Three Dose Levels of CP-690,550 Monotherapy Versus Placebo, Administered Orally Twice Daily (BID) for 6 Weeks

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00147498
Collaborator
(none)
264
60
4
17
4.4
0.3

Study Details

Study Description

Brief Summary

The study's objective is to compare the efficacy of 3 dose levels of oral CP-690,550 monotherapy (5 mg, 15 mg, and 30 mg twice daily [BID]) versus placebo administered over 6 weeks for the treatment of the signs and symptoms of subjects with active rheumatoid arthritis (RA).

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
264 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study To Compare 3 Dose Levels Of CP-690,550 Versus Placebo, Administered Orally Twice Daily (BID) For 6 Weeks, In The Treatment Of The Signs And Symptoms Of Subjects With Active Rheumatoid Arthritis
Study Start Date :
Jan 1, 2005
Actual Primary Completion Date :
Jun 1, 2006
Actual Study Completion Date :
Jun 1, 2006

Arms and Interventions

Arm Intervention/Treatment
Experimental: 5 mg BID

CP 690,550 5 mg BID

Drug: CP-690,550
Oral tablets administered at a dose of 5 mg BID for 6 weeks

Experimental: 15 mg BID

CP 690,550 15 mg BID

Drug: CP-690,550
Oral tablets administered at a dose of 15 mg BID for 6 weeks

Experimental: 30 mg BID

Oral tablets administered at a dose of 30 mg BID for 6 weeks

Drug: CP-690,550
30 mg BID for 6 weeks

Placebo Comparator: Placebo

Placebo

Other: Placebo
Placebo tablets

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 6 [Week 6]

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

Secondary Outcome Measures

  1. Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response [Week 1, 2, 4, and 8]

    ACR20 response: >=20% improvement in TJC; >= 20% improvement in SJC; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.

  2. Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response [Week 1, 2, 4, 6, and 8]

    ACR50 response: >= 50% improvement in TJC or SJC and 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.

  3. Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response [Week 1, 2, 4, 6, and 8]

    ACR70 response: >= 70% improvement in TJC or SJC and 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.

  4. Area Under the Numeric Index of American College of Rheumatology Response (ACR-n) Curve [Baseline up to Week 6]

    ACR-n: calculated by taking the lowest percentage improvement in (1) SJC or (2) TJC or (3) the median of the remaining 5 components of the ACR response (participant's assessment of disease activity; participant's global assessment of pain; physician's assessment of disease activity; participant's assessment of physical function; an acute phase reactant value - CRP). Negative numbers indicate worsening. The area under the curve (AUC) for ACR-n is the measure of the AUC of the mean change from baseline in ACR-n. The trapezoidal rule was used to compute the AUC.

  5. Tender Joints Count (TJC) [Baseline, Week 1, 2, 4, 6, and 8]

    Number of tender joints was determined by examining 68 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1.

  6. Change From Baseline in Tender Joints Count (TJC) at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    Number of tender joints was determined by examining 68 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1. A negative value in change from baseline indicated an improvement.

  7. Swollen Joints Count (SJC) [Baseline, Week 1, 2, 4, 6, and 8]

    Number of swollen joints was determined by examination of 66 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1.

  8. Change From Baseline in Swollen Joints Count (SJC) at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    Number of swollen joints was determined by examination of 66 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1. A negative value in change from baseline indicates an improvement.

  9. Patient Global Assessment (PtGA) of Arthritis [Baseline, Week 1, 2, 4, 6, and 8]

    Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 millimeter (mm) Visual Analog Scale (VAS) where 0 mm = very well and 100 mm = very poorly.

  10. Change From Baseline in Patient Global Assessment (PtGA) of Arthritis at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS, where 0 mm = very well and 100 mm = very poorly.

  11. Physician Global Assessment of Arthritis [Baseline, Week 1, 2, 4, 6, and 8]

    Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.

  12. Change From Baseline in Physician Global Assessment of Arthritis at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.

  13. Patient Assessment of Arthritis Pain [Baseline, Week 1, 2, 4, 6, and 8]

    Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.

  14. Change From Baseline in Patient Assessment of Arthritis Pain at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.

  15. Health Assessment Questionnaire-Disability Index (HAQ-DI) [Baseline, Week 1, 2, 4, 6, and 8]

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.

  16. Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.

  17. C-Reactive Protein (CRP) [Baseline, Week 1, 2, 4, 6, and 8]

    The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. Normal range of CRP is 0 milligram per liter (mg/L) to 100 mg/L. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

  18. Change From Baseline in C-Reactive Protein (CRP) at Week 1, 2, 4, 6 and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. Normal range of CRP is 0 mg/L to 100 mg/L. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

  19. Disease Activity Score Using 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) [Baseline, Week 1, 2, 4, 6, and 8]

    DAS28-3 (CRP) was calculated from the SJC and TJC using the 28 joints count and CRP (mg/L). Total score ranging 0 to 9.4; higher scores indicated greater affectation due to disease activity. DAS 28-3 (CRP) less than or equal to (<=) 3.2 implied low disease activity and greater than (>) 3.2 to 5.1 implied moderate to high disease activity, and less than (<) 2.6 = remission.

  20. Change From Baseline in Disease Activity Score Using 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) at Week 1, 2, 4, 6, and 8 [Baseline, Week 1, 2, 4, 6, and 8]

    DAS28-3 (CRP) was calculated from the SJC and TJC using the 28 joints count and CRP (mg/L). Total score ranging 0 to 9.4; higher scores indicated greater affectation due to disease activity. DAS 28-3 (CRP) <=3.2 implied low disease activity and >3.2 to 5.1 implied moderate to high disease activity, and <2.6 = remission.

