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Moderate Rheumatoid Arthritis (RA) With Etanercept (Enbrel)

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Etanercept in Subjects With Moderately Active Rheumatoid Arthritis Despite DMARD Therapy

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01313208
Enrollment
210
Registered
2011-03-11
Start date
2011-03-31
Completion date
2013-05-31
Last updated
2017-02-09

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

Conditions

Rheumatoid Arthritis

Keywords

RA, Enbrel, DMARD, Joint Count, Rheumatoid Arthritis, Etanercept, disease modifying anti-rheumatic drug

Brief summary

This study is designed to evaluate the effectiveness of adding etanercept to disease modifying anti-rheumatic drug (DMARD) therapy in patients with moderately active Rheumatoid Arthritis (RA).

Interventions

DRUGetanercept

Administered by subcutaneous injection once weekly.

DRUGPlacebo

Placebo subcutaneous injection

Standard-of-care DMARD therapy, including methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female ≥18 and ≤80 years of age at time of screening * Diagnosed with rheumatoid arthritis as determined by meeting 1987 American College of Rheumatology (ACR) classification criteria and has had rheumatoid arthritis for at least 6 months * Moderate rheumatoid arthritis during screening, as defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) \> 3.2 and ≤ 5.1 * Active rheumatoid arthritis defined as ≥ 3 swollen joints (out of 28 joints examined) and ≥ 3 tender/painful joints (out of 28 joints examined) at screening and baseline. (A full 66/68 count joint count will be performed at baseline, but only joints in the 28-count joint count will be considered for eligibility. The 28-joint count consists of the finger joints excluding the distal interphalangeal joints, the wrists, elbows, shoulders, and knees) * Must be currently taking a DMARD such as methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Exclusion criteria

* Prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening * Class IV rheumatoid arthritis according to ACR revised response criteria * Any active infection (including chronic or localized infections) for which anti-infectives were indicated within 28 days prior to first investigational product dose * Previously used more than one experimental biologic DMARD. Patient with prior use of no more than one experimental biologic is permitted if the subject received no more than 8 weeks of treatment. The use of the experimental biologic must not have occurred within 2 months of the first dose of investigational product * Previously used more than one commercially available biologic DMARD. Subject with prior use of no more than one commercially available biologic is permitted if the patient received no more than 8 weeks of treatment and did not discontinue because of lack of effect. The use of the biologic must not have occurred within 2 months of the first dose of investigational product. Acceptable prior use of biologics include the following examples: * No more than 4 injections of adalimumab * No more than 8 (50 mg) injections of etanercept * No more than 2 infusions of infliximab * No more than 2 infusions of abatacept * Additional inclusion (exclusion) criteria may apply

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving DAS28 Low Disease Activity at Week 12Week 12Low disease activity is defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) of less than 3.2. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: • The number of swollen and tender joints assessed using the 28-joint count; • C-Reactive Protein (CRP) level • Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero up to approximately ten. DAS28 scores above 5.1 indicate high disease activity.

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsBaseline and Weeks 2, 4, 8, 16, 20 and 24Low disease activity is defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) of less than 3.2. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-Reactive Protein (CRP) level * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero up to approximately ten. DAS28 scores above 5.1 indicate high disease activity.
Percentage of Participants Achieving DAS28 Remission at All Other TimepointsBaseline and Weeks 2, 4, 8, 16, 20 and 24Remission is defined by a DAS28 score less than 2.6. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-reactive protein (CRP) * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero to ten. A DAS28 above 5.1 indicates high disease activity.
Percentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); ◦ Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); ◦ Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); ◦ C-Reactive Protein level.
Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24A participant was a responder if the following 3 criteria for improvement from Baseline were met: * ≥ 50% improvement in tender joint count; * ≥ 50% improvement in swollen joint count; and * ≥ 50% improvement in at least 3 of the 5 following parameters: * Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); * Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); * Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); * Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); * C-reactive protein (CRP) level.
Percentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24A participant was a responder if the following 3 criteria for improvement from Baseline were met: * ≥ 70% improvement in tender joint count; * ≥ 70% improvement in swollen joint count; and * ≥ 70% improvement in at least 3 of the 5 following parameters: * Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); * Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); * Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); * Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); * C-reactive protein (CRP) level.
Percentage of Participants With RAPID3 Remission or Low Severity at Each Time PointBaseline and Weeks 4, 12, and 24The Multi-Dimensional Health Assessment Questionnaire (MDHAQ) is adapted from the standard HAQ and is used for the computation of the Routine Assessment of Patient Index Data 3 (RAPID3). The RAPID 3 includes the 3 Core Data Set measures of physical function, pain, and patient global estimate. The score for physical function ranges from 0 to 10 and is calculated by adding the ten activities of daily living, each scored from 0 to 3 by the patient (0=without any difficulty, 1=with some difficulty, 2=with much difficulty, and 3=unable to do) and dividing the total raw score by 3. Pain and global estimate of health are measured on a likert scale from 0 to 10, both scored 0 (best) to 10 (worst). The three 0-10 scores for physical function, pain, and global assesment of health are added together for a composite score of 0 to 30. The RAPID3 composite score includes 4 categories: High Severity \> 12, Moderate Severity = 6.1 - 12, Low severity = 3.1 - 6, and Remission ≤ 3.
Percentage of Participants Achieving Count Remission at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24Count remission is achieved when a participant satisfies all of the following at any given time point: - 68 tender joint count ≤ 1, - 66 swollen joint count ≤ 1, - C-reactive protein (CRP) (in mg/dL) ≤1, and - patient global assessment of disease activity ≤ 1 (measured on a likert scale from 0 to 10 ranging from no activity at all to worst activity imaginable).
Percentage of Participants Achieving CDAI Remission at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. CDAI remission is defined as a score ≤ 2.8.
Percentage of Participants Achieving CDAI Low Disease Activity at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a Likert scale form 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity -measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest. The CDAI score ranges from 0 to 76 where lower scores indicate less disease activity. CDAI low disease activity is defined as a score ≤ 10.
Clinical Disease Activity Index (CDAI) Score at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity (measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest). The CDAI score ranges from 0 to 76 where lower scores indicate less disease activity.
Percentage of Participants Achieving SDAI Remission at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The simplified disease activity index (SDAI) is a composite measure that sums the total number of: * 28 tender joint counts, * 28 swollen joint counts, * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0= lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest, and * C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity. SDAI remission is defined as a score ≤ 3.3.
Percentage of Participants Achieving SDAI Low Disease Activity at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The simplified disease activity index (SDAI) is a composite measure that sums the total number of: - 28 tender joint counts, - 28 swollen joint counts, - Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest; - Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest, and - C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity. SDAI low disease activity is defined as a score ≤ 11.
Simplified Clinical Disease Activity Index (SDAI) Score at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The simplified disease activity index (SDAI) is a composite measure that sums the total number of: * 28 tender joint counts, * 28 swollen joint counts, * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest, and * C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity.
Tender 28-Joint Count (TJC28) at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24Twenty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination.
Swollen 28-Joint Count (SJC28) at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24Twenty-eight joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination.
Patient Global Assessment of Joint Pain at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The severity of the participant's joint pain was assessed using a visual analog scale (VAS). The participant was asked to draw a mark through a 100 mm horizontal line to indicate how much pain they were experiencing today, from '0' (no pain at all) on the left end of the line to 100 (worst pain imaginable) on the right end of the line.
Patient's Global Assessment of Disease Activity at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The participant's global assessment of their arthritis disease activity was assessed by the participant circling a number from 0 to 10 on a horizontal Likert scale ranging from No Activity at All (score = 0) to Worst Activity Imaginable (score = 10).
Physician Global Assessment of Disease Activity at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The global assessment of the participant's arthritis was assessed by the physician circling a number from 0 to 10 on a horizontal Likert scale ranging from No Activity at All (score = 0) to Worst Activity Imaginable (score = 10).
Change From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The HAQ-DI asks about the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores). Responses in each functional area are scored from 0 indicating no difficulty to 3 indicating inability to perform a task in that area. The overall score is the average of each of the 8 category scores and ranges from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.
C-reactive Protein Levels at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24C-Reactive Protein (CRP) was measured from blood samples by a central laboratory as a marker for inflammation.
Short Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The physical functioning subscale assesses limitations in physical activities because of health problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The vitality sub-score assesses energy and fatigue. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The role-physical subscale assesses limitations in usual role activities because of physical health problems. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning (less pain). Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. The role-emotional subscale assesses limitations in usual role activities because of emotional problems. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Short Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointBaseline and Weeks 4, 12 and 24The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. The mental health sub-score assesses general mental health (psychological distress and well-being). Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointBaseline and Weeks 4, 12 and 24This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent of work time missed is derived from the number of hours of work missed due to rheumatoid arthritis symptoms as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointBaseline and Weeks 4, 12 and 24This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent impairment while working was derived from the participant's assessment of the degree to which rheumatoid arthritis affected their productivity while working. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointBaseline and Weeks 4, 12 and 24This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis. Percent activity impairment is derived from the patient's assessment of the degree to which rheumatoid arthritis affected their regular daily activities. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointBaseline and Weeks 4, 12 and 24This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent overall work impairment takes into account both hours missed due to rheumatoid arthritis symptoms and the participant's assessment of the degree to which rheumatoid arthritis affected their productivity while working. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Participant Assessment of Fatigue at Each Time PointBaseline and Weeks 2, 4, 8, 12, 16, 20 and 24The participant's assessment of fatigue was collected using a single-item 100 mm visual analogue scale. The participant was asked to draw a vertical line through a horizontal line to indicate the degree of fatigue they experienced because of their condition over the past week. The horizontal line is 100 mm in length with '0' and 'no fatigue' on the left end of the line and '100' and 'extreme fatigue' on the right end of the line. Least squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Shortness of Breath (1 item). Sleep Disturbance measures the ability to fall asleep and to maintain restful sleep. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Percentage of Participants Achieving DAS28 Remission at Week 12Week 12Remission is defined by a DAS28 score less than 2.6. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-reactive protein (CRP) * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero to ten. DAS28 above 5.1 indicates high disease activity.
Medical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). Sleep Adequacy measures sleep sufficiency in terms of whether the participant sleeps enough to provide restoration of wakefulness. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. For sleep adequacy a higher score indicates better sleep quality. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). Daytime somnolence measures drowsiness or sleepiness during the day. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). The scale also produces two indices. The Sleep Problems Index-I is drawn from 6 items in the four domains including Sleep Disturbance (2 items), Sleep Adequacy (2 items), Shortness of Breath (1 item), and Daytime Somnolence (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). The scale also produces two indices. Index-II uses 9 items from four domains including Sleep Disturbance (4 items), Sleep Adequacy (2 items), Shortness of Breath (1 item), and Daytime Somnolence (2 items). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).
Medical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointBaseline and Weeks 4, 12 and 24The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Shortness of Breath (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Countries

