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A Study of Effectiveness and Safety of CNTO 136 in Patients With Active Rheumatoid Arthritis Despite Methotrexate Therapy

A Phase 2, 2-Part, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled, Proof-of-concept, Dose-finding Study Evaluating the Efficacy and Safety of CNTO 136 Administered Subcutaneously in Subjects With Active Rheumatoid Arthritis Despite Methotrexate Therapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00718718
Enrollment
187
Registered
2008-07-21
Start date
2008-08-11
Completion date
2011-03-03
Last updated
2018-01-23

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

Conditions

Arthritis, Rheumatoid

Keywords

Arthritis, Rheumatoid, Rheumatoid Arthritis, Active Rheumatoid Arthritis, CNTO 136, Interleukin-6, Anti-interleukin-6 monoclonal antibody, Methotrexate, Placebo

Brief summary

The purpose of this study is to evaluate the effectiveness and safety of subcutaneous (under the skin) administration of anti-interleukin-6 monoclonal antibody (CNTO 136) in reducing signs and symptoms of participants with active rheumatoid arthritis (RA) with methotrexate (MTX) therapy.

Detailed description

This is a multicenter, double-blind (neither physician nor participants knows the treatment that the participant receives), randomized (study medication is assigned by chance), placebo-controlled (an inactive substance is compared with a medication to test whether the medication has a real effect in a clinical study) study. This study will be conducted in 2 parts (Part A and Part B). Each part consists of 3 phases: screening (approximately 1 month prior to the start of study medication), treatment phase (Part A: 22 weeks and Part B: 24 weeks), and follow-up phase (approximately 4 months after the last administration of study medication). In Part A, participants will be randomly assigned to 2 groups to receive CNTO 136 100 mg and placebo for 22 weeks. All participants in Part A, will be crossed over at Week 12 from placebo to CNTO 136 (for Group 1) and from CNTO 136 to placebo (for Group 2). In Part B, participants will be randomly assigned to 5 groups to receive placebo and/or 1 of 3 doses of CNTO 136 (100mg, 50mg or 25mg) for 24 weeks. Participants in Part B, Group 1 will be crossed over at Week 12 from placebo to CNTO 136. All participants should be maintained on a stable dose of MTX for at least 6 weeks prior to the start of study medication through Week 24. Safety will be evaluated by the assessment of adverse events, vital signs, clinical findings, 12-lead electrocardiogram, and clinical laboratory tests which will be monitored throughout the study. The total duration of study participation for a participant will be approximately 42 weeks.

Interventions

DRUGCNTO 136 100 mg

CNTO 136 100 mg will be administered subcutaneously (under the skin) every 2 or 4 weeks as per the appropriate randomized arm.

DRUGCNTO 136 50 mg

CNTO 136 50 mg will be administered subcutaneously every 4 weeks from Week 0 to Week 24.

DRUGCNTO 136 25 mg

CNTO 136 25 mg will be administered subcutaneously every 4 weeks from Week 0 to Week 24.

DRUGPlacebo

Placebo will be adminstered subcutaneously as per the appropriate randomized arm.

DRUGMethotrexate

Stable dose of methotrexate will be maintained through Week 24.

Sponsors

Centocor, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

Inclusion criteria

* Diagnosed with rheumatoid arthritis (RA) for at least 4 months prior to screening * Have been treated and having an inadequate response with the tolerated dose of methotrexate (MTX) (at least 15mg/week) for at least 4 months prior to screening. MTX doses of 10 or 12.5 mg/week are allowed if participant had intolerance of 15 mg/week * MTX route of administration and dose (not to exceed 25 mg/week) should be stable for at least 6 weeks prior to the start of the study medication * Have active RA as defined by persistent disease activity with at least 6 swollen and 6 tender joints, at the time of screening and baseline, and either anti-cyclic citrullinated peptide antibody-positive or rheumatoid factor positive at screening * C-reactive protein greater than or equal to 1.0 mg/dL (10 mg/L) * Agree to use one of the contraception methods defined in the protocol

