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A Study of RoActemra/Actemra (Tocilizumab) in Combination With Methotrexate in Patients With Active Rheumatoid Arthritis Who Have an Inadequate Response to Disease-Modifying Antirheumatic Drugs (DMARDs) (ALABASTER)

Actemra - Local Bosnian Open, Multicentric, Trial to Evaluate Safety, Tolerability and Efficacy of Tocilizumab in Combination With Methotrexate in Patients With Active Rheumatoid Arthritis After Inadequate Response to DMARDs

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01235507
Enrollment
71
Registered
2010-11-05
Start date
2011-02-28
Completion date
2012-12-31
Last updated
2014-11-07

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

Conditions

Rheumatoid Arthritis

Brief summary

This open-label, single arm study will assess the safety and efficacy of RoActem ra/Actemra (tocilizumab) in combination with methotrexate in patients with activ e moderate to severe rheumatoid arthritis who have an inadequate response to dis ease-modifying antirheumatic drugs (DMARDs). Patients will receive RoActemra/Act emra at a dose of 8 mg/kg (maximum 800 mg) intravenously every 4 weeks for a tot al of 6 infusions. Methotrexate will be continued at a stable dose. Anticipated time on study treatment is 24 weeks.

Interventions

DRUGmethotrexate

stable dose as prescribed

DRUGtocilizumab [RoActemra/Actemra]

8 m/kg (maximum 800 mg) intravenously every 4 weeks for a total of 6 infusions

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Adult patients, \>/= 18 years of age * Active moderate to severe rheumatoid arthritis (RA) * On methotrexate treatment (oral or parenteral) for at least 12 weeks, at stable dose of at least 15 mg/week for at least 6 weeks * Oral corticosteroids must have been at stable dose of \</= 10 mg/day prednisone (or equivalent) for at least 25 out of 28 days prior to first dose of study drug * Body weight \</= 150 kg

Exclusion criteria

* Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months of study entry * Rheumatic autoimmune disease other than RA * Functional class IV according to American College of Rheumatology (ACR) classification * Prior history of or current inflammatory joint disease other then RA * Treatment with traditional DMARDs other than methotrexate within 1 month (for leflunomide 3 months) prior to baseline * Treatment with any biologic drug that is used in the treatment or RA * Intraarticular or parenteral corticosteroids within 6 weeks prior to baseline * Known active current or history of recurrent infection * History of or currently active primary or secondary immunodeficiency * Positive for HIV

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)Screening Visit, Baseline, Weeks 4, 8, 12, 16, 20 and 24AEs, SAEs and AESI were recorded from the Screening Visit until the final visit at Week 24.

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Weeks 8, 16 and 24DAS28 was calculated using the 28 joints count, the CRP and PtGA of disease activity. The following formula was used to determine DAS28. DAS28 = 0.56 × √(TJC28) + 0.28 × √(SJC28) + 0.36 × ln(CRP+1) + 0.014 × GH + 0.96 where, TJC28 = tender joint count on 28 joints, SJC28 = swollen joint count on 28 joints, ln = natural log, CRP = C-reactive protein (mg/L), and GH = general health, determined by participant's global assessment of disease activity (100-mm VAS). The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity. Participants were considered to have low disease activity when DAS28 was less than or equal to (≤) 3.2 and in clinical remission when DAS28 scores were less than (\<) 2.6
Swollen and Tender Joint CountsBaseline, Weeks 8, 16 and 2466 and 68 joints were assessed by the physician for tenderness or swelling respectively. The joints were counted as tender/not tender (tender=1; not tender=0) and swollen/not swollen (swollen=1; not swollen=0) and scored. The scores ranged from 0 to 66 for TJC and 0 to 68 for SJC. A negative change from baseline represents an improvement.
Physician's Global Assessment of Disease ActivityBaseline, Weeks 8, 16 and 24Physician's global assessment of disease activity was performed using a 100 mm VAS ranging from no arthritis activity (0) to maximal arthritis activity (100). The distance in mm from the left edge of the scale was measured. Higher scores indicated higher disease activity. A negative change from baseline represents an improvement.
Mean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitBaseline, Weeks 8, 16 and 24DAS28 was calculated using the 28 joints count, the C-reactive protein levels (CRP) and participant's global assessment (PtGA) of disease activity. The following formula was used to determine DAS28. DAS28 (equals) = 0.56 × (square root of) √(TJC28) + 0.28 × √(SJC28) + 0.36 × ln(CRP+1) + 0.014 × GH + 0.96 where, TJC28 = tender joint count on 28 joints, SJC28 = swollen joint count on 28 joints, ln = natural log, CRP = C-reactive protein (mg/L), and GH = general health, determined by participant's global assessment of disease activity (100- millimeter \[mm\] visual analog scale \[ VAS\]). The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity.
Participant's Global Assessment of PainBaseline, Weeks 8, 16 and 24Participant's global assessment of pain was performed using a 100 mm VAS ranging from no pain (0) at the left edge to unbearable pain (100) at the right edge. The distance in mm from the left edge of the scale was measured. A negative change from baseline represents an improvement.
CRP LevelsBaseline, Weeks 8, 16 and 24CRP is a marker of acute phase inflammation and is measured in mg/L. A negative change from baseline represents an improvement.
Erythrocyte Sedimentation Rate (ESR)Baseline, Weeks 8, 16 and 24ESR is a marker of inflammation and is measured in millimeters per hour (mm/hour). A negative change from baseline represents an improvement.
Participant's Global Assessment of Disease ActivityBaseline, Weeks 8, 16 and 24Participant's global assessment of disease activity was performed using a 100 mm VAS ranging from no arthritis activity (0) to maximal arthritis activity (100). The distance in mm from the left edge of the scale was measured. Higher scores indicated higher disease activity. A negative change from baseline represents an improvement.

