Long-Term, Open-Label Study Of CP-690,550 For Treatment Of Rheumatoid Arthritis In Japan

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00661661
Collaborator
(none)
487
56
1
68
8.7
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the long-term effectiveness and safety of CP-690,550 for the treatment of rheumatoid arthritis. Subjects are only eligible for this study after they have completed participation in another "qualifying" study of CP-690,550.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
487 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Long-term, Open-label Study Of Cp-690,550 to Confirm The Safety Following Long Term Administration Of Cp-690,550 In The Treatment Of Rheumatoid Arthritis
Study Start Date :
Apr 1, 2008
Actual Primary Completion Date :
Dec 1, 2013
Actual Study Completion Date :
Dec 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: CP-690,550

Drug: CP-690,550
5 mg BID up to 10 mg BID until launch

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [Baseline up to Week 288]

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to the last participants visit in the study. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for safety evaluation.

Secondary Outcome Measures

  1. Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response [Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    ACR20 response: greater than or equal to (>=) 20 percent (%) improvement in tender joint count; >=20% improvement in swollen joint count; and >=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  2. Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response [Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    ACR50 response: greater than or equal to (>=) 50 percent (%) improvement in tender joint count; >=50% improvement in swollen joint count; and >=50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  3. Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response [Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    ACR70 response: greater than or equal to (>=) 70 percent (%) improvement in tender joint count; >=70% improvement in swollen joint count; and >=70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  4. Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    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, 0 to 3: 0=no difficulty; 1=some difficulty;2=much difficulty; 3=unable to do. Overall score was computed as sum of domain sc ores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  5. Change From Baseline in Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR]) [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    DAS28-4 (ESR) calculated from swollen joint count (SJC) and tender/painful joint count (TJC) using 28 joint count, erythrocyte sedimentation rate (ESR) (millimeters per hour [mm/hour]) and patient's global assessment (PtGA) of disease activity (transformed score ranging 0 to 10; higher score indicated greater affectation due to disease activity). Total score range:0 to 9.4, higher score indicated more disease activity. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  6. Change From Baseline in Disease Activity Score Using 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    DAS28-3 (CRP) was calculated from SJC and TJC using 28 joint count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  7. Change From Baseline in Patient Global Assessment of Arthritis [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    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 = very well and 100 = very poorly. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  8. Change From Baseline in Physician Global Assessment of Arthritis [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  9. Change From Baseline in Patient Assessment of Arthritis Pain [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    Participants rated the severity of arthritis pain on a 0 to 100 millimeter (mm) visual analogue scale (VAS), where 0 mm = no pain and 100 mm = most severe pain. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  10. Change From Baseline in Tender/Painful Joint Counts [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    This was carried out on 68 joints. Each joint's response to pressure/motion was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial joints). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  11. Change From Baseline in Swollen Joint Counts [Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288]

    Sixty-six (66) joints, the same as those assessed for tenderness/pain except for the right and left hip joints, were assessed for swelling by palpation using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial joints). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  12. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Physical Functioning [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  13. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Role Physical [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  14. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Bodily Pain [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  15. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_General Health [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  16. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Vitality [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  17. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Social Functioning [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  18. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Role Emotional [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  19. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Mental Health [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  20. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Component Score_Physical [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  21. Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Component Score_Mental [Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288]

    SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).

  22. Change From Month 24 in Study A3921044 in Modified Total Sharp Score (mTSS) [First visit in the study (Month 24 in Study A3921044), Weeks 24, 48, and 96]

    mTSS = sum of erosion and Joint Space Narrowing (JSN) scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). Change: scores at observation minus score at baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented potential improvement. Month 24 (the final visit) in Study A3921044 was taken as the first visit in current study.

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects who have completed their participation in a randomized "qualifying" study of CP-690,550 for the treatment of rheumatoid arthritis
Exclusion Criteria:
  • Serious medical conditions that would make treatment with CP-690,550 potentially unsafe

Contacts and Locations

Locations

Site City State Country Postal Code
1 National hospital Organization Nagoya Medical Center Nagoya Aichi Japan 460-0001
2 Nagoya University Hospital Nagoya Aichi Japan 466-8560
3 Chiba-ken Saiseikai Narashino Hospital Narashino Chiba Japan 275-8580
4 Shimoshizu National Hospital Yotukaidou Chiba Japan 284-0003
5 Aso Iizuka Hospital Iiduka Fukuoka Japan 820-8505
6 University of Occupational and Environmental Health Hospital Kitakyusyu Fukuoka Japan 807-8555
7 St. Mary's Hospital Kurume Fukuoka Japan 830-8543
8 SHONO Rheumatism Clinic Sawara-ku Fukuoka Japan 814-0002
9 Inoue Hospital Takasaki Gunma Japan 370-0053
10 Higashihiroshima Memorial Hospital Higashihiroshima Hiroshima Japan 739-0002
11 Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital Hiroshima-city Hiroshima Japan 730-8619
12 Katayama Orthopedic Rheumatology Clinic Asahikawa Hokkaido Japan 078-8243
13 Sapporo city general hospital Sapporo Hokkaido Japan 060-8604
14 Hokkaido University Hospital Sapporo Hokkaido Japan 060-8648
15 Hokkaido Medical Center for Rheumatic Diseases Sapporo Hokkaido Japan 063-0811
16 The Hospital of Hyogo College of Medicine Nishinomiya Hyogo Japan 663-8501
17 Taga General Hospital Hitachi-shi Ibaraki Japan 316-0035
18 Tsukuba University Hospital Tsukuba Ibaraki Japan 305-8576
19 National Hospital Organization Sagamihara National Hospital Sagamihara Kanagawa Japan 252-0392
20 Kumamoto Saishunso National Hospital Koushi Kumamoto Japan 861-1196
21 National hospital Organization Mie Chuou Medical Center Tsu Mie Japan 514-1101
22 Hikarigaoka Spellman Hospital Sendai Miyagi Japan 983-0833
23 National Hospital Organization Nagasaki Medical Center Ohmura Nagasaki Japan 856-0835
24 Sasebo Chuo Hospital Sasebo Nagasaki Japan 857-1195
25 Higami hospital Kashihara Nara Japan 634-0007
26 National Hospital Organization Osaka Minami Center Kawachinagano Osaka Japan 586-8521
27 Ureshino Medical Center Ureshino Saga Japan 843-0393
28 Saitama Medical Center Kawagoe-shi Saitama Japan 350-8550
29 Kitasato University Kitasato Institute Medical Center Hospital Kitamoto Saitama Japan 364-8501
30 Seirei Hamamatsu General Hospital Hamamatsu Shizuoka Japan 430-8558
31 Tokyo Women's Medical University Medical Center East Arakawa-ku Tokyo Japan 116-8567
32 Juntendo University Hospital Bunkyo-ku Tokyo Japan 113-8431
33 Tokyo Medical And Dental University Hospital, Faculty of Medicine Bunkyo-ku Tokyo Japan 113-8519
34 The University of Tokyo Hospital Bunkyo-ku Tokyo Japan 113-8655
35 Sasaki Foundation Kyoundo Hospital Chiyoda-ku Tokyo Japan 101-0062
36 Juntendo Tokyo Koto Geriatric Medical Center Koto-ku Tokyo Japan 136-0075
37 National Hospital Organization Tokyo Medical Center Meguro-ku Tokyo Japan 152-8902
38 National Hospital Organization MURAYAMA Medical Center Musashimurayama-shi Tokyo Japan 208-0011
39 Fukuhara Hospital Setagaya-ku Tokyo Japan 155-0031
40 Tokyo Women's Medical University, Institute of Rheumatology Shinjyuku-ku Tokyo Japan 162-0054
41 National Hospital Organization Chiba-East Hospital Chiba Japan 260-8712
42 Kondo clinic for rheumatism and orthopaedics Fukuoka Japan 810-0001
43 National Hospital Organization Kyushu Medical Center Fukuoka Japan 810-8563
44 Medical Co.LTA PS Clinic Fukuoka Japan 812-0025
45 Fukusima Daiichi Hospital Fukusima Japan 960-8251
46 Hiroshima Rheumatology Clinic Hiroshima Japan 730-0017
47 Kumamoto Orthopaedic Hospital Kumamoto Japan 862-0976
48 University Hospital, Kyoto Prefectural University of Medicine Kyoto Japan 602-8566
49 Kyoto University Hospital Kyoto Japan 606-8507
50 Sendai Taihaku Hospital Miyagi Japan 982-0032
51 Nagasaki University Hospital of Medicine and Dentistry Nagasaki Japan 852-8501
52 Niigata University Medical & Dental Hospital Niigata Japan 951-8520
53 A Medical Corporation Oribe Rheumatism Internist Clinic Oita Japan 870-0823
54 The Tazuke Kofukai Medical Research Institute Kitano Hospital Osaka Japan 530-8480
55 Saitama city hospital Saitama Japan 336-8522
56 Keio University Hospital Shinjuku-ku, Tokyo Japan 160-8582

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:
NCT00661661
Other Study ID Numbers:
  • A3921041
First Posted:
Apr 18, 2008
Last Update Posted:
May 12, 2015
Last Verified:
Apr 1, 2015
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail Participants received study drug (CP-690,550 or placebo) in the precedent study A3921039 (NCT00603512) for 12 weeks, A3921040 (NCT00687193) for 12 weeks, or A3921044 (NCT00847613) for 2 years.
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID.
Period Title: Overall Study
STARTED 382 105
COMPLETED 242 66
NOT COMPLETED 140 39

