Ulcerative Colitis
Conditions
Keywords
treatment of ulcerative colitis; CP 690 550
Brief summary
The hypothesis of the study is that at least one dose of CP 690 550 is superior to placebo (inactive drug) in inducing remission in patients with moderate to severe ulcerative colitis.
Interventions
Administration via oral route twice daily for the duration of treatment
Administration via oral route twice daily for the duration of treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must be at least 18 years of age at screening * Males and female patients with clinical diagnosis of ulcerative colitis ≥3 months prior to entry into the study. * Male and female patients with active currently moderate to severe ulcerative colitis defined by Mayo score of ≥6 * Patients with endoscopic sub-score of ≥2 on the Mayo score determined within 7 days of baseline.
Exclusion criteria
* Diagnosis of Crohn's disease or diagnosis of indeterminate colitis * Treatment naive subjects who have not had previous exposure to treatment for ulcerative colitis * Patients that are currently receiving immunosuppressants, anti-TNFα therapy or interferon
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Clinical Response | Week 8 | Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Endoscopic Response | Week 8 | Endoscopic response was defined as decrease from baseline in the findings of the flexible proctosigmoidoscopy subscore of the Mayo score at least 1 point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). |
| Percentage of Participants With Endoscopic Remission | Week 8 | Endoscopic remission was defined as the findings of flexible proctosigmoidoscopy subscore of the Mayo score equals 0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). |
| Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline, Week 2, 4, 8, 12 | Partial Mayo score was ranged from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). |
| Percentage of Participants With Clinical Remission | Week 8 | Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point. Mayo score:instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). |
| Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline, Week 4, 8 | The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement. |
| Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline, Week 2, 4, 8, 12 | Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation. |
| Plasma Concentration of CP-690,550 | 0.25, 0.5, 1, 2 hours post-dose on Day 1, 0 (pre-dose) and 1 hour post-dose on Week 2, Week 4, 0 (pre-dose), 0.25, 0.5, 1, 2 hours post-dose on Week 8 | Summary statistics were calculated for each dose group using the nominal collection times and by setting concentration values below the lower limit of quantification (LLOQ) (LLOQ=0.1 nanogram per milliliter \[ng/mL\]) to zero. |
| Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline, Week 8 | IBDQ: Psychometrically validated patient reported outcome (PRO) instrument for measuring disease-specific quality of life (QOL) in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). Total score is sum of each item score, ranged from 32 to 224 with higher score indicates better QOL. Positive change in total score indicated improvement in QOL. |
Countries
Belgium, Brazil, Chile, Czechia, Denmark, France, Hungary, Israel, Italy, Mexico, Netherlands, Poland, Slovakia, South Africa, Spain, Sweden, United Kingdom
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Placebo Placebo tablet matched to CP-690,550 orally twice daily for 8 weeks. | 49 |
| CP-690,550 0.5 mg CP-690,550 tablets equivalent to CP-690,550 0.5 mg orally twice daily for 8 weeks. | 31 |
| CP-690,550 3 mg CP-690,550 tablets equivalent to CP-690,550 3 mg orally twice daily for 8 weeks. | 33 |
| CP-690,550 10 mg CP-690,550 tablets equivalent to CP-690,550 10 mg orally twice daily for 8 weeks. | 33 |
| CP-690,550 15 mg CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 8 weeks. | 49 |
| Total | 195 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 3 | 2 | 0 | 0 | 2 |
| Overall Study | Lack of Efficacy | 5 | 6 | 5 | 2 | 1 |
| Overall Study | Lost to Follow-up | 1 | 0 | 0 | 0 | 0 |
| Overall Study | Protocol Violation | 2 | 1 | 0 | 0 | 1 |
| Overall Study | Randomized, not treated | 1 | 0 | 0 | 0 | 0 |
| Overall Study | Withdrawal by Subject | 2 | 2 | 2 | 0 | 0 |
Baseline characteristics
| Characteristic | Placebo | CP-690,550 0.5 mg | CP-690,550 3 mg | CP-690,550 10 mg | CP-690,550 15 mg | Total |
|---|---|---|---|---|---|---|
