Randomized, Multi-Center, Double-Blind, Dose-Ranging, Placebo/Active Controlled Study to Evaluate the Efficacy and Safety of BMS-945429 Subcutaneous Injection With or Without Methotrexate in Subjects With Moderate to Severe Rheumatoid Arthritis With Inadequate Response to Methotrexate.
Study Start Date :
Jun 1, 2011
Actual Primary Completion Date :
Sep 1, 2012
Actual Study Completion Date :
Jun 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Arm 1

BMS-945429 Placebo/BMS-945429+Methotrexate+Adalimumab Placebo

Drug: BMS-945429 Placebo
Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only

Biological: BMS-945429
Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Experimental: Arm 2

BMS-945429 + Methotrexate + Adalimumab Placebo

Biological: BMS-945429
Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, 48 weeks

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Experimental: Arm 3

BMS-945429 + Methotrexate + Adalimumab Placebo

Biological: BMS-945429
Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, 48 weeks

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Experimental: Arm 4

BMS-945429 + Methotrexate + Adalimumab Placebo

Biological: BMS-945429
Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only

Biological: BMS-945429
Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, 48 weeks

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Experimental: Arm 5

BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo

Biological: BMS-945429
Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks

Drug: Methotrexate Placebo
Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Experimental: Arm 6

BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo

Biological: BMS-945429
Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks

Drug: Methotrexate Placebo
Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only

Drug: Adalimumab Placebo
Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks

Active Comparator: Arm 7

Adalimumab + Methotrexate

Drug: Methotrexate
Tablets, Oral, 15 mg, Weekly, 48 weeks

Drug: Adalimumab
Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks

Outcome Measures

Primary Outcome Measures

  1. Percent of Participants Achieving an American College of Rheumatology (ACR) 20% Response Rate [At 12 Weeks]

    The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).

Secondary Outcome Measures

  1. Percent of Participants With ACR 20 Response [At 24 weeks]

    The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).

  2. Percent of Participants Achieving ACR 50 Response Rate [At weeks 12 and 24]

    The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).

  3. Percent of Participants Achieving ACR 70 Response Rate [At weeks 12 and 24]

    The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).

  4. Mean Change From Baseline in Disease Activity as Measured by Disease Activity Score 28 C-reactive Protein (DAS28-CRP) [Baseline, weeks 12 and 24]

    DAS28-CRP = Disease Activity Scores 28 based on C Reactive Protein. A DAS28-CRP below 2.6 is interpreted as remission.

  5. Percent of Participants With Remission by DAS28-CRP [At weeks 12 and 24]

    DAS28-CRP = Disease Activity Scores 28 based on C Reactive Protein. A DAS28-CRP below 2.6 is interpreted as remission.

  6. Mean Change From Baseline in Clinical Disease Activity Index (CDAI) [Baseline, weeks 12 and 24]

    CDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (SCJ) (0-28) and tender joint count (TJC) (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity. The CDAI has a range from 0 to 76. CDAI <= 2.8 = Remission CDAI > 2.8 and <= 10 = Low Disease Activity CDAI > 10 and <= 22 = Moderate Disease Activity CDAI > 22 = High Disease Activity

  7. Percent of Participants With Remission by CDAI [At weeks 12 and 24]

    CDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (SCJ) (0-28) and tender joint count (TJC) (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity. The CDAI has a range from 0 to 76. CDAI <= 2.8 = Remission CDAI > 2.8 and <= 10 = Low Disease Activity CDAI > 10 and <= 22 = Moderate Disease Activity CDAI > 22 = High Disease Activity

  8. Mean Change From Baseline in Simplified Disease Activity Index (SDAI) [Baseline, weeks 12 and 24]

    SDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (0-28) and tender joint count (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity and C-reactive protein (0-10). The SDAI has a range from 0 to 86. 0.0 - 3.3 = Remission 3.4 - 11.0 = Low Activity 11.1 - 26.0 = Moderate Activity 26.1 - 86.0 = High Activity

  9. Percent of Participants With Remission by SDAI [At weeks 12 and 24]

    SDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (0-28) and tender joint count (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity and C-reactive protein (0-10). The SDAI has a range from 0 to 86. 0.0 - 3.3 = Remission 3.4 - 11.0 = Low Activity 11.1 - 26.0 = Moderate Activity 26.1 - 86.0 = High Activity

  10. Percent of Participants With Remission Rate by Boolean Definition [At weeks 12 and 24]

    Boolean-based definition: At any time point, a patient must satisfy all of the following: TJC ≤1 (0-28) SJC ≤1 (0-28) CRP ≤1 mg/dl Patient Global Assessment ≤1 (on a 0-10 scale)

  11. Mean Change From Baseline in Health Assessment Questionnaire (HAQ) Disability Index [Baseline, weeks 12 and 24]

    Patients report the amount of difficulty they have in performing 8 categories. Each category is scored on a scale ranging from 0 (performed without any difficulty) to 3 (cannot be done at all). The HAQ-DI is then calculated by summing the scores and dividing by the number of categories answered. Total score is between 0-3.0. Increasing scores indicate worse functioning with 0 indicating no functional impairment and 3 indicating complete impairment. The HAQ-DI cannot be calculated if the subject does not have scores for at least 6 categories. A response was defined as a subject with a reduction from baseline in HAQ-DI of at least 0.22.