Exclusion criteria

* Have inflammatory diseases other than RA that might confound the evaluation of the benefit of CNTO 136 therapy in arthritis * Family history of/ have long QT syndrome; or a history of second or third-degree heart block * Received systemic immunosuppressives or disease modifying antirheumatic drug other than MTX, sulfasalazine, hydroxychloroquine or chloroquine within 4 weeks prior to the start of study medication * Received intra articular (into joints), intramuscular, or intravenous corticosteroids within 4 weeks prior to the start of study medication * Positive human immunodeficiency virus test, hepatitis B or hepatitis C * History of / have chronic or recurrent infectious disease, history of / active tuberculosis * Have serious infection within 2 months prior to start of study medication

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)Week 12An American College of Rheumatology (ACR) 50 response is defined as greater than or equal to (\>=) 50 percent (%) improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and \>= 50% improvement in 3 of the following 5 assessments: participant's assessment of pain using Visual Analogue Scale (Score) VAS (0-10 scale, 0=no pain and 10=worst possible pain), participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 = very well to 10 = very poor\]), physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, \[0=no arthritis activity to 10=extremely active arthritis\]), participant's assessment of physical function as measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and serum C-reactive protein (CRP).

Secondary

MeasureTime frameDescription
Change From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline, Week 12The DAS28 based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. A negative change from baseline in DAS28 (CRP) (that is, a decrease from baseline) indicates improvement from baseline.
Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A)Week 12An ACR 50 response is defined as \>= 50% improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and \>= 50% improvement in 3 of the following 5 assessments: Participant's assessment of pain using VAS (0-10 scale, 0=no pain and 10=worst possible pain), Participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 = very well to 10 = very poor\]), Physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, \[0=no arthritis activity to 10=extremely active arthritis\]), Participant's assessment of physical function as measured by HAQ-DI (the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and Serum CRP.
Serum Sirukumab Concentrations Through Week 38 (Part A)Week 0, Day 2, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 10, Week 10 Day 4, Week 10 Day 7, Week 12, Week 14, Week 18, Week 22, Week 24, and Week 38Sirukumab Concentrations in serum were measured.
Serum Sirukumab Concentrations Through Week 38 (Part B)Week 0, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 24 Day4, Week 24 Day7, Week 26, Week 28, Week 30, Week 34 and Week 38Sirukumab Concentrations in serum were measured.
Percent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)Baseline, Week 2Serum CRP is a marker of systemic inflammation. A negative change from baseline in CRP represents improvement.

Countries

Hungary, Japan, Mexico, Poland, Russia, South Korea, United States

Participant flow

Participants by arm

ArmCount
Part A: Placebo
Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 mg beginning at Weeks 12 and q2w through week 22.
19
Part A: Sirukumab 100 mg q2 Weeks
Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) for Week 10. Thereafter participants received placebo beginning at Week 12 and q2w through week 22.
17
Part B: Placebo
Participants received placebo subcutaneously (SC) at Week 0 and every 2 weeks (q2w) for 10 weeks. Thereafter participants received sirukumab 100 milligram (mg) beginning at Week 12 and q2w through week 24.
30
Part B: Sirukumab 100 mg q2 Weeks
Participants received 100 mg of sirukumab subcutaneously at Weeks 0, 2 and every 2 weeks (q2w) through Week 24.
30
Part B: Sirukumab 100 mg q4 Weeks
Participants received 100 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
30
Part B: Sirukumab 50 mg q4 Weeks
Participants received 50 mg of sirukumab subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
30
Part B: Sirukumab 25 mg q4 Weeks
Participants received 25 mg of sirukumabat subcutaneously at Week 0 and every 4 weeks (q4w) for 24 weeks and placebo SC injections at Weeks 2, 6, and q4w through week 22.
31
Total187

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Prior to Week 12Adverse Event0000000110
Prior to Week 12Other1010000000
Prior to Week 12Withdrawal by Subject0000301110
Week 12 to End of StudyAdverse Event0000000100
Week 12 to End of StudyDeath0000010000
Week 12 to End of StudyLost to Follow-up0000000010
Week 12 to End of StudyOther0101001000
Week 12 to End of StudyWithdrawal by Subject0000021000

