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A Study Comparing 2 Doses Of CP-690,550 Vs. Placebo For The Treatment Of Rheumatoid Arthritis In Patients On Other Background Arthritis Medications

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00856544
Recruitment Status : Completed
First Posted : March 5, 2009
Results First Posted : January 10, 2013
Last Update Posted : January 10, 2013
Sponsor:
Information provided by (Responsible Party):
Pfizer

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition Arthritis, Rheumatoid
Interventions Drug: CP-690,550
Drug: Placebo
Enrollment 795
Recruitment Details  
Pre-assignment Details  
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12. CP-690,550 10 mg tablet orally twice daily up to Month 12. Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12. Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Period Title: Overall Study
Started 318 318 79 80
Treated 315 318 79 80
Completed 261 252 71 67
Not Completed 57 66 8 13
Reason Not Completed
Randomized but not treated             3             0             0             0
Death             0             2             0             0
Adverse Event             20             29             2             3
Lack of Efficacy             16             12             3             3
Other             9             16             1             6
Lost to Follow-up             1             2             2             0
Withdrawal by Subject             8             5             0             1
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg Total
Hide Arm/Group Description CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12. CP-690,550 10 mg tablet orally twice daily up to Month 12. Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12. Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12. Total of all reporting groups
Overall Number of Baseline Participants 315 318 79 80 792
Hide Baseline Analysis Population Description
[Not Specified]
Age Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 315 participants 318 participants 79 participants 80 participants 792 participants
52.7  (11.7) 51.9  (11.8) 50.8  (11.2) 53.3  (10.8) 52.3  (11.6)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 315 participants 318 participants 79 participants 80 participants 792 participants
Female
264
  83.8%
258
  81.1%
63
  79.7%
60
  75.0%
645
  81.4%
Male
51
  16.2%
60
  18.9%
16
  20.3%
20
  25.0%
147
  18.6%
1.Primary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Month 6
Hide Description ACR20 response: greater than or equal to (>=) 20 percent (%) improvement in tender joint count (TJC); >= 20% improvement in swollen joint count (SJC); and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). For comparison of CP-690,550 with placebo, placebo sequences were combined into single reporting group for Month 6 analysis.
Time Frame Month 6
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set (FAS) population included all randomized participants who received at least 1 dose of study medication. N (number of participants analyzed)=participants who were evaluable for this measure. Missing values due to withdrawal, advancement to active treatment before Month 6 were imputed using non-responder imputation (NRI) method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 157
Measure Type: Number
Unit of Measure: percentage of participants
52.73 58.25 31.21
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CP-690,550 10 mg, Placebo
Comments Normal approximation to the binomial distribution was used to test the superiority of each dose of CP-690,550 10 mg to placebo and 2-sided 95% confidence interval (CI) was evaluated for the difference in percentages.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments A step-down procedure was used to control for multiple comparisons. In order for the comparison to 5 mg to be statistically significant, the comparison to 10 mg had to be statistically significant.
Method Normal approximation
Comments [Not Specified]
Method of Estimation Estimation Parameter Percent difference
Estimated Value 27.04
Confidence Interval (2-Sided) 95%
17.94 to 36.13
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection CP-690,550 5 mg, Placebo
Comments Normal approximation to the binomial distribution was used to test the superiority of each dose of CP-690,550 5 mg to placebo and 2-sided 95% CI was evaluated for the difference in percentages.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments A step-down procedure was used to control for multiple comparisons. In order for the comparison to 5 mg to be statistically significant, the comparison to 10 mg had to be statistically significant.
Method Normal Approximation
Comments [Not Specified]
Method of Estimation Estimation Parameter Percent Difference
Estimated Value 21.52
Confidence Interval (2-Sided) 95%
12.39 to 30.65
Estimation Comments [Not Specified]
2.Primary Outcome
Title Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Month 3
Hide Description HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities:dress/groom;arise;eat; walk;reach;grip; hygiene;common activities over past week. Each item scored on 4-point scale from 0-3:0=no difficulty;1=some difficulty;2=much difficulty;3=unable to do. Overall score was computed as sum of domain scores and divided by number of domains answered. Total possible score range 0-3:0=least difficulty and 3=extreme difficulty. For comparison of CP-690,550 with placebo, placebo sequences were combined into single reporting group for Month 3 analysis.
Time Frame Baseline, Month 3
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included all randomized participants who received at least 1 dose of study medication. N (number of participants analyzed)=participants who were evaluable for this measure. Here 'n' is number of participants evaluable at specific time points for each arm group, respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 315 157
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n= 311, 315, 157) 1.44  (0.69) 1.43  (0.68) 1.35  (0.66)
Change at Month 3 (n= 292, 292, 147) -0.45  (0.53) -0.54  (0.60) -0.16  (0.54)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CP-690,550 10 mg, Placebo
Comments Least squares mean difference (LS Mean Difference) and corresponding 95% CI was calculated using a mixed effect repeated measure model with treatments, visits and treatment-by-visit interaction as fixed effects and participants as a random effect.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments A step-down procedure was used to control for multiple comparisons. For the comparison of 10 mg to placebo to be statistically significant, the comparison of 10 mg to placebo in ACR20 had to be significant.
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -0.35
Confidence Interval (2-Sided) 95%
-0.44 to -0.26
Parameter Dispersion
Type: Standard Error of the mean
Value: 0.05
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection CP-690,550 5 mg, Placebo
Comments LS Mean Difference and corresponding 95% CI was calculated using a mixed effect repeated measure model with treatments, visits and treatment-by-visit interaction as fixed effects and participants as a random effect.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments A step-down procedure was used to control for multiple comparisons. For comparison of 5 mg to placebo to be statistically significant, comparison of 10 mg to placebo and comparison of 5 mg to placebo in ACR20 had to be statistically significant.
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -0.26
Confidence Interval (2-Sided) 95%
-0.35 to -0.16
Parameter Dispersion
Type: Standard Error of the mean
Value: 0.05
Estimation Comments [Not Specified]
3.Primary Outcome
Title Percentage of Participants Achieving Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR])Less Than 2.6 at Month 6
Hide Description DAS28-4 (ESR) was calculated from SJC and TJC using 28 joints count, erythrocyte sedimentation rate (ESR) (millimeters/hour[mm/hour]) and patient's global assessment (PtGA) of disease activity(participant rated arthritis activity assessment). Total score range:0-9.4, higher score=more disease activity. DAS28-4 (ESR) less than or equal to (<=)3.2 implied low disease activity, greater than (>)3.2 to 5.1 implied moderate to high disease activity, less than (<)2.6=remission. For comparison of CP-690,550 with placebo, placebo sequences were combined into single reporting group for Month 6 analysis.
Time Frame Month 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included all randomized participants who received at least 1 dose of study medication. N (number of participants analyzed) signifies those participants who were evaluable for this measure. Missing values due to withdrawal, advancement to active treatment before Month 6 were imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 263 270 148
Measure Type: Number
Unit of Measure: percentage of participants
9.13 13.33 2.70
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CP-690,550 10 mg, Placebo
Comments Normal approximation to the binomial distribution was used to test the superiority of each dose of CP-690,550 10 mg to placebo and 2-sided 95% CI was evaluated for the difference in percentages.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments A step-down procedure was used to control for multiple comparisons. For the comparison of 10 mg to placebo to be statistically significant, the comparison of 10 mg to placebo in HAQ-DI had to be significant.
Method Normal Approximation
Comments [Not Specified]
Method of Estimation Estimation Parameter Percent difference
Estimated Value 10.63
Confidence Interval (2-Sided) 95%
5.80 to 15.45
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection CP-690,550 5 mg, Placebo
Comments Normal approximation to the binomial distribution was used to test the superiority of each dose of CP-690,550 5 mg to placebo and 2-sided 95% CI was evaluated for the difference in percentages.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0038
Comments A step-down procedure was used to control for multiple comparisons. For comparison of 5 mg to placebo to be statistically significant, comparison of 10 mg to placebo and comparison of 5 mg to placebo in HAQ-DI had to be statistically significant.
Method Normal Approximation
Comments [Not Specified]
Method of Estimation Estimation Parameter Percent difference
Estimated Value 6.42
Confidence Interval (2-Sided) 95%
2.07 to 10.77
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) at Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description ACR20 response: >=20% improvement in tender joint count; >=20% improvement in swollen joint count; and >=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population. N (number of participants analyzed)=participants who were evaluable for this measure. Missing values due to withdrawal from study or advancement to active treatment, before Month 6 was imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 157
Measure Type: Number
Unit of Measure: percentage of participants
Week 2 27.33 32.25 10.90
Month 1 38.59 48.54 22.93
Month 2 54.02 64.40 26.11
Month 3 56.27 64.72 27.39
Month 4.5 50.80 57.93 25.48
Month 6 52.73 58.25 31.21
5.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) at Month 9 and 12
Hide Description ACR20 response: >=20% improvement in tender joint count; >=20% improvement in swollen joint count; and >=20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population. 'N' (number of participants analyzed)=participants who were evaluable for this measure. Missing values due to withdrawal from study or advancement to active treatment, before Month 6 was imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 79 78
Measure Type: Number
Unit of Measure: percentage of participants
Month 9 50.48 62.14 37.97 34.62
Month 12 51.45 56.63 31.65 34.62
6.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) at Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description ACR50 response: >=50% improvement in tender joint count; >=50% improvement in swollen joint count; and >=50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population. N (number of participants analyzed)=participants who were evaluable for this measure. Missing values due to withdrawal from study or advancement to active treatment, before Month 6 was imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 157
Measure Type: Number
Unit of Measure: percentage of participants
Week 2 5.79 8.14 1.28
Month 1 11.58 18.12 1.27
Month 2 23.15 29.77 4.46
Month 3 27.33 33.98 9.55
Month 4.5 27.97 33.33 8.28
Month 6 33.76 36.57 12.74
7.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) at Month 9 and 12
Hide Description ACR50 response: >=50% improvement in tender joint count; >=50% improvement in swollen joint count; and >=50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed)signifies those participants who were evaluable for this measure. Missing values due to withdrawal, advancement to active treatment before Month 6 were imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 79 78
Measure Type: Number
Unit of Measure: percentage of participants
Month 9 31.51 43.04 25.32 26.92
Month 12 33.44 42.72 24.05 25.64
8.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) at Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description ACR70 response: >=70% improvement in tender joint count; >=70% improvement in swollen joint count; and >=70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population. 'N' (number of participants analyzed)=participants who were evaluable for this measure. Missing values due to withdrawal from study or advancement to active treatment, before Month 6 was imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 157
Measure Type: Number
Unit of Measure: percentage of participants
Week 2 0.32 2.28 0.00
Month 1 3.54 7.12 0.00
Month 2 9.00 10.36 1.27
Month 3 8.36 14.24 1.91
Month 4.5 11.90 18.12 3.18
Month 6 13.18 16.18 3.18
9.Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) at Month 9 and 12
Hide Description ACR70 response: >=70% improvement in tender joint count; >=70% improvement in swollen joint count; and >=70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of HAQ); and CRP.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. Missing values due to withdrawal, advancement to active treatment before Month 6 were imputed using NRI method.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 309 79 78
Measure Type: Number
Unit of Measure: percentage of participants
Month 9 14.15 25.24 10.13 11.54
Month 12 19.29 25.57 13.92 20.51
10.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) at Baseline, Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description DAS28-3 (CRP) was calculated from SJC and TJC using 28 joint count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (CRP) =<3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity and <2.6 implied remission.