  21. Number of Participants With Categorization of Disease Improvement Based on DAS28-3 (CRP) [Baseline, Week 1, 2, 4, 6, and 8]

    Disease improvement was classified as good, moderate, and no change based on improvement in DAS 28-3 (CRP) from baseline and present DAS 28-3 (CRP) score. Good: an improvement from baseline of >1.2 and a present score of <=3.2; none: an improvement of <=0.6 or >0.6 to <=1.2 with a present score of >5.1; remaining participants were classified as having moderate improvement. Scores of good and moderate were considered to have therapeutic response.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 70 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • The subject has a history of inadequate response to at least 1, but no more than 4, of the following DMARDs: sulfasalazine, injectable gold, methotrexate, leflunomide, cyclosporine, or a thiopurine derivative (azathioprine or 6-mercaptopurine)
Exclusion Criteria:
  • Current Therapy With Any DMARD Or Biologic

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Upland California United States 91786
2 Pfizer Investigational Site Clearwater Florida United States 33765
3 Pfizer Investigational Site Miami Florida United States 33173
4 Pfizer Investigational Site New Port Richey Florida United States 34652
5 Pfizer Investigational Site Ocala Florida United States 34474-7455
6 Pfizer Investigational Site Orlando Florida United States 32804
7 Pfizer Investigational Site Port Richey Florida United States 34668
8 Pfizer Investigational Site Tampa Florida United States 33614
9 Pfizer Investigational Site Dubuque Iowa United States 52001-7313
10 Pfizer Investigational Site Dubuque Iowa United States 52002
11 Pfizer Investigational Site Concord New Hampshire United States 03301
12 Pfizer Investigational Site Plainview New York United States 11803
13 Pfizer Investigational Site Charlotte North Carolina United States 28210
14 Pfizer Investigational Site Hickory North Carolina United States 28601
15 Pfizer Investigational Site Hickory North Carolina United States 28602
16 Pfizer Investigational Site Dayton Ohio United States 45402
17 Pfizer Investigational Site Ducansville Pennsylvania United States 16635
18 Pfizer Investigational Site Johnstown Pennsylvania United States 15904
19 Pfizer Investigational Site Charleston South Carolina United States 29406
20 Pfizer Investigational Site Columbia South Carolina United States 29204
21 Pfizer Investigational Site Nashville Tennessee United States 37203
22 Pfizer Investigational Site Dallas Texas United States 75231-4496
23 Pfizer Investigational Site Everett Washington United States 98201
24 Pfizer Investigational Site Tacoma Washington United States 98405
25 Pfizer Investigational Site Gent Belgium 9000
26 Pfizer Investigational Site Goiânia GO Brazil 74043-110
27 Pfizer Investigational Site Goiânia GO Brazil 74110-120
28 Pfizer Investigational Site Curitiba PR Brazil 80060-240
29 Pfizer Investigational Site São Paulo SP Brazil 04230-000
30 Pfizer Investigational Site São Paulo SP Brazil 05001-000
31 Pfizer Investigational Site Edmonton Alberta Canada T5M 0H4
32 Pfizer Investigational Site Victoria British Columbia Canada V8P 5P6
33 Pfizer Investigational Site Saint John's Newfoundland and Labrador Canada A1C 5B8
34 Pfizer Investigational Site London Ontario Canada N6A 4V2
35 Pfizer Investigational Site Toronto Ontario Canada M5T 2S8
36 Pfizer Investigational Site Berlin Germany 10098
37 Pfizer Investigational Site Dresden Germany 01067
38 Pfizer Investigational Site Hamburg Germany 22081
39 Pfizer Investigational Site Hildesheim Germany 31134
40 Pfizer Investigational Site Leipzig Germany 04103
41 Pfizer Investigational Site Muenchen Germany 80639
42 Pfizer Investigational Site Neubrandenburg Germany 17033
43 Pfizer Investigational Site Wiesbaden Germany 65191
44 Pfizer Investigational Site Firenze Italy 50139
45 Pfizer Investigational Site Genova Italy 16132
46 Pfizer Investigational Site Pavia Italy 27100
47 Pfizer Investigational Site México D.f. Mexico 06726
48 Pfizer Investigational Site Tlalpan Seccion 16 DF Mexico 14000
49 Pfizer Investigational Site Guadalajara Jalisco Mexico 44690
50 Pfizer Investigational Site Aguascalientes Mexico 20230
51 Pfizer Investigational Site San Luis Potosí Mexico 78240
52 Pfizer Investigational Site Kosice Slovakia 040 11
53 Pfizer Investigational Site Piestany Slovakia 921 01
54 Pfizer Investigational Site Zilina Slovakia 012 07
55 Pfizer Investigational Site L´hospitalet de Llobregat Barcelona Spain 08907
56 Pfizer Investigational Site Santiago de Compostela La Coruña Spain 15706
57 Pfizer Investigational Site Barcelona Spain 08003
58 Pfizer Investigational Site Guadalajara Spain 19002
59 Pfizer Investigational Site Madrid Spain 28046
60 Pfizer Investigational Site Sevilla Spain 41014