| Age, Customized 18 to 44 years | 28 participants | 16 participants | 18 participants | 17 participants | 31 participants | 110 participants |
| Age, Customized 45 to 64 years | 16 participants | 14 participants | 13 participants | 15 participants | 16 participants | 74 participants |
| Age, Customized Greater than or equal to (>=) 65 years | 5 participants | 1 participants | 2 participants | 1 participants | 2 participants | 11 participants |
| Sex: Female, Male Female | 26 Participants | 14 Participants | 14 Participants | 12 Participants | 23 Participants | 89 Participants |
| Sex: Female, Male Male | 23 Participants | 17 Participants | 19 Participants | 21 Participants | 26 Participants | 106 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk |
|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 21 / 48 | 19 / 31 | 10 / 33 | 13 / 33 | 20 / 49 |
| serious Total, serious adverse events | 4 / 48 | 1 / 31 | 1 / 33 | 2 / 33 | 2 / 49 |
Outcome results
Percentage of Participants With Clinical Response
Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Time frame: Week 8
Population: Full analysis set (FAS): all participants who withdrew as treatment failure (TF) or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF=non-responders. Missing data due to reason other than TF were excluded. N (number of participants analyzed)=evaluable participants for the measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With Clinical Response | 47.5 percentage of participants |
| CP-690,550 0.5 mg | Percentage of Participants With Clinical Response | 29.6 percentage of participants |
| CP-690,550 3 mg | Percentage of Participants With Clinical Response | 51.6 percentage of participants |
| CP-690,550 10 mg | Percentage of Participants With Clinical Response | 63.3 percentage of participants |
| CP-690,550 15 mg | Percentage of Participants With Clinical Response | 80.0 percentage of participants |
Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8
The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.
Time frame: Baseline, Week 4, 8
Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline (n=48, 31, 33, 32, 49) | 9.70 milligram per liter (mg/L) | Standard Deviation 12.84 |
| Placebo | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 8 (n=37, 21, 27, 28, 44) | 0.90 milligram per liter (mg/L) | Standard Deviation 16.41 |
| Placebo | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 4 (n=38, 22, 25, 30, 46) | -0.70 milligram per liter (mg/L) | Standard Deviation 6.75 |
| CP-690,550 0.5 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 4 (n=38, 22, 25, 30, 46) | -4.11 milligram per liter (mg/L) | Standard Deviation 27.08 |
| CP-690,550 0.5 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline (n=48, 31, 33, 32, 49) | 18.80 milligram per liter (mg/L) | Standard Deviation 29.43 |
| CP-690,550 0.5 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 8 (n=37, 21, 27, 28, 44) | -6.84 milligram per liter (mg/L) | Standard Deviation 27.32 |
| CP-690,550 3 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 4 (n=38, 22, 25, 30, 46) | -1.88 milligram per liter (mg/L) | Standard Deviation 12.41 |
| CP-690,550 3 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline (n=48, 31, 33, 32, 49) | 12.55 milligram per liter (mg/L) | Standard Deviation 13.21 |
| CP-690,550 3 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 8 (n=37, 21, 27, 28, 44) | -3.85 milligram per liter (mg/L) | Standard Deviation 8.74 |
| CP-690,550 10 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline (n=48, 31, 33, 32, 49) | 11.32 milligram per liter (mg/L) | Standard Deviation 16.45 |
| CP-690,550 10 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 8 (n=37, 21, 27, 28, 44) | -0.12 milligram per liter (mg/L) | Standard Deviation 31.33 |
| CP-690,550 10 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 4 (n=38, 22, 25, 30, 46) | -5.68 milligram per liter (mg/L) | Standard Deviation 13.09 |
| CP-690,550 15 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 4 (n=38, 22, 25, 30, 46) | -9.08 milligram per liter (mg/L) | Standard Deviation 15.44 |
| CP-690,550 15 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Baseline (n=48, 31, 33, 32, 49) | 17.14 milligram per liter (mg/L) | Standard Deviation 26.44 |
| CP-690,550 15 mg | Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8 | Change at Week 8 (n=37, 21, 27, 28, 44) | -8.20 milligram per liter (mg/L) | Standard Deviation 21.86 |
Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12
Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation.
