An Extension Study in Participants With Moderate to Severe Rheumatoid Arthritis (RA-BEYOND)
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ClinicalTrials.gov Identifier: NCT01885078 |
Recruitment Status :
Completed
First Posted : June 24, 2013
Results First Posted : February 1, 2022
Last Update Posted : April 25, 2022
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Sponsor:
Eli Lilly and Company
Information provided by (Responsible Party):
Eli Lilly and Company
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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: Baricitinib Drug: Placebo |
Enrollment | 2877 |
Participant Flow
Recruitment Details | Participants were eligible to participate in the Step-down period if they achieved a sustained (at least 3 months in JADY) low disease activity (CDAI score ≤10; for participants originating in Studies JADV, JADX, JADW, and JAGS) or sustained remission (CDAI score ≤2.8; for participants originating in Study JADZ). Eligible participants were randomized to 4 mg or 2 mg baricitinib once daily to evaluate if treatment with 2 mg maintains the low disease activity achieved with 4 mg baricitinib. |
Pre-assignment Details |
Participants who completed an originating study: I4V-MC-JADZ (NCT01711359), I4V-MC-JADV (NCT017103580, I4V-MC-JADX (NCT01721057), I4V-MC-JADW (NCT01721044), I4V-MC-JADA (NCT01185353), or I4V-MC-JAGS (NCT02265705) were eligible for enrollment into study JADY. |
Arm/Group Title | JADZ 4 Milligram (mg) Baricitinib | JADV 4 mg Baricitinib | JADX 2 mg Baricitinib | JADX 4 mg Baricitinib | JADW 2 mg Baricitinib | JADW 4 mg Baricitinib | JAGS 4 mg Baricitinib | JADA 4 mg Baricitinib | 2 mg Baricitinib Step-down | 4 mg Baricitinib Step-down |
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4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 2 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 2 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 2 mg Baricitinib administered orally once daily in the 96-week Step-down period. | 4 mg Baricitinib administered orally once daily in the 96-week Step-down period. |
Period Title: Treatment Period | ||||||||||
Started | 451 | 1091 | 180 | 403 | 117 | 331 | 221 | 83 | 0 | 0 |
Received at Least Once Dose of Study Drug | 451 | 1090 | 180 | 403 | 117 | 331 | 221 | 83 | 0 | 0 |
Completed | 19 | 64 | 49 | 120 | 27 | 81 | 0 | 55 | 0 | 0 |
Not Completed | 432 | 1027 | 131 | 283 | 90 | 250 | 221 | 28 | 0 | 0 |
Reason Not Completed | ||||||||||
Adverse Event | 52 | 136 | 30 | 73 | 17 | 72 | 24 | 5 | 0 | 0 |
Death | 13 | 33 | 5 | 9 | 2 | 10 | 3 | 2 | 0 | 0 |
Lack of Efficacy | 12 | 33 | 10 | 23 | 24 | 58 | 9 | 5 | 0 | 0 |
Lost to Follow-up | 16 | 19 | 7 | 9 | 2 | 8 | 2 | 0 | 0 | 0 |
Physician Decision | 19 | 21 | 5 | 12 | 9 | 24 | 4 | 3 | 0 | 0 |
Protocol Violation | 3 | 5 | 0 | 3 | 1 | 6 | 0 | 0 | 0 | 0 |
Sponsor Decision | 245 | 648 | 49 | 90 | 20 | 38 | 162 | 3 | 0 | 0 |
Withdrawal by Subject | 72 | 132 | 25 | 63 | 15 | 34 | 17 | 10 | 0 | 0 |
Other | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Step-down Period | ||||||||||
Started | 0 [1] | 0 [1] | 0 [1] | 0 [1] | 0 [1] | 0 [1] | 0 | 0 [1] | 592 [2] | 594 [2] |
Complete Through Week 96 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 407 | 455 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 523 | 533 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 69 | 61 |
Reason Not Completed | ||||||||||
Sponsor Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 29 | 38 |
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25 | 15 |
Physician Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 2 |
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 3 |
Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Lack of Efficacy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Protocol Violation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
[1]
Not all participants were eligible to enter the Step-Down Period.
[2]
Eligible participants were offered the option of participating in the Step-Down Period.
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Baseline Characteristics
Arm/Group Title | JADZ 4 mg Baricitinib | JADV 4 mg Baricitinib | JADX 2 mg Baricitinib | JADX 4 mg Baricitinib | JADW 2 mg Baricitinib | JADW 4 mg Baricitinib | JAGS 4 mg Baricitinib | JADA 4 mg Baricitinib | Total | |
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4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 2 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 2 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | 4 mg Baricitinib administered orally once daily. | Total of all reporting groups | |
Overall Number of Baseline Participants | 451 | 1090 | 180 | 403 | 117 | 331 | 221 | 83 | 2876 | |
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All participants who received at least one dose of study drug.
