Trial Outcomes & Findings for The Efficacy and Safety of Adding Methotrexate to Etanercept in Psoriasis (NCT NCT01001208)

NCT ID: NCT01001208

Last Updated: 2013-08-12

Results Overview

Percentage of participants achieving at least a 75% decrease (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 24. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

478 participants

Primary outcome timeframe

Baseline and 24 Weeks

Results posted on

2013-08-12

Participant Flow

Participants were enrolled from 09 November 2009 through 25 June 2010

Participant milestones

Participant milestones
Measure
Etanercept + Methotrexate
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Overall Study
STARTED
239
239
Overall Study
COMPLETED
211
206
Overall Study
NOT COMPLETED
28
33

Reasons for withdrawal

Reasons for withdrawal
Measure
Etanercept + Methotrexate
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Overall Study
Adverse Event
10
5
Overall Study
Lost to Follow-up
5
9
Overall Study
Physician Decision
1
0
Overall Study
Withdrawal by Subject
4
5
Overall Study
Ineligibility Determined
4
2
Overall Study
Noncompliance
4
7
Overall Study
Disease Progression
0
3
Overall Study
Other
0
2

Baseline Characteristics

The Efficacy and Safety of Adding Methotrexate to Etanercept in Psoriasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Etanercept + Methotrexate
n=239 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=239 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Total
n=478 Participants
Total of all reporting groups
Age Continuous
42.99 years
STANDARD_DEVIATION 13.06 • n=5 Participants
45.23 years
STANDARD_DEVIATION 12.79 • n=7 Participants
44.11 years
STANDARD_DEVIATION 12.96 • n=5 Participants
Sex: Female, Male
Female
86 Participants
n=5 Participants
72 Participants
n=7 Participants
158 Participants
n=5 Participants
Sex: Female, Male
Male
153 Participants
n=5 Participants
167 Participants
n=7 Participants
320 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
10 participants
n=5 Participants
9 participants
n=7 Participants
19 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
4 participants
n=5 Participants
10 participants
n=7 Participants
14 participants
n=5 Participants
Race/Ethnicity, Customized
White
179 participants
n=5 Participants
177 participants
n=7 Participants
356 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
42 participants
n=5 Participants
39 participants
n=7 Participants
81 participants
n=5 Participants
Race/Ethnicity, Customized
Japanese
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
Race/Ethnicity, Customized
Aborigine
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Psoriasis Area and Severity Index (PASI) Score
18.24 Units on a scale
STANDARD_DEVIATION 8.15 • n=5 Participants
18.34 Units on a scale
STANDARD_DEVIATION 6.62 • n=7 Participants
18.29 Units on a scale
STANDARD_DEVIATION 7.42 • n=5 Participants
Percent of Body Surface Area (BSA) Involved in Psoriasis
24.43 Percentage of BSA
STANDARD_DEVIATION 15.94 • n=5 Participants
24.23 Percentage of BSA
STANDARD_DEVIATION 13.64 • n=7 Participants
24.33 Percentage of BSA
STANDARD_DEVIATION 14.82 • n=5 Participants
Body Mass Index Group
<=35 kg/m^2
172 participants
n=5 Participants
173 participants
n=7 Participants
345 participants
n=5 Participants
Body Mass Index Group
>35 kg/m^2
67 participants
n=5 Participants
66 participants
n=7 Participants
133 participants
n=5 Participants
Prior Anti-tumor Necrosis Factor (TNF) Exposure
Yes
42 participants
n=5 Participants
48 participants
n=7 Participants
90 participants
n=5 Participants
Prior Anti-tumor Necrosis Factor (TNF) Exposure
No
197 participants
n=5 Participants
191 participants
n=7 Participants
388 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 24 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving at least a 75% decrease (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 24. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 75 Response at Week 24
77.3 Percentage of participants
60.3 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 24 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving at least a 50% decrease (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 24. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 50 Response at Week 24
91.6 Percentage of participants
84.6 Percentage of participants

SECONDARY outcome

Timeframe: Week 24

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving a clear (0) or almost clear (1) status on the Static Physician Global Assessment (sPGA) at Week 24. This index evaluates the physician's global assessment of the participant's psoriasis based on severity of induration, scaling, and erythema. The assessment was scored by a blinded assessor on a scale of 0 to 5, where 0 = clear, with no evidence of plaque elevation, erythema, or scale, and 5 = severe induration, erythema, and scaling.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Static Physician Global Assessment (sPGA) Response at Week 24
71.8 Percentage of participants
54.3 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving at least a 50% decrease (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 12. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 50 Response at Week 12
92.4 Percentage of participants
83.8 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used