Countries

Bosnia and Herzegovina

Participant flow

Participants by arm

ArmCount
Tocilizumab Plus MTX
Participants received tocilizumab 8 mg/kg (maximum 800 mg) IV every 4 weeks for a total of 6 infusions along with methotrexate stable dose as prescribed. Participants also received a stable dose of at least 5 mg/week of folate (or equivalent) given as either a single dose or divided into daily doses to achieve at least 5 mg/week, per investigator discretion.
71
Total71

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicTocilizumab Plus MTX
Age, Continuous49.76 years
STANDARD_DEVIATION 12.37
Sex: Female, Male
Female
61 Participants
Sex: Female, Male
Male
10 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
7 / 71
serious
Total, serious adverse events
2 / 71

Outcome results

Primary

Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)

AEs, SAEs and AESI were recorded from the Screening Visit until the final visit at Week 24.

Time frame: Screening Visit, Baseline, Weeks 4, 8, 12, 16, 20 and 24

Population: Safety Analysis Population: All participants enrolled in the study who received at least 1 dose of study medication and had at least 1 post-baseline assessment of safety (such as laboratory data, vital signs, or AEs) were included.

ArmMeasureGroupValue (NUMBER)
Tocilizumab Plus MTXPercentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)AESI4.2 percentage of participants
Tocilizumab Plus MTXPercentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)AEs14.1 percentage of participants
Tocilizumab Plus MTXPercentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)SAE2.8 percentage of participants
Secondary

CRP Levels

CRP is a marker of acute phase inflammation and is measured in mg/L. A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n=number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXCRP LevelsBaseline (n=62)11.98 mg/LStandard Deviation 15.04
Tocilizumab Plus MTXCRP LevelsWeek 8 (n=65)5.11 mg/LStandard Deviation 14.12
Tocilizumab Plus MTXCRP LevelsChange from Baseline to Week 8 (n=61)-6.68 mg/LStandard Deviation 17.88
Tocilizumab Plus MTXCRP LevelsWeek 16 (n=67)3.84 mg/LStandard Deviation 11.91
Tocilizumab Plus MTXCRP LevelsChange from Baseline to Week 16 (n=60)-8.0 mg/LStandard Deviation 18.39
Tocilizumab Plus MTXCRP LevelsWeek 24 (n=68)5.53 mg/LStandard Deviation 14.07
Tocilizumab Plus MTXCRP LevelsChange from Baseline to Week 24 (n=60)-5.97 mg/LStandard Deviation 21.12
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Erythrocyte Sedimentation Rate (ESR)

