Rheumatoid Arthritis
Conditions
Brief summary
The purpose of this study was to demonstrate similarity of NI-071 (proposed biosimilar to infliximab) to US REMICADE® (reference product) in terms of safety and efficacy in participants with rheumatoid arthritis (RA) not adequately responding to methotrexate (MTX).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a diagnosis of rheumatoid arthritis (RA) as defined by the 2010 American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR) classification criteria. * Patients have active RA, as confirmed by the following criteria: * ≥6 swollen joints and ≥6 tender joints at screening and baseline (28-joint count). * Either C-reactive protein (CRP) ≥0.7 mg/dL (≥7.0 mg/L) or erythrocyte sedimentation rate (ESR) ≥28 mm/h at screening. * Patients taking methotrexate (MTX) (oral or parenteral) for at least 3 months prior to screening and at a stable dose of between 10 and 25 mg/week for at least 8 weeks. Concomitant folic/folinic acid at a dose of at least 5 mg/week is to be taken during the study; patients can start treatment with folic/folinic acid at screening if not already receiving it. * If the patient is currently taking non-steroidal anti-inflammatory drugs (NSAIDs), the patient must be on a stable dose for at least 4 weeks prior to screening and during the study. * Patients who are ≥18 and ≤75 years of age at screening.
Exclusion criteria
* Patients who are rated as Class IV according to the 1991 ACR revised criteria for classification of global functional status for RA. * Patients who have received disease-modifying anti rheumatic drugs (DMARDs), other than MTX, within a period prior to screening shorter than the washout period appropriate to the pharmacodynamic profile of the specific drug. * Patients who have received immunosuppressive drugs within 4 weeks prior to screening. Patients on a stable dose of oral corticosteroids (≤10 mg/day prednisone or equivalent) for ≥4 weeks prior to screening are permitted. * Patients who have received intra-articular, intramuscular, intravenous, or epidural injection of corticosteroids within 4 weeks prior to screening. * Patients who have received intra-articular sodium hyaluronate injections within 4 weeks prior to screening. * Patients who have received surgical therapy for RA such as synovectomy or arthroplasty within 6 months prior to screening. * Patients who have received arthrocentesis within 4 weeks prior to screening. * Patients who have had prior treatment with infliximab. * Patients who have had prior treatment with \>1 biological drug or \>1 protein kinase inhibitor for RA either as part of clinical management or during a clinical study. * Patients who have had prior treatment with tumor necrosis factor alpha (TNF-α) inhibitors for RA who had lack of efficacy as per clinical judgment (primary failure). Patients who have discontinued TNF-α inhibitors for RA (other than infliximab) for any reason other than lack of efficacy are allowed. * Presence of chronic or acute infection at screening, including positive result for active tuberculosis (TB). * Patients with an acute infection requiring parenteral antibiotics within 4 weeks of study dosing or requiring oral/topical antibiotics within 2 weeks of study dosing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR20-CRP) Response Rate at Week 22 | At Week 22 | ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity visual analog scale (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS) (0= no symptoms;100=severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) Health Assessment Questionnaire-Disability Index (HAQ-DI), total score ranging from 0-3 with lower scores meaning less disability, e) CRP. |
| Stage 2 and 3: Area Under the Serum Concentration-time Curve Interval (AUCtau) of NI-071 and Remicade US | Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose | AUCtau of NI-071 and Remicade US in stage 2 and 3 was reported. As this was an interchangeability study, the NI-071 and Remicade only were the comparators and then switch study showed same measurement in relationship to the non-switched participants. Hence, combined data was assessed and collected in participants from Remicade US to Switch Group. |
| Stage 2 and 3: Maximum Observed Serum Concentration (Cmax) of NI-071 and Remicade US | Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose | Cmax of NI-071 and Remicade US was reported. As this was an interchangeability study, the NI-071 and Remicade only were the comparators and then switch study showed same measurement in relationship to the non-switched participants. Hence, combined data was assessed and collected in participants from Remicade US to Switch Group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (millimeters per hour) and Patient Global Assessment (PtGA) recorded on 100mm VAS (0=very good, no symptoms;100=very poor, severe symptoms). DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln(ESR \[mm/hour\] + 0.014\*GH \[mm\]; where, TJC28 = number of painful joints out of 28 joints, SJC28 = number of swollen joints out of 28 joints, GH = score of the participant global assessment of disease activity, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. A negative change from baseline indicates improvement in disease activity. |
| Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Weeks 2, 6, 14, 18, and 22 | ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) CRP. |
| Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) CRP. |
| Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Weeks 2, 6, 14, 18, and 22 | ACR20-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) erythrocyte sedimentation rate (ESR). |
| Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR20-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) (ESR. |
| Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Weeks 2, 6, 14, 18, and 22 | ACR50 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP. |
| Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR50 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP. |
| Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Weeks 2, 6, 14, 18, and 22 | ACR50-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR. |
| Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR50-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR. |
| Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Weeks 2, 6, 14, 18, and 22 | ACR70 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP. |
| Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR70 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP. |
| Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Weeks 2, 6, 14, 18, 22 | ACR70-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR. |
| Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | ACR70-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR. |
| Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Baseline, Weeks 2, 6, 14, 18, and 22 | The HAQ-DI score was defined as the average of the scores of eight functional categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities), usually completed by the participant. Responses in each functional category are collected as 0 (without any difficulty) to 3 (unable to do a task in that area), with or without aids or devices. The eight category scores are averaged into an overall HAQ-DI score on a scale from 0 (no disability) to 3 (completely disabled), where lower scores indicated less disability. Negative change from baseline indicates improvement (less disability). |
| Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Baseline, Weeks 2, 6, 14, 18, and 22 | The DAS28-CRP was a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints \[assessed on 2-point scale (0=absent; 1=present\]), swollen joint count (out of 28 evaluated joints\[assessed on 2-point scale (0=absent; 1=present)\]), Participant's global assessment of disease activity (assessed on 0-100 mm VAS; where higher scores denotes severe symptoms), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Total Scores on the DAS28-CRP range from 0 to approximately 10 (0=very good, no symptoms; 10=very poor, severe symptoms), where higher scores indicate more disease activity. A negative change from baseline indicates improvement in disease activity. |
| Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Baseline, Weeks 2, 6, 14, 18, and 22 | Disease activity was assessed using RAPID3, based on participant-reported multi-dimensional health assessment questionnaire (MDHAQ). RAPID3 included 3 core data set measures of physical function, pain, and participant global estimate.Physical function=mean of scores from 10 individual questions on activities of daily living (each question scored from '0'=no difficulty to '3'=much difficulty), scores were transformed to give total score=0-10, higher scores=greater difficulty.Pain and global estimate of health measured on Likert scale from '0'=no pain to '10'=pain as bad as it could be. RAPID3 composite score: mean of physical function, pain, and global assessment scores, ranging from 0 to 10, higher values=greater disease activity. Total score range of RAPID3 score was 0=no difficulty; 30=greater difficultly, and disease activity categories were as follows: remission: 0-3, low: \>3.1 to 6, moderate: \>6.1-12, and high: \>12.1. Negative change from baseline indicates less disease activity. |
| Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Disease activity was assessed using RAPID3, based on participant-reported multi-dimensional health assessment questionnaire (MDHAQ). RAPID3 included 3 core data set measures of physical function, pain and participant global estimate. Physical function=mean of scores from 10 individual questions on activities of daily living (each question scored from '0'=no difficulty to '3'=much difficulty), scores were transformed to give total score=0-10, higher scores=greater difficulty. Pain and global estimate of health measured on Likert scale from '0'=no pain to '10'=pain as bad as it could be. RAPID3 composite score: mean of physical function, pain, and global assessment scores, ranging from 0 to 10, higher values=greater disease activity. Total score range of RAPID3 score was 0=no difficulty-30=greater difficultly, and disease activity categories were as follows: remission: 0-3, low: \>3.1 to 6, moderate: \>6.1-12, and high: \>12.1. Negative change from baseline indicates less disease activity. |
| Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Baseline, Weeks 14 and 22 | SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. It included 8 subscales (physical functioning, physical role functioning, bodily pain, general health perception, vitality, social functioning, emotional role functioning, and mental heallth) with a Subscale Total score for each scaled from 0 (minimum) to 100 (maximum) with a Total Overall score on a 0-800 scale, with higher scores indicating better health. where higher score indicates highest level of functioning. These 8 aspects can also be summarized as Physical Component Summary (PCS) with score range 0-100 (higher score-better quality of life) and a Mental Component Summary (MCS) with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life. Change from baseline in overall total score for SF-36 was reported in this outcome measure. |
| Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Baseline, Weeks 38 and 62 | SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. It included 8 subscales (physical functioning, physical role functioning, bodily pain, general health perception, vitality, social functioning, emotional role functioning, and mental heallth) with a Subscale Total score for each scaled from 0 (minimum) to 100 (maximum) with a Total Overall score on a 0-800 scale, with higher scores indicating better health. where higher score indicates highest level of functioning. Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 8 aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life. |
| Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Baseline, Weeks 14 and 22 | SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. A Subscale Total score for each scaled from 0 (minimum) to 100 (maximum). Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 2 subscale aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life. |
| Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Baseline, Weeks 38 and 62 | SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. A Subscale Total score for each scaled from 0 (minimum) to 100 (maximum). Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 2 subscale aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life. |
| Stage 2 and 3: Minimum Observed Serum Concentration (Cmin) of NI-071 and Remicade US | Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose | Drug concentrations in blood were evaluated from week 46 to week 54 after the initial administration date. Blood sampling was performed before administration of week 46, at the end of the infusion, and at 4 hours, 24 hours, 7 days (week 47), 14 days (week 48), 28 days (week 50), and 56 days (before administration of week 54). Cmin was define as the lowest drug concentration among all blood sampling points for an individual patient. |
| Stage 2 and 3: Time to Reach the Maximum Serum Concentration (Tmax) of NI-071 and Remicade US | Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose | — |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Baseline up to Week 62 | An adverse event (AE) was defined as any untoward medical condition that occurs in participants while participating in a clinical study and does not necessarily have a causal relationship with the use of the study treatment. A TEAE was defined as an adverse event with a start date on or after the first dose of Investigational product (IP), or a start date before the date of the first dose of IP but increased in severity on or after the date of the first dose of IP. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Number of participants with TEAEs and Serious TEAEs were reported. |
| Number of Participants With TEAEs of Special Interest | Baseline up to Week 62 | A TEAE was defined as an adverse event with a start date on or after the first dose of IP or a start date before the date of the first dose of IP but increased in severity on or after the date of the first dose of IP. |
| Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | Baseline, Weeks 2, 6, 14, and 22 | Number of Participants With Positive Serum ADA are reported. |
| Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Weeks 30, 38, 46, 54, and 62 | Number of Participants With Positive Serum Anti-drug Antibodies (ADA) are reported. |
| Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | Baseline, Weeks 2, 6, 14, and 22 | Number of Participants with Positive Serum neutralizing Antibodies were reported. |
| Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Weeks 30, 38, 46, 54, and 62 | Number of Participants with Positive Serum neutralizing Antibodies were reported. |
| Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | The HAQ-DI score was defined as the average of the scores of eight functional categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities), usually completed by the participant. Responses in each functional category are collected as 0 (without any difficulty) to 3 (unable to do a task in that area), with or without aids or devices. The eight category scores are averaged into an overall HAQ-DI score on a scale from 0 (no disability) to 3 (completely disabled), where lower scores indicated less disability. Negative change from baseline indicates improvement (less disability). |
| Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | The DAS28-CRP was a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints \[assessed on 2-point scale (0=absent; 1=present\]), swollen joint count (out of 28 evaluated joints\[assessed on 2-point scale (0=absent; 1=present)\]), Participant's global assessment of disease activity (assessed on 0-100 mm VAS; where higher scores denotes severe symptoms), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Total Scores on the DAS28-CRP range from 0 to approximately 10 (0=very good, no symptoms; 10=very poor, severe symptoms), where higher scores indicate more disease activity. A negative change from baseline indicates improvement in disease activity. |
| Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Baseline, Weeks 2, 6, 14, 18, and 22 | DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (millimeters per hour) and GH recorded on 100mm VAS (0=very good, no symptoms;100=very poor, severe symptoms). DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln(ESR \[mm/hour\] + 0.014\*GH \[mm\]; where, TJC28 = number of painful joints out of 28 joints, SJC28 = number of swollen joints out of 28 joints, GH = score of the participant global assessment of disease activity, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. A negative change from baseline indicates improvement in disease activity. |
Countries
Czechia, Poland, Puerto Rico, Russia, Spain, Ukraine, United Kingdom, United States
Participant flow
Recruitment details
Participants were enrolled from 97 investigative site in Czech Republic, Poland, Russia, Spain, Ukraine, and the United States in the study from 19 January 2017 to 20 May 2019.
Pre-assignment details
The study consisted of 3 stages: the biosimilarity stage (Stage 1), the interchangeability stage (Stage 2), and the safety follow-up stage (Stage 3). A total of 683 participants were randomized in a 2:1 ratio to the Remicade-US and NI-071 groups during Stage 1. In Stage 2 participants in the original Remicade-US group were re-randomized (1:1) to a Remicade-US group and a Switch group (to assess the effects of switching between Remicade-US and NI-071).