Canada, United States

Participant flow

Recruitment details

First patient enrolled on 31 March 2011; Last patient enrolled 29 November 2012

Participants by arm

ArmCount
Placebo
Participants received placebo subcutaneous injections once a week for 12 weeks and then open-label etanercept 50 mg subcutaneous injection once weekly for the next 12 weeks. All participants continued their disease modifying anti-rheumatic drug (DMARD) treatment throughout the 24-week study period.
104
Etanercept
Participants received etanercept 50 mg subcutaneous injection once weekly for 12 weeks and then open-label etanercept 50 mg subcutaneous injection for the next 12 weeks. All participants continued their DMARD treatment throughout the 24-week study period.
106
Total210

Withdrawals & dropouts

PeriodReasonFG000FG001
Double-blind Phase (Weeks 1 - 12)Adverse Event12
Double-blind Phase (Weeks 1 - 12)Ineligibility determined01
Double-blind Phase (Weeks 1 - 12)Lost to Follow-up10
Double-blind Phase (Weeks 1 - 12)Noncompliance10
Double-blind Phase (Weeks 1 - 12)Withdrawal by Subject32
Open-label Phase (Weeks 13 - 24)Adverse Event10
Open-label Phase (Weeks 13 - 24)Noncompliance02
Open-label Phase (Weeks 13 - 24)Other20
Open-label Phase (Weeks 13 - 24)Withdrawal by Subject31

Baseline characteristics

CharacteristicPlaceboEtanerceptTotal
Age, Continuous55.5 years
STANDARD_DEVIATION 12.8
56.5 years
STANDARD_DEVIATION 12.1
56.0 years
STANDARD_DEVIATION 12.4
Baseline methotrexate use
No
11 participants12 participants23 participants
Baseline methotrexate use
Yes
93 participants94 participants187 participants
Duration of Rheumatoid Arthritis7.41 years
STANDARD_DEVIATION 8.11
8.26 years
STANDARD_DEVIATION 11.16
7.84 years
STANDARD_DEVIATION 9.76
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants0 participants1 participants
Race/Ethnicity, Customized
Asian
3 participants2 participants5 participants
Race/Ethnicity, Customized
Black or African American
8 participants9 participants17 participants
Race/Ethnicity, Customized
Mixed race
1 participants0 participants1 participants
Race/Ethnicity, Customized
Other
1 participants4 participants5 participants
Race/Ethnicity, Customized
White
90 participants91 participants181 participants
Sex: Female, Male
Female
86 Participants75 Participants161 Participants
Sex: Female, Male
Male
18 Participants31 Participants49 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
61 / 10462 / 106
serious
Total, serious adverse events
3 / 1044 / 106

Outcome results

Primary

Percentage of Participants Achieving DAS28 Low Disease Activity at Week 12

Low disease activity is defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) of less than 3.2. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: • The number of swollen and tender joints assessed using the 28-joint count; • C-Reactive Protein (CRP) level • Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero up to approximately ten. DAS28 scores above 5.1 indicate high disease activity.

Time frame: Week 12

Population: Primary analysis set (all randomized participants); last observation carried forward (LOCF) imputation was used.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at Week 1221.2 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at Week 1233.0 percentage of participants
p-value: 0.05595% CI: [0.99, 3.41]Mantel Haenszel
Secondary

Change From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time Point

The HAQ-DI asks about the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores). Responses in each functional area are scored from 0 indicating no difficulty to 3 indicating inability to perform a task in that area. The overall score is the average of each of the 8 category scores and ranges from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 2 (N=98, 104)-0.093 scores on a scaleStandard Deviation 0.385
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 16 (N=98, 101)-0.347 scores on a scaleStandard Deviation 0.476
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 12 (N=101, 101)-0.203 scores on a scaleStandard Deviation 0.434
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 20 (N=95, 97)-0.412 scores on a scaleStandard Deviation 0.504
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 8 (N=99, 104)-0.208 scores on a scaleStandard Deviation 0.42
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 24 (N=91, 98)-0.445 scores on a scaleStandard Deviation 0.522
PlaceboChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 4 (N=103, 105)-0.164 scores on a scaleStandard Deviation 0.383
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 24 (N=91, 98)-0.475 scores on a scaleStandard Deviation 0.576
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 4 (N=103, 105)-0.315 scores on a scaleStandard Deviation 0.528
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 8 (N=99, 104)-0.370 scores on a scaleStandard Deviation 0.466
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 2 (N=98, 104)-0.266 scores on a scaleStandard Deviation 0.429
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 12 (N=101, 101)-0.388 scores on a scaleStandard Deviation 0.543
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 16 (N=98, 101)-0.403 scores on a scaleStandard Deviation 0.531
EtanerceptChange From Baseline in the Disability Index of the Health Assessment Questionnaire (HAQ-DI) at Each Time PointWeek 20 (N=95, 97)-0.423 scores on a scaleStandard Deviation 0.578
Secondary