Time frame: Baseline, Week 2, 4, 8, 12
Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 8 (n=40, 25, 28, 31, 43) | -400 milligram per kilogram (mg/kg) | Standard Deviation 2814 |
| Placebo | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline (n=46, 29, 31, 32, 49) | 1733 milligram per kilogram (mg/kg) | Standard Deviation 2596 |
| Placebo | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 12 (n=33, 19, 24, 28, 42) | -791 milligram per kilogram (mg/kg) | Standard Deviation 2290 |
| Placebo | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 2 (n=39, 24, 28, 31, 47) | -225 milligram per kilogram (mg/kg) | Standard Deviation 2990 |
| Placebo | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 4 (n=37, 22, 27, 28, 45) | -512 milligram per kilogram (mg/kg) | Standard Deviation 2602 |
| CP-690,550 0.5 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 8 (n=40, 25, 28, 31, 43) | -292 milligram per kilogram (mg/kg) | Standard Deviation 1650 |
| CP-690,550 0.5 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 4 (n=37, 22, 27, 28, 45) | -401 milligram per kilogram (mg/kg) | Standard Deviation 1789 |
| CP-690,550 0.5 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 2 (n=39, 24, 28, 31, 47) | 1465 milligram per kilogram (mg/kg) | Standard Deviation 5399 |
| CP-690,550 0.5 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 12 (n=33, 19, 24, 28, 42) | 565.7 milligram per kilogram (mg/kg) | Standard Deviation 2808 |
| CP-690,550 0.5 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline (n=46, 29, 31, 32, 49) | 1440 milligram per kilogram (mg/kg) | Standard Deviation 1623 |
| CP-690,550 3 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 4 (n=37, 22, 27, 28, 45) | -369 milligram per kilogram (mg/kg) | Standard Deviation 3211 |
| CP-690,550 3 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline (n=46, 29, 31, 32, 49) | 1474 milligram per kilogram (mg/kg) | Standard Deviation 2182 |
| CP-690,550 3 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 2 (n=39, 24, 28, 31, 47) | -65 milligram per kilogram (mg/kg) | Standard Deviation 3823 |
| CP-690,550 3 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 8 (n=40, 25, 28, 31, 43) | -570 milligram per kilogram (mg/kg) | Standard Deviation 1797 |
| CP-690,550 3 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 12 (n=33, 19, 24, 28, 42) | -414 milligram per kilogram (mg/kg) | Standard Deviation 2245 |
| CP-690,550 10 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 12 (n=33, 19, 24, 28, 42) | -721 milligram per kilogram (mg/kg) | Standard Deviation 2099 |
| CP-690,550 10 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline (n=46, 29, 31, 32, 49) | 1145 milligram per kilogram (mg/kg) | Standard Deviation 2001 |
| CP-690,550 10 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 8 (n=40, 25, 28, 31, 43) | -636 milligram per kilogram (mg/kg) | Standard Deviation 2221 |
| CP-690,550 10 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 4 (n=37, 22, 27, 28, 45) | -681 milligram per kilogram (mg/kg) | Standard Deviation 1981 |
| CP-690,550 10 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 2 (n=39, 24, 28, 31, 47) | -127 milligram per kilogram (mg/kg) | Standard Deviation 2212 |
| CP-690,550 15 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 4 (n=37, 22, 27, 28, 45) | -687 milligram per kilogram (mg/kg) | Standard Deviation 1941 |
| CP-690,550 15 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 8 (n=40, 25, 28, 31, 43) | -596 milligram per kilogram (mg/kg) | Standard Deviation 4152 |
| CP-690,550 15 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Baseline (n=46, 29, 31, 32, 49) | 1523 milligram per kilogram (mg/kg) | Standard Deviation 2575 |
| CP-690,550 15 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 12 (n=33, 19, 24, 28, 42) | -753 milligram per kilogram (mg/kg) | Standard Deviation 1917 |
| CP-690,550 15 mg | Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12 | Change at Week 2 (n=39, 24, 28, 31, 47) | -598 milligram per kilogram (mg/kg) | Standard Deviation 2378 |
Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12
Partial Mayo score was ranged from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Time frame: Baseline, Week 2, 4, 8, 12
Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Baseline-observation-carried-forward (BOCF) was used for participants who withdrew as TF. Missing data due to reasons other than treatment failure were excluded. N=evaluable participants for the measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 8 (n=41, 28, 32, 31, 46) | -1.59 units on a scale | Standard Deviation 1.53 |
| Placebo | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline (n=46, 31, 33, 33, 49) | 5.74 units on a scale | Standard Deviation 1.39 |
| Placebo | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 12 (n=38, 27, 30, 29, 45) | -2.26 units on a scale | Standard Deviation 2.15 |
| Placebo | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 2 (n=41, 31, 29, 28, 47) | -0.63 units on a scale | Standard Deviation 1.39 |
| Placebo | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 4 (n=42, 28, 30, 29, 48) | -1.26 units on a scale | Standard Deviation 1.67 |
| CP-690,550 0.5 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 8 (n=41, 28, 32, 31, 46) | -1.46 units on a scale | Standard Deviation 2.01 |
| CP-690,550 0.5 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 4 (n=42, 28, 30, 29, 48) | -1.32 units on a scale | Standard Deviation 1.76 |
| CP-690,550 0.5 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 2 (n=41, 31, 29, 28, 47) | -1.06 units on a scale | Standard Deviation 1.46 |
| CP-690,550 0.5 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 12 (n=38, 27, 30, 29, 45) | -1.56 units on a scale | Standard Deviation 2.24 |
| CP-690,550 0.5 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline (n=46, 31, 33, 33, 49) | 6.10 units on a scale | Standard Deviation 1.35 |
| CP-690,550 3 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 4 (n=42, 28, 30, 29, 48) | -2.17 units on a scale | Standard Deviation 2.68 |
| CP-690,550 3 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline (n=46, 31, 33, 33, 49) | 5.82 units on a scale | Standard Deviation 1.4 |
| CP-690,550 3 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 2 (n=41, 31, 29, 28, 47) | -1.66 units on a scale | Standard Deviation 2.18 |
| CP-690,550 3 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 8 (n=41, 28, 32, 31, 46) | -2.50 units on a scale | Standard Deviation 2.38 |
| CP-690,550 3 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 12 (n=38, 27, 30, 29, 45) | -2.60 units on a scale | Standard Deviation 2.44 |
| CP-690,550 10 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 12 (n=38, 27, 30, 29, 45) | -3.03 units on a scale | Standard Deviation 2.08 |
| CP-690,550 10 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline (n=46, 31, 33, 33, 49) | 5.55 units on a scale | Standard Deviation 1.48 |
| CP-690,550 10 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 8 (n=41, 28, 32, 31, 46) | -2.77 units on a scale | Standard Deviation 2.45 |
| CP-690,550 10 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 4 (n=42, 28, 30, 29, 48) | -2.62 units on a scale | Standard Deviation 2.14 |
| CP-690,550 10 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 2 (n=41, 31, 29, 28, 47) | -2.11 units on a scale | Standard Deviation 2.23 |
| CP-690,550 15 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 4 (n=42, 28, 30, 29, 48) | -2.75 units on a scale | Standard Deviation 2.09 |
| CP-690,550 15 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 8 (n=41, 28, 32, 31, 46) | -3.28 units on a scale | Standard Deviation 2.02 |
| CP-690,550 15 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Baseline (n=46, 31, 33, 33, 49) | 5.53 units on a scale | Standard Deviation 1.19 |
| CP-690,550 15 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 12 (n=38, 27, 30, 29, 45) | -3.22 units on a scale | Standard Deviation 2.31 |
| CP-690,550 15 mg | Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12 | Change at Week 2 (n=41, 31, 29, 28, 47) | -2.19 units on a scale | Standard Deviation 1.94 |
Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8
IBDQ: Psychometrically validated patient reported outcome (PRO) instrument for measuring disease-specific quality of life (QOL) in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). Total score is sum of each item score, ranged from 32 to 224 with higher score indicates better QOL. Positive change in total score indicated improvement in QOL.
