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NCT02960490

A Phase 2 Study of E6011 in Subjects With Rheumatoid Arthritis Inadequately Responding to Biologics

Completed Phase 2 Results posted Last updated 23 August 2021
What this trial tests

Phase 2 trial testing E6011 in Rheumatoid Arthritis in 66 participants. Completed in 25 November 2019.

Timeline
26 November 2016
Primary endpoint
16 May 2018
25 November 2019

Quick facts

Lead sponsorEisai Co., Ltd.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment66
Start date26 November 2016
Primary completion16 May 2018
Estimated completion25 November 2019
Sites45 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Co., Ltd. — full company profile →

Who can join

Adults 18 to 75, 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.

Core Treatment Phase: Percentage of Participants Who Achieved an American College of Rheumatology (ACR) 20 Response at Week 12 Based on Non-responder Imputation (NRI) Primary · Week 12

The ACR20 response was defined as if the following 3 criteria (ACR components) were met: Greater than or equal to (\>=) 20 percent (%) reduction from baseline in the tender joint count (TJC) in 68 joints (TJC68); \>=20% reduction from baseline in the swollen joint count (SJC) in 66 joints (SJC66); \>=20% reduction from baseline in at least 3 of the following 5 assessments: Physician's Global Assessment of Disease Activity (visual analog scale \[VAS\]), Participant's Global Assessment of Disease Activity (VAS), Participant's Assessment of Pain (VAS), Health Assessment Questionnaire disability i

GroupValue95% CI
Core Treatment Phase: Placebo27.312.08 – 42.47
Core Treatment Phase: E6011 400 mg22.67.86 – 37.30
Percentage of Participants Who Achieved an ACR20 Response at Weeks 2, 4, 8, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72 Based on NRI Secondary · Core Treatment Phase: Weeks 2, 4, 8, 16, 20, 24; Extension Phase: Weeks 2, 4, 8, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

The ACR20 response was defined as if the following 3 criteria (ACR components) were met: \>=20% reduction from baseline in the TJC in 68 joints (TJC68); \>=20% reduction from baseline in the SJC in 66 joints (SJC66); \>=20% reduction from baseline in at least 3 of the following 5 assessments: Physician's Global Assessment of Disease Activity (VAS), Participant's Global Assessment of Disease Activity (VAS), Participant's Assessment of Pain (VAS), HAQ-DI, and CRP. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12.

Response at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg13.30.00 – 30.54
Core Treatment Phase: Placebo Then E6011 400 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg25.00.50 – 49.50
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg15.40.00 – 35.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg9.10.00 – 26.08
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg20.00.00 – 44.79
Response at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg13.30.00 – 30.54
Core Treatment Phase: Placebo Then E6011 400 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 200 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 400 mg8.30.00 – 23.97
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg15.40.00 – 35.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg27.30.95 – 53.59
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg30.85.68 – 55.86
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg10.00.00 – 28.59
Response at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg20.00.00 – 40.24
Core Treatment Phase: Placebo Then E6011 400 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 200 mg35.710.61 – 60.81
Core Treatment Phase: E6011 400 mg Then E6011 400 mg25.00.50 – 49.50
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg23.10.17 – 45.98
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg27.30.95 – 53.59
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg38.512.02 – 64.91
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg30.01.60 – 58.40
Response at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg26.74.29 – 49.05
Core Treatment Phase: Placebo Then E6011 400 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 200 mg42.916.93 – 68.78
Core Treatment Phase: E6011 400 mg Then E6011 400 mg50.021.71 – 78.29
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg30.85.68 – 55.86
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg36.47.94 – 64.79
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg46.219.05 – 73.25
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg60.029.64 – 90.36
Response at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg46.721.42 – 71.91
Core Treatment Phase: Placebo Then E6011 400 mg35.710.61 – 60.81
Core Treatment Phase: E6011 400 mg Then E6011 200 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 400 mg50.021.71 – 78.29
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg53.826.75 – 80.95
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg45.516.03 – 74.88
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg30.85.68 – 55.86
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg50.019.01 – 80.99
Response at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg46.721.42 – 71.91
Core Treatment Phase: Placebo Then E6011 400 mg28.64.91 – 52.24
Core Treatment Phase: E6011 400 mg Then E6011 200 mg21.40.00 – 42.92
Core Treatment Phase: E6011 400 mg Then E6011 400 mg33.36.66 – 60.01
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg53.826.75 – 80.95
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg36.47.94 – 64.79
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg23.10.17 – 45.98
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg30.01.60 – 58.40
Response at Week 28
GroupValue95% CI
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg53.826.75 – 80.95
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg54.525.12 – 83.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg38.512.02 – 64.91
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg50.019.01 – 80.99
Response at Week 32
GroupValue95% CI
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg61.535.09 – 87.98
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg36.47.94 – 64.79
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg38.512.02 – 64.91
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg50.019.01 – 80.99
Percentage of Participants Who Achieved an ACR50 Response at Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72 Based on NRI Secondary · Core Treatment Phase: Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

