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NCT01643928

Rheumatoid Arthritis Extension Trial For Subjects Who Have Participated In Other PF-05280586 Trials (REFLECTIONS B328-04)

Completed NA Results posted Last updated 29 January 2019
What this trial tests

NA trial testing Rituximab-Pfizer (PF-05280586) x 3 courses in Rheumatoid Arthritis in 185 participants. Completed in 14 March 2016.

Timeline
16 August 2012
Primary endpoint
14 March 2016
14 March 2016

Quick facts

Lead sponsorPfizer
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Maskingtriple
Primary purposetreatment
Enrollment185
Start date16 August 2012
Primary completion14 March 2016
Estimated completion14 March 2016
Sites71 locations across Colombia, South Africa, Russia, United Kingdom, Germany, Israel, Mexico, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Rheumatoid Arthritis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants by Anti-Drug Antibody (ADA) Status Using Anti-PF-05280586 Antibody Assay Primary · Course 1 (C1) Overall, Course 2 (C2) Overall, Course 3 (C3) Overall, and All Courses Overall.

Serum samples were collected to determine the presence of ADA using two validated assays, one specific for PF-05280586 and one specific for the licensed drug products. For participants assigned to PF-05280586 in Study B3281001, blood samples were screened for ADA using the assay specific to PF-05280586; if the blood samples were confirmed to be positive (+ve) for ADA against PF-05280586, the samples were also analyzed using the assay specific for the licensed drug products to assess cross-reactivity of the ADA. For participants assigned to the licensed products in Study B3281001, blood samples

Total (C1) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805863.5
Rituximab-EU/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (EU)15.2
Rituximab-EU Total7.8
Rituximab-US/PF-05280586/PF-0528058613.3
PF-05280586/PF-05280586/PF-05280586 (US)6.7
Rituximab-US Total10.0
Total (C2) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805865.7
Rituximab-EU/PF-05280586/PF-052805863.3
PF-05280586/PF-05280586/PF-05280586 (EU)0.0
Rituximab-EU Total1.6
Rituximab-US/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (US)6.9
Rituximab-US Total3.4
Total (C3) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805862.1
Rituximab-EU/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (EU)0.0
Rituximab-EU Total0.0
Rituximab-US/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (US)0.0
Rituximab-US Total0.0
C1 to C3 +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805868.6
Rituximab-EU/PF-05280586/PF-052805863.1
PF-05280586/PF-05280586/PF-05280586 (EU)15.2
Rituximab-EU Total9.2
Rituximab-US/PF-05280586/PF-0528058613.3
PF-05280586/PF-05280586/PF-05280586 (US)6.7
Rituximab-US Total10.0
Percentage of Participants by ADA Status Using Anti-Rituximab Antibody Assay Primary · Course 1 Overall, Course 2 Overall, Course 3 Overall, and All Courses Overall.

Serum samples were collected to determine the presence of ADA using two validated assays, one specific for PF-05280586 and one specific for the licensed drug products. For participants assigned to PF-05280586 in Study B3281001, blood samples were screened for ADA using the assay specific to PF-05280586; if the blood samples were confirmed to be positive for ADA against PF-05280586, the samples were also analyzed using the assay specific for the licensed drug products to assess cross-reactivity of the ADA. For participants assigned to the licensed products in Study B3281001, blood samples were

Total (C1) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805863.5
Rituximab-EU/PF-05280586/PF-052805863.2
PF-05280586/PF-05280586/PF-05280586 (EU)15.2
Rituximab-EU Total9.4
Rituximab-US/PF-05280586/PF-0528058610.0
PF-05280586/PF-05280586/PF-05280586 (US)10.0
Rituximab-US Total10.0
Total (C2) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805865.7
Rituximab-EU/PF-05280586/PF-052805866.7
PF-05280586/PF-05280586/PF-05280586 (EU)3.2
Rituximab-EU Total4.9
Rituximab-US/PF-05280586/PF-052805863.4
PF-05280586/PF-05280586/PF-05280586 (US)13.8
Rituximab-US Total8.6
Total (C3) +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805862.1
Rituximab-EU/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (EU)3.3
Rituximab-EU Total1.7
Rituximab-US/PF-05280586/PF-052805860.0
PF-05280586/PF-05280586/PF-05280586 (US)3.4
Rituximab-US Total1.8
C1 to C3 +ve
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805868.6
Rituximab-EU/PF-05280586/PF-052805866.3
PF-05280586/PF-05280586/PF-05280586 (EU)18.2
Rituximab-EU Total12.3
Rituximab-US/PF-05280586/PF-0528058613.3
PF-05280586/PF-05280586/PF-05280586 (US)13.3
Rituximab-US Total13.3
Mean Rituximab Serum Trough Concentrations Primary · Weeks 1, 3, 13, and 25 (Course 1, Course 2, and Course 3), Follow up Months 3, 6, 9, and 12. Course 3/Week 25 is End of Treatment (EOT).