Clinical Disease Activity Index (CDAI) Score at Each Time Point

The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity (measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest). The CDAI score ranges from 0 to 76 where lower scores indicate less disease activity.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointBaseline (N=101, 101)30.18 scores on a scaleStandard Deviation 9.3
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 2 (N=99, 106)26.67 scores on a scaleStandard Deviation 12.89
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 4 (N=104, 106)24.81 scores on a scaleStandard Deviation 12.76
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 8 (N=104, 106)22.83 scores on a scaleStandard Deviation 12.25
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 12 (N=104, 106)22.79 scores on a scaleStandard Deviation 14.07
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 16 (N=104, 106)18.03 scores on a scaleStandard Deviation 12.34
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 20 (N=104, 106)15.13 scores on a scaleStandard Deviation 10.8
PlaceboClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 24 (N=104, 106)16.33 scores on a scaleStandard Deviation 11.85
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 24 (N=104, 106)16.86 scores on a scaleStandard Deviation 14.74
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointBaseline (N=101, 101)29.79 scores on a scaleStandard Deviation 9.08
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 12 (N=104, 106)20.68 scores on a scaleStandard Deviation 14.9
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 2 (N=99, 106)24.32 scores on a scaleStandard Deviation 12.94
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 20 (N=104, 106)17.47 scores on a scaleStandard Deviation 14.9
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 4 (N=104, 106)21.56 scores on a scaleStandard Deviation 12.82
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 16 (N=104, 106)18.28 scores on a scaleStandard Deviation 15.16
EtanerceptClinical Disease Activity Index (CDAI) Score at Each Time PointWeek 8 (N=104, 106)20.22 scores on a scaleStandard Deviation 13.96
Secondary

C-reactive Protein Levels at Each Time Point

C-Reactive Protein (CRP) was measured from blood samples by a central laboratory as a marker for inflammation.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboC-reactive Protein Levels at Each Time PointBaseline (N=104, 106)9.44 mg/LStandard Deviation 16.29
PlaceboC-reactive Protein Levels at Each Time PointWeek 2 (N=100, 105)8.68 mg/LStandard Deviation 11.49
PlaceboC-reactive Protein Levels at Each Time PointWeek 4 (N=104, 106)9.75 mg/LStandard Deviation 15.79
PlaceboC-reactive Protein Levels at Each Time PointWeek 8 (N=104, 106)8.03 mg/LStandard Deviation 10.26
PlaceboC-reactive Protein Levels at Each Time PointWeek 12 (N=104, 106)8.33 mg/LStandard Deviation 10.62
PlaceboC-reactive Protein Levels at Each Time PointWeek 16 (N=104, 106)5.17 mg/LStandard Deviation 7.58
PlaceboC-reactive Protein Levels at Each Time PointWeek 20 (N=104, 106)4.75 mg/LStandard Deviation 6.28
PlaceboC-reactive Protein Levels at Each Time PointWeek 24 (N=104, 106)5.75 mg/LStandard Deviation 13.1
EtanerceptC-reactive Protein Levels at Each Time PointWeek 24 (N=104, 106)4.40 mg/LStandard Deviation 5.69
EtanerceptC-reactive Protein Levels at Each Time PointBaseline (N=104, 106)7.56 mg/LStandard Deviation 11.77
EtanerceptC-reactive Protein Levels at Each Time PointWeek 12 (N=104, 106)4.09 mg/LStandard Deviation 6.11
EtanerceptC-reactive Protein Levels at Each Time PointWeek 2 (N=100, 105)3.97 mg/LStandard Deviation 6.43
EtanerceptC-reactive Protein Levels at Each Time PointWeek 20 (N=104, 106)3.75 mg/LStandard Deviation 4.55
EtanerceptC-reactive Protein Levels at Each Time PointWeek 4 (N=104, 106)4.60 mg/LStandard Deviation 8.27
EtanerceptC-reactive Protein Levels at Each Time PointWeek 16 (N=104, 106)3.76 mg/LStandard Deviation 5.14
EtanerceptC-reactive Protein Levels at Each Time PointWeek 8 (N=104, 106)3.94 mg/LStandard Deviation 5.37
Secondary

Medical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). Sleep Adequacy measures sleep sufficiency in terms of whether the participant sleeps enough to provide restoration of wakefulness. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. For sleep adequacy a higher score indicates better sleep quality. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointBaseline (N=102, 105)47.12 scores on a scaleStandard Error 0.98
PlaceboMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 4 (N=103, 104)47.63 scores on a scaleStandard Error 0.98
PlaceboMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 24 (N=87, 97)48.73 scores on a scaleStandard Error 1.02
PlaceboMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 12 (N=99, 99)46.86 scores on a scaleStandard Error 0.99
EtanerceptMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 24 (N=87, 97)48.66 scores on a scaleStandard Error 0.99
EtanerceptMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointBaseline (N=102, 105)46.72 scores on a scaleStandard Error 0.97
EtanerceptMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 4 (N=103, 104)47.42 scores on a scaleStandard Error 0.97
EtanerceptMedical Outcomes Study (MOS) Sleep Adequacy Scale at Each Time PointWeek 12 (N=99, 99)47.73 scores on a scaleStandard Error 0.98
Secondary

Medical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). Daytime somnolence measures drowsiness or sleepiness during the day. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 12 (N=99, 99)47.80 scores on a scaleStandard Error 1.02
PlaceboMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointBaseline (N=103, 106)46.82 scores on a scaleStandard Error 1.01
PlaceboMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 24 (N=87, 97)48.31 scores on a scaleStandard Error 1.05
PlaceboMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 4 (N=103, 104)46.62 scores on a scaleStandard Error 1.01
EtanerceptMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 24 (N=87, 97)48.80 scores on a scaleStandard Error 1.02
EtanerceptMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointBaseline (N=103, 106)46.27 scores on a scaleStandard Error 1
EtanerceptMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 12 (N=99, 99)48.05 scores on a scaleStandard Error 1.02
EtanerceptMedical Outcomes Study (MOS) Sleep Daytime Somnolence Scale at Each Time PointWeek 4 (N=103, 104)48.72 scores on a scaleStandard Error 1.01
Secondary

Medical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Shortness of Breath (1 item). Sleep Disturbance measures the ability to fall asleep and to maintain restful sleep. In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointBaseline (N=102, 104)45.02 scores on a scaleStandard Error 1
PlaceboMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 4 (N=103, 104)46.42 scores on a scaleStandard Error 1
PlaceboMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 12 (N=98, 100)46.10 scores on a scaleStandard Error 1.01
PlaceboMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 24 (N=86, 96)48.23 scores on a scaleStandard Error 1.04
EtanerceptMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 24 (N=86, 96)47.38 scores on a scaleStandard Error 1.01
EtanerceptMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointBaseline (N=102, 104)44.95 scores on a scaleStandard Error 1
EtanerceptMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 12 (N=98, 100)46.91 scores on a scaleStandard Error 1
EtanerceptMedical Outcomes Study (MOS) Sleep Disturbance Scale at Each Time PointWeek 4 (N=103, 104)46.38 scores on a scaleStandard Error 1
Secondary

Medical Outcomes Study (MOS) Sleep Problems Index I at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). The scale also produces two indices. The Sleep Problems Index-I is drawn from 6 items in the four domains including Sleep Disturbance (2 items), Sleep Adequacy (2 items), Shortness of Breath (1 item), and Daytime Somnolence (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 4 (N=103, 104)46.91 scores on a scaleStandard Error 0.92
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 12 (N=99, 97)46.82 scores on a scaleStandard Error 0.92
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 24 (N=87, 97)48.39 scores on a scaleStandard Error 0.95
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointBaseline (N=102, 105)46.16 scores on a scaleStandard Error 0.92
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 24 (N=87, 97)47.80 scores on a scaleStandard Error 0.92
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 4 (N=103, 104)46.63 scores on a scaleStandard Error 0.91
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointBaseline (N=102, 105)45.53 scores on a scaleStandard Error 0.91
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index I at Each Time PointWeek 12 (N=99, 97)47.17 scores on a scaleStandard Error 0.92
Secondary