Time Frame Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 312 315 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n=312, 315, 158) 5.21  (0.92) 5.26  (0.96) 5.22  (0.92)
Week 2 (n=309, 304, 156) 4.41  (1.10) 4.18  (1.09) 4.92  (1.01)
Month 1 (n=304, 300, 151) 4.08  (1.13) 3.83  (1.12) 4.68  (1.09)
Month 2 (n=294, 300, 148) 3.70  (1.20) 3.49  (1.15) 4.59  (1.16)
Month 3 (n=293, 291, 147) 3.62  (1.22) 3.44  (1.15) 4.51  (1.15)
Month 4.5 (n=281,286,71) 3.46  (1.27) 3.15  (1.12) 3.92  (1.18)
Month 6 (n=279,278,68) 3.39  (1.21) 3.09  (1.13) 3.60  (1.12)
11.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) at Month 9 and 12
Hide Description DAS28-3 (CRP) was calculated from SJC and TJC using 28 joint count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (CRP) =<3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity and <2.6 implied remission.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 267 263 72 68
Mean (Standard Deviation)
Unit of Measure: units on a scale
Month 9 3.21  (1.14) 2.88  (1.05) 3.22  (1.05) 2.83  (0.93)
Month 12 3.08  (1.19) 2.81  (1.04) 3.03  (1.15) 2.99  (1.06)
12.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR]) at Baseline, Month 3 and 6
Hide Description DAS28-4 (ESR) calculated from SJC and TJC using 28 joint count, ESR (mm/hour) and PGA of disease activity (participant rated arthritis activity assessment with transformed score ranging 0 to 10; higher score indicated greater affectation due to disease activity). Total score range:0 to 9.4, higher score indicated more disease activity. DAS28-4 (ESR) =<3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity and <2.6 implied remission.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 309 313 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n=309,313,158) 6.29  (0.96) 6.36  (1.01) 6.30  (0.92)
Month 3 (n=206,263,140) 4.41  (1.39) 4.20  (1.30) 5.32  (1.26)
Month 6 (n=241,248,62) 4.14  (1.34) 3.84  (1.26) 4.34  (1.19)
13.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 [ESR]) at Month 12
Hide Description DAS28-4 (ESR) calculated from SJC and TJC using 28 joint count, ESR (mm/hour) and PGA of disease activity (participant rated arthritis activity assessment with transformed score ranging 0 to 10; higher score indicated greater affectation due to disease activity). Total score range:0 to 9.4, higher score indicated more disease activity. DAS28-4 (ESR) =<3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity and <2.6 implied remission.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 220 226 63 62
Mean (Standard Deviation)
Unit of Measure: units on a scale
3.82  (1.30) 3.50  (1.11) 3.76  (1.31) 3.62  (1.19)
14.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and C-Reactive Protein (4 Variables) (DAS28-4 [CRP])
Hide Description DAS28-4 (CRP) was calculated from SJC and TJC using the 28 joints count, CRP [mg/L] and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-4 [CRP] <=3.2 implied low disease activity, DAS28-4 [CRP] >3.2 to 5.1 implied moderate to high disease activity and DAS28 <2.6 implied remission.
Time Frame Baseline, Week 2, Month 1, 2, 3, 4.5, 6, 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
Since DAS28-4 (CRP) was determined to provide no new information over DAS28-4 (ESR) and DAS28-3 (CRP), there was a change in planned analysis and data was not analyzed for DAS28-4 (CRP).
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 0 0 0 0
No data displayed because Outcome Measure has zero total analyzed.
15.Secondary Outcome
Title Disease Activity Score Using 28-Joint Count and Erythrocyte Sedimentation Rate (3 Variables) (DAS28-3 [ESR])
Hide Description DAS28-3 (ESR) was calculated from the number of SJC and TJC using the 28 joints count and ESR (mm/hr). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (ESR) <=3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity and <2.6 implied remission.
Time Frame Baseline, Month 3, 6, 12
Hide Outcome Measure Data
Hide Analysis Population Description
Since DAS28-3 (ESR) was determined to provide no new information over DAS28-4 (ESR) and DAS28-3 (CRP), there was a change in planned analysis and data was not analyzed for DAS28-3 (ESR).
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 0 0 0 0
No data displayed because Outcome Measure has zero total analyzed.
16.Secondary Outcome
Title Health Assessment Questionnaire Disability Index (HAQ-DI) at Baseline, Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0=least difficulty and 3=extreme difficulty.
Time Frame Baseline, Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population. N (number of participants analyzed)=participants who were evaluable for this measure. 'n'=participants evaluable at given time point for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 315 157
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n = 311, 315, 157) 1.44  (0.69) 1.43  (0.68) 1.35  (0.66)
Week 2 (n = 310, 305, 156) 1.24  (0.69) 1.14  (0.67) 1.28  (0.66)
Month 1 (n = 304, 303, 154) 1.12  (0.67) 1.01  (0.65) 1.20  (0.67)
Month 2 (n = 299, 300, 150) 1.03  (0.68) 0.93  (0.66) 1.20  (0.63)
Month 3 (n = 293, 292, 148) 0.98  (0.67) 0.88  (0.67) 1.16  (0.67)
Month 4.5 (n = 282, 289, 71) 0.97  (0.68) 0.84  (0.67) 0.95  (0.62)
Month 6 (n = 278, 279, 68) 0.91  (0.67) 0.81  (0.65) 0.93  (0.61)
17.Secondary Outcome
Title Health Assessment Questionnaire Disability Index (HAQ-DI) at Month 9 and 12
Hide Description HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0=least difficulty and 3=extreme difficulty.
Time Frame Month 9, Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 266 264 72 70
Mean (Standard Deviation)
Unit of Measure: units on a scale
Month 9 0.89  (0.68) 0.71  (0.64) 0.85  (0.65) 0.70  (0.64)
Month 12 0.86  (0.68) 0.73  (0.64) 0.81  (0.68) 0.73  (0.69)
18.Secondary Outcome
Title Patient Assessment of Arthritis Pain at Baseline, Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description Participants rated the severity of arthritis pain on a 0 to 100 millimeter (mm) visual analogue scale (VAS), where 0 mm = no pain and 100 mm = most severe pain.
Time Frame Baseline, Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 315 158
Mean (Standard Deviation)
Unit of Measure: mm
Baseline (n = 311, 315, 158) 57.08  (23.82) 58.58  (22.19) 57.11  (22.84)
Week 2 (n = 310, 306, 156) 46.81  (22.82) 41.85  (22.49) 51.01  (24.45)
Month 1 (n = 304, 303, 154) 40.17  (23.20) 37.08  (22.14) 45.69  (25.00)
Month 2 (n = 299, 301, 150) 36.40  (22.63) 32.84  (21.71) 47.30  (24.29)
Month 3 (n = 294, 292, 148) 34.92  (23.03) 32.96  (23.10) 46.59  (27.14)
Month 4.5 (n = 284, 289, 71) 34.43  (22.68) 32.62  (21.74) 40.23  (24.44)
Month 6 (n = 279, 280, 68) 31.07  (21.84) 29.94  (21.53) 34.19  (21.69)
19.Secondary Outcome
Title Patient Assessment of Arthritis Pain at Month 9 and 12
Hide Description Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 267 264 72 70
Mean (Standard Deviation)
Unit of Measure: mm
Month 9 30.78  (22.28) 27.13  (20.77) 29.50  (21.34) 25.26  (21.96)
Month 12 30.18  (23.11) 25.43  (20.57) 28.20  (22.46) 25.39  (22.71)
20.Secondary Outcome
Title Patient Global Assessment (PtGA) of Arthritis Pain at Baseline, Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0 = very well and 100 = very poorly.
Time Frame Baseline, Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 315 158
Mean (Standard Deviation)
Unit of Measure: mm
Baseline (n=311,315,158) 59.03  (22.89) 60.22  (22.53) 57.92  (23.33)
Week 2 (n=310,306,156) 46.59  (22.52) 42.99  (22.16) 51.27  (23.97)
Month 1 (n=303,303,154) 40.50  (23.29) 36.53  (21.42) 46.25  (24.22)
Month 2 (n=299,301,150) 37.18  (22.52) 33.80  (22.21) 50.42  (23.56)
Month 3 (n=294,292,148) 36.27  (22.64) 33.43  (22.55) 47.09  (26.13)
Month 4.5 (n=284,289,71) 35.92  (22.69) 34.05  (22.09) 41.03  (23.75)
Month 6 (n=279,280,68) 33.75  (23.01) 31.31  (21.55) 35.47  (20.28)
21.Secondary Outcome
Title Patient Global Assessment (PtGA) of Arthritis Pain at Month 9 and 12
Hide Description Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0 = very well and 100 = very poorly.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 266 264 72 70
Mean (Standard Deviation)
Unit of Measure: mm
Month 9 32.06  (22.49) 28.01  (20.81) 28.97  (20.07) 28.56  (22.74)
Month 12 30.64  (22.03) 27.94  (20.39) 28.71  (23.05) 28.20  (24.29)
22.Secondary Outcome
Title Physician Global Assessment (PGA) of Arthritis Pain at Baseline, Week 2, Month 1, 2, 3, 4.5 and 6
Hide Description Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.
