Trial Outcomes & Findings for An Open-label Extension Study Evaluating the Safety and Efficacy of Upadacitinib (ABT-494) in Adults With Rheumatoid Arthritis (NCT NCT02049138)

NCT ID: NCT02049138

Last Updated: 2022-07-12

Results Overview

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria: 1. ≥ 20% improvement in 68-tender joint count; 2. ≥ 20% improvement in 66-swollen joint count; and 3. ≥ 20% improvement in at least 3 of the 5 following parameters: * Physician global assessment of disease activity * Patient global assessment of disease activity * Patient assessment of pain * Health Assessment Questionnaire - Disability Index (HAQ-DI) * High-sensitivity C-reactive protein (hsCRP).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

493 participants

Primary outcome timeframe

Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Results posted on

2022-07-12

Participant Flow

Participants must have completed a preceding rheumatoid arthritis (RA) upadacitinib randomized controlled trial (RCT), Study M13-550 (NCT01960855) or Study M13-537 (NCT02066389) to be enrolled in this long-term extension study. Participants were enrolled at 113 study sites located in 17 countries (Belgium, Bulgaria, Chile, Czechia, Hungary, Israel, Latvia, Mexico, New Zealand, Poland, Russian Federation, Slovakia, South Africa, Spain, United Kingdom, Ukraine, and United States/Puerto Rico).

Participants were assigned to upadacitinib 6 mg twice-daily up to 30 days following the Last Visit (Week 12) of the preceding RCT. Participants may have been up-titrated to 12 mg BID and subsequently down-titrated per protocol-specified criteria. Efficacy results are reported by treatment sequence for each participant. Adverse event data are reported according to treatment received at the time of the event. Participants may have enrolled in a vaccine substudy during the main study.

Participant milestones

Participant milestones
Measure
Upadacitinib Never Titrated
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to a once-daily (QD) dose of 15 mg upadacitinib and remained on this dose throughout the study. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Upadacitinib Titrated Up and Not Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to a once-daily dose of 30 mg upadacitinib and remained on this dose throughout the study. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Upadacitinib Titrated Up and Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Overall Study
STARTED
306
149
38
Overall Study
Enrolled in Vaccine Sub-study
76
24
11
Overall Study
COMPLETED
142
51
30
Overall Study
NOT COMPLETED
164
98
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Upadacitinib Never Titrated
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to a once-daily (QD) dose of 15 mg upadacitinib and remained on this dose throughout the study. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Upadacitinib Titrated Up and Not Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to a once-daily dose of 30 mg upadacitinib and remained on this dose throughout the study. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Upadacitinib Titrated Up and Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns. A subset of participants who opted-in to the vaccine substudy received a single-dose of 0.5 mL intramuscular injection of pneumococcal 13-valent conjugate vaccine (PCV-13).
Overall Study
Adverse Event
46
25
1
Overall Study
Withdrawal by Subject
57
21
5
Overall Study
Lost to Follow-up
18
5
1
Overall Study
Lack of Efficacy
10
26
1
Overall Study
Non-Compliance
15
6
0
Overall Study
Required Alternative / Prohibited Therapy
1
1
0
Overall Study
Coronavirus Disease-2019 (COVID-19) Infection
1
0
0
Overall Study
COVID-19 Logistical Restrictions
1
0
0
Overall Study
Other
15
13
0
Overall Study
Missing
0
1
0

Baseline Characteristics

Participants with available data

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily (QD) dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Total
n=493 Participants
Total of all reporting groups
Age, Continuous
55.8 years
STANDARD_DEVIATION 12.62 • n=306 Participants
56.0 years
STANDARD_DEVIATION 12.56 • n=149 Participants
53.7 years
STANDARD_DEVIATION 8.54 • n=38 Participants
55.7 years
STANDARD_DEVIATION 12.33 • n=493 Participants
Age, Customized
< 45 years
56 Participants
n=306 Participants
30 Participants
n=149 Participants
5 Participants
n=38 Participants
91 Participants
n=493 Participants
Age, Customized
45 - < 65 years
174 Participants
n=306 Participants
76 Participants
n=149 Participants
28 Participants
n=38 Participants
278 Participants
n=493 Participants
Age, Customized
≥ 65 years
76 Participants
n=306 Participants
43 Participants
n=149 Participants
5 Participants
n=38 Participants
124 Participants
n=493 Participants
Sex: Female, Male
Female
246 Participants
n=306 Participants
117 Participants
n=149 Participants
29 Participants
n=38 Participants
392 Participants
n=493 Participants
Sex: Female, Male
Male
60 Participants
n=306 Participants
32 Participants
n=149 Participants
9 Participants
n=38 Participants
101 Participants
n=493 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
76 Participants
n=306 Participants
40 Participants
n=149 Participants
7 Participants
n=38 Participants
123 Participants
n=493 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
230 Participants
n=306 Participants
109 Participants
n=149 Participants
31 Participants
n=38 Participants
370 Participants
n=493 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=306 Participants
0 Participants
n=149 Participants
0 Participants
n=38 Participants
0 Participants
n=493 Participants
Race/Ethnicity, Customized
White
293 Participants
n=306 Participants
132 Participants
n=149 Participants
37 Participants
n=38 Participants
462 Participants
n=493 Participants
Race/Ethnicity, Customized
Black or African American
9 Participants
n=306 Participants
12 Participants
n=149 Participants
1 Participants
n=38 Participants
22 Participants
n=493 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=306 Participants
2 Participants
n=149 Participants
0 Participants
n=38 Participants
3 Participants
n=493 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=306 Participants
0 Participants
n=149 Participants
0 Participants
n=38 Participants
0 Participants
n=493 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Participants
n=306 Participants
0 Participants
n=149 Participants
0 Participants
n=38 Participants
1 Participants
n=493 Participants
Race/Ethnicity, Customized
Multiple
2 Participants
n=306 Participants
3 Participants
n=149 Participants
0 Participants
n=38 Participants
5 Participants
n=493 Participants
Region
Western Europe
27 Participants
n=306 Participants
13 Participants
n=149 Participants
5 Participants
n=38 Participants
45 Participants
n=493 Participants
Region
Eastern Europe
144 Participants
n=306 Participants
46 Participants
n=149 Participants
19 Participants
n=38 Participants
209 Participants
n=493 Participants
Region
North America
90 Participants
n=306 Participants
78 Participants
n=149 Participants
10 Participants
n=38 Participants
178 Participants
n=493 Participants
Region
South/Central America
42 Participants
n=306 Participants
5 Participants
n=149 Participants
3 Participants
n=38 Participants
50 Participants
n=493 Participants
Region
Other
3 Participants
n=306 Participants
7 Participants
n=149 Participants
1 Participants
n=38 Participants
11 Participants
n=493 Participants
Duration of RA
9.34 years
STANDARD_DEVIATION 8.73 • n=306 Participants
9.61 years
STANDARD_DEVIATION 8.36 • n=149 Participants
7.66 years
STANDARD_DEVIATION 6.54 • n=38 Participants
9.29 years
STANDARD_DEVIATION 8.47 • n=493 Participants
Tender Joint Count
25.8 joints
STANDARD_DEVIATION 14.49 • n=306 Participants
30.4 joints
STANDARD_DEVIATION 15.90 • n=149 Participants
31.3 joints
STANDARD_DEVIATION 15.67 • n=38 Participants
27.6 joints
STANDARD_DEVIATION 15.17 • n=493 Participants
Swollen Joint Count
16.7 joints
STANDARD_DEVIATION 10.45 • n=306 Participants
18.8 joints
STANDARD_DEVIATION 12.03 • n=149 Participants
19.3 joints
STANDARD_DEVIATION 9.53 • n=38 Participants
17.5 joints
STANDARD_DEVIATION 10.92 • n=493 Participants
Physician's Global Assessment of Disease Activity
64.4 score on a scale
STANDARD_DEVIATION 15.82 • n=298 Participants • Participants with available data
65.6 score on a scale
STANDARD_DEVIATION 15.41 • n=147 Participants • Participants with available data
65.0 score on a scale
STANDARD_DEVIATION 15.41 • n=38 Participants • Participants with available data
64.8 score on a scale
STANDARD_DEVIATION 15.64 • n=483 Participants • Participants with available data
Patient's Global Assessment of Disease Activity
62.4 score on a scale
STANDARD_DEVIATION 20.78 • n=305 Participants • Participants with available data
67.4 score on a scale
STANDARD_DEVIATION 20.52 • n=146 Participants • Participants with available data
66.5 score on a scale
STANDARD_DEVIATION 16.48 • n=37 Participants • Participants with available data
64.2 score on a scale
STANDARD_DEVIATION 20.51 • n=488 Participants • Participants with available data
Patient's Global Assessment of Pain
63.8 score on a scale
STANDARD_DEVIATION 19.73 • n=305 Participants • Participants with available data
67.2 score on a scale
STANDARD_DEVIATION 19.64 • n=146 Participants • Participants with available data
66.5 score on a scale
STANDARD_DEVIATION 13.13 • n=37 Participants • Participants with available data
65.0 score on a scale
STANDARD_DEVIATION 19.32 • n=488 Participants • Participants with available data
Health Assessment Questionnaire - Disability Index (HAQ-DI)
1.4811 score on a scale
STANDARD_DEVIATION 0.6848 • n=304 Participants • Participants with available data
1.6036 score on a scale
STANDARD_DEVIATION 0.6215 • n=146 Participants • Participants with available data
1.5304 score on a scale
STANDARD_DEVIATION 0.4969 • n=37 Participants • Participants with available data
1.5216 score on a scale
STANDARD_DEVIATION 0.6550 • n=487 Participants • Participants with available data
High-sensitivity reactive Protein (hsCRP)
12.8968 mg/L
STANDARD_DEVIATION 17.8329 • n=306 Participants
14.9212 mg/L
STANDARD_DEVIATION 20.1890 • n=149 Participants
17.1232 mg/L
STANDARD_DEVIATION 28.1184 • n=38 Participants
13.8344 mg/L
STANDARD_DEVIATION 19.5179 • n=493 Participants

PRIMARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria: 1. ≥ 20% improvement in 68-tender joint count; 2. ≥ 20% improvement in 66-swollen joint count; and 3. ≥ 20% improvement in at least 3 of the 5 following parameters: * Physician global assessment of disease activity * Patient global assessment of disease activity * Patient assessment of pain * Health Assessment Questionnaire - Disability Index (HAQ-DI) * High-sensitivity C-reactive protein (hsCRP).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 12
89.0 percentage of participants
73.8 percentage of participants
75.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 24
91.8 percentage of participants
73.3 percentage of participants
88.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 144
94.9 percentage of participants
88.0 percentage of participants
88.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 156
92.0 percentage of participants
87.7 percentage of participants
92.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 36
90.2 percentage of participants
83.2 percentage of participants
82.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 6
87.7 percentage of participants
73.4 percentage of participants
77.8 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 48
90.0 percentage of participants
82.1 percentage of participants
88.2 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 60
95.4 percentage of participants
83.8 percentage of participants
85.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 72
93.0 percentage of participants
84.2 percentage of participants
90.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 84
94.6 percentage of participants
76.3 percentage of participants
96.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 96
92.2 percentage of participants
86.0 percentage of participants
90.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 108
94.8 percentage of participants
85.7 percentage of participants
87.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 120
96.2 percentage of participants
89.5 percentage of participants
96.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 132
93.9 percentage of participants
87.5 percentage of participants
96.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 168
91.9 percentage of participants
88.7 percentage of participants
82.8 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 180
93.9 percentage of participants
79.1 percentage of participants
86.2 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 192
93.5 percentage of participants
87.1 percentage of participants
92.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 252
94.0 percentage of participants
87.9 percentage of participants
86.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 204
94.0 percentage of participants
81.2 percentage of participants
86.2 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 216
92.5 percentage of participants
85.9 percentage of participants
85.2 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 228
96.0 percentage of participants
83.6 percentage of participants
92.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 264
93.3 percentage of participants
81.5 percentage of participants
89.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 240
92.8 percentage of participants
85.2 percentage of participants
89.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 288
94.7 percentage of participants
88.0 percentage of participants
88.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 300
94.4 percentage of participants
82.0 percentage of participants
87.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 276
93.8 percentage of participants
84.6 percentage of participants
81.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response Over Time
Week 312
92.2 percentage of participants
87.8 percentage of participants
88.5 percentage of participants

PRIMARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR50 response criteria: 1. ≥ 50% improvement in 68-tender joint count; 2. ≥ 50% improvement in 66-swollen joint count; and 3. ≥ 50% improvement in at least 3 of the 5 following parameters: * Physician global assessment of disease activity * Patient global assessment of disease activity * Patient assessment of pain * Health Assessment Questionnaire - Disability Index (HAQ-DI) * High-sensitivity C-reactive protein (hsCRP).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 192
80.7 percentage of participants
59.4 percentage of participants
76.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 204
82.2 percentage of participants
59.4 percentage of participants
79.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 216
76.6 percentage of participants
55.6 percentage of participants
66.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 228
79.2 percentage of participants
58.2 percentage of participants
67.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 240
79.6 percentage of participants
63.9 percentage of participants
71.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 252
83.8 percentage of participants
55.2 percentage of participants
76.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 264
79.7 percentage of participants
60.0 percentage of participants
75.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 276
84.5 percentage of participants
52.9 percentage of participants
66.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 288
82.2 percentage of participants
58.8 percentage of participants
61.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 300
75.6 percentage of participants
61.2 percentage of participants
56.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 312
84.3 percentage of participants
69.4 percentage of participants
69.2 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 72
77.1 percentage of participants
49.0 percentage of participants
63.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 6
63.6 percentage of participants
37.5 percentage of participants
48.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 12
73.5 percentage of participants
41.8 percentage of participants
45.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 24
75.7 percentage of participants
49.6 percentage of participants
60.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 36
73.5 percentage of participants
51.6 percentage of participants
55.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 48
74.2 percentage of participants
50.0 percentage of participants
55.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 120
80.7 percentage of participants
58.0 percentage of participants
72.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 132
79.2 percentage of participants
56.3 percentage of participants
69.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 60
79.8 percentage of participants
52.8 percentage of participants
65.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 84
78.8 percentage of participants
55.8 percentage of participants
75.8 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 96
74.8 percentage of participants
53.8 percentage of participants
63.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 108
79.4 percentage of participants
54.8 percentage of participants
58.8 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 144
76.4 percentage of participants
65.8 percentage of participants
60.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 156
79.5 percentage of participants
63.4 percentage of participants
76.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 180
80.9 percentage of participants
64.3 percentage of participants
65.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response Over Time
Week 168
79.2 percentage of participants
61.1 percentage of participants
75.9 percentage of participants

PRIMARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR70 response criteria: 1. ≥ 70% improvement in 68-tender joint count; 2. ≥ 70% improvement in 66-swollen joint count; and 3. ≥ 70% improvement in at least 3 of the 5 following parameters: * Physician global assessment of disease activity * Patient global assessment of disease activity * Patient assessment of pain * Health Assessment Questionnaire - Disability Index (HAQ-DI) * High-sensitivity C-reactive protein (hsCRP).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 6
38.8 percentage of participants
15.1 percentage of participants
21.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 12
47.1 percentage of participants
18.1 percentage of participants
24.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 24
45.5 percentage of participants
27.6 percentage of participants
37.1 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 36
49.0 percentage of participants
28.3 percentage of participants
34.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 48
57.1 percentage of participants
26.7 percentage of participants
25.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 60
60.2 percentage of participants
30.0 percentage of participants
42.9 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 72
56.4 percentage of participants
29.1 percentage of participants
36.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 84
60.3 percentage of participants
29.5 percentage of participants
54.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 96
57.3 percentage of participants
34.0 percentage of participants
42.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 108
59.9 percentage of participants
31.9 percentage of participants
47.1 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 120
59.4 percentage of participants
30.7 percentage of participants
62.1 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 132
61.8 percentage of participants
33.8 percentage of participants
48.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 144
57.6 percentage of participants
34.2 percentage of participants
39.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 156
64.7 percentage of participants
38.9 percentage of participants
55.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 168
62.9 percentage of participants
42.3 percentage of participants
58.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 180
59.1 percentage of participants
29.6 percentage of participants
48.3 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 192
62.0 percentage of participants
31.9 percentage of participants
48.1 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 204
65.0 percentage of participants
42.6 percentage of participants
58.6 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 216
59.1 percentage of participants
41.9 percentage of participants
46.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 228
60.0 percentage of participants
39.3 percentage of participants
60.7 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 240
66.2 percentage of participants
38.7 percentage of participants
46.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 252
62.9 percentage of participants
29.3 percentage of participants
50.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 264
58.5 percentage of participants
37.0 percentage of participants
57.1 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 276
66.1 percentage of participants
34.6 percentage of participants
48.0 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 288
65.9 percentage of participants
44.2 percentage of participants
44.4 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 300
60.8 percentage of participants
41.2 percentage of participants
43.5 percentage of participants
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response Over Time
Week 312
63.1 percentage of participants
39.6 percentage of participants
55.6 percentage of participants

PRIMARY outcome

Timeframe: Vaccination Baseline (defined as the last non-missing observation on or before the date of receiving PCV-13 vaccination) and 4 weeks after vaccination

Population: The sub-study full analysis set (FAS) included all participants enrolled in the sub-study who received PCV-13 vaccination and at least 1 dose of upadacitinib 15 mg or 30 mg after vaccination during the sub-study. Analysis includes participants with available data at the Week 4 visit of the sub-study.

Satisfactory humoral response is defined as greater than or equal to 2-fold increase in antibody concentration from the vaccination Baseline in at least 6 out of the 12 pneumococcal antigens 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=83 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=23 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants With Satisfactory Humoral Response to PCV-13 Four Weeks After Vaccination
67.5 percentage of participants
Interval 57.4 to 77.5
56.5 percentage of participants
Interval 36.3 to 76.8

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The DAS28(CRP) is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (measured on a VAS from 0-100 mm), and hsCRP (in mg/L). Scores on the DAS28 (CRP) range from 0 to approximately 10, where higher scores indicate more disease activity. LDA is defined as a DAS28(CRP) score ≤ 3.2.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 132
88.6 percentage of participants
70.1 percentage of participants
87.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 144
85.2 percentage of participants
68.6 percentage of participants
82.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 156
86.1 percentage of participants
74.6 percentage of participants
86.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 168
90.0 percentage of participants
78.3 percentage of participants
80.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 180
90.4 percentage of participants
69.6 percentage of participants
80.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 6
70.3 percentage of participants
43.2 percentage of participants
43.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 12
77.9 percentage of participants
43.4 percentage of participants
43.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 24
82.4 percentage of participants
48.5 percentage of participants
52.8 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 36
80.5 percentage of participants
50.8 percentage of participants
55.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 48
86.8 percentage of participants
54.2 percentage of participants
56.8 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 60
86.2 percentage of participants
56.4 percentage of participants
66.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 72
84.7 percentage of participants
51.0 percentage of participants
69.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 84
88.9 percentage of participants
60.2 percentage of participants
85.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 96
82.4 percentage of participants
64.9 percentage of participants
79.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 108
88.2 percentage of participants
66.3 percentage of participants
70.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 120
85.9 percentage of participants
69.0 percentage of participants
77.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 192
89.3 percentage of participants
75.0 percentage of participants
96.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 204
88.6 percentage of participants
61.4 percentage of participants
83.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 216
89.9 percentage of participants
70.3 percentage of participants
82.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 228
89.4 percentage of participants
70.9 percentage of participants
86.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 240
89.5 percentage of participants
75.8 percentage of participants
86.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 252
91.7 percentage of participants
67.2 percentage of participants
83.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 264
86.2 percentage of participants
67.9 percentage of participants
82.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 276
91.7 percentage of participants
74.1 percentage of participants
72.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 288
90.6 percentage of participants
71.7 percentage of participants
76.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 300
94.1 percentage of participants
67.6 percentage of participants
80.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 312
84.5 percentage of participants
68.8 percentage of participants
70.4 percentage of participants

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The DAS28 (CRP) is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (measured on a VAS from 0-100 mm), and hsCRP (in mg/L). Scores on the DAS28 (CRP) range from 0 to approximately 10, where higher scores indicate more disease activity. Clinical remission is defined as a DAS28(CRP) score \< 2.6.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 6
53.0 percentage of participants
21.2 percentage of participants
29.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 12
56.6 percentage of participants
25.5 percentage of participants
27.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 24
60.8 percentage of participants
31.3 percentage of participants
38.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 36
65.0 percentage of participants
35.2 percentage of participants
50.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 48
66.2 percentage of participants
36.4 percentage of participants
35.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 60
72.9 percentage of participants
38.2 percentage of participants
50.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 72
69.0 percentage of participants
35.6 percentage of participants
51.5 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 84
72.0 percentage of participants
36.7 percentage of participants
52.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 96
71.7 percentage of participants
45.4 percentage of participants
52.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 108
74.4 percentage of participants
42.4 percentage of participants
47.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 120
74.1 percentage of participants
49.4 percentage of participants
45.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 132
73.7 percentage of participants
40.3 percentage of participants
61.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 144
71.0 percentage of participants
44.3 percentage of participants
60.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 156
74.7 percentage of participants
50.7 percentage of participants
65.5 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 168
77.5 percentage of participants
49.3 percentage of participants
66.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 180
75.3 percentage of participants
44.9 percentage of participants
56.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 192
76.9 percentage of participants
47.2 percentage of participants
55.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 204
77.1 percentage of participants
47.1 percentage of participants
76.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 216
79.2 percentage of participants
56.3 percentage of participants
53.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 228
80.8 percentage of participants
49.1 percentage of participants
69.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 240
75.2 percentage of participants
50.0 percentage of participants
69.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 252
80.7 percentage of participants
44.8 percentage of participants
58.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 264
73.8 percentage of participants
39.6 percentage of participants
67.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 276
76.9 percentage of participants
50.0 percentage of participants
52.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 288
74.5 percentage of participants
47.8 percentage of participants
48.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 300
75.2 percentage of participants
43.2 percentage of participants
55.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score-28 (DAS28[CRP]) Over Time
Week 312
72.4 percentage of participants
45.8 percentage of participants
63.0 percentage of participants

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The clinical disease activity index (CDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, and Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. LDA is defined as a CDAI score ≤ 10.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 6
65.3 percentage of participants
35.2 percentage of participants
35.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 12
71.1 percentage of participants
39.7 percentage of participants
32.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 24
80.3 percentage of participants
46.6 percentage of participants
51.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 36
77.8 percentage of participants
44.4 percentage of participants
57.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 48
83.0 percentage of participants
50.8 percentage of participants
38.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 60
85.8 percentage of participants
58.9 percentage of participants
63.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 72
85.5 percentage of participants
46.2 percentage of participants
60.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 84
84.4 percentage of participants
52.6 percentage of participants
75.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 96
81.3 percentage of participants
63.5 percentage of participants
57.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 108
85.1 percentage of participants
67.4 percentage of participants
54.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 120
87.2 percentage of participants
67.0 percentage of participants
77.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 132
87.4 percentage of participants
72.5 percentage of participants
76.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 144
88.4 percentage of participants
68.0 percentage of participants
78.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 156
88.8 percentage of participants
73.2 percentage of participants
71.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 168
90.8 percentage of participants
82.2 percentage of participants
83.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 180
88.3 percentage of participants
73.9 percentage of participants
76.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 192
88.1 percentage of participants
70.0 percentage of participants
79.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 204
89.0 percentage of participants
71.4 percentage of participants
82.8 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 216
88.6 percentage of participants
70.3 percentage of participants
78.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 228
89.3 percentage of participants
67.9 percentage of participants
79.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 240
87.6 percentage of participants
72.6 percentage of participants
75.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 252
89.0 percentage of participants
73.7 percentage of participants
74.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 264
83.5 percentage of participants
63.0 percentage of participants
75.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 276
87.6 percentage of participants
67.9 percentage of participants
67.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 288
90.3 percentage of participants
74.5 percentage of participants
75.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 300
89.8 percentage of participants
72.0 percentage of participants
70.8 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 312
86.6 percentage of participants
70.2 percentage of participants
73.1 percentage of participants

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The clinical disease activity index (CDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, and Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. Clinical remission is defined as a CDAI score ≤ 2.8.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 6
23.4 percentage of participants
4.9 percentage of participants
10.8 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 12
26.4 percentage of participants
6.4 percentage of participants
8.8 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 24
28.3 percentage of participants
12.8 percentage of participants
14.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 36
32.5 percentage of participants
9.5 percentage of participants
17.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 48
34.8 percentage of participants
11.0 percentage of participants
11.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 60
43.1 percentage of participants
13.1 percentage of participants
22.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 72
43.5 percentage of participants
12.5 percentage of participants
9.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 84
43.4 percentage of participants
12.4 percentage of participants
18.8 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 96
40.4 percentage of participants
15.6 percentage of participants
21.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 108
44.8 percentage of participants
16.3 percentage of participants
18.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 120
43.6 percentage of participants
12.5 percentage of participants
22.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 132
46.7 percentage of participants
18.8 percentage of participants
33.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 144
38.1 percentage of participants
14.7 percentage of participants
28.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 156
47.2 percentage of participants
14.1 percentage of participants
32.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 168
48.6 percentage of participants
20.5 percentage of participants
33.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 180
48.0 percentage of participants
15.9 percentage of participants
20.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 192
46.4 percentage of participants
18.6 percentage of participants
24.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 204
51.2 percentage of participants
20.0 percentage of participants
34.5 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 216
46.2 percentage of participants
21.9 percentage of participants
28.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 228
44.3 percentage of participants
25.0 percentage of participants
31.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 240
51.6 percentage of participants
24.2 percentage of participants
31.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 252
52.7 percentage of participants
19.3 percentage of participants
22.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 264
48.1 percentage of participants
20.4 percentage of participants
17.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 276
53.5 percentage of participants
24.5 percentage of participants
28.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 288
51.5 percentage of participants
25.5 percentage of participants
28.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 300
51.2 percentage of participants
22.0 percentage of participants
29.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Over Time
Week 312
50.4 percentage of participants
27.7 percentage of participants
34.6 percentage of participants

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The simplified disease activity index (SDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm and hsCRP (mg/dL). The total SDAI score ranges from 0 to 86 with higher scores indicating higher disease activity. LDA is defined as a SDAI score ≤ 11.0.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 6
54.2 percentage of participants
25.4 percentage of participants
32.4 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 12
61.1 percentage of participants
33.3 percentage of participants
23.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 24
66.8 percentage of participants
33.1 percentage of participants
48.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 36
67.8 percentage of participants
34.9 percentage of participants
48.6 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 48
73.7 percentage of participants
38.1 percentage of participants
41.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 60
72.9 percentage of participants
41.1 percentage of participants
61.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 72
71.5 percentage of participants
36.5 percentage of participants
51.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 84
74.6 percentage of participants
40.2 percentage of participants
62.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 96
71.2 percentage of participants
45.8 percentage of participants
51.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 108
75.8 percentage of participants
51.2 percentage of participants
54.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 120
74.6 percentage of participants
55.2 percentage of participants
64.5 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 132
77.7 percentage of participants
43.4 percentage of participants
66.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 144
70.7 percentage of participants
44.3 percentage of participants
67.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 156
75.0 percentage of participants
58.5 percentage of participants
64.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 168
75.8 percentage of participants
59.4 percentage of participants
66.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 180
78.7 percentage of participants
55.9 percentage of participants
53.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 192
76.2 percentage of participants
52.9 percentage of participants
66.7 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 204
71.3 percentage of participants
52.9 percentage of participants
79.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 216
79.0 percentage of participants
56.3 percentage of participants
57.1 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 228
77.2 percentage of participants
56.4 percentage of participants
69.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 240
74.5 percentage of participants
50.0 percentage of participants
69.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 252
79.0 percentage of participants
52.6 percentage of participants
61.3 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 264
71.1 percentage of participants
51.9 percentage of participants
67.9 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 276
78.5 percentage of participants
56.6 percentage of participants
56.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 288
74.5 percentage of participants
56.5 percentage of participants
68.0 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 300
78.2 percentage of participants
50.0 percentage of participants
63.2 percentage of participants
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 312
72.1 percentage of participants
48.9 percentage of participants
65.4 percentage of participants

