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Adalimumab in Adult Japanese Subjects With Rheumatoid Arthritis

Open-Label Continuous Administration Study With Adalimumab (D2E7) in Subjects With Rheumatoid Arthritis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00235872
Enrollment
309
Registered
2005-10-12
Start date
2004-08-31
Completion date
Unknown
Last updated
2011-04-11

For informational purposes only โ€” not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid Arthritis

Keywords

Rheumatoid arthritis

Brief summary

The purpose of the study is to assess the long-term safety and tolerability of repeated administration of adalimumab in Japanese subjects with rheumatoid arthritis.

Interventions

BIOLOGICALadalimumab

40 mg eow, sc

Sponsors

Abbott Japan Co.,Ltd
CollaboratorINDUSTRY
Eisai Co., Ltd.
CollaboratorINDUSTRY
Abbott
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participation and completion until Week 24 of the prior adalimumab dose-ranging study. * Females must be postmenopausal for at least 1 year, surgically sterile, or practicing birth control throughout the study and for 90 days after study completion. * Female subjects tested negative in pregnancy test (serum test) at Week 24 in prior adalimumab study, if capable of pregnancy.

Exclusion criteria

* A subject who experienced any of the following during prior study: * Advanced or poorly controlled diabetes * Joint surgery (joint evaluated in this study) * A subject who has been prescribed excluded medications during prior study. * History of following during prior study: * Clinically significant drug or alcohol abuse * Intravenous (iv) drug abuse * Active infection with listeria or tuberculosis (TB) * Lymphoma, leukemia * And, any malignancy with the exception of successfully treated non-metastatic basal cell carcinoma of the skin. * A subject who has been administered a live vaccine during prior study, or subject scheduled to complete the administration of a live vaccine during the study period

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Number of responders with ACR criteria improvement consisting of 20%, 50%, and 70% (ACR20/50/70, respectively) reduction in tender or swollen joint counts (TJC or SJC, respectively) and 20%, 50%, and 70% improvement, respectively, in 3 of the following 5 criteria: 1) physician's global assessment of disease activity (PGA), 2) subject's assessment of disease activity, 3) subject's assessment of pain, 4) subject's assessment of functional disability via a health assessment questionnaire (DI-HAQ), and 5) C-reactive protein (CRP) at each visit.

Secondary

MeasureTime frameDescription
Mean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change from Baseline in SJC (max=66) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing)\] of the M02-575 study; for the M02-575 rescue arm, the baseline was defined as the Week 0 (before dosing) of the M03-651 study.
Mean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).Change from Baseline in PGA (a visual analog scale from 0-100 mm, with 0 being the absence of disease activity and 100 mm being very strong disease activity, a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
Mean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).Change from Baseline in Subject's Global Assessment of Disease Activity (a visual analog scale from 0-100 mm (0 being absence of disease activity and 100 being very strong disease activity), a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
Mean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).Change from Baseline in subject's assessment of pain (a visual analog scale from 0-100 mm \[0 being no pain and 100 being unbearable pain\], a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
Mean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change from Baseline in DI-HAQ overall score (includes 20 questions assessing physical function in 8 domains - dressing, rising, eating, walking, hygiene, reach, grip, and usual activities). Each question is on a scale of 0-3 mm to measure the ability to perform certain activities (0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do so), a component of the ACR criteria by visit. DI-HAQ is derived based on the mean of individual responses not the total of individual questions
Mean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change from Baseline in TJC (max=68) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.
Presence of Morning StiffnessEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)The number of subjects with morning stiffness at each visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.
Mean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change (minutes) from Baseline in morning stiffness (duration). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.
Presence of Rheumatoid Factor (RF)Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)The number of subjects who were positive for rheumatoid factor (RF) at each visit. RF considered negative if \<=20 IU/mL and positive if \>20 IU/mL.
Mean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change from Baseline in RF (IU/mL). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.
Mean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitEvery 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)Mean change from Baseline in CRP (mg/dL), a component of the ACR criteria by visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Adalimumab 40 mg Eow
Adalimumab 40 mg subcutaneously (sc) administered every other week (eow) until approval of adalimumab in Japan
309
Total309