Baseline characteristics

CharacteristicPart A: PlaceboPart A: Sirukumab 100 mg q2 WeeksPart B: PlaceboPart B: Sirukumab 100 mg q2 WeeksPart B: Sirukumab 100 mg q4 WeeksPart B: Sirukumab 50 mg q4 WeeksPart B: Sirukumab 25 mg q4 WeeksTotal
Age, Continuous46.2 years
STANDARD_DEVIATION 10.24
50.1 years
STANDARD_DEVIATION 10.72
54.1 years
STANDARD_DEVIATION 12.72
53.8 years
STANDARD_DEVIATION 13.02
52 years
STANDARD_DEVIATION 11
50.9 years
STANDARD_DEVIATION 10.29
52.8 years
STANDARD_DEVIATION 9.41
51.8 years
STANDARD_DEVIATION 11.26
Region of Enrollment
Hungary
0 Participants0 Participants2 Participants5 Participants3 Participants3 Participants4 Participants17 Participants
Region of Enrollment
Japan
0 Participants0 Participants5 Participants5 Participants5 Participants6 Participants6 Participants27 Participants
Region of Enrollment
Mexico
0 Participants0 Participants5 Participants3 Participants4 Participants5 Participants6 Participants23 Participants
Region of Enrollment
Poland
13 Participants12 Participants9 Participants10 Participants6 Participants5 Participants7 Participants62 Participants
Region of Enrollment
Republic of Korea
0 Participants0 Participants0 Participants1 Participants1 Participants2 Participants1 Participants5 Participants
Region of Enrollment
Russian Federation
0 Participants0 Participants9 Participants6 Participants10 Participants9 Participants7 Participants41 Participants
Region of Enrollment
United States
6 Participants5 Participants0 Participants0 Participants1 Participants0 Participants0 Participants12 Participants
Sex: Female, Male
Female
11 Participants14 Participants25 Participants27 Participants27 Participants26 Participants23 Participants153 Participants
Sex: Female, Male
Male
8 Participants3 Participants5 Participants3 Participants3 Participants4 Participants8 Participants34 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
12 / 1918 / 1812 / 1710 / 1615 / 3011 / 2620 / 3018 / 3025 / 3023 / 31
serious
Total, serious adverse events
0 / 190 / 181 / 170 / 164 / 302 / 262 / 305 / 301 / 303 / 31

Outcome results

Primary

Percentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)

An American College of Rheumatology (ACR) 50 response is defined as greater than or equal to (\>=) 50 percent (%) improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and \>= 50% improvement in 3 of the following 5 assessments: participant's assessment of pain using Visual Analogue Scale (Score) VAS (0-10 scale, 0=no pain and 10=worst possible pain), participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 = very well to 10 = very poor\]), physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, \[0=no arthritis activity to 10=extremely active arthritis\]), participant's assessment of physical function as measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and serum C-reactive protein (CRP).

Time frame: Week 12

Population: Population analyzed included all randomized participants in Part B.

ArmMeasureValue (NUMBER)
Part B: PlaceboPercentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)3.3 Percentage of Participants
Part B: Sirukumab 100 mg q2 WeeksPercentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)26.7 Percentage of Participants
Part B: Sirukumab 100 mg q4 WeeksPercentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)23.3 Percentage of Participants
Part B: Sirukumab 50 mg q4 WeeksPercentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)26.7 Percentage of Participants
Part B: Sirukumab 25 mg q4 WeeksPercentage of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 (Part B)19.4 Percentage of Participants
p-value: 0.026Cochran-Mantel-Haenszel
p-value: 0.052Cochran-Mantel-Haenszel
p-value: 0.026Cochran-Mantel-Haenszel
p-value: 0.104Cochran-Mantel-Haenszel
Secondary

Change From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)

The DAS28 based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. A negative change from baseline in DAS28 (CRP) (that is, a decrease from baseline) indicates improvement from baseline.