Time Frame Baseline, Week 2, Month 1, 2, 3, 4.5, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 310 313 158
Mean (Standard Deviation)
Unit of Measure: mm
Baseline (n=310,313,158) 60.48  (17.83) 59.66  (17.03) 58.87  (16.52)
Week 2 (n=308,304,155) 46.41  (20.14) 43.79  (18.17) 49.08  (18.90)
Month 1 (n=302,303,154) 38.35  (19.92) 34.31  (18.70) 42.86  (20.13)
Month 2 (n=299,299,150) 32.54  (19.36) 29.40  (17.36) 41.25  (20.42)
Month 3 (n=293,292,148) 31.97  (20.25) 29.21  (19.31) 39.54  (21.09)
Month 4.5 (n=283,288,71) 29.45  (19.84) 26.11  (17.54) 33.04  (21.06)
Month 6 (n=278,280,68) 25.83  (17.29) 23.69  (16.62) 27.88  (19.10)
23.Secondary Outcome
Title Physician Global Assessment (PGA) of Arthritis at Month 9 and 12
Hide Description Physician Global Assessment of Arthritis was measured on a 0 to 100 mm VAS, where 0 mm = very good and 100 mm = very bad.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 265 264 72 70
Mean (Standard Deviation)
Unit of Measure: mm
Month 9 24.36  (17.67) 20.09  (14.23) 22.70  (15.42) 20.63  (17.35)
Month 12 21.52  (17.14) 18.12  (14.50) 19.01  (15.01) 17.59  (15.21)
24.Secondary Outcome
Title 36-Item Short-Form Health Survey (SF-36) at Baseline, Month 1, 3 and 6
Hide Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.
Time Frame Baseline, Month 1, 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. Here, 'n' is signifying those participants who were evaluable for the measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 312 315 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline:physical functioning(n=312,315,158) 32.53  (9.58) 31.74  (9.62) 32.76  (9.59)
Baseline:role physical(n=312,315,158) 33.73  (9.74) 33.15  (9.43) 33.91  (9.57)
Baseline:social functioning(n=312,315,158) 36.22  (11.15) 37.04  (10.27) 36.87  (11.63)
Baseline:bodily pain(n=312,315,158) 33.38  (7.25) 33.94  (7.28) 34.22  (7.47)
Baseline:mental health(n=312,315,158) 39.94  (12.52) 41.05  (10.54) 41.50  (11.38)
Baseline:role emotional(n=312,315,158) 35.51  (13.65) 34.91  (13.00) 35.36  (12.97)
Baseline:vitality(n=312,315,158) 40.84  (10.29) 40.87  (8.89) 41.33  (9.37)
Baseline:general health(n=312,315,158) 33.95  (9.14) 34.27  (8.58) 34.65  (8.32)
Baseline:mental component(n=312,315,158) 40.86  (12.59) 41.56  (11.14) 41.67  (11.57)
Baseline:physical component(n=312,315,158) 32.44  (7.82) 32.02  (7.46) 32.74  (7.60)
Month 1:physical functioning(n=303,302,154) 36.17  (10.33) 36.71  (10.08) 33.95  (9.72)
Month 1:role physical(n=303,301,154) 38.20  (10.33) 39.00  (9.60) 37.15  (9.41)
Month 1:social functioning(n=303,302,154) 40.25  (10.99) 41.96  (9.73) 39.29  (9.92)
Month 1:bodily pain(n=303,302,154) 39.02  (7.86) 40.70  (7.69) 36.87  (7.14)
Month 1:mental health(n=303,302,153) 43.40  (11.43) 44.70  (10.00) 42.79  (11.04)
Month 1:role emotional(n=303,301,154) 38.36  (12.79) 39.27  (11.91) 38.18  (12.97)
Month 1:vitality(n=303,302,153) 45.87  (10.17) 46.71  (8.76) 43.74  (9.00)
Month 1:general health(n=303,302,154) 37.86  (9.45) 38.81  (8.65) 36.39  (8.35)
Month 1:mental component(n=303,301,153) 44.04  (11.64) 45.32  (10.13) 43.80  (11.22)
Month 1:physical component(n=303,301,153) 37.12  (8.31) 37.94  (7.96) 34.86  (7.48)
Month 3:physical functioning(n=294,291,147) 37.15  (10.47) 38.29  (10.60) 34.35  (10.42)
Month 3:role physical(n=294,292,147) 39.25  (9.91) 40.57  (9.69) 36.50  (9.76)
Month 3:social functioning(n=294,292,147) 41.51  (10.46) 42.44  (9.92) 38.62  (11.04)
Month 3:bodily pain(n=294,292,147) 40.22  (8.24) 41.82  (8.70) 37.50  (8.26)
Month 3:mental health(n=294,292,147) 44.69  (10.45) 45.15  (10.28) 42.68  (10.88)
Month 3:role emotional(n=293,291,146) 38.36  (11.98) 39.81  (12.04) 37.42  (13.23)
Month 3:vitality(n=294,292,147) 47.05  (9.71) 47.22  (9.05) 43.84  (9.68)
Month 3:general health(n=294,291,147) 38.98  (9.69) 39.45  (9.19) 35.56  (9.37)
Month 3:mental component(n=293,290,146) 44.96  (10.75) 45.35  (10.26) 43.10  (11.12)
Month 3:physical component(n=293,290,146) 38.26  (8.46) 39.53  (8.58) 34.90  (8.37)
Month 6:physical functioning(n=279,280,68) 38.55  (10.60) 39.42  (10.38) 38.18  (9.63)
Month 6:role physical(n=279,279,68) 39.86  (9.82) 41.02  (9.41) 40.27  (8.86)
Month 6:social functioning(n=279,280,68) 41.97  (10.22) 43.36  (10.01) 43.67  (9.96)
Month 6:bodily pain(n=279,280,68) 41.01  (8.17) 42.12  (8.45) 41.91  (7.74)
Month 6:mental health(n=279,280,68) 44.43  (10.26) 45.01  (10.27) 44.12  (10.13)
Month 6:role emotional(n=279,279,68) 39.37  (12.11) 40.49  (11.79) 39.81  (12.38)
Month 6:vitality(n=279,280,68) 47.02  (9.82) 47.80  (9.55) 46.67  (8.93)
Month 6:general health(n=279,280,68) 40.03  (9.51) 39.71  (9.17) 38.10  (9.05)
Month 6:mental component(n=279,279,68) 44.73  (10.59) 45.63  (10.29) 45.13  (11.02)
Month 6:physical component(n=279,279,68) 39.49  (8.64) 40.24  (8.43) 39.24  (7.19)
25.Secondary Outcome
Title 36-Item Short-Form Health Survey (SF-36) at Month 9 and 12
Hide Description SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) and is reported as 2 summary scores; physical component score and mental component score. Total score range for the summary scores = 0-100, where higher score represents higher level of functioning.
Time Frame Month 9, 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for the measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 267 264 72 70
Mean (Standard Deviation)
Unit of Measure: units on a scale
Month 9:physical functioning(n=267,263,72,70) 39.40  (10.60) 40.67  (10.12) 38.86  (10.47) 40.83  (9.76)
Month 9:role physical(n=267,263,72,70) 40.21  (9.99) 42.03  (9.05) 41.44  (9.70) 42.99  (9.18)
Month 9:social functioning(n=267,264,72,70) 42.43  (9.97) 43.67  (9.60) 43.26  (11.23) 44.11  (10.32)
Month 9:bodily pain(n=267,264,72,70) 41.83  (8.89) 43.37  (8.45) 42.31  (8.42) 44.03  (8.26)
Month 9:mental health(n=267,264,72,70) 45.49  (10.69) 46.03  (10.67) 46.12  (10.49) 45.11  (10.51)
Month 9:role emotional(n=267,264,72,70) 40.55  (11.54) 42.16  (11.43) 40.75  (12.67) 41.02  (11.46)
Month 9:vitality(n=267,264,72,70) 48.39  (9.53) 48.70  (9.41) 48.38  (8.71) 47.29  (10.43)
Month 9:general health(n=266,264,72,70) 39.77  (9.63) 40.57  (9.29) 40.38  (9.04) 40.08  (9.50)
Month 9:mental component(n=266,262,72,70) 45.97  (10.45) 46.61  (10.74) 46.42  (11.01) 45.22  (11.40)
Month 9:physical component(n=266,262,72,70) 39.79  (8.60) 41.15  (8.15) 40.07  (7.97) 42.05  (6.93)
Month 12:physical functioning(n=258, 250,70,67) 39.07  (11.18) 40.38  (10.24) 38.61  (11.38) 39.85  (10.97)
Month 12:role physical(n=258, 250,70,67) 40.51  (9.99) 42.11  (9.31) 42.51  (9.72) 43.16  (9.51)
Month 12:social functioning(n=258, 250,70,67) 42.69  (10.14) 43.63  (9.71) 44.27  (9.72) 44.36  (10.30)
Month 12:bodily pain(n=258, 250,70,67) 41.95  (8.77) 43.28  (8.70) 42.59  (9.07) 45.49  (8.11)
Month 12:mental health(n=258, 250,70,67) 44.86  (10.63) 45.52  (10.27) 46.10  (10.81) 45.65  (11.29)
Month 12:role emotional(n=258, 250,70,67) 40.02  (12.10) 41.37  (11.79) 42.92  (11.80) 42.40  (11.92)
Month 12:vitality(n=258, 250,70,67) 48.08  (9.83) 48.12  (9.22) 49.77  (9.52) 47.75  (10.45)
Month 12:general health(n=258, 250,70,67) 39.63  (9.64) 39.88  (8.88) 40.86  (9.34) 39.43  (10.35)
Month 12:mental component(n=258, 250,70,67) 45.39  (10.69) 45.92  (10.65) 47.84  (11.04) 46.33  (11.21)
Month 12:physical component(n=258, 250,70,67) 39.94  (8.83) 41.13  (8.13) 40.16  (9.14) 41.62  (8.16)
26.Secondary Outcome
Title Medical Outcomes Study Sleep Scale (MOS-SS) at Baseline, Month 1, 3 and 6
Hide Description Participant-rated 12 item questionnaire to assess constructs of sleep over past week.7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range:0-100); sleep quantity(range:0-24), optimal sleep(yes or no). 9 item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher scores=more impairment. Scores transformed(actual raw score(RS) minus lowest possible score divided by possible RS range*100);total score range:0-100,higher score=more intensity of attribute.
