Rheumatoid Arthritis
Conditions
Brief summary
This study will evaluate the safety and tolerability of multiple doses of LY2127399 (tabalumab) in Japanese participants with RA. The study consists of a 20-week treatment period. All participants will be followed for up to 12 weeks after the last study drug administration.
Interventions
Administered subcutaneously
Administered subcutaneously
Sponsors
Study design
Eligibility
Inclusion criteria
* Have given written informed consent * Women must not be pregnant, breastfeeding or be at risk to become pregnant during study participation * Diagnosis of RA * Active RA * Current, regular use of Methotrexate, at a stable dose * Body weight between 40 and 105 kilograms (kg), inclusive
Exclusion criteria
* Use of excluded medications (reviewed by study doctor) * Have medical findings which, in the opinion of the study doctor, put participant at an unacceptable risk for participation in the study * Have had recent or ongoing infection which, in the opinion of the study doctor put participant at an unacceptable risk for participation * Evidence of tuberculosis * Have systemic inflammatory condition other than RA
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Baseline through study completion (up to Week 32 plus up to 12 weeks for B cell monitoring) | Clinically significant effects are defined as serious AEs (SAEs) and other non-serious AEs regardless of causality. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PK of Tabalumab: Maximum Observed Drug Concentration (Cmax) | Week 0: Day 1 Predose, 1 h, 3 h, and 6 h postdose | Cmax for the first SC injection of tabalumab is reported. |
| Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Baseline, Week 0 (Day 2), Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, and 32 | B-lymphocyte antigen, CD20+, is an activated-glycosylated phosphoprotein expressed on the surface of all mature B cells. Percent change from baseline in B cell counts=\[(post-baseline CD20+ B cell count-baseline CD20+ B cell count)/(baseline CD20+ B cell count)\]\*100. A negative change indicates a decrease in cell count. |
| Change From Baseline in Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody [Inova Enzyme-Linked Immunosorbent Assay (ELISA) Method] | Baseline, Week 24 | During the analysis of anti-CCP, the analytical method was changed from the Inova ELISA method to the Roche Cobas 6000 method due to the discontinuation of a reagent used in the Inova ELISA method. The anti-CCP data are summarized separately for samples collected before and after the method change. No post-baseline samples from the 120 mg tabalumab Q4W and Q2W cohorts were analyzed using the Inova ELISA method. For both methods, a decrease in anti-CCP antibodies indicated an improvement in the participant's condition. |
| Change From Baseline in Anti-CCP Antibody (Roche Cobas 6000 Method) | Baseline, Week 24 | During the analysis of anti-CCP, the analytical method was changed from the Inova ELISA method to the Roche Cobas 6000 method due to the discontinuation of a reagent used in the Inova ELISA method. The anti-CCP data are summarized separately for samples collected before and after the method change. No baseline samples from the 30 mg, 60 mg, and 120 mg tabalumab Q4W cohorts were analyzed using the Roche Cobas 6000 method. For both methods, a decrease in anti-CCP antibodies indicated an improvement in the participant's condition. |
| Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | Week 0: Day 1 [predose and 1 hour (h), 3 h, and 6 h postdose], Days 2, 3, and 5, and Weeks 1, 2, 3, and 4 postdose | The following parameters are reported for the first SC injection of tabalumab: AUC(0-tlast) defined as AUC from time 0 to time t, where t is the time at the end of the dosing interval; AUC(0-2W) defined as AUC from time 0 to Week 2; and AUC(0-tau) defined as AUC during 1 dosing interval at steady state. |
| Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | Baseline, Weeks 4, 16, 24, and 32 | Immunoglobulins, or antibodies, are large proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Change from baseline serum immunoglobulin G (IgG), immunoglobulin M (IgM), and immunoglobulin A (IgA) levels are reported. A negative change indicates a decrease in immunoglobulin levels. |
| Percent Change From Baseline in CRP | Baseline, Weeks 4, 8, 16, and 24 | CRP is an indicator of inflammation. The percent change from baseline in CRP=\[(post-baseline CRP- baseline CRP)/(baseline CRP)\]\*100. A negative change indicates an improvement in the participant's condition. |
| Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Baseline, Weeks 4, 8, 16, and 24 | ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Reference ranges are gender-specific and can vary slightly among laboratories. The normal range is approximately ≤10 millimeters per hour (mm/h) for males and ≤20 mm/h for females. Higher scores indicate greater inflammation. The percent change from baseline in ESR=\[(post-baseline ESR- baseline ESR)/(baseline ESR)\]\*100. A decrease in ESR indicates an improvement in the participant's condition. |
| Change From Baseline in Rheumatoid Factor (RF) | Baseline, Week 24 | RF is an autoantibody (antibody directed against an organism's own tissues) most relevant in rheumatoid arthritis (RA). Higher RF levels indicate an aggressive RA and a higher risk of joint damage. A decrease in RF levels indicate an improvement in the participant's condition. |
Countries
Japan
Participant flow
Pre-assignment details
This dose-escalation study had 4 cohorts. Each cohort included 6 LY2127399 (tabalumab) participants and 2 placebo participants. Participants treated once every 2 weeks (Q2W) or once every 4 weeks (Q4W) and had a follow-up visit at Week 32. Additional visits beyond Week 32 were scheduled, as needed, for B cell count monitoring (up to 12 weeks).
