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Active Juvenile Idiopathic Arthritis (JIA) Compassionate Use

Compassionate Use Study of Adalimumab in Children 2 to < 4 Years Old or Age 4 and Above Weighing Less Than 15 kg With Active Juvenile Idiopathic Arthritis (JIA)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00775437
Enrollment
32
Registered
2008-10-20
Start date
2009-03-31
Completion date
2013-03-31
Last updated
2016-01-26

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

Conditions

Juvenile Idiopathic Arthritis

Keywords

juvenile idiopathic arthritis, compassionate use, open label

Brief summary

The main objective of this study is to evaluate the safety of adalimumab in patients 2 to \< 4 years of age or ≥ 4 years of age weighing \< 15 kg, with moderately to severely active polyarticular juvenile idiopathic arthritis (JIA) or polyarticular course JIA.

Interventions

DRUGAdalimumab

Adalimumab solution for injection for subcutaneous use.

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Years to 4 Years
Healthy volunteers
No

Inclusion criteria

1. A parent or guardian has voluntarily signed and dated an informed consent form, approved by an Institutional Review Board (IRB)/Independent Ethics Committee (IEC), after the nature of the study has been explained and the subject's parent or legal guardian has had the opportunity to ask questions. The informed consent must be signed before any study-specific procedures are performed or before any medication is discontinued for the purpose of this study. The parent must also be willing to comply with all the requirements of this study protocol. 2. Subject has a disease diagnosis of moderately to severely active polyarticular or polyarticular course juvenile idiopathic arthritis (JIA; defined as arthritis affecting \> = 5 joints at the time of treatment initiation). This corresponds to the International League of Associations for Rheumatology categories of polyarticular rheumatoid factor positive (RF+), polyarticular Rheumatoid factor negative (RF-) disease, and extended oligoarthritis disease. 3. Subject must be aged 2 to \< 4 years old with moderately to severely active polyarticular JIA or polyarticular course JIA or age 4 or greater weighing \< 15 kg with moderately to severely active polyarticular JIA or polyarticular course JIA, per International League of Associations for Rheumatology (ILAR) criteria. 4. Subject is judged to be in generally good health as determined by the Investigator based upon the results of medical history, laboratory profile, and physical examination performed at Screening and confirmed at Baseline. This includes, but is not limited to, a normal cardiopulmonary and normal neurological exam result. 5. Parent or legal guardian must be able and willing to administer subcutaneous (SC) injections or have a qualified person available to administer SC injections. 6. Parent or legal guardian must be willing to actively supervise storage and administration of study drug and to ensure that the time of each dose is accurately recorded in the subject's diary. 7. Subject must have negative purified protein derivative (PPD) test (or equivalent) at Screening. If subject has a positive (greater than or equal to 5mm induration) PPD test result, a chest x-ray (posterior-anterior \[PA\] and lateral view) must be performed. If subject has a positive test (or equivalent), has had a past ulcerative reaction to PPD placement, and/or a chest x ray consistent with tuberculosis \[TB\] exposure, subject may not be enrolled into the study. 8. For subjects in the European Union \[EU\], subject must have previously failed, had an insufficient response, or have been intolerant to at least one Disease-Modifying Anti Rheumatic Drug (DMARD).

Exclusion criteria

1. Subject has had prior exposure to Tysabri® (natalizumab) or Raptiva® (efalizumab) or any other biologic therapy, such as Orencia® (abatacept), Kineret® (anakinra), Actemra® (tocilizumab), Rituxan® (rituximab). Any previous use of anti-tumor necrosis factor \[TNF\] agents, including Enbrel® (etanercept), Remicade® (infliximab), Cimzia® (certolizumab pegol), Simponi® (golimumab), and adalimumab is also prohibited. 2. Infection(s) requiring treatment with intravenous (IV) anti-infectives within 30 days prior to Baseline Visit or oral anti-infectives within 14 days prior to the Baseline Visit. 3. Subject has undergone joint surgery within the preceding two months of the Screening Visit (at joints to be assessed within the study). 4. Subject has a previous diagnosis of a condition that could cause arthritis other than polyarticular JIA. 5. Subject has a history of an allergic reaction or significant sensitivity to constituents of the study drug, adalimumab. 6. Subject has been treated with any investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half lives (whichever is longer) of the drug prior to Baseline visit. Should these biologics become approved, they would continue to be excluded. 7. Subject has a poorly controlled medical condition, such as uncontrolled diabetes, unstable heart disease, recent cerebrovascular accidents, seizure disorder, and any other condition which, in the opinion of the Investigator, would put the subject at risk by participation in the study. 8. Subject has a history of clinically significant hematologic (e.g., severe anemia, leukopenia, thrombocytopenia, a clotting disorder), renal, liver disease (e.g., fibrosis, cirrhosis, hepatitis), or active gastroenteric ulcer. 9. Subject is considered by the Investigator, for any reason, to be an unsuitable candidate for the study. 10. Subject has evidence of active TB infection. 11. Subject has history of moderate to severe congestive heart failure (New York Heart Association \[NYHA\] class III or IV), recent cerebrovascular accident or thrombotic event and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol. 12. Evidence of dysplasia or history of malignancy (including lymphoma and leukemia). 13. History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of central nervous system \[CNS\] demyelinating disease. 14. History of invasive fungal infection (e.g., listeriosis, histoplasmosis), active viral disorders, human immunodeficiency virus (HIV) infection. 15. Positive Hepatitis B test result. 16. Chronic recurring infections or active TB. 17. Screening laboratory and other analyses show any of the following abnormal results: * electrocardiogram \[ECG\] - with clinically significant abnormalities; * Aspartate transaminases (AST) or alanine transaminase (ALT) \> 1.75 the upper limit of the reference range; * Total bilirubin \>=3 mg/dL; * Serum creatinine \> 1.6 mg/dL (convert to mmol/L). 18. Evidence of dysplasia or history of malignancy (including lymphoma and leukemia) other than a successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)TEAEs were collected from first dose of study drug until 70 days after the last dose of study drug and before start of commercial adalimumab or other biologics (32.5 months).An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. If an AE meets any of the following criteria, it is considered a serious adverse event (SAE): Results in death, is life-threatening, results in hospitalization or the prolongation of hospitalization, is a congenital anomaly or a persistent or significant disability/incapacity, or is an important medical event requiring medical or surgical intervention to prevent a serious outcome. A treatment-emergent AE (TEAE) is defined as any AE with onset or worsening reported by a participant from the time that the first dose of adalimumab is administered until 5 half-lives (70 days) have elapsed following discontinuation of adalimumab administration (total of 32.5 months).