Sponsors and Collaborators

  • Pfizer

Investigators

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

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00147498
Other Study ID Numbers:
  • A3921019
First Posted:
Sep 7, 2005
Last Update Posted:
Jan 30, 2013
Last Verified:
Dec 1, 2012

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Period Title: Overall Study
STARTED 61 69 69 65
COMPLETED 58 60 52 48
NOT COMPLETED 3 9 17 17

Baseline Characteristics

Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo Total
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks. Total of all reporting groups
Overall Participants 61 69 69 65 264
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
47.9
(10.8)
51.8
(13.0)
51.1
(10.6)
51.3
(12.1)
50.6
(11.7)
Sex: Female, Male (Count of Participants)
Female
53
86.9%
58
84.1%
60
87%
55
84.6%
226
85.6%
Male
8
13.1%
11
15.9%
9
13%
10
15.4%
38
14.4%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 6
Description ACR20 response: greater than or equal to (>=) 20 percent (%) improvement in tender joints count (TJC); >= 20% improvement in swollen joints count (SJC); and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP).
Time Frame Week 6

Outcome Measure Data

Analysis Population Description
Full Analysis Set (FAS) included all randomized participants who received at least 1 dose of study treatment.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 69 65
Number [percentage of participants]
70.49
115.6%
81.16
117.6%
76.81
111.3%
29.23
45%
2. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response
Description ACR20 response: >=20% improvement in TJC; >= 20% improvement in SJC; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.
Time Frame Week 1, 2, 4, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Missing data were imputed using Last Observation Carried Forward (LOCF) at Week 1, 2, and 4. Here 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 69 65
Week 1 (n=61,69,69,65)
27.87
45.7%
43.48
63%
56.52
81.9%
12.31
18.9%
Week 2 (n=61,69,69,65)
50.82
83.3%
71.01
102.9%
68.12
98.7%
20.00
30.8%
Week 4 (n=61,69,69,65)
63.93
104.8%
75.36
109.2%
75.36
109.2%
30.77
47.3%
Week 8 (n=56,56,51,45)
50.00
82%
66.07
95.8%
70.59
102.3%
28.89
44.4%
3. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response
Description ACR50 response: >= 50% improvement in TJC or SJC and 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.
Time Frame Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Missing data were imputed using Last Observation Carried Forward (LOCF) at Week 1, 2, 4, and 6. Here 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 69 65
Week 1 (n= 61,69,69,65)
6.56
10.8%
8.70
12.6%
18.84
27.3%
3.08
4.7%
Week 2 (n= 61,69,69,65)
9.84
16.1%
23.19
33.6%
28.99
42%
3.08
4.7%
Week 4 (n= 61,69,69,65)
32.79
53.8%
42.03
60.9%
42.03
60.9%
6.15
9.5%
Week 6 (n= 61,69,69,65)
32.79
53.8%
53.62
77.7%
50.72
73.5%
6.15
9.5%
Week 8 (n=56,56,51,45)
17.86
29.3%
30.36
44%
45.10
65.4%
13.33
20.5%
4. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response
Description ACR70 response: >= 70% improvement in TJC or SJC and 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the HAQ); and CRP.
Time Frame Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Missing data were imputed using Last Observation Carried Forward (LOCF) at Week 1, 2, 4, and 6. Here 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 69 65
Week 1 (n= 61,69,69,65)
1.64
2.7%
4.35
6.3%
4.35
6.3%
0.00
0%
Week 2 (n= 61,69,69,65)
4.92
8.1%
4.35
6.3%
10.14
14.7%
1.54
2.4%
Week 4 (n= 61,69,69,65)
9.84
16.1%
17.39
25.2%
21.74
31.5%
1.54
2.4%
Week 6 (n= 61,69,69,65)
13.11
21.5%
21.74
31.5%
27.54
39.9%
3.08
4.7%
Week 8 (n=56,56,51,45)
8.93
14.6%
14.29
20.7%
27.45
39.8%
8.89
13.7%
5. Secondary Outcome
Title Area Under the Numeric Index of American College of Rheumatology Response (ACR-n) Curve
Description ACR-n: calculated by taking the lowest percentage improvement in (1) SJC or (2) TJC or (3) the median of the remaining 5 components of the ACR response (participant's assessment of disease activity; participant's global assessment of pain; physician's assessment of disease activity; participant's assessment of physical function; an acute phase reactant value - CRP). Negative numbers indicate worsening. The area under the curve (AUC) for ACR-n is the measure of the AUC of the mean change from baseline in ACR-n. The trapezoidal rule was used to compute the AUC.
Time Frame Baseline up to Week 6