SECONDARY outcome

Timeframe: Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

The simplified disease activity index (SDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm and hsCRP (mg/dL). The total SDAI score ranges from 0 to 86 with higher scores indicating higher disease activity. Clinical remission is defined as a SDAI score ≤ 3.3.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 168
31.8 percentage of participants
11.6 percentage of participants
26.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 180
33.1 percentage of participants
10.3 percentage of participants
13.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 192
32.7 percentage of participants
12.9 percentage of participants
14.8 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 204
37.2 percentage of participants
11.4 percentage of participants
24.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 216
32.5 percentage of participants
10.9 percentage of participants
10.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 228
30.9 percentage of participants
16.4 percentage of participants
24.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 240
34.0 percentage of participants
14.5 percentage of participants
10.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 252
39.9 percentage of participants
12.3 percentage of participants
16.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 264
32.8 percentage of participants
11.5 percentage of participants
7.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 276
35.5 percentage of participants
17.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 288
35.8 percentage of participants
19.6 percentage of participants
8.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 300
34.7 percentage of participants
16.7 percentage of participants
26.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 312
30.6 percentage of participants
15.6 percentage of participants
26.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 6
15.0 percentage of participants
4.2 percentage of participants
2.7 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 12
17.8 percentage of participants
2.8 percentage of participants
5.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 24
18.2 percentage of participants
6.0 percentage of participants
11.4 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 36
23.6 percentage of participants
4.0 percentage of participants
8.6 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 48
25.9 percentage of participants
7.6 percentage of participants
8.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 60
32.6 percentage of participants
12.1 percentage of participants
13.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 72
31.0 percentage of participants
9.6 percentage of participants
9.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 84
32.2 percentage of participants
8.2 percentage of participants
12.5 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 96
28.8 percentage of participants
13.5 percentage of participants
18.2 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 108
31.4 percentage of participants
10.5 percentage of participants
12.1 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 120
33.5 percentage of participants
8.0 percentage of participants
12.9 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 132
33.1 percentage of participants
10.5 percentage of participants
20.0 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 144
26.3 percentage of participants
5.7 percentage of participants
14.3 percentage of participants
Percentage of Participants Achieving Clinical Remission (CR) Based on Simplified Disease Activity Index (SDAI) Over Time
Week 156
33.5 percentage of participants
7.7 percentage of participants
28.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The disease activity score-28-CRP (DAS28 \[CRP\]) assesses RA disease activity based on a continuous scale of combined measures of 28 tender joint counts (TJC28), 28 swollen joint counts (SJC28), C-reactive protein (CRP), and the patient global assessment of disease activity (measured on a visual analog scale from 0 to 100 mm). DAS28(CRP) scores range from 0 to approximately 10 where higher scores indicate more disease activity. A negative change from Baseline in DAS28 (CRP) indicates improvement in disease activity.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=305 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 12
-3.1 score on a scale
Standard Deviation 1.14
-2.5 score on a scale
Standard Deviation 1.27
-2.5 score on a scale
Standard Deviation 1.03
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 6
-2.9 score on a scale
Standard Deviation 1.21
-2.4 score on a scale
Standard Deviation 1.28
-2.5 score on a scale
Standard Deviation 1.01
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 24
-3.2 score on a scale
Standard Deviation 1.07
-2.7 score on a scale
Standard Deviation 1.36
-2.7 score on a scale
Standard Deviation 1.22
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 36
-3.2 score on a scale
Standard Deviation 1.20
-2.9 score on a scale
Standard Deviation 1.11
-3.0 score on a scale
Standard Deviation 1.17
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 48
-3.4 score on a scale
Standard Deviation 1.20
-2.9 score on a scale
Standard Deviation 1.20
-2.8 score on a scale
Standard Deviation 0.97
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 60
-3.5 score on a scale
Standard Deviation 1.15
-2.9 score on a scale
Standard Deviation 1.07
-3.1 score on a scale
Standard Deviation 0.98
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 72
-3.5 score on a scale
Standard Deviation 1.03
-2.9 score on a scale
Standard Deviation 1.24
-3.1 score on a scale
Standard Deviation 0.88
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 84
-3.5 score on a scale
Standard Deviation 1.06
-2.9 score on a scale
Standard Deviation 1.28
-3.3 score on a scale
Standard Deviation 0.62
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 96
-3.4 score on a scale
Standard Deviation 1.11
-3.1 score on a scale
Standard Deviation 1.21
-3.2 score on a scale
Standard Deviation 0.98
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 108
-3.5 score on a scale
Standard Deviation 1.09
-3.1 score on a scale
Standard Deviation 1.24
-3.1 score on a scale
Standard Deviation 0.94
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 120
-3.5 score on a scale
Standard Deviation 1.08
-3.1 score on a scale
Standard Deviation 1.29
-3.2 score on a scale
Standard Deviation 0.86
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 132
-3.5 score on a scale
Standard Deviation 1.02
-3.1 score on a scale
Standard Deviation 1.23
-3.3 score on a scale
Standard Deviation 1.02
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 144
-3.4 score on a scale
Standard Deviation 1.13
-3.0 score on a scale
Standard Deviation 1.18
-3.4 score on a scale
Standard Deviation 1.04
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 156
-3.5 score on a scale
Standard Deviation 1.13
-3.1 score on a scale
Standard Deviation 1.11
-3.6 score on a scale
Standard Deviation 1.00
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 168
-3.6 score on a scale
Standard Deviation 1.17
-3.2 score on a scale
Standard Deviation 1.23
-3.6 score on a scale
Standard Deviation 1.08
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 180
-3.6 score on a scale
Standard Deviation 1.10
-3.2 score on a scale
Standard Deviation 1.24
-3.5 score on a scale
Standard Deviation 1.13
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 192
-3.6 score on a scale
Standard Deviation 1.15
-3.2 score on a scale
Standard Deviation 1.31
-3.6 score on a scale
Standard Deviation 1.06
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 204
-3.6 score on a scale
Standard Deviation 1.13
-3.1 score on a scale
Standard Deviation 1.32
-3.7 score on a scale
Standard Deviation 1.13
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 216
-3.6 score on a scale
Standard Deviation 1.13
-3.2 score on a scale
Standard Deviation 1.15
-3.5 score on a scale
Standard Deviation 1.02
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 228
-3.6 score on a scale
Standard Deviation 1.12
-3.3 score on a scale
Standard Deviation 1.37
-3.7 score on a scale
Standard Deviation 0.91
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 240
-3.7 score on a scale
Standard Deviation 1.12
-3.2 score on a scale
Standard Deviation 1.30
-3.5 score on a scale
Standard Deviation 0.91
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 252
-3.7 score on a scale
Standard Deviation 1.20
-3.3 score on a scale
Standard Deviation 1.18
-3.3 score on a scale
Standard Deviation 1.04
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 264
-3.5 score on a scale
Standard Deviation 1.25
-3.1 score on a scale
Standard Deviation 1.24
-3.4 score on a scale
Standard Deviation 1.01
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 276
-3.7 score on a scale
Standard Deviation 1.01
-3.1 score on a scale
Standard Deviation 1.22
-3.5 score on a scale
Standard Deviation 0.90
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 288
-3.7 score on a scale
Standard Deviation 1.08
-3.3 score on a scale
Standard Deviation 1.44
-3.2 score on a scale
Standard Deviation 0.75
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 300
-3.7 score on a scale
Standard Deviation 1.00
-3.0 score on a scale
Standard Deviation 1.38
-3.4 score on a scale
Standard Deviation 0.81
Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) Over Time
Week 312
-3.5 score on a scale
Standard Deviation 1.10
-3.2 score on a scale
Standard Deviation 1.25
-3.2 score on a scale
Standard Deviation 1.04

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The clinical disease activity index (CDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, and Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. A negative change from Baseline indicates improvement in disease activity.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=297 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=144 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 6
-30.0 score on a scale
Standard Deviation 12.49
-27.5 score on a scale
Standard Deviation 13.54
-27.2 score on a scale
Standard Deviation 11.42
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 12
-31.6 score on a scale
Standard Deviation 11.82
-28.4 score on a scale
Standard Deviation 13.87
-27.9 score on a scale
Standard Deviation 11.12
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 24
-32.6 score on a scale
Standard Deviation 11.81
-30.6 score on a scale
Standard Deviation 13.59
-29.6 score on a scale
Standard Deviation 11.45
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 36
-32.2 score on a scale
Standard Deviation 12.43
-31.4 score on a scale
Standard Deviation 12.67
-29.6 score on a scale
Standard Deviation 11.63
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 48
-34.0 score on a scale
Standard Deviation 12.84
-31.8 score on a scale
Standard Deviation 13.35
-29.1 score on a scale
Standard Deviation 10.82
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 60
-34.7 score on a scale
Standard Deviation 12.52
-32.4 score on a scale
Standard Deviation 12.18
-32.2 score on a scale
Standard Deviation 12.09
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 72
-34.3 score on a scale
Standard Deviation 11.71
-32.3 score on a scale
Standard Deviation 13.33
-31.8 score on a scale
Standard Deviation 10.88
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 84
-34.9 score on a scale
Standard Deviation 12.08
-31.0 score on a scale
Standard Deviation 13.36
-33.5 score on a scale
Standard Deviation 9.66
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 96
-33.4 score on a scale
Standard Deviation 11.71
-32.1 score on a scale
Standard Deviation 12.37
-31.3 score on a scale
Standard Deviation 10.86
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 108
-34.5 score on a scale
Standard Deviation 11.83
-32.4 score on a scale
Standard Deviation 12.79
-32.3 score on a scale
Standard Deviation 10.81
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 120
-34.8 score on a scale
Standard Deviation 11.87
-32.3 score on a scale
Standard Deviation 12.94
-34.0 score on a scale
Standard Deviation 10.75
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 132
-35.0 score on a scale
Standard Deviation 12.24
-32.7 score on a scale
Standard Deviation 12.39
-34.5 score on a scale
Standard Deviation 12.14
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 144
-35.0 score on a scale
Standard Deviation 12.21
-33.1 score on a scale
Standard Deviation 12.67
-36.2 score on a scale
Standard Deviation 12.03
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 156
-35.6 score on a scale
Standard Deviation 12.24
-33.6 score on a scale
Standard Deviation 12.25
-36.1 score on a scale
Standard Deviation 11.80
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 168
-36.2 score on a scale
Standard Deviation 13.01
-33.8 score on a scale
Standard Deviation 12.97
-37.6 score on a scale
Standard Deviation 13.08
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 180
-35.5 score on a scale
Standard Deviation 12.60
-34.0 score on a scale
Standard Deviation 12.13
-36.9 score on a scale
Standard Deviation 12.07
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 192
-35.6 score on a scale
Standard Deviation 12.25
-34.0 score on a scale
Standard Deviation 12.89
-38.6 score on a scale
Standard Deviation 11.76
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 204
-36.0 score on a scale
Standard Deviation 12.36
-33.8 score on a scale
Standard Deviation 13.69
-37.9 score on a scale
Standard Deviation 12.59
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 216
-35.8 score on a scale
Standard Deviation 13.19
-33.9 score on a scale
Standard Deviation 11.87
-37.3 score on a scale
Standard Deviation 11.62
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 228
-35.6 score on a scale
Standard Deviation 12.68
-35.5 score on a scale
Standard Deviation 13.31
-37.9 score on a scale
Standard Deviation 11.55
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 240
-36.4 score on a scale
Standard Deviation 12.95
-34.7 score on a scale
Standard Deviation 13.02
-35.8 score on a scale
Standard Deviation 11.07
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 252
-35.9 score on a scale
Standard Deviation 13.41
-35.3 score on a scale
Standard Deviation 12.58
-34.3 score on a scale
Standard Deviation 11.71
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 264
-35.5 score on a scale
Standard Deviation 13.66
-33.2 score on a scale
Standard Deviation 12.38
-33.5 score on a scale
Standard Deviation 12.49
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 276
-36.5 score on a scale
Standard Deviation 12.59
-33.6 score on a scale
Standard Deviation 12.16
-34.7 score on a scale
Standard Deviation 11.92
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 288
-36.9 score on a scale
Standard Deviation 13.22
-35.3 score on a scale
Standard Deviation 14.34
-33.5 score on a scale
Standard Deviation 10.25
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 300
-36.0 score on a scale
Standard Deviation 12.17
-32.9 score on a scale
Standard Deviation 11.86
-34.6 score on a scale
Standard Deviation 11.27
Change From Baseline in Clinical Disease Activity Index (CDAI) Over Time
Week 312
-35.9 score on a scale
Standard Deviation 12.43
-34.4 score on a scale
Standard Deviation 12.63
-34.0 score on a scale
Standard Deviation 11.62

