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NCT04413617

TO ASSESS THE EFFICACY AND SAFETY OF PF-06650833, PF-06651600, AND TOFACITINIB ALONE AND IN COMBINATION IN PARTICIPANTS WITH ACTIVE RHEUMATOID ARTHRITIS WITH AN INADEQUATE RESPONSE TO METHOTREXATE

Completed Phase 2 Results posted Last updated 7 April 2023
What this trial tests

Phase 2 trial testing PF-06650833 in Rheumatoid Arthritis in 460 participants. Completed in 7 February 2022.

Timeline
29 July 2020
Primary endpoint
7 February 2022
7 February 2022

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment460
Start date29 July 2020
Primary completion7 February 2022
Estimated completion7 February 2022
Sites144 locations across Georgia, Slovakia, Ukraine, Chile, Hungary, Poland, Canada, Bulgaria

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 70, 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 (BL) in Disease Activity Score (DAS)28-C Reactive Protein (CRP) at Week 12 Primary · BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 12

DAS28 is a measure based on assessment of 28 joints for tenderness and swelling (tender and swollen joint counts). Disease Activity Score 28-C reactive protein (DAS28-CRP) is derived using differential weighting given to 4 components: tender joint count (range: 0-28), swollen joint count (range: 0-28), patient global assessment (recorded on a visual analog scale \[VAS\] scale of 0-100 mm), and CRP (milligram per liter). DAS28-CRP score ranges from 0 to 9.4. The lower the DAS28-CRP score is, the better the participant has response (remission = score\<2.6, low disease activity = score≤3.2). A ne

GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-2.65-2.84 – -2.46
PF-06650833 400mg MR + PF-06651600 100mg-2.35-2.54 – -2.15
Tofacitinib 11mg MR-2.30-2.49 – -2.11
PF-06651600 100mg-2.20-2.43 – -1.98
PF-06650833 400mg MR-1.82-2.04 – -1.60
DAS28-CRP Remission (<2.6) Rates at Week 24 Secondary · Week 24

DAS28-CRP is derived using differential weighting given to 4 components: tender joint count, swollen joint count, patient global assessment, and CRP. Remission is defined as DAS28-CRP score \<2.6. Remission rate = the number of responders (who had remission) / (number of responders + non-responders + non-responder assigned by non-responder imputation \[NRI\] after removal of missingness due to COVID-19 and missing components at a given visit)

GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR40.832.6 – 48.7
PF-06650833 400mg MR + PF-06651600 100mg31.324.1 – 39.8
Tofacitinib 11mg MR24.017.1 – 31.8
PF-06651600 100mg22.414.8 – 31.3
PF-06650833 400mg MR11.86.7 – 19.3
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs), and Withdrawals Due to TEAEs Secondary · From first dose of study intervention (Day 1) to Week 28

An adverse event (AE) was any untoward medical occurrence in a patient or clinical study subject, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A serious AE (SAE) was defined as any untoward medical occurrence that, at any dose: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent disability/incapacity; was a congenital anomaly/birth defect; or other serious situations such as important medical events. TEAEs were events between firs

All-causality TEAEs
GroupValue95% CI
Tofacitinib 11mg MR60
PF-06651600 100mg42
PF-06650833 400mg MR38
PF-06650833 400mg MR + Tofacitinib 11mg MR51
PF-06650833 400mg MR + PF-06651600 100mg55
Treatment-related TEAEs
GroupValue95% CI
Tofacitinib 11mg MR15
PF-06651600 100mg17
PF-06650833 400mg MR13
PF-06650833 400mg MR + Tofacitinib 11mg MR20
PF-06650833 400mg MR + PF-06651600 100mg25
All-causality TESAEs
GroupValue95% CI
Tofacitinib 11mg MR3
PF-06651600 100mg3
PF-06650833 400mg MR3
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg1
Treatment-related TESAEs
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Discontinuation from study due to all-causality TEAEs
GroupValue95% CI
Tofacitinib 11mg MR2
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR1
PF-06650833 400mg MR + PF-06651600 100mg1
Discontinuation from study due to treatment-related TEAEs
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR1
PF-06650833 400mg MR + PF-06651600 100mg0
Study drug withdrawal due to all-causality TEAEs but continued study
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg6
PF-06650833 400mg MR6
PF-06650833 400mg MR + Tofacitinib 11mg MR4
PF-06650833 400mg MR + PF-06651600 100mg6
Study drug withdrawal due to treatment-related TEAEs but continued study
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg4
PF-06650833 400mg MR4
PF-06650833 400mg MR + Tofacitinib 11mg MR3
PF-06650833 400mg MR + PF-06651600 100mg4
Number of Participants With Clinical Laboratory Abnormalities (Hematology and Chemistry, Without Regard to Baseline Abnormality) Secondary · From BL to Week 28