Time Frame Baseline, Month 1, 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 312 314 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline:overall sleep problem(n=312,313,158) 41.05  (20.68) 40.89  (18.47) 39.75  (18.25)
Baseline:sleep problem summary(n=312,314,158) 39.51  (21.22) 40.08  (19.02) 37.87  (18.37)
Baseline:somnolence(n=312,314,158) 34.38  (21.95) 36.09  (21.59) 34.94  (17.94)
Baseline:snoring(n=310,314,157) 32.26  (30.31) 31.27  (31.27) 33.76  (32.09)
Baseline:quantity(n=312,313,158) 6.88  (2.13) 6.72  (1.55) 6.82  (1.51)
Baseline:sleep disturbance(n=312,313,158) 44.39  (26.68) 41.58  (24.61) 41.20  (25.42)
Baseline:awaken short of breath(n=312,314,158) 18.91  (24.38) 19.81  (24.38) 17.34  (21.78)
Baseline:adequacy(n=312,314,158) 47.56  (28.78) 44.97  (26.89) 46.84  (25.69)
Month 1:overall sleep problem(n=301,301,154) 36.51  (19.94) 34.77  (17.79) 37.09  (18.02)
Month 1:sleep problem summary(n=301,301,154) 35.87  (20.50) 34.45  (17.94) 35.95  (18.32)
Month 1:somnolence(n=301,302,154) 31.58  (21.01) 30.49  (20.05) 33.33  (19.02)
Month 1:snoring(n=300,302,153) 29.87  (29.33) 28.74  (30.29) 32.03  (29.68)
Month 1:quantity(n=301,301,154) 6.90  (1.54) 7.02  (1.55) 6.81  (1.54)
Month 1:sleep disturbance(n=301,302,154) 38.43  (26.01) 34.64  (24.20) 37.42  (24.86)
Month 1:awaken short of breath(n=301,301,154) 18.34  (23.41) 17.21  (21.91) 14.94  (20.01)
Month 1:adequacy(n=301,302,154) 52.92  (27.91) 51.52  (26.23) 49.16  (23.51)
Month 3:overall sleep problem(n=292,292,146) 35.10  (18.58) 34.06  (17.33) 38.66  (17.32)
Month 3:sleep problem summary(n=292,292,146) 34.41  (19.04) 33.80  (17.65) 37.97  (17.21)
Month 3:somnolence(n=292,292,146) 30.07  (19.89) 28.90  (18.75) 35.43  (20.29)
Month 3:snoring(n=290,292,144) 31.31  (29.56) 31.78  (30.23) 31.81  (29.77)
Month 3:quantity(n=293,292,147) 6.87  (1.54) 6.96  (1.46) 6.76  (1.55)
Month 3:sleep disturbance(n=292,292,146) 36.67  (23.98) 33.69  (23.01) 37.77  (24.18)
Month 3:awaken short of breath(n=292,292,146) 19.38  (24.67) 17.26  (21.19) 18.08  (21.57)
Month 3:adequacy(n=292,292,146) 54.66  (27.42) 51.58  (26.71) 45.82  (25.54)
Month 6:overall sleep problem(n=277,280,68) 33.92  (19.36) 33.11  (16.94) 34.87  (18.29)
Month 6:sleep problem summary(n=277,280,68) 33.26  (19.87) 33.30  (17.17) 34.85  (18.81)
Month 6:somnolence(n=277,280,68) 31.12  (20.03) 29.81  (18.23) 30.29  (19.19)
Month 6:snoring(n=271,280,68) 31.14  (28.98) 32.07  (29.21) 31.47  (29.79)
Month 6:quantity(n=278,279,68) 6.86  (1.52) 6.94  (1.42) 6.82  (1.41)
Month 6:sleep disturbance(n=277,280,68) 34.48  (24.11) 31.33  (21.96) 34.78  (24.36)
Month 6:awaken short of breath(n=277,280,68) 17.62  (19.89) 17.57  (20.87) 17.06  (24.98)
Month 6:adequacy(n=277,280,68) 54.40  (28.34) 51.64  (26.36) 50.29  (26.76)
27.Secondary Outcome
Title Number of Participants With Optimal Sleep Assessed Using Medical Outcomes Study Sleep Scale (MOS-SS) at Baseline, Month 1, 3 and 6
Hide Description MOS-SS: participant-rated 12 item questionnaire to assess constructs of sleep over past week. It included 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence, sleep quantity and optimal sleep. Participants responded whether their sleep was optimal or not by choosing yes or no. Number of participants with optimal sleep are reported.
Time Frame Baseline, Month 1, 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 312 315 158
Measure Type: Number
Unit of Measure: participants
Baseline (n=312,315,158) 139 139 70
Month 1 (n=305,303,155) 155 145 72
Month 3 (n=294,292,147) 139 152 65
Month 6 (n=278,280,145) 142 143 66
28.Secondary Outcome
Title Medical Outcome Study (MOS) Sleep Scale at Month 12
Hide Description Participant-rated 12 item questionnaire to assess constructs of sleep over past week.7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range:0-100); sleep quantity(range:0-24), optimal sleep(yes or no). 9 item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except Adequacy, Optimal, Quantity of sleep, higher scores=more impairment. Scores transformed(actual raw score(RS) minus lowest possible score divided by possible RS range*100);total score range:0-100,higher score=more intensity of attribute.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 258 249 70 66
Mean (Standard Deviation)
Unit of Measure: units on a scale
Overall sleep problem 34.17  (18.71) 32.24  (17.13) 31.74  (17.41) 33.58  (17.44)
Sleep problem summary 33.71  (19.11) 32.58  (17.42) 30.95  (17.09) 32.53  (17.89)
Somnolence 29.30  (19.09) 27.93  (17.70) 30.86  (21.18) 28.48  (15.45)
Snoring 30.32  (28.59) 32.37  (29.70) 31.43  (31.13) 31.38  (27.58)
Quantity 6.94  (1.51) 7.04  (1.30) 6.83  (1.36) 6.95  (1.42)
Sleep disturbance 34.78  (24.31) 31.75  (21.95) 29.41  (24.04) 35.63  (22.81)
Awaken short of breath 19.77  (24.38) 17.19  (21.25) 17.71  (19.42) 14.85  (17.30)
Adequacy 54.38  (26.14) 53.29  (25.26) 55.00  (25.01) 55.76  (26.37)
29.Secondary Outcome
Title Number of Participants With Optimal Sleep Assessed Using Medical Outcomes Study Sleep Scale (MOS-SS) at Month 12
Hide Description MOS-SS: participant-rated 12 item questionnaire to assess constructs of sleep over past week. It included 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence, sleep quantity and optimal sleep. Participants responded whether their sleep was optimal or not by choosing yes or no. Number of participants with optimal sleep are reported.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 258 250 70 67
Measure Type: Number
Unit of Measure: participants
134 144 37 36
30.Secondary Outcome
Title Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale at Baseline, Month 1, 3, and 6
Hide Description FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status.
Time Frame Baseline, Month 1, 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 312 314 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n=312,314,158) 29.01  (11.01) 28.65  (9.49) 29.72  (8.97)
Month 1 (n=301,302,153) 33.16  (10.75) 33.94  (8.91) 31.78  (9.58)
Month 3 (n=294,292,147) 34.38  (10.07) 34.99  (9.20) 31.41  (9.95)
Month 6 (n=277,280,68) 35.14  (9.91) 35.01  (9.45) 35.24  (9.30)
31.Secondary Outcome
Title Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale at Month 12
Hide Description FACIT-Fatigue is a 13-item questionnaire. Participant scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as 4 minus the participant's response. The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse score) to 52 (better score). A higher score reflected an improvement in the participant's health status.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 258 249 70 67
Mean (Standard Deviation)
Unit of Measure: units on a scale
35.02  (9.83) 36.34  (9.15) 36.93  (9.19) 36.07  (9.64)
32.Secondary Outcome
Title Euro Quality of Life (EQ-5D)- Health State Profile Utility Score at Baseline, Month 3 and 6
Hide Description EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 311 314 158
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n=311,314,158) 0.46  (0.31) 0.48  (0.29) 0.51  (0.27)
Month 3 (n=294,291,147) 0.63  (0.24) 0.68  (0.24) 0.56  (0.28)
Month 6 (n=277,280,68) 0.66  (0.23) 0.70  (0.21) 0.65  (0.20)
33.Secondary Outcome
Title Euro Quality of Life (EQ-5D)- Health State Profile Utility Score at Month 12
Hide Description EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 258 249 70 67
Mean (Standard Deviation)
Unit of Measure: units on a scale
0.68  (0.23) 0.70  (0.21) 0.66  (0.24) 0.69  (0.23)
34.Secondary Outcome
Title Work Limitations Questionnaire (WLQ) Score at Baseline, Month 3 and 6
Hide Description WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: time management scale (5-items); physical demands scale (6-item); mental-interpersonal demands Scale (9-items); output demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work loss index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0[no loss] to 100[complete loss of work]).
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for each parameter at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 164 163 90
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline:time management(n=152,149,80) 47.13  (27.40) 46.05  (27.83) 39.98  (24.44)
Baseline:physical demands(n=154,154,86) 48.08  (25.92) 50.83  (25.34) 51.88  (24.98)
Baseline:mental demands(n=158,154,83) 36.58  (26.35) 35.86  (25.72) 30.31  (24.19)
Baseline:output demands(n=153,149,79) 41.93  (27.66) 38.76  (28.34) 32.72  (25.35)
Baseline:work loss index(n=164,163,90) 11.25  (6.04) 10.76  (6.16) 9.22  (5.28)
Month 3:time management(n=139,131,69) 38.56  (30.11) 37.39  (30.53) 36.99  (28.24)
Month 3:physical demands(n=135, 32,66) 43.14  (26.03) 45.07  (30.63) 52.78  (24.73)
Month 3:mental demands(n=142,136,72) 30.43  (27.99) 31.60  (29.49) 28.15  (23.69)
Month 3:output demands(n=136,132,68) 32.23  (27.77) 33.43  (30.58) 27.33  (24.32)
Month 3:work loss index(n=145,138,73) 9.29  (6.32) 9.64  (7.10) 8.77  (5.47)
Month 6:time management(n=112,108,27) 34.43  (28.40) 35.73  (31.85) 33.77  (31.88)
Month 6:physical demands(n=114,110,24) 48.72  (29.30) 41.75  (30.91) 48.13  (32.45)
Month 6:mental demands(n=115,112,27) 25.94  (26.35) 27.98  (28.18) 22.34  (26.57)
Month 6:output demands(n=111,111,26) 28.92  (26.55) 28.98  (28.12) 29.52  (29.09)
Month 6:work loss index(n=116,114,28) 8.73  (6.26) 8.71  (6.64) 8.03  (6.64)
35.Secondary Outcome
Title Work Limitations Questionnaire (WLQ) Score at Month 12
Hide Description WLQ: participant-reported 25-item scale to evaluate degree to which health problems interfere with an ability to perform job roles along 4 dimensions: time management scale (5-items); physical demands scale (6-item); mental-interpersonal demands scale (9-items); output demands scale (5-items). All the scales ranged from 0 (limited none of the time) to 100 (limited all of the time). Work loss index, which represented percentage of lost work over time period relative to a normative population, was derived (total score:0[no loss] to 100[complete loss of work]).