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The simplified disease activity index (SDAI) is a composite index for assessing disease activity based on the summation of the counts of tender joint count (out of 28 evaluated joints) and swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm, Physician's Global Assessment of Disease Activity measured on a VAS from 0 to 10 cm and hsCRP (mg/dL). The total SDAI score ranges from 0 to 86 with higher scores indicating higher disease activity. A negative change from Baseline indicates improvement in disease activity.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=297 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=144 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 36
-41.8 score on a scale
Standard Deviation 25.10
-41.6 score on a scale
Standard Deviation 25.59
-44.5 score on a scale
Standard Deviation 31.98
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 48
-42.9 score on a scale
Standard Deviation 23.24
-41.6 score on a scale
Standard Deviation 25.26
-44.6 score on a scale
Standard Deviation 29.09
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 60
-44.3 score on a scale
Standard Deviation 24.21
-42.5 score on a scale
Standard Deviation 24.51
-41.4 score on a scale
Standard Deviation 22.38
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 72
-43.4 score on a scale
Standard Deviation 24.62
-41.9 score on a scale
Standard Deviation 27.31
-41.8 score on a scale
Standard Deviation 21.19
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 84
-42.7 score on a scale
Standard Deviation 28.14
-39.0 score on a scale
Standard Deviation 31.94
-44.7 score on a scale
Standard Deviation 20.79
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 96
-42.0 score on a scale
Standard Deviation 18.50
-42.4 score on a scale
Standard Deviation 27.17
-43.2 score on a scale
Standard Deviation 22.39
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 108
-43.6 score on a scale
Standard Deviation 27.35
-42.9 score on a scale
Standard Deviation 24.31
-44.0 score on a scale
Standard Deviation 21.38
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 120
-42.7 score on a scale
Standard Deviation 22.25
-43.7 score on a scale
Standard Deviation 25.88
-43.4 score on a scale
Standard Deviation 23.39
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 132
-43.4 score on a scale
Standard Deviation 19.92
-41.4 score on a scale
Standard Deviation 27.64
-44.2 score on a scale
Standard Deviation 23.86
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 144
-41.7 score on a scale
Standard Deviation 22.60
-43.0 score on a scale
Standard Deviation 29.91
-46.0 score on a scale
Standard Deviation 25.20
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 156
-42.8 score on a scale
Standard Deviation 21.64
-43.6 score on a scale
Standard Deviation 29.88
-48.0 score on a scale
Standard Deviation 23.98
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 168
-43.7 score on a scale
Standard Deviation 23.75
-43.2 score on a scale
Standard Deviation 28.55
-46.4 score on a scale
Standard Deviation 23.28
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 180
-45.6 score on a scale
Standard Deviation 26.65
-45.0 score on a scale
Standard Deviation 27.57
-47.2 score on a scale
Standard Deviation 24.08
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 192
-44.7 score on a scale
Standard Deviation 30.13
-44.4 score on a scale
Standard Deviation 27.94
-48.5 score on a scale
Standard Deviation 25.36
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 204
-44.1 score on a scale
Standard Deviation 35.23
-43.5 score on a scale
Standard Deviation 28.81
-47.6 score on a scale
Standard Deviation 24.55
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 216
-47.3 score on a scale
Standard Deviation 27.43
-44.2 score on a scale
Standard Deviation 26.69
-47.4 score on a scale
Standard Deviation 23.26
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 228
-46.0 score on a scale
Standard Deviation 27.33
-47.9 score on a scale
Standard Deviation 28.86
-48.6 score on a scale
Standard Deviation 21.47
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 240
-46.8 score on a scale
Standard Deviation 31.40
-44.2 score on a scale
Standard Deviation 29.63
-45.0 score on a scale
Standard Deviation 21.97
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 252
-45.9 score on a scale
Standard Deviation 25.86
-45.7 score on a scale
Standard Deviation 29.98
-44.3 score on a scale
Standard Deviation 23.50
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 264
-44.9 score on a scale
Standard Deviation 24.26
-43.5 score on a scale
Standard Deviation 30.06
-44.4 score on a scale
Standard Deviation 21.96
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 276
-46.3 score on a scale
Standard Deviation 20.01
-44.2 score on a scale
Standard Deviation 26.93
-47.4 score on a scale
Standard Deviation 20.53
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 288
-47.1 score on a scale
Standard Deviation 22.36
-48.3 score on a scale
Standard Deviation 30.14
-41.6 score on a scale
Standard Deviation 17.15
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 300
-47.4 score on a scale
Standard Deviation 20.47
-41.6 score on a scale
Standard Deviation 26.38
-42.7 score on a scale
Standard Deviation 19.05
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 312
-45.8 score on a scale
Standard Deviation 28.64
-45.8 score on a scale
Standard Deviation 28.89
-41.2 score on a scale
Standard Deviation 17.55
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 6
-38.8 score on a scale
Standard Deviation 25.57
-37.2 score on a scale
Standard Deviation 27.36
-40.8 score on a scale
Standard Deviation 29.76
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 12
-40.6 score on a scale
Standard Deviation 24.84
-38.6 score on a scale
Standard Deviation 26.09
-41.7 score on a scale
Standard Deviation 30.24
Change From Baseline in SimplifiedDisease Activity Index (SDAI) Over Time
Week 24
-42.0 score on a scale
Standard Deviation 23.35
-36.7 score on a scale
Standard Deviation 43.09
-38.2 score on a scale
Standard Deviation 33.62

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Sixty-eight joints were assessed by an evaluator for tenderness or pain. The presence of tenderness was scored as a "1" and absence of tenderness as a "0". The total tender joint count is the sum of the scores, and ranges from 0 to 68 (worst).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 6
-20.6 joints
Standard Deviation 12.81
-21.3 joints
Standard Deviation 14.53
-22.1 joints
Standard Deviation 12.90
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 12
-21.3 joints
Standard Deviation 12.47
-22.5 joints
Standard Deviation 14.65
-20.5 joints
Standard Deviation 11.18
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 24
-22.0 joints
Standard Deviation 12.96
-23.9 joints
Standard Deviation 14.60
-22.9 joints
Standard Deviation 12.17
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 36
-21.7 joints
Standard Deviation 12.58
-24.2 joints
Standard Deviation 14.45
-23.4 joints
Standard Deviation 13.56
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 48
-23.1 joints
Standard Deviation 13.61
-24.1 joints
Standard Deviation 14.43
-24.0 joints
Standard Deviation 13.13
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 60
-23.6 joints
Standard Deviation 13.56
-25.0 joints
Standard Deviation 14.42
-25.6 joints
Standard Deviation 13.54
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 72
-23.3 joints
Standard Deviation 13.06
-24.3 joints
Standard Deviation 14.48
-26.1 joints
Standard Deviation 13.12
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 84
-23.2 joints
Standard Deviation 12.71
-23.4 joints
Standard Deviation 14.23
-27.4 joints
Standard Deviation 13.32
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 96
-23.1 joints
Standard Deviation 12.90
-23.9 joints
Standard Deviation 14.58
-24.6 joints
Standard Deviation 11.94
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 108
-23.3 joints
Standard Deviation 12.62
-23.7 joints
Standard Deviation 14.22
-25.2 joints
Standard Deviation 12.31
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 120
-23.1 joints
Standard Deviation 13.13
-23.9 joints
Standard Deviation 14.17
-26.9 joints
Standard Deviation 12.72
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 132
-23.1 joints
Standard Deviation 12.79
-23.7 joints
Standard Deviation 13.95
-26.8 joints
Standard Deviation 13.74
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 144
-23.5 joints
Standard Deviation 13.28
-23.8 joints
Standard Deviation 13.50
-29.3 joints
Standard Deviation 13.19
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 156
-23.7 joints
Standard Deviation 13.21
-23.9 joints
Standard Deviation 13.00
-28.1 joints
Standard Deviation 13.63
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 168
-24.1 joints
Standard Deviation 13.82
-24.4 joints
Standard Deviation 13.86
-31.0 joints
Standard Deviation 14.12
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 180
-23.7 joints
Standard Deviation 13.60
-24.9 joints
Standard Deviation 14.12
-29.5 joints
Standard Deviation 12.96
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 192
-24.0 joints
Standard Deviation 13.75
-24.4 joints
Standard Deviation 14.15
-31.3 joints
Standard Deviation 13.80
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 204
-24.2 joints
Standard Deviation 13.77
-23.6 joints
Standard Deviation 14.35
-30.4 joints
Standard Deviation 14.53
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 216
-24.2 joints
Standard Deviation 13.82
-24.1 joints
Standard Deviation 13.87
-31.6 joints
Standard Deviation 13.80
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 228
-23.9 joints
Standard Deviation 13.57
-26.6 joints
Standard Deviation 14.65
-30.5 joints
Standard Deviation 13.69
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 240
-24.7 joints
Standard Deviation 14.09
-25.6 joints
Standard Deviation 14.47
-29.4 joints
Standard Deviation 14.28
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 252
-24.2 joints
Standard Deviation 13.78
-25.6 joints
Standard Deviation 14.14
-27.5 joints
Standard Deviation 13.26
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 264
-23.7 joints
Standard Deviation 13.56
-23.7 joints
Standard Deviation 13.28
-27.0 joints
Standard Deviation 13.76
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 276
-23.6 joints
Standard Deviation 13.55
-23.9 joints
Standard Deviation 13.76
-28.0 joints
Standard Deviation 14.41
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 288
-24.9 joints
Standard Deviation 14.42
-25.7 joints
Standard Deviation 14.87
-26.6 joints
Standard Deviation 14.42
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 300
-24.3 joints
Standard Deviation 14.04
-24.5 joints
Standard Deviation 15.18
-28.2 joints
Standard Deviation 14.10
Change From Baseline in Tender Joint Count (TJC68) Over Time
Week 312
-24.1 joints
Standard Deviation 13.82
-23.2 joints
Standard Deviation 14.08
-26.8 joints
Standard Deviation 14.48

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Sixty-six joints were assessed by an evaluator for swelling. The presence of swelling was scored as a "1" and absence of swelling as a "0". The total swollen joint count is the sum of the scores, and ranges from 0 to 66 (worst).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 6
-12.8 joints
Standard Deviation 7.76
-13.5 joints
Standard Deviation 10.89
-14.5 joints
Standard Deviation 8.70
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 12
-13.7 joints
Standard Deviation 7.95
-13.9 joints
Standard Deviation 11.26
-13.5 joints
Standard Deviation 6.72
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 24
-14.2 joints
Standard Deviation 8.31
-14.7 joints
Standard Deviation 10.87
-15.7 joints
Standard Deviation 5.67
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 36
-14.1 joints
Standard Deviation 8.26
-15.1 joints
Standard Deviation 10.39
-15.6 joints
Standard Deviation 5.94
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 48
-15.3 joints
Standard Deviation 9.47
-15.4 joints
Standard Deviation 11.19
-16.0 joints
Standard Deviation 6.10
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 60
-15.6 joints
Standard Deviation 9.52
-15.9 joints
Standard Deviation 11.83
-17.4 joints
Standard Deviation 9.36
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 72
-15.1 joints
Standard Deviation 8.50
-15.5 joints
Standard Deviation 10.47
-17.0 joints
Standard Deviation 6.31
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 84
-15.6 joints
Standard Deviation 9.18
-14.7 joints
Standard Deviation 9.96
-17.0 joints
Standard Deviation 6.68
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 96
-15.3 joints
Standard Deviation 9.27
-14.7 joints
Standard Deviation 9.48
-16.6 joints
Standard Deviation 6.79
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 108
-15.2 joints
Standard Deviation 8.72
-15.2 joints
Standard Deviation 10.17
-16.6 joints
Standard Deviation 6.96
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 120
-15.6 joints
Standard Deviation 8.77
-14.8 joints
Standard Deviation 9.06
-17.5 joints
Standard Deviation 7.15
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 132
-15.7 joints
Standard Deviation 9.23
-14.6 joints
Standard Deviation 9.79
-17.3 joints
Standard Deviation 7.11
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 144
-15.9 joints
Standard Deviation 9.03
-15.3 joints
Standard Deviation 9.81
-18.6 joints
Standard Deviation 7.17
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 156
-16.1 joints
Standard Deviation 9.74
-15.5 joints
Standard Deviation 9.53
-17.5 joints
Standard Deviation 7.89
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 168
-16.9 joints
Standard Deviation 11.11
-15.8 joints
Standard Deviation 10.51
-20.0 joints
Standard Deviation 9.94
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 180
-16.6 joints
Standard Deviation 10.67
-16.2 joints
Standard Deviation 10.61
-20.0 joints
Standard Deviation 9.91
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 192
-16.4 joints
Standard Deviation 9.87
-15.8 joints
Standard Deviation 9.23
-20.7 joints
Standard Deviation 10.08
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 204
-16.7 joints
Standard Deviation 10.60
-15.9 joints
Standard Deviation 9.53
-19.6 joints
Standard Deviation 10.22
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 216
-16.6 joints
Standard Deviation 10.29
-16.1 joints
Standard Deviation 8.86
-20.4 joints
Standard Deviation 10.12
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 228
-16.2 joints
Standard Deviation 9.51
-17.3 joints
Standard Deviation 10.79
-19.8 joints
Standard Deviation 10.16
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 240
-16.8 joints
Standard Deviation 10.41
-17.0 joints
Standard Deviation 10.43
-18.8 joints
Standard Deviation 7.86
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 252
-16.8 joints
Standard Deviation 10.63
-16.9 joints
Standard Deviation 9.37
-18.1 joints
Standard Deviation 7.78
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 264
-17.7 joints
Standard Deviation 11.38
-16.1 joints
Standard Deviation 8.72
-18.3 joints
Standard Deviation 7.55
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 276
-17.8 joints
Standard Deviation 11.35
-17.0 joints
Standard Deviation 10.60
-18.9 joints
Standard Deviation 7.74
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 288
-17.4 joints
Standard Deviation 11.28
-17.8 joints
Standard Deviation 11.76
-18.7 joints
Standard Deviation 7.67
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 300
-16.7 joints
Standard Deviation 10.21
-17.1 joints
Standard Deviation 10.31
-19.3 joints
Standard Deviation 7.72
Change From Baseline in Swollen Joint Count (SJC66) Over Time
Week 312
-16.7 joints
Standard Deviation 9.71
-17.4 joints
Standard Deviation 10.41
-18.6 joints
Standard Deviation 7.51

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The physician rated the participant's current global RA disease activity (independently from the participant's assessment) on a visual analog scale (VAS) from 0 to 100 mm, where 0 mm indicates no disease activity and 100 mm indicates severe disease activity