  12. Mean Change From Baseline in Short Form 36 (SF-36) as Measured by Physical and Mental Components [Baseline, weeks 12 and 24]

    The SF-36 questionnaire consists of eight scales yielding two summary measures: physical and mental health. The physical health measure includes four scales of physical functioning (10 items), role-physical (4 items), bodily pain (2 items), and general health (5 items). The mental health measure is composed of vitality (4 items), social functioning (2 items), role-emotional (3 items), and mental health (5 items). To score the SF-36, scales are standardized with a scoring algorithm to obtain a score ranging from 0 to 100. Higher scores indicate better health status.

  13. Mean Change From Baseline in Fatigue Severity (VAS) Score [Baseline, weeks 12 and 24]

    A 9-item questionnaire with questions related to how fatigue interferes with certain activities and rates its severity according to a self-report scale. The items are scored on a 7 point scale with 1 = strongly disagree and 7= strongly agree. The minimum score = 9 and maximum score possible = 63. Higher the score = greater fatigue severity.

  14. Mean Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Scores [Baseline, weeks 12 and 24]

    The WPAI yeilds four types of scores: Absenteeism (work time missed) Presenteesism (impairment at work / reduced on-the-job effectiveness) Work productivty loss (overall work impairment / absenteeism plus presenteeism) Activity Impairment WPAI outcomes are expressed as impairment percentages with each subscale score ranging from 0-100. The subscale scores are added and averaged to produce a total WPAI score between 0-100. Higher scores indicate greater impairment and less productivity.

  15. Mean Change From Baseline in Radiographic (MRI) Progression of Synovitis, Osteitis (Bone Marrow Edema), Bone Erosion and Cartilage Loss (Joint-space Narrowing) [Baseline and week 12]

  16. Mean Change From Baseline in Radiographic (X-ray) Progression of Joint Damage as Measured by Modified Sharp/Van Der Heijde Total Score [Baseline and week 24]

    The Sharp-van der Heijde total score ranges from 0-528. Scores for erosion range from 0 to 5 in the hands and 0 to 10 in the feet and reflect erosion size, with 0 defined as no erosion and 3 defined as a large erosion passing the midline of the joint. If there is > 1 erosion per joint, scores can be combined to give a maximum score of 5 per joint in the hands and 10 per joint in the feet (a maximum of 5 at each side of the joint). Joint space narrowing scores vary from 0 to 4 in both the hands and feet, with 0 being normal and 4 being the absence of joint space with evident ankylosis or subluxation. Gross osteolysis and pencil-in-cup change are scored separately and, if present, are assigned the maximum score for erosion and joint space narrowing for the same affected joint. Higher scores indicate increased joint damage.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Inadequate response to Methotrexate

  • Must have been taking Methotrexate for at least 3 months at a minimal weekly dose of at least 15 mg and stable dose for 4 weeks prior to randomization

  • American College of Rheumatology (ACR) global function status class 1-3

  • Minimum of 6 swollen and 6 tender joints with evidence of synovitis in at least 1 hand or wrist

  • High sensitivity C-reactive protein (hsCRP) ≥ 0.8 mg/dL

Exclusion Criteria:
  • Previously received or currently receiving concomitant biologic therapy