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for given parameters for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 108 101 38 32
Mean (Standard Deviation)
Unit of Measure: units on a scale
Time management(n=105,98,35,31) 37.01  (30.03) 35.29  (31.80) 30.82  (29.59) 36.57  (30.80)
Physical demands(n=105,97,36,28) 44.15  (27.91) 42.41  (31.59) 47.15  (30.40) 40.82  (30.86)
Mental demands(n=108,100,36,32) 27.27  (26.33) 27.42  (27.56) 20.70  (26.37) 33.05  (29.78)
Output demands(n=105,95,35,29) 26.75  (25.54) 25.67  (27.25) 22.54  (25.05) 28.43  (27.66)
Work loss index(n=108,101,38,32) 8.65  (6.12) 8.28  (6.59) 7.06  (5.81) 8.89  (6.29)
36.Secondary Outcome
Title Work Productivity and Healthcare Resource Utilization (HCRU) at Baseline, Month 3 and 6
Hide Description Rheumatoid Arthritis (RA)-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost:visit to doctor, non-medical practitioner, nursing home, hospital, surgery, emergency room(ER) treatment, diagnostic tests, over-night stay, home healthcare services, aids/devices used. Indirect costs associated with functional disability:employment status, willingness to work, work disability due to RA, sick leave,part time work, ability to perform chores, chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale;higher score=higher medical cost.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.'n' signifies those participants who were evaluable for each parameter at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 307 313 154
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline:Seen any doctor(n=307,312,153) 1.13  (0.34) 1.11  (0.32) 1.16  (0.37)
Baseline:Treated in emergency room(n=307,313,154) 1.94  (0.24) 1.94  (0.23) 1.95  (0.22)
Baseline:Admitted for overnight stay(n=19,18,8) 0.16  (0.37) 0.22  (0.43) 0.50  (0.93)
Baseline:Hospitalization(n=307,313,154) 1.95  (0.22) 1.93  (0.26) 1.94  (0.24)
Baseline:Outpatient surgery(n=307,312,154) 1.97  (0.16) 1.98  (0.14) 1.94  (0.24)
Baseline:Non-study diagnostic test(n=307,312,154) 1.85  (0.35) 1.87  (0.33) 1.86  (0.35)
Baseline:In nursing home(n=307,312,154) 2.00  (0.06) 1.99  (0.08) 1.99  (0.11)
Baseline:Home healthcare services(n=307,312,154) 1.99  (0.10) 1.99  (0.11) 1.99  (0.11)
Baseline:Required aids/devices(n=307,311,154) 1.88  (0.33) 1.87  (0.34) 1.88  (0.33)
Baseline:Non-medical practitioner(n=307,312,154) 1.96  (0.20) 1.98  (0.14) 1.98  (0.14)
Baseline:Currently employed(n=307,312,154) 1.64  (0.48) 1.66  (0.47) 1.62  (0.49)
Baseline:Feel well enough to work(n=121,122,57) 1.88  (0.33) 1.89  (0.32) 1.79  (0.41)
Baseline:Unable to work due to RA(n=122,129,55) 1.34  (0.48) 1.25  (0.43) 1.42  (0.50)
Baseline:Lost job/retired early(n=121,116,54) 1.64  (0.48) 1.47  (0.50) 1.50  (0.50)
Baseline:Work disabled due to RA(n=126,120,53) 1.50  (0.50) 1.34  (0.48) 1.47  (0.50)
Baseline:Retired(n=132,133,59) 1.50  (0.50) 1.41  (0.49) 1.41  (0.50)
Baseline:Sick leave due to RA(n=286,278,145) 1.75  (0.43) 1.78  (0.41) 1.81  (0.39)
Baseline:Performed part time work(n=285,278,143) 1.89  (0.31) 1.89  (0.31) 1.92  (0.28)
Baseline:Performed paid work(n=287,277,144) 1.67  (0.47) 1.66  (0.47) 1.66  (0.48)
Baseline:Unable to do chores(n=305,307,153) 1.44  (0.50) 1.48  (0.50) 1.44  (0.50)
Baseline:Chores by housekeeper(n=306,312,154) 1.85  (0.36) 1.88  (0.32) 1.88  (0.32)
Baseline:Chores by family/friends(n=306,312,154) 1.49  (0.50) 1.49  (0.50) 1.48  (0.50)
Month 3:Seen any doctor(n=290,291,146) 1.38  (0.49) 1.41  (0.49) 1.36  (0.48)
Month 3:Treated in emergency room(n=290,291,146) 1.96  (0.20) 1.98  (0.15) 1.96  (0.20)
Month 3:Admitted for overnight stay(n=12,7,6) 0.25  (0.62) 0.14  (0.38) 0.33  (0.82)
Month 3:Hospitalization(n=288,291,146) 1.99  (0.12) 1.99  (0.12) 1.97  (0.16)
Month 3:Outpatient surgery(n=290,291,146) 1.98  (0.14) 1.98  (0.13) 1.96  (0.20)
Month 3:Non-study diagnostic test(n=288,291,146) 1.91  (0.29) 1.91  (0.29) 1.90  (0.30)
Month 3:In nursing home(n=290,291,146) 2.00  (0.06) 1.99  (0.08) 2.00  (0.00)
Month 3:Home healthcare services(n=289,291,146) 1.99  (0.08) 1.99  (0.12) 1.99  (0.12)
Month 3:Required aids/devices(n=288,291,146) 1.91  (0.28) 1.91  (0.29) 1.81  (0.40)
Month 3:Non-medical practitioner(n=290,291,146) 1.98  (0.14) 1.98  (0.14) 1.99  (0.08)
Month 3:Currently employed(n=289,291,146) 1.64  (0.48) 1.66  (0.48) 1.63  (0.48)
Month 3:Feel well enough to work(n=107,130,47) 1.81  (0.39) 1.75  (0.44) 1.79  (0.41)
Month 3:Unable to work due to RA(n=108,124,50) 1.43  (0.50) 1.49  (0.50) 1.46  (0.50)
Month 3:Lost job/retired early(n=109,125,49) 1.58  (0.50) 1.61  (0.49) 1.55  (0.50)
Month 3:Work disabled due to RA(n=108,123,47) 1.49  (0.50) 1.54  (0.50) 1.51  (0.51)
Month 3:Retired(n=132,129,57) 1.45  (0.50) 1.44  (0.50) 1.39  (0.49)
Month 3:Sick leave due to RA(n=265,266,139) 1.88  (0.32) 1.91  (0.28) 1.83  (0.38)
Month 3:Performed part time work(n=264,265,139) 1.94  (0.24) 1.96  (0.20) 1.94  (0.23)
Month 3:Performed paid work(n=265,266,139) 1.72  (0.45) 1.77  (0.42) 1.72  (0.45)
Month 3:Unable to do chores(n=284,286,147) 1.65  (0.48) 1.71  (0.46) 1.57  (0.50)
Month 3:Chores by housekeeper(n=289,290,146) 1.90  (0.31) 1.93  (0.25) 1.93  (0.25)
Month 3:Chores by family/friends(n=288,290,146) 1.65  (0.48) 1.68  (0.47) 1.59  (0.49)
Month 6:Seen any doctor(n=275,279,68) 1.40  (0.49) 1.37  (0.48) 1.43  (0.50)
Month 6:Treated in emergency room(n=275,279,68) 1.95  (0.21) 1.98  (0.15) 1.97  (0.17)
Month 6:Admitted for overnight stay (n=13,5,2) 0.62  (0.87) 0.40  (0.89) 0.00  (0.00)
Month 6:Hospitalization(n=274,279,68) 1.97  (0.17) 1.97  (0.16) 2.00  (0.00)
Month 6:Outpatient surgery(n=275,279,68) 1.98  (0.13) 1.98  (0.13) 1.93  (0.26)
Month 6:Non-study diagnostic test(n=274,279,68) 1.91  (0.29) 1.93  (0.25) 1.85  (0.36)
Month 6:In nursing home(n=275,279,68) 2.00  (0.00) 2.00  (0.00) 2.00  (0.00)
Month 6:Home healthcare services(n=273,278,68) 1.99  (0.09) 1.99  (0.08) 2.00  (0.00)
Month 6:Required aids/devices(n=274,278,68) 1.91  (0.28) 1.91  (0.29) 1.93  (0.26)
Month 6:Non-medical practitioner(n=275,279,68) 1.99  (0.10) 2.00  (0.06) 2.00  (0.00)
Month 6:Currently employed(n=274,279,68) 1.65  (0.48) 1.66  (0.47) 1.65  (0.48)
Month 6:Feel well enough to work(n=117,129,25) 1.80  (0.40) 1.71  (0.46) 1.72  (0.46)
Month 6:Unable to work due to RA(n=121,126,23) 1.45  (0.50) 1.49  (0.50) 1.43  (0.51)
Month 6:Lost job/retired early(n=118,125,23) 1.63  (0.49) 1.57  (0.50) 1.52  (0.51)
Month 6:Work disabled due to RA(n=117,125,23) 1.53  (0.50) 1.57  (0.50) 1.65  (0.49)
Month 6:Retired(n=129,136,30) 1.47  (0.50) 1.50  (0.50) 1.47  (0.51)
Month 6:Sick leave due to RA(n=250,255,59) 1.92  (0.28) 1.95  (0.23) 1.93  (0.52)
Month 6:Performed part time work(n=250,255,59) 1.97  (0.17) 1.97  (0.17) 1.98  (0.13)
Month 6:Performed paid work(n=249,255,59) 1.78  (0.41) 1.81  (0.39) 1.76  (0.43)
Month 6:Unable to do chores(n=269,276,67) 1.70  (0.46) 1.73  (0.45) 1.69  (0.47)
Month 6:Chores by housekeeper(n=275,277,68) 1.90  (0.30) 1.95  (0.22) 1.91  (0.29)
Month 6:Chores by family/friends(n=274,277,68) 1.71  (0.46) 1.75  (0.43) 1.79  (0.41)
37.Secondary Outcome
Title Work Productivity and Healthcare Resource Utilization (HCRU) at Month 12
Hide Description Rheumatoid Arthritis (RA)-HCRU assessed healthcare usage during last 3 months for direct, indirect medical cost domains. Direct cost:visit to doctor,non-medical practitioner,nursing home,hospital,surgery,emergency room(ER) treatment,diagnostic tests, over-night stay,home healthcare services, aids/devices used. Indirect costs associated with functional disability:employment status,willingness to work,work disability due to RA,sick leave,part time work,ability to perform chores,chores done by family/friends/housekeeper. Assessment was based on 0 to 2-point scale;higher score=higher medical cost.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for given parameters for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 254 246 70 66