Percentage of participants achieving at least a 75% decrease (i.e. improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 12. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 75 Response at Week 12
70.2 Percentage of participants
54.3 Percentage of participants

SECONDARY outcome

Timeframe: Week 12

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving a clear (0) or almost clear (1) status on the Static Physician Global Assessment (sPGA) at Week 12. This index evaluates the physician's global assessment of the participant's psoriasis based on severity of induration, scaling, and erythema. The assessment was scored by a blinded assessor on a scale of 0 to 5, where 0 = clear, with no evidence of plaque elevation, erythema, or scale, and 5 = severe induration, erythema, and scaling.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Static Physician Global Assessment (sPGA) Response at Week 12
65.5 Percentage of participants
47 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving at least a 90% decrease (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 12. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 90 Response at Week 12
34 Percentage of participants
23.1 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 24 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

Percentage of participants achieving at least a 90% decrese (improvement) from Baseline in the Psoriasis Area and Severity Index (PASI) at Week 24. PASI Score incorporates measures of erythema, desquamation, infiltration, and affected body surface area. Involvement and severity of psoriasis was scored by a blinded assessor using a scale of 0 to 72, where 0 = no psoriasis and 72 = severe disease.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
PASI 90 Response at Week 24
53.8 Percentage of participants
34.2 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The BSA numerical score was completed by a blinded assessor. A decrease from Baseline indicates improvement. Change from Baseline was calculated as Baseline score - Week 12 score; a positive change from Baseline therefore indicates improvement.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Change From Baseline in the Percentage of Body Surface Area Involved With Psoriasis at Week 12
16.3 Percentage of BSA
Standard Deviation 13.7
15.2 Percentage of BSA
Standard Deviation 13.4

SECONDARY outcome

Timeframe: Baseline and 24 Weeks

Population: Intention-to-Treat with available data; last observation carried forward (LOCF) imputation was used.

A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The BSA numerical score was completed by a blinded assessor. A decrease from Baseline indicates improvement. Change from Baseline was calculated as Baseline score - Week 24 score; a positive change from Baseline therefore indicates improvement.

Outcome measures

Outcome measures
Measure
Etanercept + Methotrexate
n=238 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Etanercept + Placebo
n=234 Participants
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Change Form Baseline in Percentage of Body Surface Area Involved With Psoriasis at Week 24
19.5 Percentage of BSA
Standard Deviation 15.2
17.8 Percentage of BSA
Standard Deviation 14.0

Adverse Events

Etanercept + Placebo

Serious events: 3 serious events
Other events: 58 other events
Deaths: 0 deaths

Etanercept + Methotrexate

Serious events: 2 serious events
Other events: 67 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Etanercept + Placebo
n=239 participants at risk
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Etanercept + Methotrexate
n=239 participants at risk
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Cardiac disorders
Myocardial Infarction
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Hepatobiliary disorders
Cholecystitis
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Pneumonia Bacterial
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Lumbar Spinal Stenosis
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Synovial Cyst
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Respiratory, thoracic and mediastinal disorders
Asthma
0.42%
1/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.

Other adverse events

Other adverse events
Measure
Etanercept + Placebo
n=239 participants at risk
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received oral placebo that was the same number of capsules per week as the methotrexate dosing regimen.
Etanercept + Methotrexate
n=239 participants at risk
Participants received 50 mg etanercept twice weekly (BIW) for the first 12 weeks and then 50 mg etanercept once weekly (QW) for the second 12 weeks. Participants also received active methotrexate titrated as follows: 7.5 mg per week (3 capsules) for weeks 1 and 2, 10 mg per week (4 capsules) for weeks 3 and 4, and then up to 15 mg per week (6 capsules) or the maximum tolerated dose for the remainder of the 24-week treatment period.
Gastrointestinal disorders
Nausea
2.9%
7/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
5.4%
13/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Nasopharyngitis
10.9%
26/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
9.6%
23/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Upper Respiratory Tract Infection
5.0%
12/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
8.4%
20/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Headache
9.2%
22/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
9.2%
22/239 • 52 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial resul
  • Publication restrictions are in place

Restriction type: OTHER