Participants by arm
| Arm | Count |
|---|---|
| Stage 1: NI-071 Group Participants received intravenous (IV) infusion of NI-071 at a dose of 3 milligrams/kilograms (mg/kg) at Weeks 0, 2, 6, 14 during stage 1. | 228 |
| Stage 1: Remicade-US Group Participants received IV infusion of Remicade-US (infliximab) at a dose of 3 mg/kg at Weeks 0, 2, 6, 14 during stage 1. | 455 |
| Total | 683 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Stage 1 (22 Weeks) | Adverse Event | 1 | 15 | 0 | 0 |
| Stage 1 (22 Weeks) | Death | 0 | 1 | 0 | 0 |
| Stage 1 (22 Weeks) | Initiated protocol-prohibited medication | 2 | 2 | 0 | 0 |
| Stage 1 (22 Weeks) | Lack of Efficacy | 1 | 2 | 0 | 0 |
| Stage 1 (22 Weeks) | Lost to Follow-up | 2 | 2 | 0 | 0 |
| Stage 1 (22 Weeks) | Noncompliant with visit schedule and/or protocol | 2 | 2 | 0 | 0 |
| Stage 1 (22 Weeks) | Other | 1 | 3 | 0 | 0 |
| Stage 1 (22 Weeks) | Physician Decision | 1 | 1 | 0 | 0 |
| Stage 1 (22 Weeks) | Protocol deviation | 0 | 1 | 0 | 0 |
| Stage 1 (22 Weeks) | Required antibiotics resulting in drug interruption >2 weeks | 0 | 1 | 0 | 0 |
| Stage 1 (22 Weeks) | Withdrawal by Subject | 4 | 26 | 0 | 0 |
| Stage 2 (32 Weeks) | Adverse Event | 9 | 0 | 7 | 7 |
| Stage 2 (32 Weeks) | Death | 1 | 0 | 0 | 0 |
| Stage 2 (32 Weeks) | Diagnosed with malignancy | 1 | 0 | 0 | 1 |
| Stage 2 (32 Weeks) | Ineligible according to Tuberculosis (TB) criteria | 0 | 0 | 0 | 1 |
| Stage 2 (32 Weeks) | Initiated protocol-prohibited medication | 1 | 0 | 0 | 2 |
| Stage 2 (32 Weeks) | Lack of Efficacy | 4 | 0 | 2 | 3 |
| Stage 2 (32 Weeks) | Lost to Follow-up | 1 | 0 | 1 | 2 |
| Stage 2 (32 Weeks) | Noncompliant with visit schedule and/or protocol | 2 | 0 | 6 | 5 |
| Stage 2 (32 Weeks) | Other | 3 | 0 | 4 | 1 |
| Stage 2 (32 Weeks) | Physician Decision | 3 | 0 | 1 | 0 |
| Stage 2 (32 Weeks) | Protocol deviation | 2 | 0 | 2 | 3 |
| Stage 2 (32 Weeks) | Required antibiotics resulting in drug interruption | 1 | 0 | 1 | 1 |
| Stage 2 (32 Weeks) | Withdrawal by Subject | 14 | 0 | 4 | 8 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Adverse Event | 5 | 0 | 4 | 3 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Initiated protocol-prohibited medication | 0 | 0 | 1 | 0 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Lack of Efficacy | 0 | 0 | 1 | 0 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Lost to Follow-up | 1 | 0 | 0 | 1 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Noncompliant with visit schedule and/or protocol | 2 | 0 | 2 | 2 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Other | 0 | 0 | 0 | 2 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Physician Decision | 1 | 0 | 1 | 1 |
| Stage 3 (Safety Follow-up) (8 Weeks) | Withdrawal by Subject | 0 | 0 | 2 | 1 |
Baseline characteristics
| Characteristic | Stage 1: Remicade-US Group | Total | Stage 1: NI-071 Group |
|---|---|---|---|
| Age, Continuous | 53.7 years STANDARD_DEVIATION 11.9 | 53.6 years STANDARD_DEVIATION 11.9 | 53.3 years STANDARD_DEVIATION 12 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 103 Participants | 153 Participants | 50 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 350 Participants | 524 Participants | 174 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 2 Participants | 6 Participants | 4 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 3 Participants | 3 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 25 Participants | 42 Participants | 17 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) White | 424 Participants | 635 Participants | 211 Participants |
| Sex: Female, Male Female | 372 Participants | 545 Participants | 173 Participants |
| Sex: Female, Male Male | 83 Participants | 138 Participants | 55 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 227 | 1 / 451 | 0 / 254 | 0 / 197 |
| other Total, other adverse events | 96 / 227 | 174 / 451 | 80 / 254 | 94 / 197 |
| serious Total, serious adverse events | 19 / 227 | 41 / 451 | 28 / 254 | 13 / 197 |
Outcome results
Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR20-CRP) Response Rate at Week 22
ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity visual analog scale (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS) (0= no symptoms;100=severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) Health Assessment Questionnaire-Disability Index (HAQ-DI), total score ranging from 0-3 with lower scores meaning less disability, e) CRP.
Time frame: At Week 22
Population: The Intent to Treat (ITT) included all participants who were randomized, irrespective of any deviation from the protocol or premature discontinuation. Data for this outcome measure was planned to be collected and analyzed for Stage 1.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR20-CRP) Response Rate at Week 22 | 56.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR20-CRP) Response Rate at Week 22 | 53.0 percentage of participants |
Stage 2 and 3: Area Under the Serum Concentration-time Curve Interval (AUCtau) of NI-071 and Remicade US
AUCtau of NI-071 and Remicade US in stage 2 and 3 was reported. As this was an interchangeability study, the NI-071 and Remicade only were the comparators and then switch study showed same measurement in relationship to the non-switched participants. Hence, combined data was assessed and collected in participants from Remicade US to Switch Group.
Time frame: Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose
Population: Pharmacokinetic (PK) population included all participants in the full analysis set (FAS) in Stage 1 who have valid PK assessments through Stage 2. The FAS included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. Data for this outcome measure was not planned to be collected and analyzed for Stage 1.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Area Under the Serum Concentration-time Curve Interval (AUCtau) of NI-071 and Remicade US | 12949622.78 hour*nanograms per milliliter (h*ng/mL) | Standard Deviation 6999387.76 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Area Under the Serum Concentration-time Curve Interval (AUCtau) of NI-071 and Remicade US | 12859923.90 hour*nanograms per milliliter (h*ng/mL) | Standard Deviation 8228379.79 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Area Under the Serum Concentration-time Curve Interval (AUCtau) of NI-071 and Remicade US | 12040415.23 hour*nanograms per milliliter (h*ng/mL) | Standard Deviation 6624933.11 |
Stage 2 and 3: Maximum Observed Serum Concentration (Cmax) of NI-071 and Remicade US
Cmax of NI-071 and Remicade US was reported. As this was an interchangeability study, the NI-071 and Remicade only were the comparators and then switch study showed same measurement in relationship to the non-switched participants. Hence, combined data was assessed and collected in participants from Remicade US to Switch Group.
Time frame: Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose
Population: PK population included all participants in the FAS in Stage 1 who have valid PK assessments through Stage 2. The FAS included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. Data for this outcome measure was not planned to be collected and analyzed for Stage 1.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Maximum Observed Serum Concentration (Cmax) of NI-071 and Remicade US | 66298.1 nanograms per milliliter (ng/mL) | Standard Deviation 21756.8 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Maximum Observed Serum Concentration (Cmax) of NI-071 and Remicade US | 63649.0 nanograms per milliliter (ng/mL) | Standard Deviation 16566.2 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Maximum Observed Serum Concentration (Cmax) of NI-071 and Remicade US | 61660.8 nanograms per milliliter (ng/mL) | Standard Deviation 18696.5 |
Number of Participants With TEAEs of Special Interest
A TEAE was defined as an adverse event with a start date on or after the first dose of IP or a start date before the date of the first dose of IP but increased in severity on or after the date of the first dose of IP.