Contacts and Locations

Locations

Site City State Country Postal Code
1 Sun Valley Arthritis Center, Ltd. Peoria Arizona United States 85381
2 San Diego Arthritis Medical Clinic San Diego California United States 92108
3 New England Research Associates, Llc Trumbull Connecticut United States 06611
4 Quincy Medical Group Quincy Illinois United States 62301
5 Rockford Orthopedic Associates, Llc. Rockford Illinois United States 61107
6 Clinical Pharmacology Study Group Worcester Massachusetts United States 01605
7 Arthritis Associates Of Mississippi Jackson Mississippi United States 39202
8 Physician Research Collaboration, Llc Lincoln Nebraska United States 68516
9 Box Arthritis And Rheumatology Of The Carolinas, Pllc Charlotte North Carolina United States 28210
10 Health Research Of Oklahoma Oklahoma City Oklahoma United States 73103
11 East Penn Rheumatology Associates, P.C. Bethlehem Pennsylvania United States 18015
12 Altoona Center For Clinical Research Duncansville Pennsylvania United States 16635
13 Seattle Rheumatology Associates Seattle Washington United States 98104
14 Local Institution Capital Federal Buenos Aires Argentina 1015
15 Local Institution Capital Federal Buenos Aires Argentina 1425
16 Local Institution Capital Federal Buenos Aires Argentina 1428
17 Local Institution Capital Federal Buenos Aires Argentina 1431
18 Local Institution Rosario Santa FE Argentina 2000
19 Local Institution San Miguel De Tucuman Tucuman Argentina 4000
20 Local Institution Cordoba Argentina 5000
21 Local Institution San Juan Argentina 5400
22 Local Institution Bruxelles Belgium 1200
23 Local Institution Hasselt Belgium 3500
24 Local Institution Goiania Goias Brazil 74110
25 Local Institution Juiz De Fora Minas Gerais Brazil 36010
26 Local Institution Curitiba Parana Brazil 80060
27 Local Institution Curitiba Parana Brazil 80440
28 Local Institution Porto Alegre Rio Grande Do Sul Brazil 91610
29 Local Institution Sao Paulo Brazil 04032
30 Local Institution Sao Paulo Brazil 04266
31 Local Institution Montreal Quebec Canada H2L 1S6
32 Centre De Recherche Musculo-Squelettique Trois-rivieres Quebec Canada G8Z 1Y2
33 Local Institution Quebec Canada G1W 4R4
34 Local Institution Praha 2 Czechia 128 50
35 Local Institution Praha 4 Czechia 140 59
36 Local Institution Bordeaux Cedex France 33076
37 Local Institution Chambray Les Tours France 37170
38 Local Institution Strasbourg Cedex France 67098
39 Local Institution Berlin Germany 14059
40 Local Institution Koeln Germany 50931
41 Local Institution Leipzig Germany 04103
42 Local Institution Wuerzburg Germany 97080
43 Local Institution Budapest Hungary 1027
44 Local Institution Debrecen Hungary 4012
45 Local Institution Gyula Hungary 5700
46 Local Institution Veszprem Hungary 8200
47 Local Institution Napoli Italy 80131
48 Local Institution Padova Italy 35128
49 Local Institution Reggio Emilia Italy 42100
50 Local Institution Chiba-shi Chiba Japan 2608712
51 Local Institution Kitakyushu-shi Fukuoka Japan 8078555
52 Local Institution Higashi-hiroshima-shi Hiroshima Japan 7390002
53 Local Institution Kato-shi Hyogo Japan 6731462
54 Local Institution Miyazaki-shi Miyazaki Japan 8800122
55 Local Institution Nagano-shi Nagano Japan 3808582
56 Local Institution Nagasaki-shi Nagasaki Japan 8528501
57 Local Institution Sasebo-shi Nagasaki Japan 8571195
58 Local Institution Tomigusuku-shi Okinawa Japan 9010243
59 Local Institution Osaka-shi Osaka Japan 5458586
60 Local Institution Shizuoka-shi Shizuoka Japan 4208623
61 Local Institution Bunkyo-ku Tokyo Japan 1138519
62 Local Institution Shinjuku-Ku Tokyo Japan 1608582
63 Local Institution Toshima-ku Tokyo Japan 1708476
64 Local Institution Daegu Korea, Republic of 705-718
65 Local Institution Seoul Korea, Republic of 133-792
66 Local Institution Seoul Korea, Republic of 137-701
67 Local Institution Mexico City Distrito Federal Mexico 11850
68 Local Institution Guadalajara Jalisco Mexico 42650
69 Local Institution Guadalajara Jalisco Mexico 45040
70 Local Institution Morelia Michioacan Mexico 58270
71 Local Institution Monterrey Nuevo Leon Mexico 64020
72 Local Institution Culiacan Sinaloa Mexico 80230
73 Local Institution San Luis Potosi Mexico 78213
74 Local Institution Amsterdam Netherlands 1056 AB
75 Local Institution Katowice Poland 40-748
76 Local Institution Krakow Poland 31-531
77 Local Institution Poznan Poland 60773
78 Local Institution Warszawa Poland 01-868
79 Local Institution Warszawa Poland 02-118
80 Local Institution Ekaterinburg Russian Federation 620102
81 Local Institution Kazan Russian Federation 420064
82 Local Institution Moscow Russian Federation 115522
83 Local Institution Novosibirsk Russian Federation 630005
84 Local Institution St. Petersburg Russian Federation 191014
85 Local Institution Yaroslavl Russian Federation 150003
86 Local Institution Pretoria Gauteng South Africa 0083
87 Local Institution Pretoria Gauteng South Africa 0132
88 Local Institution Durban KWA ZULU Natal South Africa 4001
89 Local Institution Panorama Western CAPE South Africa 7500
90 Local Institution Pinelands, Cape Town Western Cape South Africa 7405
91 Local Institution Tygerberg Western CAPE South Africa 7505
92 Local Institution A Coruna Spain 15006
93 Local Institution Madrid Spain 28040
94 Local Institution Santander Spain 39008
95 Local Institution Santiago De Compostela Spain 15706
96 Local Institution Sevilla Spain 41071
97 Local Institution Changhua Taiwan 500
98 Local Institution Kaohsiung Taiwan 833
99 Local Institution Taichung Taiwan 404
100 Local Institution Taoyuan Taiwan 333

Sponsors and Collaborators

  • CSL Behring

Investigators

  • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
CSL Behring
ClinicalTrials.gov Identifier:
NCT01373151
Other Study ID Numbers:
  • IM133-001
  • 2010-023956-99
First Posted:
Jun 14, 2011
Last Update Posted:
Dec 6, 2021
Last Verified:
Nov 1, 2021
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Period Title: Period 1
STARTED 61 59 60 60 59 60 59
COMPLETED 56 59 56 59 54 56 59
NOT COMPLETED 5 0 4 1 5 4 0
Period Title: Period 1
STARTED 56 58 56 59 54 55 59
COMPLETED 47 57 52 54 52 55 54
NOT COMPLETED 9 1 4 5 2 0 5