Clinical laboratory abnormality was determined at the investigator's discretion.

Hematology: Hemoglobin (gram per deciliter [g/dL]) <0.8x lower limit of normal (LLN)
GroupValue95% CI
Tofacitinib 11mg MR2
PF-06651600 100mg2
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg2
Erythrocytes (10^6/millimeter^3 [10^6/mm^3]) <0.8x LLN
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg2
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Erythrocyte (Ery.) Mean Corpuscular Volume (micrometer^3 [um^3]) <0.9x LLN
GroupValue95% CI
Tofacitinib 11mg MR3
PF-06651600 100mg2
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg0
Ery. Mean Corpuscular Volume (um^3) >1.1x upper limit of normal (ULN)
GroupValue95% CI
Tofacitinib 11mg MR4
PF-06651600 100mg3
PF-06650833 400mg MR4
PF-06650833 400mg MR + Tofacitinib 11mg MR3
PF-06650833 400mg MR + PF-06651600 100mg4
Ery. Mean Corpuscular Hemoglobin (picogram/cell [pg/cell]) <0.9x LLN
GroupValue95% CI
Tofacitinib 11mg MR8
PF-06651600 100mg5
PF-06650833 400mg MR3
PF-06650833 400mg MR + Tofacitinib 11mg MR7
PF-06650833 400mg MR + PF-06651600 100mg4
Ery. Mean Corpuscular Hemoglobin (HGB) Concentration (g/dL) <0.9x LLN
GroupValue95% CI
Tofacitinib 11mg MR8
PF-06651600 100mg6
PF-06650833 400mg MR12
PF-06650833 400mg MR + Tofacitinib 11mg MR10
PF-06650833 400mg MR + PF-06651600 100mg4
Platelets (10^3/mm^3) >1.75xULN
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR1
PF-06650833 400mg MR + PF-06651600 100mg0
Reticulocytes/Erythrocytes (%) >1.5x ULN
GroupValue95% CI
Tofacitinib 11mg MR2
PF-06651600 100mg1
PF-06650833 400mg MR2
PF-06650833 400mg MR + Tofacitinib 11mg MR1
PF-06650833 400mg MR + PF-06651600 100mg1
Number of Participants With Change From Baseline in Vital Signs Data Meeting the Pre-defined Categorical Summarization Criteria Secondary · From BL to Week 28

Abnormality in change from BL in vital signs included: sitting/semi-supine diastolic blood pressure (BP) increase and decrease from BL of \>=20mmHg, systolic BP increase and decrease from BL of \>=30mmHg

Diastolic BP increase >=20mmHg
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg2
PF-06650833 400mg MR3
PF-06650833 400mg MR + Tofacitinib 11mg MR6
PF-06650833 400mg MR + PF-06651600 100mg3
Diastolic BP decrease >=20mmHg
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Systolic BP increase >=30mmHg
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg3
PF-06650833 400mg MR4
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg3
Systolic BP decrease >=30mmHg
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Number of Participants With Adverse Events of Special Interest Secondary · From first dose of study intervention (Day 1) to Week 28

These AEs included severe and opportunistic infection AEs; herpes virus infection AEs; clinically significant categorical increases in hepatic enzymes AST, and ALT and total bilirubin, and potential cases meeting Hy's Law criteria for increased risk of drug induced liver injury (DILI); major adverse cardiovascular events, including pulmonary embolism and deep vein thrombosis, cerebrovascular accident; AEs for decreased renal function, acute kidney injury, clinically significant increases in serum creatinine (Scr) and decreases in estimated glomerular filtration rate (eGFR). Only participants w

