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Study Looking at Longitudinal Changes in Fatigue and Health Status in Rheumatoid Arthritis (RA) Patients Treated With Subcutaneous Anti-TNF-α Therapy

Longitudinal Changes In Fatigue And Health Status (aims2) In Ra Patients Treated With Sc Anti-tnf-alpha Therapy

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01521884
Enrollment
62
Registered
2012-01-31
Start date
2010-11-30
Completion date
2014-02-28
Last updated
2015-02-19

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

Conditions

Rheumatoid Arthritis

Brief summary

People affected by rheumatoid arthritis are often suffering from fatigue and decreased QOL. In this study we are measuring the impact of SC biologics on these parameters.

Detailed description

Observational prospective study Purely descriptive

Interventions

SC anti-TNF

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

Patients who: * Are active RA patients (as judged by treating MD) * Are 18 years of age or older at time of consent * Are scheduled by their rheumatologist to initiate SC anti-TNF-α therapy + MTX

Exclusion criteria

Use of biologics (or any experimental drug) in the last 3 months before initiation of SC anti-TNF-α therapy. Participation in other clinical or observational trials

Design outcomes

Primary

MeasureTime frameDescription
Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 18Month 18AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.
Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 12Month 12AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.
Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 6Month 6AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.
Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at BaselineBaselineAIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.
Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 24Month 24AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Secondary

MeasureTime frameDescription
Visual Analog Scale (VAS) Fatigue ScoreBaseline, Month 6, 12, 18, 24Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.
Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Baseline, Month 6, 12, 18, 24DAS28-ESR was calculated from the number of swollen joints (SJC) and tender joints (TJC ) using the 28 joints count, the erythrocyte sedimentation rate (ESR) (millimeter per hour \[mm/hour\]) and participant's assessment of disease activity visual analog scale (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score=more disease activity (DA). DAS28-ESR less than equal to (\<=) 3.2 = low disease activity, DAS28 greater than (\>) 3.2 to 5.1 = moderate to high DA
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline, Month 6, 12, 18, 24DAS28-CRP was calculated from the number of swollen joints ( SJC) and tender joints (TJC) count using 28 joint count and CRP (milligram per liter \[mg/L\]). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP) : \<3.2= low disease activity, \>3.2 to 5.1 = moderate to high disease activity and less than (\<)2.6 = remission.
Health Assessment Questionnaire (HAQ) Total ScoreBaseline, Month 6, 12, 18, 24HAQ: 20-item participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, reach, grip, hygiene and common activities. Each item scored on 4-point scale, 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as sum of item scores. HAQ total score was 0 to 60 (as used in Belgium), where greater score indicated greater difficulty.

Other

MeasureTime frameDescription
Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreBaseline, Month 6, 12, 18, 24Spearman correlation coefficient between DAS28-CRP and VAS score (DAS28-CRP vs VAS score) was calculated. DAS28-CRP was calculated from the number of SJC and TJC count using 28 joint count and CRP (mg/L). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP): \<3.2= low DA, \>3.2 to 5.1 = moderate to high DA and \<2.6 = remission and VAS= Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.
Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreBaseline, Month 6, 12, 18, 24Spearman correlation coefficient between DAS28-ESR and VAS fatigue (DAS28-ESR vs VAS score) was calculated. DAS28-ESR calculated from the number of SJC and TJC using the 28 joints count, ESR (mm/hour) and participant's assessment of disease activity VAS (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score= more disease activity. DAS28-ESR \<= 3.2 = low DA, DAS28 \> 3.2 to 5.1 = moderate to high DA and VAS fatigue = Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.
Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline, Month 6, 12, 18, 24Pearson correlation coefficient between AIMS2 component score and DAS28-CRP score (AIMS2 component score vs DAS28-CRP) was calculated. AIMS2: 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation DAS28-CRP was calculated from the number of SJC and TJC count using 28 joint count and CRP (mg/L). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP): \<3.2= low DA, \>3.2 to 5.1 = moderate to high DA and \<2.6 = remission.
Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Baseline, Month 6,1 2, 18, 24Pearson correlation coefficient between AIMS2 component score and DAS28-ESR score (AIMS2 component score vs DAS28-ESR) was calculated. AIMS2: 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation and DAS28-ESR calculated from the number of SJC and TJC using the 28 joints count, ESR (mm/hour) and participant's assessment of disease activity VAS (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score= more disease activity. DAS28-ESR \<= 3.2 = low DA, DAS28 \> 3.2 to 5.1 = moderate to high DA.
Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreBaseline, Month 6, 12, 18, 24Spearman correlation coefficient between AIMS2 component score and VAS fatigue score (AIMS2 component score versus \[vs\] VAS fatigue) was calculated. AIMS2 : 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation and VAS score: Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.