Baseline Characteristics

Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX Total
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks Total of all reporting groups
Overall Participants 61 59 60 60 59 60 59 418
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
54
88.5%
56
94.9%
47
78.3%
52
86.7%
51
86.4%
55
91.7%
51
86.4%
366
87.6%
>=65 years
7
11.5%
3
5.1%
13
21.7%
8
13.3%
8
13.6%
5
8.3%
8
13.6%
52
12.4%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
51.4
(11.03)
47.4
(10.97)
55.0
(12.21)
49.9
(13.95)
50.0
(12.53)
46.4
(11.91)
52.8
(11.41)
50.4
(12.26)
Sex: Female, Male (Count of Participants)
Female
46
75.4%
46
78%
52
86.7%
53
88.3%
49
83.1%
49
81.7%
48
81.4%
343
82.1%
Male
15
24.6%
13
22%
8
13.3%
7
11.7%
10
16.9%
11
18.3%
11
18.6%
75
17.9%

Outcome Measures

1. Primary Outcome
Title Percent of Participants Achieving an American College of Rheumatology (ACR) 20% Response Rate
Description The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).
Time Frame At 12 Weeks

Outcome Measure Data

Analysis Population Description
All randomized and treated participants
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
Number [percentage of participants]
39.3
64.4%
76.3
129.3%
55.0
91.7%
73.3
122.2%
61.0
103.4%
60.0
100%
76.3
129.3%
2. Secondary Outcome
Title Percent of Participants With ACR 20 Response
Description The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).
Time Frame At 24 weeks