ESR is a marker of inflammation and is measured in millimeters per hour (mm/hour). A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n=number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Baseline (n=71)36.13 mm/hourStandard Deviation 24.82
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Week 8 (n=71)9.04 mm/hourStandard Deviation 8.83
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Change from Baseline to Week 8 (n=71-27.09 mm/hourStandard Deviation 22.98
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Week 16 (n=71)8.71 mm/hourStandard Deviation 6.39
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Change from Baseline to Week 16 (n=71)-27.42 mm/hourStandard Deviation 23.07
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Week 24 (n=69)10.3 mm/hourStandard Deviation 12.81
Tocilizumab Plus MTXErythrocyte Sedimentation Rate (ESR)Change from Baseline to Week 24 (n=69)-25.72 mm/hourStandard Deviation 27.54
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Mean Disease Activity Score Based on 28 Joint Count (DAS28) by Visit

DAS28 was calculated using the 28 joints count, the C-reactive protein levels (CRP) and participant's global assessment (PtGA) of disease activity. The following formula was used to determine DAS28. DAS28 (equals) = 0.56 × (square root of) √(TJC28) + 0.28 × √(SJC28) + 0.36 × ln(CRP+1) + 0.014 × GH + 0.96 where, TJC28 = tender joint count on 28 joints, SJC28 = swollen joint count on 28 joints, ln = natural log, CRP = C-reactive protein (mg/L), and GH = general health, determined by participant's global assessment of disease activity (100- millimeter \[mm\] visual analog scale \[ VAS\]). The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; number (n) = number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitBaseline (n=71)6.28 units on a scaleStandard Deviation 1.06
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitWeek 8 (n=71)3.84 units on a scaleStandard Deviation 1.29
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitChange from Baseline to Week 8 (n=71)-2.44 units on a scaleStandard Deviation 0.98
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitWeek 16 (n=71)3.19 units on a scaleStandard Deviation 1.23
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitChange from Baseline to Week 16 (n=71)-3.09 units on a scaleStandard Deviation 1.01
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitWeek 24 (n=69)2.65 units on a scaleStandard Deviation 1.23
Tocilizumab Plus MTXMean Disease Activity Score Based on 28 Joint Count (DAS28) by VisitChange from Baseline to Week 24 (n=69)-3.62 units on a scaleStandard Deviation 1.22
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Participant's Global Assessment of Disease Activity

Participant's global assessment of disease activity was performed using a 100 mm VAS ranging from no arthritis activity (0) to maximal arthritis activity (100). The distance in mm from the left edge of the scale was measured. Higher scores indicated higher disease activity. A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n=number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityBaseline (n=71)70 mmStandard Deviation 16.84
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityWeek 8 (n=71)42.87 mmStandard Deviation 20.67
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityChange from Baseline to Week 8 (n=71)-27.13 mmStandard Deviation 21.6
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityWeek 16 (n=71)33.20 mmStandard Deviation 21.16
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityChange from Baseline to Week 16 (n=71)-36.80 mmStandard Deviation 22.43
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityWeek 24 (n=69)24.56 mmStandard Deviation 20.15
Tocilizumab Plus MTXParticipant's Global Assessment of Disease ActivityChange from Baseline to Week 24 (n=69)-45.30 mmStandard Deviation 22.74
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Participant's Global Assessment of Pain

Participant's global assessment of pain was performed using a 100 mm VAS ranging from no pain (0) at the left edge to unbearable pain (100) at the right edge. The distance in mm from the left edge of the scale was measured. A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n=number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXParticipant's Global Assessment of PainChange from Baseline to Week 24 (n=69)-44.04 mmStandard Deviation 25.11
Tocilizumab Plus MTXParticipant's Global Assessment of PainWeek 24 (n=69)25.54 mmStandard Deviation 21.37
Tocilizumab Plus MTXParticipant's Global Assessment of PainBaseline (n=71)69.73 mmStandard Deviation 17.6
Tocilizumab Plus MTXParticipant's Global Assessment of PainWeek 8 (n=71)42.34 mmStandard Deviation 19.25
Tocilizumab Plus MTXParticipant's Global Assessment of PainChange from Baseline to Week 8 (n=71)-27.39 mmStandard Deviation 19.44
Tocilizumab Plus MTXParticipant's Global Assessment of PainWeek 16 (n=71)33.94 mmStandard Deviation 21.05
Tocilizumab Plus MTXParticipant's Global Assessment of PainChange from Baseline to Week 16 (n=71)-35.79 mmStandard Deviation 21.52
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Percentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28