Secondary

MeasureTime frameDescription
Hemoglobin: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Hematocrit: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Red Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Platelets: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
White Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Neutrophils: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Lymphocytes: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Monocytes: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Eosinophils: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Basophils: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Alanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Aspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug.Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Alkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Creatine Phosphokinase: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Total Bilirubin: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Creatinine: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Uric Acid: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.
Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The PedACR30 response is defined by the PedACR as ≥30% improvement in at least 3 of 6 JIA core set criteria, and ≥30% worsening in ≤1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria are Physician's Global Assessment (PGA) of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with loss of passive motion \[LOM\] and joints with pain on passive motion \[POM\], tenderness, or both), number of joints with LOM, Disability Index of Child Health Assessment Questionnaire (DICHAQ), and C-reactive protein (CRP). Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using last observation carried forward (LOCF) and non-responder imputation (NRI); observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.
Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The PedACR50 response is defined by the PedACR as ≥ 50% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.
Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The PedACR70 response is defined by the PedACR as ≥ 70% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.
Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The PedACR90 response is defined by the PedACR as ≥ 90% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.
Physician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The physician's assessment of participant's overall disease activity on a visual analog scale (VAS). The VAS is a 100 mm scale, with scores ranging from 0 (very good) to 100 (very bad). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Parent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The parent's assessment of how the participant's arthritis is doing overall on a VAS. The VAS is a 100 mm scale, with scores ranging from 0 (very good) to 100 (very bad). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Disability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The DICHAQ is a self-reported participant-oriented outcome measure, calculated as the mean of the following 8 category scores (range: 0 to 3): Dressing and Grooming, Arising, Eating, Walking, Hygiene, Reach, Grip, and Activities. The score of each category is calculated as the maximum of the scores for the questions within that category. If aids and devices and/or help from another person are used for a category, a lower category score is adjusted to 2 for that category. A participant must have scores for at least 6 categories in order to compute the DICHAQ score. Total score is derived as average of all categories: 0 (no disability) to 3 (complete disability). Baseline is the last value prior to the first dose of study drug. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Active Joint Counts (AJC73): Mean Change From Baseline to Each VisitBaseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120A joint assessment was recorded at all study visits to assess the number of active joints, with a total possible score of 0 (no active joints) to 73 (all active joints). Active joints are defined as joints with positive results for tenderness, swelling, pain on passive motion, or limitation of passive motion. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Limitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitBaseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120Sixty-nine joints were assessed by physical examination. The joints to be examined for LOM were the same as those examined for tenderness, except that the sacroiliac, sternoclavicular, and acromio clavicular joints were excluded. LOM of the joint was classified as present (1), absent (0), or replaced/injected (9). Scores range from 0 to 621, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
C-reactive Protein (CRP): Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120CRP is a laboratory parameter and considered as an efficacy variable. CRP is a general marker of inflammation that is sensitive to acute changes in inflammatory response. CRP is reported using mg/dL. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Tender Joint Count (TJC75): Mean Change From Baseline to Each VisitBaseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120Seventy-five joints or regions were assessed by pressure and joint manipulation on physical examination. Joint tenderness was classified as either present (1), absent (0) or replaced/injected (9). Scores range from 0 to 675, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Swollen Joint Count (SJC66): Mean Change From Baseline to Each VisitBaseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120Sixty-six joints were assessed by physical examination. The joints to be examined for swelling were the same as those examined for tenderness, except that the hip, subtalar, sacroiliac, lumbar spine, thoracic spine, and cervical spine joints were excluded. Joint swelling was classified as present (1), absent (0) or replaced/injected (9). Scores range from 0 to 594, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Pain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitBaseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120Seventy-five joints were assessed by physical examination. The joints to be examined for POM were the same as those examined for tenderness. POM of the joint was classified as present (1), absent (0), or replaced/injected (9). Scores range from 0 to 675, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120.The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Mean Serum Adalimumab Trough Concentrations at Week 0, Week 12, and Week 24Weeks 0, 12, and 24Adalimumab concentrations in serum were determined using a validated enzyme-linked immunoadsorbent assay (ELISA) method. The lower limit of quantitation (LLOQ) for adalimumab is 3.13 ng/mL.
Child's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.
Child's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitBaseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Participant flow

Recruitment details

Participants were enrolled at 14 investigative sites in the Czech Republic, France, Germany, and the United States.

Pre-assignment details

Participants age 2 to \< 4 years or ≥ 4 years and under 15 kg with moderately to severely active polyarticular or polyarticular-course JIA with a parent/guardian to administer injections. The screening visit occurred between Day -28 and Day 0.

Participants by arm

ArmCount
Adalimumab
Adalimumab 24 mg/m\^2 body surface area (BSA) up to a total dose of 20 mg administered every other week (eow) by parent or designee as a single dose via subcutaneous injection at approximately the same time of day, for a minimum of 24 weeks. Participants could continue in the study until age 4 and 15 kg (US and Puerto Rico) or for up to 1 additional year after reaching age 4 and 15 kg (EU). Visits beyond Week 24 occurred every 12 weeks for those participants who continued in the study.
32
Total32

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLoss of efficacy2
Overall StudyLost to Follow-up1
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicAdalimumab
Age, Continuous3.04 years
STANDARD_DEVIATION 0.723
Age, Customized
< 4 years
28 participants
Age, Customized
≥ 4 years
4 participants
Sex: Female, Male
Female
28 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
27 / 32
serious
Total, serious adverse events
5 / 32

Outcome results

Primary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. If an AE meets any of the following criteria, it is considered a serious adverse event (SAE): Results in death, is life-threatening, results in hospitalization or the prolongation of hospitalization, is a congenital anomaly or a persistent or significant disability/incapacity, or is an important medical event requiring medical or surgical intervention to prevent a serious outcome. A treatment-emergent AE (TEAE) is defined as any AE with onset or worsening reported by a participant from the time that the first dose of adalimumab is administered until 5 half-lives (70 days) have elapsed following discontinuation of adalimumab administration (total of 32.5 months).

Time frame: TEAEs were collected from first dose of study drug until 70 days after the last dose of study drug and before start of commercial adalimumab or other biologics (32.5 months).

ArmMeasureGroupValue (NUMBER)
AdalimumabNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)Any Treatment-emergent AE29 participants
AdalimumabNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)Any Treatment-emergent SAE5 participants
Secondary

Active Joint Counts (AJC73): Mean Change From Baseline to Each Visit

A joint assessment was recorded at all study visits to assess the number of active joints, with a total possible score of 0 (no active joints) to 73 (all active joints). Active joints are defined as joints with positive results for tenderness, swelling, pain on passive motion, or limitation of passive motion. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 2 (n=32)-5 units on a scaleStandard Deviation 6.58
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 4 (n=32)-6.1 units on a scaleStandard Deviation 6.69
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 8 (n=32)-7 units on a scaleStandard Deviation 5.24
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 12 (n=31)-7.3 units on a scaleStandard Deviation 4.52
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 16 (n=31)-7.1 units on a scaleStandard Deviation 5.87
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 20 (n=29)-8 units on a scaleStandard Deviation 5.68
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 24 (n=30)-7.2 units on a scaleStandard Deviation 5.6
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 36 (n=28)-7.3 units on a scaleStandard Deviation 5.21
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 48 (n=24)-8 units on a scaleStandard Deviation 5.5
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 60 (n=20)-9.5 units on a scaleStandard Deviation 7.5
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 72 (n=17)-10.2 units on a scaleStandard Deviation 6.64
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 84 (n=17)-10.4 units on a scaleStandard Deviation 7.57
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 96 (n=13)-8.9 units on a scaleStandard Deviation 7.04
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 108 (n=9)-5.9 units on a scaleStandard Deviation 3.33
AdalimumabActive Joint Counts (AJC73): Mean Change From Baseline to Each VisitWeek 120 (n=3)-7.3 units on a scaleStandard Deviation 2.08
Secondary

Alanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 12 (n=27)0.5 U/LStandard Deviation 9.96
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 24 (n=28)-1.1 U/LStandard Deviation 17.13
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 36 (n=25)0 U/LStandard Deviation 29.82
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 48 (n=24)-4.5 U/LStandard Deviation 24.81
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 60 (n=21)-2 U/LStandard Deviation 10.25
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 72 (n=16)-1.8 U/LStandard Deviation 10.1
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 84 (n=16)-0.5 U/LStandard Deviation 14.56
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 96 (n=11)-3.9 U/LStandard Deviation 15.4
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 108 (n=9)-2.4 U/LStandard Deviation 6.31
AdalimumabAlanine Aminotransferase (SGPT/ALT): Mean Change From Baseline to Each VisitWeek 120 (n=3)-14.3 U/LStandard Deviation 23.12
Secondary

Alkaline Phosphatase (ALP): Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 12 (n=27)15.7 U/LStandard Deviation 64.65
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 24 (n=28)10.6 U/LStandard Deviation 68.75
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 36 (n=25)23.2 U/LStandard Deviation 73.28
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 48 (n=24)21.7 U/LStandard Deviation 73.03
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 60 (n=21)17.9 U/LStandard Deviation 85.55
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 72 (n=16)17.9 U/LStandard Deviation 83.52
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 84 (n=16)31.5 U/LStandard Deviation 89.3
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 96 (n=11)59.4 U/LStandard Deviation 57.65
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 108 (n=9)-6.3 U/LStandard Deviation 100.72
AdalimumabAlkaline Phosphatase (ALP): Mean Change From Baseline to Each VisitWeek 120 (n=3)-72.3 U/LStandard Deviation 169.19
Secondary

Aspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug.Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 12 (n=26)2.8 U/LStandard Deviation 7.56
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 24 (n=28)-0.6 U/LStandard Deviation 8.82
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 36 (n=25)2 U/LStandard Deviation 23.26
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 48 (n=24)-0.7 U/LStandard Deviation 16.13
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.4 U/LStandard Deviation 7.63
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 72 (n=16)0.3 U/LStandard Deviation 7.36
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 84 (n=16)-0.4 U/LStandard Deviation 6.89
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 96 (n=10)1.5 U/LStandard Deviation 11.48
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 108 (n=9)0.4 U/LStandard Deviation 6.21
AdalimumabAspartate Aminotransferase (SGOT/AST): Mean Change From Baseline to Each VisitWeek 120 (n=3)-8.3 U/LStandard Deviation 11.93
Secondary

Basophils: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 12 (n=29)-0.012 x10^9/LStandard Deviation 0.0299
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 24 (n=29)-0.002 x10^9/LStandard Deviation 0.0272
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.003 x10^9/LStandard Deviation 0.0244
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.005 x10^9/LStandard Deviation 0.0412
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.003 x10^9/LStandard Deviation 0.0256
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.007 x10^9/LStandard Deviation 0.031
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 84 (n=16)-0.001 x10^9/LStandard Deviation 0.0171
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 96 (n=11)-0.003 x10^9/LStandard Deviation 0.0205
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.001 x10^9/LStandard Deviation 0.0117
AdalimumabBasophils: Mean Change From Baseline to Each VisitWeek 120 (n=3)0.003 x10^9/LStandard Deviation 0.0306
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 12 (n=29)5.6 units on a scaleStandard Deviation 15.78
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)4.2 units on a scaleStandard Deviation 13.58
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 36 (n=27)0.4 units on a scaleStandard Deviation 16.87
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 48 (n=24)3.6 units on a scaleStandard Deviation 17.04
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.3 units on a scaleStandard Deviation 13.95
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.1 units on a scaleStandard Deviation 16.44
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 84 (n=17)1.5 units on a scaleStandard Deviation 13.97
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 96 (n=13)7.1 units on a scaleStandard Deviation 11.81
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 108 (n=9)8.9 units on a scaleStandard Deviation 10.46
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Behavior Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)-6.1 units on a scaleStandard Deviation 31.28
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)35 units on a scaleStandard Deviation 30.6
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 24 (n=29)36.2 units on a scaleStandard Deviation 32.99
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 36 (n=26)38.8 units on a scaleStandard Deviation 27.76
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)41.7 units on a scaleStandard Deviation 29.64
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)39 units on a scaleStandard Deviation 34.78
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 72 (n=17)48.2 units on a scaleStandard Deviation 20.38
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 84 (n=17)41.2 units on a scaleStandard Deviation 25.47
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 96 (n=13)42.3 units on a scaleStandard Deviation 23.51
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 108 (n=9)41.1 units on a scaleStandard Deviation 37.56
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Bodily Pain/Discomfort Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)50 units on a scaleStandard Deviation 17.32
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)1.4 units on a scaleStandard Deviation 1.75
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 24 (n=29)1.7 units on a scaleStandard Deviation 1.67
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 36 (n=25)1.7 units on a scaleStandard Deviation 1.8
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 48 (n=22)1.7 units on a scaleStandard Deviation 2.4
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)1.3 units on a scaleStandard Deviation 2.57
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)1.6 units on a scaleStandard Deviation 2.13
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 84(n=16)1.3 units on a scaleStandard Deviation 1.98
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 96 (n=12)1.5 units on a scaleStandard Deviation 2.02
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)0.9 units on a scaleStandard Deviation 2.7
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Change in Health Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)2.3 units on a scaleStandard Deviation 0.58
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)8.3 units on a scaleStandard Deviation 28.41
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)17.6 units on a scaleStandard Deviation 24.15
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 36 (n=26)20 units on a scaleStandard Deviation 28.5
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)16.8 units on a scaleStandard Deviation 26.43
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)14.8 units on a scaleStandard Deviation 30.9
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)17.2 units on a scaleStandard Deviation 31.43
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 84 (n=16)18.2 units on a scaleStandard Deviation 30.27
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 96 (n=12)19.4 units on a scaleStandard Deviation 27.6
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)20.8 units on a scaleStandard Deviation 29.38
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Activities Category: Mean Change From Baseline to Each VisitWeek 120 (n=2)68.8 units on a scaleStandard Deviation 20.62
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)2.5 units on a scaleStandard Deviation 14
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)4.3 units on a scaleStandard Deviation 23.28
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 36 (n=26)5.6 units on a scaleStandard Deviation 20.66
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)3.7 units on a scaleStandard Deviation 15.61
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)4.8 units on a scaleStandard Deviation 16.66
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)7.2 units on a scaleStandard Deviation 29.15
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 84 (n=16)8.4 units on a scaleStandard Deviation 39.19
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 96 (n=12)18.8 units on a scaleStandard Deviation 35.36
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)19.4 units on a scaleStandard Deviation 35.3
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Family Cohesion Category: Mean Change From Baseline to Each VisitWeek 120 (n=2)-27.5 units on a scaleStandard Deviation 38.89
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 12 (n=26)0.7 units on a scaleStandard Deviation 14.27
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 24 (n=25)3.8 units on a scaleStandard Deviation 14.98
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 36 (n=22)6.2 units on a scaleStandard Deviation 15.99
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 48 (n=19)7.2 units on a scaleStandard Deviation 13.36
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 60 (n=18)0.7 units on a scaleStandard Deviation 10.65
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 72 (n=15)9.1 units on a scaleStandard Deviation 10.1
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 84 (n=15)7.2 units on a scaleStandard Deviation 13.03
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 96 (n=11)10.9 units on a scaleStandard Deviation 16
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 108 (n=7)9 units on a scaleStandard Deviation 16.61
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) General Health Perceptions Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)4.7 units on a scaleStandard Deviation 12.92
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 72 (n=10)2 units on a scaleStandard Deviation 15.31
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 12 (n=19)4.5 units on a scaleStandard Deviation 18.17
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 24 (n=19)10.8 units on a scaleStandard Deviation 17.66
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 36 (n=18)9.2 units on a scaleStandard Deviation 25.04
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 48 (n=16)4.1 units on a scaleStandard Deviation 18.55
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 60 (n=13)-3.5 units on a scaleStandard Deviation 20.35
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 84 (n=11)-5 units on a scaleStandard Deviation 14.32
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 96 (n=9)0 units on a scaleStandard Deviation 17.68
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 108 (n=6)-4.2 units on a scaleStandard Deviation 10.21
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Behavior Item: Mean Change From Baseline to Each VisitWeek 120 (n=1)-25 units on a scaleStandard Deviation 0
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 12 (n=29)17.1 units on a scaleStandard Deviation 29.48
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)24.3 units on a scaleStandard Deviation 25.77
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 36 (n=24)25 units on a scaleStandard Deviation 27.27
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 48 (n=22)30.9 units on a scaleStandard Deviation 23.79
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 60 (n=19)21.8 units on a scaleStandard Deviation 27.35
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 72 (n=17)31.5 units on a scaleStandard Deviation 24.86
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 84 (n=17)26.2 units on a scaleStandard Deviation 25.89
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 96 (n=11)32.7 units on a scaleStandard Deviation 20.66
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)36.9 units on a scaleStandard Deviation 19.99
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Global Health Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)45 units on a scaleStandard Deviation 17.32
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 12 (n=31)3.5 units on a scaleStandard Deviation 11.12
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 24 (n=30)3.5 units on a scaleStandard Deviation 10.76
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 36 (n=27)4.1 units on a scaleStandard Deviation 14.01
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 48 (n=24)5.4 units on a scaleStandard Deviation 11.88
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 60 (n=21)2.1 units on a scaleStandard Deviation 14.02
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 72 (n=17)5 units on a scaleStandard Deviation 12.37
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 84 (n=17)2.6 units on a scaleStandard Deviation 8.5
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 96 (n=13)4.2 units on a scaleStandard Deviation 11.88
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.8 units on a scaleStandard Deviation 15
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Mental Health Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)-3.3 units on a scaleStandard Deviation 20.21
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)11.4 units on a scaleStandard Deviation 26.12
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)19 units on a scaleStandard Deviation 28.59
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 36 (n=26)29.2 units on a scaleStandard Deviation 33.1
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)34.1 units on a scaleStandard Deviation 33.98
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)31.7 units on a scaleStandard Deviation 32.4
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)34.4 units on a scaleStandard Deviation 36.37
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 84 (n=16)27.6 units on a scaleStandard Deviation 41.69
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 96 (n=11)43.9 units on a scaleStandard Deviation 40.15
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)46.9 units on a scaleStandard Deviation 40.81
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Emotional Category: Mean Change From Baseline to Each VisitWeek 120 (n=2)62.5 units on a scaleStandard Deviation 41.25
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 12 (n=30)4.6 units on a scaleStandard Deviation 24.5
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 24 (n=28)13.5 units on a scaleStandard Deviation 28.59
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 36 (n=26)21.8 units on a scaleStandard Deviation 24.24
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)18.4 units on a scaleStandard Deviation 24.76
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 60 (n=20)13.3 units on a scaleStandard Deviation 31.55
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)22.2 units on a scaleStandard Deviation 30.09
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 84 (n=16)17.4 units on a scaleStandard Deviation 35.13
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 96 (n=12)20.4 units on a scaleStandard Deviation 27.15
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 108 (n=8)15.3 units on a scaleStandard Deviation 25.85
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Parental Impact - Time Category: Mean Change From Baseline to Each VisitWeek 120 (n=2)55.6 units on a scaleStandard Deviation 62.85
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120.