Baseline Characteristics

Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. Total of all reporting groups
Overall Participants 381 105 486
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
53.5
(11.2)
49.3
(11.7)
52.6
(11.4)
Sex: Female, Male (Count of Participants)
Female
318
83.5%
86
81.9%
404
83.1%
Male
63
16.5%
19
18.1%
82
16.9%

Outcome Measures

1. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response
Description ACR20 response: greater than or equal to (>=) 20 percent (%) improvement in tender joint count; >=20% improvement in swollen joint count; and >=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
80.2
21%
68.6
65.3%
77.6
16%
Week 4 (n=373, 105, 478)
87.1
22.9%
70.5
67.1%
83.5
17.2%
Week 8 (n=371, 105, 476)
90.0
23.6%
72.4
69%
86.1
17.7%
Week 12 (n=370, 105, 475)
91.9
24.1%
77.1
73.4%
88.6
18.2%
Week 24 (n=357, 104, 461)
90.8
23.8%
85.6
81.5%
89.6
18.4%
Week 36 (n=339, 102, 441)
94.1
24.7%
87.3
83.1%
92.5
19%
Week 48 (n=331, 102, 433)
93.7
24.6%
88.2
84%
92.4
19%
Week 60 (n=323, 102, 425)
92.3
24.2%
90.2
85.9%
91.8
18.9%
Week 72 (n=315, 99, 414)
92.4
24.3%
86.9
82.8%
91.1
18.7%
Week 84 (n=309, 92, 401)
93.2
24.5%
87.0
82.9%
91.8
18.9%
Week 96 (n=281, 87, 368)
92.2
24.2%
92.0
87.6%
92.1
19%
Week 108 (n=259, 84, 343)
91.9
24.1%
86.9
82.8%
90.7
18.7%
Week 120 (n=242, 80, 322)
91.3
24%
88.8
84.6%
90.7
18.7%
Week 132 (n=232, 79, 311)
92.2
24.2%
84.8
80.8%
90.4
18.6%
Week 144 (n=224, 76, 300)
89.7
23.5%
86.8
82.7%
89.0
18.3%
Week 156 (n=219, 73, 292)
91.3
24%
84.9
80.9%
89.7
18.5%
Week 168 (n=213, 70, 283)
92.5
24.3%
82.9
79%
90.1
18.5%
Week 180 (n=180, 57, 237)
92.8
24.4%
86.0
81.9%
91.1
18.7%
Week 192 (n=138, 42, 180)
92.8
24.4%
85.7
81.6%
91.1
18.7%
Week 204 (n=109, 30, 139)
92.7
24.3%
90.0
85.7%
92.1
19%
Week 216 (n=76, 13, 89)
96.1
25.2%
84.6
80.6%
94.4
19.4%
Week 228 (n=68, 5, 73)
91.2
23.9%
80.0
76.2%
90.4
18.6%
Week 240 (n=65, 5, 70)
93.8
24.6%
80.0
76.2%
92.9
19.1%
Week 252 (n=65, 5, 70)
92.3
24.2%
80.0
76.2%
91.4
18.8%
Week 264 (n=59, 5, 64)
89.8
23.6%
80.0
76.2%
89.1
18.3%
Week 276 (n=22, 1, 23)
95.5
25.1%
100
95.2%
95.7
19.7%
Week 288 (n=3, 0, 3)
100
26.2%
0
0%
100
20.6%
2. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response
Description ACR50 response: greater than or equal to (>=) 50 percent (%) improvement in tender joint count; >=50% improvement in swollen joint count; and >=50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
59.5
15.6%
36.2
34.5%
54.5
11.2%
Week 4 (n=373, 105, 478)
63.8
16.7%
35.2
33.5%
57.5
11.8%
Week 8 (n=371, 105, 476)
70.4
18.5%
47.6
45.3%
65.3
13.4%
Week 12 (n=370, 105, 475)
70.8
18.6%
46.7
44.5%
65.5
13.5%
Week 24 (n=357, 104, 461)
76.2
20%
62.5
59.5%
73.1
15%
Week 36 (n=339, 102, 441)
77.3
20.3%
56.9
54.2%
72.6
14.9%
Week 48 (n=331, 102, 433)
77.3
20.3%
59.8
57%
73.2
15.1%
Week 60 (n=323, 102, 425)
77.1
20.2%
66.7
63.5%
74.6
15.3%
Week 72 (n=315, 99, 414)
77.8
20.4%
74.7
71.1%
77.1
15.9%
Week 84 (n=309, 92, 401)
78.6
20.6%
64.1
61%
75.3
15.5%
Week 96 (n=281, 87, 368)
78.3
20.6%
60.9
58%
74.2
15.3%
Week 108 (n=259, 84, 343)
79.9
21%
72.6
69.1%
78.1
16.1%
Week 120 (n=242, 80, 322)
76.4
20.1%
68.8
65.5%
74.5
15.3%
Week 132 (n=232, 79, 311)
77.2
20.3%
72.2
68.8%
75.9
15.6%
Week 144 (n=224, 76, 300)
78.1
20.5%
69.7
66.4%
76.0
15.6%
Week 156 (n=219, 73, 292)
79.5
20.9%
65.8
62.7%
76.0
15.6%
Week 168 (n=213, 70, 283)
79.3
20.8%
67.1
63.9%
76.3
15.7%
Week 180 (n=180, 57, 237)
82.2
21.6%
71.9
68.5%
79.7
16.4%
Week 192 (n=138, 42, 180)
79.7
20.9%
61.9
59%
75.6
15.6%
Week 204 (n=109, 30, 139)
84.4
22.2%
80.0
76.2%
83.5
17.2%
Week 216 (n=76, 13, 89)
86.8
22.8%
53.8
51.2%
82.0
16.9%
Week 228 (n=68, 5, 73)
76.5
20.1%
80.0
76.2%
76.7
15.8%
Week 240 (n=65, 5, 70)
83.1
21.8%
40.0
38.1%
80.0
16.5%
Week 252 (n=65, 5, 70)
86.2
22.6%
40.0
38.1%
82.9
17.1%
Week 264 (n=59, 5, 64)
84.7
22.2%
40.0
38.1%
81.3
16.7%
Week 276 (n=22, 1, 23)
81.8
21.5%
100
95.2%
82.6
17%
Week 288 (n=3, 0, 3)
100
26.2%
0
0%
100
20.6%
3. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response
Description ACR70 response: greater than or equal to (>=) 70 percent (%) improvement in tender joint count; >=70% improvement in swollen joint count; and >=70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
37.0
9.7%
19.0
18.1%
33.1
6.8%
Week 4 (n=373, 105, 478)
44.8
11.8%
20.2
19.2%
39.3
8.1%
Week 8 (n=371, 105, 476)
47.7
12.5%
21.0
20%
41.8
8.6%
Week 12 (n=370, 105, 475)
50.0
13.1%
16.2
15.4%
42.5
8.7%
Week 24 (n=357, 104, 461)
54.1
14.2%
27.9
26.6%
48.2
9.9%
Week 36 (n=339, 102, 441)
56.6
14.9%
24.5
23.3%
49.2
10.1%
Week 48 (n=331, 102, 433)
59.8
15.7%
34.3
32.7%
53.8
11.1%
Week 60 (n=323, 102, 425)
59.1
15.5%
37.3
35.5%
53.9
11.1%
Week 72 (n=315, 99, 414)
61.9
16.2%
38.4
36.6%
56.3
11.6%
Week 84 (n=309, 92, 401)
60.2
15.8%
35.9
34.2%
54.6
11.2%
Week 96 (n=281, 87, 368)
59.4
15.6%
42.5
40.5%
55.4
11.4%
Week 108 (n=259, 84, 343)
60.6
15.9%
42.9
40.9%
56.3
11.6%
Week 120 (n=242, 80, 322)
62.0
16.3%
37.5
35.7%
55.9
11.5%
Week 132 (n=232, 79, 311)
60.8
16%
40.5
38.6%
55.6
11.4%
Week 144 (n=224, 76, 300)
61.2
16.1%
35.5
33.8%
54.7
11.3%
Week 156 (n=219, 73, 292)
61.6
16.2%
41.1
39.1%
56.5
11.6%
Week 168 (n=213, 70, 283)
62.9
16.5%
41.4
39.4%
57.6
11.9%
Week 180 (n=180, 57, 237)
63.9
16.8%
47.4
45.1%
59.9
12.3%
Week 192 (n=138, 42, 180)
63.8
16.7%
42.9
40.9%
58.9
12.1%
Week 204 (n=109, 30, 139)
62.4
16.4%
56.7
54%
61.2
12.6%
Week 216 (n=76, 13, 89)
69.7
18.3%
30.8
29.3%
64.0
13.2%
Week 228 (n=68, 5, 73)
63.2
16.6%
20.0
19%
60.3
12.4%
Week 240 (n=65, 5, 70)
69.2
18.2%
20.0
19%
65.7
13.5%
Week 252 (n=65, 5, 70)
73.8
19.4%
20.0
19%
70.0
14.4%
Week 264 (n=59, 5, 64)
71.2
18.7%
20.0
19%
67.2
13.8%
Week 276 (n=22, 1, 23)
68.2
17.9%
0
0%
65.2
13.4%
Week 288 (n=3, 0, 3)
66.7
17.5%
0
0%
66.7
13.7%
4. Secondary Outcome
Title Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score
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, 0 to 3: 0=no difficulty; 1=some difficulty;2=much difficulty; 3=unable to do. Overall score was computed as sum of domain sc ores and divided by number of domains answered. Total possible score range 0-3: 0=least difficulty and 3=extreme difficulty. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-0.55
(0.03)