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdministrative reason61
Overall StudyAdverse Event34
Overall StudyDeath1
Overall StudyLost to Follow-up1
Overall StudyWithdrawal by Subject50

Baseline characteristics

CharacteristicAdalimumab 40 mg Eow
Age, Customized
< 40 years
35 participants
Age, Customized
>/= 60 years
106 participants
Age, Customized
Between 40 and 49 years
57 participants
Age, Customized
Between 50 and 59 years
111 participants
Region of Enrollment
Japan
309 participants
Sex: Female, Male
Female
249 Participants
Sex: Female, Male
Male
60 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
285 / 309
serious
Total, serious adverse events
111 / 309

Outcome results

Primary

Number of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)

Number of responders with ACR criteria improvement consisting of 20%, 50%, and 70% (ACR20/50/70, respectively) reduction in tender or swollen joint counts (TJC or SJC, respectively) and 20%, 50%, and 70% improvement, respectively, in 3 of the following 5 criteria: 1) physician's global assessment of disease activity (PGA), 2) subject's assessment of disease activity, 3) subject's assessment of pain, 4) subject's assessment of functional disability via a health assessment questionnaire (DI-HAQ), and 5) C-reactive protein (CRP) at each visit.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (NUMBER)
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 48 ACR7052 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 60 ACR7047 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 72 ACR20118 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 72 ACR5075 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 0 ACR20104 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 0 ACR5052 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 0 ACR7022 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 4 ACR20157 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 4 ACR5074 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 4 ACR7030 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 8 ACR20154 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 8 ACR5074 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 8 ACR7040 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 12 ACR20154 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 12 ACR5083 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 12 ACR7039 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 16 ACR20148 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 16 ACR5081 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 16 ACR7046 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 20 ACR20155 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 20 ACR5077 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 20 ACR7046 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 24 ACR20155 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 24 ACR5091 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 24 ACR7046 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 36 ACR20163 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 36 ACR5099 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 36 ACR7050 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 48 ACR20158 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 48 ACR5099 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 60 ACR20141 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 60 ACR5086 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 72 ACR7045 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 84 ACR2092 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 84 ACR5063 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 84 ACR7033 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 96 ACR2081 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 96 ACR5049 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 96 ACR7024 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 108 ACR2072 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 108 ACR5043 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 108 ACR7027 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 120 ACR2063 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 120 ACR5041 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 120 ACR7023 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 132 ACR2068 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 132 ACR5049 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 132 ACR7027 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 144 ACR2063 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 144 ACR5047 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 144 ACR7025 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 156 ACR2061 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 156 ACR5047 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 156 ACR7027 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 168 ACR2062 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 168 ACR5042 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 168 ACR7028 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 180 ACR2047 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 180 ACR5033 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 180 ACR7016 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 192 ACR2024 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 192 ACR5016 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 192 ACR708 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 204 ACR208 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 204 ACR507 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 204 ACR704 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 216 ACR201 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 216 ACR501 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Week 216 ACR700 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Final Value ACR20166 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Final Value ACR50104 participants
Adalimumab 40 mg EowNumber of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)Final Value ACR7058 participants
Secondary