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 12 (n=31)30.6 units on a scaleStandard Deviation 32.14
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 24 (n=30)31.6 units on a scaleStandard Deviation 31.91
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 36 (n=27)36.4 units on a scaleStandard Deviation 31.26
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 48 (n=23)31.5 units on a scaleStandard Deviation 28.39
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 60 (n=21)29 units on a scaleStandard Deviation 32.3
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 72 (n=16)40.6 units on a scaleStandard Deviation 27
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 84 (n=17)40 units on a scaleStandard Deviation 30.44
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 96 (n=13)34.3 units on a scaleStandard Deviation 27.88
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 108 (n=9)37 units on a scaleStandard Deviation 27.92
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Physical Functioning Category: Mean Change From Baseline to Each VisitWeek 120 (n=3)53.7 units on a scaleStandard Deviation 8.49
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 12 (n=23)20.8 units on a scaleStandard Deviation 32.53
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 24 (n=22)17.7 units on a scaleStandard Deviation 29.43
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 36 (n=20)17.2 units on a scaleStandard Deviation 25.86
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 48 (n=18)16 units on a scaleStandard Deviation 27.28
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 60 (n=16)20.8 units on a scaleStandard Deviation 31.91
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 72 (n=13)26.5 units on a scaleStandard Deviation 32.25
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 84 (n=13)20.5 units on a scaleStandard Deviation 33.29
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 96 (n=9)30.9 units on a scaleStandard Deviation 32.76
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 108 (n=7)23.8 units on a scaleStandard Deviation 25.2
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations/Emotional/Behavioral Category: Mean Change From Baseline to Each VisitWeek 120 (n=2)33.3 units on a scaleStandard Deviation 47.14
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 12 (n=21)28.6 units on a scaleStandard Deviation 32.97
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 24 (n=20)31.7 units on a scaleStandard Deviation 35
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 36 (n=18)30.6 units on a scaleStandard Deviation 39.3
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 48 (n=17)27.5 units on a scaleStandard Deviation 37.24
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 60 (n=15)34.4 units on a scaleStandard Deviation 39.07
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 72 (n=12)36.1 units on a scaleStandard Deviation 41.34
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 84 (n=12)34.7 units on a scaleStandard Deviation 43.5
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 96 (n=8)41.7 units on a scaleStandard Deviation 37.8
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 108 (n=6)47.2 units on a scaleStandard Deviation 37.14
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Role/Social Limitations - Physical Category: Mean Change From Baseline to Each VisitWeek 120 (n=1)66.7 units on a scaleStandard Deviation 0
Secondary