-0.44
(0.05)
-0.53
(0.03)
Week 4 (n=372, 105, 477)
-0.61
(0.03)
-0.45
(0.05)
-0.57
(0.03)
Week 8 (n=371, 105, 476)
-0.66
(0.03)
-0.49
(0.05)
-0.62
(0.03)
Week 12 (n=370, 105, 475)
-0.66
(0.03)
-0.51
(0.05)
-0.63
(0.03)
Week 24 (n=357, 104, 461)
-0.69
(0.03)
-0.55
(0.05)
-0.65
(0.03)
Week 36 (n=339, 102, 441)
-0.70
(0.03)
-0.54
(0.05)
-0.66
(0.03)
Week 48 (n=331, 102, 433)
-0.70
(0.03)
-0.62
(0.05)
-0.68
(0.03)
Week 60 (n=323, 102, 425)
-0.71
(0.03)
-0.57
(0.05)
-0.67
(0.03)
Week 72 (n=315, 99, 414)
-0.72
(0.03)
-0.60
(0.05)
-0.69
(0.03)
Week 84 (n=309, 92, 401)
-0.72
(0.04)
-0.61
(0.05)
-0.69
(0.03)
Week 96 (n=281, 87, 368)
-0.72
(0.04)
-0.61
(0.06)
-0.69
(0.03)
Week 108 (n=259, 84, 343)
-0.70
(0.04)
-0.64
(0.06)
-0.69
(0.03)
Week 120 (n=242, 80, 322)
-0.70
(0.04)
-0.63
(0.06)
-0.68
(0.03)
Week 132 (n=232, 79, 311)
-0.70
(0.04)
-0.64
(0.06)
-0.68
(0.03)
Week 144 (n=224, 76, 300)
-0.67
(0.04)
-0.59
(0.07)
-0.65
(0.04)
Week 156 (n=219, 72, 291)
-0.68
(0.04)
-0.62
(0.06)
-0.66
(0.03)
Week 168 (n=213, 70, 283)
-0.68
(0.04)
-0.57
(0.07)
-0.65
(0.04)
Week 180 (n=180, 57, 237)
-0.70
(0.05)
-0.63
(0.08)
-0.68
(0.04)
Week 192 (n=138, 42, 180)
-0.69
(0.05)
-0.61
(0.09)
-0.67
(0.05)
Week 204 (n=109, 30, 139)
-0.67
(0.06)
-0.67
(0.09)
-0.67
(0.05)
Week 216 (n=76, 13, 89)
-0.62
(0.06)
-0.42
(0.09)
-0.59
(0.05)
Week 228 (n=68, 5, 73)
-0.62
(0.06)
-0.25
(0.10)
-0.59
(0.06)
Week 240 (n=65, 5, 70)
-0.66
(0.06)
-0.33
(0.14)
-0.64
(0.06)
Week 252 (n=65, 5, 70)
-0.68
(0.07)
-0.25
(0.12)
-0.65
(0.06)
Week 264 (n=59, 5, 64)
-0.65
(0.07)
-0.23
(0.07)
-0.62
(0.07)
Week 276 (n=22, 1, 23)
-0.83
(0.11)
-0.63
(NA)
-0.82
(0.11)
Week 288 (n=3, 0, 3)
-0.96
(0.37)
NA
(NA)
-0.96
(0.37)
5. Secondary Outcome
Title Change From Baseline in Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR])
Description DAS28-4 (ESR) calculated from swollen joint count (SJC) and tender/painful joint count (TJC) using 28 joint count, erythrocyte sedimentation rate (ESR) (millimeters per hour [mm/hour]) and patient's global assessment (PtGA) of disease activity (transformed score ranging 0 to 10; higher score indicated greater affectation due to disease activity). Total score range:0 to 9.4, higher score indicated more disease activity. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-2.60
(0.07)
-1.94
(0.13)
-2.45
(0.06)
Week 4 (n=372, 105, 477)
-2.77
(0.07)
-1.95
(0.13)
-2.59
(0.06)
Week 8 (n=371, 104, 475)
-2.95
(0.06)
-2.14
(0.12)
-2.77
(0.06)
Week 12 (n=370, 105, 475)
-3.01
(0.06)
-2.08
(0.12)
-2.81
(0.06)
Week 24 (n=357, 104, 461)
-3.12
(0.06)
-2.42
(0.12)
-2.96
(0.06)
Week 36 (n=339, 102, 441)
-3.18
(0.07)
-2.54
(0.13)
-3.03
(0.06)
Week 48 (n=331, 102, 433)
-3.20
(0.07)
-2.72
(0.13)
-3.08
(0.06)
Week 60 (n=323, 101, 424)
-3.25
(0.07)
-2.80
(0.12)
-3.15
(0.06)
Week 72 (n=315, 99, 414)
-3.20
(0.07)
-2.83
(0.12)
-3.11
(0.06)
Week 84 (n=309, 92, 401)
-3.26
(0.07)
-2.86
(0.14)
-3.17
(0.06)
Week 96 (n=281, 87, 368)
-3.21
(0.07)
-2.87
(0.14)
-3.13
(0.07)
Week 108 (n=259, 83, 342)
-3.22
(0.08)
-2.83
(0.15)
-3.12
(0.07)
Week 120 (n=242, 79, 321)
-3.24
(0.08)
-2.78
(0.14)
-3.12
(0.07)
Week 132 (n=232, 79, 311)
-3.14
(0.08)
-2.84
(0.15)
-3.07
(0.07)
Week 144 (n=224, 76, 300)
-3.17
(0.09)
-2.84
(0.16)
-3.09
(0.08)
Week 156 (n=218, 72, 290)
-3.08
(0.09)
-2.84
(0.16)
-3.02
(0.08)
Week 168 (n=213, 70, 283)
-3.16
(0.09)
-2.87
(0.17)
-3.09
(0.08)
Week 180 (n=178, 56, 234)
-3.21
(0.10)
-3.06
(0.19)
-3.18
(0.09)
Week 192 (n=138, 42, 180)
-3.17
(0.11)
-3.07
(0.19)
-3.15
(0.09)
Week 204 (n=109, 30, 139)
-3.24
(0.12)
-3.35
(0.25)
-3.26
(0.11)
Week 216 (n=76, 13, 89)
-3.20
(0.13)
-2.44
(0.44)
-3.09
(0.13)
Week 228 (n=68, 5, 73)
-3.08
(0.17)
-2.25
(0.58)
-3.02
(0.16)
Week 240 (n=65, 5, 70)
-3.22
(0.15)
-2.61
(0.70)
-3.17
(0.14)
Week 252 (n=65, 5, 70)
-3.33
(0.15)
-1.81
(0.51)
-3.23
(0.15)
Week 264 (n=59, 5, 64)
-3.32
(0.15)
-2.09
(0.45)
-3.23
(0.14)
Week 276 (n=21, 1, 22)
-3.34
(0.25)
-2.15
(NA)
-3.29
(0.24)
Week 288 (n=3, 0, 3)
-2.95
(0.51)
NA
(NA)
-2.95
(0.51)
6. Secondary Outcome
Title Change From Baseline in Disease Activity Score Using 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP])
Description DAS28-3 (CRP) was calculated from SJC and TJC using 28 joint count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-2.44
(0.06)
-1.90
(0.12)
-2.32
(0.06)
Week 4 (n=372, 105, 477)
-2.55
(0.06)
-1.90
(0.12)
-2.41
(0.06)
Week 8 (n=371, 105, 476)
-2.68
(0.06)
-2.06
(0.11)
-2.55
(0.05)
Week 12 (n=370, 105, 475)
-2.75
(0.06)
-1.97
(0.11)
-2.57
(0.05)
Week 24 (n=357, 104, 461)
-2.85
(0.06)
-2.29
(0.11)
-2.72
(0.05)
Week 36 (n=337, 102, 439)
-2.92
(0.06)
-2.45
(0.11)
-2.81
(0.05)
Week 48 (n=331, 102, 433)
-2.92
(0.06)
-2.58
(0.12)
-2.84
(0.05)
Week 60 (n=322, 102, 424)
-2.92
(0.06)
-2.60
(0.11)
-2.85
(0.05)
Week 72 (n=315, 99, 414)
-2.93
(0.06)
-2.61
(0.11)
-2.86
(0.05)
Week 84 (n=309, 92, 401)
-2.98
(0.06)
-2.70
(0.12)
-2.92
(0.06)
Week 96 (n=281, 87, 368)
-2.95
(0.07)
-2.69
(0.13)
-2.88
(0.06)
Week 108 (n=259, 83, 342)
-2.93
(0.07)
-2.64
(0.13)
-2.86
(0.06)
Week 120 (n=242, 80, 322)
-2.97
(0.07)
-2.60
(0.13)
-2.88
(0.06)
Week 132 (n=231, 79, 310)
-2.89
(0.07)
-2.66
(0.13)
-2.83
(0.06)
Week 144 (n=224, 76, 300)
-2.90
(0.08)
-2.68
(0.14)
-2.85
(0.07)
Week 156 (n=219, 72, 291)
-2.84
(0.08)
-2.70
(0.14)
-2.81
(0.07)
Week 168 (n=213, 70, 283)
-2.90
(0.08)
-2.68
(0.15)
-2.84
(0.07)
Week 180 (n=180, 57, 237)
-2.92
(0.09)
-2.80
(0.17)
-2.89
(0.08)
Week 192 (n=138, 42, 180)
-2.93
(0.09)
-2.84
(0.16)
-2.91
(0.08)
Week 204 (n=109, 30, 139)
-2.95
(0.11)
-3.05
(0.22)
-2.97
(0.10)
Week 216 (n=76, 13, 89)
-2.94
(0.12)
-2.46
(0.34)
-2.87
(0.12)
Week 228 (n=68, 5, 73)
-2.84
(0.17)
-2.38
(0.44)
-2.81
(0.16)
Week 240 (n=65, 5, 70)
-2.97
(0.13)
-2.36
(0.57)
-2.92
(0.13)
Week 252 (n=65, 5, 70)
-3.09
(0.14)
-1.89
(0.42)
-3.00
(0.14)
Week 264 (n=58, 5, 63)
-3.13
(0.15)
-1.86
(0.30)
-3.03
(0.14)
Week 276 (n=22, 1, 23)
-3.24
(0.24)
-1.50
(NA)
-3.16
(0.24)
Week 288 (n=3, 0, 3)
-2.67
(0.27)
NA
(NA)
-2.67
(0.27)
7. Secondary Outcome
Title Change From Baseline in Patient Global Assessment 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 mm VAS where 0 = very well and 100 = very poorly. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-34.52