Mean (Standard Deviation)
Unit of Measure: units on a scale
Seen any doctor(n=254,243,70,66) 1.48  (0.50) 1.44  (0.50) 1.40  (0.49) 1.50  (0.50)
Treated in ER(n=254,246,70,67) 1.95  (0.22) 1.95  (0.22) 1.91  (0.28) 1.93  (0.26)
Admitted for overnight stay (n=13,12,6,5) 0.23  (0.60) 0.25  (0.62) 0.33  (0.82) 0.00  (0.00)
Hospitalization(n=254,246,70,67) 1.97  (0.17) 1.97  (0.16) 1.99  (0.16) 1.97  (0.12)
Had outpatient surgery(n=253,246,70,67) 1.97  (0.18) 1.98  (0.14) 1.97  (0.17) 1.97  (0.17)
Diagnostic test(n=253,246,70,67) 1.87  (0.33) 1.90  (0.30) 1.91  (0.28) 1.84  (0.37)
In nursing home(n=254,245,70,67) 1.98  (0.12) 2.00  (0.00) 2.00  (0.00) 2.00  (0.00)
Home healthcare services(n=252,246,70,67) 2.00  (0.06) 2.00  (0.06) 1.99  (0.12) 2.00  (0.00)
Required aids/devices(n=254,246,70,67) 1.92  (0.28) 1.93  (0.25) 1.94  (0.23) 1.93  (0.26)
Non-medical practitioner(n=254,246,70,67) 1.99  (0.09) 1.99  (0.11) 1.96  (0.20) 2.00  (0.00)
Currently employed(n=254,246,70,67) 1.66  (0.47) 1.65  (0.48) 1.50  (0.50) 1.63  (0.49)
Feel well enough to work(n=102,107,18,19) 1.74  (0.44) 1.64  (0.48) 1.72  (0.46) 1.74  (0.45)
Unable to work due to RA(n=100,107,19,19) 1.50  (0.50) 1.54  (0.50) 1.37  (0.50) 1.63  (0.50)
Lost job/retired early(n=99,103,18,19) 1.62  (0.49) 1.55  (0.50) 1.56  (0.51) 1.58  (0.51)
Work disabled due to RA(n=103,106,18,19) 1.57  (0.50) 1.56  (0.50) 1.39  (0.50) 1.58  (0.51)
Retired(n=114,117,22,22) 1.42  (0.50) 1.44  (0.50) 1.36  (0.49) 1.32  (0.48)
Sick leave due to RA(n=223,215,65,59) 1.93  (0.25) 1.94  (0.24) 1.98  (0.12) 1.93  (0.25)
Performed part time work(n=224,217,64,57) 1.96  (0.19) 1.97  (0.18) 1.98  (0.13) 1.96  (0.19)
Performed paid work(n=224,222,64,57) 1.78  (0.41) 1.76  (0.43) 1.72  (0.45) 1.75  (0.43)
Unable to do chores(n=250,246,69,66) 1.73  (0.44) 1.77  (0.42) 1.74  (0.44) 1.89  (0.31)
Chores by housekeeper(n=254,246,70,67) 1.91  (0.29) 1.96  (0.19) 2.00  (0.00) 1.93  (0.26)
Chores by family/friends(n=253,246,70,66) 1.75  (0.43) 1.80  (0.40) 1.79  (0.41) 1.82  (0.39)
38.Secondary Outcome
Title Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Baseline, Month 3 and 6
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.'n' signifies those participants who were evaluable for each parameter at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 266 280 130
Mean (Standard Deviation)
Unit of Measure: events
Baseline:Doctor visit(n=266,280,130) 4.27  (3.99) 4.17  (3.58) 4.13  (3.80)
Baseline:RA related doctor visit(n=266,280,130) 1.33  (0.85) 1.32  (0.71) 1.25  (0.61)
Baseline:Hospital ER visit(n=19,18,8) 1.26  (0.81) 1.28  (0.67) 1.38  (0.74)
Baseline:RA related ER visit(n=19,18,8) 0.58  (0.77) 0.50  (0.51) 0.88  (0.83)
Baseline:Hospitalization(n=16,23,9) 1.50  (2.00) 1.26  (0.45) 1.22  (0.67)
Baseline:RA related hospitalization(n=16,23,9) 0.94  (0.68) 1.09  (0.90) 0.78  (0.67)
Baseline:Outpatient surgery(n=8,6,9) 1.13  (0.35) 1.17  (0.41) 1.33  (0.50)
Baseline:RA related outpatient surgery(n=8,5,9) 0.88  (0.64) 0.20  (0.45) 0.56  (0.88)
Baseline:Non-study diagnostic test(n=45,39,22) 1.64  (1.03) 2.13  (2.34) 1.64  (0.95)
Baseline:RA related diagnostic test(n=45,40,22) 0.80  (0.87) 0.90  (0.98) 0.73  (0.88)
Baseline:Non-medical practitioner visit(n=13,6,3) 8.08  (7.90) 2.83  (1.83) 8.00  (2.00)
Baseline:RA related non-medical visit(n=13,6,3) 1.23  (0.73) 1.00  (0.89) 1.33  (0.58)
Month 3:Doctor visit(n=183,174,94) 4.50  (4.18) 4.05  (3.77) 4.66  (4.94)
Month 3:RA related doctor visit(n=183,174,94) 1.06  (0.75) 0.97  (0.72) 1.03  (0.71)
Month 3:Hospital ER visit(n=11,7,6) 1.36  (0.92) 1.00  (0.00) 1.17  (0.41)
Month 3:RA related ER visit(n=12,7,6) 0.17  (0.39) 0.29  (0.76) 0.00  (0.00)
Month 3:Hospitalization(n=4,4,4) 1.00  (0.00) 1.00  (0.00) 0.75  (0.50)
Month 3:RA related hospitalization(n=4,4,4) 0.25  (0.50) 0.50  (0.58) 0.25  (0.50)
Month 3:Outpatient surgery(n=6,5,6) 2.17  (1.94) 1.00  (0.00) 1.00  (0.00)
Month 3:RA related outpatient surgery(n=6,5,6) 0.00  (0.00) 0.00  (0.00) 0.17  (0.41)
Month 3:Non-study diagnostic test(n=24,26,15) 1.63  (1.21) 1.35  (0.63) 1.33  (0.82)
Month 3:RA related diagnostic test(n=26,27,15) 0.23  (0.65) 0.22  (0.51) 0.47  (0.52)
Month 3:Non-medical practitioner visit(n=6,6,1) 4.00  (2.28) 3.00  (3.52) 40.00 [1]   (NA)
Month 3:RA related non-medical visit(n=6,6,1) 0.67  (1.03) 0.67  (0.52) 4.00 [1]   (NA)
Month 6:Doctor visit(n=168,178,39) 3.54  (3.87) 3.07  (2.73) 3.08  (3.96)
Month 6:RA related doctor visit(n=168,177,39) 0.91  (0.65) 0.97  (0.71) 0.74  (0.59)
Month 6:Hospital ER visit(n=13,4,2) 1.31  (0.63) 1.00  (0.00) 2.50  (2.12)
Month 6:RA related ER visit(n=13,6,2) 0.08  (0.28) 0.00  (0.00) 0.00  (0.00)
Month 6:Hospitalization(n=8,5,2) 1.13  (0.35) 1.00  (0.00) 1.00  (0.00)
Month 6:RA related hospitalization(n=8,7,2) 0.38  (0.74) 0.29  (0.76) 1.00  (0.00)
Month 6:Outpatient surgery(n=5,5,5) 1.00  (0.00) 1.40  (0.55) 1.00  (0.00)
Month 6:RA related outpatient surgery(n=5,5,5) 0.00  (0.00) 0.00  (0.00) 0.20  (0.45)
Month 6:Non-study diagnostic test(n=23,20,9) 2.04  (1.49) 1.60  (1.10) 1.11  (0.33)
Month 6:RA related diagnostic test(n=25,20,10) 0.28  (0.54) 0.35  (0.67) 0.20  (0.42)
Month 6:Non-medical practitioner visit(n=3,1,1) 12.67  (11.02) 12.00 [1]   (NA) NA [2]   (NA)
Month 6:RA related non-medical visit(n=3,1,1) 0.33  (0.58) 4.00 [1]   (NA) NA [2]   (NA)
[1]
Standard deviation was not estimable as only 1 participant was evaluable.
[2]
Data was not analyzed as no participant was evaluable for this parameter
39.Secondary Outcome
Title Number of Events Including Visits, Surgeries, Tests or Devices as Assessed Using RA-HCRU at Month 12
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA/non-RA related number of events including visits to doctor, non-medical practitioner, hospital ER treatment, hospitalizations, number of surgeries, diagnostic tests, and devices/aids used were reported.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure for given parameters for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 136 139 42 34
Mean (Standard Deviation)
Unit of Measure: events
Doctor visit(n=136,139,42,34) 3.17  (3.59) 2.58  (2.62) 3.19  (4.58) 2.62  (1.65)
RA related doctor visit (n=136,139,42,34) 0.89  (0.66) 0.74  (0.64) 1.05  (0.82) 0.79  (0.69)
Hospital ER visit(n=13,12,6,5) 1.15  (0.38) 1.17  (0.58) 1.67  (1.63) 1.00  (0.00)
RA related ER visit(n=13,12,6,5) 0.15  (0.55) 0.33  (0.65) 0.33  (0.82) 0.00  (0.00)
Hospitalization(n=7,8,1,2) 1.00  (0.00) 1.00  (0.00) 1.00 [1]   (NA) 1.50  (0.71)
RA related hospitalization(n=8,8,1,2) 0.50  (0.93) 0.63  (0.92) 0.00 [1]   (NA) 0.00  (0.00)
Outpatient surgery(n=4,5,2,2) 1.25  (0.50) 1.60  (1.34) 1.00  (0.00) 1.00  (0.00)
RA related outpatient surgery(n=8,5,2,2) 0.13  (0.35) 0.00  (0.00) 0.00  (0.00) 0.00  (0.00)
Non-study diagnostic test(n=30,25,6,9) 1.67  (0.88) 1.68  (1.44) 1.33  (0.52) 2.00  (0.87)
RA related diagnostic test(n=32,25,6,11) 0.34  (0.70) 0.12  (0.33) 0.00  (0.00) 0.09  (0.30)
Non-medical practitioner visit(n=2,2,3,0) 3.00  (1.41) 6.00  (2.83) 3.00  (2.65) NA [2]   (NA)
RA related non-medical visit(n=2,3,3,0) 0.00  (0.00) 0.67  (0.58) 0.67  (0.58) NA [2]   (NA)
[1]
Standard deviation was not estimable as only 1 participant was evaluable.