Child's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each Visit

The CHQ-PF50 is a participant-reported outcome measure that includes 50 questions related to physical and mental health, social limitations, and impact on parents and family. Scores for each category were converted to a scale from 0 (implies higher disease activity) to 100 (implies lower disease activity). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 12 (n=23)10.6 units on a scaleStandard Deviation 23.91
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 24 (n=22)10.5 units on a scaleStandard Deviation 24.75
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 36 (n=19)16.8 units on a scaleStandard Deviation 22.02
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 48 (n=16)15.2 units on a scaleStandard Deviation 22.6
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 60 (n=14)10.2 units on a scaleStandard Deviation 22.53
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 72 (n=13)-2.8 units on a scaleStandard Deviation 31.78
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 84 (n=13)9.4 units on a scaleStandard Deviation 18.52
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 96 (n=9)6.9 units on a scaleStandard Deviation 19.87
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 108 (n=6)-4.2 units on a scaleStandard Deviation 10.87
AdalimumabChild's Health Questionnaire Parent Form (CHQ-PF50) Self Esteem Category: Mean Change From Baseline to Each VisitWeek 120 (n=1)4.2 units on a scaleStandard Deviation 0
Secondary

C-reactive Protein (CRP): Mean Change From Baseline to Each Visit

CRP is a laboratory parameter and considered as an efficacy variable. CRP is a general marker of inflammation that is sensitive to acute changes in inflammatory response. CRP is reported using mg/dL. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 12 (n=28)-0.6 mg/dLStandard Deviation 2.65
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 24 (n=28)-0.2 mg/dLStandard Deviation 3.2
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 36 (n=25)-0.4 mg/dLStandard Deviation 3.08
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 48 (n=23)0.4 mg/dLStandard Deviation 2.68
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 60 (n=20)-0.3 mg/dLStandard Deviation 1.83
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 72 (n=17)-0.7 mg/dLStandard Deviation 1.25
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 84 (n=17)-0.7 mg/dLStandard Deviation 1.47
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 96 (n=12)0.1 mg/dLStandard Deviation 1.6
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 108 (n=9)0.2 mg/dLStandard Deviation 1.93
AdalimumabC-reactive Protein (CRP): Mean Change From Baseline to Each VisitWeek 120 (n=3)0.3 mg/dLStandard Deviation 0.28
Secondary

Creatine Phosphokinase: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 12 (n=27)17.2 U/LStandard Deviation 50.48
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 24 (n=27)7 U/LStandard Deviation 30.79
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 36 (n=25)24.8 U/LStandard Deviation 44.5
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 48 (n=24)18.4 U/LStandard Deviation 54.02
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 60 (n=21)26.6 U/LStandard Deviation 65.48
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 72 (n=16)41.6 U/LStandard Deviation 40.63
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 84 (n=16)36.4 U/LStandard Deviation 53.64
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 96 (n=11)28.7 U/LStandard Deviation 41.79
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 108 (n=9)7.2 U/LStandard Deviation 22.97
AdalimumabCreatine Phosphokinase: Mean Change From Baseline to Each VisitWeek 120 (n=3)14 U/LStandard Deviation 40.73
Secondary

Creatinine: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 12 (n=27)1.7 µmol/LStandard Deviation 5.98
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 24 (n=28)0.5 µmol/LStandard Deviation 5.3
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.3 µmol/LStandard Deviation 5.84
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 48 (n=24)2.5 µmol/LStandard Deviation 7.8
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 60 (n=21)2.8 µmol/LStandard Deviation 5.79
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 72 (n=16)3.4 µmol/LStandard Deviation 6.96
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 84 (n=16)4 µmol/LStandard Deviation 6.37
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 96 (n=11)3.2 µmol/LStandard Deviation 5.53
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 108 (n=9)6.2 µmol/LStandard Deviation 6.7
AdalimumabCreatinine: Mean Change From Baseline to Each VisitWeek 120 (n=3)8.7 µmol/LStandard Deviation 5.51
Secondary

Disability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each Visit

The DICHAQ is a self-reported participant-oriented outcome measure, calculated as the mean of the following 8 category scores (range: 0 to 3): Dressing and Grooming, Arising, Eating, Walking, Hygiene, Reach, Grip, and Activities. The score of each category is calculated as the maximum of the scores for the questions within that category. If aids and devices and/or help from another person are used for a category, a lower category score is adjusted to 2 for that category. A participant must have scores for at least 6 categories in order to compute the DICHAQ score. Total score is derived as average of all categories: 0 (no disability) to 3 (complete disability). Baseline is the last value prior to the first dose of study drug. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 12 (n=31)-0.5 units on a scaleStandard Deviation 0.64
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 24 (n=30)-0.5 units on a scaleStandard Deviation 0.69
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 36 (n=27)-0.6 units on a scaleStandard Deviation 0.7
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 48 (n=24)-0.6 units on a scaleStandard Deviation 0.68
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.6 units on a scaleStandard Deviation 0.71
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 72 (n=16)-0.9 units on a scaleStandard Deviation 0.64
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 84 (n=17)-0.9 units on a scaleStandard Deviation 0.68
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 96 (n=13)-0.8 units on a scaleStandard Deviation 0.56
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.8 units on a scaleStandard Deviation 0.63
AdalimumabDisability Index of Child Health Assessment Questionnaire (DICHAQ): Mean Change From Baseline to Each VisitWeek 120 (n=3)-0.8 units on a scaleStandard Deviation 1.09
Secondary

Eosinophils: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 12 (n=29)-0.004 x10^9/LStandard Deviation 0.1771
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 24 (n=29)-0.006 x10^9/LStandard Deviation 0.1545
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 36 (n=25)-0.052 x10^9/LStandard Deviation 0.1374
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.056 x10^9/LStandard Deviation 0.2773
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.015 x10^9/LStandard Deviation 0.1363
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.069 x10^9/LStandard Deviation 0.1886
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.016 x10^9/LStandard Deviation 0.1631
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.158 x10^9/LStandard Deviation 0.3207
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.002 x10^9/LStandard Deviation 0.0864
AdalimumabEosinophils: Mean Change From Baseline to Each VisitWeek 120 (n=3)-0.063 x10^9/LStandard Deviation 0.0929
Secondary

Hematocrit: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 12 (n=29)0.018 FractionStandard Deviation 0.0206
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 24 (n=29)0.016 FractionStandard Deviation 0.0289
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.017 FractionStandard Deviation 0.0292
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.011 FractionStandard Deviation 0.0288
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 60 (n=21)0.009 FractionStandard Deviation 0.0275
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.024 FractionStandard Deviation 0.0264
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.026 FractionStandard Deviation 0.0366
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.023 FractionStandard Deviation 0.0319
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 108 (n=9)0.018 FractionStandard Deviation 0.0273
AdalimumabHematocrit: Mean Change From Baseline to Each VisitWeek 120 (n=3)0.008 FractionStandard Deviation 0.0082
Secondary

Hemoglobin: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 12 (n=29)6.7 g/LStandard Deviation 7.32
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 24 (n=29)6.7 g/LStandard Deviation 9.76
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 36 (n=25)5.5 g/LStandard Deviation 9.31
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 48 (n=24)5.3 g/LStandard Deviation 10.68
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 60 (n=21)6 g/LStandard Deviation 10.96
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 72 (n=17)9.5 g/LStandard Deviation 10.65
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 84 (n=16)10.5 g/LStandard Deviation 13.69
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 96 (n=11)8.6 g/LStandard Deviation 9.99
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 108 (n=9)7.7 g/LStandard Deviation 8.08
AdalimumabHemoglobin: Mean Change From Baseline to Each VisitWeek 120 (n=3)4.7 g/LStandard Deviation 2.89
Secondary

Limitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each Visit

Sixty-nine joints were assessed by physical examination. The joints to be examined for LOM were the same as those examined for tenderness, except that the sacroiliac, sternoclavicular, and acromio clavicular joints were excluded. LOM of the joint was classified as present (1), absent (0), or replaced/injected (9). Scores range from 0 to 621, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 2 (n=32)-4.5 units on a scaleStandard Deviation 7.14
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 4 (n=32)-5.4 units on a scaleStandard Deviation 6.48
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 8 (n=32)-5.3 units on a scaleStandard Deviation 5.02
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 12 (n=31)-5.6 units on a scaleStandard Deviation 4.8
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 16 (n=31)-6.3 units on a scaleStandard Deviation 6.31
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 20 (n=29)-6.8 units on a scaleStandard Deviation 6.63
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 24 (n=30)-5.6 units on a scaleStandard Deviation 5.54
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 36 (n=28)-5.1 units on a scaleStandard Deviation 5.29
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 48 (n=24)-5.5 units on a scaleStandard Deviation 7.06
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 60 (n=20)-5.5 units on a scaleStandard Deviation 8.31
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 72 (n=17)-6.9 units on a scaleStandard Deviation 7.84
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 84 (n=17)-8.4 units on a scaleStandard Deviation 6.9
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 96 (n=13)-7.5 units on a scaleStandard Deviation 6.73
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 108 (n=9)-5.2 units on a scaleStandard Deviation 3.96
AdalimumabLimitation of Passive Motion (LOM69) Joint Count: Mean Change From Baseline to Each VisitWeek 120 (n=3)-6 units on a scaleStandard Deviation 2.65
Secondary

Lymphocytes: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 12 (n=29)0.371 x10˄9/LStandard Deviation 2.3523
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 24 (n=29)0.292 x10˄9/LStandard Deviation 1.9345
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.176 x10˄9/LStandard Deviation 1.962
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.186 x10˄9/LStandard Deviation 1.9584
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 60 (n=21)-0.034 x10˄9/LStandard Deviation 1.6129
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.636 x10˄9/LStandard Deviation 1.7404
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.306 x10˄9/LStandard Deviation 1.5143
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.006 x10˄9/LStandard Deviation 1.9402
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.46 x10˄9/LStandard Deviation 2.4315
AdalimumabLymphocytes: Mean Change From Baseline to Each VisitWeek 120 (n=3)-0.67 x10˄9/LStandard Deviation 1.8041
Secondary

Mean Serum Adalimumab Trough Concentrations at Week 0, Week 12, and Week 24

Adalimumab concentrations in serum were determined using a validated enzyme-linked immunoadsorbent assay (ELISA) method. The lower limit of quantitation (LLOQ) for adalimumab is 3.13 ng/mL.

Time frame: Weeks 0, 12, and 24

Population: All participants who had samples for pharmacokinetic analysis

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabMean Serum Adalimumab Trough Concentrations at Week 0, Week 12, and Week 24Week 00 µg/mLStandard Deviation 0
AdalimumabMean Serum Adalimumab Trough Concentrations at Week 0, Week 12, and Week 24Week 126.97 µg/mLStandard Deviation 5.69
AdalimumabMean Serum Adalimumab Trough Concentrations at Week 0, Week 12, and Week 24Week 247.78 µg/mLStandard Deviation 5.85
Secondary

Monocytes: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 12 (n=29)-0.032 x10^9/LStandard Deviation 0.3051
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 24 (n=29)0.081 x10^9/LStandard Deviation 0.4547
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.028 x10^9/LStandard Deviation 0.2978
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 48 (n=24)-0.006 x10^9/LStandard Deviation 0.2718
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 60 (n=21)0.08 x10^9/LStandard Deviation 0.1831
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.113 x10^9/LStandard Deviation 0.2054
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.061 x10^9/LStandard Deviation 0.2594
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.089 x10^9/LStandard Deviation 0.2295
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 108 (n=9)0.096 x10^9/LStandard Deviation 0.3248
AdalimumabMonocytes: Mean Change From Baseline to Each VisitWeek 120 (n=3)0.057 x10^9/LStandard Deviation 0.0777
Secondary

Neutrophils: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 12 (n=29)-0.138 x10˄9/LStandard Deviation 2.9819
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 24 (n=29)-0.619 x10˄9/LStandard Deviation 3.0082
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 36 (n=25)-0.586 x10˄9/LStandard Deviation 3.7363
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.065 x10˄9/LStandard Deviation 3.4433
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 60 (n=21)0.222 x10˄9/LStandard Deviation 2.0937
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 72 (n=17)-0.169 x10˄9/LStandard Deviation 2.6167
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 84 (n=16)-0.206 x10˄9/LStandard Deviation 2.0077
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.293 x10˄9/LStandard Deviation 2.511
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.39 x10˄9/LStandard Deviation 3.1702
AdalimumabNeutrophils: Mean Change From Baseline to Each VisitWeek 120 (n=3)2.47 x10˄9/LStandard Deviation 3.2658
Secondary

Pain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each Visit

Seventy-five joints were assessed by physical examination. The joints to be examined for POM were the same as those examined for tenderness. POM of the joint was classified as present (1), absent (0), or replaced/injected (9). Scores range from 0 to 675, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 2 (n=32)-3.3 units on a scaleStandard Deviation 4.5
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 4 (n=32)-4 units on a scaleStandard Deviation 4.01
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 8 (n=32)-4.6 units on a scaleStandard Deviation 5.17
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 12 (n=31)-4.9 units on a scaleStandard Deviation 4.59
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 16 (n=31)-4.9 units on a scaleStandard Deviation 4.6
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 20 (n=29)-5.4 units on a scaleStandard Deviation 4.81
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 24 (n=30)-4.1 units on a scaleStandard Deviation 7.32
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 36 (n=28)-4.3 units on a scaleStandard Deviation 7.34
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 48 (n=24)-5.8 units on a scaleStandard Deviation 4.42
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 60 (n=20)-5.9 units on a scaleStandard Deviation 5.25
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 72 (n=17)-6.4 units on a scaleStandard Deviation 5.41
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 84 (n=17)-6.1 units on a scaleStandard Deviation 5.34
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 96 (n=13)5.7 units on a scaleStandard Deviation 5.12
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 108 (n=9)-3.6 units on a scaleStandard Deviation 5.85
AdalimumabPain on Passive Motion (POM75) Joint Count: Mean Change From Baseline to Each VisitWeek 120 (n=3)-5.3 units on a scaleStandard Deviation 1.53
Secondary

Parent's Global Assessment of Disease Activity: Mean Change From Baseline to Each Visit

The parent's assessment of how the participant's arthritis is doing overall on a VAS. The VAS is a 100 mm scale, with scores ranging from 0 (very good) to 100 (very bad). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 108 (n=9)-39.9 units on a scaleStandard Deviation 37.54
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 12 (n=31)-28.1 units on a scaleStandard Deviation 29.91
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 24 (n=30)-32.2 units on a scaleStandard Deviation 29.74
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 36 (n=27)-35.1 units on a scaleStandard Deviation 27.42
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 48 (n=24)-35.6 units on a scaleStandard Deviation 32.19
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 60 (n=21)-34.5 units on a scaleStandard Deviation 33.31
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 72 (n=17)-43.8 units on a scaleStandard Deviation 25.58
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 84 (n=17)-42.6 units on a scaleStandard Deviation 28.62
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 96 (n=13)-45.8 units on a scaleStandard Deviation 29.1
AdalimumabParent's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 120 (n=3)-47.7 units on a scaleStandard Deviation 34.96
Secondary

Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)

The PedACR30 response is defined by the PedACR as ≥30% improvement in at least 3 of 6 JIA core set criteria, and ≥30% worsening in ≤1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria are Physician's Global Assessment (PGA) of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with loss of passive motion \[LOM\] and joints with pain on passive motion \[POM\], tenderness, or both), number of joints with LOM, Disability Index of Child Health Assessment Questionnaire (DICHAQ), and C-reactive protein (CRP). Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using last observation carried forward (LOCF) and non-responder imputation (NRI); observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (NUMBER)
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 12 Observed (n=31)93.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 12 NRI (n=32)90.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 12 LOCF (n=31)93.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 24 Observed (n=30)90 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 24 NRI (n=32)84.4 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 24 LOCF (n=31)90.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 36 Observed (n=27)92.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 36 NRI (n=32)78.1 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 36 LOCF (n=31)93.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 48 Observed (n=24)83.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 48 NRI (n=32)62.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 48 LOCF (n=31)83.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 60 Observed (n=20)90 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 60 NRI (n=32)56.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 60 LOCF (n=31)87.1 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 72 Observed (n=17)100 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 84 Observed (n=17)100 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 96 Observed (n=13)92.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 108 Observed (n=9)88.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 30% Response (PedACR30)Week 120 Observed (n=3)100 percentage of participants
Secondary

Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)

The PedACR50 response is defined by the PedACR as ≥ 50% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (NUMBER)
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 12 Observed (n=31)90.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 12 NRI (n=32)87.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 12 LOCF (n=31)90.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 24 Observed (n=30)83.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 24 NRI (n=32)78.1 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 24 LOCF (n=31)83.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 36 Observed (n=27)88.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 36 NRI (n=32)75 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 36 LOCF (n=31)90.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 48 Observed (n=24)79.2 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 48 NRI (n=32)59.4 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 48 LOCF (n=31)80.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 60 Observed (n=20)80 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 60 NRI (n=32)50 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 60 LOCF (n=31)80.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 72 Observed (n=17)100 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 84 Observed (n=17)94.1 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 96 Observed (n=13)92.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 108 Observed (n=9)88.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 50% Response (PedACR50)Week 120 Observed (n=3)100 percentage of participants
Secondary

Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)

The PedACR70 response is defined by the PedACR as ≥ 70% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (NUMBER)
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 12 Observed (n=31)61.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 12 NRI (n=32)59.4 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 12 LOCF (n=31)61.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 24 Observed (n=30)73.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 24 NRI (n=32)68.8 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 24 LOCF (n=31)74.2 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 36 Observed (n=27)66.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 36 NRI (n=32)56.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 36 LOCF (n=31)67.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 48 Observed (n=24)75 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 48 NRI (n=32)56.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 48 LOCF (n=31)74.2 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 60 Observed (n=20)70 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 60 NRI (n=32)43.8 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 60 LOCF (n=31)71 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 72 Observed (n=17)76.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 84 Observed (n=17)82.4 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 96 Observed (n=13)76.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 108 Observed (n=9)77.8 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 70% Response (PedACR70)Week 120 Observed (n=3)100 percentage of participants
Secondary

Percentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)

The PedACR90 response is defined by the PedACR as ≥ 90% improvement in at least 3 of 6 JIA core set criteria, and ≥ 30% worsening in not more than 1 of 6 JIA core set criteria. The 6 variables for the JIA core set criteria include PGA of participant's disease activity, Parent's Global Assessment of participant's disease activity, number of active joints (joints with swelling not due to deformity or joints with LOM and joints with POM, tenderness, or both), number of joints with LOM, DICHAQ, and CRP. Baseline is the last value prior to the first dose of study drug. Missing data were imputed up to Week 60 using LOCF and by NRI; observed values are presented for timepoints past Week 60. n=number of participants for either observed or imputed methods at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (NUMBER)
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 12 Observed (n=31)38.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 12 NRI (n=32)37.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 12 LOCF (n=31)38.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 24 Observed (n=30)36.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 24 NRI (n=32)34.4 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 24 LOCF (n=31)35.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 36 Observed (n=27)51.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 36 NRI (n=32)43.8 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 36 LOCF (n=31)51.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 48 Observed (n=24)62.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 48 NRI (n=32)46.9 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 48 LOCF (n=31)58.1 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 60 Observed (n=20)50 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 60 NRI (n=32)31.3 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 60 LOCF (n=31)51.6 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 72 Observed (n=17)64.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 84 Observed (n=17)64.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 96 Observed (n=13)61.5 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 108 Observed (n=9)66.7 percentage of participants
AdalimumabPercentage of Participants Achieving Pediatric American College of Rheumatology (PedACR) 90% Response (PedACR90)Week 120 Observed (n=3)100 percentage of participants
Secondary

Physician's Global Assessment of Disease Activity: Mean Change From Baseline to Each Visit

The physician's assessment of participant's overall disease activity on a visual analog scale (VAS). The VAS is a 100 mm scale, with scores ranging from 0 (very good) to 100 (very bad). Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 12 (n=31)-41.4 units on a scaleStandard Deviation 21.2
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 24 (n=30)-45.3 units on a scaleStandard Deviation 21.32
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 36 (n=28)-43 units on a scaleStandard Deviation 23.9
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 48 (n=24)-46.5 units on a scaleStandard Deviation 18.35
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 60 (n=21)-42.7 units on a scaleStandard Deviation 28.17
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 72 (n=17)-51.1 units on a scaleStandard Deviation 19.53
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 84 (n=17)-50.5 units on a scaleStandard Deviation 16.77
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 96 (n=13)-47.5 units on a scaleStandard Deviation 24.42
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 108 (n=9)-48.3 units on a scaleStandard Deviation 28.24
AdalimumabPhysician's Global Assessment of Disease Activity: Mean Change From Baseline to Each VisitWeek 120 (n=3)-56.3 units on a scaleStandard Deviation 5.13
Secondary

Platelets: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 12 (n=29)-35 x10˄9/LStandard Deviation 145.44
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 24 (n=29)-57.7 x10˄9/LStandard Deviation 140.82
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 36 (n=25)-75.2 x10˄9/LStandard Deviation 148.51
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 48 (n=23)-21 x10˄9/LStandard Deviation 174.17
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 60 (n=21)-46.7 x10˄9/LStandard Deviation 125.71
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 72 (n=17)-51.1 x10˄9/LStandard Deviation 111.11
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 84 (n=15)-58.5 x10˄9/LStandard Deviation 127.29
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 96 (n=11)-49.2 x10˄9/LStandard Deviation 142.73
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 108 (n=9)-30.4 x10˄9/LStandard Deviation 137.84
AdalimumabPlatelets: Mean Change From Baseline to Each VisitWeek 120 (n=3)20 x10˄9/LStandard Deviation 185.95
Secondary