Outcome Measure Data

Analysis Population Description
All randomized and treated participants
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
Number [percentage of participants]
37.7
61.8%
81.4
138%
58.3
97.2%
65.0
108.3%
57.6
97.6%
66.7
111.2%
66.1
112%
3. Secondary Outcome
Title Percent of Participants Achieving ACR 50 Response Rate
Description The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated participants
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
12 weeks
21.3
34.9%
49.2
83.4%
26.7
44.5%
43.3
72.2%
28.8
48.8%
26.7
44.5%
30.5
51.7%
24 weeks
16.4
26.9%
47.5
80.5%
36.7
61.2%
46.7
77.8%
33.9
57.5%
43.3
72.2%
47.5
80.5%
4. Secondary Outcome
Title Percent of Participants Achieving ACR 70 Response Rate
Description The ACR20/50/70 is a composite measure defined as both improvement of 20%, 50% or 70% in the number of tender and number of swollen joints, and a 20%, 50% or 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, functional ability measure [most often Health Assessment Questionnaire (HAQ)], visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein (CRP).
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated participants
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
12 weeks
8.2
13.4%
18.6
31.5%
13.3
22.2%
26.7
44.5%
11.9
20.2%
13.3
22.2%
11.9
20.2%
24 weeks
6.6
10.8%
27.1
45.9%
16.7
27.8%
40.0
66.7%
25.4
43.1%
30.0
50%
18.6
31.5%
5. Secondary Outcome
Title Mean Change From Baseline in Disease Activity as Measured by Disease Activity Score 28 C-reactive Protein (DAS28-CRP)
Description DAS28-CRP = Disease Activity Scores 28 based on C Reactive Protein. A DAS28-CRP below 2.6 is interpreted as remission.
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated participants (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
12 weeks
-1.15
(0.1652)
-2.65
(0.1610)
-2.29
(0.1603)
-2.68
(0.1597)
-2.34
(0.1665)
-2.52
(0.1610)
-2.04
(0.1647)
24 weeks
-1.69
(0.1825)
-3.01
(0.1684)
-2.60
(0.1719)
-3.06
(0.1713)
-2.55
(0.1769)
-2.95
(0.1706)
-2.52
(0.1769)
6. Secondary Outcome
Title Percent of Participants With Remission by DAS28-CRP
Description DAS28-CRP = Disease Activity Scores 28 based on C Reactive Protein. A DAS28-CRP below 2.6 is interpreted as remission.
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated participants
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
1.6
2.6%
35.6
60.3%
21.7
36.2%
35.0
58.3%
25.4
43.1%
26.7
44.5%
20.3
34.4%
week 24
11.5
18.9%
49.2
83.4%
25.0
41.7%
40.0
66.7%
35.6
60.3%
41.7
69.5%
23.7
40.2%
7. Secondary Outcome
Title Mean Change From Baseline in Clinical Disease Activity Index (CDAI)
Description CDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (SCJ) (0-28) and tender joint count (TJC) (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity. The CDAI has a range from 0 to 76. CDAI <= 2.8 = Remission CDAI > 2.8 and <= 10 = Low Disease Activity CDAI > 10 and <= 22 = Moderate Disease Activity CDAI > 22 = High Disease Activity
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated participants (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
-14.5
(1.727)
-22.7
(1.686)
-17.7
(1.687)
-23.1
(1.701)
-19.8
(1.738)
-21.0
(1.697)
-22.4
(1.702)
week 24
-20.3
(1.703)
-26.1
(1.587)
-22.0
(1.613)
-26.9
(1.622)
-21.7
(1.643)
-25.6
(1.606)
-26.2
(1.631)
8. Secondary Outcome
Title Percent of Participants With Remission by CDAI
Description CDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (SCJ) (0-28) and tender joint count (TJC) (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity. The CDAI has a range from 0 to 76. CDAI <= 2.8 = Remission CDAI > 2.8 and <= 10 = Low Disease Activity CDAI > 10 and <= 22 = Moderate Disease Activity CDAI > 22 = High Disease Activity
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
3.3
5.4%
11.9
20.2%
8.3
13.8%
8.3
13.8%
3.4
5.8%
3.3
5.5%
8.5
14.4%
week 24
1.6
2.6%
15.3
25.9%
6.7
11.2%
21.7
36.2%
6.8
11.5%
20.0
33.3%
8.5
14.4%
9. Secondary Outcome
Title Mean Change From Baseline in Simplified Disease Activity Index (SDAI)
Description SDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (0-28) and tender joint count (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity and C-reactive protein (0-10). The SDAI has a range from 0 to 86. 0.0 - 3.3 = Remission 3.4 - 11.0 = Low Activity 11.1 - 26.0 = Moderate Activity 26.1 - 86.0 = High Activity
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
-14.5
(1.794)
-24.9
(1.749)
-20.4
(1.745)
-25.3
(1.734)
-22.2
(1.811)
-23.3
(1.747)
-23.2
(1.785)
week 24
-20.6
(1.812)
-28.4
(1.670)
-24.5
(1.704)
-29.1
(1.698)
-23.5
(1.755)
-27.6
(1.691)
-27.6
(1.752)
10. Secondary Outcome
Title Percent of Participants With Remission by SDAI
Description SDAI is a composite index for assessing disease activity. CDAI is based on the simple summation of the count of swollen joint count (0-28) and tender joint count (0-28) along with patient global assessment (0-10) Scale and physician global assessment (0-10) for estimating disease activity where 10 means maximal activity and C-reactive protein (0-10). The SDAI has a range from 0 to 86. 0.0 - 3.3 = Remission 3.4 - 11.0 = Low Activity 11.1 - 26.0 = Moderate Activity 26.1 - 86.0 = High Activity