Medical Outcomes Study (MOS) Sleep Problems Index II at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). The scale also produces two indices. Index-II uses 9 items from four domains including Sleep Disturbance (4 items), Sleep Adequacy (2 items), Shortness of Breath (1 item), and Daytime Somnolence (2 items). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointBaseline (N=101, 104)45.69 scores on a scaleStandard Error 0.93
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 12 (N=98, 97)46.51 scores on a scaleStandard Error 0.94
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 4 (N=103, 104)46.63 scores on a scaleStandard Error 0.93
PlaceboMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 24 (N=86, 96)48.55 scores on a scaleStandard Error 0.96
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 24 (N=86, 96)47.88 scores on a scaleStandard Error 0.94
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 4 (N=103, 104)48.84 scores on a scaleStandard Error 0.92
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointWeek 12 (N=98, 97)47.06 scores on a scaleStandard Error 0.94
EtanerceptMedical Outcomes Study (MOS) Sleep Problems Index II at Each Time PointBaseline (N=101, 104)45.16 scores on a scaleStandard Error 0.92
Secondary

Medical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Awakening short of breath or with a headache, (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 12 (N=99, 98)50.34 scores on a scaleStandard Error 0.97
PlaceboMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointBaseline (N=104, 106)51.63 scores on a scaleStandard Error 0.95
PlaceboMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 24 (N=89, 97)51.21 scores on a scaleStandard Error 1
PlaceboMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 4 (N=103, 104)51.38 scores on a scaleStandard Error 0.95
EtanerceptMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 24 (N=89, 97)50.31 scores on a scaleStandard Error 0.97
EtanerceptMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 4 (N=103, 104)50.20 scores on a scaleStandard Error 0.95
EtanerceptMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointWeek 12 (N=99, 98)49.77 scores on a scaleStandard Error 0.97
EtanerceptMedical Outcomes Study (MOS) Sleep Shortness of Breath or Headache Scale at Each Time PointBaseline (N=104, 106)49.25 scores on a scaleStandard Error 0.94
Secondary

Medical Outcomes Study (MOS) Sleep Snoring Scale at Each Time Point

The MOS-Sleep comprises 12 items and measures key sleep structures across 6 domains. These domains are Sleep Disturbance (4 items), Sleep Adequacy (2 items), Sleep Quantity (1 item), Daytime Somnolence (3 items), Snoring (1 item), and Shortness of Breath (1 item). In MOS Sleep norm-based scoring, all scales are scored on the same metric, where 50 is the mean for the general U.S. population and 10 is the standard deviation. Higher scores indicate more severe sleep problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 12 (N=99, 97)49.47 scores on a scaleStandard Error 0.95
PlaceboMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointBaseline (N=101, 103)47.78 scores on a scaleStandard Error 0.95
PlaceboMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 4 (N=102, 102)49.14 scores on a scaleStandard Error 0.94
PlaceboMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 24 (N=86, 93)49.95 scores on a scaleStandard Error 0.98
EtanerceptMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 24 (N=86, 93)48.25 scores on a scaleStandard Error 0.96
EtanerceptMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 12 (N=99, 97)49.04 scores on a scaleStandard Error 0.95
EtanerceptMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointWeek 4 (N=102, 102)47.91 scores on a scaleStandard Error 0.94
EtanerceptMedical Outcomes Study (MOS) Sleep Snoring Scale at Each Time PointBaseline (N=101, 103)47.13 scores on a scaleStandard Error 0.94
Secondary

Participant Assessment of Fatigue at Each Time Point

The participant's assessment of fatigue was collected using a single-item 100 mm visual analogue scale. The participant was asked to draw a vertical line through a horizontal line to indicate the degree of fatigue they experienced because of their condition over the past week. The horizontal line is 100 mm in length with '0' and 'no fatigue' on the left end of the line and '100' and 'extreme fatigue' on the right end of the line. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 12 (N=100, 100)45.51 scores on a scaleStandard Error 2.66
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 2 (N=99, 104)50.31 scores on a scaleStandard Error 2.66
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 16 (N=98, 101)38.73 scores on a scaleStandard Error 2.67
PlaceboParticipant Assessment of Fatigue at Each Time PointBaseline (N=103, 105)49.38 scores on a scaleStandard Error 2.63
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 20 (N=95, 97)29.82 scores on a scaleStandard Error 2.69
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 4 (N=103, 105)46.48 scores on a scaleStandard Error 2.63
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 24 (N=90, 98)34.35 scores on a scaleStandard Error 2.72
PlaceboParticipant Assessment of Fatigue at Each Time PointWeek 8 (N=99, 104)44.09 scores on a scaleStandard Error 2.66
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 24 (N=90, 98)33.87 scores on a scaleStandard Error 2.65
EtanerceptParticipant Assessment of Fatigue at Each Time PointBaseline (N=103, 105)50.05 scores on a scaleStandard Error 2.61
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 2 (N=99, 104)38.68 scores on a scaleStandard Error 2.61
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 8 (N=99, 104)39.32 scores on a scaleStandard Error 2.62
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 12 (N=100, 100)41.43 scores on a scaleStandard Error 2.64
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 16 (N=98, 101)35.15 scores on a scaleStandard Error 2.64
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 20 (N=95, 97)35.20 scores on a scaleStandard Error 2.66
EtanerceptParticipant Assessment of Fatigue at Each Time PointWeek 4 (N=103, 105)40.04 scores on a scaleStandard Error 2.61
Secondary

Patient Global Assessment of Joint Pain at Each Time Point

The severity of the participant's joint pain was assessed using a visual analog scale (VAS). The participant was asked to draw a mark through a 100 mm horizontal line to indicate how much pain they were experiencing today, from '0' (no pain at all) on the left end of the line to 100 (worst pain imaginable) on the right end of the line.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPatient Global Assessment of Joint Pain at Each Time PointBaseline (N=104, 106)43.74 scores on a scaleStandard Deviation 23.05
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 2 (N=101, 106)40.98 scores on a scaleStandard Deviation 23.58
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 4 (N=104, 106)38.65 scores on a scaleStandard Deviation 23.42
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 8 (N=104, 106)38.16 scores on a scaleStandard Deviation 23.64
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 12 (N=104, 106)38.38 scores on a scaleStandard Deviation 24.52
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 16 (N=104, 106)25.80 scores on a scaleStandard Deviation 20.52
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 20 (N=104, 106)23.98 scores on a scaleStandard Deviation 20.36
PlaceboPatient Global Assessment of Joint Pain at Each Time PointWeek 24 (N=104, 106)25.43 scores on a scaleStandard Deviation 22.12
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 24 (N=104, 106)28.09 scores on a scaleStandard Deviation 26.26
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointBaseline (N=104, 106)47.13 scores on a scaleStandard Deviation 23.22
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 12 (N=104, 106)31.54 scores on a scaleStandard Deviation 26.46
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 2 (N=101, 106)33.41 scores on a scaleStandard Deviation 22.77
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 20 (N=104, 106)27.74 scores on a scaleStandard Deviation 25.83
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 4 (N=104, 106)35.75 scores on a scaleStandard Deviation 24.92
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 16 (N=104, 106)28.97 scores on a scaleStandard Deviation 24.37
EtanerceptPatient Global Assessment of Joint Pain at Each Time PointWeek 8 (N=104, 106)31.18 scores on a scaleStandard Deviation 25.44
Secondary

Patient's Global Assessment of Disease Activity at Each Time Point

The participant's global assessment of their arthritis disease activity was assessed by the participant circling a number from 0 to 10 on a horizontal Likert scale ranging from No Activity at All (score = 0) to Worst Activity Imaginable (score = 10).