Countries

Belgium

Participant flow

Participants by arm

ArmCount
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)
Participants with rheumatoid arthritis (RA), who received subcutaneous anti-TNF-alpha therapy along with methotrexate as per treating physician's discretion based on summary of product characteristics, were followed up for 2 years.
61
Total61

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event5
Overall StudyLost to Follow-up4
Overall StudyNon Responders10
Overall StudyParticipant non-eligible1
Overall StudyPhysician Decision2
Overall StudyPregnancy1
Overall StudyProtocol Violation3
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicAnti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)
Age, Continuous55.2 years
STANDARD_DEVIATION 11.28
Sex: Female, Male
Female
46 Participants
Sex: Female, Male
Male
15 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
4 / 62
serious
Total, serious adverse events
1 / 62

Outcome results

Primary

Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Baseline

AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Time frame: Baseline

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at BaselineAIMS2-Physical Score (n=59)3.5 units on a scaleStandard Deviation 1.7
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at BaselineAIMS2-Affect Score (n=59)4.8 units on a scaleStandard Deviation 1.7
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at BaselineAIMS2-Symptom Score (n=58)7.3 units on a scaleStandard Deviation 1.8
Primary

Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 12

AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Time frame: Month 12

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here N (number of participants analyzed) = participants who were evaluable for this measure. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 12AIMS2-Physical Score2.1 units on a scaleStandard Deviation 1.3
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 12AIMS2-Affect Score3.5 units on a scaleStandard Deviation 1.8
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 12AIMS2-Symptom Score4.3 units on a scaleStandard Deviation 2.7
Primary

Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 18

AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Time frame: Month 18

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 18AIMS2-Physical Score (n=30)2.6 units on a scaleStandard Deviation 1.7
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 18AIMS2-Affect Score (n=31)3.4 units on a scaleStandard Deviation 1.8
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 18AIMS2-Symptom Score (n=31)4.5 units on a scaleStandard Deviation 2.1
Primary

Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 24

AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Time frame: Month 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 24AIMS2-Physical Score (n=31)2.2 units on a scaleStandard Deviation 1.7
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 24AIMS2-Affect Score (n=31)3.2 units on a scaleStandard Deviation 1.9
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 24AIMS2-Symptom Score (n=30)3.8 units on a scaleStandard Deviation 2.3
Primary

Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 6

AIMS2 is a disease-specific measure of physical, social, and emotional well-being. It is a 78-item questionnaire assessing 12 scales: moving capacities, walking and dexterity, hand and fingers movements, arm movements, self-care, household activities, social activities, support of family and friends, joint pain, work, nervous tension and psychological condition (anxiety and depression). Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain) with total score range from 0 to 10 for all component scores, where higher scores indicated worse situation.