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
1.6
2.6%
11.9
20.2%
8.3
13.8%
8.3
13.8%
6.8
11.5%
5.0
8.3%
10.2
17.3%
week 24
4.9
8%
18.6
31.5%
6.7
11.2%
20.
33.3%
6.8
11.5%
23.3
38.8%
8.5
14.4%
11. Secondary Outcome
Title Percent of Participants With Remission Rate by Boolean Definition
Description Boolean-based definition: At any time point, a patient must satisfy all of the following: TJC ≤1 (0-28) SJC ≤1 (0-28) CRP ≤1 mg/dl Patient Global Assessment ≤1 (on a 0-10 scale)
Time Frame At weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
3.3
5.4%
8.5
14.4%
6.7
11.2%
10.
16.7%
1.7
2.9%
5.0
8.3%
5.1
8.6%
week 24
1.6
2.6%
10.2
17.3%
5.0
8.3%
13.3
22.2%
5.1
8.6%
18.3
30.5%
10.2
17.3%
12. Secondary Outcome
Title Mean Change From Baseline in Health Assessment Questionnaire (HAQ) Disability Index
Description Patients report the amount of difficulty they have in performing 8 categories. Each category is scored on a scale ranging from 0 (performed without any difficulty) to 3 (cannot be done at all). The HAQ-DI is then calculated by summing the scores and dividing by the number of categories answered. Total score is between 0-3.0. Increasing scores indicate worse functioning with 0 indicating no functional impairment and 3 indicating complete impairment. The HAQ-DI cannot be calculated if the subject does not have scores for at least 6 categories. A response was defined as a subject with a reduction from baseline in HAQ-DI of at least 0.22.
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
-0.44
(0.0827)
-0.66
(0.0801)
-0.47
(0.0807)
-0.70
(0.0811)
-0.51
(0.0834)
-0.60
(0.0807)
-0.60
(0.0819)
week 24
-0.62
(0.0861)
-0.68
(0.0806)
-0.64
(0.0823)
-0.79
(0.0823)
-0.60
(0.0840)
-0.71
(0.0811)
-0.66
(0.0833)
13. Secondary Outcome
Title Mean Change From Baseline in Short Form 36 (SF-36) as Measured by Physical and Mental Components
Description The SF-36 questionnaire consists of eight scales yielding two summary measures: physical and mental health. The physical health measure includes four scales of physical functioning (10 items), role-physical (4 items), bodily pain (2 items), and general health (5 items). The mental health measure is composed of vitality (4 items), social functioning (2 items), role-emotional (3 items), and mental health (5 items). To score the SF-36, scales are standardized with a scoring algorithm to obtain a score ranging from 0 to 100. Higher scores indicate better health status.
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
Mental component (week 12)
5.3
(1.274)
5.9
(1.240)
4.5
(1.251)
7.3
(1.244)
4.0
(1.283)
5.7
(1.230)
6.4
(1.250)
Mental component (week 24)
6.0
(1.327)
6.4
(1.208)
6.6
(1.247)
7.5
(1.247)
5.3
(1.271)
8.0
(1.219)
7.1
(1.246)
Physical component (week 12)
4.0
(1.030)
7.5
(0.999)
7.3
(1.010)
9.5
(1.002)
6.8
(1.028)
7.3
(0.994)
8.4
(1.006)
Physical component (week 24)
6.2
(1.149)
8.6
(1.045)
9.4
(1.080)
10.9
(1.076)
7.7
(1.094)
8.2
(1.057)
8.2
(1.077)
14. Secondary Outcome
Title Mean Change From Baseline in Fatigue Severity (VAS) Score
Description A 9-item questionnaire with questions related to how fatigue interferes with certain activities and rates its severity according to a self-report scale. The items are scored on a 7 point scale with 1 = strongly disagree and 7= strongly agree. The minimum score = 9 and maximum score possible = 63. Higher the score = greater fatigue severity.
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
-14.3
(3.146)
-20.8
(3.060)
-19.4
(3.077)
-27.4
(3.077)
-21.7
(3.180)
-18.6
(3.056)
-26.3
(3.080)
week 24
-12.9
(3.306)
-23.9
(3.052)
-22.3
(3.131)
-31.3
(3.103)
-17.7
(3.184)
-23.4
(3.056)
-27.0
(3.134)
15. Secondary Outcome
Title Mean Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Scores
Description The WPAI yeilds four types of scores: Absenteeism (work time missed) Presenteesism (impairment at work / reduced on-the-job effectiveness) Work productivty loss (overall work impairment / absenteeism plus presenteeism) Activity Impairment WPAI outcomes are expressed as impairment percentages with each subscale score ranging from 0-100. The subscale scores are added and averaged to produce a total WPAI score between 0-100. Higher scores indicate greater impairment and less productivity.
Time Frame Baseline, weeks 12 and 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
week 12
-9.6
(3.273)
-2.2
(3.443)
-8.7
(3.673)
-12.0
(3.081)
-13.7
(3.285)
-10.0
(3.575)
-11.7
(6.281)
week 24
-10.7
(4.033)
-1.8
(3.893)
-17.1
(4.200)
-12.1
(3.448)
-5.9
(3.788)
-12.6
(3.938)
-4.7
(6.379)
16. Secondary Outcome
Title Mean Change From Baseline in Radiographic (MRI) Progression of Synovitis, Osteitis (Bone Marrow Edema), Bone Erosion and Cartilage Loss (Joint-space Narrowing)
Description
Time Frame Baseline and week 12