The ACR50 response was defined as if the following 3 criteria (ACR components) were met: \>=50% reduction from baseline in the TJC in 68 joints (TJC68); \>=50% reduction from baseline in the SJC in 66 joints (SJC66); \>=50% reduction from baseline in at least 3 of the following 5 assessments: Physician's Global Assessment of Disease Activity (VAS), Participant's Global Assessment of Disease Activity (VAS), Participant's Assessment of Pain (VAS), HAQ-DI, and CRP. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12.

Response at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg14.30.00 – 32.62
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg18.20.00 – 40.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg14.30.00 – 32.62
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg18.20.00 – 40.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg16.70.00 – 37.75
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg9.10.00 – 26.08
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg20.00.00 – 44.79
Response at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg16.70.00 – 37.75
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg20.00.00 – 44.79
Response at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg20.00.00 – 40.24
Core Treatment Phase: Placebo Then E6011 400 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg16.70.00 – 37.75
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg23.10.17 – 45.98
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg9.10.00 – 26.08
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg20.00.00 – 44.79
Response at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg20.00.00 – 40.24
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg16.70.00 – 37.75
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg23.10.17 – 45.98
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg20.00.00 – 44.79
Response at Week 28
GroupValue95% CI
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg30.85.68 – 55.86
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg18.20.00 – 40.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg15.40.00 – 35.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg30.01.60 – 58.40
Percentage of Participants Who Achieved an ACR70 Response at Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72 Based on NRI Secondary · Core Treatment Phase: Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

The ACR70 response was defined as if the following 3 criteria (ACR components) were met: \>=70% reduction from baseline in the TJC in 68 joints (TJC68); \>=70% reduction from baseline in the SJC in 66 joints (SJC66); \>=70% reduction from baseline in at least 3 of the following 5 assessments: Physician's Global Assessment of Disease Activity (VAS), Participant's Global Assessment of Disease Activity (VAS), Participant's Assessment of Pain (VAS), HAQ-DI, and CRP. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12.

Response at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg9.10.00 – 26.08
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg7.10.00 – 20.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg7.70.00 – 22.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 400 mg8.30.00 – 23.97
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg10.00.00 – 28.59
Response at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.00.00 – 0.00
Core Treatment Phase: Placebo Then E6011 400 mg0.00.00 – 0.00
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.00.0 – 0.0
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.00.0 – 0.0
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00.00 – 0.00
Response at Week 28
GroupValue95% CI
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg18.20.00 – 40.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.00.00 – 0.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg10.00.00 – 28.59
Change From Baseline in Tender Joint Counts (TJC) at Each Visit Based on Last Observation Carried Forward (LOCF) Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

A total of 28 joints were examined for tenderness by applying pressure to the joint line or by moving joints through their respective ranges of motion. Joints were examined for tenderness by applying pressure to the joint line or by moving joints through their respective ranges of motion. Tender joints were marked with tick or cross in corresponding frames of the Assessment Sheet for Tender Joint Counts. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Wee