Serum samples for determination of drug concentrations were collected pre-dose concurrent with ADA sample collection. Drug concentrations in the samples were determined using a validated assay.

Course 1/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586636.5± 816.33
Rituximab-EU/PF-05280586/PF-05280586855.5± 1594.51
PF-05280586/PF-05280586/PF-05280586 (EU)416.6± 615.86
Rituximab-US/PF-05280586/PF-052805861525.8± 3709.90
PF-05280586/PF-05280586/PF-05280586 (US)980.0± 2091.41
Course 1/Week 3
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586103019.3± 29250.13
Rituximab-EU/PF-05280586/PF-05280586114341.9± 39023.45
PF-05280586/PF-05280586/PF-05280586 (EU)89790.9± 23247.03
Rituximab-US/PF-05280586/PF-0528058696323.3± 33396.81
PF-05280586/PF-05280586/PF-05280586 (US)107790.0± 26168.99
Course 1/Week 13
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058622613.1± 16526.33
Rituximab-EU/PF-05280586/PF-0528058627542.3± 18879.35
PF-05280586/PF-05280586/PF-05280586 (EU)16973.6± 10736.22
Rituximab-US/PF-05280586/PF-0528058626359.8± 27063.70
PF-05280586/PF-05280586/PF-05280586 (US)31006.6± 23055.79
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805862844.2± 4271.65
Rituximab-EU/PF-05280586/PF-052805863573.3± 3569.90
PF-05280586/PF-05280586/PF-05280586 (EU)1719.3± 3383.03
Rituximab-US/PF-05280586/PF-052805868205.1± 9923.43
PF-05280586/PF-05280586/PF-05280586 (US)3005.6± 5227.33
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805861628.2± 2712.30
Rituximab-EU/PF-05280586/PF-052805862493.2± 3631.38
PF-05280586/PF-05280586/PF-05280586 (EU)924.1± 1546.20
Rituximab-US/PF-05280586/PF-052805863463.6± 5311.01
PF-05280586/PF-05280586/PF-05280586 (US)3596.1± 5514.43
Course 2/Week 3
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586108064.2± 37043.94
Rituximab-EU/PF-05280586/PF-05280586114266.7± 29897.86
PF-05280586/PF-05280586/PF-05280586 (EU)91006.7± 23725.24
Rituximab-US/PF-05280586/PF-05280586102937.9± 29824.58
PF-05280586/PF-05280586/PF-05280586 (US)114992.6± 31832.89
Course 2/Week 13
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058626527.9± 17903.00
Rituximab-EU/PF-05280586/PF-0528058631829.7± 17954.12
PF-05280586/PF-05280586/PF-05280586 (EU)21467.0± 11390.72
Rituximab-US/PF-05280586/PF-0528058627730.7± 21932.00
PF-05280586/PF-05280586/PF-05280586 (US)36007.9± 23651.20
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805863431.9± 4155.80
Rituximab-EU/PF-05280586/PF-052805864074.2± 5043.55
PF-05280586/PF-05280586/PF-05280586 (EU)1375.8± 1507.10
Rituximab-US/PF-05280586/PF-052805865103.3± 5344.88
PF-05280586/PF-05280586/PF-05280586 (US)5228.6± 7171.47
Cluster of Differentiation 19 (CD19+) B Cell Count Primary · Weeks 1, 6, 13, and 25 (Course 1 and Course 2), Weeks 1, 13, 25 (Course 3), and Follow up Months 3, 6, and 9.

Blood samples were assayed for CD19+ B-cell counts using laser scanning cytometry.

Course 1/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 109.2
Rituximab-EU/PF-05280586/PF-052805861.10.0 – 105.6
PF-05280586/PF-05280586/PF-05280586 (EU)0.60.0 – 55.9
Rituximab-US/PF-05280586/PF-052805860.00.0 – 115.9
PF-05280586/PF-05280586/PF-05280586 (US)0.60.0 – 677.5
Course 1/Week 6
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 0.0
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 16.7
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 0.6
Rituximab-US/PF-05280586/PF-052805860.00.0 – 1.8
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 9.2
Course 1/Week 13
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 0.2
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 34.9
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 4.2
Rituximab-US/PF-05280586/PF-052805860.00.0 – 0.4
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 10.3
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 27.9
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 62.7
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 67.9
Rituximab-US/PF-05280586/PF-052805860.00.0 – 123.4
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 0.0
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 146.1
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 164.0
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 77.3
Rituximab-US/PF-05280586/PF-052805860.00.0 – 89.1
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 79.8
Course 2/Week 6
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 410.3
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 1.5
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 13.3
Rituximab-US/PF-05280586/PF-052805860.00.0 – 0.8
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 0.5
Course 2/Week 13
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 8.6
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 1.7
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 13.8
Rituximab-US/PF-05280586/PF-052805860.00.0 – 0.6
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 16.7
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.00.0 – 7.7
Rituximab-EU/PF-05280586/PF-052805860.00.0 – 68.4
PF-05280586/PF-05280586/PF-05280586 (EU)0.00.0 – 11.3
Rituximab-US/PF-05280586/PF-052805860.00.0 – 1.7
PF-05280586/PF-05280586/PF-05280586 (US)0.00.0 – 9.6
Circulating Immunoglobulin G (IgG) Concentrations Primary · Screening, Week 25 (Course 1), and Weeks 1 and 25 (Course 2 and Course 3).

