A Study in Moderate to Severe Rheumatoid Arthritis Participants (RA-BUILD)
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ClinicalTrials.gov Identifier: NCT01721057 |
Recruitment Status :
Completed
First Posted : November 2, 2012
Results First Posted : June 12, 2017
Last Update Posted : September 18, 2019
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Rheumatoid Arthritis |
Interventions |
Drug: Placebo Drug: Baricitinib Drug: cDMARD |
Enrollment | 684 |
Recruitment Details | |
Pre-assignment Details |
Participants who did not respond (nonresponders) to study drug were eligible for rescue treatment beginning at Week 16. Nonresponders were defined as lack of improvement of at least 20% in both tender joint count and swollen joint count at both Weeks 14 and 16 compared to baseline. |
Arm/Group Title | Placebo | Baricitinib 2 mg | Baricitinib 4 mg | Rescue | Placebo-Follow Up | Baricitinib 2 mg- Follow Up | Baricitinib 4 mg- Follow Up |
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Placebo administered orally (PO) once daily (QD)through Week 24. Participants continued to take background conventional disease-modifying antirheumatic drug (cDMARD) therapy throughout study. |
Baricitinib 2 mg PO QD through Week 24. Participants continued to take background cDMARD therapy throughout study. |
Baricitinib 4 mg PO QD through Week 24. Participants continued to take background cDMARD therapy throughout study. |
Baricitinib 4 mg administered PO QD through Week 24. Participants continued to take background cDMARD therapy throughout study. | No study drug received. Participants return for safety follow-up visit 28 days after the last dose of study drug. | No study drug received. Participants return for safety follow-up visit 28 days after the last dose of study drug. |
No study drug received. Participants return for safety follow-up visit 28 days after the last dose of study drug. Includes participants who were rescued to Baricitinib 4 mg. |
Period Title: Treatment Period | |||||||
Started | 228 | 229 | 227 | 0 | 0 | 0 | 0 |
Received at Least 1 Dose of Study Drug | 228 | 229 | 227 | 0 | 0 | 0 | 0 |
Rescued | 55 | 21 | 15 | 0 | 0 | 0 | 0 |
Completed | 200 [1] | 210 [1] | 204 [1] | 0 | 0 | 0 | 0 |
Not Completed | 28 | 19 | 23 | 0 | 0 | 0 | 0 |
Reason Not Completed | |||||||
Withdrawal by Subject | 11 | 5 | 8 | 0 | 0 | 0 | 0 |
Adverse Event | 7 | 10 | 12 | 0 | 0 | 0 | 0 |
Lack of Efficacy | 7 | 3 | 0 | 0 | 0 | 0 | 0 |
Lost to Follow-up | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Physician Decision | 0 | 1 | 3 | 0 | 0 | 0 | 0 |
Death | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
[1]
"Completers" include rescued participants.
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Period Title: Rescue Period | |||||||
Started | 0 [1] | 0 [1] | 0 [1] | 91 [2] | 0 | 0 | 0 |
Completed | 0 | 0 | 0 | 88 | 0 | 0 | 0 |
Not Completed | 0 | 0 | 0 | 3 | 0 | 0 | 0 |
Reason Not Completed | |||||||
Adverse Event | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
Lack of Efficacy | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
[1]
Participants who were nonresponders based on tender/swollen joint count entered into rescue group.
[2]
Participants who were determined to be nonresponders based on tender/swollen joint count.
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Period Title: Follow Up | |||||||
Started | 0 | 0 | 0 | 0 [1] | 17 [2] | 19 [2] | 22 [3] |
Completed | 0 | 0 | 0 | 0 | 17 | 19 | 22 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[1]
Rescued participants who entered post-treatment follow-up are included in Baricitinib 4 mg FollowUp
[2]
Participants from treatment who entered the post-treatment follow-up period.
[3]
Participants from treatment and rescue who entered the post-treatment follow-up period.
