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NCT02969044

Study To Assess The Efficacy And Safety Of Pf-06651600 In Subjects With Rheumatoid Arthritis With An Inadequate Response To Methotrexate

Completed Phase 2 Results posted Last updated 4 December 2018
What this trial tests

Phase 2 trial testing Placebo in Rheumatoid Arthritis in 70 participants. Completed in 12 December 2017.

Timeline
20 December 2016
Primary endpoint
12 December 2017
12 December 2017

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment70
Start date20 December 2016
Primary completion12 December 2017
Estimated completion12 December 2017
Sites30 locations across Georgia, Slovakia, Serbia, Germany, Hungary, Poland, Bulgaria, United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — 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.

Change From Baseline in Simple Disease Activity Index (SDAI) Score at Week 8 Primary · Baseline, Week 8

The SDAI is the numerical sum of five outcome parameters: tender joint count (TJC) and swollen joint count (SJC) based on a 28-joint assessment, patient global assessment (PtGA) and physician global assessment (PGA) assessed on a visual analogue scale (VAS) scale ranging from 0 to 10 centimeter (cm), where higher scores=greater affection due to disease activity, and C-reactive protein (CRP) measured in terms of milligram per deciliter (mg/dL). SDAI total score= 0 to 86. SDAI greater than or equal to (\<=) 3.3 indicates disease remission, greater than (\>) 3.4 to 11 = low disease activity, \>11

Baseline
GroupValue95% CI
PF-0665160045.15± 13.164
Placebo44.85± 13.976
Change at Week 8
GroupValue95% CI
PF-06651600-26.11± 14.834
Placebo-17.38± 18.176
Number of Participants With Vital Signs Abnormalities Secondary · Baseline up to Week 12

Criteria: sitting pulse rate less than (\<) 40 beats per minute (bpm) or \>120 bpm; sitting systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg) change from baseline in same posture or \<90 mmHg; diastolic blood pressure (DBP) \>=20 mmHg change from baseline in same posture or \<50 mmHg. Only those categories in which at least one participant had abnormality, were reported in this outcome measure.

Sitting DBP >=20 mmHg increase from baseline
GroupValue95% CI
PF-066516003
Placebo0
Sitting DBP >=20 mmHg decrease from baseline
GroupValue95% CI
PF-066516000
Placebo1
Number of Participants With Laboratory Abnormalities Secondary · Baseline up to Week 12

Hemoglobin(Hb);hematocrit;RBC count:\<0.8\*lower limit of normal (LLN),mean corpuscular volume;mean corpuscular Hb concentration:\<0.9\*LLN or\>1.1\*upper limit of normal (ULN), platelet:\<0.5\*LLN or \>1.75\*ULN,reticulocytes \<0.5\*LLN or \>1.5\*ULN,leukocytes \<0.6\*LLN or \>1.5\*ULN,lymphocyte;neutrophil: \<0.8\*LLN or \>1.2\*ULN,basophil;eosinophil; monocyte:\>1.2\*ULN,partial thromboplastin time,prothrombin time\>1.1\*ULN,bilirubin\>1.5\*ULN, aspartate aminotransferase; alanine aminotransferase;alkaline phosphatase:\>3.0\*ULN,protein;albumin;LDL, HDL cholesterol:\<0.8\*LLN or \>1.2\*ULN;

GroupValue95% CI
PF-0665160042
Placebo28
Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Secondary · Baseline up to Week 12

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Week 12 that were absent before treatment or that worsened relative to pretreatment state.

AEs
GroupValue95% CI
PF-0665160020
Placebo5
SAEs
GroupValue95% CI
PF-066516000
Placebo0
Change From Baseline in Simple Disease Activity Index (SDAI) Score at Week 1, 2, 4 and 6 Secondary · Baseline, Week 1, 2, 4 and 6

The SDAI is the numerical sum of five outcome parameters: TJC and SJC based on a 28-joint assessment, PtGA and PGA assessed on a VAS scale ranging from 0 to 10 cm, where higher scores=greater affection due to disease activity, and CRP measured in terms of mg/dL. SDAI total score= 0 to 86. SDAI \<=3.3 indicates disease remission, \>3.4 to 11 = low disease activity, \>11 to 26 = moderate disease activity, and \>26 = high disease activity.

Change at Week 1
GroupValue95% CI
PF-06651600-4.59± 9.409
Placebo-4.52± 7.025
Change at Week 2
GroupValue95% CI
PF-06651600-12.82± 10.969
Placebo-8.05± 9.402
Change at Week 4
GroupValue95% CI
PF-06651600-17.79± 12.804
Placebo-12.55± 13.462
Change at Week 6
GroupValue95% CI
PF-06651600-22.79± 14.007
Placebo-15.62± 14.231
Remission Rate Based on Simple Disease Activity Index Score Secondary · Week 4, 6 and 8

Remission rate was defined as percentage of participants with disease remission. The SDAI is the numerical sum of five outcome parameters: TJC and SJC based on a 28-joint assessment, PtGA and PGA assessed on a VAS scale ranging from 0 to 10 cm, where higher scores=greater affection due to disease activity, and CRP measured in terms of mg/dL. SDAI total score= 0 to 86. SDAI \<=3.3 indicates disease remission, \>3.4 to 11 = low disease activity, \>11 to 26 = moderate disease activity, and \>26 = high disease activity.

