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NCT00299104 · OUTCOME

Change From Baseline in Modified Sharp Erosion Score at Week 52

A Study to Evaluate Rituximab in Combination With Methotrexate in Methotrexate-Naive Patients With Active Rheumatoid Arthritis · Source last updated 2017-07-28

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
Score on a scale
Interval / dispersion
Standard Deviation
Time frame
Baseline and week 52

What was measured

Rate of progression in structural joint damage (PJD) by change in modified Sharp erosion score from screening to Week 52. The ES is the sum of joint scores collected for 46 joints and has a range of 0 to 230. A score of 0 would indicate no change and higher scores represent a worsening of joint erosions.

Analysis population: Modified intent-to-treat population includes patients with a screening and at least one post-baseline radiographic evaluation, grouped as randomized. Linear interpolation/extrapolation used for missing data.

Groups in this outcome

Placebo + Methotrexate

Placebo intravenously on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. From Week 104 participants were eligible to receive Rituximab 2 X 0.5 g or Rituximab 2 X 1.0 g every 24 weeks.

Rituximab (0.5 g x 2) + Methotrexate

Rituximab intravenously at a dose of 0.5 g on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. Subsequent Rituximab treatment courses were given at 24 week intervals for 5 years provided the Disease Activity Score 28 Joint Count- Erythrocyte Sedimentation Rate (DAS-ESR) result was ≥2.6

Rituximab (1.0 g x 2) + Methotrexate

Rituximab intravenously at a dose of 1.0 g on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. Subsequent Rituximab treatment courses were given at 24 week intervals for 5 years provided the Disease Activity Score 28 Joint Count- Erythrocyte Sedimentation Rate (DAS-ESR) result was ≥2.6

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Placebo + Methotrexate232
Rituximab (0.5 g x 2) + Methotrexate239
Rituximab (1.0 g x 2) + Methotrexate244

Reported measurements

Source class 1
Values in Score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Placebo + Methotrexate0.7382.0480Not reportedNot reportedNot reported
Rituximab (0.5 g x 2) + Methotrexate0.4531.2065Not reportedNot reportedNot reported
Rituximab (1.0 g x 2) + Methotrexate0.2330.6252Not reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Pct Value
    95
    group Description
    Comparing all three treatment groups
    group Ids
    1. OG000
    2. OG001
    3. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0004
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Kruskal-Wallis
  2. ci Pct Value
    95
    group Description
    Rituximab 2 x 0.5 g + Methotrexate versus Placebo + Methotrexate, stratified for region and baseline RF status
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1194
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Van-Elteren
  3. ci Pct Value
    95
    group Description
    Rituximab 2 x 1.0 g + Methotrexate versus Placebo + Methotrexate, stratified for region and baseline RF status
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0001
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Van-Elteren
Complete source fields
analyses
  1. ci Pct Value
    95
    group Description
    Comparing all three treatment groups
    group Ids
    1. OG000
    2. OG001
    3. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0004
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Kruskal-Wallis
  2. ci Pct Value
    95
    group Description
    Rituximab 2 x 0.5 g + Methotrexate versus Placebo + Methotrexate, stratified for region and baseline RF status
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1194
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Van-Elteren
  3. ci Pct Value
    95
    group Description
    Rituximab 2 x 1.0 g + Methotrexate versus Placebo + Methotrexate, stratified for region and baseline RF status
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0001
    p Value Comment
    The Closure Principle was used to adjust for multiple comparisons. This was a secondary endpoint in a hierarchical testing structure.
    statistical Method
    Van-Elteren
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        2.0480
        value
        0.738
      2. group Id
        OG001
        spread
        1.2065
        value
        0.453
      3. group Id
        OG002
        spread
        0.6252
        value
        0.233
denoms
  1. counts
    1. group Id
      OG000
      value
      232
    2. group Id
      OG001
      value
      239
    3. group Id
      OG002
      value
      244
    units
    Participants
description
Rate of progression in structural joint damage (PJD) by change in modified Sharp erosion score from screening to Week 52. The ES is the sum of joint scores collected for 46 joints and has a range of 0 to 230. A score of 0 would indicate no change and higher scores represent a worsening of joint erosions.
dispersion Type
Standard Deviation
groups
  1. description
    Placebo intravenously on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. From Week 104 participants were eligible to receive Rituximab 2 X 0.5 g or Rituximab 2 X 1.0 g every 24 weeks.
    id
    OG000
    title
    Placebo + Methotrexate
  2. description
    Rituximab intravenously at a dose of 0.5 g on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. Subsequent Rituximab treatment courses were given at 24 week intervals for 5 years provided the Disease Activity Score 28 Joint Count- Erythrocyte Sedimentation Rate (DAS-ESR) result was ≥2.6
    id
    OG001
    title
    Rituximab (0.5 g x 2) + Methotrexate
  3. description
    Rituximab intravenously at a dose of 1.0 g on Days 1 and 15 + a background of methotrexate orally at a dose of 7.5 mg escalating by 2.5 mg a week every 1-2 weeks to achieve: 15 mg per week by Week 4 and 20 mg per week by Week 8. Subsequent Rituximab treatment courses were given at 24 week intervals for 5 years provided the Disease Activity Score 28 Joint Count- Erythrocyte Sedimentation Rate (DAS-ESR) result was ≥2.6
    id
    OG002
    title
    Rituximab (1.0 g x 2) + Methotrexate
param Type
MEAN
population Description
Modified intent-to-treat population includes patients with a screening and at least one post-baseline radiographic evaluation, grouped as randomized. Linear interpolation/extrapolation used for missing data.
reporting Status
POSTED
time Frame
Baseline and week 52
title
Change From Baseline in Modified Sharp Erosion Score at Week 52
type
SECONDARY
unit Of Measure
Score on a scale

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Preserved source evidence · Not medical advice