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg9.7± 6.88
Core Treatment Phase: Placebo Then E6011 400 mg11.7± 7.74
Core Treatment Phase: E6011 400 mg Then E6011 200 mg9.9± 4.80
Core Treatment Phase: E6011 400 mg Then E6011 400 mg12.8± 7.58
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg8.7± 4.85
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg11.6± 8.67
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg9.5± 4.75
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg10.3± 5.10
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-1.6± 3.92
Core Treatment Phase: Placebo Then E6011 400 mg-1.3± 3.41
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.9± 4.48
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.4± 5.52
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-2.0± 4.06
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-1.3± 3.77
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.0± 4.65
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-3.0± 4.83
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-2.8± 6.07
Core Treatment Phase: Placebo Then E6011 400 mg-2.9± 5.11
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.3± 5.81
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-5.1± 6.16
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.2± 6.48
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.1± 5.74
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.8± 5.80
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-3.9± 5.92
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-3.3± 5.51
Core Treatment Phase: Placebo Then E6011 400 mg-2.9± 8.89
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.9± 6.18
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-5.8± 3.05
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.5± 5.91
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.8± 9.72
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.3± 6.06
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-5.2± 2.97
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-2.7± 5.59
Core Treatment Phase: Placebo Then E6011 400 mg-2.1± 8.75
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.0± 6.11
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-6.2± 3.86
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.1± 5.92
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.5± 9.05
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.8± 6.30
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-6.1± 4.20
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-4.3± 6.65
Core Treatment Phase: Placebo Then E6011 400 mg-4.1± 5.17
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.9± 5.73
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-7.5± 6.97
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-4.5± 7.15
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-4.8± 5.38
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.6± 5.84
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-6.5± 5.72
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-4.9± 6.06
Core Treatment Phase: Placebo Then E6011 400 mg-4.1± 7.19
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.9± 6.46
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-8.2± 7.30
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-5.2± 6.48
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-4.9± 7.82
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.8± 6.72
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-6.3± 4.16
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-5.1± 5.63
Core Treatment Phase: Placebo Then E6011 400 mg-3.7± 8.30
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.6± 6.06
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-7.8± 8.07
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-5.5± 5.99
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.9± 9.81
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.5± 6.29
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-6.2± 6.89
Change From Baseline in Swollen Joint Counts (SJC) at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

A total of 28 joints were examined for swollen joints. Swollen joints were marked with open circles in corresponding frames of the Assessment Sheet for Swollen Joint Counts. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Week 24, is the same data for the Core Treatment Phase, but excluding the participants who received at least 1 dose of study drug after Week 24 and had at least 1 postdose primary efficacy measurement after Week 24 to Week 72.

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg7.1± 2.91
Core Treatment Phase: Placebo Then E6011 400 mg9.5± 6.14
Core Treatment Phase: E6011 400 mg Then E6011 200 mg8.9± 3.47
Core Treatment Phase: E6011 400 mg Then E6011 400 mg8.8± 4.39
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg7.0± 2.97
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg9.5± 6.98
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg9.2± 3.51
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg7.6± 3.37
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-2.7± 2.99
Core Treatment Phase: Placebo Then E6011 400 mg-2.6± 2.31
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.0± 2.86
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-3.3± 4.69
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-2.7± 3.17
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-2.7± 2.57
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.2± 2.91
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-2.6± 4.77
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-2.3± 3.73
Core Treatment Phase: Placebo Then E6011 400 mg-3.7± 3.95
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.8± 3.60
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-3.9± 4.14
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-2.4± 3.75
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.5± 4.44
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.9± 3.71
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-3.9± 4.48
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-3.3± 3.33
Core Treatment Phase: Placebo Then E6011 400 mg-4.8± 6.38
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.8± 4.54
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.8± 4.15
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.5± 3.33
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-5.1± 7.20
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.8± 4.72
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-5.0± 4.57
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-2.9± 3.95
Core Treatment Phase: Placebo Then E6011 400 mg-4.2± 6.40
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-2.5± 4.01
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.3± 4.61
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.5± 3.95
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-4.5± 7.22
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.8± 4.04
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-4.2± 4.83
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-3.2± 4.06
Core Treatment Phase: Placebo Then E6011 400 mg-5.4± 5.45
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.9± 4.57
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-5.3± 4.63
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.5± 3.95
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-5.6± 6.17
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.9± 4.75
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-5.1± 4.75
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-3.3± 4.60
Core Treatment Phase: Placebo Then E6011 400 mg-5.8± 6.10
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.4± 4.82
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-5.8± 4.34
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-3.2± 4.76
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-6.0± 6.65
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-1.4± 4.82
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-5.5± 4.22
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-3.9± 4.45
Core Treatment Phase: Placebo Then E6011 400 mg-5.4± 7.26
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.6± 5.65
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.0± 3.79
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-4.4± 4.33
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-4.9± 8.97
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.8± 5.83
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-4.1± 4.18
Change From Baseline in Participant's Assessment of Pain Based on VAS Score at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