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointBaseline (N=104, 106)5.0 scores on a scaleStandard Deviation 2.2
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 2 (N=101, 106)4.7 scores on a scaleStandard Deviation 2.3
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 4 (N=104, 106)4.5 scores on a scaleStandard Deviation 2.2
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 8 (N=104, 106)4.6 scores on a scaleStandard Deviation 2.3
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 12 (N=104, 106)4.3 scores on a scaleStandard Deviation 2.4
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 16 (N=104, 106)3.3 scores on a scaleStandard Deviation 2.2
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 20 (N=104, 106)2.9 scores on a scaleStandard Deviation 2.2
PlaceboPatient's Global Assessment of Disease Activity at Each Time PointWeek 24 (N=104, 106)3.1 scores on a scaleStandard Deviation 2.2
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 24 (N=104, 106)3.1 scores on a scaleStandard Deviation 2.6
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointBaseline (N=104, 106)5.3 scores on a scaleStandard Deviation 2.1
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 12 (N=104, 106)3.7 scores on a scaleStandard Deviation 2.5
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 2 (N=101, 106)4.0 scores on a scaleStandard Deviation 2.1
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 20 (N=104, 106)3.2 scores on a scaleStandard Deviation 2.6
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 4 (N=104, 106)4.1 scores on a scaleStandard Deviation 2.3
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 16 (N=104, 106)3.3 scores on a scaleStandard Deviation 2.3
EtanerceptPatient's Global Assessment of Disease Activity at Each Time PointWeek 8 (N=104, 106)3.7 scores on a scaleStandard Deviation 2.4
Secondary

Percentage of Participants Achieving CDAI Low Disease Activity at Each Time Point

The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a Likert scale form 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity -measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest. The CDAI score ranges from 0 to 76 where lower scores indicate less disease activity. CDAI low disease activity is defined as a score ≤ 10.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 4 (N=104, 106)16.3 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 2 (N=99, 106)9.1 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 20 (N=104, 106)42.3 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 16 (N=104, 106)32.7 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 24 (N=104, 106)41.3 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 12 (N=104, 106)21.2 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 8 (N=104, 106)15.4 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 2 (N=99, 106)12.3 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 4 (N=104, 106)18.9 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 8 (N=104, 106)29.2 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 12 (N=104, 106)25.5 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 16 (N=104, 106)35.8 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 20 (N=104, 106)38.7 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Low Disease Activity at Each Time PointWeek 24 (N=104, 106)46.2 percentage of participants
Secondary

Percentage of Participants Achieving CDAI Remission at Each Time Point

The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: * 28 tender joint count (TJC), * 28 swollen joint count (SJC), * Patient's Global Assessment of Disease Activity measured on a likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. CDAI remission is defined as a score ≤ 2.8.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 20 (N=104, 106)6.7 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 8 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 24 (N=104, 106)3.8 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 12 (N=104, 106)1.0 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 16 (N=104, 106)3.8 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 2 (N=99, 106)1.0 percentage of participants
PlaceboPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 4 (N=104, 106)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 24 (N=104, 106)8.5 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 12 (N=104, 106)3.8 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 2 (N=99, 106)1.9 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 4 (N=104, 106)0.9 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 8 (N=104, 106)2.8 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 16 (N=104, 106)7.5 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointWeek 20 (N=104, 106)10.4 percentage of participants
EtanerceptPercentage of Participants Achieving CDAI Remission at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
Secondary

Percentage of Participants Achieving Count Remission at Each Time Point

Count remission is achieved when a participant satisfies all of the following at any given time point: - 68 tender joint count ≤ 1, - 66 swollen joint count ≤ 1, - C-reactive protein (CRP) (in mg/dL) ≤1, and - patient global assessment of disease activity ≤ 1 (measured on a likert scale from 0 to 10 ranging from no activity at all to worst activity imaginable).

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointBaseline (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 2 (N=101, 106)1.0 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 4 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 8 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 12 (N=104, 106)1.9 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 16 (N=104, 106)3.8 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 20 (N=104, 106)5.8 percentage of participants
PlaceboPercentage of Participants Achieving Count Remission at Each Time PointWeek 24 (N=104, 106)7.7 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 24 (N=104, 106)10.4 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointBaseline (N=104, 106)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 12 (N=104, 106)4.7 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 2 (N=101, 106)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 20 (N=104, 106)10.4 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 4 (N=104, 106)2.8 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 16 (N=104, 106)5.7 percentage of participants
EtanerceptPercentage of Participants Achieving Count Remission at Each Time PointWeek 8 (N=104, 106)2.8 percentage of participants
Secondary

Percentage of Participants Achieving DAS28 Low Disease Activity at All Other Timepoints

Low disease activity is defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) of less than 3.2. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-Reactive Protein (CRP) level * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero up to approximately ten. DAS28 scores above 5.1 indicate high disease activity.

Time frame: Baseline and Weeks 2, 4, 8, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analysis at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 16 (N=104, 106)37.5 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 8 (N=104, 106)16.3 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 2 (N=99, 105)10.1 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 20 (N=104, 106)46.2 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsBaseline (N=104, 104)2.9 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 24 (N=104, 106)43.3 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 4 (N=104, 106)15.4 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 24 (N=104, 106)50.0 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsBaseline (N=104, 104)1.0 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 2 (N=99, 105)21.0 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 4 (N=104, 106)24.5 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 16 (N=104, 106)40.6 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 20 (N=104, 106)45.3 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Low Disease Activity at All Other TimepointsWeek 8 (N=104, 106)34.0 percentage of participants
Secondary

Percentage of Participants Achieving DAS28 Remission at All Other Timepoints

Remission is defined by a DAS28 score less than 2.6. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-reactive protein (CRP) * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero to ten. A DAS28 above 5.1 indicates high disease activity.

Time frame: Baseline and Weeks 2, 4, 8, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsBaseline (N=104, 104)1.0 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 4 (N=104, 106)6.7 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 2 (N=99, 105)5.1 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 8 (N=104, 106)5.8 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 16 (N=104, 106)22.1 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 20 (N=104, 106)29.8 percentage of participants
PlaceboPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 24 (N=104, 106)32.7 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 24 (N=104, 106)31.1 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 20 (N=104, 106)26.4 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 8 (N=104, 106)25.5 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsBaseline (N=104, 104)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 16 (N=104, 106)25.5 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 2 (N=99, 105)8.6 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at All Other TimepointsWeek 4 (N=104, 106)11.3 percentage of participants
Secondary

Percentage of Participants Achieving DAS28 Remission at Week 12

Remission is defined by a DAS28 score less than 2.6. The DAS28 is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: * The number of swollen and tender joints assessed using the 28-joint count; * C-reactive protein (CRP) * Patient's global assessment of disease activity measured on a likert scale from 0 (no activity at all) to 10 (worst activity). The DAS28 score ranges from zero to ten. DAS28 above 5.1 indicates high disease activity.

Time frame: Week 12

Population: Primary analysis set; LOCF was used

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving DAS28 Remission at Week 1211.5 percentage of participants
EtanerceptPercentage of Participants Achieving DAS28 Remission at Week 1218.9 percentage of participants
Secondary

Percentage of Participants Achieving SDAI Low Disease Activity at Each Time Point

The simplified disease activity index (SDAI) is a composite measure that sums the total number of: - 28 tender joint counts, - 28 swollen joint counts, - Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest; - Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0 = lowest disease activity and 10 = highest, and - C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity. SDAI low disease activity is defined as a score ≤ 11.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 12 (N=104, 106)21.2 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 4 (N=104, 106)13.5 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 16 (N=104, 106)32.7 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 20 (N=104, 106)42.3 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 8 (N=104, 106)14.4 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 24 (N=104, 106)39.4 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 2 (N=97, 105)8.2 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 24 (N=104, 106)45.3 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 4 (N=104, 106)18.9 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 8 (N=104, 106)30.2 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 12 (N=104, 106)23.6 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 16 (N=104, 106)35.8 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 20 (N=104, 106)38.7 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Low Disease Activity at Each Time PointWeek 2 (N=97, 105)12.4 percentage of participants
Secondary

Percentage of Participants Achieving SDAI Remission at Each Time Point

The simplified disease activity index (SDAI) is a composite measure that sums the total number of: * 28 tender joint counts, * 28 swollen joint counts, * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10 where 0= lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest, and * C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity. SDAI remission is defined as a score ≤ 3.3.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 8 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 2 (N=97, 105)1.0 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 12 (N=104, 106)1.9 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 16 (N=104, 106)4.8 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 20 (N=104, 106)8.7 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 4 (N=104, 106)1.0 percentage of participants
PlaceboPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 24 (N=104, 106)6.7 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 24 (N=104, 106)10.4 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointBaseline (N=101, 101)0.0 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 2 (N=97, 105)1.0 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 4 (N=104, 106)0.9 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 8 (N=104, 106)5.7 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 12 (N=104, 106)5.7 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 20 (N=104, 106)11.3 percentage of participants
EtanerceptPercentage of Participants Achieving SDAI Remission at Each Time PointWeek 16 (N=104, 106)8.5 percentage of participants
Secondary

