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NCT02097745 · OUTCOME

Change From Baseline in the American College of Rheumatology n (ACRn) Response

A Study of the Efficacy and Safety of Re-treatments With Rituximab in Patients With Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Anti-tnfa Therapies · Source last updated 2016-11-03

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

Measure
MEAN
Unit
Percentage change
Interval / dispersion
Standard Deviation
Time frame
Baseline to the end of the retreatment period (up to 7 years, 6 months)

What was measured

The ACRn response was defined as each participant's least favorable percentage change from Baseline in 3 measures, tender joint count, swollen joint count (28 assessed joints), and improvement score achieved in at least 3 of the 5 remaining ACR parameters: Separate patient and physician assessments of patient disease activity in the previous 24 hours on a visual analog scale (VAS, left end=no disease activity, right end=maximum disease activity; patient assessment of pain in previous 24 hours on a VAS (left end=no pain, right end=unbearable pain); Health Assessment Questionnaire-Disability Index (20 questions, 8 components, 0=without difficulty to 3=unable to do); and acute-phase reactant (either C-reactive protein or erythrocyte sedimentation rate). A higher change percentage indicates greater improvement from Baseline. The ACRn response was compared to Baseline in the precursor study WA17042. The first retreatment may have occurred in the precursor study WA17042.

Analysis population: Intent-to-treat population: All participants who received any part of an infusion of study medication in study WA17531.

Groups in this outcome

Rituximab

Participants received rituximab 1 g intravenously (IV) on Days 1 and 15 of each course of retreatment. In addition, participants received methotrexate 10-25 mg/week orally or parenterally, methylprednisolone 100 mg IV 30 minutes prior to both rituximab infusions, and a stable dose of folic acid ≥ 5 mg/week or equivalent, given as either a single dose or as divided daily doses.

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

Analysis denominator · Participants

GroupSource count
Rituximab335

Reported measurements

Retreatment 1 (n = 320)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab32.0437.709Not reportedNot reportedNot reported
Retreatment 2 (n = 267)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab39.2535.494Not reportedNot reportedNot reported
Retreatment 3 (n = 234)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab39.8941.166Not reportedNot reportedNot reported
Retreatment 4 (n = 175)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab37.7143.201Not reportedNot reportedNot reported
Retreatment 5 (n = 136)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab37.5941.109Not reportedNot reportedNot reported
Retreatment 6 (n = 92)
Values in Percentage change · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Rituximab35.5338.650Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        37.709
        value
        32.04
    title
    Retreatment 1 (n = 320)
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        35.494
        value
        39.25
    title
    Retreatment 2 (n = 267)
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        41.166
        value
        39.89
    title
    Retreatment 3 (n = 234)
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        43.201
        value
        37.71
    title
    Retreatment 4 (n = 175)
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        41.109
        value
        37.59
    title
    Retreatment 5 (n = 136)
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        38.650
        value
        35.53
    title
    Retreatment 6 (n = 92)
denoms
  1. counts
    1. group Id
      OG000
      value
      335
    units
    Participants
description
The ACRn response was defined as each participant's least favorable percentage change from Baseline in 3 measures, tender joint count, swollen joint count (28 assessed joints), and improvement score achieved in at least 3 of the 5 remaining ACR parameters: Separate patient and physician assessments of patient disease activity in the previous 24 hours on a visual analog scale (VAS, left end=no disease activity, right end=maximum disease activity; patient assessment of pain in previous 24 hours on a VAS (left end=no pain, right end=unbearable pain); Health Assessment Questionnaire-Disability Index (20 questions, 8 components, 0=without difficulty to 3=unable to do); and acute-phase reactant (either C-reactive protein or erythrocyte sedimentation rate). A higher change percentage indicates greater improvement from Baseline. The ACRn response was compared to Baseline in the precursor study WA17042. The first retreatment may have occurred in the precursor study WA17042.
dispersion Type
Standard Deviation
groups
  1. description
    Participants received rituximab 1 g intravenously (IV) on Days 1 and 15 of each course of retreatment. In addition, participants received methotrexate 10-25 mg/week orally or parenterally, methylprednisolone 100 mg IV 30 minutes prior to both rituximab infusions, and a stable dose of folic acid ≥ 5 mg/week or equivalent, given as either a single dose or as divided daily doses.
    id
    OG000
    title
    Rituximab
param Type
MEAN
population Description
Intent-to-treat population: All participants who received any part of an infusion of study medication in study WA17531.
reporting Status
POSTED
time Frame
Baseline to the end of the retreatment period (up to 7 years, 6 months)
title
Change From Baseline in the American College of Rheumatology n (ACRn) Response
type
SECONDARY
unit Of Measure
Percentage change

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Preserved source evidence · Not medical advice