DAS28 was calculated using the 28 joints count, the CRP and PtGA of disease activity. The following formula was used to determine DAS28. DAS28 = 0.56 × √(TJC28) + 0.28 × √(SJC28) + 0.36 × ln(CRP+1) + 0.014 × GH + 0.96 where, TJC28 = tender joint count on 28 joints, SJC28 = swollen joint count on 28 joints, ln = natural log, CRP = C-reactive protein (mg/L), and GH = general health, determined by participant's global assessment of disease activity (100-mm VAS). The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity. Participants were considered to have low disease activity when DAS28 was less than or equal to (≤) 3.2 and in clinical remission when DAS28 scores were less than (\<) 2.6

Time frame: Weeks 8, 16 and 24

Population: ITT Population; n= number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (NUMBER)
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 8 CR (n=71)14.1 percentage of participants
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 8 LDA (n=71)31.0 percentage of participants
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 16 CR (n=71)39.4 percentage of participants
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 16 LDA (n=71)49.3 percentage of participants
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 24 CR (n=69)47.8 percentage of participants
Tocilizumab Plus MTXPercentage of Participants Achieving Low Disease Activity (LDA) and Clinical Remission (CR) as Assessed Using DAS28Week 24 LDA (n=69)71.0 percentage of participants
Secondary

Physician's Global Assessment of Disease Activity

Physician's global assessment of disease activity was performed using a 100 mm VAS ranging from no arthritis activity (0) to maximal arthritis activity (100). The distance in mm from the left edge of the scale was measured. Higher scores indicated higher disease activity. A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n=number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityBaseline (n=71)67.44 mmStandard Deviation 17.72
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityWeek 8 (n=71)35.99 mmStandard Deviation 20.53
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityChange from Baseline to Week 8 (n=71)-31.45 mmStandard Deviation 17.76
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityWeek 16 (n=71)26.48 mmStandard Deviation 20.48
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityChange from Baseline to Week 16 (n=71)-40.97 mmStandard Deviation 20.7
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityWeek 24 (n=69)19.28 mmStandard Deviation 17.48
Tocilizumab Plus MTXPhysician's Global Assessment of Disease ActivityChange from Baseline to Week 24 (n=69)-48.09 mmStandard Deviation 19.69
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test
Secondary

Swollen and Tender Joint Counts

66 and 68 joints were assessed by the physician for tenderness or swelling respectively. The joints were counted as tender/not tender (tender=1; not tender=0) and swollen/not swollen (swollen=1; not swollen=0) and scored. The scores ranged from 0 to 66 for TJC and 0 to 68 for SJC. A negative change from baseline represents an improvement.

Time frame: Baseline, Weeks 8, 16 and 24

Population: ITT Population; n= number of participants analyzed for the given parameter at the specified time point

ArmMeasureGroupValue (MEAN)Dispersion
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in TJC from Baseline to Week 16 (n=71)-17.49 JointsStandard Deviation 11.02
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 24 TJC (n=69)5.03 JointsStandard Deviation 5.97
Tocilizumab Plus MTXSwollen and Tender Joint CountsBaseline SJC (n=71)19.48 JointsStandard Deviation 10.97
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 8 SJC (n=71)6.72 JointsStandard Deviation 5.76
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in SJC from Baseline to Week 8 (n=71)-12.76 JointsStandard Deviation 10.93
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 16 SJC (n=71)3.73 JointsStandard Deviation 4.88
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in SJC from Baseline to Week 16 (n=71)-15.75 JointsStandard Deviation 9.59
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 24 SJC (n=69)2.43 JointsStandard Deviation 4.12
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in SJC from Baseline to Week 24 (n=69)-16.83 JointsStandard Deviation 9.51
Tocilizumab Plus MTXSwollen and Tender Joint CountsBaseline TJC (n=71)24.62 JointsStandard Deviation 11.84
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 8 TJC (n=71)10.59 JointsStandard Deviation 8.38
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in TJC from Baseline to Week 8 (n=71)-14.03 JointsStandard Deviation 12.21
Tocilizumab Plus MTXSwollen and Tender Joint CountsWeek 16 TJC (n=71)7.12 JointsStandard Deviation 7.25
Tocilizumab Plus MTXSwollen and Tender Joint CountsChange in TJC from Baseline to Week 24 (n=69)-19.48 JointsStandard Deviation 10.27
Comparison: Change from Baseline to Week 8p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 16p-value: <0.0005Wilcoxon signed rank test
Comparison: Change from Baseline to Week 24p-value: <0.0005Wilcoxon signed rank test

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