Time frame: Baseline up to Week 62
Population: The safety population included participants who received at least 1 dose of study drug.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Stage 1: NI-071 Group | Number of Participants With TEAEs of Special Interest | 33 Participants |
| Stage 1: Remicade-US Group | Number of Participants With TEAEs of Special Interest | 68 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With TEAEs of Special Interest | 43 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With TEAEs of Special Interest | 25 Participants |
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
An adverse event (AE) was defined as any untoward medical condition that occurs in participants while participating in a clinical study and does not necessarily have a causal relationship with the use of the study treatment. A TEAE was defined as an adverse event with a start date on or after the first dose of Investigational product (IP), or a start date before the date of the first dose of IP but increased in severity on or after the date of the first dose of IP. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Number of participants with TEAEs and Serious TEAEs were reported.
Time frame: Baseline up to Week 62
Population: The safety population included participants who received at least 1 dose of study drug.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Stage 1: NI-071 Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 19 Participants |
| Stage 1: NI-071 Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 157 Participants |
| Stage 1: Remicade-US Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 41 Participants |
| Stage 1: Remicade-US Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 330 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 181 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 28 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 149 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 13 Participants |
Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22
SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. A Subscale Total score for each scaled from 0 (minimum) to 100 (maximum). Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 2 subscale aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life.
Time frame: Baseline, Weeks 14 and 22
Population: The ITT population included all participants who were randomized. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Baseline (Physical Component) | 30.22 score on a scale | Standard Deviation 7.72 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 14 (Physical Component) | 5.42 score on a scale | Standard Deviation 7.86 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 22 (Physical Component) | 5.61 score on a scale | Standard Deviation 8.36 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Baseline (Mental Component) | 43.59 score on a scale | Standard Deviation 11.57 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 14 (Mental Component) | 3.05 score on a scale | Standard Deviation 10.36 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 22 (Mental Component) | 4.05 score on a scale | Standard Deviation 9.48 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 14 (Mental Component) | 2.56 score on a scale | Standard Deviation 10.38 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Baseline (Physical Component) | 30.53 score on a scale | Standard Deviation 7.24 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Baseline (Mental Component) | 43.02 score on a scale | Standard Deviation 12.45 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 14 (Physical Component) | 5.64 score on a scale | Standard Deviation 8.82 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 22 (Mental Component) | 2.71 score on a scale | Standard Deviation 10.83 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 14 and 22 | Change at Week 22 (Physical Component) | 6.03 score on a scale | Standard Deviation 8.79 |
Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22
SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. It included 8 subscales (physical functioning, physical role functioning, bodily pain, general health perception, vitality, social functioning, emotional role functioning, and mental heallth) with a Subscale Total score for each scaled from 0 (minimum) to 100 (maximum) with a Total Overall score on a 0-800 scale, with higher scores indicating better health. where higher score indicates highest level of functioning. These 8 aspects can also be summarized as Physical Component Summary (PCS) with score range 0-100 (higher score-better quality of life) and a Mental Component Summary (MCS) with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life. Change from baseline in overall total score for SF-36 was reported in this outcome measure.
Time frame: Baseline, Weeks 14 and 22
Population: The ITT population included all participants who were randomized. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Baseline | 360.46 score on a scale | Standard Deviation 116.64 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Change at Week 14 | 79.90 score on a scale | Standard Deviation 124.86 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Change at Week 22 | 90.02 score on a scale | Standard Deviation 122.36 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Baseline | 358.20 score on a scale | Standard Deviation 126.93 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Change at Week 14 | 77.59 score on a scale | Standard Deviation 124.72 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 14 and 22 | Change at Week 22 | 82.94 score on a scale | Standard Deviation 129.28 |
Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22
Disease activity was assessed using RAPID3, based on participant-reported multi-dimensional health assessment questionnaire (MDHAQ). RAPID3 included 3 core data set measures of physical function, pain, and participant global estimate.Physical function=mean of scores from 10 individual questions on activities of daily living (each question scored from '0'=no difficulty to '3'=much difficulty), scores were transformed to give total score=0-10, higher scores=greater difficulty.Pain and global estimate of health measured on Likert scale from '0'=no pain to '10'=pain as bad as it could be. RAPID3 composite score: mean of physical function, pain, and global assessment scores, ranging from 0 to 10, higher values=greater disease activity. Total score range of RAPID3 score was 0=no difficulty; 30=greater difficultly, and disease activity categories were as follows: remission: 0-3, low: \>3.1 to 6, moderate: \>6.1-12, and high: \>12.1. Negative change from baseline indicates less disease activity.
Time frame: Baseline, Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Baseline | 17.03 score on a scale | Standard Deviation 4.76 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -2.99 score on a scale | Standard Deviation 4.42 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -4.15 score on a scale | Standard Deviation 5.14 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -5.04 score on a scale | Standard Deviation 5.8 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -5.99 score on a scale | Standard Deviation 5.96 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -4.71 score on a scale | Standard Deviation 6.42 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -5.73 score on a scale | Standard Deviation 6.51 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Baseline | 17.37 score on a scale | Standard Deviation 4.76 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -4.91 score on a scale | Standard Deviation 6.47 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -3.79 score on a scale | Standard Deviation 4.89 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -5.41 score on a scale | Standard Deviation 6.54 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -5.05 score on a scale | Standard Deviation 5.62 |
Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22
The DAS28-CRP was a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints \[assessed on 2-point scale (0=absent; 1=present\]), swollen joint count (out of 28 evaluated joints\[assessed on 2-point scale (0=absent; 1=present)\]), Participant's global assessment of disease activity (assessed on 0-100 mm VAS; where higher scores denotes severe symptoms), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Total Scores on the DAS28-CRP range from 0 to approximately 10 (0=very good, no symptoms; 10=very poor, severe symptoms), where higher scores indicate more disease activity. A negative change from baseline indicates improvement in disease activity.
Time frame: Baseline, Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Baseline | 5.816 score on a scale | Standard Deviation 0.822 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -1.094 score on a scale | Standard Deviation 0.881 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -1.542 score on a scale | Standard Deviation 1.041 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -1.828 score on a scale | Standard Deviation 1.137 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -2.070 score on a scale | Standard Deviation 1.159 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -1.835 score on a scale | Standard Deviation 1.247 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -2.156 score on a scale | Standard Deviation 1.193 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Baseline | 5.898 score on a scale | Standard Deviation 0.787 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -1.812 score on a scale | Standard Deviation 1.221 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -1.169 score on a scale | Standard Deviation 0.931 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -1.978 score on a scale | Standard Deviation 1.209 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -1.650 score on a scale | Standard Deviation 1.114 |
Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22
DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (millimeters per hour) and GH recorded on 100mm VAS (0=very good, no symptoms;100=very poor, severe symptoms). DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln(ESR \[mm/hour\] + 0.014\*GH \[mm\]; where, TJC28 = number of painful joints out of 28 joints, SJC28 = number of swollen joints out of 28 joints, GH = score of the participant global assessment of disease activity, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. A negative change from baseline indicates improvement in disease activity.
