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NCT02346240 · OUTCOME

Proportion of Subjects Who Achieve a Physician's Global Assessment (PGA) Clear or Almost Clear Response (With at Least 2 Category Improvement) at Week 12

Efficacy and Safety Study of Certolizumab Pegol (CZP) Versus Active Comparator and Placebo in Subjects With Plaque Psoriasis (PSO) · Source last updated 2021-07-16

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

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
Not reported
Time frame
Week 12

What was measured

The Investigator assessed the overall severity of Psoriasis (PSO) using the following 5-point scale: 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe.

Analysis population: The Randomized Set (RS) consisted of all participants randomized into the study. Missing data were handled using the Markov Chain Monte Carlo (MCMC) method for multiple imputation.

Groups in this outcome

Placebo Q2W (RS)

Placebo subcutaneous (sc) injections every 2 weeks (Q2W) through Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 continued to receive blinded Placebo. PASI75 non-responders at Week 16 were removed from blinded study medication and escaped to Certolizumab pegol (CZP) 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period (Weeks 16-48) and receive CZP under certain conditions. Participants formed the Randomized Set (RS).

Etanercept (RS)

Etanercept (ETN) 50 mg subcutaneous (sc) injections twice per week throughout Week 11.5. •PASI75 responders at Week 16 were re-randomized to either CZP (loading dose of 400 mg at Weeks 16, 18, and 20 followed by 200 mg Q2W) or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).

CZP 200 mg Q2W (RS)

CZP 400 mg injections at Weeks 0, 2, 4, followed by CZP 200 mg every 2 weeks (Q2W) from Week 6 to Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 were re-randomized to receive either CZP 200 mg Q2W or CZP 400 mg every 4 weeks (Q4W); with Placebo administered on alternate dosing weeks to maintain the blind) Or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 were removed from blinded study medication and escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).

CZP 400 mg Q2W (RS)

CZP 400 mg injections every 2 weeks (Q2W) through Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 were re-randomized to CZP 200 mg Q2W or CZP 400 mg Q2W or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 were removed from blinded study medication and escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).

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 Q2W (RS)57
Etanercept (RS)170
CZP 200 mg Q2W (RS)165
CZP 400 mg Q2W (RS)167

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Placebo Q2W (RS)1.9Not reportedNot reportedNot reportedNot reported
Etanercept (RS)39.2Not reportedNot reportedNot reportedNot reported
CZP 200 mg Q2W (RS)39.8Not reportedNot reportedNot reportedNot reported
CZP 400 mg Q2W (RS)50.3Not reportedNot reportedNot reportedNot reported