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 59 69 66 62
Mean (Standard Deviation) [units on a scale*weeks]
857.50
(1151.36)
1086.90
(1664.77)
1211.93
(2107.65)
-546.41
(1721.78)
6. Secondary Outcome
Title Tender Joints Count (TJC)
Description Number of tender joints was determined by examining 68 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 68 65
Baseline (n=61,69,68,65)
32.37
(1.588)
26.98
(1.485)
29.52
(1.499)
30.61
(1.529)
Week 1 (n=60,68,66,59)
23.49
(1.597)
16.62
(1.492)
15.75
(1.511)
27.39
(1.576)
Week 2 (n=57,66,65,60)
18.90
(1.622)
12.72
(1.505)
13.51
(1.519)
24.71
(1.572)
Week 4 (n=56,58,59,49)
15.33
(1.628)
9.97
(1.562)
10.17
(1.562)
19.78
(1.670)
Week 6 (n=56,59,53,50)
12.21
(1.630)
8.58
(1.556)
7.41
(1.612)
19.81
(1.661)
Week 8 (n=57,56,52,45)
16.32
(1.62)
11.50
(1.58)
11.21
(1.62)
20.37
(1.71)
7. Secondary Outcome
Title Change From Baseline in Tender Joints Count (TJC) at Week 1, 2, 4, 6 and 8
Description Number of tender joints was determined by examining 68 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1. A negative value in change from baseline indicated an improvement.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 60 68 65 59
Change at Week 1 (n=60,68,65,59)
-7.06
(1.435)
-11.70
(1.338)
-14.14
(1.362)
-2.74
(1.417)
Change at Week 2 (n=57,66,65,60)
-11.68
(1.459)
-15.66
(1.350)
-15.78
(1.365)
-5.13
(1.416)
Change at Week 4 (n=56,58,58,49)
-15.23
(1.465)
-18.33
(1.403)
-18.66
(1.413)
-10.09
(1.508)
Change at Week 6 (n=56,59,52,50)
-18.35
(1.466)
-19.81
(1.398)
-21.37
(1.461)
-9.69
(1.500)
Change at Week 8 (n=57,56,52,45)
-14.26
(1.46)
-16.89
(1.42)
-17.78
(1.46)
-9.34
(1.55)
8. Secondary Outcome
Title Swollen Joints Count (SJC)
Description Number of swollen joints was determined by examination of 66 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 61 69 68 65
Baseline (n=61,69,68,65)
21.33
(1.052)
16.42
(0.984)
19.53
(0.993)
19.97
(1.013)
Week 1 (n=60,68,66,59)
14.77
(1.058)
9.90
(0.989)
10.18
(1.001)
16.46
(1.044)
Week 2 (n=57,66,65,60)
12.04
(1.074)
6.84
(0.997)
7.99
(1.006)
14.30
(1.041)
Week 4 (n=56,58,59,49)
8.83
(1.079)
5.95
(1.035)
6.42
(1.035)
11.78
(1.107)
Week 6 (n=56,59,53,50)
7.74
(1.080)
4.93
(1.031)
4.95
(1.069)
11.15
(1.101)
Week 8 (n=57,56,52,45)
10.31
(1.07)
6.02
(1.05)
6.77
(1.08)
12.36
(1.14)
9. Secondary Outcome
Title Change From Baseline in Swollen Joints Count (SJC) at Week 1, 2, 4, 6 and 8
Description Number of swollen joints was determined by examination of 66 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1. A negative value in change from baseline indicates an improvement.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 60 68 65 60
Change at Week 1 (n=60,68,65,59)
-5.02
(0.913)
-8.20
(0.855)
-9.00
(0.866)
-3.19
(0.900)
Change at Week 2 (n=57,66,65,60)
-7.83
(0.927)
-11.33
(0.863)
-11.11
(0.868)
-5.23
(0.900)
Change at Week 4 (n=56,58,58,49)
-11.03
(0.930)
-12.10
(0.894)
-12.58
(0.897)
-7.73
(0.954)
Change at Week 6 (n=56,59,52,50)
-12.10
(0.931)
-13.13
(0.891)
-13.91
(0.925)
-8.06
(0.950)
Change at Week 8 (n=57,56,52,45)
-9.54
(0.93)
-12.02
(0.90)
-12.14
(0.93)
-7.00
(0.98)
10. Secondary Outcome
Title Patient Global Assessment (PtGA) of Arthritis
Description Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 millimeter (mm) Visual Analog Scale (VAS) where 0 mm = very well and 100 mm = very poorly.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 58 67 65 63
Baseline (n=57,67,65,63)
71.03
(3.126)
69.37
(2.887)
63.99
(2.941)
65.73
(2.985)
Week 1 (n=58,67,64,58)
49.89
(3.111)
45.36
(2.889)
39.79
(2.958)
61.48
(3.076)
Week 2 (n=55,65,62,60)
46.18
(3.171)
41.09
(2.917)
32.09
(2.992)
58.02
(3.046)
Week 4 (n=56,58,58,48)
38.67
(3.146)
29.53
(3.033)
26.16
(3.062)
52.55
(3.294)
Week 6 (n=55,59,52,49)
37.11
(3.165)
28.82
(3.018)
24.52
(3.180)
50.04
(3.273)
Week 8 (n=57,57,50,45)
40.29
(3.13)
37.56
(3.05)
30.63
(3.23)
50.76
(3.37)
11. Secondary Outcome
Title Change From Baseline in Patient Global Assessment (PtGA) of Arthritis at Week 1, 2, 4, 6 and 8
Description Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS, where 0 mm = very well and 100 mm = very poorly.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 56 66 62 59
Change at Week 1 (n=56,66,62,57)
-17.98
(3.121)