Percentage of Participants With American College of Rheumatology (ACR) 20 Response at Each Timepoint

A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); ◦ Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); ◦ Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); ◦ C-Reactive Protein level.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 24 N=104, 106)46.2 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 2 (N=101, 105)14.9 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 4 (N=104, 106)19.2 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 8 (N=104, 106)23.1 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 12 (N=104, 106)28.8 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 16 (N=104, 106)47.1 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 20 (N=104, 106)54.8 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 4 (N=104, 106)36.8 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 8 (N=104, 106)50.0 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 24 N=104, 106)50.0 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 12 (N=104, 106)40.6 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 2 (N=101, 105)28.6 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 20 (N=104, 106)51.9 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 20 Response at Each TimepointWeek 16 (N=104, 106)49.1 percentage of participants
Secondary

Percentage of Participants With American College of Rheumatology (ACR) 50 Response at Each Timepoint

A participant was a responder if the following 3 criteria for improvement from Baseline were met: * ≥ 50% improvement in tender joint count; * ≥ 50% improvement in swollen joint count; and * ≥ 50% improvement in at least 3 of the 5 following parameters: * Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); * Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); * Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); * Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); * C-reactive protein (CRP) level.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 4 (N=104, 106)4.8 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 12, (N=104, 106)12.5 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 20 (N=104, 106)28.8 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 2 (N=101, 106)3.0 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 8 (N=104, 106)4.8 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 16 (N=104, 106)22.1 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 24 (N=104, 106)28.8 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 4 (N=104, 106)13.2 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 16 (N=104, 106)30.2 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 8 (N=104, 106)19.8 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 20 (N=104, 106)29.2 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 24 (N=104, 106)33.0 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 12, (N=104, 106)20.8 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 50 Response at Each TimepointWeek 2 (N=101, 106)5.7 percentage of participants
Secondary

Percentage of Participants With American College of Rheumatology (ACR) 70 Response at Each Timepoint

A participant was a responder if the following 3 criteria for improvement from Baseline were met: * ≥ 70% improvement in tender joint count; * ≥ 70% improvement in swollen joint count; and * ≥ 70% improvement in at least 3 of the 5 following parameters: * Patient's assessment of pain (measured on a 100 mm visual analog scale \[VAS\]); * Patient's global assessment of disease activity (measured on a likert scale from 0 to 10); * Physician's global assessment of disease activity (measured on a likert scale from 0 to 10); * Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]); * C-reactive protein (CRP) level.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 2 (N=101, 106)0.0 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 8 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 4 (N=104, 106)0.0 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 12, (N=104, 106)1.0 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 16 (N=104, 106)9.6 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 20 (N=104, 106)10.6 percentage of participants
PlaceboPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 24 (N=104, 106)12.5 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 24 (N=104, 106)16.0 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 4 (N=104, 106)1.9 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 20 (N=104, 106)17.0 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 8 (N=104, 106)5.7 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 12, (N=104, 106)5.7 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 2 (N=101, 106)1.9 percentage of participants
EtanerceptPercentage of Participants With American College of Rheumatology (ACR) 70 Response at Each TimepointWeek 16 (N=104, 106)8.5 percentage of participants
Secondary

Percentage of Participants With RAPID3 Remission or Low Severity at Each Time Point

The Multi-Dimensional Health Assessment Questionnaire (MDHAQ) is adapted from the standard HAQ and is used for the computation of the Routine Assessment of Patient Index Data 3 (RAPID3). The RAPID 3 includes the 3 Core Data Set measures of physical function, pain, and patient global estimate. The score for physical function ranges from 0 to 10 and is calculated by adding the ten activities of daily living, each scored from 0 to 3 by the patient (0=without any difficulty, 1=with some difficulty, 2=with much difficulty, and 3=unable to do) and dividing the total raw score by 3. Pain and global estimate of health are measured on a likert scale from 0 to 10, both scored 0 (best) to 10 (worst). The three 0-10 scores for physical function, pain, and global assesment of health are added together for a composite score of 0 to 30. The RAPID3 composite score includes 4 categories: High Severity \> 12, Moderate Severity = 6.1 - 12, Low severity = 3.1 - 6, and Remission ≤ 3.

Time frame: Baseline and Weeks 4, 12, and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointBaseline (N=96, 99)9.4 percentage of participants
PlaceboPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 4 (N=95, 99)21.1 percentage of participants
PlaceboPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 12 (N=102, 103)21.6 percentage of participants
PlaceboPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 24 (N=103, 103)41.7 percentage of participants
EtanerceptPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 24 (N=103, 103)46.6 percentage of participants
EtanerceptPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointBaseline (N=96, 99)9.1 percentage of participants
EtanerceptPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 12 (N=102, 103)39.8 percentage of participants
EtanerceptPercentage of Participants With RAPID3 Remission or Low Severity at Each Time PointWeek 4 (N=95, 99)30.3 percentage of participants
Secondary

Physician Global Assessment of Disease Activity at Each Time Point

The global assessment of the participant's arthritis was assessed by the physician circling a number from 0 to 10 on a horizontal Likert scale ranging from No Activity at All (score = 0) to Worst Activity Imaginable (score = 10).

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointBaseline (N=101, 102)5.3 scores on a scaleStandard Deviation 1.7
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 2 (N=99, 106)4.6 scores on a scaleStandard Deviation 1.9
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 4 (N=104, 106)4.2 scores on a scaleStandard Deviation 1.9
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 8 (N=104, 106)4.0 scores on a scaleStandard Deviation 2
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 12 (N=104, 106)4.0 scores on a scaleStandard Deviation 2.1
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 16 (N=104, 106)3.1 scores on a scaleStandard Deviation 2
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 20 (N=104, 106)2.7 scores on a scaleStandard Deviation 1.7
PlaceboPhysician Global Assessment of Disease Activity at Each Time PointWeek 24 (N=104, 106)2.7 scores on a scaleStandard Deviation 1.8
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 24 (N=104, 106)2.7 scores on a scaleStandard Deviation 1.9
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointBaseline (N=101, 102)5.4 scores on a scaleStandard Deviation 1.6
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 12 (N=104, 106)3.3 scores on a scaleStandard Deviation 2.1
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 2 (N=99, 106)4.0 scores on a scaleStandard Deviation 1.8
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 20 (N=104, 106)2.9 scores on a scaleStandard Deviation 2.1
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 4 (N=104, 106)3.7 scores on a scaleStandard Deviation 1.9
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 16 (N=104, 106)2.9 scores on a scaleStandard Deviation 2
EtanerceptPhysician Global Assessment of Disease Activity at Each Time PointWeek 8 (N=104, 106)3.4 scores on a scaleStandard Deviation 2.1
Secondary

Short Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning (less pain). Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointBaseline (N=104, 106)41.98 scores on a scaleStandard Error 1.98
PlaceboShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 12 (N=101, 101)51.15 scores on a scaleStandard Error 2
PlaceboShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 24 (N=88, 98)61.66 scores on a scaleStandard Error 2.08
PlaceboShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 4 (N=103, 105)47.77 scores on a scaleStandard Error 1.99
EtanerceptShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 24 (N=88, 98)59.42 scores on a scaleStandard Error 2.01
EtanerceptShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointBaseline (N=104, 106)38.39 scores on a scaleStandard Error 1.96
EtanerceptShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 4 (N=103, 105)52.17 scores on a scaleStandard Error 1.97
EtanerceptShort Form 36 Health Survey (SF-36) Bodily Pain Domain Score at Each Time PointWeek 12 (N=101, 101)52.79 scores on a scaleStandard Error 1.99
Secondary