Time frame: Month 6

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 6AIMS2-Physical Score (n=47)2.3 units on a scaleStandard Deviation 1.7
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 6AIMS2-Affect Score (n=49)3.8 units on a scaleStandard Deviation 1.9
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Component Score at Month 6AIMS2-Symptom Score (n=49)5.1 units on a scaleStandard Deviation 2.5
Secondary

Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)

DAS28-CRP was calculated from the number of swollen joints ( SJC) and tender joints (TJC) count using 28 joint count and CRP (milligram per liter \[mg/L\]). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP) : \<3.2= low disease activity, \>3.2 to 5.1 = moderate to high disease activity and less than (\<)2.6 = remission.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 6 (n=21)2.50 units on a scaleStandard Deviation 1.06
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline (n=23)4.59 units on a scaleStandard Deviation 1.28
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 12 (n=20)2.75 units on a scaleStandard Deviation 1.27
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 18 (n=21)2.59 units on a scaleStandard Deviation 0.83
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 24 (n=19)2.35 units on a scaleStandard Deviation 1.11
Secondary

Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)

DAS28-ESR was calculated from the number of swollen joints (SJC) and tender joints (TJC ) using the 28 joints count, the erythrocyte sedimentation rate (ESR) (millimeter per hour \[mm/hour\]) and participant's assessment of disease activity visual analog scale (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score=more disease activity (DA). DAS28-ESR less than equal to (\<=) 3.2 = low disease activity, DAS28 greater than (\>) 3.2 to 5.1 = moderate to high DA

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Month 18 (n=24)3.04 units on a scaleStandard Deviation 1.27
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Month 12 (n=37)3.05 units on a scaleStandard Deviation 1.28
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Baseline (n=55)4.93 units on a scaleStandard Deviation 1.27
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Month 6 (n=41)3.21 units on a scaleStandard Deviation 1.37
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (DAS 28-ESR)Month 24 (n=23)2.44 units on a scaleStandard Deviation 1.11
Secondary

Health Assessment Questionnaire (HAQ) Total Score

HAQ: 20-item participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom, arise, eat, walk, reach, grip, hygiene and common activities. Each item scored on 4-point scale, 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as sum of item scores. HAQ total score was 0 to 60 (as used in Belgium), where greater score indicated greater difficulty.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Health Assessment Questionnaire (HAQ) Total ScoreBaseline (n=59)30.17 units on a scaleStandard Deviation 8.765
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Health Assessment Questionnaire (HAQ) Total ScoreMonth 6 (n=49)22.99 units on a scaleStandard Deviation 7.524
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Health Assessment Questionnaire (HAQ) Total ScoreMonth 12 (n=44)22.45 units on a scaleStandard Deviation 8.729
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Health Assessment Questionnaire (HAQ) Total ScoreMonth 18 (n=32)23.60 units on a scaleStandard Deviation 6.794
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Health Assessment Questionnaire (HAQ) Total ScoreMonth 24 (n=31)22.84 units on a scaleStandard Deviation 6.769
Secondary

Visual Analog Scale (VAS) Fatigue Score

Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (MEAN)Dispersion
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Visual Analog Scale (VAS) Fatigue ScoreBaseline (n=56)6.4 units on a scaleStandard Deviation 1.93
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Visual Analog Scale (VAS) Fatigue ScoreMonth 6 (n=47)4.7 units on a scaleStandard Deviation 2.43
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Visual Analog Scale (VAS) Fatigue ScoreMonth 12 (n=42)4.4 units on a scaleStandard Deviation 2.41
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Visual Analog Scale (VAS) Fatigue ScoreMonth 18 (n=31)4.3 units on a scaleStandard Deviation 2.04
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Visual Analog Scale (VAS) Fatigue ScoreMonth 24 (n=30)4.6 units on a scaleStandard Deviation 2.43
Other Pre-specified

Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)