Time frame: Baseline, Week 12

Population: Population analyzed included randomized subjects in Part A (excluding a site based on sponsor audit for data integrity) and Part B. Here 'n' signifies participants who were evaluable at specific time points, for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Part B: PlaceboChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline6.341 Units on a ScaleStandard Deviation 0.9034
Part B: PlaceboChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-0.619 Units on a ScaleStandard Deviation 0.8541
Part B: Sirukumab 100 mg q2 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline5.919 Units on a ScaleStandard Deviation 0.9676
Part B: Sirukumab 100 mg q2 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-2.075 Units on a ScaleStandard Deviation 0.7979
Part B: Sirukumab 100 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline5.908 Units on a ScaleStandard Deviation 0.7332
Part B: Sirukumab 100 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-1.073 Units on a ScaleStandard Deviation 0.9766
Part B: Sirukumab 50 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline5.755 Units on a ScaleStandard Deviation 0.9706
Part B: Sirukumab 50 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-2.248 Units on a ScaleStandard Deviation 1.205
Part B: Sirukumab 25 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline6.190 Units on a ScaleStandard Deviation 0.6829
Part B: Sirukumab 25 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-2.011 Units on a ScaleStandard Deviation 0.8843
Part B: Sirukumab 50 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline6.051 Units on a ScaleStandard Deviation 0.8791
Part B: Sirukumab 50 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-2.198 Units on a ScaleStandard Deviation 0.855
Part B: Sirukumab 25 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Baseline5.688 Units on a ScaleStandard Deviation 0.9529
Part B: Sirukumab 25 mg q4 WeeksChange From Baseline in Disease Activity Index Score 28 (DAS28) Based on C-reactive Protein (CRP) at Week 12 (Part A and Part B)Change at Week 12-1.964 Units on a ScaleStandard Deviation 0.9532
p-value: <0.001Van Der Waerden ANOVA
p-value: <0.001Van Der Waerden ANOVA
p-value: <0.001Van Der Waerden ANOVA
p-value: <0.001Van Der Waerden ANOVA
p-value: <0.001Van Der Waerden ANOVA
Secondary

Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A)

An ACR 50 response is defined as \>= 50% improvement in both tender joint count (68 joints) and swollen joint count (66 joints) and \>= 50% improvement in 3 of the following 5 assessments: Participant's assessment of pain using VAS (0-10 scale, 0=no pain and 10=worst possible pain), Participant's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 = very well to 10 = very poor\]), Physician's global assessment of disease activity using VAS (the scale ranges from 0 to 10, \[0=no arthritis activity to 10=extremely active arthritis\]), Participant's assessment of physical function as measured by HAQ-DI (the scale ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area), and Serum CRP.

Time frame: Week 12

Population: Population analyzed included all randomized participants in Part A (excluding a site based on sponsor audit for data integrity). Here 'N'(number of participants analyzed) signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Part B: PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A)5.9 Percentage of Participants
Part B: Sirukumab 100 mg q2 WeeksPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Week 12 (Part A)28.6 Percentage of Participants
p-value: 0.148Cochran-Mantel-Haenszel
Secondary

Percent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)

Serum CRP is a marker of systemic inflammation. A negative change from baseline in CRP represents improvement.

Time frame: Baseline, Week 2

Population: Population analyzed included randomized participants in Part A (excluding a site based on sponsor audit for data integrity) and Part B. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Part B: PlaceboPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)-49.31 Percent changeStandard Deviation 246.04
Part B: Sirukumab 100 mg q2 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)81.46 Percent changeStandard Deviation 25
Part B: Sirukumab 100 mg q4 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)88.53 Percent changeStandard Deviation 12.675
Part B: Sirukumab 50 mg q4 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)85.42 Percent changeStandard Deviation 18.242
Part B: Sirukumab 25 mg q4 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)81.22 Percent changeStandard Deviation 24.484
Part B: Sirukumab 50 mg q4 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)19.97 Percent changeStandard Deviation 41.232
Part B: Sirukumab 25 mg q4 WeeksPercent Improvement From Baseline in Serum C-Reactive Protein (CRP) At Week 2 (Part A and Part B)91.19 Percent changeStandard Deviation 4.812
Secondary

Serum Sirukumab Concentrations Through Week 38 (Part A)

Sirukumab Concentrations in serum were measured.