Participants by arm
| Arm | Count |
|---|---|
| 30 mg Tabalumab Q4W Tabalumab: 30 mg SC injection Q4W for 20 weeks (Weeks 0, 4, 8, 12, 16, and 20). | 6 |
| 60 mg Tabalumab Q4W Tabalumab: 60 mg SC injection Q4W for 20 weeks (Weeks 0, 4, 8, 12, 16, and 20). | 6 |
| 120 mg Tabalumab Q4W Tabalumab: 120 mg SC injection Q4W for 20 weeks (Weeks 0, 4, 8, 12, 16, and 20). | 6 |
| 120 mg Tabalumab Q2W Tabalumab: 240 mg SC injection given as a loading dose at Week 0 followed by 120 mg SC injection Q2W for 20 weeks (Weeks 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20). | 6 |
| Placebo Q4W cohorts: Placebo SC injection Q4W for 20 weeks (Weeks 0, 4, 8, 12, 16, and 20).
Q2W cohort: Placebo SC injection Q2W for 20 weeks (Weeks 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20). | 8 |
| Total | 32 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 0 | 1 | 0 | 0 |
| Overall Study | Death | 0 | 1 | 0 | 0 | 0 |
| Overall Study | Physician Decision | 0 | 0 | 0 | 0 | 2 |
| Overall Study | Withdrawal by Subject | 0 | 0 | 0 | 1 | 0 |
Baseline characteristics
| Characteristic | 60 mg Tabalumab Q4W | Total | Placebo | 30 mg Tabalumab Q4W | 120 mg Tabalumab Q2W | 120 mg Tabalumab Q4W |
|---|---|---|---|---|---|---|
| Age, Continuous | 50.0 years STANDARD_DEVIATION 15 | 57.4 years STANDARD_DEVIATION 13.3 | 58.4 years STANDARD_DEVIATION 17.1 | 66.0 years STANDARD_DEVIATION 5.9 | 56.7 years STANDARD_DEVIATION 8 | 55.5 years STANDARD_DEVIATION 14.2 |
| Body Weight | 55.9 kilograms (kg) STANDARD_DEVIATION 13.8 | 55.8 kilograms (kg) STANDARD_DEVIATION 8.9 | 54.6 kilograms (kg) STANDARD_DEVIATION 7.5 | 54.8 kilograms (kg) STANDARD_DEVIATION 5.5 | 58.3 kilograms (kg) STANDARD_DEVIATION 8.3 | 55.9 kilograms (kg) STANDARD_DEVIATION 10.5 |
| C-Reactive Protein (CRP) | 18.69 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 35.23 | 12.85 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 16.56 | 11.07 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 5.3 | 11.46 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 13.9 | 8.73 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 8.26 | 14.91 milligrams per deciliter (mg/dL) STANDARD_DEVIATION 9.17 |
| Current Use of Corticosteroids No | 5 Participants | 17 Participants | 2 Participants | 3 Participants | 2 Participants | 5 Participants |
| Current Use of Corticosteroids Yes | 1 Participants | 15 Participants | 6 Participants | 3 Participants | 4 Participants | 1 Participants |
| Race/Ethnicity, Customized Japanese | 6 Participants | 32 Participants | 8 Participants | 6 Participants | 6 Participants | 6 Participants |
| Region of Enrollment Japan | 6 Participants | 32 Participants | 8 Participants | 6 Participants | 6 Participants | 6 Participants |
| Sex: Female, Male Female | 4 Participants | 25 Participants | 7 Participants | 6 Participants | 4 Participants | 4 Participants |
| Sex: Female, Male Male | 2 Participants | 7 Participants | 1 Participants | 0 Participants | 2 Participants | 2 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 | 5 / 6 | 4 / 6 | 3 / 6 | 6 / 6 | 5 / 8 |
| serious Total, serious adverse events | 0 / 6 | 1 / 6 | 1 / 6 | 1 / 6 | 1 / 8 |
Outcome results
Number of Participants With Adverse Events (AEs) [Clinically Significant Effects]
Clinically significant effects are defined as serious AEs (SAEs) and other non-serious AEs regardless of causality. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
Time frame: Baseline through study completion (up to Week 32 plus up to 12 weeks for B cell monitoring)
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| 30 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Non-Serious AEs, all causes | 5 Participants |
| 30 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | SAEs, all causes | 0 Participants |