Blood samples for immunoglobulin assessments were obtained to determine IgG levels in serum.

Screening
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058611.7± 3.06
Rituximab-EU/PF-05280586/PF-0528058610.9± 2.54
PF-05280586/PF-05280586/PF-05280586 (EU)11.6± 2.85
Rituximab-US/PF-05280586/PF-0528058611.3± 3.12
PF-05280586/PF-05280586/PF-05280586 (US)11.8± 3.52
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058610.4± 3.20
Rituximab-EU/PF-05280586/PF-0528058610.7± 3.71
PF-05280586/PF-05280586/PF-05280586 (EU)11.2± 2.50
Rituximab-US/PF-05280586/PF-0528058610.3± 3.50
PF-05280586/PF-05280586/PF-05280586 (US)11.4± 3.92
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058610.5± 2.73
Rituximab-EU/PF-05280586/PF-0528058610.2± 2.78
PF-05280586/PF-05280586/PF-05280586 (EU)10.8± 2.55
Rituximab-US/PF-05280586/PF-0528058610.2± 2.29
PF-05280586/PF-05280586/PF-05280586 (US)10.9± 3.59
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058610.6± 2.85
Rituximab-EU/PF-05280586/PF-052805868.9± 2.40
PF-05280586/PF-05280586/PF-05280586 (EU)10.4± 2.11
Rituximab-US/PF-05280586/PF-052805869.2± 2.00
PF-05280586/PF-05280586/PF-05280586 (US)11.4± 4.08
Course 3/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058610.6± 2.92
Rituximab-EU/PF-05280586/PF-0528058610.2± 2.61
PF-05280586/PF-05280586/PF-05280586 (EU)10.6± 2.81
Rituximab-US/PF-05280586/PF-052805869.7± 2.44
PF-05280586/PF-05280586/PF-05280586 (US)10.3± 3.88
Course 3/Week 25 (EOT)
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058610.4± 2.86
Rituximab-EU/PF-05280586/PF-052805869.8± 3.04
PF-05280586/PF-05280586/PF-05280586 (EU)10.3± 2.34
Rituximab-US/PF-05280586/PF-052805869.7± 2.30
PF-05280586/PF-05280586/PF-05280586 (US)10.2± 3.25
Circulating Immunoglobulin M (IgM) Concentrations Primary · Screening, Week 25 (Course 1), and Weeks 1 and 25 (Course 2 and Course 3).

Blood samples for immunoglobulin assessments were obtained to determine IgM levels in serum.

Screening
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805861.0± 0.50
Rituximab-EU/PF-05280586/PF-052805861.1± 0.73
PF-05280586/PF-05280586/PF-05280586 (EU)1.1± 0.70
Rituximab-US/PF-05280586/PF-052805861.1± 0.79
PF-05280586/PF-05280586/PF-05280586 (US)1.0± 0.57
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.8± 0.47
Rituximab-EU/PF-05280586/PF-052805861.1± 0.62
PF-05280586/PF-05280586/PF-05280586 (EU)0.9± 0.60
Rituximab-US/PF-05280586/PF-052805861.0± 0.72
PF-05280586/PF-05280586/PF-05280586 (US)0.9± 0.45
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.8± 0.48
Rituximab-EU/PF-05280586/PF-052805860.9± 0.56
PF-05280586/PF-05280586/PF-05280586 (EU)0.9± 0.64
Rituximab-US/PF-05280586/PF-052805860.9± 0.61
PF-05280586/PF-05280586/PF-05280586 (US)0.8± 0.47
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.8± 0.55
Rituximab-EU/PF-05280586/PF-052805860.8± 0.46
PF-05280586/PF-05280586/PF-05280586 (EU)0.9± 0.64
Rituximab-US/PF-05280586/PF-052805860.9± 0.63
PF-05280586/PF-05280586/PF-05280586 (US)0.8± 0.50
Course 3/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.8± 0.43
Rituximab-EU/PF-05280586/PF-052805860.8± 0.46
PF-05280586/PF-05280586/PF-05280586 (EU)0.8± 0.57
Rituximab-US/PF-05280586/PF-052805860.8± 0.52
PF-05280586/PF-05280586/PF-05280586 (US)0.7± 0.40
Course 3/Week 25 (EOT)
GroupValue95% CI
PF-05280586/PF-05280586/PF-052805860.7± 0.39
Rituximab-EU/PF-05280586/PF-052805860.7± 0.44
PF-05280586/PF-05280586/PF-05280586 (EU)0.8± 0.54
Rituximab-US/PF-05280586/PF-052805860.8± 0.52
PF-05280586/PF-05280586/PF-05280586 (US)0.7± 0.38
Circulating Rheumatoid Factor (RF) Concentrations Primary · Week 1 and 25 (Course 1, Course 2, and Course 3).