[2]
Data was not analyzed as no participant was evaluable for this parameter.
40.Secondary Outcome
Title Number of Days as Assessed Using RA-HCRU at Baseline, Month 3 and 6
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains.Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.'n' signifies those participants who were evaluable for each parameter at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 154 158 78
Mean (Standard Deviation)
Unit of Measure: days
Baseline:Hospital length of stay(n=16,23,8) 12.69  (6.05) 15.26  (13.03) 14.50  (15.97)
Baseline:Days in nursing home(n=1,2,1) 28.00 [1]   (NA) 14.50  (0.71) 21.00 [1]   (NA)
Baseline:Days aids/devices used(n=37,40,19) 84.92  (71.64) 100.78  (109.26) 65.37  (74.55)
Baseline:RA related aids used(n=37,42,19) 1.65  (1.18) 1.90  (1.36) 1.42  (0.84)
Baseline:Days of work per week(n=110,106,59) 5.02  (1.05) 5.01  (0.88) 4.86  (1.02)
Baseline:Days on sick leave due to RA(n=71,61,27) 27.06  (33.38) 30.26  (35.56) 31.41  (32.27)
Baseline:Days of part time work(n=30,29,12) 22.77  (28.95) 20.86  (29.44) 34.83  (34.89)
Baseline:Paid work, bothered by RA(n=94,93,48) 40.11  (30.69) 39.26  (29.85) 43.15  (32.11)
Baseline:Chores by housekeeper(n=46,37,18) 27.17  (35.34) 19.73  (28.01) 37.28  (38.31)
Baseline:Chores by family(n=154,158,79) 41.26  (38.38) 34.92  (33.94) 37.81  (35.78)
Month 3:Hospital length of stay(n=4,4,4) 7.00  (4.24) 8.25  (2.99) 3.75  (0.50)
Month 3:Days in nursing home(n=1,2,0) 10.00 [1]   (NA) 14.00  (9.90) NA [2]   (NA)
Month 3:Days aids/devices used(n=24,28,28) 104.96  (87.40) 104.36  (128.12) 120.75  (152.78)
Month 3:RA related aids used(n=25,28,28) 1.68  (0.95) 1.68  (1.39) 1.79  (1.69)
Month 3:Days of work per week(n=104,99,52) 5.16  (1.01) 5.12  (1.08) 4.94  (1.00)
Month 3:Days on sick leave due to RA(n=31,22,24) 28.23  (34.67) 28.45  (39.07) 24.58  (33.18)
Month 3:Days of part time work(n=16,11,8) 20.06  (28.06) 36.91  (37.77) 36.13  (31.16)
Month 3:Paid work, bothered by RA(n=75,62,38) 31.25  (33.22) 33.15  (30.42) 42.32  (31.88)
Month 3:Chores by housekeeper(n=30,19,10) 26.87  (34.10) 16.58  (26.03) 21.40  (26.42)
Month 3:Chores by family(n=97,92,60) 34.23  (34.27) 30.51  (33.93) 41.92  (36.89)
Month 6:Hospital length of stay(n=8,7,2) 9.63  (7.76) 6.43  (5.03) 13.50  (0.71)
Month 6:Days in nursing home(n=0,0,0) NA [2]   (NA) NA [2]   (NA) NA [2]   (NA)
Month 6:Days aids/devices used(n=23,26,5) 135.04  (104.11) 116.27  (130.92) 129.20  (42.11)
Month 6:RA related aids used(n=24,26,5) 1.79  (1.18) 1.85  (1.43) 1.80  (1.48)
Month 6:Days of work per week(n=92,95,24) 5.15  (1.04) 5.04  (0.94) 4.88  (0.99)
Month 6:Days on sick leave due to RA(n=21,14,4) 27.71  (36.77) 24.43  (31.00) 10.75  (13.45)
Month 6:Days of part time work(n=7,8,2) 35.43  (27.85) 28.00  (36.01) 7.50  (3.54)
Month 6:Paid work, bothered by RA(n=54,46,13) 30.80  (31.45) 31.74  (30.04) 33.31  (30.18)
Month 6:Chores by housekeeper(n=26,13,6) 22.42  (28.69) 20.92  (31.17) 43.50  (41.56)
Month 6:Chores by family(n=78,68,14) 29.53  (31.60) 24.90  (31.36) 33.93  (37.88)
[1]
Standard deviation was not estimable as only 1 participant was evaluable.
[2]
Data was not analyzed as no participant was evaluable for this parameter.
41.Secondary Outcome
Title Number of Days as Assessed Using RA-HCRU at Month 12
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains.Any RA or non-RA related number of days spent in hospital, nursing home, aids/devices used, on sick leave, work per week, performed part time work, performed paid work, chores done by housekeeper and chores done by family/friends.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for given parameters for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 86 84 34 23
Mean (Standard Deviation)
Unit of Measure: days
Hospital length of stay(n=8,8,1,2) 8.88  (6.73) 12.38  (11.98) 2.00 [1]   (NA) 1.50  (0.71)
Days in nursing home(n=4,0,0,0) 19.50  (8.35) NA [2]   (NA) NA [2]   (NA) NA [2]   (NA)
Days aids/devices used(n=19,15,4,5) 111.79  (84.57) 161.40  (382.20) 225.00  (155.88) 62.00  (75.38)
RA related aids used(n=21,16,4,5) 1.19  (1.21) 2.50  (4.76) 2.50  (1.73) 1.80  (1.30)
Days of work per week(n=86,84,34,23) 5.20  (1.03) 5.35  (0.74) 5.00  (1.10) 5.22  (0.80)
Days on sick leave due to RA(n=15,12,1,4) 36.40  (42.27) 13.58  (25.37) 20.00 [1]   (NA) 31.00  (41.49)
Days of part time work(n=8,7,1,2) 14.88  (30.48) 6.71  (3.15) 24.00 [1]   (NA) 52.50  (53.03)
Paid work, bothered by RA(n=49,53,18,14) 39.08  (35.44) 40.02  (33.50) 40.39  (34.19) 47.57  (39.16)
Chores by housekeeper(n=23,9,0,5) 32.17  (36.69) 17.22  (28.01) NA [2]   (NA) 6.60  (3.29)
Chores by family(n=63,48,14,12) 26.67  (32.49) 24.98  (29.88) 26.43  (32.22) 26.00  (31.05)
[1]
Standard deviation was not estimable as only 1 participant was evaluable.
[2]
Data was not analyzed as no participant was evaluable for this parameter.
42.Secondary Outcome
Title Number of Hours Per Day as Assessed RA-HCRU at Baseline, Month 3 and 6
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.'n' signifies those participants who were evaluable for each parameter at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 154 159 79
Mean (Standard Deviation)
Unit of Measure: hours per day
Baseline:Home healthcare services (n=3,4,2) 4.67  (6.35) 2.75  (2.36) 1.50  (0.71)
Baseline:RA related home HC services(n=3,4,2) 0.67  (0.58) 1.00  (0.82) 0.50  (0.71)
Baseline:Work done(n=110,106,59) 7.84  (2.85) 7.45  (2.27) 7.24  (1.89)
Baseline:Missed work due to RA(n=30,29,12) 4.30  (4.18) 6.24  (16.81) 7.33  (8.07)
Baseline:Chores by housekeeper(n=46,37,18) 4.61  (3.96) 4.62  (2.78) 5.17  (5.15)
Baseline:Chores by family(n=154,159,79) 4.27  (4.81) 3.86  (7.09) 4.30  (5.59)
Month 3:Home healthcare services(n=2,4,2) 1.50  (0.71) 3.25  (2.06) 1.50  (0.71)
Month 3:RA related home HC services(n=2,4,2) 0.00  (0.00) 0.25  (2.50) 1.00  (1.41)
Month 3:Work done(n=104,98,53) 8.99  (7.48) 7.64  (2.20) 8.06  (4.94)
Month 3:Missed work due to RA(n=16,11,8) 3.94  (1.88) 4.18  (2.14) 3.88  (1.13)
Month 3:Chores by housekeeper(n=30,19,10) 4.17  (2.68) 3.74  (3.74) 3.30  (2.00)
Month 3:Chores by family(n=98,89,59) 3.32  (3.30) 2.98  (3.35) 4.97  (5.77)
Month 6:Home healthcare services(n=2,2,0) 17.00  (9.90) 2.00  (1.41) NA [1]   (NA)
Month 6:RA related home HC services(n=2,2,0) 1.00  (1.41) 2.00  (1.41) NA [1]   (NA)
Month 6:Work done(n=92,95,24) 8.12  (1.89) 7.53  (1.72) 8.50  (5.34)
Month 6:Missed work due to RA(n=7,8,1) 4.43  (1.62) 3.38  (1.69) 2.00 [2]   (NA)
Month 6:Chores by housekeeper(n=25,13,6) 4.64  (3.01) 5.69  (6.45) 5.17  (3.13)
Month 6:Chores by family(n=77,66,14) 3.73  (3.58) 2.91  (3.30) 4.36  (2.68)
[1]
Data was not analyzed as no participant was evaluable for this parameter.
[2]
Standard deviation was not estimable as only 1 participant was evaluable.