| 60 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Non-Serious AEs, all causes | 4 Participants |
| 60 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | SAEs, all causes | 1 Participants |
| 120 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Non-Serious AEs, all causes | 3 Participants |
| 120 mg Tabalumab Q4W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | SAEs, all causes | 1 Participants |
| 120 mg Tabalumab Q2W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | SAEs, all causes | 1 Participants |
| 120 mg Tabalumab Q2W | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Non-Serious AEs, all causes | 6 Participants |
| Placebo | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | Non-Serious AEs, all causes | 5 Participants |
| Placebo | Number of Participants With Adverse Events (AEs) [Clinically Significant Effects] | SAEs, all causes | 1 Participants |
Change From Baseline in Anti-CCP Antibody (Roche Cobas 6000 Method)
During the analysis of anti-CCP, the analytical method was changed from the Inova ELISA method to the Roche Cobas 6000 method due to the discontinuation of a reagent used in the Inova ELISA method. The anti-CCP data are summarized separately for samples collected before and after the method change. No baseline samples from the 30 mg, 60 mg, and 120 mg tabalumab Q4W cohorts were analyzed using the Roche Cobas 6000 method. For both methods, a decrease in anti-CCP antibodies indicated an improvement in the participant's condition.
Time frame: Baseline, Week 24
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline anti-CCP assessment using the Roche Cobas 6000 method. No participants were analyzed in the 30 mg, 60 mg, and 120 mg tabalumab Q4W cohorts.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 120 mg Tabalumab Q2W | Change From Baseline in Anti-CCP Antibody (Roche Cobas 6000 Method) | NA units per milliliter (U/mL) |
| Placebo | Change From Baseline in Anti-CCP Antibody (Roche Cobas 6000 Method) | NA units per milliliter (U/mL) |
Change From Baseline in Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody [Inova Enzyme-Linked Immunosorbent Assay (ELISA) Method]
During the analysis of anti-CCP, the analytical method was changed from the Inova ELISA method to the Roche Cobas 6000 method due to the discontinuation of a reagent used in the Inova ELISA method. The anti-CCP data are summarized separately for samples collected before and after the method change. No post-baseline samples from the 120 mg tabalumab Q4W and Q2W cohorts were analyzed using the Inova ELISA method. For both methods, a decrease in anti-CCP antibodies indicated an improvement in the participant's condition.
Time frame: Baseline, Week 24
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline anti-CCP assessment using the Inova ELISA method. No participants were analyzed in the 120 mg tabalumab Q4W and Q2W cohorts.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 30 mg Tabalumab Q4W | Change From Baseline in Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody [Inova Enzyme-Linked Immunosorbent Assay (ELISA) Method] | -63.3 units (U) | Standard Deviation 138.8 |
| 60 mg Tabalumab Q4W | Change From Baseline in Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody [Inova Enzyme-Linked Immunosorbent Assay (ELISA) Method] | 63.3 units (U) | Standard Deviation 337 |
| Placebo | Change From Baseline in Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody [Inova Enzyme-Linked Immunosorbent Assay (ELISA) Method] | 9.3 units (U) | Standard Deviation 58.2 |
Change From Baseline in Rheumatoid Factor (RF)
RF is an autoantibody (antibody directed against an organism's own tissues) most relevant in rheumatoid arthritis (RA). Higher RF levels indicate an aggressive RA and a higher risk of joint damage. A decrease in RF levels indicate an improvement in the participant's condition.