Intensity and severity of pain associated with rheumatoid arthritis (RA) were indicated by the participant on a score sheet, Pain/disease activity assessments reported by the participant, by placing a mark on a 100 millimeter (mm) horizontal VAS. Pain assessments reported by the participant, by placing a mark on a 100 mm horizontal VAS. The scale ranged from 0-100 mm, where 0 indicated no disease activity (symptom free and no arthritis symptoms) and 100 represented maximum disease activity (maximum arthritis disease activity). Data for the Core Treatment Phase from Week 0-10 is reported accord

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg56.7± 32.02
Core Treatment Phase: Placebo Then E6011 400 mg55.9± 30.33
Core Treatment Phase: E6011 400 mg Then E6011 200 mg56.9± 33.07
Core Treatment Phase: E6011 400 mg Then E6011 400 mg60.3± 20.78
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg57.5± 28.43
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg52.5± 29.96
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg54.2± 32.67
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg56.4± 18.78
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-5.7± 15.50
Core Treatment Phase: Placebo Then E6011 400 mg-3.3± 15.47
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-3.3± 22.53
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.8± 19.07
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-7.4± 15.71
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.4± 17.57
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-3.0± 23.42
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-1.9± 19.67
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-9.8± 16.50
Core Treatment Phase: Placebo Then E6011 400 mg-13.4± 26.58
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-8.4± 21.23
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-6.3± 17.61
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-11.2± 17.32
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-12.0± 27.40
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-7.5± 21.82
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-8.8± 18.18
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-13.9± 18.95
Core Treatment Phase: Placebo Then E6011 400 mg-14.2± 30.92
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-9.6± 21.94
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-12.6± 14.88
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-14.7± 19.04
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-12.8± 34.33
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-7.5± 21.19
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-14.1± 15.81
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-8.5± 25.01
Core Treatment Phase: Placebo Then E6011 400 mg-8.0± 24.10
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-15.1± 18.89
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-16.8± 20.23
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-9.5± 23.09
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-7.6± 26.27
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-14.2± 19.33
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-16.4± 18.84
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-15.7± 23.03
Core Treatment Phase: Placebo Then E6011 400 mg-9.8± 18.35
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-18.5± 22.70
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-15.9± 14.77
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-16.4± 24.02
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-11.4± 20.57
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-17.8± 23.49
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-14.7± 12.96
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-18.4± 28.02
Core Treatment Phase: Placebo Then E6011 400 mg-9.2± 15.57
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-14.7± 23.67
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-17.7± 16.88
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-22.8± 23.35
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-9.5± 16.32
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-15.0± 24.61
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-14.2± 13.38
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-17.4± 27.91
Core Treatment Phase: Placebo Then E6011 400 mg-8.4± 18.57
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-20.0± 28.15
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-14.9± 14.69
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-21.6± 23.42
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-9.9± 20.54
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-20.7± 29.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-12.9± 14.65
Change From Baseline in Participant's Global Assessment of Disease Activity Based on VAS Score at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

Participants were evaluated on their disease activity of RA, and entered the result on the score sheet, disease activity assessments reported by the participant, by placing a mark on a 100 mm horizontal VAS. The scale ranged from 0-100 mm, where 0 indicated no disease activity (symptom free and no arthritis symptoms) and 100 represented maximum disease activity (maximum arthritis disease activity). Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Week 24,