Time frame: Baseline, Week 8
Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline (n=47, 31, 30, 31, 48) | 123.15 units on a scale | Standard Deviation 29.46 |
| Placebo | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Change at Week 8 (n=34, 18, 24, 26, 42) | 27.75 units on a scale | Standard Deviation 29.75 |
| CP-690,550 0.5 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline (n=47, 31, 30, 31, 48) | 123.81 units on a scale | Standard Deviation 34.48 |
| CP-690,550 0.5 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Change at Week 8 (n=34, 18, 24, 26, 42) | 27.72 units on a scale | Standard Deviation 33.37 |
| CP-690,550 3 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline (n=47, 31, 30, 31, 48) | 132.30 units on a scale | Standard Deviation 33.57 |
| CP-690,550 3 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Change at Week 8 (n=34, 18, 24, 26, 42) | 30.29 units on a scale | Standard Deviation 27.29 |
| CP-690,550 10 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Change at Week 8 (n=34, 18, 24, 26, 42) | 30.38 units on a scale | Standard Deviation 39.76 |
| CP-690,550 10 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline (n=47, 31, 30, 31, 48) | 134.46 units on a scale | Standard Deviation 32.5 |
| CP-690,550 15 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Baseline (n=47, 31, 30, 31, 48) | 123.95 units on a scale | Standard Deviation 34.86 |
| CP-690,550 15 mg | Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8 | Change at Week 8 (n=34, 18, 24, 26, 42) | 50.71 units on a scale | Standard Deviation 35.55 |
Percentage of Participants With Clinical Remission
Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point. Mayo score:instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Time frame: Week 8
Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With Clinical Remission | 12.2 percentage of participants |
| CP-690,550 0.5 mg | Percentage of Participants With Clinical Remission | 7.4 percentage of participants |
| CP-690,550 3 mg | Percentage of Participants With Clinical Remission | 35.5 percentage of participants |
| CP-690,550 10 mg | Percentage of Participants With Clinical Remission | 50.0 percentage of participants |
| CP-690,550 15 mg | Percentage of Participants With Clinical Remission | 42.2 percentage of participants |
Percentage of Participants With Endoscopic Remission
Endoscopic remission was defined as the findings of flexible proctosigmoidoscopy subscore of the Mayo score equals 0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Time frame: Week 8
Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With Endoscopic Remission | 2.4 percentage of participants |
| CP-690,550 0.5 mg | Percentage of Participants With Endoscopic Remission | 7.4 percentage of participants |
| CP-690,550 3 mg | Percentage of Participants With Endoscopic Remission | 19.4 percentage of participants |
| CP-690,550 10 mg | Percentage of Participants With Endoscopic Remission | 30.0 percentage of participants |
| CP-690,550 15 mg | Percentage of Participants With Endoscopic Remission | 26.7 percentage of participants |
Percentage of Participants With Endoscopic Response
Endoscopic response was defined as decrease from baseline in the findings of the flexible proctosigmoidoscopy subscore of the Mayo score at least 1 point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Time frame: Week 8
Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With Endoscopic Response | 55.0 percentage of participants |
| CP-690,550 0.5 mg | Percentage of Participants With Endoscopic Response | 51.9 percentage of participants |
| CP-690,550 3 mg | Percentage of Participants With Endoscopic Response | 61.3 percentage of participants |
| CP-690,550 10 mg | Percentage of Participants With Endoscopic Response | 70.0 percentage of participants |
| CP-690,550 15 mg | Percentage of Participants With Endoscopic Response | 82.2 percentage of participants |
Plasma Concentration of CP-690,550
Summary statistics were calculated for each dose group using the nominal collection times and by setting concentration values below the lower limit of quantification (LLOQ) (LLOQ=0.1 nanogram per milliliter \[ng/mL\]) to zero.
Time frame: 0.25, 0.5, 1, 2 hours post-dose on Day 1, 0 (pre-dose) and 1 hour post-dose on Week 2, Week 4, 0 (pre-dose), 0.25, 0.5, 1, 2 hours post-dose on Week 8
Population: Analysis population included all participants who had at least 1 plasma concentration. N=evaluable participants for this measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Plasma Concentration of CP-690,550 | Week 8: 0 hours | 0.59 ng/mL | Standard Deviation 0.864 |
| Placebo | Plasma Concentration of CP-690,550 | Day 1: 2 hours | 3.82 ng/mL | Standard Deviation 1.58 |
| Placebo | Plasma Concentration of CP-690,550 | Day 1: 0.25 hours | 1.27 ng/mL | Standard Deviation 1.91 |
| Placebo | Plasma Concentration of CP-690,550 | Week 8: 0.5 hours | 4.07 ng/mL | Standard Deviation 2.69 |