Time frame: Baseline, Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Baseline | 6.552 score on a scale | Standard Deviation 0.861 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -1.060 score on a scale | Standard Deviation 0.915 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -1.588 score on a scale | Standard Deviation 1.112 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -2.002 score on a scale | Standard Deviation 1.254 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -2.291 score on a scale | Standard Deviation 1.3 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -2.060 score on a scale | Standard Deviation 1.386 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -2.345 score on a scale | Standard Deviation 1.278 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Baseline | 6.655 score on a scale | Standard Deviation 0.755 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -1.951 score on a scale | Standard Deviation 1.266 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -1.161 score on a scale | Standard Deviation 0.893 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -2.195 score on a scale | Standard Deviation 1.326 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -1.778 score on a scale | Standard Deviation 1.174 |
Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22
The HAQ-DI score was defined as the average of the scores of eight functional categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities), usually completed by the participant. Responses in each functional category are collected as 0 (without any difficulty) to 3 (unable to do a task in that area), with or without aids or devices. The eight category scores are averaged into an overall HAQ-DI score on a scale from 0 (no disability) to 3 (completely disabled), where lower scores indicated less disability. Negative change from baseline indicates improvement (less disability).
Time frame: Baseline, Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Baseline | 1.32 score on a scale | Standard Deviation 0.55 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -0.21 score on a scale | Standard Deviation 0.42 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -0.33 score on a scale | Standard Deviation 0.5 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -0.35 score on a scale | Standard Deviation 0.55 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -0.41 score on a scale | Standard Deviation 0.53 |
| Stage 1: NI-071 Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -0.35 score on a scale | Standard Deviation 0.59 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 18 | -0.43 score on a scale | Standard Deviation 0.58 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Baseline | 1.34 score on a scale | Standard Deviation 0.58 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 14 | -0.35 score on a scale | Standard Deviation 0.54 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 2 | -0.28 score on a scale | Standard Deviation 0.45 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 22 | -0.39 score on a scale | Standard Deviation 0.59 |
| Stage 1: Remicade-US Group | Stage 1: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 6, 14, 18, and 22 | Change at Week 6 | -0.37 score on a scale | Standard Deviation 0.53 |
Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA)
Number of Participants With Positive Serum ADA are reported.
Time frame: Baseline, Weeks 2, 6, 14, and 22
Population: The safety population included participants who received at least 1 dose of study drug. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 2 | 18 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 14 | 150 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 6 | 59 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 22 | 187 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | Baseline | 2 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 22 | 337 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | Baseline | 15 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 2 | 44 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 6 | 143 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 14 | 303 Participants |
Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies
Number of Participants with Positive Serum neutralizing Antibodies were reported.
Time frame: Baseline, Weeks 2, 6, 14, and 22
Population: The safety population included participants who received at least 1 dose of study drug. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 2 | 1 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 14 | 53 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 6 | 11 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 22 | 80 Participants |
| Stage 1: NI-071 Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | Baseline | 1 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 22 | 143 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | Baseline | 7 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 2 | 10 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 6 | 34 Participants |
| Stage 1: Remicade-US Group | Stage 1: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 14 | 122 Participants |
Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate
ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. Last observation carried forward (LOCF) method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 6 | 47.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 18 | 62.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 14 | 56.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 22 | 56.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 2 | 31.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 22 | 54.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 2 | 32.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 6 | 54.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 14 | 51.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 18 | 61.7 percentage of participants |
Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR
ACR50-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR.
Time frame: At Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. LOCF method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 6 | 14.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 18 | 31.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 14 | 23.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 22 | 27.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 2 | 6.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 22 | 26.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 2 | 6.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 6 | 17.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 14 | 21.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 18 | 29.6 percentage of participants |
Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate
ACR50 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. LOCF method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 6 | 16.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 18 | 32.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 14 | 24.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 22 | 27.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 2 | 8.4 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 22 | 25.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 2 | 8.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 6 | 19.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 14 | 21.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 18 | 30.9 percentage of participants |
Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR
ACR70-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR.
Time frame: At Weeks 2, 6, 14, 18, 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. LOCF method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 6 | 5.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 18 | 14.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 14 | 9.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 22 | 11.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 2 | 0.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 22 | 11.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 2 | 1.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 6 | 6.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 14 | 7.4 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 18 | 11.0 percentage of participants |
Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate
ACR70 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. LOCF method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 6 | 6.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 18 | 15.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 14 | 11.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 22 | 10.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 2 | 0.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 22 | 12.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 2 | 1.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 6 | 7.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 14 | 7.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 18 | 11.7 percentage of participants |
Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR)
ACR20-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) erythrocyte sedimentation rate (ESR).
Time frame: At Weeks 2, 6, 14, 18, and 22
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. LOCF method was used to carry forward any of the individually missing component values, and from that mix of actual and carried-forward values, the ACR responder status was determined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 6 | 46.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 18 | 62.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 14 | 56.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 22 | 55.9 percentage of participants |
| Stage 1: NI-071 Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 2 | 29.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 22 | 56.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 2 | 31.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 6 | 54.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 14 | 52.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 1: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 18 | 62.3 percentage of participants |
Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62
SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. A Subscale Total score for each scaled from 0 (minimum) to 100 (maximum). Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 2 subscale aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life.
Time frame: Baseline, Weeks 38 and 62
Population: The ITT population included all participants who were randomized. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Physical Component) | 6.94 score on a scale | Standard Deviation 8.37 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Physical Component) | 6.14 score on a scale | Standard Deviation 8.79 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Mental Component) | 3.09 score on a scale | Standard Deviation 10.55 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Mental Component) | 2.45 score on a scale | Standard Deviation 10.92 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Mental Component) | 3.93 score on a scale | Standard Deviation 11.59 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Physical Component) | 6.86 score on a scale | Standard Deviation 9.31 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Mental Component) | 3.38 score on a scale | Standard Deviation 11.32 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Physical Component) | 6.23 score on a scale | Standard Deviation 9.78 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Mental Component) | 3.16 score on a scale | Standard Deviation 10.29 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 62 (Physical Component) | 6.11 score on a scale | Standard Deviation 8.6 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Mental Component) | 3.10 score on a scale | Standard Deviation 10.58 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Score for Physical and Mental Components at Weeks 38 and 62 | Change at Week 38 (Physical Component) | 6.22 score on a scale | Standard Deviation 9.62 |
Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62
SF-36 is a multi-domain instrument with 36 items to evaluate the health status and quality of life. It included 8 subscales (physical functioning, physical role functioning, bodily pain, general health perception, vitality, social functioning, emotional role functioning, and mental heallth) with a Subscale Total score for each scaled from 0 (minimum) to 100 (maximum) with a Total Overall score on a 0-800 scale, with higher scores indicating better health. where higher score indicates highest level of functioning. Total score for each subscale scaled from 0 (minimum) to 100 (maximum), where higher score indicates highest level of functioning. These 8 aspects can also be summarized as PCS with score range 0-100 (higher score-better quality of life) and a MCS with score range 0-100 (higher score-better quality of life). A positive change indicates improvement while a negative change indicates worsening of health status and quality of life.