(1.38)
-25.38
(2.43)
-32.54
(1.21)
Week 4 (n=372, 105, 477)
-37.81
(1.36)
-25.34
(2.61)
-35.06
(1.23)
Week 8 (n=371, 105, 476)
-39.61
(1.35)
-28.86
(2.31)
-37.24
(1.19)
Week 12 (n=370, 105, 475)
-39.31
(1.38)
-27.33
(2.23)
-36.67
(1.20)
Week 24 (n=357, 104, 461)
-40.67
(1.39)
-30.75
(2.53)
-38.43
(1.24)
Week 36 (n=339, 102, 441)
-41.70
(1.42)
-29.95
(2.63)
-38.98
(1.27)
Week 48 (n=331, 102, 433)
-41.03
(1.46)
-32.48
(2.56)
-39.02
(1.28)
Week 60 (n=323, 102, 425)
-41.79
(1.44)
-34.33
(2.42)
-40.00
(1.25)
Week 72 (n=315, 99, 414)
-41.30
(1.53)
-35.38
(2.31)
-39.88
(1.29)
Week 84 (n=309, 92, 401)
-42.29
(1.53)
-35.12
(2.63)
-40.65
(1.33)
Week 96 (n=281, 87, 368)
-41.90
(1.62)
-34.98
(2.88)
-40.27
(1.42)
Week 108 (n=259, 84, 343)
-42.47
(1.67)
-34.95
(2.98)
-40.63
(1.46)
Week 120 (n=242, 80, 322)
-42.97
(1.71)
-35.00
(3.05)
-40.99
(1.50)
Week 132 (n=232, 79, 311)
-42.87
(1.73)
-35.05
(3.13)
-40.88
(1.52)
Week 144 (n=224, 76, 300)
-42.48
(1.77)
-33.78
(3.22)
-40.27
(1.57)
Week 156 (n=219, 72, 291)
-42.72
(1.71)
-32.64
(3.13)
-40.22
(1.52)
Week 168 (n=213, 70, 283)
-43.00
(1.72)
-33.61
(3.22)
-40.67
(1.53)
Week 180 (n=180, 57, 237)
-43.22
(1.91)
-36.14
(3.72)
-41.52
(1.71)
Week 192 (n=138, 42, 180)
-42.05
(2.10)
-34.40
(3.95)
-40.27
(1.86)
Week 204 (n=109, 30, 139)
-42.44
(2.36)
-35.73
(5.31)
-40.99
(2.18)
Week 216 (n=76, 13, 89)
-42.04
(2.87)
-23.92
(9.22)
-39.39
(2.86)
Week 228 (n=68, 5, 73)
-37.09
(2.96)
-17.60
(10.66)
-35.75
(2.89)
Week 240 (n=65, 5, 70)
-38.91
(2.98)
-18.20
(8.36)
-37.43
(2.89)
Week 252 (n=65, 5, 70)
-40.37
(2.92)
-7.60
(9.17)
-38.03
(2.95)
Week 264 (n=59, 5, 64)
-37.32
(3.69)
-16.20
(9.01)
-35.67
(3.54)
Week 276 (n=21, 1, 22)
-35.62
(6.09)
-10.00
(NA)
-34.45
(5.92)
Week 288 (n=3, 0, 3)
-41.67
(7.31)
NA
(NA)
-41.67
(7.31)
8. Secondary Outcome
Title Change From Baseline in 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. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-42.80
(1.13)
-33.49
(2.01)
-40.78
(1.00)
Week 4 (n=372, 105, 477)
-46.06
(1.08)
-34.91
(2.20)
-43.60
(0.99)
Week 8 (n=371, 105, 476)
-47.34
(1.06)
-37.15
(2.00)
-45.09
(0.95)
Week 12 (n=370, 105, 475)
-47.78
(1.09)
-36.56
(2.33)
-45.30
(1.00)
Week 24 (n=357, 104, 461)
-48.29
(1.07)
-41.26
(2.01)
-46.70
(0.95)
Week 36 (n=339, 102, 441)
-49.28
(1.09)
-41.92
(2.01)
-47.58
(0.97)
Week 48 (n=331, 102, 433)
-49.96
(1.13)
-45.28
(2.08)
-48.86
(1.00)
Week 60 (n=323, 102, 425)
-49.89
(1.14)
-47.01
(2.05)
-49.20
(1.00)
Week 72 (n=315, 99, 414)
-50.03
(1.14)
-45.70
(1.95)
-48.99
(0.99)
Week 84 (n=309, 92, 401)
-50.61
(1.16)
-46.89
(2.17)
-49.75
(1.02)
Week 96 (n=281, 87, 368)
-49.99
(1.28)
-48.16
(2.23)
-49.55
(1.11)
Week 108 (n=259, 83, 342)
-49.62
(1.33)
-47.99
(2.56)
-49.22
(1.18)
Week 120 (n=242, 80, 322)
-49.42
(1.47)
-47.76
(2.39)
-49.01
(1.26)
Week 132 (n=231, 78, 309)
-49.99
(1.41)
-50.19
(2.33)
-50.04
(1.20)
Week 144 (n=224, 76, 300)
-50.80
(1.46)
-49.55
(2.44)
-50.49
(1.25)
Week 156 (n=219, 72, 291)
-50.68
(1.39)
-49.78
(2.58)
-50.46
(1.23)
Week 168 (n=213, 70, 283)
-51.52
(1.45)
-46.33
(2.60)
-50.23
(1.27)
Week 180 (n=180, 57, 237)
-52.20
(1.51)
-50.33
(2.84)
-51.75
(1.33)
Week 192 (n=138, 42, 180)
-51.41
(1.72)
-50.43
(2.98)
-51.18
(1.49)
Week 204 (n=109, 30, 139)
-51.10
(1.73)
-50.97
(4.12)
-51.07
(1.61)
Week 216 (n=76, 13, 89)
-50.91
(2.01)
-42.77
(6.37)
-49.72
(1.96)
Week 228 (n=67, 5, 72)
-49.57
(2.37)
-33.60
(8.88)
-48.46
(2.33)
Week 240 (n=65, 5, 70)
-49.94
(2.25)
-34.40
(10.30)
-48.83
(2.25)
Week 252 (n=65, 5, 70)
-51.78
(2.17)
-31.60
(7.92)
-50.34
(2.17)
Week 264 (n=58, 5, 63)
-52.62
(2.36)
-33.80
(9.49)
-51.13
(2.36)
Week 276 (n=21, 1, 22)
-53.05
(3.92)
-7.00
(NA)
-50.95
(4.29)
Week 288 (n=3, 0, 3)
-37.67
(1.33)
NA
(NA)
-37.67
(1.33)
9. Secondary Outcome
Title Change From Baseline in Patient Assessment of Arthritis Pain
Description Participants rated the severity of arthritis pain on a 0 to 100 millimeter (mm) visual analogue scale (VAS), where 0 mm = no pain and 100 mm = most severe pain. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n= 378, 105, 483)
-34.23
(1.40)
-27.98
(2.39)
-32.87
(1.22)
Week 4 (n=372, 105, 477)
-37.32
(1.38)
-27.70
(2.61)
-35.20
(1.23)
Week 8 (n=371, 105, 476)
-39.54
(1.34)
-30.69
(2.32)
-37.59
(1.17)
Week 12 (n=370, 105, 475)
-39.34
(1.36)
-29.03
(2.25)
-37.06
(1.18)
Week 24 (n=357, 104, 461)
-40.70
(1.42)
-33.60
(2.50)
-39.10
(1.24)
Week 36 (n=339, 102, 441)
-41.70
(1.45)
-32.71
(2.56)
-39.62
(1.27)
Week 48 (n=331, 102, 433)
-41.98
(1.41)
-34.39
(2.52)
-40.19
(1.24)
Week 60 (n=323, 102, 425)
-42.37
(1.44)
-36.65
(2.36)
-41.00
(1.24)
Week 72 (n=315, 99, 414)
-41.84
(1.51)
-37.41
(2.28)
-40.79
(1.28)
Week 84 (n=309, 92, 401)
-42.49
(1.53)
-37.65
(2.55)
-41.38
(1.32)
Week 96 (n=281, 87, 368)
-42.21
(1.63)
-38.21
(2.87)
-41.27
(1.42)
Week 108 (n=259, 84, 343)
-42.61
(1.68)
-37.99
(2.87)
-41.48
(1.45)
Week 120 (n=242, 80, 322)
-42.44
(1.74)
-37.45
(2.92)
-41.20
(1.50)
Week 132 (n=232, 79, 311)
-42.52
(1.78)
-37.86
(3.04)
-41.33
(1.54)
Week 144 (n=224, 76, 300)
-42.05
(1.81)
-37.07
(3.09)
-40.79
(1.56)
Week 156 (n=219, 72, 291)
-43.77
(1.75)
-36.39
(2.89)
-41.94
(1.51)
Week 168 (n=213, 70, 283)
-43.87
(1.73)
-37.96
(3.24)
-42.41
(1.54)
Week 180 (n=180, 57, 237)
-43.85
(1.92)
-40.21
(3.51)
-42.97
(1.68)
Week 192 (n=138, 42, 180)
-42.64
(2.22)
-36.67
(3.93)
-41.24
(1.94)
Week 204 (n=109, 30, 139)
-41.11
(2.59)
-38.70
(5.25)
-40.59
(2.32)
Week 216 (n=76, 13, 89)
-41.61
(2.90)
-30.38
(9.30)
-39.97
(2.84)
Week 228 (n=68, 5, 73)
-37.19
(2.96)
-28.40
(12.48)
-36.59
(2.87)
Week 240 (n=65, 5, 70)
-36.72
(3.08)
-21.20
(7.85)
-35.61
(2.94)
Week 252 (n=65, 5, 70)
-38.54
(3.19)
-21.20
(10.56)
-37.30
(3.08)
Week 264 (n=59, 5, 64)
-36.80
(3.72)
-16.60
(11.91)
-35.22
(3.60)
Week 276 (n=21, 1, 22)
-40.19
(5.00)
-44.00
(NA)
-40.36
(4.77)
Week 288 (n=3, 0, 3)
-34.67
(9.82)
NA
(NA)
-34.67
(9.82)
10. Secondary Outcome
Title Change From Baseline in Tender/Painful Joint Counts
Description This was carried out on 68 joints. Each joint's response to pressure/motion was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial joints). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n=378, 105, 483)
-11.88
(0.48)
-10.17
(0.95)
-11.51
(0.43)
Week 4 (n=373, 105, 478)