Time frame: Baseline, Week 24
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline RF level assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 30 mg Tabalumab Q4W | Change From Baseline in Rheumatoid Factor (RF) | -38.6 kilo units per liter (kU/L) | Standard Deviation 23.2 |
| 60 mg Tabalumab Q4W | Change From Baseline in Rheumatoid Factor (RF) | 29.6 kilo units per liter (kU/L) | Standard Deviation 143.9 |
| 120 mg Tabalumab Q4W | Change From Baseline in Rheumatoid Factor (RF) | -108.0 kilo units per liter (kU/L) | Standard Deviation 97 |
| 120 mg Tabalumab Q2W | Change From Baseline in Rheumatoid Factor (RF) | -41.5 kilo units per liter (kU/L) | Standard Deviation 45 |
| Placebo | Change From Baseline in Rheumatoid Factor (RF) | -12.9 kilo units per liter (kU/L) | Standard Deviation 76.2 |
Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA)
Immunoglobulins, or antibodies, are large proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Change from baseline serum immunoglobulin G (IgG), immunoglobulin M (IgM), and immunoglobulin A (IgA) levels are reported. A negative change indicates a decrease in immunoglobulin levels.
Time frame: Baseline, Weeks 4, 16, 24, and 32
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline serum immunoglobulin assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 4 | -0.2 grams per liter (g/L) | Standard Deviation 0.5 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 24 | -2.4 grams per liter (g/L) | Standard Deviation 1.1 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 0.2 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 24 | -0.6 grams per liter (g/L) | Standard Deviation 0.7 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 16 | -0.4 grams per liter (g/L) | Standard Deviation 0.6 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 1.6 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 32 | -0.7 grams per liter (g/L) | Standard Deviation 0.4 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 32 | -2.1 grams per liter (g/L) | Standard Deviation 1.3 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 16 | -2.2 grams per liter (g/L) | Standard Deviation 1 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 24 | -0.7 grams per liter (g/L) | Standard Deviation 0.2 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 16 | -0.6 grams per liter (g/L) | Standard Deviation 0.3 |
| 30 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 32 | -0.6 grams per liter (g/L) | Standard Deviation 0.8 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 16 | -0.4 grams per liter (g/L) | Standard Deviation 0.2 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 16 | -0.3 grams per liter (g/L) | Standard Deviation 0.3 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 24 | -0.7 grams per liter (g/L) | Standard Deviation 2.8 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 32 | -0.9 grams per liter (g/L) | Standard Deviation 2.4 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 0.1 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 24 | -0.3 grams per liter (g/L) | Standard Deviation 0.2 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 32 | -0.3 grams per liter (g/L) | Standard Deviation 0.3 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 4 | -0.2 grams per liter (g/L) | Standard Deviation 0.2 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 24 | -0.5 grams per liter (g/L) | Standard Deviation 0.3 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 32 | -0.5 grams per liter (g/L) | Standard Deviation 0.4 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 4 | 0.0 grams per liter (g/L) | Standard Deviation 0.7 |
| 60 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 16 | -0.2 grams per liter (g/L) | Standard Deviation 2.6 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 4 | -0.2 grams per liter (g/L) | Standard Deviation 0.1 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 32 | -0.7 grams per liter (g/L) | Standard Deviation 0.4 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 32 | -0.4 grams per liter (g/L) | Standard Deviation 0.1 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 4 | -0.4 grams per liter (g/L) | Standard Deviation 0.3 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 24 | -2.1 grams per liter (g/L) | Standard Deviation 2.5 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 16 | -0.5 grams per liter (g/L) | Standard Deviation 0.2 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 32 | -2.7 grams per liter (g/L) | Standard Deviation 2.1 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 16 | -1.4 grams per liter (g/L) | Standard Deviation 1 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 24 | -0.6 grams per liter (g/L) | Standard Deviation 0.4 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 4 | 0.5 grams per liter (g/L) | Standard Deviation 2.5 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 16 | -0.2 grams per liter (g/L) | Standard Deviation 0.2 |
| 120 mg Tabalumab Q4W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 24 | -0.3 grams per liter (g/L) | Standard Deviation 0.3 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 16 | -0.3 grams per liter (g/L) | Standard Deviation 0.4 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 24 | -0.2 grams per liter (g/L) | Standard Deviation 0.1 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 24 | -0.4 grams per liter (g/L) | Standard Deviation 0.3 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 4 | -0.6 grams per liter (g/L) | Standard Deviation 1 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 24 | -0.8 grams per liter (g/L) | Standard Deviation 0.8 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 16 | -0.2 grams per liter (g/L) | Standard Deviation 0.1 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 32 | -0.2 grams per liter (g/L) | Standard Deviation 0.1 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 16 | -1.8 grams per liter (g/L) | Standard Deviation 1.4 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 32 | -0.3 grams per liter (g/L) | Standard Deviation 0.2 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 0 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 0.4 |