Week 4
GroupValue95% CI
PF-066516004.8
Placebo0.0
Week 6
GroupValue95% CI
PF-066516004.8
Placebo0.0
Week 8
GroupValue95% CI
PF-066516007.1
Placebo0.0
Remission Rate Based on Disease Activity Score (DAS28-3 [ESR]) Secondary · Week 4, 6 and 8

Remission rate was defined as the percentage of participants with disease remission. DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-3 (ESR) was calculated from SJC and TJC using 28 joints count, and erythrocyte sedimentation rate (ESR) (millimeters per hour \[mm/hr\]). Total score range: 0-9.4, higher score=more disease activity. DAS28-3 (ESR) \<= 3.2 implied low disease activity and \>3.2 to 5.1 implied moderate to high disease activity, and DAS28-3 (ESR) \<2.6 = remission.

Week 4
GroupValue95% CI
PF-066516004.8
Placebo0.0
Week 6
GroupValue95% CI
PF-066516002.4
Placebo0.0
Week 8
GroupValue95% CI
PF-066516007.1
Placebo0.0
Remission Rate Based on Disease Activity Score (DAS28-4[ESR]) Secondary · Week 4, 6 and 8

Remission rate was defined as the percentage of participants with disease remission. DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-4 (ESR) was calculated from the number of SJC and TJC using the 28 joints count, the ESR (mm/hour) and participant's global assessment (PGA) of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). Total score range: 0-9.4, higher score=more disease activity. DAS28-4 (ESR) \<= 3.2 implied low disease acti

Week 4
GroupValue95% CI
PF-066516004.8
Placebo0.0
Week 6
GroupValue95% CI
PF-066516004.8
Placebo0.0
Week 8
GroupValue95% CI
PF-066516007.1
Placebo0.0
Remission Rate Based on Disease Activity Score (DAS28-3 [CRP]) Secondary · Week 4, 6 and 8

Remission rate was defined as the percentage of participants with disease remission. DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-3 (CRP) was calculated from the SJC and TJC using the 28 joints count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (CRP) \<= 3.2 implied low disease activity and \>3.2 to 5.1 implied moderate to high disease activity, and DAS28-3 (CRP) \<2.6 = remission.

Week 4
GroupValue95% CI
PF-066516009.5
Placebo0.0
Week 6
GroupValue95% CI
PF-066516007.1
Placebo3.6
Week 8
GroupValue95% CI
PF-066516009.5
Placebo0.0
Remission Rate Based on Disease Activity Score (DAS28-4 [CRP]) Secondary · Week 4, 6 and 8

Remission rate was defined as the percentage of participants with disease remission. DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-4 (CRP): calculated from SJC, TJC, CRP (mg/L) and PGA (participant rated disease activity on VAS from 0 to 100 mm; high score=worse health). Total score range of DAS28-4 (CRP): 0 to 9.4(0=no activity; 9.4=extreme disease activity), higher score=more disease activity. DAS28-4(CRP) \<2.6=remission, \<3.2=low disease activity, \>=3.2-5.1=moderate disease activity and \>5.1=high disease activity.

Week 4
GroupValue95% CI
PF-066516009.5
Placebo0.0
Week 6
GroupValue95% CI
PF-066516009.5
Placebo3.6
Week 8
GroupValue95% CI
PF-066516009.5
Placebo0.0
Change From Baseline in Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (3 Variables) (DAS28-3 [ESR]) at Week 1, 2, 4, 6 and 8 Secondary · Baseline, Week 1, 2, 4, 6 and 8

DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-3 (ESR) was calculated from SJC and TJC using 28 joints count, and ESR (mm/hr). Total score range: 0-9.4, higher score=more disease activity. DAS28-3 (ESR) \<= 3.2 implied low disease activity and \>3.2 to 5.1 implied moderate to high disease activity, and DAS28-3 (ESR) \<2.6 = remission.