-12.13
(0.51)
-10.46
(0.90)
-11.77
(0.45)
Week 8 (n=371, 105, 476)
-13.06
(0.47)
-10.75
(0.96)
-12.55
(0.43)
Week 12 (n=370, 105, 475)
-13.41
(0.47)
-10.74
(0.97)
-12.82
(0.43)
Week 24 (n=357, 104, 461)
-14.02
(0.50)
-12.62
(0.89)
-13.70
(0.44)
Week 36 (n=339, 102, 441)
-14.32
(0.53)
-13.05
(0.94)
-14.03
(0.46)
Week 48 (n=331, 102, 433)
-14.23
(0.53)
-13.43
(0.99)
-14.04
(0.47)
Week 60 (n=323, 102, 425)
-14.23
(0.55)
-13.67
(0.94)
-14.09
(0.48)
Week 72 (n=315, 99, 414)
-14.45
(0.56)
-14.00
(0.96)
-14.34
(0.48)
Week 84 (n=309, 92, 401)
-14.39
(0.56)
-14.04
(1.11)
-14.31
(0.50)
Week 96 (n=281, 87, 368)
-14.44
(0.60)
-13.92
(1.03)
-14.32
(0.52)
Week 108 (n=259, 83, 342)
-14.46
(0.61)
-13.66
(1.14)
-14.26
(0.54)
Week 120 (n=242, 80, 322)
-14.67
(0.65)
-13.69
(1.07)
-14.42
(0.55)
Week 132 (n=232, 79, 311)
-14.01
(0.73)
-13.30
(1.33)
-13.83
(0.64)
Week 144 (n=224, 76, 300)
-14.45
(0.68)
-13.83
(1.18)
-14.29
(0.59)
Week 156 (n=219, 72, 291)
-14.24
(0.70)
-14.15
(1.20)
-14.22
(0.61)
Week 168 (n=213, 70, 283)
-14.41
(0.73)
-14.06
(1.25)
-14.33
(0.63)
Week 180 (n=180, 57, 237)
-14.78
(0.79)
-15.18
(1.46)
-14.87
(0.70)
Week 192 (n=138, 42, 180)
-15.01
(0.87)
-14.57
(1.42)
-14.91
(0.74)
Week 204 (n=109, 30, 139)
-14.79
(0.94)
-15.67
(1.93)
-14.98
(0.84)
Week 216 (n=76, 13, 89)
-14.42
(1.04)
-11.38
(2.64)
-13.98
(0.97)
Week 228 (n=68, 5, 73)
-13.78
(1.56)
-11.60
(5.46)
-13.63
(1.49)
Week 240 (n=65, 5, 70)
-15.11
(1.15)
-10.80
(4.92)
-14.80
(1.12)
Week 252 (n=65, 5, 70)
-15.34
(1.17)
-9.60
(4.55)
-14.93
(1.14)
Week 264 (n=59, 5, 64)
-15.54
(1.27)
-9.80
(3.95)
-15.09
(1.22)
Week 276 (n=22, 1, 23)
-17.55
(2.55)
-4.00
(NA)
-16.96
(2.51)
Week 288 (n=3, 0, 3)
-8.67
(1.20)
NA
(NA)
-8.67
(1.20)
11. Secondary Outcome
Title Change From Baseline in Swollen Joint Counts
Description Sixty-six (66) joints, the same as those assessed for tenderness/pain except for the right and left hip joints, were assessed for swelling by palpation using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial joints). The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 2, 4,8,12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276 and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 2 (n=378, 105, 483)
-9.67
(0.38)
-8.69
(0.74)
-9.46
(0.34)
Week 4 (n=373, 105, 478)
-10.12
(0.42)
-8.54
(0.75)
-9.78
(0.37)
Week 8 (n=371, 105, 476)
-10.90
(0.39)
-9.31
(0.73)
-10.55
(0.35)
Week 12 (n=370, 105, 475)
-11.18
(0.40)
-9.21
(0.67)
-10.74
(0.35)
Week 24 (n=357, 104, 461)
-11.33
(0.40)
-10.46
(0.72)
-11.13
(0.35)
Week 36 (n=339, 102, 441)
-11.62
(0.43)
-10.75
(0.73)
-11.41
(0.37)
Week 48 (n=331, 102, 433)
-11.76
(0.44)
-11.11
(0.74)
-11.61
(0.38)
Week 60 (n=323, 102, 425)
-11.83
(0.44)
-10.97
(0.76)
-11.62
(0.38)
Week 72 (n=315, 99, 414)
-12.00
(0.46)
-11.38
(0.80)
-11.85
(0.40)
Week 84 (n=309, 92, 401)
-12.08
(0.47)
-11.72
(0.88)
-12.00
(0.41)
Week 96 (n=281, 87, 368)
-11.97
(0.50)
-11.54
(0.84)
-11.87
(0.43)
Week 108 (n=259, 83, 342)
-11.94
(0.52)
-11.60
(0.91)
-11.86
(0.45)
Week 120 (n=242, 80, 322)
-12.09
(0.56)
-11.24
(0.87)
-11.88
(0.47)
Week 132 (n=232, 79, 311)
-11.69
(0.64)
-11.15
(1.16)
-11.55
(0.56)
Week 144 (n=224, 76, 300)
-11.90
(0.61)
-11.74
(0.94)
-11.86
(0.51)
Week 156 (n=219, 72, 291)
-12.07
(0.61)
-11.86
(1.04)
-12.02
(0.52)
Week 168 (n=213, 70, 283)
-12.17
(0.62)
-11.67
(1.05)
-12.05
(0.54)
Week 180 (n=180, 57, 237)
-12.43
(0.70)
-12.26
(1.24)
-12.39
(0.61)
Week 192 (n=138, 42, 180)
-12.36
(0.79)
-12.48
(1.47)
-12.38
(0.69)
Week 204 (n=109, 30, 139)
-12.35
(0.82)
12.50
(1.89)
12.38
(0.76)
Week 216 (n=76, 13, 89)
-12.34
(0.99)
-9.00
(2.35)
-11.85
(0.91)
Week 228 (n=68, 5, 73)
-11.74
(1.47)
-11.00
(5.09)
-11.68
(1.41)
Week 240 (n=65, 5, 70)
-13.09
(1.12)
-11.40
(5.48)
-12.97
(1.10)
Week 252 (n=65, 5, 70)
-13.20
(1.15)
-10.60
(4.70)
-13.01
(1.11)
Week 264 (n=59, 5, 64)
-13.58
(1.24)
-10.00
(4.11)
-13.30
(1.19)
Week 276 (n=22, 1, 23)
-15.32
(2.53)
-6.00
(NA)
-14.91
(2.46)
Week 288 (n=3, 0, 3)
-8.33
(0.88)
NA
(NA)
-8.33
(0.88)
12. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Physical Functioning
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
7.87
(0.45)
5.94
(0.76)
7.45
(0.39)
Week 24 (n=357, 104, 461)
8.67
(0.46)
6.12
(1.01)
8.10
(0.42)
Week 48 (n=331, 102, 433)
9.06
(0.48)
6.84
(1.05)
8.54
(0.45)
Week 72 (n=315, 99, 414)
9.10
(0.51)
7.61
(0.93)
8.74
(0.45)
Week 96 (n=281, 87, 368)
9.11
(0.55)
8.26
(0.88)
8.91
(0.47)
Week 120 (n=242, 80, 322)
9.12
(0.57)
8.34
(1.09)
8.92
(0.51)
Week 144 (n=224, 76, 300)
8.85
(0.66)
7.57
(1.18)
8.53
(0.57)
Week 168 (n=213, 70, 283)
9.01
(0.68)
7.16
(1.36)
8.55
(0.61)
Week 192 (n=138, 42, 180)
9.43
(0.78)
8.09
(1.25)
9.12
(0.66)
Week 216 (n=76, 13, 89)
8.78
(0.98)
5.04
(2.27)
8.23
(0.91)
Week 240 (n=65, 5, 70)
8.91
(1.00)
3.27
(1.90)
8.51
(0.95)
Week 264 (n=59, 5, 64)
8.85
(1.08)
1.64
(1.98)
8.28
(1.03)
Week 288 (n=3, 0, 3)
10.23
(1.18)
NA
(NA)
10.23
(1.18)
13. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Role Physical
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
7.31
(0.57)
5.48
(1.00)
6.90
(0.50)
Week 24 (n=357, 104, 461)
8.21
(0.59)
6.29
(1.06)
7.77
(0.51)
Week 48 (n=331, 102, 433)
8.38
(0.64)
7.77
(0.92)
8.23
(0.53)
Week 72 (n=315, 99, 414)
7.23
(0.67)
7.47
(1.08)
7.29
(0.57)
Week 96 (n=281, 87, 368)
7.24
(0.70)
8.15
(1.16)
7.46
(0.60)
Week 120 (n=242, 80, 322)
7.69
(0.75)
6.77
(1.10)
7.46
(0.63)
Week 144 (n=224, 76, 300)
7.21
(0.80)
6.56
(1.23)
7.05
(0.67)
Week 168 (n=213, 70, 283)
7.38
(0.77)
5.42
(1.41)
6.90
(0.68)
Week 192 (n=138, 42, 180)
6.59
(1.01)
6.70
(1.57)
6.61
(0.86)
Week 216 (n=76, 13, 89)
6.53
(1.37)
4.59
(2.53)
6.25
(1.22)
Week 240 (n=65, 5, 70)
6.13
(1.56)
-0.48
(2.86)
5.66
(1.48)
Week 264 (n=59, 5, 64)
6.15
(1.58)
0.95
(2.68)
5.74
(1.48)
Week 288 (n=3, 0, 3)
22.27
(5.22)
NA
(NA)
22.27
(5.22)
14. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Bodily Pain
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
11.40
(0.48)
8.13
(0.77)
10.40
(0.41)
Week 24 (n=357, 104, 461)
11.87
(0.50)
9.63
(0.79)
11.36
(0.43)
Week 48 (n=331, 102, 433)
12.19
(0.53)
10.65
(0.75)
11.83
(0.44)
Week 72 (n=315, 99, 414)
11.96
(0.56)
9.92
(0.81)
11.47
(0.47)
Week 96 (n=281, 87, 368)
11.35
(0.59)
11.60
(1.04)
11.41