Time frame: Baseline, Weeks 38 and 62
Population: The ITT population included all participants who were randomized. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 38 | 95.10 score on a scale | Standard Deviation 127.26 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 62 | 81.56 score on a scale | Standard Deviation 143.91 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 38 | 96.93 score on a scale | Standard Deviation 136.8 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 62 | 95.24 score on a scale | Standard Deviation 148.23 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 38 | 87.61 score on a scale | Standard Deviation 129.67 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Total Score at Weeks 38 and 62 | Change at Week 62 | 87.51 score on a scale | Standard Deviation 122.36 |
Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Disease activity was assessed using RAPID3, based on participant-reported multi-dimensional health assessment questionnaire (MDHAQ). RAPID3 included 3 core data set measures of physical function, pain and participant global estimate. Physical function=mean of scores from 10 individual questions on activities of daily living (each question scored from '0'=no difficulty to '3'=much difficulty), scores were transformed to give total score=0-10, higher scores=greater difficulty. Pain and global estimate of health measured on Likert scale from '0'=no pain to '10'=pain as bad as it could be. RAPID3 composite score: mean of physical function, pain, and global assessment scores, ranging from 0 to 10, higher values=greater disease activity. Total score range of RAPID3 score was 0=no difficulty-30=greater difficultly, and disease activity categories were as follows: remission: 0-3, low: \>3.1 to 6, moderate: \>6.1-12, and high: \>12.1. Negative change from baseline indicates less disease activity.
Time frame: Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline RAPID3 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -5.81 score on a scale | Standard Deviation 6.23 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -5.43 score on a scale | Standard Deviation 6.38 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -6.24 score on a scale | Standard Deviation 6.06 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -5.91 score on a scale | Standard Deviation 6.25 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -6.69 score on a scale | Standard Deviation 6.1 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -6.34 score on a scale | Standard Deviation 6.35 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -6.85 score on a scale | Standard Deviation 6.36 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -6.63 score on a scale | Standard Deviation 6.33 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -6.84 score on a scale | Standard Deviation 6.54 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -5.35 score on a scale | Standard Deviation 6.83 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -7.83 score on a scale | Standard Deviation 7.05 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -6.34 score on a scale | Standard Deviation 6.55 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -7.11 score on a scale | Standard Deviation 6.99 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -7.40 score on a scale | Standard Deviation 6.82 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -6.41 score on a scale | Standard Deviation 6.81 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -6.28 score on a scale | Standard Deviation 7.46 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -7.11 score on a scale | Standard Deviation 7.27 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -7.39 score on a scale | Standard Deviation 6.51 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -7.94 score on a scale | Standard Deviation 7.22 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -6.59 score on a scale | Standard Deviation 7.14 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -5.38 score on a scale | Standard Deviation 6.64 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -5.86 score on a scale | Standard Deviation 6.94 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -6.49 score on a scale | Standard Deviation 6.49 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -5.79 score on a scale | Standard Deviation 6.53 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -6.41 score on a scale | Standard Deviation 6.25 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -6.48 score on a scale | Standard Deviation 6.63 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -5.64 score on a scale | Standard Deviation 6.43 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -5.74 score on a scale | Standard Deviation 6.67 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -5.26 score on a scale | Standard Deviation 6.67 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in Routine Assessment of Patient Index Data 3 (RAPID3) Scores At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -6.22 score on a scale | Standard Deviation 6.75 |
Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
The DAS28-CRP was a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints \[assessed on 2-point scale (0=absent; 1=present\]), swollen joint count (out of 28 evaluated joints\[assessed on 2-point scale (0=absent; 1=present)\]), Participant's global assessment of disease activity (assessed on 0-100 mm VAS; where higher scores denotes severe symptoms), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Total Scores on the DAS28-CRP range from 0 to approximately 10 (0=very good, no symptoms; 10=very poor, severe symptoms), where higher scores indicate more disease activity. A negative change from baseline indicates improvement in disease activity.
Time frame: Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.199 score on a scale | Standard Deviation 1.238 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.106 score on a scale | Standard Deviation 1.269 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.379 score on a scale | Standard Deviation 1.251 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.281 score on a scale | Standard Deviation 1.234 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.415 score on a scale | Standard Deviation 1.228 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.242 score on a scale | Standard Deviation 1.203 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.444 score on a scale | Standard Deviation 1.156 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.443 score on a scale | Standard Deviation 1.212 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.568 score on a scale | Standard Deviation 1.211 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.466 score on a scale | Standard Deviation 1.238 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.739 score on a scale | Standard Deviation 1.236 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.317 score on a scale | Standard Deviation 1.227 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.387 score on a scale | Standard Deviation 1.27 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.630 score on a scale | Standard Deviation 1.226 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.298 score on a scale | Standard Deviation 1.251 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.605 score on a scale | Standard Deviation 1.276 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.462 score on a scale | Standard Deviation 1.189 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.586 score on a scale | Standard Deviation 1.187 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.679 score on a scale | Standard Deviation 1.245 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.331 score on a scale | Standard Deviation 1.258 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.247 score on a scale | Standard Deviation 1.298 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.321 score on a scale | Standard Deviation 1.376 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.519 score on a scale | Standard Deviation 1.236 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.207 score on a scale | Standard Deviation 1.217 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.450 score on a scale | Standard Deviation 1.227 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.551 score on a scale | Standard Deviation 1.172 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.192 score on a scale | Standard Deviation 1.18 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.404 score on a scale | Standard Deviation 1.327 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.092 score on a scale | Standard Deviation 1.23 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28) C-reactive Protein (CRP) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.446 score on a scale | Standard Deviation 1.266 |
Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
DAS28 is a measure of disease activity in participants with rheumatoid arthritis, derived using differential weighting given to each of the four components. The components of the DAS28 (ESR) assessment included: TJC with 28 joints assessed, SJC with 28 joints assessed, ESR (millimeters per hour) and Patient Global Assessment (PtGA) recorded on 100mm VAS (0=very good, no symptoms;100=very poor, severe symptoms). DAS28 (ESR) was calculated as 0.56\*sqrt (TJC28) + 0.28\*sqrt (SJC28) + 0.70\*ln(ESR \[mm/hour\] + 0.014\*GH \[mm\]; where, TJC28 = number of painful joints out of 28 joints, SJC28 = number of swollen joints out of 28 joints, GH = score of the participant global assessment of disease activity, ln = natural logarithm, sqrt = square root of. Total score range: 0 to 9.4, higher score indicated more disease activity. A negative change from baseline indicates improvement in disease activity.