Mean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by Visit

Mean change from Baseline in CRP (mg/dL), a component of the ACR criteria by visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitBaseline (n=-309)4.7 mg/dLStandard Deviation 3.3
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 0 (n=309)-1.2 mg/dLStandard Deviation 3.02
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 36 (n=245)-2.2 mg/dLStandard Deviation 3.55
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 48 (n=231)-2.3 mg/dLStandard Deviation 3.66
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 60 (n=209)-2.5 mg/dLStandard Deviation 3.46
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 72 (n=162)-2.4 mg/dLStandard Deviation 3.77
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 84 (n=125)-2.9 mg/dLStandard Deviation 3.9
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 96 (n=102)-3.3 mg/dLStandard Deviation 3.59
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 192 (n=33)-4.2 mg/dLStandard Deviation 4.21
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 204 (n=9)-5.4 mg/dLStandard Deviation 6.38
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 216 (n=1)-4.0 mg/dLStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 4 (n=307)-1.7 mg/dLStandard Deviation 3.38
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 8 (n=303)-1.6 mg/dLStandard Deviation 3.69
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 12 (n=298)-1.5 mg/dLStandard Deviation 3.33
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 16 (n=287)-1.6 mg/dLStandard Deviation 3.58
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 20 (n=271)-1.8 mg/dLStandard Deviation 3.6
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 24 (n=261)-1.9 mg/dLStandard Deviation 3.51
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 108 (n=95)-3.1 mg/dLStandard Deviation 3.63
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 120 (n=91)-2.7 mg/dLStandard Deviation 4.02
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 132 (n=90)-3.3 mg/dLStandard Deviation 3.45
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 144 (n=87)-3.3 mg/dLStandard Deviation 3.37
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 156 (n=82)-3.5 mg/dLStandard Deviation 3.57
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 168 (n=78)-3.4 mg/dLStandard Deviation 3.89
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 180 (n=58)-3.2 mg/dLStandard Deviation 4.55
Adalimumab 40 mg EowMean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by VisitFinal Value (n=309)-1.7 mg/dLStandard Deviation 4.01
Secondary

Mean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by Visit

Change from Baseline in PGA (a visual analog scale from 0-100 mm, with 0 being the absence of disease activity and 100 mm being very strong disease activity, a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 48 (n=232)-37.8 mm on a scaleStandard Deviation 25.08
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 60 (n=209)-38.1 mm on a scaleStandard Deviation 25.75
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 132 (n=90)-42.9 mm on a scaleStandard Deviation 24.79
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 144 (n=87)-42.3 mm on a scaleStandard Deviation 23.8
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 156 (n=82)-44.3 mm on a scaleStandard Deviation 23.73
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 168 (n=78)-45.6 mm on a scaleStandard Deviation 23.23
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 180 (n=59)-45.0 mm on a scaleStandard Deviation 26.12
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 192 (n=33)-46.1 mm on a scaleStandard Deviation 26.1
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 204 (n=9)-60.1 mm on a scaleStandard Deviation 15.52
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 216 (n=1)-64.0 mm on a scaleStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitBaseline (n=309)67.2 mm on a scaleStandard Deviation 19.67
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 0 (n=309)-20.0 mm on a scaleStandard Deviation 25.83
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 4 (n=307)-27.9 mm on a scaleStandard Deviation 25.8
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 8 (n=304)-28.1 mm on a scaleStandard Deviation 26.69
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 12 (n=298)-28.3 mm on a scaleStandard Deviation 26.54
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 16 (n=286)-29.9 mm on a scaleStandard Deviation 26.26
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 20 (n=271)-33.1 mm on a scaleStandard Deviation 25.59
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 24 (n=261)-35.1 mm on a scaleStandard Deviation 25.85
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 36 (n=245)-37.3 mm on a scaleStandard Deviation 24.76
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 72 (n=162)-39.6 mm on a scaleStandard Deviation 24.97
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 84 (n=125)-43.1 mm on a scaleStandard Deviation 23.43
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 96 (n=102)-42.8 mm on a scaleStandard Deviation 22.35
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 108 (n=94)-43.6 mm on a scaleStandard Deviation 23.47
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitWeek 120 (n=91)-42.2 mm on a scaleStandard Deviation 24.68
Adalimumab 40 mg EowMean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by VisitFinal Value (n=309)-30.2 mm on a scaleStandard Deviation 30.04
Secondary