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg56.2± 31.20
Core Treatment Phase: Placebo Then E6011 400 mg54.9± 32.83
Core Treatment Phase: E6011 400 mg Then E6011 200 mg55.6± 34.74
Core Treatment Phase: E6011 400 mg Then E6011 400 mg57.7± 20.12
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg57.2± 27.56
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg51.0± 32.93
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg52.3± 33.74
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg53.9± 18.43
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-1.4± 10.52
Core Treatment Phase: Placebo Then E6011 400 mg-4.1± 13.20
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-4.6± 20.66
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-4.7± 14.21
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-2.6± 10.59
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-4.2± 14.70
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-3.6± 21.18
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-2.7± 14.71
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-8.1± 16.76
Core Treatment Phase: Placebo Then E6011 400 mg-12.7± 25.46
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-7.4± 24.36
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-3.9± 14.72
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-9.3± 17.76
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-11.5± 25.73
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-5.5± 24.34
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-7.0± 13.75
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-11.5± 19.27
Core Treatment Phase: Placebo Then E6011 400 mg-13.4± 29.22
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-8.9± 24.79
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-14.8± 16.50
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-12.3± 19.83
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-11.6± 32.31
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-6.0± 23.28
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-13.4± 15.37
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-7.2± 25.53
Core Treatment Phase: Placebo Then E6011 400 mg-6.9± 23.69
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-13.1± 22.86
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-13.1± 20.03
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-8.5± 24.24
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-5.8± 24.73
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-12.2± 23.48
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-13.9± 18.33
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-15.0± 25.59
Core Treatment Phase: Placebo Then E6011 400 mg-7.4± 18.94
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-14.1± 24.07
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-13.5± 17.73
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-16.2± 27.05
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-9.5± 20.91
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-13.6± 24.99
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-13.0± 18.05
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-16.7± 27.33
Core Treatment Phase: Placebo Then E6011 400 mg-8.4± 14.28
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-12.7± 26.93
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-16.8± 20.74
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-20.9± 24.16
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-9.4± 15.21
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-12.4± 28.00
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-13.6± 19.38
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-15.9± 27.17
Core Treatment Phase: Placebo Then E6011 400 mg-8.8± 16.43
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-16.3± 27.10
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-12.3± 13.50
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-20.0± 24.13
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-10.8± 17.92
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-16.2± 28.20
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-11.3± 14.59
Change From Baseline in Physician's Global Assessment of Disease Activity Scale Based on VAS Score at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

The Physician's Global Assessment of Disease Activity was recorded using the 100 mm horizontal VAS. Physician rated participant's RA disease activity on a scale ranged from 0-100 mm, where 0 indicated no disease activity (no arthritis) and 100 represented maximum disease activity (maximum arthritis). Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Week 24, is the same data for the Core Treatment Phase, but excluding the participants who received at least

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg63.3± 29.63
Core Treatment Phase: Placebo Then E6011 400 mg57.9± 22.02
Core Treatment Phase: E6011 400 mg Then E6011 200 mg62.4± 19.41
Core Treatment Phase: E6011 400 mg Then E6011 400 mg54.0± 27.28
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg60.8± 30.56
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg56.4± 22.41
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg60.5± 18.80
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg49.6± 27.15
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-16.8± 16.83
Core Treatment Phase: Placebo Then E6011 400 mg-13.6± 17.95
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-13.3± 23.08
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-8.1± 18.53
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-15.6± 17.52
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-16.8± 17.66
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-13.9± 23.89
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-6.6± 20.13
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-20.7± 13.62
Core Treatment Phase: Placebo Then E6011 400 mg-16.8± 19.68
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-17.8± 27.46
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-10.1± 16.68
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-18.2± 12.60
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-16.7± 16.88
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-17.7± 28.58
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-12.7± 17.13
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-23.8± 26.32
Core Treatment Phase: Placebo Then E6011 400 mg-17.6± 21.57
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-19.6± 27.81
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-13.8± 18.01
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-17.7± 22.40
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-17.7± 20.60
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-20.3± 28.83
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-14.6± 19.79
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-23.3± 26.50
Core Treatment Phase: Placebo Then E6011 400 mg-9.4± 21.99
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-19.0± 30.18
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-14.7± 21.15
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-20.5± 24.71
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-11.5± 20.62
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-20.8± 30.65
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-17.2± 22.32
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-28.4± 30.15
Core Treatment Phase: Placebo Then E6011 400 mg-19.7± 20.22
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-23.4± 29.34
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-14.5± 23.89
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-23.6± 29.57
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-23.1± 20.53
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-24.5± 30.19
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-16.7± 25.66
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-28.9± 25.67
Core Treatment Phase: Placebo Then E6011 400 mg-24.3± 22.97
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-20.6± 27.81
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-19.1± 20.38
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-25.9± 25.94
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-30.2± 20.74
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-21.7± 28.61
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-19.7± 19.93
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-36.7± 30.38
Core Treatment Phase: Placebo Then E6011 400 mg-18.3± 21.35
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-17.6± 26.03
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-10.0± 23.18
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-34.8± 32.06
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-22.6± 20.34
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-18.5± 26.87
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-8.9± 23.36
Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

Degree of disability was self-evaluated by participant using HAQ-DI.Assessment was made based on activities capable without any aids/devices.20-question instrument assessed degree of difficulty person had in accomplishing tasks in 8 functional areas(dressing,arising,eating,walking,hygiene,reaching,gripping,and activities of daily living).Responses in each functional area were scored from 0(indicated no difficulty)to 3(indicated inability to perform task in that area).Overall score computed as: sum of domain scores and divided by number of domains answered.Total possible score range:0-3 where 0