RF is the auto-antibody directed against IgG. Blood samples were obtained to determine RF levels in serum.

Course 1/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586105.6± 203.88
Rituximab-EU/PF-05280586/PF-05280586431.3± 1074.13
PF-05280586/PF-05280586/PF-05280586 (EU)128.7± 201.11
Rituximab-US/PF-05280586/PF-0528058675.2± 102.41
PF-05280586/PF-05280586/PF-05280586 (US)109.1± 139.79
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058656.1± 104.12
Rituximab-EU/PF-05280586/PF-05280586714.8± 1471.95
PF-05280586/PF-05280586/PF-05280586 (EU)101.5± 165.85
Rituximab-US/PF-05280586/PF-0528058653.2± 59.22
PF-05280586/PF-05280586/PF-05280586 (US)66.5± 69.70
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058692.6± 181.91
Rituximab-EU/PF-05280586/PF-05280586279.3± 737.00
PF-05280586/PF-05280586/PF-05280586 (EU)132.9± 234.84
Rituximab-US/PF-05280586/PF-0528058659.5± 76.56
PF-05280586/PF-05280586/PF-05280586 (US)58.6± 73.13
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058659.5± 117.79
Rituximab-EU/PF-05280586/PF-05280586448.0± 945.12
PF-05280586/PF-05280586/PF-05280586 (EU)62.4± 89.14
Rituximab-US/PF-05280586/PF-0528058652.0± 54.97
PF-05280586/PF-05280586/PF-05280586 (US)44.2± 44.34
Course 3/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058651.7± 89.51
Rituximab-EU/PF-05280586/PF-05280586217.3± 697.30
PF-05280586/PF-05280586/PF-05280586 (EU)74.9± 128.83
Rituximab-US/PF-05280586/PF-0528058651.8± 92.06
PF-05280586/PF-05280586/PF-05280586 (US)40.4± 45.90
Course 3/Week 25 (EOT)
GroupValue95% CI
PF-05280586/PF-05280586/PF-0528058646.2± 76.85
Rituximab-EU/PF-05280586/PF-05280586181.2± 551.49
PF-05280586/PF-05280586/PF-05280586 (EU)57.1± 107.47
Rituximab-US/PF-05280586/PF-0528058645.0± 66.43
PF-05280586/PF-05280586/PF-05280586 (US)38.2± 41.46
Anti-Cyclic Citrullinated Peptide (Anti-CCP) and Complement Primary · Week 1 and 25 (Course 1, Course 2, and Course 3).

Blood samples were obtained to determine anti-CCP and compliment levels in serum.

Course 1/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586293.7± 206.64
Rituximab-EU/PF-05280586/PF-05280586346.1± 206.78
PF-05280586/PF-05280586/PF-05280586 (EU)311.5± 198.13
Rituximab-US/PF-05280586/PF-05280586223.9± 224.86
PF-05280586/PF-05280586/PF-05280586 (US)306.1± 210.82
Course 1/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586266.9± 222.12
Rituximab-EU/PF-05280586/PF-05280586230.8± 207.06
PF-05280586/PF-05280586/PF-05280586 (EU)300.9± 199.02
Rituximab-US/PF-05280586/PF-05280586258.0± 227.91
PF-05280586/PF-05280586/PF-05280586 (US)263.6± 190.26
Course 2/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586285.7± 211.65
Rituximab-EU/PF-05280586/PF-05280586305.2± 208.41
PF-05280586/PF-05280586/PF-05280586 (EU)324.6± 196.92
Rituximab-US/PF-05280586/PF-05280586241.5± 229.00
PF-05280586/PF-05280586/PF-05280586 (US)262.2± 210.17
Course 2/Week 25
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586259.0± 224.11
Rituximab-EU/PF-05280586/PF-05280586332.0± 184.78
PF-05280586/PF-05280586/PF-05280586 (EU)273.3± 188.63
Rituximab-US/PF-05280586/PF-05280586230.1± 232.38
PF-05280586/PF-05280586/PF-05280586 (US)237.9± 204.70
Course 3/Week 1
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586270.0± 213.62
Rituximab-EU/PF-05280586/PF-05280586290.2± 200.75
PF-05280586/PF-05280586/PF-05280586 (EU)308.3± 189.51
Rituximab-US/PF-05280586/PF-05280586214.3± 228.46
PF-05280586/PF-05280586/PF-05280586 (US)234.6± 212.97
Course 3/Week 25 (EOT)
GroupValue95% CI
PF-05280586/PF-05280586/PF-05280586249.6± 212.37
Rituximab-EU/PF-05280586/PF-05280586250.4± 190.55
PF-05280586/PF-05280586/PF-05280586 (EU)265.7± 207.79
Rituximab-US/PF-05280586/PF-05280586214.4± 222.43
PF-05280586/PF-05280586/PF-05280586 (US)245.1± 207.29
Mean Change From Initial Study Baseline in Disease Activity Score (DAS28)-C-Reactive Protein (CRP) - by the End of Course 1 Primary · Baseline B3281001, Week 1, 6, 13, and 25 (Course 1).