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=298 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=147 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 6
-46.8 score on a scale
Standard Deviation 20.58
-35.5 score on a scale
Standard Deviation 21.53
-38.4 score on a scale
Standard Deviation 24.08
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 12
-48.9 score on a scale
Standard Deviation 20.45
-39.1 score on a scale
Standard Deviation 22.99
-37.5 score on a scale
Standard Deviation 21.78
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 24
-51.2 score on a scale
Standard Deviation 18.71
-42.5 score on a scale
Standard Deviation 21.24
-40.9 score on a scale
Standard Deviation 22.79
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 36
-51.6 score on a scale
Standard Deviation 19.08
-42.7 score on a scale
Standard Deviation 20.96
-39.5 score on a scale
Standard Deviation 24.20
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 48
-52.8 score on a scale
Standard Deviation 19.12
-45.6 score on a scale
Standard Deviation 19.29
-40.6 score on a scale
Standard Deviation 20.97
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 60
-54.2 score on a scale
Standard Deviation 16.44
-47.1 score on a scale
Standard Deviation 19.64
-44.7 score on a scale
Standard Deviation 24.33
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 72
-53.4 score on a scale
Standard Deviation 17.46
-45.9 score on a scale
Standard Deviation 18.58
-47.2 score on a scale
Standard Deviation 18.47
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 84
-54.3 score on a scale
Standard Deviation 16.44
-43.4 score on a scale
Standard Deviation 21.41
-48.5 score on a scale
Standard Deviation 17.25
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 96
-52.3 score on a scale
Standard Deviation 17.69
-45.7 score on a scale
Standard Deviation 20.42
-46.8 score on a scale
Standard Deviation 20.97
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 108
-55.5 score on a scale
Standard Deviation 16.72
-45.9 score on a scale
Standard Deviation 18.75
-47.4 score on a scale
Standard Deviation 21.09
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 120
-55.9 score on a scale
Standard Deviation 16.38
-48.6 score on a scale
Standard Deviation 18.23
-50.1 score on a scale
Standard Deviation 21.51
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 132
-56.1 score on a scale
Standard Deviation 16.60
-50.1 score on a scale
Standard Deviation 17.19
-52.5 score on a scale
Standard Deviation 20.62
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 144
-56.7 score on a scale
Standard Deviation 15.79
-48.2 score on a scale
Standard Deviation 18.28
-51.4 score on a scale
Standard Deviation 19.66
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 156
-57.0 score on a scale
Standard Deviation 16.90
-48.9 score on a scale
Standard Deviation 18.89
-52.4 score on a scale
Standard Deviation 19.49
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 168
-57.0 score on a scale
Standard Deviation 15.94
-51.9 score on a scale
Standard Deviation 20.24
-55.6 score on a scale
Standard Deviation 21.25
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 180
-57.2 score on a scale
Standard Deviation 17.11
-53.0 score on a scale
Standard Deviation 18.04
-53.1 score on a scale
Standard Deviation 19.34
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 192
-56.3 score on a scale
Standard Deviation 17.25
-52.1 score on a scale
Standard Deviation 16.56
-55.1 score on a scale
Standard Deviation 20.69
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 204
-58.0 score on a scale
Standard Deviation 16.73
-52.9 score on a scale
Standard Deviation 18.09
-54.7 score on a scale
Standard Deviation 19.50
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 216
-58.3 score on a scale
Standard Deviation 16.50
-50.8 score on a scale
Standard Deviation 18.27
-51.3 score on a scale
Standard Deviation 20.42
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 228
-56.3 score on a scale
Standard Deviation 19.63
-53.2 score on a scale
Standard Deviation 17.28
-55.0 score on a scale
Standard Deviation 19.69
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 240
-58.1 score on a scale
Standard Deviation 17.63
-52.8 score on a scale
Standard Deviation 16.04
-49.6 score on a scale
Standard Deviation 18.67
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 252
-57.2 score on a scale
Standard Deviation 17.56
-53.9 score on a scale
Standard Deviation 17.10
-52.2 score on a scale
Standard Deviation 18.12
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 264
-56.5 score on a scale
Standard Deviation 16.68
-50.4 score on a scale
Standard Deviation 18.09
-46.4 score on a scale
Standard Deviation 18.60
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 276
-56.9 score on a scale
Standard Deviation 16.79
-53.5 score on a scale
Standard Deviation 17.07
-50.1 score on a scale
Standard Deviation 17.96
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 288
-57.3 score on a scale
Standard Deviation 18.97
-56.3 score on a scale
Standard Deviation 17.25
-49.4 score on a scale
Standard Deviation 16.31
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 300
-56.8 score on a scale
Standard Deviation 17.93
-52.9 score on a scale
Standard Deviation 17.33
-53.6 score on a scale
Standard Deviation 17.36
Change From Baseline in Physician's Global Assessment of Disease Activity Over Time
Week 312
-58.7 score on a scale
Standard Deviation 16.12
-55.2 score on a scale
Standard Deviation 17.19
-49.4 score on a scale
Standard Deviation 17.96

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The participant was asked to rate their current RA disease activity over the past 24 hours on a 100 mm VAS, where 0 mm indicates very low disease activity and 100 mm indicates very high disease activity.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=305 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 6
-35.4 score on a scale
Standard Deviation 29.83
-27.2 score on a scale
Standard Deviation 27.74
-26.1 score on a scale
Standard Deviation 27.46
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 12
-37.5 score on a scale
Standard Deviation 29.00
-29.2 score on a scale
Standard Deviation 28.05
-31.3 score on a scale
Standard Deviation 23.13
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 24
-36.9 score on a scale
Standard Deviation 28.97
-30.4 score on a scale
Standard Deviation 31.16
-32.9 score on a scale
Standard Deviation 25.63
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 36
-37.1 score on a scale
Standard Deviation 30.36
-32.6 score on a scale
Standard Deviation 28.62
-34.9 score on a scale
Standard Deviation 26.00
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 48
-39.2 score on a scale
Standard Deviation 30.36
-30.7 score on a scale
Standard Deviation 30.46
-23.6 score on a scale
Standard Deviation 26.58
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 60
-40.8 score on a scale
Standard Deviation 28.95
-34.4 score on a scale
Standard Deviation 28.36
-38.3 score on a scale
Standard Deviation 24.46
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 72
-40.3 score on a scale
Standard Deviation 27.36
-32.1 score on a scale
Standard Deviation 30.19
-26.3 score on a scale
Standard Deviation 30.70
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 84
-40.1 score on a scale
Standard Deviation 30.37
-32.0 score on a scale
Standard Deviation 31.27
-39.4 score on a scale
Standard Deviation 21.35
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 96
-38.1 score on a scale
Standard Deviation 30.34
-33.5 score on a scale
Standard Deviation 33.51
-33.5 score on a scale
Standard Deviation 22.08
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 108
-40.8 score on a scale
Standard Deviation 29.75
-35.0 score on a scale
Standard Deviation 29.93
-32.1 score on a scale
Standard Deviation 20.65
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 120
-40.6 score on a scale
Standard Deviation 29.76
-32.4 score on a scale
Standard Deviation 32.91
-36.6 score on a scale
Standard Deviation 28.02
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 132
-40.1 score on a scale
Standard Deviation 29.99
-37.0 score on a scale
Standard Deviation 28.43
-38.4 score on a scale
Standard Deviation 27.02
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 144
-37.7 score on a scale
Standard Deviation 30.73
-36.8 score on a scale
Standard Deviation 28.24
-33.9 score on a scale
Standard Deviation 29.68
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 156
-39.7 score on a scale
Standard Deviation 32.65
-36.9 score on a scale
Standard Deviation 25.93
-38.6 score on a scale
Standard Deviation 21.61
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 168
-42.7 score on a scale
Standard Deviation 29.04
-37.9 score on a scale
Standard Deviation 29.10
-39.0 score on a scale
Standard Deviation 32.84
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 180
-40.3 score on a scale
Standard Deviation 29.52
-30.7 score on a scale
Standard Deviation 33.34
-33.3 score on a scale
Standard Deviation 34.03
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 192
-41.0 score on a scale
Standard Deviation 28.73
-33.4 score on a scale
Standard Deviation 33.30
-42.1 score on a scale
Standard Deviation 23.97
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 204
-42.0 score on a scale
Standard Deviation 29.28
-33.2 score on a scale
Standard Deviation 34.00
-43.7 score on a scale
Standard Deviation 25.60
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 216
-39.0 score on a scale
Standard Deviation 32.18
-32.5 score on a scale
Standard Deviation 30.72
-35.6 score on a scale
Standard Deviation 27.03
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 228
-38.4 score on a scale
Standard Deviation 32.29
-28.5 score on a scale
Standard Deviation 37.86
-40.1 score on a scale
Standard Deviation 24.11
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 240
-41.9 score on a scale
Standard Deviation 30.43
-37.6 score on a scale
Standard Deviation 28.56
-33.3 score on a scale
Standard Deviation 29.03
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 252
-40.6 score on a scale
Standard Deviation 32.12
-33.8 score on a scale
Standard Deviation 31.76
-33.5 score on a scale
Standard Deviation 35.96
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 264
-38.5 score on a scale
Standard Deviation 31.53
-31.6 score on a scale
Standard Deviation 34.26
-32.7 score on a scale
Standard Deviation 34.87
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 276
-42.4 score on a scale
Standard Deviation 27.53
-36.8 score on a scale
Standard Deviation 29.40
-26.0 score on a scale
Standard Deviation 33.79
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 288
-43.3 score on a scale
Standard Deviation 27.99
-38.5 score on a scale
Standard Deviation 32.21
-32.2 score on a scale
Standard Deviation 28.16
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 300
-38.8 score on a scale
Standard Deviation 29.04
-33.4 score on a scale
Standard Deviation 34.89
-31.6 score on a scale
Standard Deviation 25.93
Change From Baseline in Patient's Global Assessment of Disease Activity Over Time
Week 312
-36.5 score on a scale
Standard Deviation 32.10
-39.4 score on a scale
Standard Deviation 30.60
-37.7 score on a scale
Standard Deviation 29.67

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

Participants were asked to indicate the severity of their arthritis pain within the previous week on a visual analog scale from 0 to 100 mm. A score of 0 mm indicates "no pain" and a score of 100 mm indicates "worst possible pain."

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=305 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Patient's Assessment of Pain Over Time
Week 300
-43.0 score on a scale
Standard Deviation 25.18
-34.7 score on a scale
Standard Deviation 32.36
-29.9 score on a scale
Standard Deviation 30.21
Change From Baseline in Patient's Assessment of Pain Over Time
Week 6
-38.5 score on a scale
Standard Deviation 27.16
-29.9 score on a scale
Standard Deviation 24.46
-30.0 score on a scale
Standard Deviation 26.37
Change From Baseline in Patient's Assessment of Pain Over Time
Week 12
-41.3 score on a scale
Standard Deviation 26.07
-29.9 score on a scale
Standard Deviation 26.20
-31.9 score on a scale
Standard Deviation 20.23
Change From Baseline in Patient's Assessment of Pain Over Time
Week 24
-42.2 score on a scale
Standard Deviation 25.41
-30.9 score on a scale
Standard Deviation 28.77
-36.0 score on a scale
Standard Deviation 21.73
Change From Baseline in Patient's Assessment of Pain Over Time
Week 36
-40.6 score on a scale
Standard Deviation 26.41
-34.6 score on a scale
Standard Deviation 26.56
-34.8 score on a scale
Standard Deviation 21.83
Change From Baseline in Patient's Assessment of Pain Over Time
Week 48
-42.4 score on a scale
Standard Deviation 26.50
-31.9 score on a scale
Standard Deviation 28.73
-32.6 score on a scale
Standard Deviation 23.67
Change From Baseline in Patient's Assessment of Pain Over Time
Week 60
-41.9 score on a scale
Standard Deviation 27.89
-32.2 score on a scale
Standard Deviation 26.50
-38.6 score on a scale
Standard Deviation 23.34
Change From Baseline in Patient's Assessment of Pain Over Time
Week 72
-42.5 score on a scale
Standard Deviation 24.76
-32.0 score on a scale
Standard Deviation 25.38
-31.4 score on a scale
Standard Deviation 22.95
Change From Baseline in Patient's Assessment of Pain Over Time
Week 84
-42.1 score on a scale
Standard Deviation 25.87
-33.3 score on a scale
Standard Deviation 26.52
-43.0 score on a scale
Standard Deviation 20.51
Change From Baseline in Patient's Assessment of Pain Over Time
Week 96
-40.5 score on a scale
Standard Deviation 28.02
-34.2 score on a scale
Standard Deviation 26.14
-37.6 score on a scale
Standard Deviation 20.15
Change From Baseline in Patient's Assessment of Pain Over Time
Week 108
-43.6 score on a scale
Standard Deviation 26.28
-33.9 score on a scale
Standard Deviation 27.60
-36.3 score on a scale
Standard Deviation 23.12
Change From Baseline in Patient's Assessment of Pain Over Time
Week 120
-43.0 score on a scale
Standard Deviation 26.67
-36.2 score on a scale
Standard Deviation 27.69
-41.9 score on a scale
Standard Deviation 21.40
Change From Baseline in Patient's Assessment of Pain Over Time
Week 132
-42.2 score on a scale
Standard Deviation 26.89
-36.7 score on a scale
Standard Deviation 26.71
-34.4 score on a scale
Standard Deviation 27.27
Change From Baseline in Patient's Assessment of Pain Over Time
Week 144
-41.7 score on a scale
Standard Deviation 27.02
-36.7 score on a scale
Standard Deviation 27.14
-33.8 score on a scale
Standard Deviation 24.60
Change From Baseline in Patient's Assessment of Pain Over Time
Week 156
-43.5 score on a scale
Standard Deviation 25.72
-37.4 score on a scale
Standard Deviation 25.27
-34.6 score on a scale
Standard Deviation 24.91
Change From Baseline in Patient's Assessment of Pain Over Time
Week 168
-43.6 score on a scale
Standard Deviation 27.19
-38.8 score on a scale
Standard Deviation 27.67
-41.6 score on a scale
Standard Deviation 25.76
Change From Baseline in Patient's Assessment of Pain Over Time
Week 180
-42.7 score on a scale
Standard Deviation 26.54
-33.6 score on a scale
Standard Deviation 30.24
-36.5 score on a scale
Standard Deviation 29.20
Change From Baseline in Patient's Assessment of Pain Over Time
Week 192
-41.6 score on a scale
Standard Deviation 27.90
-33.8 score on a scale
Standard Deviation 29.13
-39.9 score on a scale
Standard Deviation 25.44
Change From Baseline in Patient's Assessment of Pain Over Time
Week 204
-44.4 score on a scale
Standard Deviation 25.26
-33.4 score on a scale
Standard Deviation 33.05
-41.9 score on a scale
Standard Deviation 22.39
Change From Baseline in Patient's Assessment of Pain Over Time
Week 216
-42.2 score on a scale
Standard Deviation 28.01
-32.5 score on a scale
Standard Deviation 32.06
-33.6 score on a scale
Standard Deviation 25.98
Change From Baseline in Patient's Assessment of Pain Over Time
Week 228
-45.1 score on a scale
Standard Deviation 24.96
-29.6 score on a scale
Standard Deviation 35.17
-39.8 score on a scale
Standard Deviation 24.70
Change From Baseline in Patient's Assessment of Pain Over Time
Week 240
-43.4 score on a scale
Standard Deviation 27.78
-34.1 score on a scale
Standard Deviation 31.98
-36.1 score on a scale
Standard Deviation 25.38
Change From Baseline in Patient's Assessment of Pain Over Time
Week 252
-44.4 score on a scale
Standard Deviation 27.49
-34.3 score on a scale
Standard Deviation 28.12
-38.3 score on a scale
Standard Deviation 24.92
Change From Baseline in Patient's Assessment of Pain Over Time
Week 264
-44.0 score on a scale
Standard Deviation 25.43
-35.6 score on a scale
Standard Deviation 31.33
-38.2 score on a scale
Standard Deviation 24.11
Change From Baseline in Patient's Assessment of Pain Over Time
Week 276
-46.3 score on a scale
Standard Deviation 24.53
-35.6 score on a scale
Standard Deviation 27.39
-34.1 score on a scale
Standard Deviation 26.80
Change From Baseline in Patient's Assessment of Pain Over Time
Week 288
-46.2 score on a scale
Standard Deviation 25.61
-37.6 score on a scale
Standard Deviation 28.74
-33.3 score on a scale
Standard Deviation 23.30
Change From Baseline in Patient's Assessment of Pain Over Time
Week 312
-44.1 score on a scale
Standard Deviation 25.87
-40.3 score on a scale
Standard Deviation 27.37
-33.4 score on a scale
Standard Deviation 30.11