Baseline
GroupValue95% CI
PF-066516006.49± 0.762
Placebo6.37± 0.815
Change at Week 1
GroupValue95% CI
PF-06651600-0.19± 0.604
Placebo-0.26± 0.434
Change at Week 2
GroupValue95% CI
PF-06651600-0.67± 0.602
Placebo-0.46± 0.531
Change at Week 4
GroupValue95% CI
PF-06651600-1.16± 1.125
Placebo-0.78± 0.905
Change at Week 6
GroupValue95% CI
PF-06651600-1.54± 1.123
Placebo-1.07± 0.989
Change at Week 8
GroupValue95% CI
PF-06651600-1.85± 1.161
Placebo-1.07± 1.214
Change From Baseline in Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR]) at Week 1, 2, 4, 6 and 8 Secondary · Baseline, Week 1, 2, 4, 6 and 8

DAS28 is measure of disease activity in participants with rheumatoid arthritis. DAS28-4 (ESR) was calculated from SJC and TJC using 28 joints count, ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment). Total score range: 0-9.4, higher score=more disease activity. DAS28-4 (ESR) \<= 3.2 implied low disease activity and \>3.2 to 5.1 implied moderate to high disease activity, and DAS28-4 (ESR) \<2.6 = remission.

Baseline
GroupValue95% CI
PF-066516006.82± 0.815
Placebo6.72± 0.880
Change at Week 1
GroupValue95% CI
PF-06651600-0.27± 0.553
Placebo-0.27± 0.477
Change at Week 2
GroupValue95% CI
PF-06651600-0.83± 0.695
Placebo-0.47± 0.551
Change at Week 4
GroupValue95% CI
PF-06651600-1.36± 1.173
Placebo-0.89± 0.951
Change at Week 6
GroupValue95% CI
PF-06651600-1.81± 1.179
Placebo-1.18± 1.050
Change at Week 8
GroupValue95% CI
PF-06651600-2.14± 1.269
Placebo-1.22± 1.448

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Week 12. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-06651600
Serious: 0/42 (0%)
Deaths: 0/42
Placebo
Serious: 0/28 (0%)
Deaths: 0/28
Other adverse events (28 terms — click to expand)

ReactionSystemPF-06651600Placebo
LymphopeniaBlood and lymphatic system disorders
InfluenzaInfections and infestations
HeadacheNervous system disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal distensionGastrointestinal disorders
GlossitisGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Oedema peripheralGeneral disorders
HepatotoxicityHepatobiliary disorders
Asymptomatic bacteriuriaInfections and infestations
Fungal skin infectionInfections and infestations
Oral herpesInfections and infestations
Upper respiratory tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
Ligament sprainInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Cytomegalovirus test positiveInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Spinal painMusculoskeletal and connective tissue disorders
SynovitisMusculoskeletal and connective tissue disorders
Suicidal ideationPsychiatric disorders
AcneSkin and subcutaneous tissue disorders
DermatitisSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02969044 adverse events section.

Sponsor's own description

This is an 8 week study to assess the efficacy and safety profile of PF-06651600 in seropositive subjects with rheumatoid arthritis with an inadequate response to methotrexate (up to approximately 50% of subjects may also have had an inadequate response to 1 anti-TNF biologic).

Publications & conference data

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

  1. Janus kinase-targeting therapies in rheumatology: a mechanisms-based approach.
    Tanaka Y, Luo Y, O'Shea JJ, Nakayamada S. · · 2022 · cited 329× · PMID 34987201 · DOI 10.1038/s41584-021-00726-8
  2. JAK inhibition as a therapeutic strategy for immune and inflammatory diseases.
    Schwartz DM, Kanno Y, Villarino A, Ward M, et al · · 2017 · cited 308× · PMID 29282366 · DOI 10.1038/nrd.2017.267
  3. STAT proteins: a kaleidoscope of canonical and non-canonical functions in immunity and cancer.
    Awasthi N, Liongue C, Ward AC. · · 2021 · cited 97× · PMID 34809691 · DOI 10.1186/s13045-021-01214-y
  4. JAK-STAT signaling in human disease: From genetic syndromes to clinical inhibition.
    Luo Y, Alexander M, Gadina M, O'Shea JJ, et al · · 2021 · cited 92× · PMID 34625141 · DOI 10.1016/j.jaci.2021.08.004
  5. The Role of Janus Kinase Signaling in Graft-Versus-Host Disease and Graft Versus Leukemia.
    Schroeder MA, Choi J, Staser K, DiPersio JF. · · 2018 · cited 82× · PMID 29289756 · DOI 10.1016/j.bbmt.2017.12.797
  6. Janus kinase inhibitors for the treatment of rheumatoid arthritis demonstrate similar profiles of in vitro cytokine receptor inhibition.
    Dowty ME, Lin TH, Jesson MI, Hegen M, et al · · 2019 · cited 76× · PMID 31832202 · DOI 10.1002/prp2.537
  7. The new entries in the therapeutic armamentarium: The small molecule JAK inhibitors.
    Bechman K, Yates M, Galloway JB. · · 2019 · cited 64× · PMID 31401212 · DOI 10.1016/j.phrs.2019.104392
  8. Therapeutic Implication of SOCS1 Modulation in the Treatment of Autoimmunity and Cancer.
    Sharma J, Larkin J. · · 2019 · cited 62× · PMID 31105556 · DOI 10.3389/fphar.2019.00324

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Other trials of PF-06651600

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