Time frame: Week 0, Day 2, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 10, Week 10 Day 4, Week 10 Day 7, Week 12, Week 14, Week 18, Week 22, Week 24, and Week 38

Population: Population analyzed included participants treated with CNTO 136 (Sirukumab) in Part A (excluding a site based on sponsor audit for data integrity). Here 'N' (number of participants analyzed) signifies participants evaluable for this outcome measure whereas 'n' signifies participants evaluable at specific time points, for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 0NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Day 2NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Day 5NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Day 8NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Day 11NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 2NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 4NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 6NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 8NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 10NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 10 Day 4NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 10 Day 7NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 12NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 144.78 Microgram per milliliterStandard Deviation 1.779
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 188.52 Microgram per milliliterStandard Deviation 4.338
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 2210.79 Microgram per milliliterStandard Deviation 5.83
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 2411.37 Microgram per milliliterStandard Deviation 6.177
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part A)Week 380.41 Microgram per milliliterStandard Deviation 0.525
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 147.07 Microgram per milliliterStandard Deviation 2.544
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 00.01 Microgram per milliliterStandard Deviation 0.03
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 1013.49 Microgram per milliliterStandard Deviation 3.67
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Day 23.73 Microgram per milliliterStandard Deviation 2.581
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 380.02 Microgram per milliliterStandard Deviation 0.051
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Day 57.40 Microgram per milliliterStandard Deviation 3.402
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 10 Day 419.07 Microgram per milliliterStandard Deviation 4.63
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Day 86.01 Microgram per milliliterStandard Deviation 2.861
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 182.74 Microgram per milliliterStandard Deviation 1.737
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Day 115.42 Microgram per milliliterStandard Deviation 1.866
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 10 Day 718.71 Microgram per milliliterStandard Deviation 4.111
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 24.78 Microgram per milliliterStandard Deviation 1.549
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 240.88 Microgram per milliliterStandard Deviation 0.599
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 48.83 Microgram per milliliterStandard Deviation 3.251
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 1214.31 Microgram per milliliterStandard Deviation 3.438
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 610.49 Microgram per milliliterStandard Deviation 3.327
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 221.18 Microgram per milliliterStandard Deviation 0.816
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part A)Week 812.36 Microgram per milliliterStandard Deviation 3.133
Secondary

Serum Sirukumab Concentrations Through Week 38 (Part B)

Sirukumab Concentrations in serum were measured.

Time frame: Week 0, Day 5, Day 8, Day 11, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 24 Day4, Week 24 Day7, Week 26, Week 28, Week 30, Week 34 and Week 38