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores) over the past week. Participants assessed their ability to do each task on a scale from 0 (without any difficulty) to 3 (unable to do). Scores were averaged to provide an overall score ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=304 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 6
-0.7 score on a scale
Standard Deviation 0.62
-0.6 score on a scale
Standard Deviation 0.56
-0.6 score on a scale
Standard Deviation 0.47
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 12
-0.7 score on a scale
Standard Deviation 0.64
-0.6 score on a scale
Standard Deviation 0.63
-0.7 score on a scale
Standard Deviation 0.55
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 24
-0.8 score on a scale
Standard Deviation 0.60
-0.6 score on a scale
Standard Deviation 0.61
-0.7 score on a scale
Standard Deviation 0.58
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 36
-0.7 score on a scale
Standard Deviation 0.66
-0.6 score on a scale
Standard Deviation 0.62
-0.7 score on a scale
Standard Deviation 0.66
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 48
-0.8 score on a scale
Standard Deviation 0.63
-0.7 score on a scale
Standard Deviation 0.61
-0.7 score on a scale
Standard Deviation 0.58
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 60
-0.8 score on a scale
Standard Deviation 0.67
-0.7 score on a scale
Standard Deviation 0.66
-0.7 score on a scale
Standard Deviation 0.52
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 72
-0.8 score on a scale
Standard Deviation 0.65
-0.7 score on a scale
Standard Deviation 0.63
-0.7 score on a scale
Standard Deviation 0.54
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 84
-0.9 score on a scale
Standard Deviation 0.62
-0.7 score on a scale
Standard Deviation 0.64
-0.7 score on a scale
Standard Deviation 0.57
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 96
-0.8 score on a scale
Standard Deviation 0.64
-0.8 score on a scale
Standard Deviation 0.69
-0.8 score on a scale
Standard Deviation 0.52
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 108
-0.9 score on a scale
Standard Deviation 0.67
-0.7 score on a scale
Standard Deviation 0.67
-0.7 score on a scale
Standard Deviation 0.58
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 120
-0.8 score on a scale
Standard Deviation 0.64
-0.7 score on a scale
Standard Deviation 0.64
-0.8 score on a scale
Standard Deviation 0.62
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 132
-0.9 score on a scale
Standard Deviation 0.66
-0.7 score on a scale
Standard Deviation 0.64
-0.8 score on a scale
Standard Deviation 0.51
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 144
-0.8 score on a scale
Standard Deviation 0.72
-0.8 score on a scale
Standard Deviation 0.68
-0.7 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 156
-0.8 score on a scale
Standard Deviation 0.69
-0.7 score on a scale
Standard Deviation 0.57
-0.8 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 168
-0.8 score on a scale
Standard Deviation 0.68
-0.7 score on a scale
Standard Deviation 0.67
-0.8 score on a scale
Standard Deviation 0.60
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 180
-0.8 score on a scale
Standard Deviation 0.70
-0.7 score on a scale
Standard Deviation 0.70
-0.7 score on a scale
Standard Deviation 0.64
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 192
-0.8 score on a scale
Standard Deviation 0.68
-0.7 score on a scale
Standard Deviation 0.69
-0.8 score on a scale
Standard Deviation 0.57
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 204
-0.9 score on a scale
Standard Deviation 0.68
-0.7 score on a scale
Standard Deviation 0.79
-0.8 score on a scale
Standard Deviation 0.51
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 216
-0.8 score on a scale
Standard Deviation 0.69
-0.7 score on a scale
Standard Deviation 0.73
-0.8 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 228
-0.9 score on a scale
Standard Deviation 0.72
-0.7 score on a scale
Standard Deviation 0.77
-0.7 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 240
-0.8 score on a scale
Standard Deviation 0.69
-0.7 score on a scale
Standard Deviation 0.77
-0.6 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 252
-0.9 score on a scale
Standard Deviation 0.69
-0.7 score on a scale
Standard Deviation 0.77
-0.7 score on a scale
Standard Deviation 0.59
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 264
-0.8 score on a scale
Standard Deviation 0.68
-0.7 score on a scale
Standard Deviation 0.65
-0.7 score on a scale
Standard Deviation 0.59
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 276
-0.8 score on a scale
Standard Deviation 0.69
-0.6 score on a scale
Standard Deviation 0.66
-0.7 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 288
-0.9 score on a scale
Standard Deviation 0.70
-0.7 score on a scale
Standard Deviation 0.74
-0.8 score on a scale
Standard Deviation 0.61
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 300
-0.8 score on a scale
Standard Deviation 0.76
-0.7 score on a scale
Standard Deviation 0.70
-0.7 score on a scale
Standard Deviation 0.68
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Over Time
Week 312
-0.8 score on a scale
Standard Deviation 0.71
-0.8 score on a scale
Standard Deviation 0.74
-0.7 score on a scale
Standard Deviation 0.69

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at each time point

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=306 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=149 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=38 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 228
-11.0 mg/L
Standard Deviation 20.71
-12.2 mg/L
Standard Deviation 20.89
-10.0 mg/L
Standard Deviation 17.46
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 6
-7.9 mg/L
Standard Deviation 21.74
-10.0 mg/L
Standard Deviation 21.95
-13.0 mg/L
Standard Deviation 29.00
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 12
-9.0 mg/L
Standard Deviation 18.96
-10.7 mg/L
Standard Deviation 20.94
-12.8 mg/L
Standard Deviation 26.93
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 24
-9.4 mg/L
Standard Deviation 17.38
-7.2 mg/L
Standard Deviation 36.97
-9.1 mg/L
Standard Deviation 29.38
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 36
-9.5 mg/L
Standard Deviation 18.62
-11.1 mg/L
Standard Deviation 22.03
-13.5 mg/L
Standard Deviation 28.34
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 48
-8.8 mg/L
Standard Deviation 17.50
-10.2 mg/L
Standard Deviation 22.28
-13.3 mg/L
Standard Deviation 22.69
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 60
-9.6 mg/L
Standard Deviation 17.78
-10.3 mg/L
Standard Deviation 22.10
-11.0 mg/L
Standard Deviation 21.62
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 72
-9.2 mg/L
Standard Deviation 19.42
-9.9 mg/L
Standard Deviation 22.95
-11.2 mg/L
Standard Deviation 20.16
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 84
-8.3 mg/L
Standard Deviation 24.66
-10.0 mg/L
Standard Deviation 28.56
-10.2 mg/L
Standard Deviation 16.57
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 96
-10.1 mg/L
Standard Deviation 17.74
-10.3 mg/L
Standard Deviation 22.36
-11.1 mg/L
Standard Deviation 17.61
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 108
-9.8 mg/L
Standard Deviation 21.56
-10.7 mg/L
Standard Deviation 19.36
-10.8 mg/L
Standard Deviation 17.39
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 120
-8.4 mg/L
Standard Deviation 18.27
-10.9 mg/L
Standard Deviation 19.63
-9.2 mg/L
Standard Deviation 18.62
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 132
-8.9 mg/L
Standard Deviation 15.19
-9.0 mg/L
Standard Deviation 21.32
-9.3 mg/L
Standard Deviation 17.53
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 144
-7.3 mg/L
Standard Deviation 17.15
-9.9 mg/L
Standard Deviation 23.45
-5.9 mg/L
Standard Deviation 26.82
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 156
-8.6 mg/L
Standard Deviation 16.60
-6.0 mg/L
Standard Deviation 52.17
-10.9 mg/L
Standard Deviation 18.20
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 168
-7.7 mg/L
Standard Deviation 18.37
-7.5 mg/L
Standard Deviation 28.96
-8.8 mg/L
Standard Deviation 17.88
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 180
-10.0 mg/L
Standard Deviation 19.41
-10.3 mg/L
Standard Deviation 21.44
-9.2 mg/L
Standard Deviation 19.16
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 192
-9.4 mg/L
Standard Deviation 23.81
-9.9 mg/L
Standard Deviation 21.04
-9.3 mg/L
Standard Deviation 20.07
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 204
-8.4 mg/L
Standard Deviation 28.90
-9.6 mg/L
Standard Deviation 21.29
-9.0 mg/L
Standard Deviation 19.07
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 216
-11.5 mg/L
Standard Deviation 20.22
-10.0 mg/L
Standard Deviation 22.42
-8.4 mg/L
Standard Deviation 19.70
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 240
-10.6 mg/L
Standard Deviation 24.45
-9.1 mg/L
Standard Deviation 22.38
-9.2 mg/L
Standard Deviation 17.55
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 252
-10.4 mg/L
Standard Deviation 19.33
-9.4 mg/L
Standard Deviation 24.28
-9.9 mg/L
Standard Deviation 18.83
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 264
-11.2 mg/L
Standard Deviation 21.02
-9.9 mg/L
Standard Deviation 23.99
-11.1 mg/L
Standard Deviation 18.19
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 276
-10.5 mg/L
Standard Deviation 18.04
-11.2 mg/L
Standard Deviation 20.20
-10.9 mg/L
Standard Deviation 17.95
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 288
-10.6 mg/L
Standard Deviation 16.09
-12.9 mg/L
Standard Deviation 21.85
-7.5 mg/L
Standard Deviation 14.48
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 300
-11.1 mg/L
Standard Deviation 14.63
-11.4 mg/L
Standard Deviation 21.67
-11.0 mg/L
Standard Deviation 19.69
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) Over Time
Week 312
-10.3 mg/L
Standard Deviation 22.22
-12.0 mg/L
Standard Deviation 21.14
-8.7 mg/L
Standard Deviation 15.19

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 72, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The FACIT Fatigue scale is a 13-item tool that measures an individual's level of fatigue during their usual daily activities over the past 7 days. Each of the fatigue and impact of fatigue items are measured on a four point Likert scale (4 = not at all fatigued to 0 = very much fatigued). The FACIT Fatigue Scale is the sum of the individual 13 scores and ranges from 0 to 52 where higher scores indicate better quality of life. A positive change from Baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=304 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 6
9.5 score on a scale
Standard Deviation 10.50
9.0 score on a scale
Standard Deviation 9.69
8.8 score on a scale
Standard Deviation 9.26
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 12
9.9 score on a scale
Standard Deviation 10.49
8.7 score on a scale
Standard Deviation 10.87
8.6 score on a scale
Standard Deviation 10.43
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 24
10.7 score on a scale
Standard Deviation 10.04
10.6 score on a scale
Standard Deviation 11.60
8.3 score on a scale
Standard Deviation 9.65
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 36
10.1 score on a scale
Standard Deviation 10.59
10.0 score on a scale
Standard Deviation 11.58
8.0 score on a scale
Standard Deviation 11.50
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 48
10.4 score on a scale
Standard Deviation 10.58
10.8 score on a scale
Standard Deviation 10.44
8.4 score on a scale
Standard Deviation 10.83
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 72
10.8 score on a scale
Standard Deviation 9.55
10.9 score on a scale
Standard Deviation 10.64
9.2 score on a scale
Standard Deviation 11.44
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 96
10.3 score on a scale
Standard Deviation 10.45
11.7 score on a scale
Standard Deviation 12.72
9.5 score on a scale
Standard Deviation 11.27
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 108
10.5 score on a scale
Standard Deviation 10.49
11.9 score on a scale
Standard Deviation 12.08
7.9 score on a scale
Standard Deviation 10.62
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 120
11.0 score on a scale
Standard Deviation 10.76
11.6 score on a scale
Standard Deviation 11.95
10.7 score on a scale
Standard Deviation 11.30
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 132
11.4 score on a scale
Standard Deviation 10.13
10.7 score on a scale
Standard Deviation 11.47
10.7 score on a scale
Standard Deviation 10.36
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 144
9.9 score on a scale
Standard Deviation 11.36
11.2 score on a scale
Standard Deviation 12.09
9.8 score on a scale
Standard Deviation 11.67
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 156
10.6 score on a scale
Standard Deviation 10.94
11.2 score on a scale
Standard Deviation 11.48
8.6 score on a scale
Standard Deviation 12.32
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 168
10.8 score on a scale
Standard Deviation 12.27
10.6 score on a scale
Standard Deviation 12.46
11.4 score on a scale
Standard Deviation 13.18
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 180
11.0 score on a scale
Standard Deviation 11.59
9.6 score on a scale
Standard Deviation 13.56
11.4 score on a scale
Standard Deviation 12.45
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 192
10.8 score on a scale
Standard Deviation 10.50
10.9 score on a scale
Standard Deviation 11.82
11.5 score on a scale
Standard Deviation 13.27
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 204
11.3 score on a scale
Standard Deviation 10.56
10.2 score on a scale
Standard Deviation 13.01
11.2 score on a scale
Standard Deviation 12.70
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 216
11.4 score on a scale
Standard Deviation 11.93
10.4 score on a scale
Standard Deviation 13.92
10.1 score on a scale
Standard Deviation 12.87
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 228
11.0 score on a scale
Standard Deviation 11.25
10.8 score on a scale
Standard Deviation 14.00
11.1 score on a scale
Standard Deviation 13.18
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 240
11.9 score on a scale
Standard Deviation 10.93
11.4 score on a scale
Standard Deviation 13.08
9.2 score on a scale
Standard Deviation 13.81
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 252
11.5 score on a scale
Standard Deviation 10.83
10.2 score on a scale
Standard Deviation 13.68
8.4 score on a scale
Standard Deviation 13.48
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 264
11.6 score on a scale
Standard Deviation 10.95
10.7 score on a scale
Standard Deviation 12.52
7.8 score on a scale
Standard Deviation 13.94
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 276
12.1 score on a scale
Standard Deviation 10.98
9.2 score on a scale
Standard Deviation 13.02
7.3 score on a scale
Standard Deviation 13.02
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 288
11.6 score on a scale
Standard Deviation 10.88
12.3 score on a scale
Standard Deviation 11.83
9.0 score on a scale
Standard Deviation 13.94
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 300
11.1 score on a scale
Standard Deviation 11.14
9.7 score on a scale
Standard Deviation 13.12
7.0 score on a scale
Standard Deviation 13.46
Change From Baseline in in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue Scale Over Time
Week 312
10.7 score on a scale
Standard Deviation 11.24
11.6 score on a scale
Standard Deviation 12.67
8.6 score on a scale
Standard Deviation 14.35

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 72, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population who were currently working at Baseline and at each visit visit and with available data at each time point