The disease activity score (DAS) assessment is a continuous composite measure derived using differential weighting given to the following 4 components: tender/painful joint count (28 joints), swollen joint count (28 joints), CRP and patient's global assessment of arthritis Visual Analog Scale (VAS). The formula for calculation of DAS28-CRP from these 4 components is DAS28-CRP equals (=) 0.56 square root (sqrt) (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 natural log \[ln\] (CRP \[milligrams per liter, mg/L\] +1) + 0.014 (global assessment of health \[GH\]) + 0.96

Baseline B3281001
GroupValue95% CI
PF-05280586: by the End of Course 15.59± 0.862
Rituximab-EU: by the End of Course 15.81± 0.926
PF-05280586 (EU): by the End of Course 15.80± 0.988
Rituximab-US: by the End of Course 16.16± 0.870
PF-05280586 (US): by the End of Course 16.12± 0.784
Change at Course 1/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 1-1.24± 1.126
Rituximab-EU: by the End of Course 1-1.86± 1.223
PF-05280586 (EU): by the End of Course 1-1.94± 1.315
Rituximab-US: by the End of Course 1-2.02± 1.508
PF-05280586 (US): by the End of Course 1-1.95± 1.211
Change at Course 1/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 1-2.03± 1.378
Rituximab-EU: by the End of Course 1-2.59± 1.088
PF-05280586 (EU): by the End of Course 1-2.54± 1.322
Rituximab-US: by the End of Course 1-2.50± 1.454
PF-05280586 (US): by the End of Course 1-2.66± 1.226
Change at Course 1/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 1-2.37± 1.134
Rituximab-EU: by the End of Course 1-2.78± 1.355
PF-05280586 (EU): by the End of Course 1-2.66± 1.439
Rituximab-US: by the End of Course 1-2.85± 1.368
PF-05280586 (US): by the End of Course 1-2.76± 1.200
Change at Course 1/Week 25
GroupValue95% CI
PF-05280586: by the End of Course 1-2.35± 1.310
Rituximab-EU: by the End of Course 1-2.32± 1.166
PF-05280586 (EU): by the End of Course 1-2.24± 1.182
Rituximab-US: by the End of Course 1-2.15± 1.109
PF-05280586 (US): by the End of Course 1-2.50± 1.179
Mean Change From Initial Study Baseline in Disease Activity Score (DAS28)-C-Reactive Protein (CRP) - by the End of Course 2 Primary · Baseline B3281001, Week 1, 6, 13, and 25 (Course 1 and Course 2).

The disease activity score (DAS) assessment is a continuous composite measure derived using differential weighting given to the following 4 components: tender/painful joint count (28 joints), swollen joint count (28 joints), CRP and patient's global assessment of arthritis Visual Analog Scale (VAS). The formula for calculation of DAS28-CRP from these 4 components is DAS28-CRP equals (=) 0.56 square root (sqrt) (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 natural log \[ln\] (CRP \[milligrams per liter, mg/L\] +1) + 0.014 (global assessment of health \[GH\]) + 0.96