(0.51)
Week 120 (n=242, 80, 322)
11.98
(0.62)
10.42
(1.08)
11.60
(0.54)
Week 144 (n=224, 76, 300)
11.51
(0.68)
11.15
(1.04)
11.42
(0.57)
Week 168 (n=213, 70, 283)
11.82
(0.65)
11.07
(1.11)
11.63
(0.56)
Week 192 (n=138, 42, 180)
11.19
(0.85)
11.43
(1.57)
11.25
(0.75)
Week 216 (n=76, 13, 89)
12.43
(1.03)
8.52
(2.37)
11.86
(0.95)
Week 240 (n=65, 5, 70)
11.34
(1.04)
5.25
(2.63)
10.90
(0.99)
Week 264 (n=59, 5, 64)
11.27
(1.28)
4.50
(2.87)
10.74
(1.22)
Week 288 (n=3, 0, 3)
7.08
(5.60)
NA
(NA)
7.08
(5.60)
15. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_General Health
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
6.07
(0.38)
4.24
(0.70)
5.67
(0.34)
Week 24 (n=357, 104, 461)
6.38
(0.39)
5.00
(0.58)
6.07
(0.33)
Week 48 (n=331, 102, 433)
6.40
(0.40)
5.20
(0.67)
6.12
(0.34)
Week 72 (n=315, 99, 414)
6.29
(0.42)
5.35
(0.63)
6.06
(0.35)
Week 96 (n=281, 87, 368)
6.00
(0.45)
4.82
(0.73)
5.72
(0.38)
Week 120 (n=242, 80, 322)
5.86
(0.49)
5.36
(0.82)
5.74
(0.42)
Week 144 (n=224, 76, 300)
5.37
(0.54)
4.38
(0.94)
5.12
(0.47)
Week 168 (n=213, 70, 283)
5.82
(0.53)
3.93
(0.87)
5.35
(0.46)
Week 192 (n=138, 42, 180)
4.72
(0.61)
4.10
(1.05)
4.57
(0.53)
Week 216 (n=76, 13, 89)
3.73
(0.87)
1.59
(1.31)
3.42
(0.77)
Week 240 (n=65, 5, 70)
4.39
(0.96)
-1.50
(1.90)
3.97
(0.92)
Week 264 (n=59, 5, 64)
4.12
(1.01)
-1.03
(2.17)
3.72
(0.96)
Week 288 (n=3, 0, 3)
-0.94
(4.23)
NA
(NA)
-0.94
(4.23)
16. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Vitality
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
7.37
(0.59)
6.61
(0.90)
7.20
(0.50)
Week 24 (n=357, 104, 461)
7.24
(0.58)
6.25
(0.97)
7.02
(0.50)
Week 48 (n=331, 102, 433)
6.83
(0.58)
7.22
(0.89)
6.92
(0.49)
Week 72 (n=315, 99, 414)
7.02
(0.61)
6.44
(0.98)
6.88
(0.52)
Week 96 (n=281, 87, 368)
6.78
(0.61)
6.19
(1.11)
6.64
(0.54)
Week 120 (n=242, 80, 322)
6.49
(0.70)
6.96
(1.26)
6.61
(0.61)
Week 144 (n=224, 76, 300)
6.27
(0.75)
5.51
(1.15)
6.08
(0.63)
Week 168 (n=213, 70, 283)
6.58
(0.72)
4.75
(1.27)
6.12
(0.63)
Week 192 (n=138, 42, 180)
5.40
(0.92)
5.70
(1.62)
5.47
(0.80)
Week 216 (n=76, 13, 89)
5.04
(1.18)
5.30
(2.47)
5.08
(1.07)
Week 240 (n=65, 5, 70)
5.11
(1.21)
-0.60
(3.05)
4.70
(1.15)
Week 264 (n=59, 5, 64)
4.72
(1.17)
-1.80
(3.36)
4.21
(1.13)
Week 288 (n=3, 0, 3)
14.97
(8.64)
NA
(NA)
14.97
(8.64)
17. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Social Functioning
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
4.99
(0.60)
5.17
(1.09)
5.03
(0.52)
Week 24 (n=357, 104, 461)
5.57
(0.62)
4.96
(1.25)
5.44
(0.56)
Week 48 (n=331, 102, 433)
5.28
(0.64)
5.27
(1.14)
5.28
(0.55)
Week 72 (n=315, 99, 414)
4.81
(0.64)
4.78
(1.31)
4.81
(0.58)
Week 96 (n=281, 87, 368)
4.88
(0.67)
6.43
(1.19)
5.25
(0.58)
Week 120 (n=242, 80, 322)
5.20
(0.76)
5.98
(1.11)
5.39
(0.63)
Week 144 (n=224, 76, 300)
5.23
(0.77)
3.33
(1.39)
4.75
(0.67)
Week 168 (n=213, 70, 283)
4.72
(0.79)
3.84
(1.43)
4.50
(0.69)
Week 192 (n=138, 42, 180)
4.56
(0.96)
5.63
(1.36)
4.81
(0.80)
Week 216 (n=76, 13, 89)
4.53
(1.23)
3.31
(2.48)
4.35
(1.10)
Week 240 (n=65, 5, 70)
4.88
(1.41)
0.00
(0.00)
4.53
(1.32)
Week 264 (n=59, 5, 64)
4.47
(1.45)
-2.15
(2.15)
3.95
(1.37)
Week 288 (n=3, 0, 3)
14.34
(9.49)
NA
(NA)
14.34
(9.49)
18. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Role Emotional
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
6.65
(0.65)
4.98
(1.19)
6.28
(0.57)
Week 24 (n=357, 104, 461)
6.88
(0.73)
4.40
(1.41)
6.32
(0.65)
Week 48 (n=331, 102, 433)
7.26
(0.75)
5.49
(1.29)
6.85
(0.65)
Week 72 (n=315, 99, 414)
6.02
(0.78)
5.54
(1.28)
5.91
(0.67)
Week 96 (n=281, 87, 368)
6.04
(0.79)
5.96
(1.43)
6.02
(0.69)
Week 120 (n=242, 80, 322)
5.68
(0.90)
3.98
(1.40)
5.26
(0.76)
Week 144 (n=224, 76, 300)
5.39
(0.96)
3.74
(1.56)
4.97
(0.82)
Week 168 (n=213, 70, 283)
5.90
(0.89)
4.43
(1.49)
5.54
(0.76)
Week 192 (n=138, 42, 180)
4.31
(1.23)
4.42
(1.91)
4.33
(1.04)
Week 216 (n=76, 13, 89)
4.33
(1.55)
3.49
(2.76)
4.21
(1.38)
Week 240 (n=65, 5, 70)
4.72
(1.66)
-0.76
(4.22)
4.33
(1.58)
Week 264 (n=59, 5, 64)
5.07
(1.74)
-0.76
(4.22)
4.61
(1.64)
Week 288 (n=3, 0, 3)
22.71
(5.78)
NA
(NA)
22.71
(5.78)
19. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Domain Score_Mental Health
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
6.27
(0.63)
5.38
(1.04)
6.08
(0.54)
Week 24 (n=357, 104, 461)
6.22
(0.65)
3.84
(1.17)
5.69
(0.57)
Week 48 (n=331, 102, 433)
5.73
(0.64)
5.35
(1.02)
5.64
(0.54)
Week 72 (n=315, 99, 414)
4.77
(0.70)
5.48
(1.04)
4.94
(0.59)
Week 96 (n=281, 87, 368)
5.23
(0.68)
5.89
(1.14)
5.38
(0.59)
Week 120 (n=242, 80, 322)
5.56
(0.77)
5.26
(1.31)
5.49
(0.67)
Week 144 (n=224, 76, 300)
5.10
(0.84)
4.37
(1.34)
4.91
(0.71)
Week 168 (n=213, 70, 283)
5.12
(0.76)
3.76
(1.29)
4.79
(0.66)
Week 192 (n=138, 42, 180)
3.77
(0.93)
5.21
(1.75)
4.11
(0.82)
Week 216 (n=76, 13, 89)
2.66
(1.21)
4.26
(3.04)
2.89
(1.12)
Week 240 (n=65, 5, 70)
3.75
(1.20)
3.32
(2.04)
3.72
(1.12)
Week 264 (n=59, 5, 64)
4.18
(1.34)
0.00
(1.75)
3.85
(1.25)
Week 288 (n=3, 0, 3)
14.78
(7.56)
NA
(NA)
14.78
(7.56)
20. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Component Score_Physical
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
8.44
(0.39)
6.09
(0.68)
7.92
(0.34)
Week 24 (n=357, 104, 461)
9.39
(0.38)
7.56
(0.70)
8.98
(0.34)
Week 48 (n=331, 102, 433)
9.75
(0.43)
8.24
(0.72)
9.39
(0.37)
Week 72 (n=315, 99, 414)
9.72
(0.43)
8.21
(0.76)
9.36
(0.37)
Week 96 (n=281, 87, 368)
9.35
(0.48)
8.93
(0.77)
9.25
(0.41)
Week 120 (n=242, 80, 322)
9.66
(0.49)
8.79
(0.92)
9.45
(0.43)
Week 144 (n=224, 76, 300)
9.26
(0.54)
8.60
(0.92)
9.09
(0.47)
Week 168 (n=213, 70, 283)
9.51
(0.54)
7.86
(1.03)
9.10
(0.48)
Week 192 (n=138, 42, 180)
9.51
(0.65)
8.56
(1.18)
9.29
(0.57)
Week 216 (n=76, 13, 89)
9.59
(0.88)
5.37
(1.93)
8.97
(0.82)
Week 240 (n=65, 5, 70)
9.00
(0.93)
1.91
(2.87)
8.49
(0.91)
Week 264 (n=59, 5, 64)
8.72
(1.03)
2.31
(2.27)
8.22
(0.99)
Week 288 (n=3, 0, 3)
6.87
(1.88)
NA
(NA)
6.87
(1.88)
21. Secondary Outcome
Title Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Component Score_Mental
Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for efficacy evaluations except for Modified Total Sharp Score (mTSS).
Time Frame Baseline, Weeks 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, and 288