Herpes Zoster
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg1
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg0
Oral Herpes
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR1
PF-06650833 400mg MR + PF-06651600 100mg2
ALT Increased
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR3
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg0
AST Increased
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR2
PF-06650833 400mg MR + Tofacitinib 11mg MR2
PF-06650833 400mg MR + PF-06651600 100mg0
Hyperbilirubinaemia
GroupValue95% CI
Tofacitinib 11mg MR1
PF-06651600 100mg0
PF-06650833 400mg MR0
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Transaminases Increased
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR1
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Hepatic Enzyme Increased
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR1
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Liver Injury
GroupValue95% CI
Tofacitinib 11mg MR0
PF-06651600 100mg0
PF-06650833 400mg MR1
PF-06650833 400mg MR + Tofacitinib 11mg MR0
PF-06650833 400mg MR + PF-06651600 100mg0
Change From Baseline in DAS28-CRP at Week 24 Secondary · BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 24

DAS28 is a measure based on assessment of 28 joints for tenderness and swelling (tender and swollen joint counts). DAS28-CRP is derived using differential weighting given to 4 components: tender joint count (range: 0-28), swollen joint count (range: 0-28), patient global assessment (recorded on a visual analog scale \[VAS\] scale of 0-100 mm), and CRP (milligram per liter). DAS28-CRP score ranges from 0 to 9.4. The lower the DAS28-CRP score is, the better the participant has response (remission = score\<2.6, low disease activity = score≤3.2). A negative value in change from BL indicates an imp

GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-3.05-3.26 – -2.85
PF-06650833 400mg MR + PF-06651600 100mg-2.87-3.08 – -2.65
Tofacitinib 11mg MR-2.66-2.88 – -2.45
PF-06651600 100mg-2.53-2.78 – -2.28
PF-06650833 400mg MR-2.26-2.51 – -2.00
American College of Rheumatology (ACR)20, ACR 50, ACR 70, and ACR 90 Responder Rates at Week 12 and Week 24 Secondary · BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 12, Week 24

The American College of Rheumatology's definition for calculating improvement in rheumatoid arthritis (ACR20) is calculated as a \>=20% improvement in tender and swollen joint counts and 20% improvement in 3 of the 5 remaining ACR core set measures: patient and physician global assessments, pain, disability, and CRP. Similarly, ACR50, ACR70, and ACR 90 were calculated with the respective percent improvement. Responder rate = number of responders (who had ACR20/50/70/90 response)/(number of responders + non-responders + non-responder assigned by non-responder imputation \[NRI\] after removal of

ACR20 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR86.4179.94 – 91.59
PF-06650833 400mg MR + PF-06651600 100mg79.2171.99 – 85.62
Tofacitinib 11mg MR83.1775.94 – 88.98
PF-06651600 100mg72.7363.80 – 80.94
PF-06650833 400mg MR75.0066.26 – 82.24
ACR50 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR62.7554.69 – 70.75
PF-06650833 400mg MR + PF-06651600 100mg54.4645.79 – 62.57
Tofacitinib 11mg MR46.5338.04 – 55.19
PF-06651600 100mg44.1634.59 – 54.16
PF-06650833 400mg MR38.1629.16 – 47.81
ACR70 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR21.3615.35 – 28.95
PF-06650833 400mg MR + PF-06651600 100mg25.7419.17 – 33.29
Tofacitinib 11mg MR23.7616.96 – 31.42
PF-06651600 100mg18.1811.34 – 26.08
PF-06650833 400mg MR10.535.39 – 18.17
ACR90 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR2.911.07 – 6.86
PF-06650833 400mg MR + PF-06651600 100mg3.961.74 – 8.58
Tofacitinib 11mg MR0.990.10 – 4.12
PF-06651600 100mg1.300.14 – 5.32
PF-06650833 400mg MR1.320.14 – 5.39
ACR20 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR75.7368.31 – 82.41
PF-06650833 400mg MR + PF-06651600 100mg70.0061.87 – 77.31
Tofacitinib 11mg MR75.2567.64 – 82.11
PF-06651600 100mg67.5357.99 – 76.32
PF-06650833 400mg MR55.2645.20 – 65.01
ACR50 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR65.0557.08 – 72.34
PF-06650833 400mg MR + PF-06651600 100mg65.0056.68 – 72.92
Tofacitinib 11mg MR65.3557.14 – 73.21
PF-06651600 100mg54.5544.56 – 63.80
PF-06650833 400mg MR43.4233.74 – 53.50
ACR70 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR45.6337.25 – 54.20
PF-06650833 400mg MR + PF-06651600 100mg44.0035.61 – 52.72
Tofacitinib 11mg MR44.5536.60 – 53.22
PF-06651600 100mg31.1722.51 – 40.74
PF-06650833 400mg MR27.6319.32 – 36.52
ACR90 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR12.628.05 – 19.19
PF-06650833 400mg MR + PF-06651600 100mg18.0012.27 – 25.23
Tofacitinib 11mg MR9.905.58 – 16.09
PF-06651600 100mg5.192.28 – 11.34
PF-06650833 400mg MR1.320.14 – 5.39
Change From Baseline in the Tender/Painful and Swollen Joint Count at Week 12 and Week 24 Secondary · BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 12, Week 24