Short Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointBaseline (N=104, 106)49.13 scores on a scaleStandard Error 2.03
PlaceboShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 12 (N=100, 101)52.21 scores on a scaleStandard Error 2.04
PlaceboShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 4 (N=103, 104)52.52 scores on a scaleStandard Error 2.03
PlaceboShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 24 (N=89, 98)55.94 scores on a scaleStandard Error 2.09
EtanerceptShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 4 (N=103, 104)56.31 scores on a scaleStandard Error 2.02
EtanerceptShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointBaseline (N=104, 106)51.77 scores on a scaleStandard Error 2.01
EtanerceptShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 24 (N=89, 98)57.44 scores on a scaleStandard Error 2.04
EtanerceptShort Form 36 Health Survey (SF-36) General Health Perceptions Domain Score at Each Time PointWeek 12 (N=100, 101)54.77 scores on a scaleStandard Error 2.03
Secondary

Short Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. The mental health sub-score assesses general mental health (psychological distress and well-being). Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 24 (N=89, 97)75.71 scores on a scaleStandard Error 1.96
PlaceboShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointBaseline (N=104, 104)70.14 scores on a scaleStandard Error 1.9
PlaceboShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 4 (N=103, 102)69.74 scores on a scaleStandard Error 1.9
PlaceboShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 12 (N=100, 100)72.05 scores on a scaleStandard Error 1.92
EtanerceptShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 12 (N=100, 100)72.56 scores on a scaleStandard Error 1.9
EtanerceptShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 24 (N=89, 97)74.20 scores on a scaleStandard Error 1.92
EtanerceptShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointWeek 4 (N=103, 102)72.01 scores on a scaleStandard Error 1.9
EtanerceptShort Form 36 Health Survey (SF-36) Mental Health Domain Score at Each Time PointBaseline (N=104, 104)66.56 scores on a scaleStandard Error 1.88
Secondary

Short Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The physical functioning subscale assesses limitations in physical activities because of health problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointBaseline (N=100, 105)45.16 scores on a scaleStandard Error 2.75
PlaceboShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 4 (N=101, 102)47.54 scores on a scaleStandard Error 2.74
PlaceboShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 12 (N=99, 99)53.02 scores on a scaleStandard Error 2.75
PlaceboShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 24 (N=88, 97)60.38 scores on a scaleStandard Error 2.81
EtanerceptShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 24 (N=88, 97)55.63 scores on a scaleStandard Error 2.75
EtanerceptShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointBaseline (N=100, 105)45.71 scores on a scaleStandard Error 2.71
EtanerceptShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 12 (N=99, 99)52.06 scores on a scaleStandard Error 2.74
EtanerceptShort Form 36 Health Survey (SF-36) Physical Functioning Domain Score at Each Time PointWeek 4 (N=101, 102)51.86 scores on a scaleStandard Error 2.72
Secondary

Short Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better quality of life. The role-emotional subscale assesses limitations in usual role activities because of emotional problems. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 4 (N=102, 105)71.92 scores on a scaleStandard Error 2.77
PlaceboShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 12 (N=100, 100)75.86 scores on a scaleStandard Error 2.78
PlaceboShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointBaseline (N=104, 104)69.23 scores on a scaleStandard Error 2.75
PlaceboShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 24 (N=89, 98)80.12 scores on a scaleStandard Error 2.86
EtanerceptShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 24 (N=89, 98)76.30 scores on a scaleStandard Error 2.78
EtanerceptShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointBaseline (N=104, 104)66.36 scores on a scaleStandard Error 2.74
EtanerceptShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 12 (N=100, 100)71.87 scores on a scaleStandard Error 2.77
EtanerceptShort Form 36 Health Survey (SF-36) Role-Emotional Domain Score at Each Time PointWeek 4 (N=102, 105)72.56 scores on a scaleStandard Error 2.73
Secondary

Short Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The role-physical subscale assesses limitations in usual role activities because of physical health problems. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointBaseline (N=104, 103)49.34 scores on a scaleStandard Error 2.74
PlaceboShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 4 (N=102, 105)56.09 scores on a scaleStandard Error 2.76
PlaceboShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 12 (N=100, 101)57.74 scores on a scaleStandard Error 2.77
PlaceboShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 24 (N=89, 97)65.87 scores on a scaleStandard Error 2.83
EtanerceptShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 24 (N=89, 97)59.54 scores on a scaleStandard Error 2.77
EtanerceptShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointBaseline (N=104, 103)51.69 scores on a scaleStandard Error 2.73
EtanerceptShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 12 (N=100, 101)57.83 scores on a scaleStandard Error 2.75
EtanerceptShort Form 36 Health Survey (SF-36) Role-Physical Domain Score at Each Time PointWeek 4 (N=102, 105)58.09 scores on a scaleStandard Error 2.72
Secondary

Short Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 4 (N=103, 105)69.04 scores on a scaleStandard Error 2.61
PlaceboShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointBaseline (N=104, 106)65.14 scores on a scaleStandard Error 2.61
PlaceboShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 12 (N=101, 101)69.68 scores on a scaleStandard Error 12.62
PlaceboShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 24 (N=88, 98)78.59 scores on a scaleStandard Error 2.7
EtanerceptShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 24 (N=88, 98)75.19 scores on a scaleStandard Error 2.63
EtanerceptShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 4 (N=103, 105)72.03 scores on a scaleStandard Error 2.59
EtanerceptShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointWeek 12 (N=101, 101)69.32 scores on a scaleStandard Error 2.61
EtanerceptShort Form 36 Health Survey (SF-36) Social Functioning Domain Score at Each Time PointBaseline (N=104, 106)63.21 scores on a scaleStandard Error 2.58
Secondary

Short Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time Point

The SF-36 measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning. The vitality sub-score assesses energy and fatigue. Least Squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 12 (N=100, 100)47.55 scores on a scaleStandard Error 2.15
PlaceboShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointBaseline (N=101, 105)42.65 scores on a scaleStandard Error 2.14
PlaceboShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 24 (N=90, 98)53.03 scores on a scaleStandard Error 2.2
PlaceboShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 4 (N=103, 105)46.45 scores on a scaleStandard Error 2.14
EtanerceptShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 24 (N=90, 98)54.08 scores on a scaleStandard Error 2.15
EtanerceptShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 4 (N=103, 105)49.27 scores on a scaleStandard Error 2.12
EtanerceptShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointWeek 12 (N=100, 100)48.90 scores on a scaleStandard Error 2.14
EtanerceptShort Form 36 Health Survey (SF-36) Vitality Domain Score at Each Time PointBaseline (N=101, 105)41.11 scores on a scaleStandard Error 2.11
Secondary

Simplified Clinical Disease Activity Index (SDAI) Score at Each Time Point

The simplified disease activity index (SDAI) is a composite measure that sums the total number of: * 28 tender joint counts, * 28 swollen joint counts, * Patient's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest; * Physician's Global Assessment of Disease Activity measured on a Likert scale from 0 to 10, where 0 = lowest disease activity and 10 = highest, and * C-reactive protein (CRP) in mg/dL. The SDAI score ranges from 0 to approximately 86 where lower scores indicate less disease activity.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointBaseline (N=101, 101)31.00 scores on a scaleStandard Deviation 9.49
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 12 (N=104, 106)23.52 scores on a scaleStandard Deviation 14.02
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 4 (N=104, 106)25.81 scores on a scaleStandard Deviation 12.89
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 16 (N=104, 106)18.55 scores on a scaleStandard Deviation 12.43
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 2 (N=97, 105)27.83 scores on a scaleStandard Deviation 12.89
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 20 (N=104, 106)15.61 scores on a scaleStandard Deviation 10.77
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 24 (N=104, 106)16.93 scores on a scaleStandard Deviation 11.9
PlaceboSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 8 (N=104, 106)23.64 scores on a scaleStandard Deviation 12.32
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 24 (N=104, 106)17.30 scores on a scaleStandard Deviation 14.85
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointBaseline (N=101, 101)30.56 scores on a scaleStandard Deviation 9.01
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 2 (N=97, 105)24.77 scores on a scaleStandard Deviation 12.96
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 4 (N=104, 106)22.00 scores on a scaleStandard Deviation 12.86
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 8 (N=104, 106)20.51 scores on a scaleStandard Deviation 14.08
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 12 (N=104, 106)21.09 scores on a scaleStandard Deviation 15.05
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 16 (N=104, 106)18.68 scores on a scaleStandard Deviation 15.25
EtanerceptSimplified Clinical Disease Activity Index (SDAI) Score at Each Time PointWeek 20 (N=104, 106)17.87 scores on a scaleStandard Deviation 14.98
Secondary

