Table 2.

Summary of efficacy and safety. Values are n or n (%) unless otherwise specified.

VariablesPlaceboJNJ-40346527 100 mg Twice Dailyp
Efficacy endpoints among patients in the mITT population*
  Improvement from baseline in DAS28-CRP at Week 12, primary endpoint3161
    Mean (SD)1.42 (1.187)1.15 (1.186)0.30**
    Median (IQR)1.32 (0.50–2.29)0.99 (0.38–1.76)
  Major secondary endpoints
    ACR20 response at Week 1213/31 (41.9%)30/61 (49.2%)0.66***
    DAS28-CRP response at Week 1220/31 (64.5%)34/61 (55.7%)0.50***
  Additional efficacy endpoints
    Proportion of patients with HAQ-DI improvement ≥ 0.25 at Week 1217/32 (53.1%)39/63 (61.9%)0.51***
    HAQ-DI improvement at Week 123263
      Mean (SD)0.27 (0.466)0.39 (0.579)
      Median (IQR)0.25 (−0.13–0.56)0.38 (0.13–0.63)0.21
    CRP % improvement at Week 1232630.35
      Mean (SD)−60.22 (339.171)−19.67 (117.571)
      Median (IQR)23.07 (−20.71–72.68)22.87 (−63.48–58.35)
Summary of AE among treated patients
  Patients treated, n3263
  Patients with AE16 (50.0)37 (58.7)
    Common AE, > 5% of patients
      Blood lactate dehydrogenase increased1 (3.1)9 (14.3)
      Abdominal pain upper3 (9.4)1 (1.6)
      Urinary tract infection2 (6.3)1 (1.6)
  Patients with serious AE3 (9.4)1 (1.6)
    Serious AE
    Gastroesophageal reflux disease01 (1.6)
      Femur fracture1 (3.1)0
      Myositis1 (3.1)0
      Calculus ureteric1 (3.1)0
      Thrombophlebitis1 (3.1)0
  • * All randomized patients who had received ≥ 1 study agent administration and who had baseline and ≥ 1 postbaseline values.

  • ** P value derived using ANCOVA model with treatment as a fixed factor and baseline DAS28-CRP as a covariate.

  • *** P values derived using Fisher’s exact test.

  • P values derived using rank ANCOVA with treatment as fixed effect and baseline score as a covariate.

  • Percentages calculated with the number of patients in each treatment group as denominator, n is the number of patients experiencing ≥ 1 AE, not the number of events, and AE were coded using Medical Dictionary for Regulatory Activities 15.0. mITT: modified intent-to-treat; DAS28: 28-joint Disease Activity Score; CRP: C-reactive protein; IQR: interquartile range; ACR20: ≥ 20% improvement in the American College of Rheumatology response criteria; HAQ-DI: Health Assessment Questionnaire–Disability Index; AE: adverse events.