Mean Change From Baseline in Rheumatoid Factor (IU/ML) by Visit

Mean change from Baseline in RF (IU/mL). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitFina Value (n=308)-55.9 IU/mLStandard Deviation 338.06
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitBaseline (n=308)293.7 IU/mLStandard Deviation 412.95
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 24 (n=308)-37.6 IU/mLStandard Deviation 303.19
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 48 (n=243)-82.1 IU/mLStandard Deviation 322.1
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 72 (n=185)-104.2 IU/mLStandard Deviation 286.58
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 96 (n=112)-59.7 IU/mLStandard Deviation 445.83
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 120 (n=93)-101.0 IU/mLStandard Deviation 344.41
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 144 (n=88)-111.1 IU/mLStandard Deviation 374.58
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 168 (n=80)-139.1 IU/mLStandard Deviation 357.3
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 192 (n=41)-143.0 IU/mLStandard Deviation 428.18
Adalimumab 40 mg EowMean Change From Baseline in Rheumatoid Factor (IU/ML) by VisitWeek 216 (n=4)-76.0 IU/mLStandard Deviation 128.47
Secondary

Mean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by Visit

Change from Baseline in subject's assessment of pain (a visual analog scale from 0-100 mm \[0 being no pain and 100 being unbearable pain\], a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 0 (n=309)-12.3 mm on unit scaleStandard Deviation 27.64
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 4 (n=307)-17.0 mm on unit scaleStandard Deviation 28.65
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 24 (n=261)-22.7 mm on unit scaleStandard Deviation 27
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 36 (n=244)-26.0 mm on unit scaleStandard Deviation 27.55
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 48 (n=231)-26.5 mm on unit scaleStandard Deviation 28.11
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 60 (n=209)-27.1 mm on unit scaleStandard Deviation 28.53
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 84 (n=125)-28.1 mm on unit scaleStandard Deviation 28.65
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 96 (n=102)-30.0 mm on unit scaleStandard Deviation 24.27
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 108 (n=95)-28.6 mm on unit scaleStandard Deviation 24.4
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 156 (n=82)-29.7 mm on unit scaleStandard Deviation 26.65
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 168 (n=78)-29.4 mm on unit scaleStandard Deviation 27.62
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 180 (n=59)-29.9 mm on unit scaleStandard Deviation 25.63
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 192 (n=33)-23.5 mm on unit scaleStandard Deviation 29.13
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 204 (n=9)-39.7 mm on unit scaleStandard Deviation 30.54
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitBaseline (n=309)61.3 mm on unit scaleStandard Deviation 24.03
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 8 (n=304)-17.7 mm on unit scaleStandard Deviation 27.78
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 12 (n=298)-19.1 mm on unit scaleStandard Deviation 27.66
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 16 (n=287)-19.6 mm on unit scaleStandard Deviation 27.42
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 20 (n=271)-22.2 mm on unit scaleStandard Deviation 27.87
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 72 (n=162)-28.6 mm on unit scaleStandard Deviation 26.56
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 120 (n=90)-26.3 mm on unit scaleStandard Deviation 25.26
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 132 (n=90)-28.5 mm on unit scaleStandard Deviation 27.13
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 144 (n=87)-27.6 mm on unit scaleStandard Deviation 27.98
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 216 (n=1)-86.0 mm on unit scaleStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by VisitFinal Value (n=309)-20.1 mm on unit scaleStandard Deviation 31.24
Secondary