Baseline B3281001
GroupValue95% CI
PF-05280586: by the End of Course 25.59± 0.893
Rituximab-EU/PF-05280586: by the End of Course 25.81± 0.956
PF-05280586 (EU): by the End of Course 25.77± 1.009
Rituximab-US/PF-05280586: by the End of Course 26.13± 0.865
PF-05280586 (US): by the End of Course 26.10± 0.792
Change at Course 1/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 2-1.27± 1.120
Rituximab-EU/PF-05280586: by the End of Course 2-1.82± 1.257
PF-05280586 (EU): by the End of Course 2-1.92± 1.147
Rituximab-US/PF-05280586: by the End of Course 2-1.93± 1.466
PF-05280586 (US): by the End of Course 2-1.99± 1.218
Change at Course 1/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 2-2.11± 1.353
Rituximab-EU/PF-05280586: by the End of Course 2-2.56± 1.091
PF-05280586 (EU): by the End of Course 2-2.53± 1.205
Rituximab-US/PF-05280586: by the End of Course 2-2.44± 1.441
PF-05280586 (US): by the End of Course 2-2.71± 1.211
Change at Course 1/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 2-2.41± 1.110
Rituximab-EU/PF-05280586: by the End of Course 2-2.78± 1.355
PF-05280586 (EU): by the End of Course 2-2.67± 1.315
Rituximab-US/PF-05280586: by the End of Course 2-2.76± 1.318
PF-05280586 (US): by the End of Course 2-2.76± 1.200
Change at Course 1/Week 25
GroupValue95% CI
PF-05280586: by the End of Course 2-2.35± 1.310
Rituximab-EU/PF-05280586: by the End of Course 2-2.32± 1.166
PF-05280586 (EU): by the End of Course 2-2.19± 1.034
Rituximab-US/PF-05280586: by the End of Course 2-2.02± 1.038
PF-05280586 (US): by the End of Course 2-2.50± 1.179
Change at Course 2/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 2-1.98± 1.480
Rituximab-EU/PF-05280586: by the End of Course 2-2.05± 1.275
PF-05280586 (EU): by the End of Course 2-1.92± 1.132
Rituximab-US/PF-05280586: by the End of Course 2-2.20± 1.295
PF-05280586 (US): by the End of Course 2-2.34± 1.036
Change at Course 2/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 2-2.66± 1.177
Rituximab-EU/PF-05280586: by the End of Course 2-2.74± 1.552
PF-05280586 (EU): by the End of Course 2-2.75± 1.148
Rituximab-US/PF-05280586: by the End of Course 2-2.92± 1.231
PF-05280586 (US): by the End of Course 2-3.00± 1.089
Change at Course 2/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 2-2.35± 1.319
Rituximab-EU/PF-05280586: by the End of Course 2-2.56± 1.644
PF-05280586 (EU): by the End of Course 2-2.65± 1.113
Rituximab-US/PF-05280586: by the End of Course 2-2.88± 1.476
PF-05280586 (US): by the End of Course 2-3.21± 1.135
Mean Change From Initial Study Baseline in Disease Activity Score (DAS28)-C-Reactive Protein (CRP) - by the End of Course 3 Primary · Baseline B3281001, Week 1, 6, 13, and 25 (Course 1 and Course 2), and Week 1, 13, and 25 (Course 3).

The disease activity score (DAS) assessment is a continuous composite measure derived using differential weighting given to the following 4 components: tender/painful joint count (28 joints), swollen joint count (28 joints), CRP and patient's global assessment of arthritis Visual Analog Scale (VAS). The formula for calculation of DAS28-CRP from these 4 components is DAS28-CRP equals (=) 0.56 square root (sqrt) (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 natural log \[ln\] (CRP \[milligrams per liter, mg/L\] +1) + 0.014 (global assessment of health \[GH\]) + 0.96

Baseline B3281001
GroupValue95% CI
PF-05280586: by the End of Course 35.54± 0.896
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 35.81± 0.956
PF-05280586 (EU): by the End of Course 35.79± 1.019
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 36.14± 0.886
PF-05280586 (US): by the End of Course 36.10± 0.792
Change at Course 1/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 3-1.25± 1.158
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-1.82± 1.257
PF-05280586 (EU): by the End of Course 3-1.86± 1.121
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.01± 1.438
PF-05280586 (US): by the End of Course 3-1.99± 1.218
Change at Course 1/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 3-2.10± 1.380
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.56± 1.091
PF-05280586 (EU): by the End of Course 3-2.51± 1.221
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.53± 1.438
PF-05280586 (US): by the End of Course 3-2.71± 1.211
Change at Course 1/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 3-2.47± 1.101
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.78± 1.355
PF-05280586 (EU): by the End of Course 3-2.64± 1.322
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.82± 1.284
PF-05280586 (US): by the End of Course 3-2.76± 1.200
Change at Course 1/Week 25
GroupValue95% CI
PF-05280586: by the End of Course 3-2.25± 1.293
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.32± 1.166
PF-05280586 (EU): by the End of Course 3-2.12± 1.023
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.21± 0.848
PF-05280586 (US): by the End of Course 3-2.50± 1.179
Change at Course 2/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 3-1.93± 1.500
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.05± 1.275
PF-05280586 (EU): by the End of Course 3-1.87± 1.118
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.27± 1.314
PF-05280586 (US): by the End of Course 3-2.34± 1.036
Change at Course 2/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 3-2.62± 1.172
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.74± 1.552
PF-05280586 (EU): by the End of Course 3-2.75± 1.148
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.97± 1.241
PF-05280586 (US): by the End of Course 3-3.00± 1.089
Change at Course 2/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 3-2.34± 1.369
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3-2.56± 1.644
PF-05280586 (EU): by the End of Course 3-2.65± 1.113
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3-2.96± 1.507
PF-05280586 (US): by the End of Course 3-3.21± 1.135
Percentage of Participants With Good European League Against Rheumatism (EULAR) Response Based on DAS28 - by the End of Course 1 Primary · Week 1, 6, 13, and 25 (Course 1).