The endpoint included Tender/Painful Joint Count 68 (TJC68) and 28 (TJC28). TJC68 was assessed by a blinded joint assessor to determine the number of joints that were considered tender or painful in upper body and upper/lower extremity. The response to pressure/motion on each joint was assessed using the following scale: Present/Absent/Not Done/Not Applicable (to be used for artificial or missing joints). The 28-joints set is the subset of 68 joints set including the following joints: shoulders, elbows, wrists, metacarpophalangeal joints, proximal interphalangeal joints, and knees. TJC28 was c

TJC28 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-9.87-10.65 – -9.09
PF-06650833 400mg MR + PF-06651600 100mg-9.78-10.58 – -8.98
Tofacitinib 11mg MR-9.84-10.63 – -9.05
PF-06651600 100mg-9.83-10.76 – -8.91
PF-06650833 400mg MR-8.82-9.73 – -7.92
TJC68 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-14.96-16.09 – -13.83
PF-06650833 400mg MR + PF-06651600 100mg-15.66-16.81 – -14.50
Tofacitinib 11mg MR-15.32-16.47 – -14.18
PF-06651600 100mg-14.80-16.13 – -13.46
PF-06650833 400mg MR-13.76-15.07 – -12.46
SJC28 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-8.61-9.16 – -8.06
PF-06650833 400mg MR + PF-06651600 100mg-8.16-8.73 – -7.60
Tofacitinib 11mg MR-7.86-8.41 – -7.30
PF-06651600 100mg-8.30-8.95 – -7.65
PF-06650833 400mg MR-7.80-8.44 – -7.15
SJC66 (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-11.29-11.99 – -10.59
PF-06650833 400mg MR + PF-06651600 100mg-10.90-11.62 – -10.19
Tofacitinib 11mg MR-10.34-11.05 – -9.63
PF-06651600 100mg-10.75-11.58 – -9.92
PF-06650833 400mg MR-10.18-11.00 – -9.37
TJC28 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-11.33-12.06 – -10.61
PF-06650833 400mg MR + PF-06651600 100mg-11.44-12.20 – -10.68
Tofacitinib 11mg MR-10.60-11.34 – -9.86
PF-06651600 100mg-10.47-11.34 – -9.59
PF-06650833 400mg MR-10.31-11.20 – -9.42
TJC68 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-16.68-17.78 – -15.57
PF-06650833 400mg MR + PF-06651600 100mg-17.68-18.82 – -16.53
Tofacitinib 11mg MR-16.76-17.88 – -15.64
PF-06651600 100mg-16.69-18.02 – -15.36
PF-06650833 400mg MR-15.79-17.13 – -14.46
SJC28 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-8.83-9.34 – -8.31
PF-06650833 400mg MR + PF-06651600 100mg-9.44-9.98 – -8.90
Tofacitinib 11mg MR-8.76-9.29 – -8.24
PF-06651600 100mg-8.71-9.33 – -8.08
PF-06650833 400mg MR-8.28-8.92 – -7.65
SJC66 (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-11.41-12.02 – -10.80
PF-06650833 400mg MR + PF-06651600 100mg-12.38-13.03 – -11.74
Tofacitinib 11mg MR-11.59-12.21 – -10.97
PF-06651600 100mg-11.45-12.19 – -10.71
PF-06650833 400mg MR-11.10-11.86 – -10.34
Change From Baseline in the Physician's Global Assessment (PhGA) of Arthritis at Week 12 and Week 24 Secondary · BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 12, Week 24

PhGA of Arthritis is an evaluation done by investigator based on the participant's disease signs, functional capacity and physical examination, and should be independent of the Patient's Global Assessment of Arthritis. The investigator's response was recorded using a 100 mm VAS. Physician's Global Assessment score ranges from 0 to 100. Higher scores indicate higher level of disability. A negative value in change from BL indicates an improvement.