Time frame: Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.387 score on a scale | Standard Deviation 1.393 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.346 score on a scale | Standard Deviation 1.457 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.602 score on a scale | Standard Deviation 1.416 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.516 score on a scale | Standard Deviation 1.478 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.650 score on a scale | Standard Deviation 1.372 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.494 score on a scale | Standard Deviation 1.352 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.649 score on a scale | Standard Deviation 1.291 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.619 score on a scale | Standard Deviation 1.385 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.764 score on a scale | Standard Deviation 1.385 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.663 score on a scale | Standard Deviation 1.439 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.985 score on a scale | Standard Deviation 1.337 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.533 score on a scale | Standard Deviation 1.395 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.625 score on a scale | Standard Deviation 1.322 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.847 score on a scale | Standard Deviation 1.258 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.533 score on a scale | Standard Deviation 1.349 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.864 score on a scale | Standard Deviation 1.371 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.662 score on a scale | Standard Deviation 1.221 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.864 score on a scale | Standard Deviation 1.303 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.964 score on a scale | Standard Deviation 1.302 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.535 score on a scale | Standard Deviation 1.314 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -2.403 score on a scale | Standard Deviation 1.41 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -2.493 score on a scale | Standard Deviation 1.518 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -2.691 score on a scale | Standard Deviation 1.433 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -2.406 score on a scale | Standard Deviation 1.364 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -2.617 score on a scale | Standard Deviation 1.376 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -2.708 score on a scale | Standard Deviation 1.303 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -2.375 score on a scale | Standard Deviation 1.304 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -2.574 score on a scale | Standard Deviation 1.47 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -2.261 score on a scale | Standard Deviation 1.374 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Disease Activity Score Based on 28 Joints (DAS28)-Erythrocyte Sedimentation Rate (ESR) at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -2.609 score on a scale | Standard Deviation 1.376 |
Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
The HAQ-DI score was defined as the average of the scores of eight functional categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities), usually completed by the participant. Responses in each functional category are collected as 0 (without any difficulty) to 3 (unable to do a task in that area), with or without aids or devices. The eight category scores are averaged into an overall HAQ-DI score on a scale from 0 (no disability) to 3 (completely disabled), where lower scores indicated less disability. Negative change from baseline indicates improvement (less disability).
Time frame: Baseline, Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: The FAS population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -0.49 score on a scale | Standard Deviation 0.58 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -0.47 score on a scale | Standard Deviation 0.58 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -0.49 score on a scale | Standard Deviation 0.58 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -0.49 score on a scale | Standard Deviation 0.59 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -0.40 score on a scale | Standard Deviation 0.59 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -0.47 score on a scale | Standard Deviation 0.59 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -0.43 score on a scale | Standard Deviation 0.59 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -0.40 score on a scale | Standard Deviation 0.57 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -0.48 score on a scale | Standard Deviation 0.56 |
| Stage 1: NI-071 Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -0.48 score on a scale | Standard Deviation 0.6 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -0.55 score on a scale | Standard Deviation 0.64 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -0.46 score on a scale | Standard Deviation 0.61 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -0.51 score on a scale | Standard Deviation 0.67 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -0.49 score on a scale | Standard Deviation 0.64 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -0.50 score on a scale | Standard Deviation 0.61 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -0.44 score on a scale | Standard Deviation 0.63 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -0.52 score on a scale | Standard Deviation 0.64 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -0.52 score on a scale | Standard Deviation 0.65 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -0.46 score on a scale | Standard Deviation 0.62 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -0.51 score on a scale | Standard Deviation 0.64 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 62 | -0.42 score on a scale | Standard Deviation 0.61 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 26 | -0.40 score on a scale | Standard Deviation 0.58 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 30 | -0.38 score on a scale | Standard Deviation 0.59 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 34 | -0.44 score on a scale | Standard Deviation 0.58 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 38 | -0.41 score on a scale | Standard Deviation 0.63 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 42 | -0.46 score on a scale | Standard Deviation 0.62 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 46 | -0.43 score on a scale | Standard Deviation 0.6 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 50 | -0.47 score on a scale | Standard Deviation 0.61 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 54 | -0.39 score on a scale | Standard Deviation 0.63 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62 | Change at Week 58 | -0.44 score on a scale | Standard Deviation 0.6 |
Stage 2 and 3: Minimum Observed Serum Concentration (Cmin) of NI-071 and Remicade US
Drug concentrations in blood were evaluated from week 46 to week 54 after the initial administration date. Blood sampling was performed before administration of week 46, at the end of the infusion, and at 4 hours, 24 hours, 7 days (week 47), 14 days (week 48), 28 days (week 50), and 56 days (before administration of week 54). Cmin was define as the lowest drug concentration among all blood sampling points for an individual patient.
Time frame: Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose
Population: PK population included all participants in the FAS in Stage 1 who have valid PK assessments through Stage 2. The FAS included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. Data for this outcome measure was not planned to be collected and analyzed for Stage 1.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Minimum Observed Serum Concentration (Cmin) of NI-071 and Remicade US | 839.1 ng/mL | Standard Deviation 1322.2 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Minimum Observed Serum Concentration (Cmin) of NI-071 and Remicade US | 754.1 ng/mL | Standard Deviation 1380 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Minimum Observed Serum Concentration (Cmin) of NI-071 and Remicade US | 762.6 ng/mL | Standard Deviation 1207.2 |
Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA)
Number of Participants With Positive Serum Anti-drug Antibodies (ADA) are reported.
Time frame: At Weeks 30, 38, 46, 54, and 62
Population: The safety population included participants who received at least 1 dose of study drug. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signifies those participants who were evaluable at specific time point.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 54 | 147 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 46 | 153 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 30 | 185 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 38 | 167 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 62 | 187 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 46 | 150 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 30 | 166 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 38 | 162 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 54 | 145 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 62 | 191 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 62 | 165 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 54 | 141 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 30 | 164 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 46 | 141 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Anti-drug Antibodies (ADA) | At Week 38 | 146 Participants |
Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies
Number of Participants with Positive Serum neutralizing Antibodies were reported.