The DAS28-based EULAR response criteria were used to measure individual response as none, good, and moderate, depending on the extent of change from baseline and the level of disease activity reached. Good responders had a change from baseline greater than (\>) 1.2 with present DAS28 less than or equal to (≤) 3.2; moderate responders had a change from baseline \>0.6 and ≤1.2 with present DAS28 ≤3.2 or change from baseline \>0.6 with present DAS28 \>3.2 and ≤5.1 or change from baseline \>1.2 with present DAS28 \>5.1; non-responders had a change from baseline ≤0.6 with present DAS28 ≤5.1 or chan

Course 1/Week 1
GroupValue95% CI
PF-05280586: by the End of Course 113.7
Rituximab-EU: by the End of Course 125.0
PF-05280586 (EU): by the End of Course 132.3
Rituximab-US: by the End of Course 132.0
PF-05280586 (US): by the End of Course 121.4
Course 1/Week 6
GroupValue95% CI
PF-05280586: by the End of Course 135.7
Rituximab-EU: by the End of Course 154.8
PF-05280586 (EU): by the End of Course 146.9
Rituximab-US: by the End of Course 143.3
PF-05280586 (US): by the End of Course 146.4
Course 1/Week 13
GroupValue95% CI
PF-05280586: by the End of Course 151.8
Rituximab-EU: by the End of Course 166.7
PF-05280586 (EU): by the End of Course 151.5
Rituximab-US: by the End of Course 144.8
PF-05280586 (US): by the End of Course 144.8
Course 1/Week 25
GroupValue95% CI
PF-05280586: by the End of Course 157.1
Rituximab-EU: by the End of Course 120.0
PF-05280586 (EU): by the End of Course 136.4
Rituximab-US: by the End of Course 123.1
PF-05280586 (US): by the End of Course 136.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious adverse events (SAEs) were logged from informed consent until up to 28 calendar days after last study drug administration or Long Term Follow-Up, whichever was last. Adverse events (AEs) were logged from first dose of study drug to last visit.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-05280586: by the End of Course 1
Serious: 4/58 (7%)
Deaths:
Rituximab-EU: by the End of Course 1
Serious: 2/32 (6%)
Deaths:
PF-05280586 (EU): by the End of Course 1
Serious: 2/33 (6%)
Deaths:
Rituximab-US: by the End of Course 1
Serious: 1/30 (3%)
Deaths:
PF-05280586 (US): by the End of Course 1
Serious: 2/30 (7%)
Deaths:
PF-05280586: by the End of Course 2
Serious: 6/54 (11%)
Deaths:
Rituximab-EU/PF-05280586: by the End of Course 2
Serious: 1/30 (3%)
Deaths:
PF-05280586 (EU): by the End of Course 2
Serious: 4/31 (13%)
Deaths:
Rituximab-US/PF-05280586: by the End of Course 2
Serious: 2/29 (7%)
Deaths:
PF-05280586 (US): by the End of Course 2
Serious: 1/29 (3%)
Deaths:
PF-05280586: by the End of Course 3
Serious: 4/48 (8%)
Deaths:
Rituximab-EU/PF-05280586/PF-05280586: by the End of Course 3
Serious: 1/30 (3%)
Deaths:
PF-05280586 (EU): by the End of Course 3
Serious: 4/30 (13%)
Deaths:
Rituximab-US/PF-05280586/PF-05280586: by the End of Course 3
Serious: 1/27 (4%)
Deaths:
PF-05280586 (US): by the End of Course 3
Serious: 1/29 (3%)
Deaths:

Serious adverse events (22 terms)