| Placebo | Plasma Concentration of CP-690,550 | Week 8: 1 hour | 4.41 ng/mL | Standard Deviation 2.51 |
| Placebo | Plasma Concentration of CP-690,550 | Week 2: 0 hours | 2.16 ng/mL | Standard Deviation 2.19 |
| Placebo | Plasma Concentration of CP-690,550 | Week 8: 2 hours | 6.48 ng/mL | Standard Deviation 15 |
| Placebo | Plasma Concentration of CP-690,550 | Day 1: 1 hour | 4.34 ng/mL | Standard Deviation 1.88 |
| Placebo | Plasma Concentration of CP-690,550 | Week 8: 0.25 hours | 1.6 ng/mL | Standard Deviation 1.85 |
| Placebo | Plasma Concentration of CP-690,550 | Week 2: 1 hour | 3.37 ng/mL | Standard Deviation 3 |
| Placebo | Plasma Concentration of CP-690,550 | Week 4: 1 hour | 3.4 ng/mL | Standard Deviation 2.45 |
| Placebo | Plasma Concentration of CP-690,550 | Day 1: 0.5 hours | 3.5 ng/mL | Standard Deviation 2.45 |
| Placebo | Plasma Concentration of CP-690,550 | Week 4: 0 hours | 2.28 ng/mL | Standard Deviation 2.61 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 8: 0.25 hours | 11.9 ng/mL | Standard Deviation 14.2 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 4: 0 hours | 31.1 ng/mL | Standard Deviation 110 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Day 1: 0.5 hours | 23.1 ng/mL | Standard Deviation 15.2 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 4: 1 hour | 23.5 ng/mL | Standard Deviation 18.2 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 8: 0 hours | 3.74 ng/mL | Standard Deviation 7.19 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Day 1: 1 hour | 27.6 ng/mL | Standard Deviation 11.6 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Day 1: 0.25 hours | 13.3 ng/mL | Standard Deviation 18.4 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 8: 1 hour | 25.4 ng/mL | Standard Deviation 10.8 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Day 1: 2 hours | 19.5 ng/mL | Standard Deviation 7.72 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 2: 0 hours | 11.3 ng/mL | Standard Deviation 14.5 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 8: 2 hours | 19.6 ng/mL | Standard Deviation 10.1 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 8: 0.5 hours | 20.3 ng/mL | Standard Deviation 12.7 |
| CP-690,550 0.5 mg | Plasma Concentration of CP-690,550 | Week 2: 1 hour | 21.3 ng/mL | Standard Deviation 14.1 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 4: 1 hour | 75.9 ng/mL | Standard Deviation 55.3 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Day 1: 0.25 hours | 45.5 ng/mL | Standard Deviation 53.8 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Day 1: 0.5 hours | 70.1 ng/mL | Standard Deviation 51.5 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Day 1: 1 hour | 87.1 ng/mL | Standard Deviation 38.7 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Day 1: 2 hours | 62.6 ng/mL | Standard Deviation 27.8 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 2: 0 hours | 39.9 ng/mL | Standard Deviation 34.7 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 2: 1 hour | 64.8 ng/mL | Standard Deviation 41.4 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 4: 0 hours | 26.4 ng/mL | Standard Deviation 32.9 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 8: 0 hours | 15.9 ng/mL | Standard Deviation 31.5 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 8: 0.25 hours | 50.1 ng/mL | Standard Deviation 54.1 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 8: 0.5 hours | 78.8 ng/mL | Standard Deviation 61.8 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 8: 1 hour | 78.4 ng/mL | Standard Deviation 51.9 |
| CP-690,550 3 mg | Plasma Concentration of CP-690,550 | Week 8: 2 hours | 60.6 ng/mL | Standard Deviation 35.2 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 2: 1 hour | 102.0 ng/mL | Standard Deviation 60.1 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 8: 1 hour | 110.0 ng/mL | Standard Deviation 62.3 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 8: 0.25 hours | 51.8 ng/mL | Standard Deviation 64.4 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 2: 0 hours | 35.4 ng/mL | Standard Deviation 50.2 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Day 1: 0.5 hours | 122.0 ng/mL | Standard Deviation 80.3 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 8: 0.5 hours | 99.5 ng/mL | Standard Deviation 88.1 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Day 1: 2 hours | 96.9 ng/mL | Standard Deviation 30.8 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Day 1: 1 hour | 131.0 ng/mL | Standard Deviation 54.4 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 4: 1 hour | 109.0 ng/mL | Standard Deviation 57.6 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 8: 2 hours | 92.0 ng/mL | Standard Deviation 50.1 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Day 1: 0.25 hours | 44.5 ng/mL | Standard Deviation 48.3 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 8: 0 hours | 12.3 ng/mL | Standard Deviation 13 |
| CP-690,550 10 mg | Plasma Concentration of CP-690,550 | Week 4: 0 hours | 40.5 ng/mL | Standard Deviation 61.4 |