RA-WIS is a tool to evaluate work instability (the consequence of a mismatch between an individual's functional ability and their work tasks). RA-WIS consists of 23 questions relating to the participant's functioning in their work environment, each answered as Yes or No. The total score is the number of questions answered Yes, and ranges from 0 to 23. A score \< 10 means low risk, scores between 10 and 17 indicate medium risk, and scores \> 17 indicate high risk of work instability. A negative change from Baseline indicates improvement in work instability.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=87 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=53 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=13 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 6
-6.2 score on a scale
Standard Deviation 5.55
-3.3 score on a scale
Standard Deviation 5.51
-4.1 score on a scale
Standard Deviation 3.00
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 12
-6.6 score on a scale
Standard Deviation 6.16
-4.0 score on a scale
Standard Deviation 6.32
-4.2 score on a scale
Standard Deviation 3.35
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 24
-7.0 score on a scale
Standard Deviation 6.51
-4.6 score on a scale
Standard Deviation 6.63
-3.6 score on a scale
Standard Deviation 3.53
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 36
-6.8 score on a scale
Standard Deviation 6.29
-4.6 score on a scale
Standard Deviation 6.21
-3.3 score on a scale
Standard Deviation 6.18
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 48
-6.8 score on a scale
Standard Deviation 5.94
-5.0 score on a scale
Standard Deviation 6.47
-3.5 score on a scale
Standard Deviation 4.98
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 72
-7.5 score on a scale
Standard Deviation 6.83
-4.8 score on a scale
Standard Deviation 6.27
-4.3 score on a scale
Standard Deviation 4.10
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 96
-6.5 score on a scale
Standard Deviation 6.72
-6.3 score on a scale
Standard Deviation 7.55
-4.0 score on a scale
Standard Deviation 4.18
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 108
-6.8 score on a scale
Standard Deviation 6.80
-6.5 score on a scale
Standard Deviation 6.71
-3.5 score on a scale
Standard Deviation 4.80
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 120
-7.6 score on a scale
Standard Deviation 6.66
-5.1 score on a scale
Standard Deviation 7.38
-5.7 score on a scale
Standard Deviation 4.44
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 132
-7.2 score on a scale
Standard Deviation 6.04
-5.6 score on a scale
Standard Deviation 6.99
-4.7 score on a scale
Standard Deviation 3.47
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 144
-5.9 score on a scale
Standard Deviation 6.51
-5.6 score on a scale
Standard Deviation 7.65
-4.3 score on a scale
Standard Deviation 3.41
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 156
-6.2 score on a scale
Standard Deviation 7.13
-4.3 score on a scale
Standard Deviation 7.62
-4.9 score on a scale
Standard Deviation 3.72
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 168
-5.8 score on a scale
Standard Deviation 6.01
-4.3 score on a scale
Standard Deviation 6.96
-5.1 score on a scale
Standard Deviation 6.69
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 180
-5.3 score on a scale
Standard Deviation 6.61
-3.5 score on a scale
Standard Deviation 7.03
-4.2 score on a scale
Standard Deviation 3.19
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 192
-5.5 score on a scale
Standard Deviation 6.42
-3.5 score on a scale
Standard Deviation 7.36
-4.3 score on a scale
Standard Deviation 2.93
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 204
-6.4 score on a scale
Standard Deviation 7.06
-3.7 score on a scale
Standard Deviation 7.52
-5.0 score on a scale
Standard Deviation 3.78
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 216
-6.0 score on a scale
Standard Deviation 7.55
-3.4 score on a scale
Standard Deviation 7.11
-5.0 score on a scale
Standard Deviation 2.92
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 228
-6.5 score on a scale
Standard Deviation 7.16
-1.9 score on a scale
Standard Deviation 7.55
-4.6 score on a scale
Standard Deviation 4.24
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 240
-5.9 score on a scale
Standard Deviation 7.05
-3.1 score on a scale
Standard Deviation 7.61
-4.5 score on a scale
Standard Deviation 4.09
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 252
-5.8 score on a scale
Standard Deviation 6.43
-2.0 score on a scale
Standard Deviation 8.05
-5.0 score on a scale
Standard Deviation 3.70
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 264
-5.0 score on a scale
Standard Deviation 6.53
-3.4 score on a scale
Standard Deviation 8.00
-4.5 score on a scale
Standard Deviation 3.89
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 276
-5.0 score on a scale
Standard Deviation 6.74
-2.7 score on a scale
Standard Deviation 8.27
-5.0 score on a scale
Standard Deviation 2.52
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 288
-5.0 score on a scale
Standard Deviation 7.05
-4.8 score on a scale
Standard Deviation 7.38
-4.8 score on a scale
Standard Deviation 3.45
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 300
-4.6 score on a scale
Standard Deviation 7.23
-4.3 score on a scale
Standard Deviation 8.51
-4.6 score on a scale
Standard Deviation 4.07
Change From Baseline in Work Instability Scale for RA (RA-WIS) Over Time
Week 312
-4.2 score on a scale
Standard Deviation 7.00
-3.9 score on a scale
Standard Deviation 8.37
-2.9 score on a scale
Standard Deviation 4.45

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 72, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The EQ-5D-5L is a generic measure of health status consisting of two parts. The first part (the descriptive system) assesses health in five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which is rated on 5 levels of severity (1: no problem, 2: slight problems, 3: moderate problems, 4: severe problems, 5: extreme problems). A health state index score was calculated from individual health profiles using a UK scoring algorithm. Health state index scores generally range from less than 0 (where 0 is the value of a health state equivalent to dead; negative values representing values as worse than dead) to 1 (the value of full health), with higher scores indicating higher health utility. The higher the score the better the health status. A positive change from baseline indicates improvement in health status.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=304 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 6
0.2 score on a scale
Standard Deviation 0.24
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.18
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 12
0.2 score on a scale
Standard Deviation 0.23
0.2 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.14
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 24
0.2 score on a scale
Standard Deviation 0.23
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.16
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 36
0.2 score on a scale
Standard Deviation 0.24
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.16
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 48
0.2 score on a scale
Standard Deviation 0.25
0.2 score on a scale
Standard Deviation 0.31
0.1 score on a scale
Standard Deviation 0.20
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 72
0.2 score on a scale
Standard Deviation 0.24
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.16
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 96
0.2 score on a scale
Standard Deviation 0.25
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.15
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 108
0.2 score on a scale
Standard Deviation 0.26
0.2 score on a scale
Standard Deviation 0.28
0.1 score on a scale
Standard Deviation 0.16
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 120
0.2 score on a scale
Standard Deviation 0.26
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.16
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 132
0.2 score on a scale
Standard Deviation 0.25
0.2 score on a scale
Standard Deviation 0.26
0.2 score on a scale
Standard Deviation 0.15
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 144
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.17
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 156
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.26
0.1 score on a scale
Standard Deviation 0.18
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 168
0.2 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.20
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 180
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.33
0.2 score on a scale
Standard Deviation 0.20
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 192
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.20
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 204
0.2 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.31
0.2 score on a scale
Standard Deviation 0.21
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 216
0.2 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.30
0.2 score on a scale
Standard Deviation 0.18
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 228
0.2 score on a scale
Standard Deviation 0.26
0.2 score on a scale
Standard Deviation 0.31
0.1 score on a scale
Standard Deviation 0.22
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 240
0.3 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.26
0.1 score on a scale
Standard Deviation 0.22
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 252
0.2 score on a scale
Standard Deviation 0.26
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.22
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 264
0.3 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.25
0.1 score on a scale
Standard Deviation 0.23
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 276
0.2 score on a scale
Standard Deviation 0.30
0.2 score on a scale
Standard Deviation 0.26
0.1 score on a scale
Standard Deviation 0.22
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 288
0.3 score on a scale
Standard Deviation 0.27
0.2 score on a scale
Standard Deviation 0.27
0.1 score on a scale
Standard Deviation 0.23
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 300
0.2 score on a scale
Standard Deviation 0.28
0.2 score on a scale
Standard Deviation 0.27
0.1 score on a scale
Standard Deviation 0.19
Change From Baseline in EuroQoL-5D (EQ-5D) Index Over Time
Week 312
0.2 score on a scale
Standard Deviation 0.29
0.2 score on a scale
Standard Deviation 0.26
0.1 score on a scale
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Baseline (of the preceding RCT study) and Weeks 6, 12, 24, 36, 48, 72, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, and 312

Population: Open-label treated population with available data at Baseline and each time point

The EQ-5D-5L is a generic measure of health status consisting of two parts. The second part of the questionnaire consists of a visual analog scale (VAS) on which the participant rates his/her perceived health from 0 (the worst imaginable health) to 100 (the best imaginable health). A positive change from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=304 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=146 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
n=37 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 144
28.6 score on a scale
Standard Deviation 26.71
23.5 score on a scale
Standard Deviation 24.29
24.7 score on a scale
Standard Deviation 25.32
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 156
29.9 score on a scale
Standard Deviation 25.48
22.5 score on a scale
Standard Deviation 24.62
22.1 score on a scale
Standard Deviation 23.52
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 6
23.7 score on a scale
Standard Deviation 25.21
14.4 score on a scale
Standard Deviation 24.94
21.6 score on a scale
Standard Deviation 20.49
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 12
26.0 score on a scale
Standard Deviation 25.62
15.9 score on a scale
Standard Deviation 25.83
19.4 score on a scale
Standard Deviation 25.07
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 24
27.5 score on a scale
Standard Deviation 25.24
16.8 score on a scale
Standard Deviation 27.31
20.7 score on a scale
Standard Deviation 20.67
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 36
27.0 score on a scale
Standard Deviation 26.29
18.6 score on a scale
Standard Deviation 27.10
18.6 score on a scale
Standard Deviation 21.05
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 48
25.9 score on a scale
Standard Deviation 26.87
19.1 score on a scale
Standard Deviation 28.61
19.7 score on a scale
Standard Deviation 21.07
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 72
28.0 score on a scale
Standard Deviation 24.36
21.9 score on a scale
Standard Deviation 26.33
26.7 score on a scale
Standard Deviation 21.43
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 96
27.5 score on a scale
Standard Deviation 26.86
22.4 score on a scale
Standard Deviation 27.73
25.4 score on a scale
Standard Deviation 19.25
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 108
28.8 score on a scale
Standard Deviation 25.72
23.2 score on a scale
Standard Deviation 25.81
20.5 score on a scale
Standard Deviation 19.06
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 120
28.4 score on a scale
Standard Deviation 27.22
23.7 score on a scale
Standard Deviation 25.36
27.2 score on a scale
Standard Deviation 23.54
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 132
26.3 score on a scale
Standard Deviation 28.75
23.5 score on a scale
Standard Deviation 26.23
28.1 score on a scale
Standard Deviation 19.62
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 168
30.3 score on a scale
Standard Deviation 25.29
22.6 score on a scale
Standard Deviation 23.74
28.1 score on a scale
Standard Deviation 24.06
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 180
30.0 score on a scale
Standard Deviation 24.30
22.0 score on a scale
Standard Deviation 27.24
27.0 score on a scale
Standard Deviation 21.68
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 192
29.7 score on a scale
Standard Deviation 24.65
23.6 score on a scale
Standard Deviation 26.41
30.8 score on a scale
Standard Deviation 21.96
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 204
32.0 score on a scale
Standard Deviation 24.41
23.1 score on a scale
Standard Deviation 27.13
30.7 score on a scale
Standard Deviation 22.99
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 216
30.0 score on a scale
Standard Deviation 26.93
24.0 score on a scale
Standard Deviation 26.40
28.0 score on a scale
Standard Deviation 21.73
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 228
31.6 score on a scale
Standard Deviation 24.92
19.7 score on a scale
Standard Deviation 26.70
29.5 score on a scale
Standard Deviation 23.85
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 240
31.3 score on a scale
Standard Deviation 26.18
21.9 score on a scale
Standard Deviation 25.62
28.4 score on a scale
Standard Deviation 26.55
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 252
31.2 score on a scale
Standard Deviation 24.46
22.8 score on a scale
Standard Deviation 26.74
25.6 score on a scale
Standard Deviation 23.74
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 264
30.8 score on a scale
Standard Deviation 25.30
22.2 score on a scale
Standard Deviation 23.60
21.9 score on a scale
Standard Deviation 24.81
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 276
32.4 score on a scale
Standard Deviation 23.37
20.5 score on a scale
Standard Deviation 25.68
25.4 score on a scale
Standard Deviation 20.62
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 288
32.3 score on a scale
Standard Deviation 24.66
24.6 score on a scale
Standard Deviation 25.54
25.3 score on a scale
Standard Deviation 22.57
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 300
30.5 score on a scale
Standard Deviation 24.39
20.4 score on a scale
Standard Deviation 27.31
23.6 score on a scale
Standard Deviation 17.27
Change From Baseline in EuroQoL-5D VAS Score Over Time
Week 312
31.2 score on a scale
Standard Deviation 25.15
25.8 score on a scale
Standard Deviation 24.81
24.1 score on a scale
Standard Deviation 25.18

SECONDARY outcome

Timeframe: Vaccination Baseline and 12 weeks after vaccination

Population: The sub-study full analysis set (FAS) included all participants enrolled in the sub-study who received PCV-13 vaccination and at least 1 dose of upadacitinib 15 mg or 30 mg after vaccination during the sub-study. Analysis includes participants with available data at the Week 12 visit of the sub-study.

Satisfactory humoral response is defined as greater than or equal to 2-fold increase in antibody concentration from the vaccination Baseline in at least 6 out of the 12 pneumococcal antigens 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F).

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=79 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=22 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Percentage of Participants With Satisfactory Humoral Response to PCV-13 12 Weeks After Vaccination
64.6 percentage of participants
Interval 54.0 to 75.1
54.5 percentage of participants
Interval 33.7 to 75.4

SECONDARY outcome

Timeframe: Vaccination Baseline and 4 and 12 weeks after vaccination

Population: Sub-study full analysis set with available data at each time point.