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.90± 0.816
Core Treatment Phase: Placebo Then E6011 400 mg1.04± 0.770
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.88± 0.744
Core Treatment Phase: E6011 400 mg Then E6011 400 mg1.08± 0.673
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.85± 0.702
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg1.20± 0.789
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.76± 0.605
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.94± 0.607
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.07± 0.163
Core Treatment Phase: Placebo Then E6011 400 mg-0.03± 0.399
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.08± 0.297
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.01± 0.258
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.07± 0.174
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.08± 0.423
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.04± 0.262
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.00± 0.270
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.03± 0.197
Core Treatment Phase: Placebo Then E6011 400 mg-0.25± 0.460
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.10± 0.371
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.03± 0.316
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.02± 0.203
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.30± 0.485
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.05± 0.333
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.05± 0.334
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-0.04± 0.181
Core Treatment Phase: Placebo Then E6011 400 mg-0.38± 0.595
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.10± 0.344
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.05± 0.404
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-0.07± 0.174
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.47± 0.647
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.09± 0.355
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.10± 0.428
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.12± 0.358
Core Treatment Phase: Placebo Then E6011 400 mg-0.25± 0.357
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.06± 0.459
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.02± 0.497
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.10± 0.369
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.34± 0.340
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.07± 0.478
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.04± 0.507
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.03± 0.376
Core Treatment Phase: Placebo Then E6011 400 mg-0.11± 0.395
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.11± 0.495
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.04± 0.421
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.02± 0.405
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.22± 0.354
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.13± 0.510
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.04± 0.457
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-0.04± 0.400
Core Treatment Phase: Placebo Then E6011 400 mg-0.21± 0.341
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.15± 0.619
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.02± 0.579
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-0.07± 0.426
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.30± 0.341
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.19± 0.624
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.04± 0.604
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-0.04± 0.483
Core Treatment Phase: Placebo Then E6011 400 mg-0.23± 0.395
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.23± 0.574
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.02± 0.464
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg-0.07± 0.517
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.33± 0.388
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.28± 0.569
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.04± 0.510
Change From Baseline in C-reactive Protein (CRP) Values at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

CRP of each participants was measured as a part of blood biochemical tests. A normal CRP value is less than (\<) 10 milligram per deciliter (mg/dL). A test result showing a CRP level greater than 10 mg/dL is a sign of chronic disease. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Week 24, is the same data for the Core Treatment Phase, but excluding the participants who received at least 1 dose of study drug after Week 24 and had at least 1 postdose prim

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg1.08± 1.299
Core Treatment Phase: Placebo Then E6011 400 mg2.50± 4.012
Core Treatment Phase: E6011 400 mg Then E6011 200 mg3.09± 3.186
Core Treatment Phase: E6011 400 mg Then E6011 400 mg1.68± 2.504
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.94± 1.097
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg1.83± 2.893
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg3.10± 3.316
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.81± 0.736
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.47± 0.795
Core Treatment Phase: Placebo Then E6011 400 mg0.02± 1.701
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.39± 1.438
Core Treatment Phase: E6011 400 mg Then E6011 400 mg-0.13± 0.870
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.46± 0.855
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.23± 1.782
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.45± 1.473
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.11± 0.277
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.18± 0.507
Core Treatment Phase: Placebo Then E6011 400 mg-0.63± 2.308
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.25± 0.938
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.73± 3.043
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.23± 0.525
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.01± 0.636
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.30± 0.957
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-0.02± 0.239
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg-0.06± 0.579
Core Treatment Phase: Placebo Then E6011 400 mg-0.33± 2.229
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.09± 1.277
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.43± 1.644
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.05± 0.389
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.30± 0.518
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.20± 1.262
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.07± 0.680
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.15± 0.978
Core Treatment Phase: Placebo Then E6011 400 mg-0.44± 1.643
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.07± 2.524
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.40± 1.618
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.32± 0.814
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.18± 0.810
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.02± 2.618
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.33± 1.048
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.05± 1.090
Core Treatment Phase: Placebo Then E6011 400 mg-0.42± 1.755
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.08± 1.943
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.63± 2.343
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.22± 0.965
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.10± 0.835
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.09± 1.909
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.28± 0.870
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.19± 1.278
Core Treatment Phase: Placebo Then E6011 400 mg-0.41± 1.792
Core Treatment Phase: E6011 400 mg Then E6011 200 mg0.49± 2.713
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.56± 2.257
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.36± 1.180
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-0.10± 0.849
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg0.35± 2.771
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.37± 0.660
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg0.21± 1.144
Core Treatment Phase: Placebo Then E6011 400 mg-0.31± 1.692
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.49± 2.893
Core Treatment Phase: E6011 400 mg Then E6011 400 mg0.47± 2.047
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg0.38± 1.004
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.15± 0.652
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.71± 2.892
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.65± 1.682
Change From Baseline in Erythrocyte Sedimentation Rate (ESR) Values at Each Visit Based on LOCF Secondary · Core Treatment Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20 and 24; Extension Phase: Baseline, Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68 and 72

