Phase 3
Completed N=637
A Study of the Safety and Efficacy of Golimumab in Subjects With Rheumatoid Arthritis That Are Methotrexate-naive
Source: ClinicalTrials.gov NCT00264537 ↗Enrolled (actual)
637
Serious AEs
33.1%
Results posted
Jul 2009
Primary outcomePrimary: Number of Participants Who Achieved American College of Rheumatology (ACR) 50 Response at Week 24 — 47; 52; 64; 58 Participants — p=0.053
Summary
The purpose of this study is to evaluate the efficacy and safety of golimumab, alone or in combination with methotrexate, as compared to methotrexate alone in rheumatoid arthritis subjects who have not been previously treated with methotrexate.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Achieved American College of Rheumatology (ACR) 50 Response at Week 24 |
47; 52; 64; 58; 122 | 0.053 |
| PRIMARY Change From Baseline in Total Van Der Heijde Modified Sharp (vdH-S) Score at Week 52 |
1.37; 1.25; 0.74; 0.07; 0.41 | 0.006 sig |
| SECONDARY Number of Participants Who Achieved American College of Rheumatology (ACR) 20 Response at Week 24 |
79; 82; 98; 98; 196 | 0.011 sig |
| SECONDARY Number of Patients With Abnormal Baseline C-reactive Protein (CRP) Who Achieved American College of Rheumatology (ACR) 50 Response at Week 24 |
34; 26; 38; 37; 75 | 0.178 |
| SECONDARY Change From Baseline in Total Van Der Heijde Modified Sharp (vdH-S) Score at Week 52 in Patients With Abnormal C-reactive Protein (CRP Greater Than 1.0 mg/dL) at Baseline |
2.16; 2.19; 1.29; 0.16; 0.74 | 0.003 sig |
Eligibility Criteria
Inclusion Criteria
- Have a diagnosis of rheumatoid arthritis (RA) (according to the revised 1987 criteria of the ACR) for at least 3 months prior to first administration of study agent
- Are methotrexate (MTX)-naïve (ie, have not received more than 3 weekly doses of MTX for RA at any time)
- Have active RA as defined by persistent disease activity with at least 4 swollen and 4 tender joints, at the time of screening and baseline, and at least 2 of the following 4 criteria: a) C-reactive protein (CRP) >=1.5 mg/dL at screening or erythrocyte sedimentation rate (ESR) by Westergren method of >= 28 mm in the first hour at screening or baseline, b)Morning stiffness of >= 30 minutes at screening and baseline, c)Bone erosion by x-ray and/or MRI prior to first administration of study agent, d)Anti-cyclic citrullinated peptide (anti-CCP) antibody-positive or rheumatoid factor (RF) positive at screening
- If using oral corticosteroids, must be on a stable dose equivalent to <= 10 mg of prednisone/day for at least 2 weeks prior to first administration of study agent.
Exclusion Criteria
- Can not have inflammatory diseases other than RA that might confound the evaluation of the benefit of golimumab therapy
- No treatment with disease-modifying anti-rheumatic drugs (DMARDs)/systemic immunosuppressives during the 4 weeks prior to the first administration of study agent
- No prior treatment with biologic anti-TNF drugs (infliximab, etanercept, adalimumab)
- No history of, or ongoing, chronic or recurrent infectious disease
- No serious infection within 2 months prior to first administration of study agent.
Data sourced from ClinicalTrials.gov (NCT00264537). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.