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Arm/Group Title | Placebo | Baricitinib 2 mg | Baricitinib 4 mg | Total | |
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Placebo administered orally (PO) once daily (QD) through Week 24. Participants continued to take background cDMARD therapy throughout study. |
Baricitinib 2 mg PO QD through week 24. Participants continued to take background cDMARD therapy throughout study. |
Baricitinib 4 mg PO QD through week 24. Participants continued to take background cDMARD therapy throughout study. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 228 | 229 | 227 | 684 | |
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Modified Intent-to-Treat (mITT) population includes all randomized participants who received at least 1 dose of the study drug.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
51.4 (12.5) | 52.2 (12.3) | 51.8 (12.1) | 51.8 (12.3) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
Female |
189 82.9%
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184 80.3%
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187 82.4%
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560 81.9%
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Male |
39 17.1%
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45 19.7%
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40 17.6%
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124 18.1%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
Hispanic or Latino |
12 5.3%
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15 6.6%
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17 7.5%
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44 6.4%
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Not Hispanic or Latino |
45 19.7%
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43 18.8%
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43 18.9%
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131 19.2%
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Unknown or Not Reported |
171 75.0%
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171 74.7%
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167 73.6%
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509 74.4%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
American Indian or Alaska Native |
3 1.3%
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2 0.9%
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9 4.0%
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14 2.0%
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Asian |
60 26.3%
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61 26.6%
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59 26.0%
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180 26.3%
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Native Hawaiian or Other Pacific Islander |
1 0.4%
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0 0.0%
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0 0.0%
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1 0.1%
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Black or African American |
10 4.4%
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9 3.9%
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9 4.0%
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28 4.1%
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White |
153 67.1%
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156 68.1%
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148 65.2%
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457 66.8%
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More than one race |
1 0.4%
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1 0.4%
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1 0.4%
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3 0.4%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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1 0.4%
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1 0.1%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
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Argentina | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
25 | 21 | 18 | 64 | ||
Australia | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
8 | 1 | 6 | 15 | ||
Belgium | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
1 | 4 | 6 | 11 | ||
Canada | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
10 | 10 | 8 | 28 | ||
Croatia | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
0 | 2 | 2 | 4 | ||
Czech Republic | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
7 | 5 | 3 | 15 | ||
Germany | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
4 | 2 | 3 | 9 | ||
Hungary | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
7 | 8 | 5 | 20 | ||
India | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
19 | 19 | 20 | 58 | ||
Italy | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
3 | 3 | 4 | 10 | ||
Japan | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
8 | 6 | 7 | 21 | ||
Korea, Republic of | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
6 | 7 | 4 | 17 | ||
Mexico | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
3 | 8 | 11 | 22 | ||
Poland | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
18 | 13 | 20 | 51 | ||
Portugal | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
2 | 2 | 1 | 5 | ||
Romania | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
1 | 3 | 2 | 6 | ||
Russian Federation | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
4 | 10 | 6 | 20 | ||
Slovakia | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
3 | 5 | 3 | 11 | ||
Spain | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
14 | 10 | 10 | 34 | ||
Taiwan | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
26 | 28 | 28 | 82 | ||
United Kingdom | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
1 | 4 | 0 | 5 | ||
United States | Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants |
58 | 58 | 60 | 176 | ||
Duration of Rheumatoid Arthritis
[1] Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 228 participants | 225 participants | 225 participants | 678 participants | |
7.2 (7.5) | 7.6 (7.6) | 7.7 (7.9) | 7.5 (7.6) | ||
[1]
Measure Analysis Population Description: Modified Intent-to-Treat (mITT) population includes all randomized participants who received at least 1 dose of the study drug and had evaluable baseline data.
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Tender Joint Count of 68 Evaluable Joints
Mean (Standard Deviation) Unit of measure: Number of Joints |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
24.3 (15.0) | 23.5 (14.1) | 24.3 (14.0) | 24.0 (14.3) | ||
Swollen Joint Count of 66 Evaluable Joints
Mean (Standard Deviation) Unit of measure: Number of Joints |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
13.1 (7.2) | 13.6 (8.7) | 13.5 (6.9) | 13.4 (7.6) | ||
High Sensitivity C-Reactive Protein (hsCRP)
Mean (Standard Deviation) Unit of measure: Milligram per Liter (mg/L) |
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Number Analyzed | 228 participants | 229 participants | 227 participants | 684 participants | |
17.7 (20.4) | 18.2 (21.5) | 14.2 (14.5) | 16.7 (19.1) |
Name/Title: | Chief Medical Officer |
Organization: | Eli Lilly and Company |
Phone: | 800-545-5979 |
Responsible Party: | Eli Lilly and Company |
ClinicalTrials.gov Identifier: | NCT01721057 |
Other Study ID Numbers: |
14059 I4V-MC-JADX ( Other Identifier: Eli Lilly and Company ) |
First Submitted: | November 1, 2012 |
First Posted: | November 2, 2012 |
Results First Submitted: | May 1, 2017 |
Results First Posted: | June 12, 2017 |
Last Update Posted: | September 18, 2019 |