-21.56
(2.859)
-26.16
(2.948)
-5.18
(3.022)
Change at Week 2 (n=53,63,60,59)
-22.06
(3.184)
-25.71
(2.900)
-33.33
(2.984)
-8.14
(2.998)
Change at Week 4 (n=53,57,55,47)
-30.23
(3.176)
-37.35
(3.001)
-38.71
(3.072)
-13.17
(3.238)
Change at Week 6 (n=52,57,49,48)
-31.64
(3.203)
-37.78
(3.005)
-40.50
(3.191)
-15.06
(3.219)
Change at Week 8 (n=53,55,48,45)
-27.83
(3.18)
-28.79
(3.04)
-34.30
(3.21)
-14.96
(3.28)
12. Secondary Outcome
Title Physician Global Assessment of Arthritis
Description Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 60 69 66 64
Baseline (n=60,69,66,64)
69.39
(2.566)
64.11
(2.388)
66.65
(2.436)
67.75
(2.471)
Week 1 (n=60,67,64,58)
49.85
(2.568)
37.80
(2.417)
36.30
(2.464)
55.54
(2.575)
Week 2 (n=57,66,65,60)
41.65
(2.618)
29.54
(2.430)
32.24
(2.453)
52.76
(2.546)
Week 4 (n=56,58,59,49)
34.18
(2.631)
27.45
(2.547)
23.91
(2.540)
46.01
(2.746)
Week 6 (n=55,58,53,50)
31.42
(2.651)
22.22
(2.549)
19.26
(2.643)
46.52
(2.727)
Week 8 (n=57,57,52,45)
39.10
(2.62)
30.78
(2.57)
26.24
(2.66)
42.04
(2.84)
13. Secondary Outcome
Title Change From Baseline in Physician Global Assessment of Arthritis at Week 1, 2, 4, 6 and 8
Description Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 59 67 63 59
Change at Week 1 (n=59,67,62,57)
-17.13
(2.626)
-28.25
(2.445)
-30.89
(2.534)
-12.25
(2.636)
Change at Week 2 (n=56,66,63,59)
-25.43
(2.675)
-36.60
(2.456)
-34.56
(2.525)
-14.29
(2.611)
Change at Week 4 (n=55,58,56,48)
-33.29
(2.686)
-38.44
(2.563)
-42.65
(2.627)
-20.91
(2.803)
Change at Week 6 (n=55,58,50,49)
-35.97
(2.690)
-43.69
(2.566)
-46.70
(2.730)
-19.87
(2.786)
Change at Week 8 (n=56,57,50,45)
-29.19
(2.67)
-35.11
(2.58)
-39.81
(2.73)
-24.78
(2.87)
14. Secondary Outcome
Title Patient Assessment of Arthritis Pain
Description Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 59 68 66 64
Baseline (n=59,68,66,64)
69.46
(3.112)
67.47
(2.894)
68.13
(2.936)
64.17
(2.980)
Week 1 (n=59,68,65,59)
51.76
(3.114)
46.11
(2.897)
37.71
(2.953)
62.51
(3.072)
Week 2 (n=57,65,65,60)
45.59
(3.154)
40.14
(2.940)
30.83
(2.956)
60.65
(3.062)
Week 4 (n=57,58,59,49)
37.77
(3.150)
30.42
(3.057)
26.76
(3.053)
56.96
(3.287)
Week 6 (n=55,59,53,50)
35.57
(3.191)
28.35
(3.043)
23.39
(3.169)
52.75
(3.266)
Week 8 (n=57,57,52,45)
42.44
(3.15)
37.62
(3.08)
31.12
(3.19)
49.06
(3.39)
15. Secondary Outcome
Title Change From Baseline in Patient Assessment of Arthritis Pain at Week 1, 2, 4, 6 and 8
Description Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 57 67 63 59
Change at Week 1 (n=57,67,63,58)
-15.01
(3.102)
-19.74
(2.843)
-29.66
(2.932)
-3.30
(3.027)
Change at Week 2 (n=55,65,63,59)
-21.44
(3.142)
-26.10
(2.870)
-35.85
(2.936)
-4.79
(3.027)
Change at Week 4 (n=55,57,56,48)
-29.27
(3.137)
-35.47
(2.996)
-40.10
(3.050)
-8.40
(3.242)
Change at Week 6 (n=54,58,51,49)
-31.42
(3.159)
-37.67
(2.983)
-42.89
(3.144)
-12.26
(3.223)
Change at Week 8 (n=55,56,51,45)
-24.90
(3.14)
-28.70
(3.02)
-35.35
(3.15)
-16.28
(3.31)
16. Secondary Outcome
Title Health Assessment Questionnaire-Disability Index (HAQ-DI)
Description HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 60 69 67 62
Baseline (n=60,69,67,62)
1.75
(0.086)
1.66
(0.080)
1.61
(0.081)
1.71
(0.083)
Week 1 (n=60,68,65,58)
1.46
(0.086)
1.37
(0.080)
1.19
(0.082)
1.63
(0.084)
Week 2 (n=57,66,64,60)
1.32
(0.087)
1.17
(0.081)
1.06
(0.082)
1.53
(0.084)
Week 4 (n=57,57,59,47)
1.17
(0.087)
1.07
(0.083)
0.92
(0.083)
1.54
(0.088)
Week 6 (n=54,59,53,50)
1.12
(0.088)
0.95
(0.082)
0.86
(0.084)
1.47
(0.087)
Week 8 (n=57,56,52,45)
1.30
(0.09)
1.06
(0.08)
0.92
(0.08)
1.52
(0.09)
17. Secondary Outcome
Title Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 1, 2, 4, 6 and 8
Description HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 59 68 64 57
Change at Week 1 (n=59,68,64,55)
-0.25
(0.066)
-0.30
(0.061)
-0.44
(0.063)
-0.05
(0.067)
Change at Week 2 (n=56,66,63,57)
-0.39
(0.067)
-0.50
(0.062)
-0.56
(0.063)
-0.15
(0.067)
Change at Week 4 (n=56,57,57,44)
-0.55
(0.067)
-0.60
(0.064)
-0.69
(0.065)
-0.13
(0.071)
Change at Week 6 (n=55,59,51,47)
-0.60
(0.068)
-0.72
(0.063)
-0.74
(0.067)
-0.20
(0.070)
Change at Week 8 (n=56,56,51,43)
-0.43
(0.07)
-0.60
(0.06)
-0.70
(0.07)
-0.17
(0.07)
18. Secondary Outcome
Title C-Reactive Protein (CRP)