| 120 mg Tabalumab Q2W | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 32 | -0.9 grams per liter (g/L) | Standard Deviation 1.2 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 4 | -0.3 grams per liter (g/L) | Standard Deviation 0.4 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 0.2 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 4 | -0.1 grams per liter (g/L) | Standard Deviation 1 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 16 | -0.1 grams per liter (g/L) | Standard Deviation 0.1 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 24 | -0.3 grams per liter (g/L) | Standard Deviation 0.4 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 24 | -0.1 grams per liter (g/L) | Standard Deviation 1.9 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 32 | -0.3 grams per liter (g/L) | Standard Deviation 0.4 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 24 | -0.1 grams per liter (g/L) | Standard Deviation 0.1 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 32 | 0.4 grams per liter (g/L) | Standard Deviation 3 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgG, Week 16 | -0.3 grams per liter (g/L) | Standard Deviation 1.5 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgM, Week 32 | -0.1 grams per liter (g/L) | Standard Deviation 0.1 |
| Placebo | Change From Baseline in Serum Immunoglobulins (IgG, IgM, IgA) | IgA, Week 16 | -0.3 grams per liter (g/L) | Standard Deviation 0.3 |
Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts
B-lymphocyte antigen, CD20+, is an activated-glycosylated phosphoprotein expressed on the surface of all mature B cells. Percent change from baseline in B cell counts=\[(post-baseline CD20+ B cell count-baseline CD20+ B cell count)/(baseline CD20+ B cell count)\]\*100. A negative change indicates a decrease in cell count.
Time frame: Baseline, Week 0 (Day 2), Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, and 32
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline B cell assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 4 | -12.1 percent change | Standard Deviation 36.7 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 6 | 6.7 percent change | Standard Deviation 42.8 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 24 | -34.4 percent change | Standard Deviation 32.3 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 0 (Day 2) | 13.7 percent change | Standard Deviation 20.7 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 20 | -30.4 percent change | Standard Deviation 32.8 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 1 | 42.8 percent change | Standard Deviation 25.8 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 32 | -59.0 percent change | Standard Deviation 17.9 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 16 | -24.7 percent change | Standard Deviation 32.4 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 2 | 14.9 percent change | Standard Deviation 34.5 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 12 | -17.6 percent change | Standard Deviation 31.7 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 3 | 7.7 percent change | Standard Deviation 33.7 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 8 | -10.3 percent change | Standard Deviation 37.3 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 1 | 82.1 percent change | Standard Deviation 107.8 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 4 | 31.0 percent change | Standard Deviation 81.6 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 24 | -51.7 percent change | Standard Deviation 25.9 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 6 | 10.9 percent change | Standard Deviation 65.9 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 20 | -17.1 percent change | Standard Deviation 59.1 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 3 | 45.4 percent change | Standard Deviation 63.3 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 12 | -0.4 percent change | Standard Deviation 76.3 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 0 (Day 2) | 15.6 percent change | Standard Deviation 60 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 32 | -50.7 percent change | Standard Deviation 36.1 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 8 | 2.2 percent change | Standard Deviation 57 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 16 | -37.9 percent change | Standard Deviation 27.1 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 2 | 48.2 percent change | Standard Deviation 80.2 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 3 | 65.7 percent change | Standard Deviation 63.5 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 0 (Day 2) | 16.1 percent change | Standard Deviation 22.5 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 1 | 100.7 percent change | Standard Deviation 91.2 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 2 | 73.0 percent change | Standard Deviation 58.8 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 4 | 46.1 percent change | Standard Deviation 58.4 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 6 | 67.7 percent change | Standard Deviation 69.4 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 8 | 36.7 percent change | Standard Deviation 58.6 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 12 | 22.8 percent change | Standard Deviation 60.7 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 16 | 27.0 percent change | Standard Deviation 74.1 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 20 | 54.1 percent change | Standard Deviation 72.6 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 24 | 26.4 percent change | Standard Deviation 76.3 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 32 | -17.9 percent change | Standard Deviation 31.1 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 24 | -30.4 percent change | Standard Deviation 26.3 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 8 | 5.9 percent change | Standard Deviation 46 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 2 | 53.7 percent change | Standard Deviation 12.9 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 16 | -8.3 percent change | Standard Deviation 29.2 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 12 | 10.0 percent change | Standard Deviation 38.6 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 1 | 55.3 percent change | Standard Deviation 53.9 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 3 | 43.1 percent change | Standard Deviation 23.3 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 0 (Day 2) | 13.7 percent change | Standard Deviation 34.4 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 20 | -13.4 percent change | Standard Deviation 30.7 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 4 | 13.1 percent change | Standard Deviation 32.1 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 32 | -38.7 percent change | Standard Deviation 17.8 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 6 | 48.9 percent change | Standard Deviation 43.2 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 3 | 0.3 percent change | Standard Deviation 38.7 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 32 | -4.0 percent change | Standard Deviation 37 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 8 | 2.9 percent change | Standard Deviation 32.2 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 2 | -12.0 percent change | Standard Deviation 41.4 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 1 | -7.2 percent change | Standard Deviation 8.7 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 20 | 2.5 percent change | Standard Deviation 65.1 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 24 | -2.9 percent change | Standard Deviation 44.4 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 12 | -7.0 percent change | Standard Deviation 24.7 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 4 | 5.5 percent change | Standard Deviation 22.2 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 0 (Day 2) | 34.9 percent change | Standard Deviation 49.9 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 6 | 2.1 percent change | Standard Deviation 44.6 |
| Placebo | Percent Change From Baseline in B Cell [Cluster Designation 20+ (CD20+)] Counts | Week 16 | 0.6 percent change | Standard Deviation 35.2 |
Percent Change From Baseline in CRP
CRP is an indicator of inflammation. The percent change from baseline in CRP=\[(post-baseline CRP- baseline CRP)/(baseline CRP)\]\*100. A negative change indicates an improvement in the participant's condition.
Time frame: Baseline, Weeks 4, 8, 16, and 24
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline CRP assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 30 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 16 | -38.1 percent change | Standard Deviation 76.3 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 8 | -54.0 percent change | Standard Deviation 16.6 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 24 | -55.9 percent change | Standard Deviation 43.9 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 4 | 210.8 percent change | Standard Deviation 624 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 16 | 840.8 percent change | Standard Deviation 2138.7 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 4 | -16.0 percent change | Standard Deviation 53.1 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 8 | 18.1 percent change | Standard Deviation 126.4 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 24 | -33.5 percent change | Standard Deviation 40.8 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 24 | -75.5 percent change | Standard Deviation 36.4 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 16 | -83.1 percent change | Standard Deviation 15 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 4 | -8.5 percent change | Standard Deviation 56.7 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in CRP | Week 8 | 167.0 percent change | Standard Deviation 537.9 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in CRP | Week 4 | 16.8 percent change | Standard Deviation 111.9 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in CRP | Week 8 | 31.6 percent change | Standard Deviation 85.9 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in CRP | Week 16 | -41.3 percent change | Standard Deviation 15.4 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in CRP | Week 24 | 119.9 percent change | Standard Deviation 147.7 |
| Placebo | Percent Change From Baseline in CRP | Week 8 | -13.8 percent change | Standard Deviation 59.5 |
| Placebo | Percent Change From Baseline in CRP | Week 4 | 42.9 percent change | Standard Deviation 85 |
| Placebo | Percent Change From Baseline in CRP | Week 24 | 39.6 percent change | Standard Deviation 89.3 |
| Placebo | Percent Change From Baseline in CRP | Week 16 | 19.8 percent change | Standard Deviation 120.8 |
Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR)
ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Reference ranges are gender-specific and can vary slightly among laboratories. The normal range is approximately ≤10 millimeters per hour (mm/h) for males and ≤20 mm/h for females. Higher scores indicate greater inflammation. The percent change from baseline in ESR=\[(post-baseline ESR- baseline ESR)/(baseline ESR)\]\*100. A decrease in ESR indicates an improvement in the participant's condition.