Pearson correlation coefficient between AIMS2 component score and DAS28-CRP score (AIMS2 component score vs DAS28-CRP) was calculated. AIMS2: 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation DAS28-CRP was calculated from the number of SJC and TJC count using 28 joint count and CRP (mg/L). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP): \<3.2= low DA, \>3.2 to 5.1 = moderate to high DA and \<2.6 = remission.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (NUMBER)
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline: AIMS2 Physical vs DAS 28-CRP (n=22)0.014 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline: AIMS2 Affect vs DAS 28-CRP (n=22)0.238 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Baseline: AIMS2 Symptom vs DAS 28-CRP (n=22)0.097 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 6: AIMS2 Physical vs DAS 28-CRP (n=19)0.443 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 6: AIMS2 Affect vs DAS 28-CRP (n=20)0.344 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 6: AIMS2 Symptom vs DAS 28-CRP (n=20)0.583 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 12: AIMS2 Physical vs DAS 28-CRP (n=19)0.697 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 12: AIMS2 Affect vs DAS 28-CRP (n=19)0.425 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 12: AIMS2 Symptom vs DAS 28-CRP (n=19)0.541 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 18: AIMS2 Physical vs DAS 28-CRP (n=16)0.554 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 18: AIMS2 Affect vs DAS 28-CRP (n=16)0.368 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 18: AIMS2 Symptom vs DAS 28-CRP (n=16)0.617 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 24: AIMS2 Physical vs DAS 28-CRP (n=18)0.494 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 24: AIMS2 Affect vs DAS 28-CRP (n=18)0.487 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale- Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP)Month 24: AIMS2 Symptom vs DAS 28-CRP (n=18)0.478 correlation coefficient
Other Pre-specified

Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)

Pearson correlation coefficient between AIMS2 component score and DAS28-ESR score (AIMS2 component score vs DAS28-ESR) was calculated. AIMS2: 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation and DAS28-ESR calculated from the number of SJC and TJC using the 28 joints count, ESR (mm/hour) and participant's assessment of disease activity VAS (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score= more disease activity. DAS28-ESR \<= 3.2 = low DA, DAS28 \> 3.2 to 5.1 = moderate to high DA.

Time frame: Baseline, Month 6,1 2, 18, 24

Population: ITT population, Here n = participants evaluable for this measure for specified component score and N (number of participants analyzed) = participants who were evaluable for this measure. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (NUMBER)
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Baseline: AIMS2 Physical vs DAS28-ESR (n=53)0.366 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Baseline: AIMS2 Affect vs DAS28-ESR (n=53)0.071 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Baseline: AIMS2 Symptom vs DAS28-ESR (n=52)0.427 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 6: AIMS2 Physical vs DAS28-ESR (n=38)0.254 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 6: AIMS2 Affect vs DAS28-ESR (n=40)0.561 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 6: AIMS2 Symptom vs DAS28-ESR (n=40)0.602 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 12: AIMS2 Physical vs DAS28-ESR (n=33)0.399 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 12: AIMS2 Affect vs DAS28-ESR (n=33)0.263 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 12: AIMS2 Symptom vs DAS28-ESR (n=33)0.285 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 18: AIMS2 Physical vs DAS28-ESR (n=20)0.334 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 18: AIMS2 Affect vs DAS28-ESR (n=21)0.205 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 18: AIMS2 Symptom vs DAS28-ESR (n=21)0.336 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 24: AIMS2 Physical vs DAS28-ESR (n=21)0.110 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 24: AIMS2 Affect vs DAS28-ESR (n=21)0.180 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Pearson Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR)Month 24: AIMS2 Symptom vs DAS28-ESR (n=20)0.233 correlation coefficient
Other Pre-specified

Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue Score

Spearman correlation coefficient between AIMS2 component score and VAS fatigue score (AIMS2 component score versus \[vs\] VAS fatigue) was calculated. AIMS2 : 78-item questionnaire assessing 12 scales. Each item was scored as 0 (or 1, best situation) to 4 (worst situation). Sub-total score of each of the 12 scales normalized to a maximum of 10. Total score were calculated for AIMS2 Affect (\[Level of tension + Mood\]/2), AIMS2 Physical (\[Mobility level + Walking and bending + Hand and finger function + Arm function + Self Care + Household tasks\]/6), and AIMS2 Symptom (Arthritis pain); total score range from 0 to 10, higher scores indicates worse situation and VAS score: Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score. The results for social interaction and role components of AIMS2 were not analyzed due to change in planned analysis.