Source statistical analyses

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

  1. ci Lower Limit
    39.33
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    57.63
    estimate Comment
    Estimate and 95 % CI for difference in proportion of responders for CZP 400 mg Q2W (RS) versus Placebo Q2W (RS).
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG003
    non Inferiority Type
    SUPERIORITY
    param Type
    Estimated difference in responder rate
    param Value
    48.5
    statistical Comment
    Estimated responder rate, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  2. ci Lower Limit
    28.88
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    46.96
    estimate Comment
    Estimate and 95 % CI for difference in proportion of responders for CZP 200 mg Q2W (RS) versus Placebo Q2W (RS).
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    param Type
    Estimated difference in responder rate
    param Value
    37.9
    statistical Comment
    Estimated responder rate, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  3. ci Lower Limit
    7.787
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    404.555
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG003
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    The p-value is evaluated at a 2-sided significance level for CZP 400 mg vs. PBO
    param Type
    Odds Ratio (OR)
    param Value
    56.129
    statistical Comment
    Odds ratios, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  4. ci Lower Limit
    5.061
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    264.196
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.0004
    p Value Comment
    The p-value is evaluated at a 2-sided significance level for CZP 200 mg vs. PBO
    param Type
    Odds Ratio (OR)
    param Value
    36.566
    statistical Comment
    Odds ratios, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
Complete source fields
analyses
  1. ci Lower Limit
    39.33
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    57.63
    estimate Comment
    Estimate and 95 % CI for difference in proportion of responders for CZP 400 mg Q2W (RS) versus Placebo Q2W (RS).
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG003
    non Inferiority Type
    SUPERIORITY
    param Type
    Estimated difference in responder rate
    param Value
    48.5
    statistical Comment
    Estimated responder rate, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  2. ci Lower Limit
    28.88
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    46.96
    estimate Comment
    Estimate and 95 % CI for difference in proportion of responders for CZP 200 mg Q2W (RS) versus Placebo Q2W (RS).
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    param Type
    Estimated difference in responder rate
    param Value
    37.9
    statistical Comment
    Estimated responder rate, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  3. ci Lower Limit
    7.787
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    404.555
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG003
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    The p-value is evaluated at a 2-sided significance level for CZP 400 mg vs. PBO
    param Type
    Odds Ratio (OR)
    param Value
    56.129
    statistical Comment
    Odds ratios, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
  4. ci Lower Limit
    5.061
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    264.196
    group Description
    The statistical analysis of the co-primary efficacy variables and key secondary efficacy variables accounted for multiplicity by using a fixed sequence testing procedure.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.0004
    p Value Comment
    The p-value is evaluated at a 2-sided significance level for CZP 200 mg vs. PBO
    param Type
    Odds Ratio (OR)
    param Value
    36.566
    statistical Comment
    Odds ratios, CIs, p-values based on a logistic regression model with factors for treatment, region, prior biologic exposure.
    statistical Method
    Regression, Logistic
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        1.9
      2. group Id
        OG001
        value
        39.2
      3. group Id
        OG002
        value
        39.8
      4. group Id
        OG003
        value
        50.3
denoms
  1. counts
    1. group Id
      OG000
      value
      57
    2. group Id
      OG001
      value
      170
    3. group Id
      OG002
      value
      165
    4. group Id
      OG003
      value
      167
    units
    Participants
description
The Investigator assessed the overall severity of Psoriasis (PSO) using the following 5-point scale: 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe.
groups
  1. description
    Placebo subcutaneous (sc) injections every 2 weeks (Q2W) through Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 continued to receive blinded Placebo. PASI75 non-responders at Week 16 were removed from blinded study medication and escaped to Certolizumab pegol (CZP) 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period (Weeks 16-48) and receive CZP under certain conditions. Participants formed the Randomized Set (RS).
    id
    OG000
    title
    Placebo Q2W (RS)
  2. description
    Etanercept (ETN) 50 mg subcutaneous (sc) injections twice per week throughout Week 11.5. •PASI75 responders at Week 16 were re-randomized to either CZP (loading dose of 400 mg at Weeks 16, 18, and 20 followed by 200 mg Q2W) or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).
    id
    OG001
    title
    Etanercept (RS)
  3. description
    CZP 400 mg injections at Weeks 0, 2, 4, followed by CZP 200 mg every 2 weeks (Q2W) from Week 6 to Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 were re-randomized to receive either CZP 200 mg Q2W or CZP 400 mg every 4 weeks (Q4W); with Placebo administered on alternate dosing weeks to maintain the blind) Or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 were removed from blinded study medication and escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).
    id
    OG002
    title
    CZP 200 mg Q2W (RS)
  4. description
    CZP 400 mg injections every 2 weeks (Q2W) through Week 14. Treatment received from Week 16-48 is based on initial treatment and response to treatment: •PASI75 responders at Week 16 were re-randomized to CZP 200 mg Q2W or CZP 400 mg Q2W or Placebo Q2W. Participants who did not achieve a PASI75 response at Week 16 were removed from blinded study medication and escaped to CZP 400 mg Q2W. Participants who received unblinded CZP 400 mg Q2W for 16 weeks and did not achieve a PASI50 response were withdrawn from the study. Participants could enter a 96-week open-label extension period after completing the Maintenance Period and receive CZP under certain conditions. Participants formed the Randomized Set (RS).
    id
    OG003
    title
    CZP 400 mg Q2W (RS)
param Type
NUMBER
population Description
The Randomized Set (RS) consisted of all participants randomized into the study. Missing data were handled using the Markov Chain Monte Carlo (MCMC) method for multiple imputation.
reporting Status
POSTED
time Frame
Week 12
title
Proportion of Subjects Who Achieve a Physician's Global Assessment (PGA) Clear or Almost Clear Response (With at Least 2 Category Improvement) at Week 12
type
SECONDARY
unit Of Measure
percentage of participants

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