43.Secondary Outcome
Title Number of Hours Per Day as Assessed RA-HCRU at Month 12
Hide Description RA-HCRU assessed healthcare usage during previous 3 months for direct or indirect medical cost domains. Any RA or non-RA related number of hours spent per day for home healthcare services, chores done by housekeeper, chores done by family or friends, work done and work missed were reported.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.'n' signifies those participants who were evaluable for given parameters for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 85 85 34 24
Mean (Standard Deviation)
Unit of Measure: hours per day
Home healthcare services(n=1,1,1,0) 1.00 [1]   (NA) 2.00 [1]   (NA) 1.00 [1]   (NA) NA [2]   (NA)
RA related healthcare services(n=1,1,1,0) 0.00 [1]   (NA) 2.00 [1]   (NA) 1.00 [1]   (NA) NA [2]   (NA)
Work done(n=85,85,34,24) 8.60  (4.00) 7.67  (1.77) 8.79  (5.85) 7.38  (1.86)
Missed work due to RA(n=8,7,1,2) 5.00  (6.21) 3.29  (1.80) 0.00 [1]   (NA) 4.00  (1.41)
Chores by housekeeper(n=22,9,0,5) 4.86  (2.71) 3.89  (1.96) NA [2]   (NA) 4.40  (2.30)
Chores by family(n=62,47,14,12) 3.24  (3.26) 2.70  (2.22) 2.50  (1.40) 5.92  (8.08)
[1]
Standard deviation was not estimable as only 1 participant was evaluable.
[2]
Data was not analyzed as no participant was evaluable for this parameter.
44.Secondary Outcome
Title Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU at Baseline, Month 3 and 6
Hide Description Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.
Time Frame Baseline, Month 3, 6
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' signifies those participants who were evaluable for this measure at given time points for each group respectively.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20% reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 239 238 124
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline (n=239, 238, 119) 5.03  (5.89) 4.72  (3.22) 4.55  (3.14)
Month 3 (n= 223, 229, 124) 3.74  (3.04) 3.18  (3.21) 3.97  (3.15)
Month 6 (n= 210, 224, 46) 3.40  (3.06) 2.66  (2.83) 3.24  (2.86)
45.Secondary Outcome
Title Work Performance in Past 3 Months on Days Bothered as Assessed Using RA-HCRU at Month 12
Hide Description Work performance of participants on number of days bothered was based on a 0 to 10-point scale, where higher score indicated lower work performance.
Time Frame Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo Then CP-690,550 5 mg Placebo Then CP-690,550 10 mg
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 174 180 50 50
Mean (Standard Deviation)
Unit of Measure: units on a scale
2.79  (2.67) 2.52  (2.74) 2.84  (2.13) 3.08  (2.60)
46.Other Pre-specified Outcome
Title Time to First Greater Than 1 Day Sequential Decrease in Pain From Baseline for Patient Global Assessment of Arthritis
Hide Description Patient global assessment of arthritis: participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 - 100 mm VAS where 0 = very well and 100 = very poorly.
Time Frame 2 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 51 54 33
Measure Type: Number
Unit of Measure: days
3 3 3
47.Other Pre-specified Outcome
Title Time to First Greater Than 1 Day Sequential Decrease in Pain From Baseline for Patient Assessment of Arthritis Pain
Hide Description Participants rated the severity of arthritis pain on a 0 to 100 mm VAS, where 0 mm = no pain and 100 mm = most severe pain.
Time Frame 2 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
FAS population included participants who received at least 1 dose of study medication. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title CP-690,550 5 mg CP-690,550 10 mg Placebo
Hide Arm/Group Description:
CP-690,550 5 milligram (mg) tablet orally twice daily up to Month 12.
CP-690,550 10 mg tablet orally twice daily up to Month 12.
Placebo matched to CP-690,550 tablet orally twice daily for 3 to 6 months. Response was assessed at Month 3 and participants who failed to achieve at least 20 percent (%) reduction in both swollen and tender joint counts from baseline, received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12. At Month 6, remaining participants received CP-690,550 5 mg or 10 mg tablet orally twice daily up to Month 12.
Overall Number of Participants Analyzed 51 54 33
Measure Type: Number
Unit of Measure: days
3 3 3
Time Frame [Not Specified]
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
 
Arm/Group Title CP-690,550 5 mg (Up To Month 3) CP-690,550 10 mg (Up To Month 3) Placebo (Up To Month 3) CP-690,550 5 mg (Month 3 to 6) CP-690,550 10 mg (Month 3 to 6) Placebo (Month 3 to 6) Placebo, Then CP-690,550 5 mg (Month 3 to 6) Placebo, Then CP-690,550 10 mg (Month 3 to 6) CP-690,550 5 mg (Post Month 6) CP-690,550 10 mg (Post Month 6) Placebo, Then CP-690,550 5 mg (Post Month 6) Placebo, Then CP-690,550 10 mg (Post Month 6)
Hide Arm/Group Description CP-690,550 5 mg Film-coated tablet administered orally twice daily up to Month 3. CP-690,550 10 mg Film-coated tablet administered orally twice daily up to Month 3. Matching placebo Film-coated tablet orally twice daily up to Month 3. CP-690,550 5 mg twice daily from Month 3 to 6. CP-690,550 10 mg tablet twice daily from Month 3 to 6. Matching placebo twice daily from Month 3 to 6. Participants who received matching placebo twice daily up to Month 3, received CP-690,550 5 mg tablet twice daily from Month 3 to 6. Participants who received matching placebo twice daily up to Month 3, received CP-690,550 10 mg tablet twice daily from Month 3 to 6. CP-690,550 5 mg tablet orally twice daily from Month 6 to Month 12. CP-690,550 10 mg tablet orally twice daily from Month 6 to 12. Participants who received matching placebo twice daily up to Month 3 and matching placebo or CP-690,550 5 mg tablet orally twice daily from Month 3 to 6, received CP-690,550 5 mg tablet twice daily from Month 6 to 12. Participants who received matching placebo twice daily up to Month 3 and matching placebo or CP-690,550 10 mg tablet orally twice daily from Month 3 to 6, received CP-690,550 10 mg tablet twice daily from Month 6 to 12.
All-Cause Mortality
CP-690,550 5 mg (Up To Month 3) CP-690,550 10 mg (Up To Month 3) Placebo (Up To Month 3) CP-690,550 5 mg (Month 3 to 6) CP-690,550 10 mg (Month 3 to 6) Placebo (Month 3 to 6) Placebo, Then CP-690,550 5 mg (Month 3 to 6) Placebo, Then CP-690,550 10 mg (Month 3 to 6) CP-690,550 5 mg (Post Month 6) CP-690,550 10 mg (Post Month 6) Placebo, Then CP-690,550 5 mg (Post Month 6) Placebo, Then CP-690,550 10 mg (Post Month 6)
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/--   --/--   --/--   --/--   --/--   --/--   --/--   --/--   --/--   --/-- 
Hide Serious Adverse Events
CP-690,550 5 mg (Up To Month 3) CP-690,550 10 mg (Up To Month 3) Placebo (Up To Month 3) CP-690,550 5 mg (Month 3 to 6) CP-690,550 10 mg (Month 3 to 6) Placebo (Month 3 to 6) Placebo, Then CP-690,550 5 mg (Month 3 to 6) Placebo, Then CP-690,550 10 mg (Month 3 to 6) CP-690,550 5 mg (Post Month 6) CP-690,550 10 mg (Post Month 6) Placebo, Then CP-690,550 5 mg (Post Month 6) Placebo, Then CP-690,550 10 mg (Post Month 6)
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   9/315 (2.86%)   8/318 (2.52%)   6/159 (3.77%)   5/315 (1.59%)   7/318 (2.20%)   0/81 (0.00%)   0/38 (0.00%)   0/40 (0.00%)   7/315 (2.22%)   9/318 (2.83%)   2/79 (2.53%)   0/80 (0.00%) 
Blood and lymphatic system disorders                         
Thrombocytopenia * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Cardiac disorders                         
Angina pectoris * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Bradycardia * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Cardiac failure acute * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Atrial fibrillation * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Gastrointestinal disorders                         
Constipation * 1  0/315 (0.00%)  1/318 (0.31%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Pancreatitis * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Colitis * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Duodenal ulcer haemorrhage * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Peritonitis * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Salivary gland calculus * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
General disorders                         
Chest pain * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  1/318 (0.31%)  1/79 (1.27%)  0/80 (0.00%) 
Hepatobiliary disorders                         
Biliary dyskinesia * 1  0/315 (0.00%)  0/318 (0.00%)  1/159 (0.63%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Cholecystitis * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Biliary colic * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Bile duct stone * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Cholelithiasis * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Infections and infestations                         
Bronchitis * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Diabetic foot infection * 1  0/315 (0.00%)  1/318 (0.31%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Herpes zoster disseminated * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Pneumonia * 1  0/315 (0.00%)  2/318 (0.63%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Bronchiectasis * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Pulmonary tuberculosis * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Pneumonia cryptococcal * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Injury, poisoning and procedural complications                         
Tendon rupture * 1  0/315 (0.00%)  2/318 (0.63%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Foot fracture * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Joint dislocation * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Femur fracture * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Muscle injury * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Tendon injury * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  1/79 (1.27%)  0/80 (0.00%) 
Metabolism and nutrition disorders                         
Hypoglycaemia * 1  0/315 (0.00%)  1/318 (0.31%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Type 2 diabetes mellitus * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Musculoskeletal and connective tissue disorders                         
Osteoarthritis * 1  0/315 (0.00%)  0/318 (0.00%)  1/159 (0.63%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Rheumatoid arthritis * 1  1/315 (0.32%)  0/318 (0.00%)  2/159 (1.26%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Arthralgia * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Fistula * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Foot deformity * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Fracture nonunion * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                         
Metastasis * 1  0/315 (0.00%)  1/318 (0.31%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Thyroid adenoma * 1  0/315 (0.00%)  1/318 (0.31%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Breast cancer * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Nervous system disorders                         
Cerebrovascular accident * 1  1/315 (0.32%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Epilepsy * 1  0/315 (0.00%)  0/318 (0.00%)  1/159 (0.63%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Amnesia * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Syncope * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Transient ischaemic attack * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Reproductive system and breast disorders                         
Menorrhagia * 1  0/315 (0.00%)  0/318 (0.00%)  1/159 (0.63%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Respiratory, thoracic and mediastinal disorders                         
Pulmonary embolism * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Asthma * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  1/315 (0.32%)  0/318 (0.00%)  0/79 (0.00%)  0/80 (0.00%) 
Pulmonary hypertension * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Respiratory failure * 1  0/315 (0.00%)  0/318 (0.00%)  0/159 (0.00%)  0/315 (0.00%)  0/318 (0.00%)  0/81 (0.00%)  0/38 (0.00%)  0/40 (0.00%)  0/315 (0.00%)  1/318 (0.31%)  0/79 (0.00%)  0/80 (0.00%) 
Skin and subcutaneous tissue disorders