ArmMeasureGroupValue (NUMBER)
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreBaseline: AIMS2 Physical vs VAS fatigue (n=56)0.497 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreBaseline: AIMS2 Affect vs VAS fatigue (n=56)0.419 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreBaseline: AIMS2 Symptom vs VAS fatigue (n=55)0.516 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 6: AIMS2 Physical vs VAS fatigue (n=45)0.617 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 6: AIMS2 Affect at vs VAS fatigue (n=47)0.714 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 6: AIMS2 Symptom vs VAS fatigue (n=47)0.624 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 12: AIMS2 Physical vs VAS fatigue (n=41)0.361 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 12: AIMS2 Affect vs VAS fatigue (n=41)0.365 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 12: AIMS2 Symptom vs VAS fatigue (n=41)0.330 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 18: AIMS2 Physical vs VAS fatigue (n=30)0.318 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 18: AIMS2 Affect vs VAS fatigue (n=31)0.428 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 18: AIMS2 Symptom vs VAS fatigue (n=31)0.376 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 24: AIMS2 Physical vs VAS fatigue (n=30)0.452 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 24: AIMS2 Affect vs VAS fatigue (n=30)0.591 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Arthritis Impact Measurement Scale - Version 2 (AIMS2) Main Components and Visual Analog Scale (VAS) Fatigue ScoreMonth 24: AIMS2 Symptom vs VAS fatigue (n=29)0.429 correlation coefficient
Other Pre-specified

Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue Score

Spearman correlation coefficient between DAS28-CRP and VAS score (DAS28-CRP vs VAS score) was calculated. DAS28-CRP was calculated from the number of SJC and TJC count using 28 joint count and CRP (mg/L). Total score range: 0-10, higher score= more disease activity. DAS28 (CRP): \<3.2= low DA, \>3.2 to 5.1 = moderate to high DA and \<2.6 = remission and VAS= Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (NUMBER)
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreBaseline: DAS28-CRP vs VAS fatigue (n=22)0.096 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreMonth 6: DAS28-CRP vs VAS fatigue (n=19)0.291 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreMonth 12: DAS28-CRP vs VAS fatigue (n=19)0.271 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreMonth 18: DAS28-CRP vs VAS fatigue (n=16)0.193 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS 28-CRP) and Visual Analog Scale (VAS) Fatigue ScoreMonth 24: DAS28-CRP vs VAS fatigue (n=17)0.300 correlation coefficient
Other Pre-specified

Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue Score

Spearman correlation coefficient between DAS28-ESR and VAS fatigue (DAS28-ESR vs VAS score) was calculated. DAS28-ESR calculated from the number of SJC and TJC using the 28 joints count, ESR (mm/hour) and participant's assessment of disease activity VAS (scores ranging 0 \[very well\] to 100 mm \[extremely bad\]). Total score range: 0-10, higher score= more disease activity. DAS28-ESR \<= 3.2 = low DA, DAS28 \> 3.2 to 5.1 = moderate to high DA and VAS fatigue = Participants recorded their fatigue score on a range of 0 to 10, where higher score indicated higher intensity of fatigue.

Time frame: Baseline, Month 6, 12, 18, 24

Population: ITT population included participants for whom the primary endpoint or 1 of the secondary endpoints could be determined at baseline. Here n = participants who were evaluable for this measure for specified component score.

ArmMeasureGroupValue (NUMBER)
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreBaseline: DAS28-ESR vs VAS fatigue (n=50)0.370 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreMonth 6: DAS28-ESR vs VAS fatigue (n=38)0.394 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreMonth 12: DAS28-ESR vs VAS fatigue (n=34)0.215 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreMonth 18: DAS28-ESR vs VAS fatigue (n=21)0.073 correlation coefficient
Anti-Tumour Necrosis Factor Alpha (Anti-TNF-alpha)Spearman Correlation Coefficient Between Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation (DAS 28-ESR) and Visual Analog Scale (VAS) Fatigue ScoreMonth 24: DAS28-ESR vs VAS fatigue (n=21)0.401 correlation coefficient

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