Mean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by Visit

Change from Baseline in Subject's Global Assessment of Disease Activity (a visual analog scale from 0-100 mm (0 being absence of disease activity and 100 being very strong disease activity), a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 0 (n=309)-14.2 mm on unit scaleStandard Deviation 26.93
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 4 (n=307)-19.4 mm on unit scaleStandard Deviation 28.3
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 8 (n=304)-19.8 mm on unit scaleStandard Deviation 28.22
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 12 (n=298)-21.1 mm on unit scaleStandard Deviation 28.62
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 20 (n=271)-23.0 mm on unit scaleStandard Deviation 29.14
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 24 (n=261)-23.9 mm on unit scaleStandard Deviation 29.06
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 36 (n=244)-26.9 mm on unit scaleStandard Deviation 29.38
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 48 (n=231)-27.3 mm on unit scaleStandard Deviation 28.77
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 60 (n=209)-28.2 mm on unit scaleStandard Deviation 29.86
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 72 (n=162)-29.4 mm on unit scaleStandard Deviation 27.9
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 84 (n=125)-30.4 mm on unit scaleStandard Deviation 29.49
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 96 (n=102)-31.7 mm on unit scaleStandard Deviation 25.73
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 108 (n=95)-28.0 mm on unit scaleStandard Deviation 27.73
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 120 (n=90)-27.9 mm on unit scaleStandard Deviation 26.64
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 132 (n=90)-29.2 mm on unit scaleStandard Deviation 27.73
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 192 (n=33)-22.3 mm on unit scaleStandard Deviation 32.92
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 204 (n=8)-48.1 mm on unit scaleStandard Deviation 30.98
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 216 (n=1)-85.0 mm on unit scaleStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitFinal Value (n=309)-20.7 mm on unit scaleStandard Deviation 31.77
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitBaseline (n=309)63.5 mm on unit scaleStandard Deviation 24
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 16 (n=287)-21.0 mm on unit scaleStandard Deviation 28.63
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 144 (n=87)-28.6 mm on unit scaleStandard Deviation 29.54
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 156 (n=82)-29.7 mm on unit scaleStandard Deviation 28.72
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 168 (n=78)-29.7 mm on unit scaleStandard Deviation 30.14
Adalimumab 40 mg EowMean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by VisitWeek 180 (n=59)-30.1 mm on unit scaleStandard Deviation 30.45
Secondary

Mean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by Visit

Mean change from Baseline in SJC (max=66) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing)\] of the M02-575 study; for the M02-575 rescue arm, the baseline was defined as the Week 0 (before dosing) of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitBaseline (n=309)17.6 SJCStandard Deviation 8.26
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 16 (n=287)-9.0 SJCStandard Deviation 8.08
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 20 (n=271)-10.1 SJCStandard Deviation 7.88
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 24 (n=261)-10.9 SJCStandard Deviation 7.91
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 36 (n=245)-11.7 SJCStandard Deviation 7.83
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 180 (n=59)-15.3 SJCStandard Deviation 7.76
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 192 (n=33)-17.5 SJCStandard Deviation 8.3
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 204 (n=9)-20.0 SJCStandard Deviation 4.97
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 0 (n=309)-6.1 SJCStandard Deviation 7.69
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 4 (n=307)-8.5 SJCStandard Deviation 7.72
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 8 (n=304)-8.6 SJCStandard Deviation 8.31
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 12 (n=298)-9.0 SJCStandard Deviation 8.09
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 48 (n=232)-11.9 SJCStandard Deviation 8.2
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 60 (n=209)-12.2 SJCStandard Deviation 8.5
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 72 (n=162)-12.8 SJCStandard Deviation 8.2
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 84 (n=125)-13.7 SJCStandard Deviation 7.73
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 96 (n=102)-13.6 SJCStandard Deviation 7.5
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 108 (n=95)-13.5 SJCStandard Deviation 7.68
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 120 (n=91)-13.8 SJCStandard Deviation 7.75
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 132 (n=90)-13.8 SJCStandard Deviation 8.17
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 144 (n=87)-14.3 SJCStandard Deviation 7.44
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 156 (n=82)-14.0 SJCStandard Deviation 7.76
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 168 (n=72)-14.7 SJCStandard Deviation 7.89
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitWeek 216 (n=1)-86.0 SJCStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by VisitFinal Value (n=309)-10.6 SJCStandard Deviation 8.93
Secondary