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 61 59 60 60 59 60 59
Erosion
1.3
(0.352)
0.4
(0.341)
1.1
(0.356)
0.3
(0.334)
1.0
(0.369)
-0.2
(0.341)
-0.5
(0.348)
Edema
0.2
(1.009)
-6.4
(0.993)
-2.6
(1.015)
-4.7
(0.998)
-4.6
(1.036)
-5.1
(0.993)
-3.1
(1.008)
Synovitis
-0.5
(0.436)
-2.5
(0.427)
-1.4
(0.440)
-2.2
(0.426)
-2.9
(0.447)
-2.5
(0.427)
-2.9
(0.435)
Narrowing
0.1
(0.133)
-0.1
(0.130)
0.2
(0.135)
-0.1
(0.126)
0.1
(0.139)
0.0
(0.129)
-0.2
(0.132)
17. Secondary Outcome
Title Mean Change From Baseline in Radiographic (X-ray) Progression of Joint Damage as Measured by Modified Sharp/Van Der Heijde Total Score
Description The Sharp-van der Heijde total score ranges from 0-528. Scores for erosion range from 0 to 5 in the hands and 0 to 10 in the feet and reflect erosion size, with 0 defined as no erosion and 3 defined as a large erosion passing the midline of the joint. If there is > 1 erosion per joint, scores can be combined to give a maximum score of 5 per joint in the hands and 10 per joint in the feet (a maximum of 5 at each side of the joint). Joint space narrowing scores vary from 0 to 4 in both the hands and feet, with 0 being normal and 4 being the absence of joint space with evident ankylosis or subluxation. Gross osteolysis and pencil-in-cup change are scored separately and, if present, are assigned the maximum score for erosion and joint space narrowing for the same affected joint. Higher scores indicate increased joint damage.
Time Frame Baseline and week 24

Outcome Measure Data

Analysis Population Description
All randomized and treated subjects (participants with missing values at each timepoint were not included)
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
Measure Participants 44 59 54 54 53 53 54
Mean (Standard Error) [score on a scale]
1.8
(0.353)
0.3
(0.320)
0.0
(0.327)
0.1
(0.324)
0.1
(0.330)
0.1
(0.336)
0.1
(0.333)