ESR were a type of blood test. An ESR was used to monitor the arthritis condition. Data for the Core Treatment Phase from Week 0-10 is reported according to the participant's re-randomization in four arms at Week 12. Data reported for the Extension Phase from Baseline to Week 24, is the same data for the Core Treatment Phase, but excluding the participants who received at least 1 dose of study drug after Week 24 and had at least 1 postdose primary efficacy measurement after Week 24 to Week 72.

Baseline
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg33.1± 19.55
Core Treatment Phase: Placebo Then E6011 400 mg44.4± 25.70
Core Treatment Phase: E6011 400 mg Then E6011 200 mg51.8± 34.26
Core Treatment Phase: E6011 400 mg Then E6011 400 mg35.3± 18.44
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg33.9± 19.56
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg41.2± 25.81
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg49.9± 34.91
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg32.3± 18.89
Change at Week 2
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg8.1± 14.36
Core Treatment Phase: Placebo Then E6011 400 mg0.2± 12.43
Core Treatment Phase: E6011 400 mg Then E6011 200 mg1.5± 11.63
Core Treatment Phase: E6011 400 mg Then E6011 400 mg1.5± 10.28
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg8.6± 15.37
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-1.2± 13.39
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.8± 8.28
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-1.9± 6.54
Change at Week 4
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg8.6± 14.66
Core Treatment Phase: Placebo Then E6011 400 mg2.1± 18.56
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.3± 11.56
Core Treatment Phase: E6011 400 mg Then E6011 400 mg1.4± 15.41
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg9.5± 15.59
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg1.5± 16.66
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.9± 11.77
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-4.0± 9.59
Change at Week 8
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg4.2± 9.53
Core Treatment Phase: Placebo Then E6011 400 mg5.4± 15.78
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.5± 17.72
Core Treatment Phase: E6011 400 mg Then E6011 400 mg3.9± 21.68
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg4.6± 10.21
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg3.5± 14.36
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.3± 17.05
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg-2.6± 16.87
Change at Week 12
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg1.8± 10.14
Core Treatment Phase: Placebo Then E6011 400 mg5.1± 23.65
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-1.5± 22.06
Core Treatment Phase: E6011 400 mg Then E6011 400 mg6.8± 19.60
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg2.1± 10.80
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg4.7± 21.64
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-3.8± 21.06
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg4.5± 20.74
Change at Week 16
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg4.7± 10.64
Core Treatment Phase: Placebo Then E6011 400 mg-3.4± 14.11
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-3.0± 23.33
Core Treatment Phase: E6011 400 mg Then E6011 400 mg3.0± 23.46
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg5.8± 10.90
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-3.4± 15.64
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-3.5± 24.22
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg0.8± 23.29
Change at Week 20
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg2.3± 12.72
Core Treatment Phase: Placebo Then E6011 400 mg-0.4± 11.04
Core Treatment Phase: E6011 400 mg Then E6011 200 mg1.2± 31.07
Core Treatment Phase: E6011 400 mg Then E6011 400 mg6.9± 18.59
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg2.8± 13.45
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg0.6± 11.96
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-0.8± 31.33
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg2.7± 16.91
Change at Week 24
GroupValue95% CI
Core Treatment Phase: Placebo Then E6011 200 mg8.2± 17.51
Core Treatment Phase: Placebo Then E6011 400 mg-2.7± 14.74
Core Treatment Phase: E6011 400 mg Then E6011 200 mg-0.1± 33.28
Core Treatment Phase: E6011 400 mg Then E6011 400 mg9.3± 19.00
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg9.6± 18.32
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg-2.4± 16.48
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg-2.3± 33.60
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg4.5± 15.46