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): All participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Week 12 (n=370, 105, 475)
5.13
(0.63)
4.82
(1.01)
5.06
(0.54)
Week 24 (n=357, 104, 461)
4.95
(0.67)
3.38
(1.26)
4.60
(0.59)
Week 48 (n=331, 102, 433)
4.56
(0.66)
4.45
(1.06)
4.54
(0.56)
Week 72 (n=315, 99, 414)
3.63
(0.69)
4.15
(1.14)
3.75
(0.59)
Week 96 (n=281, 87, 368)
3.88
(0.68)
4.53
(1.25)
4.03
(0.60)
Week 120 (n=242, 80, 322)
3.79
(0.80)
3.68
(1.37)
3.76
(0.69)
Week 144 (n=224, 76, 300)
3.57
(0.84)
2.24
(1.40)
3.23
(0.72)
Week 168 (n=213, 70, 283)
3.64
(0.80)
2.45
(1.41)
3.35
(0.70)
Week 192 (n=138, 42, 180)
2.05
(0.99)
3.44
(1.80)
2.38
(0.86)
Week 216 (n=76, 13, 89)
1.49
(1.29)
3.14
(3.04)
1.73
(1.18)
Week 240 (n=65, 5, 70)
2.41
(1.27)
-0.04
(1.81)
2.23
(1.19)
Week 264 (n=59, 5, 64)
2.59
(1.42)
-2.25
(1.41)
2.21
(1.32)
Week 288 (n=3, 0, 3)
18.64
(4.01)
NA
(NA)
18.64
(4.01)
22. Secondary Outcome
Title Change From Month 24 in Study A3921044 in Modified Total Sharp Score (mTSS)
Description mTSS = sum of erosion and Joint Space Narrowing (JSN) scores for 44 joints (16 per hand and 6 per foot). mTSS scores range from 0 (normal) to 448 (worst possible total score). Change: scores at observation minus score at baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented potential improvement. Month 24 (the final visit) in Study A3921044 was taken as the first visit in current study.
Time Frame First visit in the study (Month 24 in Study A3921044), Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
Participants who had completed Study A3921044 among all participants who received at least 1 dose of study medication in current study. No imputation was used (observed data).
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 75 7 82
Week 24 (n=69, 7, 76)
0.17
(0.09)
0.50
(0.22)
0.20
(0.08)
Week 48 (n=64, 7, 71)
0.27
(0.17)
1.75
(1.16)
0.41
(0.19)
Week 96 (n=39, 1, 40)
0.40
(0.21)
1.00
(NA)
0.42
(0.20)
23. Primary Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Description An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to the last participants visit in the study. The baseline data of Study A3921039, A3921040 or A3921044 were used as baseline data for safety evaluation.
Time Frame Baseline up to Week 288