ReactionSystemPF-05280586: by the End of…Rituximab-EU: by the End o…PF-05280586 (EU): by the E…Rituximab-US: by the End o…PF-05280586 (US): by the E…PF-05280586: by the End of…Rituximab-EU/PF-05280586: …PF-05280586 (EU): by the E…Rituximab-US/PF-05280586: …PF-05280586 (US): by the E…PF-05280586: by the End of…Rituximab-EU/PF-05280586/P…PF-05280586 (EU): by the E…Rituximab-US/PF-05280586/P…PF-05280586 (US): by the E…
PneumoniaInfections and infestations
AnaemiaBlood and lymphatic system disorders
Febrile NeutropeniaBlood and lymphatic system disorders
PericarditisCardiac disorders
Diaphragmatic HerniaGastrointestinal disorders
Inguinal HerniaGastrointestinal disorders
PancreatitisGastrointestinal disorders
Umbilical HerniaGastrointestinal disorders
Arthritis InfectiveInfections and infestations
BronchitisInfections and infestations
Gastroenteritis ViralInfections and infestations
SinusitisInfections and infestations
HydronephrosisRenal and urinary disorders
UreterolithiasisRenal and urinary disorders
Chronic Obstructive Pulmonary DiseaseRespiratory, thoracic and mediastinal disorders
Subcutaneous AbscessInfections and infestations
Wound Infection StaphylococcalInfections and infestations
SyncopeNervous system disorders
Blighted OvumPregnancy, puerperium and perinatal conditions
Arthritis BacterialInfections and infestations
Urinary Tract InfectionInfections and infestations
Transient Ischemic AttackNervous system disorders
Other adverse events (35 terms — click to expand)

ReactionSystemPF-05280586: by the End of…Rituximab-EU: by the End o…PF-05280586 (EU): by the E…Rituximab-US: by the End o…PF-05280586 (US): by the E…PF-05280586: by the End of…Rituximab-EU/PF-05280586: …PF-05280586 (EU): by the E…Rituximab-US/PF-05280586: …PF-05280586 (US): by the E…PF-05280586: by the End of…Rituximab-EU/PF-05280586/P…PF-05280586 (EU): by the E…Rituximab-US/PF-05280586/P…PF-05280586 (US): by the E…
Urinary Tract InfectionInfections and infestations
Rheumatoid ArthritisMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
NauseaGastrointestinal disorders
Upper Respiratory Tract InfectionInfections and infestations
SinusitisInfections and infestations
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Oedema PeripheralGeneral disorders
NasopharyngitisInfections and infestations
FallInjury, poisoning and procedural complications
Gastrointestinal Viral InfectionInfections and infestations
VomitingGastrointestinal disorders
AstheniaGeneral disorders
Foot FractureInjury, poisoning and procedural complications
Back PainMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
Oropharyngeal PainRespiratory, thoracic and mediastinal disorders
Skin LesionSkin and subcutaneous tissue disorders
Oral CandidiasisInfections and infestations
Neutrophil Count DecreasedInvestigations
Vitamin D DeficiencyMetabolism and nutrition disorders
Pain In ExtremityMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
DyspepsiaGastrointestinal disorders
GastroenteritisInfections and infestations
Oral HerpesInfections and infestations
Wrist FractureInjury, poisoning and procedural complications
Alanine Aminotransferase IncreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
White Blood Cell Count DecreasedInvestigations

Most-reported serious reactions: Pneumonia, Anaemia, Febrile Neutropenia, Pericarditis, Diaphragmatic Hernia, Inguinal Hernia, Pancreatitis, Umbilical Hernia.

Data from ClinicalTrials.gov NCT01643928 adverse events section.

Sponsor's own description

This extension study will evaluate the safety (including immunogenicity) of treatment with rituximab-Pfizer, as well as the safety and immunogenicity after transitioning from rituximab-US or rituximab-EU to rituximab-Pfizer. This study will provide continued treatment access to subjects with active rheumatoid arthritis who have participated for at least 16 weeks in other studies in the rituximab Pfizer program.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Biologics or tofacitinib for people with rheumatoid arthritis naive to methotrexate: a systematic review and network meta-analysis.
    Singh JA, Hossain A, Mudano AS, Tanjong Ghogomu E, et al · · 2017 · cited 44× · PMID 28481462 · DOI 10.1002/14651858.cd012657
  2. Biologics or tofacitinib for people with rheumatoid arthritis unsuccessfully treated with biologics: a systematic review and network meta-analysis.
    Singh JA, Hossain A, Tanjong Ghogomu E, Mudano AS, et al · · 2017 · cited 38× · PMID 28282491 · DOI 10.1002/14651858.cd012591
  3. Safety outcomes when switching between biosimilars and reference biologics: A systematic review and meta-analysis.
    Herndon TM, Ausin C, Brahme NN, Schrieber SJ, et al · · 2023 · cited 37× · PMID 37788264 · DOI 10.1371/journal.pone.0292231
  4. Extension Study of PF-05280586, a Potential Rituximab Biosimilar, Versus Rituximab in Subjects With Active Rheumatoid Arthritis.
    Cohen SB, Burgos-Vargas R, Emery P, Jin B, et al · · 2018 · cited 16× · PMID 29692005 · DOI 10.1002/acr.23586
  5. Reply to 'Biosimilars: a position paper of the European Society for Medical Oncology, with particular reference to oncology prescribers'.
    Bakalos G, Schreitmüller T. · · 2017 · cited 2× · PMID 29104764 · DOI 10.1136/esmoopen-2017-000281

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01643928.

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