Time frame: At Weeks 30, 38, 46, 54, and 62
Population: The safety population included participants who received at least 1 dose of study drug. Here, Number Analyzed signifies those participants who were evaluable at specific time point. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 54 | 77 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 46 | 78 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 30 | 92 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 38 | 94 Participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 62 | 114 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 46 | 87 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 30 | 90 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 38 | 96 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 54 | 87 Participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 62 | 124 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 62 | 97 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 54 | 75 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 30 | 78 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 46 | 75 Participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Number of Participants With Positive Serum Neutralizing Antibodies | At Week 38 | 69 Participants |
Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate
ACR20 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 20 (CRP) response rate/visit was calculated based on the number of patients achieving ACR20 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 26 | 62.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 30 | 55.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 34 | 61.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 38 | 52.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 42 | 54.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 46 | 51.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 50 | 54.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 54 | 52.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 58 | 52.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 62 | 52.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 58 | 46.4 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 26 | 56.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 46 | 48.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 42 | 53.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 30 | 48.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 62 | 46.4 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 54 | 47.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 34 | 55.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 50 | 50.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 38 | 47.6 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 54 | 49.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 38 | 57.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 42 | 59.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 46 | 51.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 58 | 56.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 50 | 59.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 26 | 61.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 62 | 55.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 30 | 57.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved 20 Percent (%) American College of Rheumatology C-reactive Protein (ACR-CRP) Response Rate | At Week 34 | 61.4 percentage of participants |
Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate
ACR50 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR50 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 50 (CRP) response rate/visit was calculated based on the number of patients achieving ACR50 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 26 | 34.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 30 | 30.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 34 | 35.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 38 | 31.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 42 | 33.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 46 | 30.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 50 | 37.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 54 | 36.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 58 | 32.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 62 | 30.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 58 | 32.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 26 | 32.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 46 | 31.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 42 | 36.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 30 | 28.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 62 | 32.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 54 | 28.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 34 | 34.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 50 | 34.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 38 | 30.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 54 | 32.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 38 | 34.0 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 42 | 40.6 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 46 | 30.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 58 | 34.0 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 50 | 35.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 26 | 31.0 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 62 | 28.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 30 | 29.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology C-reactive Protein (ACR50-CRP) Response Rate | At Week 34 | 39.1 percentage of participants |
Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR
ACR70-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR70 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 70 (CRP) response rate/visit was calculated based on the number of patients achieving ACR70 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 26 | 15.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 30 | 15.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 34 | 16.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 38 | 16.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 42 | 14.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 46 | 15.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 50 | 20.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 54 | 17.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 58 | 17.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 62 | 16.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 58 | 18.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 26 | 15.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 46 | 16.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 42 | 17.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 30 | 14.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 62 | 18.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 54 | 13.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 34 | 16.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 50 | 22.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 38 | 16.1 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 54 | 13.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 38 | 14.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 42 | 15.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 46 | 13.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 58 | 14.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 50 | 15.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 26 | 12.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 62 | 15.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 30 | 11.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology (ACR70) Response Using ESR | At Week 34 | 19.3 percentage of participants |
Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate
ACR70 was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 70% improvement from baseline in the swollen joint count. iii) A 70% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) CRP.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR70 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 70 (CRP) response rate/visit was calculated based on the number of patients achieving ACR70 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 26 | 16.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 30 | 16.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 34 | 18.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 38 | 17.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 42 | 17.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 46 | 15.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 50 | 22.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 54 | 18.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 58 | 18.9 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 62 | 17.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 58 | 19.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 26 | 14.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 46 | 18.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 42 | 18.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 30 | 15.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 62 | 18.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 54 | 14.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 34 | 18.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 50 | 23.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 38 | 15.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 54 | 15.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 38 | 14.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 42 | 18.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 46 | 14.7 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 58 | 16.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 50 | 18.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 26 | 13.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 62 | 13.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 30 | 13.2 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved >=70% American College of Rheumatology C-reactive Protein (ACR70-CRP) Response Rate | At Week 34 | 20.8 percentage of participants |
Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR)
ACR20-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 20% improvement from baseline in the tender/painful joint count. ii) A 20% improvement from baseline in the swollen joint count. iii) A 20% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3 with lower scores meaning less disability, e) (ESR.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 20 (CRP) response rate/visit was calculated based on the number of patients achieving ACR20 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 30 | 58.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 34 | 62.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 38 | 56.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 42 | 57.3 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 46 | 53.7 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 50 | 56.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 54 | 54.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 58 | 54.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 62 | 52.4 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 26 | 60.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 62 | 47.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 30 | 50.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 50 | 50.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 46 | 50.0 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 34 | 56.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 26 | 55.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 58 | 48.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 38 | 48.8 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 54 | 47.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 42 | 54.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 58 | 55.8 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 42 | 60.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 46 | 54.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 50 | 59.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 62 | 54.3 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 54 | 50.8 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 30 | 57.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 26 | 62.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 34 | 61.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Percentage of Participants Who Achieved Greater Than or Equal to (>=) 20% American College of Rheumatology (ACR20) Response Using Erythrocyte Sedimentation Rate (ESR) | At Week 38 | 59.4 percentage of participants |
Stage 2 and 3: Time to Reach the Maximum Serum Concentration (Tmax) of NI-071 and Remicade US
Time frame: Week 46: Pre-dose, 1 hour after infusion, at end of infusion, at 4 hours and 24 hours after infusion and at Week 47, Week 48, Week 50, Week 52, and Week 54 post-dose
Population: PK population included all participants in the FAS in Stage 1 who have valid PK assessments through Stage 2. The FAS included all participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR20 efficacy assessment. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure. Data for this outcome measure was not planned to be collected and analyzed for Stage 1.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and 3: Time to Reach the Maximum Serum Concentration (Tmax) of NI-071 and Remicade US | 52.37 hours | Standard Deviation 243.64 |
| Stage 1: Remicade-US Group | Stage 2 and 3: Time to Reach the Maximum Serum Concentration (Tmax) of NI-071 and Remicade US | 41.57 hours | Standard Deviation 217.28 |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and 3: Time to Reach the Maximum Serum Concentration (Tmax) of NI-071 and Remicade US | 32.98 hours | Standard Deviation 191.02 |
Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR
ACR50-ESR was defined as a dichotomous variable, for which a participant was defined as either a responder or a non-responder. Participant was defined as a responder if all of the following criteria are met: i) A 50% improvement from baseline in the tender/painful joint count. ii) A 50% improvement from baseline in the swollen joint count. iii) A 50% improvement from baseline in at least 3 of the following 5 variables: a) Participant global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), b) Physician global assessment of disease activity (VAS)(0=very good, no symptoms;100=very poor, severe symptoms), c) Participant pain assessment (VAS) (0=very good, no symptoms;100=very poor, severe symptoms), d) HAQ-DI, total score ranged from 0-3, with lower scores meaning less disability, e) ESR.
Time frame: At Weeks 26, 30, 34, 38, 42, 46, 50, 54, 58, and 62
Population: Full Analysis Set population included participants who received at least 1 dose of study drug and had at least 1 post-baseline ACR50 efficacy assessment. Overall Number of Participants indicates the number of patients with FAS. The patient number of FAS is the number of patients evaluated at baseline, which is different from number of patients who started Stage 2 or 3. ACR 50 (CRP) response rate/visit was calculated based on the number of patients achieving ACR50 criteria divided by FAS number.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 26 | 33.0 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 30 | 29.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 34 | 35.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 38 | 32.2 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 42 | 33.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 46 | 29.5 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 50 | 34.8 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 54 | 36.1 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 58 | 32.6 percentage of participants |
| Stage 1: NI-071 Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 62 | 29.1 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 58 | 32.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 26 | 31.9 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 46 | 31.5 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 42 | 36.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 30 | 28.2 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 62 | 32.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 54 | 28.6 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 34 | 34.7 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 50 | 34.3 percentage of participants |
| Stage 1: Remicade-US Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 38 | 30.6 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 54 | 29.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 38 | 32.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 42 | 37.1 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 46 | 29.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 58 | 33.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 50 | 34.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 26 | 30.5 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 62 | 27.9 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 30 | 28.4 percentage of participants |
| Stage 2 and Stage 3: Remicade US to Switch Group | Stage 2 and Stage 3: Percentage of Participants Who Achieved >=50% American College of Rheumatology (ACR50) Response Using ESR | At Week 34 | 39.1 percentage of participants |