Outcome measures

Outcome measures
Measure
Upadacitinib Never Titrated
n=83 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg twice a day (BID). From January 2017 participants were transitioned to once-daily dose of 15 mg upadacitinib.
Upadacitinib Titrated Up and Not Down
n=23 Participants
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib.
Upadacitinib Titrated Up and Down
Participants received treatment with upadacitinib for up to 312 weeks. The starting dose was 6 mg BID. Participants who did not achieve protocol-specified improvement criteria at Week 6 or at any visits thereafter were up-titrated to upadacitinib 12 mg BID. From January 2017 participants were transitioned to once-daily dose of 30 mg upadacitinib. The upadacitinib dose was decreased back to 6 mg BID (or 15 mg QD from January 2017) per Investigator's judgment or safety and/or tolerability concerns.
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 1: Week 4
7.90 fold-rise
Interval 6.096 to 10.244
6.53 fold-rise
Interval 3.985 to 10.684
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 1: Week 12
8.07 fold-rise
Interval 6.158 to 10.567
6.54 fold-rise
Interval 3.922 to 10.911
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 3: Week 4
2.59 fold-rise
Interval 2.088 to 3.205
2.30 fold-rise
Interval 1.53 to 3.467
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 3: Week 12
2.26 fold-rise
Interval 1.805 to 2.824
2.24 fold-rise
Interval 1.464 to 3.431
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 4: Week 4
5.61 fold-rise
Interval 4.279 to 7.362
3.82 fold-rise
Interval 2.283 to 6.402
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 4: Week 12
5.17 fold-rise
Interval 3.888 to 6.885
3.39 fold-rise
Interval 1.97 to 5.826
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 5: Week 4
1.90 fold-rise
Interval 1.521 to 2.366
1.60 fold-rise
Interval 1.05 to 2.431
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 5: Week 12
1.84 fold-rise
Interval 1.485 to 2.288
1.57 fold-rise
Interval 1.043 to 2.367
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 6B: Week 4
4.50 fold-rise
Interval 3.325 to 6.077
3.10 fold-rise
Interval 1.748 to 5.511
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 6B: Week 12
3.90 fold-rise
Interval 2.801 to 5.436
3.25 fold-rise
Interval 1.732 to 6.092
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 7F: Week 4
3.58 fold-rise
Interval 2.824 to 4.548
2.83 fold-rise
Interval 1.797 to 4.446
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 7F: Week 12
3.30 fold-rise
Interval 2.552 to 4.255
3.02 fold-rise
Interval 1.856 to 4.897
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 9V: Week 4
5.69 fold-rise
Interval 4.26 to 7.611
2.76 fold-rise
Interval 1.588 to 4.794
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 9V: Week 12
6.18 fold-rise
Interval 4.583 to 8.325
2.91 fold-rise
Interval 1.649 to 5.138
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 14: Week 4
2.97 fold-rise
Interval 2.373 to 3.723
2.42 fold-rise
Interval 1.573 to 3.707
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 14: Week 12
2.84 fold-rise
Interval 2.231 to 3.613
2.41 fold-rise
Interval 1.524 to 3.804
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 18C: Week 4
4.52 fold-rise
Interval 3.526 to 5.801
3.23 fold-rise
Interval 2.009 to 5.179
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 18C: Week 12
4.42 fold-rise
Interval 3.443 to 5.67
3.53 fold-rise
Interval 2.201 to 5.666
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 19A: Week 4
1.47 fold-rise
Interval 1.264 to 1.702
1.12 fold-rise
Interval 0.844 to 1.485
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 19A: Week 12
1.44 fold-rise
Interval 1.245 to 1.666
1.15 fold-rise
Interval 0.876 to 1.521
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 19F: Week 4
2.27 fold-rise
Interval 1.834 to 2.808
2.32 fold-rise
Interval 1.549 to 3.476
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 19F: Week 12
2.17 fold-rise
Interval 1.761 to 2.671
1.99 fold-rise
Interval 1.344 to 2.958
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 23F: Week 4
4.32 fold-rise
Interval 3.291 to 5.672
3.11 fold-rise
Interval 1.855 to 5.218
Geometric Mean Fold Rise (GMFR) of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens 4 and 12 Weeks After Vaccination
Antigen 23F: Week 12
4.06 fold-rise
Interval 3.048 to 5.413
3.29 fold-rise
Interval 1.908 to 5.666

Adverse Events

Upadacitinib 6 mg BID/15 mg QD

Serious events: 68 serious events
Other events: 233 other events
Deaths: 5 deaths

Upadacitinib 12 mg BID/30 mg QD

Serious events: 42 serious events
Other events: 113 other events
Deaths: 3 deaths

Upadacitinib 6 mg BID/15 mg QD Post Down-titration

Serious events: 5 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Upadacitinib 6 mg BID/15 mg QD
n=493 participants at risk
Participants received upadacitinib 6 mg BID. From January 2017 participants were transitioned to 15 mg upadacitinib QD. Includes events that occurred until the time of up-titration for participants who were up-titrated.
Upadacitinib 12 mg BID/30 mg QD
n=187 participants at risk
Participants received upadacitinib 12 mg BID. From January 2017 participants were transitioned to 30 mg upadacitinib QD. Includes events that occurred from the time of up-titration until time of down titration to 6 mg BID/15 mg QD for participants who titrated up and back down.
Upadacitinib 6 mg BID/15 mg QD Post Down-titration
n=38 participants at risk
Participants who down-titrated to 6 mg BID/15 mg QD after up-titration to 15 mg BID/30 mg QD. Includes events that occurred after down titration.
Blood and lymphatic system disorders
BLOOD LOSS ANAEMIA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
0.81%
4/493 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
ANGINA PECTORIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
ANGINA UNSTABLE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
AORTIC VALVE INCOMPETENCE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
ATRIAL FLUTTER
0.20%
1/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
ATRIOVENTRICULAR BLOCK SECOND DEGREE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
CARDIAC FAILURE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
CARDIOMYOPATHY
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
CORONARY ARTERY DISEASE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
CORONARY ARTERY DISSECTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
MYOCARDIAL INFARCTION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
MYOCARDIAL ISCHAEMIA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Cardiac disorders
STRESS CARDIOMYOPATHY
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Ear and labyrinth disorders
VESTIBULAR DISORDER
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Endocrine disorders
GOITRE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Eye disorders
CORNEAL PERFORATION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Eye disorders
GLAUCOMA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Eye disorders
MACULAR HOLE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Gastrointestinal disorders
ENTEROCOLITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Gastrointestinal disorders
VOMITING
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
General disorders
CHEST PAIN
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
General disorders
DEATH
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Hepatobiliary disorders
HEPATITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Hepatobiliary disorders
HEPATOTOXICITY
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
APPENDICITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
BRONCHITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
CELLULITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.6%
3/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
COVID-19
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
COVID-19 PNEUMONIA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
DIVERTICULITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
ENDOMETRITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
GASTROENTERITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
GASTROENTERITIS VIRAL
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
HEPATITIS A
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
HERPES ZOSTER
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
HISTOPLASMOSIS DISSEMINATED
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
INFLUENZA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
LATENT TUBERCULOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
PNEUMONIA
1.4%
7/493 • Number of events 7 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.6%
3/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
POSTOPERATIVE WOUND INFECTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
PYELONEPHRITIS ACUTE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
RESPIRATORY TRACT INFECTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
SEPSIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
SOFT TISSUE INFECTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
TUBERCULOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
VARICELLA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
VARICELLA ZOSTER VIRUS INFECTION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
CONTUSION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FACIAL BONES FRACTURE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FALL
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FEMORAL NECK FRACTURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.20%
1/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FOREARM FRACTURE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
HAND FRACTURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
HIP FRACTURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
HUMERUS FRACTURE
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
INCARCERATED INCISIONAL HERNIA
0.20%
1/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
INCISIONAL HERNIA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
LOWER LIMB FRACTURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
MULTIPLE FRACTURES
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
MULTIPLE INJURIES
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
OVERDOSE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
POST PROCEDURAL DISCHARGE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
RADIUS FRACTURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
SKIN LACERATION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
SKULL FRACTURED BASE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
TENDON RUPTURE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
VASCULAR PSEUDOANEURYSM
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Metabolism and nutrition disorders
HYPONATRAEMIA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC COMPRESSION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC PROTRUSION
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
LUMBAR SPINAL STENOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
0.81%
4/493 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.6%
3/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
RHEUMATOID ARTHRITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
SPINAL OSTEOARTHRITIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
SPONDYLOLISTHESIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
SYNOVITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BASAL CELL CARCINOMA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CLEAR CELL RENAL CELL CARCINOMA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
ENDOMETRIAL CANCER
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
HODGKIN'S DISEASE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INVASIVE BREAST CARCINOMA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INVASIVE DUCTAL BREAST CARCINOMA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INVASIVE LOBULAR BREAST CARCINOMA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INVASIVE PAPILLARY BREAST CARCINOMA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG ADENOCARCINOMA
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG ADENOCARCINOMA STAGE I
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NON-SMALL CELL LUNG CANCER
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PAPILLARY THYROID CANCER
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SEBACEOUS CARCINOMA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF LUNG
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF THE CERVIX
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
THYROID B-CELL LYMPHOMA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
BRAIN STEM INFARCTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
CEREBRAL INFARCTION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
DIZZINESS
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
HEADACHE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
INTRACRANIAL ANEURYSM
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
LACUNAR INFARCTION
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
METABOLIC ENCEPHALOPATHY
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
OCCIPITAL NEURALGIA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
SCIATICA
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
SYNCOPE
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Product Issues
DEVICE LOOSENING
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Psychiatric disorders
ANXIETY
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Psychiatric disorders
DEPRESSION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Psychiatric disorders
DISSOCIATIVE DISORDER
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Renal and urinary disorders
BLADDER PROLAPSE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Reproductive system and breast disorders
CERVICAL DYSPLASIA
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Reproductive system and breast disorders
HYDROSALPINX
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
LUNG INFILTRATION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
PARANASAL CYST
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
PLEURISY
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.41%
2/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
SLEEP APNOEA SYNDROME
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Skin and subcutaneous tissue disorders
SKIN ULCER
0.20%
1/493 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Surgical and medical procedures
ABORTION INDUCED
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Vascular disorders
DEEP VEIN THROMBOSIS
0.61%
3/493 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Vascular disorders
PERIPHERAL ARTERY STENOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Vascular disorders
PERIPHERAL ARTERY THROMBOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Vascular disorders
VENOUS THROMBOSIS
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/187 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.

Other adverse events

Other adverse events
Measure
Upadacitinib 6 mg BID/15 mg QD
n=493 participants at risk
Participants received upadacitinib 6 mg BID. From January 2017 participants were transitioned to 15 mg upadacitinib QD. Includes events that occurred until the time of up-titration for participants who were up-titrated.
Upadacitinib 12 mg BID/30 mg QD
n=187 participants at risk
Participants received upadacitinib 12 mg BID. From January 2017 participants were transitioned to 30 mg upadacitinib QD. Includes events that occurred from the time of up-titration until time of down titration to 6 mg BID/15 mg QD for participants who titrated up and back down.
Upadacitinib 6 mg BID/15 mg QD Post Down-titration
n=38 participants at risk
Participants who down-titrated to 6 mg BID/15 mg QD after up-titration to 15 mg BID/30 mg QD. Includes events that occurred after down titration.
Blood and lymphatic system disorders
ANAEMIA
1.4%
7/493 • Number of events 7 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.9%
11/187 • Number of events 12 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Blood and lymphatic system disorders
LYMPHOPENIA
3.0%
15/493 • Number of events 17 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.7%
5/187 • Number of events 6 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Blood and lymphatic system disorders
NEUTROPENIA
2.0%
10/493 • Number of events 13 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Gastrointestinal disorders
DIARRHOEA
1.4%
7/493 • Number of events 7 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
10/187 • Number of events 11 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
General disorders
INFLUENZA LIKE ILLNESS
1.2%
6/493 • Number of events 9 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
10/187 • Number of events 11 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
BRONCHITIS
8.5%
42/493 • Number of events 66 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.5%
14/187 • Number of events 23 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
15.8%
6/38 • Number of events 8 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
HERPES ZOSTER
4.5%
22/493 • Number of events 23 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
11.2%
21/187 • Number of events 24 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
LATENT TUBERCULOSIS
2.0%
10/493 • Number of events 10 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
LOWER RESPIRATORY TRACT INFECTION
0.20%
1/493 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
NASOPHARYNGITIS
9.5%
47/493 • Number of events 75 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
8.6%
16/187 • Number of events 19 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
PHARYNGITIS
2.0%
10/493 • Number of events 12 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.6%
3/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
SINUSITIS
2.6%
13/493 • Number of events 15 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.5%
14/187 • Number of events 24 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
9.9%
49/493 • Number of events 71 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
20.3%
38/187 • Number of events 63 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 8 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
URINARY TRACT INFECTION
9.5%
47/493 • Number of events 84 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
15.0%
28/187 • Number of events 54 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 6 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Infections and infestations
VIRAL UPPER RESPIRATORY TRACT INFECTION
0.61%
3/493 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.6%
3/187 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Injury, poisoning and procedural complications
FALL
1.4%
7/493 • Number of events 8 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.5%
14/187 • Number of events 20 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Investigations
ALANINE AMINOTRANSFERASE INCREASED
2.4%
12/493 • Number of events 15 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.1%
4/187 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
3.2%
16/493 • Number of events 17 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.7%
5/187 • Number of events 5 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Investigations
BLOOD CREATINE PHOSPHOKINASE INCREASED
6.9%
34/493 • Number of events 44 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
9.1%
17/187 • Number of events 27 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Metabolism and nutrition disorders
HYPERCHOLESTEROLAEMIA
5.9%
29/493 • Number of events 35 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
9.1%
17/187 • Number of events 18 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Musculoskeletal and connective tissue disorders
RHEUMATOID ARTHRITIS
4.3%
21/493 • Number of events 32 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
11.2%
21/187 • Number of events 35 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.00%
0/38 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Nervous system disorders
HEADACHE
3.7%
18/493 • Number of events 23 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.7%
5/187 • Number of events 7 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
7.9%
3/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Renal and urinary disorders
NEPHROLITHIASIS
1.4%
7/493 • Number of events 10 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
0.53%
1/187 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Renal and urinary disorders
RENAL COLIC
0.00%
0/493 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 3 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Respiratory, thoracic and mediastinal disorders
COUGH
2.8%
14/493 • Number of events 14 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
10/187 • Number of events 11 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Skin and subcutaneous tissue disorders
RASH
0.81%
4/493 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.7%
5/187 • Number of events 5 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Skin and subcutaneous tissue disorders
ROSACEA
0.81%
4/493 • Number of events 4 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
1.1%
2/187 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
5.3%
2/38 • Number of events 2 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
Vascular disorders
HYPERTENSION
4.5%
22/493 • Number of events 23 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
10.2%
19/187 • Number of events 19 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.
2.6%
1/38 • Number of events 1 • From the first dose of open-label upadacitinib up to 30 days after the last dose, up to 316 weeks.

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