Description The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. Normal range of CRP is 0 milligram per liter (mg/L) to 100 mg/L. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 50 57 58 53
Baseline (n=50,57,58,53)
31.25
(35.00)
25.47
(31.06)
28.10
(28.43)
22.28
(18.52)
Week 1 (n=50,55,55,49)
15.98
(16.72)
7.57
(9.79)
7.57
(11.32)
25.40
(30.04)
Week 2 (n=46,53,53,48)
13.18
(12.97)
7.25
(11.83)
6.50
(14.81)
24.41
(21.38)
Week 4 (n=46,49,47,39)
11.83
(11.10)
5.17
(6.72)
5.88
(10.98)
22.26
(21.07)
Week 6 (n=45,49,41,41)
12.57
(21.01)
6.59
(16.37)
6.08
(11.80)
22.94
(20.79)
Week 8 (n=45,45,41,37)
23.37
(22.72)
12.06
(12.20)
13.95
(14.68)
23.64
(29.47)
19. Secondary Outcome
Title Change From Baseline in C-Reactive Protein (CRP) at Week 1, 2, 4, 6 and 8
Description The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. Normal range of CRP is 0 mg/L to 100 mg/L. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 50 54 55 48
Change at Week 1 (n=50,54,55,48)
-15.28
(26.65)
-18.29
(28.98)
-21.38
(25.56)
-0.24
(15.40)
Change at Week 2 (n=46,52,53,48)
-16.74
(32.94)
-18.89
(31.87)
-23.06
(31.49)
1.79
(15.56)
Change at Week 4 (n=46,49,47,39)
-17.76
(33.31)
-22.02
(31.29)
-20.70
(25.69)
-0.67
(19.17)
Change at Week 6 (n=45,49,41,41)
-17.83
(35.92)
-18.08
(25.99)
-17.58
(24.76)
0.67
(16.81)
Change at Week 8 (n=45,45,41,37)
-7.06
(35.75)
-13.24
(27.69)
-11.81
(29.46)
1.32
(27.26)
20. Secondary Outcome
Title Disease Activity Score Using 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP])
Description DAS28-3 (CRP) was calculated from the SJC and TJC using the 28 joints count and CRP (mg/L). Total score ranging 0 to 9.4; higher scores indicated greater affectation due to disease activity. DAS 28-3 (CRP) less than or equal to (<=) 3.2 implied low disease activity and greater than (>) 3.2 to 5.1 implied moderate to high disease activity, and less than (<) 2.6 = remission.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 50 57 56 51
Baseline (n=50,57,56,51)
6.17
(0.89)
5.69
(0.92)
5.91
(0.91)
6.00
(0.90)
Week 1 (n=49,54,54,47)
5.29
(1.08)
4.42
(1.12)
4.28
(1.21)
5.66
(1.10)
Week 2 (n=46,53,51,48)
4.93
(1.08)
3.80
(1.17)
3.90
(1.17)
5.37
(1.15)
Week 4 (n=46,49,47,39)
4.44
(1.20)
3.56
(1.12)
3.46
(1.33)
4.91
(1.22)
Week 6 (n=45,49,40,41)
4.18
(1.29)
3.42
(1.16)
3.10
(1.17)
4.78
(1.05)
Week 8 (n=45,44,41,36)
4.75
(1.37)
4.08
(1.32)
3.93
(1.38)
5.02
(1.10)
21. Secondary Outcome
Title Change From Baseline in Disease Activity Score Using 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) at Week 1, 2, 4, 6, and 8
Description DAS28-3 (CRP) was calculated from the SJC and TJC using the 28 joints count and CRP (mg/L). Total score ranging 0 to 9.4; higher scores indicated greater affectation due to disease activity. DAS 28-3 (CRP) <=3.2 implied low disease activity and >3.2 to 5.1 implied moderate to high disease activity, and <2.6 = remission.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all participants who were randomized to study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' signifies participants who were evaluable for a particular time-point for each treatment arm, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 49 53 52 46
Change at Week 1 (n=49,53,52,45)
-0.84
(0.74)
-1.28
(0.99)
-1.65
(0.99)
-0.39
(0.86)
Change at Week 2 (n=46,52,50,46)
-1.19
(0.89)
-1.91
(1.23)
-2.05
(1.25)
-0.59
(0.98)
Change at Week 4 (n=46,49,46,37)
-1.64
(1.16)
-2.18
(1.25)
-2.47
(1.39)
-1.04
(1.04)
Change at Week 6 (n=45,49,39,39)
-1.99
(1.28)
-2.28
(1.33)
-2.73
(1.32)
-1.20
(1.17)
Change at Week 8 (n=45,44,41,35)
-1.36
(1.32)
-1.60
(1.32)
-1.99
(1.38)
-0.89
(1.07)
22. Secondary Outcome
Title Number of Participants With Categorization of Disease Improvement Based on DAS28-3 (CRP)
Description Disease improvement was classified as good, moderate, and no change based on improvement in DAS 28-3 (CRP) from baseline and present DAS 28-3 (CRP) score. Good: an improvement from baseline of >1.2 and a present score of <=3.2; none: an improvement of <=0.6 or >0.6 to <=1.2 with a present score of >5.1; remaining participants were classified as having moderate improvement. Scores of good and moderate were considered to have therapeutic response.
Time Frame Baseline, Week 1, 2, 4, 6, and 8