Time frame: Baseline, Weeks 4, 8, 16, and 24
Population: Randomized participants who received at least 1 dose of study drug (tabalumab or placebo) and had a baseline and at least 1 post-baseline ESR assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 30 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 4 | -5.9 percent change | Standard Deviation 31.8 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 16 | -26.1 percent change | Standard Deviation 38.2 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 8 | -27.5 percent change | Standard Deviation 22.1 |
| 30 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 24 | -40.7 percent change | Standard Deviation 20.4 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 24 | -42.4 percent change | Standard Deviation 26.4 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 8 | -23.3 percent change | Standard Deviation 24.7 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 4 | -22.0 percent change | Standard Deviation 22.4 |
| 60 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 16 | -28.7 percent change | Standard Deviation 25 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 8 | -3.1 percent change | Standard Deviation 55.9 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 4 | -7.5 percent change | Standard Deviation 32.4 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 16 | -47.4 percent change | Standard Deviation 27.4 |
| 120 mg Tabalumab Q4W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 24 | -56.4 percent change | Standard Deviation 28.1 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 16 | -18.4 percent change | Standard Deviation 16.4 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 8 | 8.9 percent change | Standard Deviation 33.3 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 4 | 11.7 percent change | Standard Deviation 28.4 |
| 120 mg Tabalumab Q2W | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 24 | 22.3 percent change | Standard Deviation 64.2 |
| Placebo | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 4 | 6.1 percent change | Standard Deviation 30.8 |
| Placebo | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 8 | 13.3 percent change | Standard Deviation 49.4 |
| Placebo | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 16 | -3.0 percent change | Standard Deviation 41.6 |
| Placebo | Percent Change From Baseline in Erythrocyte Sedimentation Rate (ESR) | Week 24 | 26.3 percent change | Standard Deviation 56.7 |
Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC)
The following parameters are reported for the first SC injection of tabalumab: AUC(0-tlast) defined as AUC from time 0 to time t, where t is the time at the end of the dosing interval; AUC(0-2W) defined as AUC from time 0 to Week 2; and AUC(0-tau) defined as AUC during 1 dosing interval at steady state.
Time frame: Week 0: Day 1 [predose and 1 hour (h), 3 h, and 6 h postdose], Days 2, 3, and 5, and Weeks 1, 2, 3, and 4 postdose
Population: Randomized participants who received at least 1 dose of tabalumab and had evaluable AUC data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| 30 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tlast) | 57.0 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 24 |
| 30 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tau) | 55.5 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 27 |
| 30 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-2W) | 30.3 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 26 |
| 60 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tlast) | 148 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 38 |
| 60 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tau) | 173 micrograms*day/milliliter (mcg*day/mL) | — |
| 60 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-2W) | 86.5 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 34 |
| 120 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-2W) | 170 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 46 |
| 120 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tlast) | 303 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 49 |
| 120 mg Tabalumab Q4W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tau) | 260 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 58 |
| 120 mg Tabalumab Q2W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tlast) | 303 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 30 |
| 120 mg Tabalumab Q2W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-tau) | 280 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 35 |
| 120 mg Tabalumab Q2W | Pharmacokinetics (PK) of Tabalumab: Area Under the Concentration Time Curve (AUC) | AUC(0-2W) | 280 micrograms*day/milliliter (mcg*day/mL) | Geometric Coefficient of Variation 35 |
PK of Tabalumab: Maximum Observed Drug Concentration (Cmax)
Cmax for the first SC injection of tabalumab is reported.
Time frame: Week 0: Day 1 Predose, 1 h, 3 h, and 6 h postdose
Population: Randomized participants who received at least 1 dose of tabalumab and had evaluable Cmax data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 30 mg Tabalumab Q4W | PK of Tabalumab: Maximum Observed Drug Concentration (Cmax) | 2.88 micrograms per milliliter (mcg/mL) | Geometric Coefficient of Variation 26 |
| 60 mg Tabalumab Q4W | PK of Tabalumab: Maximum Observed Drug Concentration (Cmax) | 7.61 micrograms per milliliter (mcg/mL) | Geometric Coefficient of Variation 35 |
| 120 mg Tabalumab Q4W | PK of Tabalumab: Maximum Observed Drug Concentration (Cmax) | 16.6 micrograms per milliliter (mcg/mL) | Geometric Coefficient of Variation 61 |
| 120 mg Tabalumab Q2W | PK of Tabalumab: Maximum Observed Drug Concentration (Cmax) | 25.0 micrograms per milliliter (mcg/mL) | Geometric Coefficient of Variation 28 |