Adverse Events

Time Frame Up to 48 weeks per participant
Adverse Event Reporting Description
Arm/Group Title Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Arm/Group Description BMS-945429 (Clazakizumab)Placebo/BMS-945429+Methotrexate+Adalimumab Placebo BMS-945429 Placebo: Injection, Subcutaneous, 0 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, Day 1 - Week 24 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 25 mg, Every 4 weeks, Day 1 - Week 24 only BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, Week 25 - Week 48 Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo + Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 200 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks BMS-945429 + Methotrexate/Methotrexate Placebo+Adalimumab Placebo BMS-945429: Injection, Subcutaneous, 100 mg, Every 4 weeks, 48 weeks Methotrexate Placebo: Tablets, Oral, 0 mg, Weekly, Day 1 - Week 24 only Methotrexate: Tablets, Oral, 15 mg, Weekly, Week 25 - Week 48 only Adalimumab Placebo: Injection, Subcutaneous, 0 mg, Every 2 weeks, 48 weeks Adalimumab(ADA) + Methotrexate Methotrexate: Tablets, Oral, 15 mg, Weekly, 48 weeks Adalimumab: Injection, Subcutaneous, 40 mg, Every 2 weeks, 48 weeks
All Cause Mortality
Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Serious Adverse Events
Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/61 (3.3%) 5/59 (8.5%) 5/60 (8.3%) 5/60 (8.3%) 8/59 (13.6%) 5/60 (8.3%) 3/59 (5.1%)
Blood and lymphatic system disorders
Neutropenia 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Cardiac disorders
Acute coronary syndrome 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Atrial fibrillation 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Coronary artery disease 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Mitral valve incompetence 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Eye disorders
Cataract 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Gastrointestinal disorders
Abdominal wall haematoma 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Diarrhoea 1/61 (1.6%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Hepatobiliary disorders
Cholelithiasis 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Infections and infestations
Appendicitis 0/61 (0%) 0/59 (0%) 0/60 (0%) 2/60 (3.3%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Cellulitis 0/61 (0%) 2/59 (3.4%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Pneumonia 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 1/59 (1.7%)
Pulmonary tuberculosis 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Atypical pneumonia 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Bursitis infective 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Herpes zoster 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 1/59 (1.7%)
Infective tenosynovitis 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Influenza 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Pneumocystis jiroveci pneumonia 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Sepsis 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Urinary tract infection 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Traumatic haematoma 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Injury, poisoning and procedural complications
Overdose 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 0/60 (0%) 3/59 (5.1%) 0/60 (0%) 0/59 (0%)
Foot fracture 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Humerus fracture 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Medication error 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Investigations
Alanine aminotransferase increased 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Aspartate aminotransferase increased 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Nervous system disorders
Headache 1/61 (1.6%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Psychiatric disorders
Depression 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 1/59 (1.7%)
Suicide attempt 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Renal and urinary disorders
Tubulointerstitial nephritis 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 1/59 (1.7%)
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Lung disorder 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Vascular disorders
Deep vein thrombosis 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Hypertension 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 0/60 (0%) 0/59 (0%)
Other (Not Including Serious) Adverse Events
Placebo+MTX Clazakizumab(25)+MTX Clazakizumab(100) Clazakizumab(100)+MTX Clazakizumab(200) Clazakizumab(200)+MTX ADA+MTX
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 24/61 (39.3%) 43/59 (72.9%) 43/60 (71.7%) 51/60 (85%) 43/59 (72.9%) 50/60 (83.3%) 35/59 (59.3%)
Blood and lymphatic system disorders
Neutropenia 0/61 (0%) 2/59 (3.4%) 4/60 (6.7%) 2/60 (3.3%) 4/59 (6.8%) 1/60 (1.7%) 2/59 (3.4%)
Leukopenia 1/61 (1.6%) 0/59 (0%) 3/60 (5%) 2/60 (3.3%) 4/59 (6.8%) 3/60 (5%) 0/59 (0%)
Gastrointestinal disorders
Diarrhoea 1/61 (1.6%) 3/59 (5.1%) 1/60 (1.7%) 3/60 (5%) 2/59 (3.4%) 3/60 (5%) 6/59 (10.2%)
Nausea 1/61 (1.6%) 3/59 (5.1%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 2/60 (3.3%) 3/59 (5.1%)
Dyspepsia 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 1/60 (1.7%) 1/59 (1.7%) 0/60 (0%) 3/59 (5.1%)
General disorders
Injection site reaction 0/61 (0%) 8/59 (13.6%) 9/60 (15%) 11/60 (18.3%) 14/59 (23.7%) 9/60 (15%) 1/59 (1.7%)
Ejection site erythema 0/61 (0%) 2/59 (3.4%) 8/60 (13.3%) 15/60 (25%) 10/59 (16.9%) 9/60 (15%) 2/59 (3.4%)
Injection site rash 0/61 (0%) 1/59 (1.7%) 8/60 (13.3%) 8/60 (13.3%) 2/59 (3.4%) 8/60 (13.3%) 0/59 (0%)
Injection site dermatitis 0/61 (0%) 4/59 (6.8%) 3/60 (5%) 4/60 (6.7%) 4/59 (6.8%) 7/60 (11.7%) 0/59 (0%)
Asthenia 2/61 (3.3%) 1/59 (1.7%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 3/60 (5%) 1/59 (1.7%)
Injection site hypersensitivity 0/61 (0%) 0/59 (0%) 3/60 (5%) 2/60 (3.3%) 2/59 (3.4%) 1/60 (1.7%) 0/59 (0%)
Injection site papule 0/61 (0%) 1/59 (1.7%) 2/60 (3.3%) 0/60 (0%) 1/59 (1.7%) 3/60 (5%) 0/59 (0%)
Injection site pruritis 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 4/60 (6.7%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Injection site macule 0/61 (0%) 0/59 (0%) 1/60 (1.7%) 0/60 (0%) 1/59 (1.7%) 3/60 (5%) 0/59 (0%)
Injection site pain 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 1/60 (1.7%) 3/59 (5.1%)
Infections and infestations
Nasopharyngitis 4/61 (6.6%) 2/59 (3.4%) 3/60 (5%) 4/60 (6.7%) 3/59 (5.1%) 7/60 (11.7%) 2/59 (3.4%)
Upper respiraory tract infection 7/61 (11.5%) 5/59 (8.5%) 1/60 (1.7%) 3/60 (5%) 7/59 (11.9%) 1/60 (1.7%) 0/59 (0%)
Pharyngitis 5/61 (8.2%) 2/59 (3.4%) 3/60 (5%) 3/60 (5%) 3/59 (5.1%) 3/60 (5%) 3/59 (5.1%)
Urinary tract infection 4/61 (6.6%) 5/59 (8.5%) 1/60 (1.7%) 2/60 (3.3%) 2/59 (3.4%) 5/60 (8.3%) 1/59 (1.7%)
Bronchitis 0/61 (0%) 1/59 (1.7%) 2/60 (3.3%) 0/60 (0%) 2/59 (3.4%) 2/60 (3.3%) 3/59 (5.1%)
Herpes zoster 0/61 (0%) 1/59 (1.7%) 1/60 (1.7%) 1/60 (1.7%) 3/59 (5.1%) 0/60 (0%) 3/59 (5.1%)
Injury, poisoning and procedural complications
Arthropod bite 0/61 (0%) 0/59 (0%) 3/60 (5%) 1/60 (1.7%) 0/59 (0%) 1/60 (1.7%) 0/59 (0%)
Overdose 0/61 (0%) 1/59 (1.7%) 0/60 (0%) 0/60 (0%) 3/59 (5.1%) 0/60 (0%) 0/59 (0%)
Investigations
Alanine aminotransferase increased 2/61 (3.3%) 11/59 (18.6%) 2/60 (3.3%) 13/60 (21.7%) 1/59 (1.7%) 18/60 (30%) 3/59 (5.1%)
Aspartate aminotransferase increased 0/61 (0%) 8/59 (13.6%) 0/60 (0%) 14/60 (23.3%) 0/59 (0%) 12/60 (20%) 2/59 (3.4%)
Gamma-glutamyltransferease increased 1/61 (1.6%) 0/59 (0%) 2/60 (3.3%) 4/60 (6.7%) 0/59 (0%) 2/60 (3.3%) 2/59 (3.4%)
Metabolism and nutrition disorders
Hypercholesterolaemia 2/61 (3.3%) 7/59 (11.9%) 7/60 (11.7%) 5/60 (8.3%) 5/59 (8.5%) 9/60 (15%) 2/59 (3.4%)
Dyslipidaemia 1/61 (1.6%) 7/59 (11.9%) 4/60 (6.7%) 2/60 (3.3%) 2/59 (3.4%) 4/60 (6.7%) 1/59 (1.7%)
Hypertriglyceridaemia 2/61 (3.3%) 1/59 (1.7%) 1/60 (1.7%) 2/60 (3.3%) 1/59 (1.7%) 1/60 (1.7%) 3/59 (5.1%)
Hyperlipidaemia 0/61 (0%) 3/59 (5.1%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 1/60 (1.7%) 2/59 (3.4%)
Musculoskeletal and connective tissue disorders
Muscle spasms 0/61 (0%) 0/59 (0%) 0/60 (0%) 1/60 (1.7%) 0/59 (0%) 1/60 (1.7%) 4/59 (6.8%)
Nervous system disorders
Headache 5/61 (8.2%) 2/59 (3.4%) 0/60 (0%) 0/60 (0%) 1/59 (1.7%) 2/60 (3.3%) 1/59 (1.7%)
Skin and subcutaneous tissue disorders
Dermatitis allergic 0/61 (0%) 0/59 (0%) 3/60 (5%) 0/60 (0%) 0/59 (0%) 0/60 (0%) 0/59 (0%)
Skin lesion 0/61 (0%) 0/59 (0%) 0/60 (0%) 0/60 (0%) 0/59 (0%) 3/60 (5%) 0/59 (0%)
Vascular disorders
Hypertension 1/61 (1.6%) 0/59 (0%) 1/60 (1.7%) 4/60 (6.7%) 6/59 (10.2%) 2/60 (3.3%) 2/59 (3.4%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Study Director
Organization CSL Behring
Phone 610-878-4000
Email clinicaltrials@cslbehring.com
Responsible Party:
CSL Behring
ClinicalTrials.gov Identifier:
NCT01373151
Other Study ID Numbers:
  • IM133-001
  • 2010-023956-99
First Posted:
Jun 14, 2011
Last Update Posted:
Dec 6, 2021
Last Verified:
Nov 1, 2021