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 451 participants | 1090 participants | 180 participants | 403 participants | 117 participants | 331 participants | 221 participants | 83 participants | 2876 participants | |
<=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Between 18 and 65 years | 386 | 881 | 150 | 335 | 86 | 253 | 199 | 68 | 2358 | |
>=65 years | 65 | 209 | 30 | 68 | 31 | 78 | 22 | 15 | 518 | |
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 451 participants | 1090 participants | 180 participants | 403 participants | 117 participants | 331 participants | 221 participants | 83 participants | 2876 participants | |
Female | 326 | 847 | 144 | 335 | 87 | 275 | 177 | 71 | 2262 | |
Male | 125 | 243 | 36 | 68 | 30 | 56 | 44 | 12 | 614 | |
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 451 participants | 1090 participants | 180 participants | 403 participants | 117 participants | 331 participants | 221 participants | 83 participants | 2876 participants | |
American Indian or Alaska Native | 35 | 56 | 1 | 12 | 6 | 21 | 6 | 6 | 143 | |
Asian | 122 | 321 | 50 | 94 | 6 | 19 | 167 | 2 | 781 | |
Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | |
Black or African American | 17 | 4 | 9 | 10 | 7 | 12 | 3 | 2 | 64 | |
White | 275 | 691 | 119 | 283 | 98 | 275 | 45 | 73 | 1859 | |
More than one race | 2 | 17 | 1 | 2 | 0 | 1 | 0 | 0 | 23 | |
Unknown or Not Reported | 0 | 1 | 0 | 1 | 0 | 3 | 0 | 0 | 5 | |
Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 451 participants | 1090 participants | 180 participants | 403 participants | 117 participants | 331 participants | 221 participants | 83 participants | 2876 participants |
United States | 68 | 64 | 39 | 103 | 52 | 136 | 0 | 26 | 488 | |
Czechia | 0 | 29 | 3 | 10 | 0 | 0 | 0 | 14 | 56 | |
Portugal | 3 | 3 | 2 | 3 | 0 | 0 | 0 | 0 | 11 | |
Russia | 35 | 70 | 10 | 7 | 0 | 0 | 0 | 0 | 122 | |
Greece | 0 | 2 | 0 | 0 | 2 | 4 | 0 | 0 | 8 | |
South Korea | 6 | 43 | 6 | 8 | 3 | 6 | 0 | 0 | 72 | |
Latvia | 0 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 8 | |
Sweden | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | |
Austria | 2 | 0 | 0 | 0 | 3 | 12 | 0 | 0 | 17 | |
Netherlands | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | |
China | 0 | 41 | 0 | 0 | 0 | 0 | 167 | 0 | 208 | |
Poland | 0 | 66 | 11 | 37 | 9 | 22 | 0 | 11 | 156 | |
Brazil | 16 | 0 | 0 | 0 | 0 | 0 | 14 | 0 | 30 | |
Slovenia | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | |
Slovakia | 0 | 17 | 3 | 7 | 0 | 0 | 0 | 0 | 27 | |
France | 0 | 16 | 0 | 0 | 6 | 14 | 0 | 0 | 36 | |
Lithuania | 0 | 21 | 0 | 0 | 0 | 0 | 0 | 0 | 21 | |
Croatia | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 6 | 9 | |
Argentina | 87 | 226 | 15 | 44 | 3 | 15 | 40 | 0 | 430 | |
Romania | 0 | 14 | 2 | 2 | 0 | 0 | 0 | 3 | 21 | |
Hungary | 0 | 30 | 8 | 11 | 0 | 0 | 0 | 11 | 60 | |
Japan | 82 | 215 | 4 | 13 | 3 | 11 | 0 | 0 | 328 | |
United Kingdom | 10 | 8 | 3 | 1 | 1 | 3 | 0 | 0 | 26 | |
Switzerland | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 7 | |
India | 28 | 0 | 16 | 27 | 0 | 0 | 0 | 0 | 71 | |
Spain | 0 | 28 | 9 | 24 | 6 | 19 | 0 | 0 | 86 | |
Canada | 13 | 8 | 8 | 13 | 3 | 2 | 0 | 0 | 47 | |
Turkey | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 3 | |
Belgium | 20 | 7 | 3 | 8 | 0 | 3 | 0 | 0 | 41 | |
Taiwan | 0 | 12 | 23 | 46 | 0 | 0 | 0 | 0 | 81 | |
Denmark | 0 | 0 | 0 | 0 | 2 | 3 | 0 | 0 | 5 | |
South Africa | 16 | 40 | 0 | 0 | 0 | 0 | 0 | 0 | 56 | |
Italy | 12 | 0 | 3 | 6 | 3 | 3 | 0 | 0 | 27 | |
Mexico | 39 | 115 | 8 | 14 | 5 | 21 | 0 | 12 | 214 | |
Israel | 0 | 0 | 0 | 0 | 6 | 21 | 0 | 0 | 27 | |
Australia | 0 | 0 | 1 | 12 | 5 | 14 | 0 | 0 | 32 | |
Germany | 11 | 2 | 1 | 6 | 3 | 13 | 0 | 0 | 36 |