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study drug up to 104 Weeks (Treatment Phase: From the first dose of study drug till Week 24; Extension Phase: Post Week 24 till Week 104). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Core Treatment Phase: Placebo
Serious: 1/33 (3%)
Deaths: 0/33
Core Treatment Phase: E6011 400 mg
Serious: 0/31 (0%)
Deaths: 0/31
Core Treatment Phase: Placebo Then E6011 200 mg
Serious: 0/15 (0%)
Deaths: 0/15
Core Treatment Phase: Placebo Then E6011 400 mg
Serious: 1/14 (7%)
Deaths: 0/14
Core Treatment Phase: E6011 400 mg Then E6011 200 mg
Serious: 0/14 (0%)
Deaths: 0/14
Core Treatment Phase: E6011 400 mg Then E6011 400 mg
Serious: 0/12 (0%)
Deaths: 0/12
Extension Phase: Placebo Then E6011 200 mg Then E6011 200 mg
Serious: 2/13 (15%)
Deaths: 1/13
Extension Phase: Placebo Then E6011 400 mg Then E6011 200 mg
Serious: 2/11 (18%)
Deaths: 0/11
Extension Phase: E6011 400 mg Then E6011 200 mg Then E6011 200 mg
Serious: 2/13 (15%)
Deaths: 0/13
Extension Phase: E6011 400 mg Then E6011 400 mg Then E6011 200 mg
Serious: 0/10 (0%)
Deaths: 0/10

Serious adverse events (9 terms)

ReactionSystemCore Treatment Phase: Plac…Core Treatment Phase: E601…Core Treatment Phase: Plac…Core Treatment Phase: Plac…Core Treatment Phase: E601…Core Treatment Phase: E601…Extension Phase: Placebo T…Extension Phase: Placebo T…Extension Phase: E6011 400…Extension Phase: E6011 400…
Cholecystitis acuteHepatobiliary disorders
Hepatic function abnormalHepatobiliary disorders
Tendon ruptureInjury, poisoning and procedural complications
Oesophageal achalasiaGastrointestinal disorders
Sudden deathGeneral disorders
Joint destructionMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
OsteoporosisMusculoskeletal and connective tissue disorders
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (115 terms — click to expand)

ReactionSystemCore Treatment Phase: Plac…Core Treatment Phase: E601…Core Treatment Phase: Plac…Core Treatment Phase: Plac…Core Treatment Phase: E601…Core Treatment Phase: E601…Extension Phase: Placebo T…Extension Phase: Placebo T…Extension Phase: E6011 400…Extension Phase: E6011 400…
NasopharyngitisInfections and infestations
Dental cariesGastrointestinal disorders
Hepatic function abnormalHepatobiliary disorders
Ligament sprainInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
PruritusSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
StomatitisGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Periodontal diseaseGastrointestinal disorders
Injection site erythemaGeneral disorders
GastroenteritisInfections and infestations
CystitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Blood creatine phosphokinase increasedInvestigations
RashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Seasonal allergyImmune system disorders
ParonychiaInfections and infestations
Tinea pedisInfections and infestations
ContusionInjury, poisoning and procedural complications
EczemaSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
TinnitusEar and labyrinth disorders
Eustachian tube patulousEar and labyrinth disorders
Faeces softGastrointestinal disorders
CheilitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
GastritisGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
Injection site reactionGeneral disorders
Face oedemaGeneral disorders
Injection site painGeneral disorders
Injection site warmthGeneral disorders
Breast abscessInfections and infestations
BronchitisInfections and infestations
Oral herpesInfections and infestations
PharyngitisInfections and infestations
SinusitisInfections and infestations

Most-reported serious reactions: Cholecystitis acute, Hepatic function abnormal, Tendon rupture, Oesophageal achalasia, Sudden death, Joint destruction, Osteoarthritis, Osteoporosis.

Data from ClinicalTrials.gov NCT02960490 adverse events section.

Sponsor's own description

This study is a multicenter, randomized, double-blind, placebo-controlled, parallel-group comparison study in rheumatoid arthritis participants inadequately responding to biologics.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Emerging Role of Fractalkine in the Treatment of Rheumatic Diseases.
    Tanaka Y, Hoshino-Negishi K, Kuboi Y, Tago F, et al · · 2020 · cited 27× · PMID 33178636 · DOI 10.2147/itt.s277991

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Trials by the same sponsor.

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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/NCT02960490.

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