Outcome Measure Data

Analysis Population Description
FAS included all randomized participants who received at least 1 dose of study treatment. Here 'N' (Number of Participants Analyzed) signifies participants who were evaluable for this measure and 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
Measure Participants 49 53 52 46
Week 1, No Change (n=49,53,52,45)
31
50.8%
25
36.2%
17
24.6%
35
53.8%
Week 1, Good (n=49,53,52,45)
0
0%
0
0%
0
0%
0
0%
Week 1, Moderate (n=49,53,52,45)
18
29.5%
28
40.6%
35
50.7%
10
15.4%
Week 2, No Change (n=46,52,50,46)
20
32.8%
13
18.8%
12
17.4%
33
50.8%
Week 2, Good (n=46,52,50,46)
0
0%
0
0%
0
0%
0
0%
Week 2, Moderate (n=46,52,50,46)
26
42.6%
39
56.5%
38
55.1%
13
20%
Week 4, No Change (n=46,49,46,37)
14
23%
7
10.1%
8
11.6%
22
33.8%
Week 4, Good (n=46,49,46,37)
0
0%
0
0%
0
0%
0
0%
Week 4, Moderate (n=46,49,46,37)
32
52.5%
42
60.9%
38
55.1%
15
23.1%
Week 6, No Change (n=45,49,39,39)
11
18%
8
11.6%
3
4.3%
20
30.8%
Week 6, Good (n=45,49,39,39)
0
0%
0
0%
0
0%
0
0%
Week 6, Moderate (n=45,49,39,39)
34
55.7%
41
59.4%
36
52.2%
19
29.2%
Week 8, No Change (n=45,44,41,35)
21
34.4%
16
23.2%
11
15.9%
24
36.9%
Week 8, Good (n=45,44,41,35)
0
0%
0
0%
0
0%
0
0%
Week 8, Moderate (n=45,44,41,35)
24
39.3%
28
40.6%
30
43.5%
11
16.9%