Population: Population analyzed included participants treated with CNTO 136 (Sirukumab) in Part B. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure whereas 'n' signifies participants who were evaluable at specific time points, for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 715.14 Microgram per milliliterStandard Deviation 5.991
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 304.49 Microgram per milliliterStandard Deviation 2.708
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Day 5NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 12NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 286.93 Microgram per milliliterStandard Deviation 3.378
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 341.88 Microgram per milliliterStandard Deviation 1.451
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 8NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 209.94 Microgram per milliliterStandard Deviation 3.646
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 4NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Day 8NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2411.04 Microgram per milliliterStandard Deviation 4.607
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2610.97 Microgram per milliliterStandard Deviation 4.565
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 416.46 Microgram per milliliterStandard Deviation 6.826
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 166.84 Microgram per milliliterStandard Deviation 2.27
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 0NA Microgram per milliliter
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Week 380.71 Microgram per milliliterStandard Deviation 0.756
Part B: PlaceboSerum Sirukumab Concentrations Through Week 38 (Part B)Day 110.02 Microgram per milliliterStandard Deviation 0.063
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2010.29 Microgram per milliliterStandard Deviation 4.951
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 417.34 Microgram per milliliterStandard Deviation 9.046
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 380.72 Microgram per milliliterStandard Deviation 0.704
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 715.01 Microgram per milliliterStandard Deviation 7.853
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2610.09 Microgram per milliliterStandard Deviation 6.808
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 85.67 Microgram per milliliterStandard Deviation 2.398
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 00.03 Microgram per milliliterStandard Deviation 0.087
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 114.50 Microgram per milliliterStandard Deviation 2.307
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24.30 Microgram per milliliterStandard Deviation 2.265
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 341.92 Microgram per milliliterStandard Deviation 1.403
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 47.16 Microgram per milliliterStandard Deviation 3.29
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 810.54 Microgram per milliliterStandard Deviation 5.008
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 304.06 Microgram per milliliterStandard Deviation 2.341
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 1211.63 Microgram per milliliterStandard Deviation 5.232
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 169.96 Microgram per milliliterStandard Deviation 5.107
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 56.75 Microgram per milliliterStandard Deviation 3.212
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 286.69 Microgram per milliliterStandard Deviation 4.329
Part B: Sirukumab 100 mg q2 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 2410.73 Microgram per milliliterStandard Deviation 5.182
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 340.94 Microgram per milliliterStandard Deviation 0.948
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 56.21 Microgram per milliliterStandard Deviation 2.933
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 123.10 Microgram per milliliterStandard Deviation 1.633
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 00.00 Microgram per milliliterStandard Deviation 0
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 114.68 Microgram per milliliterStandard Deviation 2.539
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 85.85 Microgram per milliliterStandard Deviation 2.774
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 243.80 Microgram per milliliterStandard Deviation 2.815
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 163.51 Microgram per milliliterStandard Deviation 2.545
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 49.06 Microgram per milliliterStandard Deviation 5.632
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 284.15 Microgram per milliliterStandard Deviation 2.83
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 79.58 Microgram per milliliterStandard Deviation 5.721
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 42.02 Microgram per milliliterStandard Deviation 1.073
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 380.29 Microgram per milliliterStandard Deviation 0.382
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 23.81 Microgram per milliliterStandard Deviation 1.934
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 266.49 Microgram per milliliterStandard Deviation 5.401
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 83.08 Microgram per milliliterStandard Deviation 1.806
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 302.42 Microgram per milliliterStandard Deviation 1.931
Part B: Sirukumab 100 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 203.92 Microgram per milliliterStandard Deviation 2.665
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 81.45 Microgram per milliliterStandard Deviation 0.764
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 00.02 Microgram per milliliterStandard Deviation 0.076
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 52.66 Microgram per milliliterStandard Deviation 1.447
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 82.61 Microgram per milliliterStandard Deviation 1.339
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 112.54 Microgram per milliliterStandard Deviation 1.233
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 21.97 Microgram per milliliterStandard Deviation 0.916
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 40.97 Microgram per milliliterStandard Deviation 0.47
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 121.79 Microgram per milliliterStandard Deviation 0.836
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 162.03 Microgram per milliliterStandard Deviation 1.366
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 201.80 Microgram per milliliterStandard Deviation 1.03
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 241.89 Microgram per milliliterStandard Deviation 1.042
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 44.42 Microgram per milliliterStandard Deviation 1.293
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 74.52 Microgram per milliliterStandard Deviation 1.719
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 263.72 Microgram per milliliterStandard Deviation 1.434
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 281.84 Microgram per milliliterStandard Deviation 0.764
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 301.07 Microgram per milliliterStandard Deviation 0.529
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 340.39 Microgram per milliliterStandard Deviation 0.396
Part B: Sirukumab 50 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 380.08 Microgram per milliliterStandard Deviation 0.114
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 201.03 Microgram per milliliterStandard Deviation 0.496
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 160.98 Microgram per milliliterStandard Deviation 0.425
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 81.49 Microgram per milliliterStandard Deviation 0.556
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 281.06 Microgram per milliliterStandard Deviation 0.539
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 120.99 Microgram per milliliterStandard Deviation 0.478
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 80.99 Microgram per milliliterStandard Deviation 0.56
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 380.01 Microgram per milliliterStandard Deviation 0.037
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 51.59 Microgram per milliliterStandard Deviation 0.808
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 300.52 Microgram per milliliterStandard Deviation 0.335
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 40.85 Microgram per milliliterStandard Deviation 1.167
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 21.16 Microgram per milliliterStandard Deviation 0.426
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Day 111.26 Microgram per milliliterStandard Deviation 0.516
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 00.01 Microgram per milliliterStandard Deviation 0.048
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 72.80 Microgram per milliliterStandard Deviation 1.58
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 24 Day 43.36 Microgram per milliliterStandard Deviation 1.578
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 340.10 Microgram per milliliterStandard Deviation 0.138
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 261.91 Microgram per milliliterStandard Deviation 1.009
Part B: Sirukumab 25 mg q4 WeeksSerum Sirukumab Concentrations Through Week 38 (Part B)Week 241.04 Microgram per milliliterStandard Deviation 0.491

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026