Swollen 28-Joint Count (SJC28) at Each Time Point

Twenty-eight joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 12 (N=104, 106)5.7 swollen jointsStandard Deviation 5.4
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointBaseline (N=104, 106)8.5 swollen jointsStandard Deviation 4.4
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 16 (N=104, 106)5.0 swollen jointsStandard Deviation 4.5
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 4 (N=104, 106)6.7 swollen jointsStandard Deviation 5.3
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 20 (N=104, 106)4.4 swollen jointsStandard Deviation 4.7
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 2 (N=101, 106)6.9 swollen jointsStandard Deviation 5.4
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 24 (N=104, 106)4.6 swollen jointsStandard Deviation 4.7
PlaceboSwollen 28-Joint Count (SJC28) at Each Time PointWeek 8 (N=104, 106)6.2 swollen jointsStandard Deviation 4.9
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 24 (N=104, 106)4.6 swollen jointsStandard Deviation 5.2
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointBaseline (N=104, 106)8.4 swollen jointsStandard Deviation 5
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 2 (N=101, 106)6.7 swollen jointsStandard Deviation 4.5
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 4 (N=104, 106)5.4 swollen jointsStandard Deviation 4.6
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 12 (N=104, 106)5.5 swollen jointsStandard Deviation 4.9
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 16 (N=104, 106)5.2 swollen jointsStandard Deviation 5.4
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 20 (N=104, 106)4.8 swollen jointsStandard Deviation 4.9
EtanerceptSwollen 28-Joint Count (SJC28) at Each Time PointWeek 8 (N=104, 106)5.4 swollen jointsStandard Deviation 4.9
Secondary

Tender 28-Joint Count (TJC28) at Each Time Point

Twenty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination.

Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20 and 24

Population: Primary analysis set; LOCF was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboTender 28-Joint Count (TJC28) at Each Time PointBaseline (N=104, 106)11.1 tender jointsStandard Deviation 5.5
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 2 (N=101, 106)10.1 tender jointsStandard Deviation 6.7
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 4 (N=104, 106)9.4 tender jointsStandard Deviation 6.9
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 8 (N=104, 106)8.0 tender jointsStandard Deviation 6.2
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 12 (N=104, 106)8.8 tender jointsStandard Deviation 7
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 16 (N=104, 106)6.6 tender jointsStandard Deviation 6.3
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 20 (N=104, 106)5.1 tender jointsStandard Deviation 5.3
PlaceboTender 28-Joint Count (TJC28) at Each Time PointWeek 24 (N=104, 106)6.0 tender jointsStandard Deviation 6.4
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 24 (N=104, 106)6.5 tender jointsStandard Deviation 7.9
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointBaseline (N=104, 106)10.6 tender jointsStandard Deviation 5.1
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 12 (N=104, 106)8.1 tender jointsStandard Deviation 8
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 2 (N=101, 106)9.6 tender jointsStandard Deviation 7.6
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 20 (N=104, 106)6.5 tender jointsStandard Deviation 7.9
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 4 (N=104, 106)8.4 tender jointsStandard Deviation 6.9
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 16 (N=104, 106)6.9 tender jointsStandard Deviation 7.9
EtanerceptTender 28-Joint Count (TJC28) at Each Time PointWeek 8 (N=104, 106)7.7 tender jointsStandard Deviation 7.7
Secondary

Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time Point

This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis. Percent activity impairment is derived from the patient's assessment of the degree to which rheumatoid arthritis affected their regular daily activities. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointBaseline (N=103, 106)49.29 percent activity impairmentStandard Error 2.56
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 4 (N=102, 104)41.22 percent activity impairmentStandard Error 2.57
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 24 (N=88, 96)29.91 percent activity impairmentStandard Error 2.68
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 12 (N=99, 99)39.16 percent activity impairmentStandard Error 2.59
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 24 (N=88, 96)30.57 percent activity impairmentStandard Error 2.61
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointBaseline (N=103, 106)50.38 percent activity impairmentStandard Error 2.53
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 4 (N=102, 104)38.67 percent activity impairmentStandard Error 2.55
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Activity Impairment at Each Time PointWeek 12 (N=99, 99)35.98 percent activity impairmentStandard Error 2.58
Secondary

Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time Point

This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent impairment while working was derived from the participant's assessment of the degree to which rheumatoid arthritis affected their productivity while working. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants employed and included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointBaseline (N=45, 45)34.39 percent impairment while workingStandard Error 3.39
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 4 (N=44, 43)31.91 percent impairment while workingStandard Error 3.41
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 12 (N=39, 40)25.49 percent impairment while workingStandard Error 3.52
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 24 (N=37, 40)21.46 percent impairment while workingStandard Error 3.57
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 24 (N=37, 40)21.10 percent impairment while workingStandard Error 3.49
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointBaseline (N=45, 45)36.86 percent impairment while workingStandard Error 3.39
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 12 (N=39, 40)24.61 percent impairment while workingStandard Error 3.5
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Impairment While Working (Presenteeism) at Each Time PointWeek 4 (N=44, 43)25.04 percent impairment while workingStandard Error 3.44
Secondary

Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time Point

This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent overall work impairment takes into account both hours missed due to rheumatoid arthritis symptoms and the participant's assessment of the degree to which rheumatoid arthritis affected their productivity while working. A higher percentage indicates greater impairment and less productivity. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants employed and included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointBaseline (N=45, 46)34.79 percent overall work impairmentStandard Error 3.8
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 12 (N=45, 40)27.23 percent overall work impairmentStandard Error 3.8
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 4 (N=46, 42)33.14 percent overall work impairmentStandard Error 3.77
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 24 (N=38, 42)23.93 percent overall work impairmentStandard Error 3.98
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 4 (N=46, 42)26.14 percent overall work impairmentStandard Error 3.87
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointBaseline (N=45, 46)36.71 percent overall work impairmentStandard Error 3.76
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 24 (N=38, 42)22.58 percent overall work impairmentStandard Error 3.86
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Overall Work Impairment at Each Time PointWeek 12 (N=45, 40)26.22 percent overall work impairmentStandard Error 3.92
Secondary

Work Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time Point

This self-administered questionnaire is designed to address impairment to the work productivity and activity of participants due to rheumatoid arthritis in the past 7 days. Percent of work time missed is derived from the number of hours of work missed due to rheumatoid arthritis symptoms as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed. Least squares means are from a mixed-effect model for repeated measurements (MMRM).

Time frame: Baseline and Weeks 4, 12 and 24

Population: Primary analysis set; Mixed-Effect Model Repeated Measures (MMRM) analysis to account for post-baseline missing data with Likelihood-based approach was used. N indicates the number of participants employed and included in the analyses at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointBaseline (N=46, 46)3.54 percent work time missedStandard Error 2.04
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 24 (N=38, 43)5.22 percent work time missedStandard Error 2.21
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 4 (N=46, 42)4.18 percent work time missedStandard Error 2.03
PlaceboWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 12 (N=45, 40)8.07 percent work time missedStandard Error 2.06
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 24 (N=38, 43)3.77 percent work time missedStandard Error 2.09
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointBaseline (N=46, 46)5.88 percent work time missedStandard Error 2.03
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 12 (N=45, 40)4.46 percent work time missedStandard Error 2.16
EtanerceptWork Productivity and Activity Impairment Questionnaire (WPAI): Percent Work Time Missed (Absenteeism) at Each Time PointWeek 4 (N=46, 42)4.50 percent work time missedStandard Error 2.12

Source: ClinicalTrials.gov · Data processed: Mar 18, 2026