Outcome Measure Data

Analysis Population Description
Safety analysis set: all participants who received at least 1 dose of study medication in current study.
Arm/Group Title CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
Measure Participants 381 105 486
Number of participants with AEs (including SAEs)
371
105
476
Number of participants with SAEs
111
28
139

Adverse Events

Time Frame Safety observations up to Week 288
Adverse Event Reporting Description The same event may appear as both an adverse event (AE) and a serious adverse event (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 BID CP-690,550 10 mg BID Total
Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for less than 84 days in total within the current study (A3921041) were grouped into CP-690,550 5 mg BID. CP-690,550 5 milligram (mg) tablet orally twice daily (BID). After Week 12, the dose could be changed 5 mg BID or 10 mg BID based on investigator discretion. This study was continued until CP-690,550 was commercially supplied to participants at the sites. Participants who were exposed to 10 mg BID for more than or equal to 84 days in total within the long-term safety study (A3921041) were grouped into CP-690,550 10 mg BID. All subjects were assigned oral CP-690,550 5 mg tablets twice a day at baseline visit. Dose flexibility (increasing from 5 mg BID to 10 mg BID, reducing from 10 mg BID to 5 mg BID, or temporary discontinuation) during study was allowed in consideration for the risks and benefits to the patient's condition. Data was summarized in three reporting groups including CP-690,550 5 mg BID, CP-690,550 10 mg BID and Total.
All Cause Mortality
CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 111/381 (29.1%) 28/105 (26.7%) 139/486 (28.6%)
Blood and lymphatic system disorders
Anaemia 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Disseminated intravascular coagulation 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Thrombotic thrombocytopenic purpura 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cardiac disorders
Acute coronary syndrome 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Angina pectoris 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Prinzmetal angina 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ventricular fibrillation 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ear and labyrinth disorders
Vertigo 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Vertigo positional 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Endocrine disorders
Hyperparathyroidism primary 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Eye disorders
Cataract 2/381 (0.5%) 1/105 (1%) 3/486 (0.6%)
Dacryostenosis acquired 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Retinal artery occlusion 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Retinal detachment 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Gastrointestinal disorders
Colitis ischaemic 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Gastric polyps 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Gastric ulcer haemorrhage 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ileus 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Inguinal hernia 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Large intestine polyp 3/381 (0.8%) 0/105 (0%) 3/486 (0.6%)
Radicular cyst 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
General disorders
Chest pain 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Device material issue 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Submandibular mass 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Hepatobiliary disorders
Cholecystitis chronic 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cholelithiasis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Liver disorder 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Infections and infestations
Appendicitis 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Bronchitis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cellulitis 3/381 (0.8%) 1/105 (1%) 4/486 (0.8%)
Chronic sinusitis 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Diverticulitis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Enteritis infectious 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Enterocolitis infectious 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Enterocolitis viral 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Gastroenteritis 2/381 (0.5%) 1/105 (1%) 3/486 (0.6%)
Herpes zoster 11/381 (2.9%) 2/105 (1.9%) 13/486 (2.7%)
Herpes zoster disseminated 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Mycobacterium avium complex infection 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Nasopharyngitis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Pneumocystis jirovecii pneumonia 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Pneumonia 6/381 (1.6%) 1/105 (1%) 7/486 (1.4%)
Pneumonia bacterial 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Pneumonia haemophilus 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Pneumonia mycoplasmal 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Pulmonary tuberculosis 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Pyelonephritis 3/381 (0.8%) 2/105 (1.9%) 5/486 (1%)
Sepsis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Septic shock 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Urinary tract infection 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Injury, poisoning and procedural complications
Ankle fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Compression fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Contusion 3/381 (0.8%) 0/105 (0%) 3/486 (0.6%)
Femoral neck fracture 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Femur fracture 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Hand fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Humerus fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Joint dislocation 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Patella fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Post procedural haemorrhage 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Pubis fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Radius fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Tendon rupture 9/381 (2.4%) 0/105 (0%) 9/486 (1.9%)
Tibia fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ulna fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Upper limb fracture 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Investigations
Alanine aminotransferase increased 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Computerised tomogram thorax abnormal 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Metabolism and nutrition disorders
Decreased appetite 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Hypokalaemia 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Musculoskeletal and connective tissue disorders
Arthropathy 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Foot deformity 1/381 (0.3%) 1/105 (1%) 2/486 (0.4%)
Intervertebral disc protrusion 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Joint destruction 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Kyphosis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Lumbar spinal stenosis 0/381 (0%) 4/105 (3.8%) 4/486 (0.8%)
Neck pain 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Osteoarthritis 2/381 (0.5%) 1/105 (1%) 3/486 (0.6%)
Osteonecrosis 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Periostitis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Rheumatoid arthritis 3/381 (0.8%) 1/105 (1%) 4/486 (0.8%)
Spinal column stenosis 3/381 (0.8%) 0/105 (0%) 3/486 (0.6%)
Spondylolisthesis 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Adenocarcinoma gastric 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Breast cancer 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Colon adenoma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Colon cancer 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Colorectal adenocarcinoma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Fallopian tube cancer 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Gastric cancer 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Haemangioma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Liposarcoma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Lymphoproliferative disorder 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Malignant ascites 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Malignant pleural effusion 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Metastases to liver 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Metastases to lung 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Metastases to lymph nodes 3/381 (0.8%) 0/105 (0%) 3/486 (0.6%)
Metastases to peritoneum 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Neuroendocrine carcinoma of the skin 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Oesophageal carcinoma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ovarian cancer 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ovarian cancer metastatic 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Ovarian germ cell teratoma benign 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Paget's disease of nipple 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Peritoneal neoplasm 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Small cell lung cancer 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Squamous cell carcinoma of lung 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Transitional cell carcinoma 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Uterine leiomyoma 2/381 (0.5%) 0/105 (0%) 2/486 (0.4%)
Nervous system disorders
Carpal tunnel syndrome 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cerebral haemorrhage 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cerebral infarction 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cerebral thrombosis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Convulsion 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Cubital tunnel syndrome 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
IIIrd nerve paralysis 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Lacunar infarction 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Loss of consciousness 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Spondylitic myelopathy 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Temporal lobe epilepsy 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Transient global amnesia 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Renal and urinary disorders
Calculus ureteric 1/381 (0.3%) 1/105 (1%) 2/486 (0.4%)
Glomerulonephritis membranous 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Reproductive system and breast disorders
Uterine polyp 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Interstitial lung disease 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Organising pneumonia 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Pleurisy 1/381 (0.3%) 0/105 (0%) 1/486 (0.2%)
Skin and subcutaneous tissue disorders
Skin ulcer 0/381 (0%) 1/105 (1%) 1/486 (0.2%)
Other (Not Including Serious) Adverse Events
CP-690,550 5 mg BID CP-690,550 10 mg BID Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 345/381 (90.6%) 101/105 (96.2%) 446/486 (91.8%)
Blood and lymphatic system disorders
Anaemia 14/381 (3.7%) 11/105 (10.5%) 25/486 (5.1%)
Eye disorders
Conjunctivitis 17/381 (4.5%) 6/105 (5.7%) 23/486 (4.7%)
Gastrointestinal disorders
Abdominal pain upper 13/381 (3.4%) 6/105 (5.7%) 19/486 (3.9%)
Constipation 34/381 (8.9%) 9/105 (8.6%) 43/486 (8.8%)
Dental caries 39/381 (10.2%) 15/105 (14.3%) 54/486 (11.1%)
Diarrhoea 28/381 (7.3%) 5/105 (4.8%) 33/486 (6.8%)
Gastritis 22/381 (5.8%) 4/105 (3.8%) 26/486 (5.3%)
Stomatitis 25/381 (6.6%) 7/105 (6.7%) 32/486 (6.6%)
General disorders
Pyrexia 15/381 (3.9%) 9/105 (8.6%) 24/486 (4.9%)
Infections and infestations
Bronchitis 45/381 (11.8%) 5/105 (4.8%) 50/486 (10.3%)
Cystitis 39/381 (10.2%) 7/105 (6.7%) 46/486 (9.5%)
Gastroenteritis 34/381 (8.9%) 11/105 (10.5%) 45/486 (9.3%)
Gingivitis 10/381 (2.6%) 7/105 (6.7%) 17/486 (3.5%)
Herpes zoster 59/381 (15.5%) 22/105 (21%) 81/486 (16.7%)
Influenza 37/381 (9.7%) 11/105 (10.5%) 48/486 (9.9%)
Nasopharyngitis 221/381 (58%) 72/105 (68.6%) 293/486 (60.3%)
Oral herpes 26/381 (6.8%) 7/105 (6.7%) 33/486 (6.8%)
Periodontitis 20/381 (5.2%) 3/105 (2.9%) 23/486 (4.7%)
Pharyngitis 36/381 (9.4%) 10/105 (9.5%) 46/486 (9.5%)
Tinea pedis 31/381 (8.1%) 3/105 (2.9%) 34/486 (7%)
Upper respiratory tract infection 40/381 (10.5%) 8/105 (7.6%) 48/486 (9.9%)
Injury, poisoning and procedural complications
Contusion 36/381 (9.4%) 12/105 (11.4%) 48/486 (9.9%)
Fall 51/381 (13.4%) 20/105 (19%) 71/486 (14.6%)
Ligament sprain 11/381 (2.9%) 9/105 (8.6%) 20/486 (4.1%)
Road traffic accident 9/381 (2.4%) 8/105 (7.6%) 17/486 (3.5%)
Investigations
Alanine aminotransferase increased 25/381 (6.6%) 1/105 (1%) 26/486 (5.3%)
Aspartate aminotransferase increased 22/381 (5.8%) 1/105 (1%) 23/486 (4.7%)
Blood cholesterol increased 9/381 (2.4%) 6/105 (5.7%) 15/486 (3.1%)
Low density lipoprotein increased 17/381 (4.5%) 6/105 (5.7%) 23/486 (4.7%)
Lymphocyte count decreased 29/381 (7.6%) 9/105 (8.6%) 38/486 (7.8%)
White blood cell count decreased 17/381 (4.5%) 10/105 (9.5%) 27/486 (5.6%)
Metabolism and nutrition disorders
Hypercholesterolaemia 13/381 (3.4%) 6/105 (5.7%) 19/486 (3.9%)
Hyperlipidaemia 36/381 (9.4%) 20/105 (19%) 56/486 (11.5%)
Musculoskeletal and connective tissue disorders
Back pain 43/381 (11.3%) 3/105 (2.9%) 46/486 (9.5%)
Rheumatoid arthritis 6/381 (1.6%) 7/105 (6.7%) 13/486 (2.7%)
Nervous system disorders
Headache 38/381 (10%) 10/105 (9.5%) 48/486 (9.9%)
Respiratory, thoracic and mediastinal disorders
Cough 24/381 (6.3%) 9/105 (8.6%) 33/486 (6.8%)
Oropharyngeal pain 19/381 (5%) 4/105 (3.8%) 23/486 (4.7%)
Upper respiratory tract inflammation 25/381 (6.6%) 9/105 (8.6%) 34/486 (7%)
Skin and subcutaneous tissue disorders
Eczema 25/381 (6.6%) 2/105 (1.9%) 27/486 (5.6%)
Rash 17/381 (4.5%) 6/105 (5.7%) 23/486 (4.7%)
Vascular disorders
Hypertension 40/381 (10.5%) 15/105 (14.3%) 55/486 (11.3%)

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:
NCT00661661
Other Study ID Numbers:
  • A3921041
First Posted:
Apr 18, 2008
Last Update Posted:
May 12, 2015
Last Verified:
Apr 1, 2015