Adverse Events

Time Frame
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Arm/Group Title CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Arm/Group Description CP-690,550 tablets equivalent to CP-690,550 5 milligram (mg) orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 6 weeks. CP-690,550 tablets equivalent to CP-690,550 30 mg orally twice daily for 6 weeks. Placebo matched to CP-690,550 tablets orally twice daily for 6 weeks.
All Cause Mortality
CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/61 (1.6%) 5/69 (7.2%) 3/69 (4.3%) 1/65 (1.5%)
Blood and lymphatic system disorders
Leukopenia 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Cardiac disorders
Myocardial ischaemia 0/61 (0%) 0/69 (0%) 1/69 (1.4%) 0/65 (0%)
Infections and infestations
Gastroenteritis 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Pneumonia staphylococcal 0/61 (0%) 0/69 (0%) 0/69 (0%) 1/65 (1.5%)
Pyelonephritis acute 0/61 (0%) 0/69 (0%) 1/69 (1.4%) 0/65 (0%)
Whipple's disease 0/61 (0%) 0/69 (0%) 1/69 (1.4%) 0/65 (0%)
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Nervous system disorders
Subarachnoid haemorrhage 1/61 (1.6%) 0/69 (0%) 0/69 (0%) 0/65 (0%)
Syncope vasovagal 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Pregnancy 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 0/65 (0%)
Other (Not Including Serious) Adverse Events
CP 690,550 5 mg CP-690,550 15 mg CP-690,550 30 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 34/61 (55.7%) 38/69 (55.1%) 46/69 (66.7%) 37/65 (56.9%)
Blood and lymphatic system disorders
Anaemia 1/61 (1.6%) 2/69 (2.9%) 4/69 (5.8%) 3/65 (4.6%)
Leukopenia 2/61 (3.3%) 1/69 (1.4%) 7/69 (10.1%) 1/65 (1.5%)
Lymphopenia 0/61 (0%) 0/69 (0%) 2/69 (2.9%) 0/65 (0%)
Neutropenia 1/61 (1.6%) 1/69 (1.4%) 3/69 (4.3%) 0/65 (0%)
Thrombocytopenia 0/61 (0%) 1/69 (1.4%) 2/69 (2.9%) 0/65 (0%)
Cardiac disorders
Atrioventricular block first degree 0/61 (0%) 2/69 (2.9%) 0/69 (0%) 0/65 (0%)
Cardiac disorder 0/61 (0%) 2/69 (2.9%) 0/69 (0%) 0/65 (0%)
Gastrointestinal disorders
Abdominal pain 0/61 (0%) 2/69 (2.9%) 1/69 (1.4%) 0/65 (0%)
Abdominal pain upper 4/61 (6.6%) 2/69 (2.9%) 2/69 (2.9%) 0/65 (0%)
Constipation 3/61 (4.9%) 0/69 (0%) 0/69 (0%) 2/65 (3.1%)
Diarrhoea 3/61 (4.9%) 2/69 (2.9%) 3/69 (4.3%) 3/65 (4.6%)
Dry mouth 2/61 (3.3%) 0/69 (0%) 0/69 (0%) 0/65 (0%)
Dyspepsia 0/61 (0%) 2/69 (2.9%) 2/69 (2.9%) 1/65 (1.5%)
Gastritis 0/61 (0%) 0/69 (0%) 1/69 (1.4%) 2/65 (3.1%)
Nausea 4/61 (6.6%) 3/69 (4.3%) 6/69 (8.7%) 3/65 (4.6%)
Toothache 0/61 (0%) 0/69 (0%) 2/69 (2.9%) 1/65 (1.5%)
Vomiting 3/61 (4.9%) 1/69 (1.4%) 3/69 (4.3%) 2/65 (3.1%)
General disorders
Asthenia 0/61 (0%) 0/69 (0%) 1/69 (1.4%) 2/65 (3.1%)
Fatigue 1/61 (1.6%) 2/69 (2.9%) 1/69 (1.4%) 0/65 (0%)
Malaise 0/61 (0%) 1/69 (1.4%) 3/69 (4.3%) 0/65 (0%)
Oedema peripheral 3/61 (4.9%) 1/69 (1.4%) 3/69 (4.3%) 2/65 (3.1%)
Infections and infestations
Gastroenteritis 2/61 (3.3%) 2/69 (2.9%) 1/69 (1.4%) 1/65 (1.5%)
Herpes simplex 0/61 (0%) 2/69 (2.9%) 2/69 (2.9%) 0/65 (0%)
Influenza 3/61 (4.9%) 2/69 (2.9%) 4/69 (5.8%) 2/65 (3.1%)
Nasopharyngitis 3/61 (4.9%) 1/69 (1.4%) 1/69 (1.4%) 1/65 (1.5%)
Sinusitis 0/61 (0%) 0/69 (0%) 0/69 (0%) 3/65 (4.6%)
Tinea pedis 0/61 (0%) 3/69 (4.3%) 1/69 (1.4%) 0/65 (0%)
Tinea versicolour 2/61 (3.3%) 0/69 (0%) 0/69 (0%) 0/65 (0%)
Upper respiratory tract infection 0/61 (0%) 3/69 (4.3%) 1/69 (1.4%) 4/65 (6.2%)
Urinary tract infection 1/61 (1.6%) 0/69 (0%) 5/69 (7.2%) 2/65 (3.1%)
Injury, poisoning and procedural complications
Contusion 0/61 (0%) 2/69 (2.9%) 1/69 (1.4%) 1/65 (1.5%)
Investigations
Alanine aminotransferase increased 1/61 (1.6%) 0/69 (0%) 0/69 (0%) 3/65 (4.6%)
Blood lactate dehydrogenase increased 0/61 (0%) 0/69 (0%) 0/69 (0%) 2/65 (3.1%)
Metabolism and nutrition disorders
Hypercholesterolaemia 2/61 (3.3%) 4/69 (5.8%) 0/69 (0%) 0/65 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 3/61 (4.9%) 0/69 (0%) 3/69 (4.3%) 6/65 (9.2%)
Back pain 1/61 (1.6%) 3/69 (4.3%) 1/69 (1.4%) 3/65 (4.6%)
Muscle spasms 0/61 (0%) 0/69 (0%) 0/69 (0%) 2/65 (3.1%)
Pain in extremity 0/61 (0%) 3/69 (4.3%) 1/69 (1.4%) 0/65 (0%)
Rheumatoid arthritis 1/61 (1.6%) 3/69 (4.3%) 2/69 (2.9%) 4/65 (6.2%)
Shoulder pain 0/61 (0%) 0/69 (0%) 2/69 (2.9%) 1/65 (1.5%)
Nervous system disorders
Dizziness 0/61 (0%) 4/69 (5.8%) 3/69 (4.3%) 1/65 (1.5%)
Headache 10/61 (16.4%) 8/69 (11.6%) 17/69 (24.6%) 6/65 (9.2%)
Somnolence 0/61 (0%) 2/69 (2.9%) 2/69 (2.9%) 1/65 (1.5%)
Renal and urinary disorders
Leukocyturia 2/61 (3.3%) 1/69 (1.4%) 1/69 (1.4%) 0/65 (0%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 2/61 (3.3%) 0/69 (0%) 0/69 (0%) 0/65 (0%)
Pharyngolaryngeal pain 0/61 (0%) 3/69 (4.3%) 3/69 (4.3%) 1/65 (1.5%)
Skin and subcutaneous tissue disorders
Acne 0/61 (0%) 1/69 (1.4%) 3/69 (4.3%) 0/65 (0%)
Ecchymosis 0/61 (0%) 0/69 (0%) 2/69 (2.9%) 0/65 (0%)
Pruritus 0/61 (0%) 1/69 (1.4%) 0/69 (0%) 2/65 (3.1%)
Rash 0/61 (0%) 3/69 (4.3%) 3/69 (4.3%) 1/65 (1.5%)
Vascular disorders
Hypertension 1/61 (1.6%) 2/69 (2.9%) 3/69 (4.3%) 0/65 (0%)
Hypotension 1/61 (1.6%) 0/69 (0%) 0/69 (0%) 2/65 (3.1%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

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

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00147498
Other Study ID Numbers:
  • A3921019
First Posted:
Sep 7, 2005
Last Update Posted:
Jan 30, 2013
Last Verified:
Dec 1, 2012