Red Blood Cell (RBC) Count: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 12 (n=29)0.15 x10˄12/LStandard Deviation 0.231
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 24 (n=29)0.08 x10˄12/LStandard Deviation 0.308
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.098 x10˄12/LStandard Deviation 0.277
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.05 x10˄12/LStandard Deviation 0.213
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 60 (n=21)0.07 x10˄12/LStandard Deviation 0.296
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.1 x10˄12/LStandard Deviation 0.187
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.06 x10˄12/LStandard Deviation 0.228
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.08 x10˄12/LStandard Deviation 0.343
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 108 (n=9)0.1 x10˄12/LStandard Deviation 0.32
AdalimumabRed Blood Cell (RBC) Count: Mean Change From Baseline to Each VisitWeek 120 (n=3)0.03 x10˄12/LStandard Deviation 0.153
Secondary

Swollen Joint Count (SJC66): Mean Change From Baseline to Each Visit

Sixty-six joints were assessed by physical examination. The joints to be examined for swelling were the same as those examined for tenderness, except that the hip, subtalar, sacroiliac, lumbar spine, thoracic spine, and cervical spine joints were excluded. Joint swelling was classified as present (1), absent (0) or replaced/injected (9). Scores range from 0 to 594, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 2 (n=32)-4.5 units on a scaleStandard Deviation 6.46
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 4 (n=32)-5.3 units on a scaleStandard Deviation 6.63
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 8 (n=32)-6 units on a scaleStandard Deviation 5.32
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 12 (n=31)-6.2 units on a scaleStandard Deviation 4.24
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 16 (n=31)-6.1 units on a scaleStandard Deviation 6.59
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 20 (n=29)-6.9 units on a scaleStandard Deviation 5.62
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 24 (n=30)-6.3 units on a scaleStandard Deviation 5.83
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 36 (n=28)-6.2 units on a scaleStandard Deviation 4.73
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 48 (n=24)-6.7 units on a scaleStandard Deviation 5.34
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 60 (n=20)-8.4 units on a scaleStandard Deviation 7.15
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 72 (n=17)-8.9 units on a scaleStandard Deviation 6.06
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 84 (n=17)-9.4 units on a scaleStandard Deviation 7.15
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 96 (n=13)-8.5 units on a scaleStandard Deviation 6.89
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 108 (n=9)-5.8 units on a scaleStandard Deviation 3.31
AdalimumabSwollen Joint Count (SJC66): Mean Change From Baseline to Each VisitWeek 120 (n=3)-7.3 units on a scaleStandard Deviation 2.08
Secondary

Tender Joint Count (TJC75): Mean Change From Baseline to Each Visit

Seventy-five joints or regions were assessed by pressure and joint manipulation on physical examination. Joint tenderness was classified as either present (1), absent (0) or replaced/injected (9). Scores range from 0 to 675, with higher scores representing higher disease activity. Baseline is defined as the last nonmissing value prior to the first dose of study drug. Participants with nonmissing Baseline and at least 1 postbaseline observation are included in the analysis. n=participants with a nonmissing value at baseline and each visit.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 2 (n=32)-2.3 units on a scaleStandard Deviation 4.62
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 4 (n=32)-2.8 units on a scaleStandard Deviation 4.48
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 8 (n=32)-3.1 units on a scaleStandard Deviation 4.31
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 12 (n=31)-2.7 units on a scaleStandard Deviation 5.09
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 16 (n=31)-3.5 units on a scaleStandard Deviation 4.77
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 20 (n=29)-3.9 units on a scaleStandard Deviation 5.09
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 24 (n=30)-3 units on a scaleStandard Deviation 5.54
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 36 (n=28)-2.9 units on a scaleStandard Deviation 5.65
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 48 (n=24)-4.4 units on a scaleStandard Deviation 4.85
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 60 (n=20)-4.5 units on a scaleStandard Deviation 5.85
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 72 (n=17)-5.3 units on a scaleStandard Deviation 5.53
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 84 (n=17)-4.8 units on a scaleStandard Deviation 5.2
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 96 (n=13)-4 units on a scaleStandard Deviation 5.46
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 108 (n=9)-1.1 units on a scaleStandard Deviation 4.73
AdalimumabTender Joint Count (TJC75): Mean Change From Baseline to Each VisitWeek 120 (n=3)-1.3 units on a scaleStandard Deviation 2.31
Secondary

Total Bilirubin: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 12 (n=27)1.2 µmol/LStandard Deviation 2.42
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 24 (n=28)0.6 µmol/LStandard Deviation 1.59
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 36 (n=25)0.6 µmol/LStandard Deviation 1.61
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.9 µmol/LStandard Deviation 2.4
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 60 (n=21)1 µmol/LStandard Deviation 2.09
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 72 (n=16)0.2 µmol/LStandard Deviation 1.25
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.5 µmol/LStandard Deviation 2.36
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.7 µmol/LStandard Deviation 1.62
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 108 (n=9)1.1 µmol/LStandard Deviation 2.71
AdalimumabTotal Bilirubin: Mean Change From Baseline to Each VisitWeek 120 (n=3)2.3 µmol/LStandard Deviation 0.58
Secondary

Uric Acid: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 72 (n=16)-0.9 µmol/LStandard Deviation 43.53
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 12 (n=27)1.7 µmol/LStandard Deviation 48.24
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 24 (n=27)6.5 µmol/LStandard Deviation 47.93
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 36 (n=25)2.5 µmol/LStandard Deviation 41.77
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 48 (n=24)5.6 µmol/LStandard Deviation 45.62
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 60 (n=21)1.9 µmol/LStandard Deviation 30.86
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 84 (n=16)-4.5 µmol/LStandard Deviation 46.76
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 96 (n=11)13.3 µmol/LStandard Deviation 36.39
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 108 (n=9)-10.1 µmol/LStandard Deviation 33.55
AdalimumabUric Acid: Mean Change From Baseline to Each VisitWeek 120 (n=3)-7 µmol/LStandard Deviation 27.78
Secondary

White Blood Cell (WBC) Count: Mean Change From Baseline to Each Visit

Baseline is the last value prior to the first dose of study drug. Participants with non-missing baseline and at least 1 post-baseline observation are included in the analysis. n=participants with evaluable data at given time point.

Time frame: Baseline and Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120

ArmMeasureGroupValue (MEAN)Dispersion
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 12 (n=29)0.19 x10^9/LStandard Deviation 3.959
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 24 (n=29)-0.25 x10^9/LStandard Deviation 3.756
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 36 (n=25)-0.42 x10^9/LStandard Deviation 4.632
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 48 (n=24)0.3 x10^9/LStandard Deviation 4.804
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 60 (n=21)0.25 x10^9/LStandard Deviation 2.183
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 72 (n=17)0.66 x10^9/LStandard Deviation 3.225
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 84 (n=16)0.18 x10^9/LStandard Deviation 2.944
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 96 (n=11)0.55 x10^9/LStandard Deviation 2.757
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 108 (n=9)-0.76 x10^9/LStandard Deviation 4.166
AdalimumabWhite Blood Cell (WBC) Count: Mean Change From Baseline to Each VisitWeek 120 (n=3)1.8 x10^9/LStandard Deviation 3.651

Source: ClinicalTrials.gov · Data processed: Mar 6, 2026