PhGA of Arthritis (Week 12)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-43.50-46.32 – -40.69
PF-06650833 400mg MR + PF-06651600 100mg-41.20-44.06 – -38.34
Tofacitinib 11mg MR-40.86-43.72 – -38.00
PF-06651600 100mg-38.62-41.95 – -35.28
PF-06650833 400mg MR-31.56-34.82 – -28.30
PhGA of Arthritis (Week 24)
GroupValue95% CI
PF-06650833 400mg MR + Tofacitinib 11mg MR-47.50-50.13 – -44.87
PF-06650833 400mg MR + PF-06651600 100mg-48.21-50.95 – -45.47
Tofacitinib 11mg MR-47.31-49.98 – -44.63
PF-06651600 100mg-43.42-46.60 – -40.25
PF-06650833 400mg MR-39.27-42.49 – -36.05

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study intervention (Day 1) to Week 28. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tofacitinib 11mg MR
Serious: 3/102 (3%)
Deaths: 1/102
PF-06651600 100mg
Serious: 3/77 (4%)
Deaths: 0/77
PF-06650833 400mg MR
Serious: 3/77 (4%)
Deaths: 0/77
PF-06650833 400mg MR + Tofacitinib 11mg MR
Serious: 0/103 (0%)
Deaths: 0/103
PF-06650833 400mg MR + PF-06651600 100mg
Serious: 1/101 (1%)
Deaths: 0/101

Serious adverse events (10 terms)

ReactionSystemTofacitinib 11mg MRPF-06651600 100mgPF-06650833 400mg MRPF-06650833 400mg MR + Tof…PF-06650833 400mg MR + PF-…
COVID-19 pneumoniaInfections and infestations
Coronavirus infectionInfections and infestations
Femur fractureInjury, poisoning and procedural complications
Diabetic ketoacidosisMetabolism and nutrition disorders
Lumbar spinal stenosisMusculoskeletal and connective tissue disorders
Skin squamous cell carcinoma recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal colicRenal and urinary disorders
Endometrial hyperplasiaReproductive system and breast disorders
Uterine polypReproductive system and breast disorders
Other adverse events (7 terms — click to expand)

ReactionSystemTofacitinib 11mg MRPF-06651600 100mgPF-06650833 400mg MRPF-06650833 400mg MR + Tof…PF-06650833 400mg MR + PF-…
SARS-CoV-2 test positiveInvestigations
Urinary tract infectionInfections and infestations
HeadacheNervous system disorders
NasopharyngitisInfections and infestations
NauseaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Rheumatoid arthritisMusculoskeletal and connective tissue disorders

Most-reported serious reactions: COVID-19 pneumonia, Coronavirus infection, Femur fracture, Diabetic ketoacidosis, Lumbar spinal stenosis, Skin squamous cell carcinoma recurrent, Uterine leiomyoma, Renal colic.

Data from ClinicalTrials.gov NCT04413617 adverse events section.

Sponsor's own description

Dual objectives of increased efficacy compared to currently available SoC RA drugs and maintaining a favourable benefit - risk relationship.

Publications & conference data

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

  1. JAK/STAT pathway: Extracellular signals, diseases, immunity, and therapeutic regimens.
    Hu Q, Bian Q, Rong D, Wang L, et al · · 2023 · cited 190× · PMID 36911202 · DOI 10.3389/fbioe.2023.1110765
  2. Synovial fibroblasts as potential drug targets in rheumatoid arthritis, where do we stand and where shall we go?
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  5. Impact of Janus Kinase Inhibition on the Treatment of Axial Spondyloarthropathies.
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  6. Reply.
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