Mean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by Visit

Mean change from Baseline in TJC (max=68) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 96 (n=102)-16.0 TJCStandard Deviation 9.74
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 108 (n=95)-16.0 TJCStandard Deviation 9.49
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 120 (n=91)-15.9 TJCStandard Deviation 9.42
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 132 (n=90)-16.1 TJCStandard Deviation 10
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Final Value (n=309)-12.5 TJCStandard Deviation 12.36
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Baseline (n=309)22.3 TJCStandard Deviation 11.59
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 0 (n=309)-7.2 TJCStandard Deviation 10.1
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 4 (n=307)-10.0 TJCStandard Deviation 10.1
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 8 (n=304)-10.6 TJCStandard Deviation 10.37
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 12 (n=298)-11.0 TJCStandard Deviation 10.7
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 16 (n=287)-11.5 TJCStandard Deviation 10.88
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 20 (n=271)-12.3 TJCStandard Deviation 10.84
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 24 (n=261)-13.3 TJCStandard Deviation 10.72
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 36 (n=245)-14.3 TJCStandard Deviation 10.43
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 48(n=232)-14.9 TJCStandard Deviation 10.88
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 60 (n=209)-15.4 TJCStandard Deviation 10.75
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 72 (n=162)-15.9 TJCStandard Deviation 10.86
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 84 (n=125)-16.0 TJCStandard Deviation 10.27
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 144 (n=87)-16.4 TJCStandard Deviation 10.15
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 156(n=82)-16.2 TJCStandard Deviation 11.63
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 168 (n=78)-17.7 TJCStandard Deviation 10.43
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 180 (n=59)-17.7 TJCStandard Deviation 11.39
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 192 (n=33)-17.8 TJCStandard Deviation 11.75
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 204 (n=9)-22.4 TJCStandard Deviation 8.5
Adalimumab 40 mg EowMean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by VisitTJC Week 216 (n=1)-24.0 TJCStandard Deviation 0
Secondary

Mean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by Visit

Mean change from Baseline in DI-HAQ overall score (includes 20 questions assessing physical function in 8 domains - dressing, rising, eating, walking, hygiene, reach, grip, and usual activities). Each question is on a scale of 0-3 mm to measure the ability to perform certain activities (0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do so), a component of the ACR criteria by visit. DI-HAQ is derived based on the mean of individual responses not the total of individual questions

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 0 (n=309)-0.2 mm on a scaleStandard Deviation 0.49
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 4 (n=307)-0.3 mm on a scaleStandard Deviation 0.53
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 8 (n=304)-0.3 mm on a scaleStandard Deviation 0.51
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 12 (n=298)-0.3 mm on a scaleStandard Deviation 0.53
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 16 (n=287)-0.3 mm on a scaleStandard Deviation 0.54
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 48 (n=231)-0.4 mm on a scaleStandard Deviation 0.56
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 60 (n=209)-0.5 mm on a scaleStandard Deviation 0.57
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 72 (n=162)-0.5 mm on a scaleStandard Deviation 0.52
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 84 (n=125)-0.5 mm on a scaleStandard Deviation 0.59
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 96 (n=102)-0.5 mm on a scaleStandard Deviation 0.58
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 120 (n=90)-0.4 mm on a scaleStandard Deviation 0.62
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 132 (n=90)-0.5 mm on a scaleStandard Deviation 0.58
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 144 (n=87)-0.5 mm on a scaleStandard Deviation 0.57
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 180 (n=59)-0.5 mm on a scaleStandard Deviation 0.59
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 192 (n=33)-0.5 mm on a scaleStandard Deviation 0.55
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 204 (n=9)-0.7 mm on a scaleStandard Deviation 0.48
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitBaseline (n=309)1.5 mm on a scaleStandard Deviation 0.75
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 20 (n=271)-0.3 mm on a scaleStandard Deviation 0.56
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 24 (n=261)-0.4 mm on a scaleStandard Deviation 0.53
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 36 (n=244)-0.4 mm on a scaleStandard Deviation 0.58
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 108 (n=95)-0.5 mm on a scaleStandard Deviation 0.55
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 156 (n=82)-0.5 mm on a scaleStandard Deviation 0.58
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 168 (n=78)-0.6 mm on a scaleStandard Deviation 0.56
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitWeek 216 (n=1)-1.4 mm on a scaleStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by VisitFinal Visit (n=309)-0.3 mm on a scaleStandard Deviation 0.62
Secondary

Mean Change From Baseline in the Duration (Minutes) of Morning Stiffness by Visit

Mean change (minutes) from Baseline in morning stiffness (duration). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitBaseline (n=246)221.8 minutesStandard Deviation 374.72
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 0 (n=182)-48.9 minutesStandard Deviation 292.93
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 12 (n=167)-79.7 minutesStandard Deviation 348.2
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 16 (n=154)-64.0 minutesStandard Deviation 338.37
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 20 (n=148)-87.9 minutesStandard Deviation 318.04
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 24 (n=138)-104.9 minutesStandard Deviation 293.66
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 36 (n=106)-79.9 minutesStandard Deviation 287.89
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 48 (n=93)-86.5 minutesStandard Deviation 281.83
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 96 (n=39)-95.6 minutesStandard Deviation 248.27
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 108 (n=29)-97.4 minutesStandard Deviation 263.44
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 192 (n=11)-47.7 minutesStandard Deviation 113.65
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 204 (n=1)30.0 minutesStandard Deviation 0
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitFinal Value (n=238)-57.9 minutesStandard Deviation 358.24
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 4 (n=173)-64.2 minutesStandard Deviation 307.03
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 8 (n=168)-69.4 minutesStandard Deviation 387.21
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 60 (n=91)-95.0 minutesStandard Deviation 363.9
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 72 (n=68)-86.4 minutesStandard Deviation 247.3
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 84 (n=47)-30.5 minutesStandard Deviation 145.23
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 120 (n=29)-94.8 minutesStandard Deviation 278.36
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 132 (n=29)-116.9 minutesStandard Deviation 279.96
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 144 (n=32)-34.2 minutesStandard Deviation 372.5
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 156 (n=20)-46.3 minutesStandard Deviation 169.08
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 168 (n=19)-138.0 minutesStandard Deviation 338.26
Adalimumab 40 mg EowMean Change From Baseline in the Duration (Minutes) of Morning Stiffness by VisitWeek 180 (n=16)-98.8 minutesStandard Deviation 139.98
Secondary

Presence of Morning Stiffness

The number of subjects with morning stiffness at each visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 \[before dosing\] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 \[before dosing\] of the M03-651 study.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (NUMBER)
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 0182 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 8168 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 12167 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 16154 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 20148 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 24138 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 9639 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 10829 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 12029 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 2041 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 2160 participants
Adalimumab 40 mg EowPresence of Morning StiffnessFinal Value141 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 4173 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 36106 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 4893 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 6091 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 7268 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 8447 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 13229 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 14432 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 15620 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 16819 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 18016 participants
Adalimumab 40 mg EowPresence of Morning StiffnessWeek 19211 participants
Secondary

Presence of Rheumatoid Factor (RF)

The number of subjects who were positive for rheumatoid factor (RF) at each visit. RF considered negative if \<=20 IU/mL and positive if \>20 IU/mL.

Time frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)

Population: Full Analysis Set - all subjects who received at least one treatment with the study drug were included in the maximum population for analysis. In this study, the safety set was defined to be identical to the full analysis set. Analysis was based on observed data.

ArmMeasureGroupValue (NUMBER)
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 24248 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 48191 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 72142 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 9692 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 12069 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 14466 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 16860 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 19231 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Week 2161 participants
Adalimumab 40 mg EowPresence of Rheumatoid Factor (RF)Final Value250 participants

Source: ClinicalTrials.gov ยท Data processed: Feb 4, 2026