Trial Outcomes & Findings for Rheumatoid Arthritis Satisfaction Outcome Research (NCT NCT03703817)

NCT ID: NCT03703817

Last Updated: 2021-03-16

Results Overview

TSQM version 1.4: participant rated 14 items with 4 domains. Scores for item 1 to 3, 9 to 11 and 14 ranged from 1=extremely dissatisfied to 7=extremely satisfied. Items 5 to 8, 12, 13 ranged from 1=extremely dissatisfied to 5=not at all dissatisfied. Item 4 was scored as: 0=No, 1=Yes. Effectiveness measured as (\[{sum of item 1 to 3} - 3\]/18)\*100; if 1 question (Q) was missing: (\[{sum of item 1 to 3} -2\]/12)\*100. Side-effect measured as if item 4=No, score=100; if not then (\[{sum of item 5 to 8} -4\]/16)\*100; if 1 Q was missing: (\[{sum of item 5 to 8} -3\]/12)\*100. Convenience measured as (\[{sum of item 9 to 11} -3\]/18)\*100; if 1 Q was missing: (\[{sum of item 9 to 11} - 2\]/12)\*100. Global satisfaction as (\[{sum of item 12 to 14} -3\]/14)\*100; if item 12 or 13 was missing: (\[{sum of item 12 to 14} -2\]/10)\*100; if item 14 was missing: (\[{sum of item 12 and 13} -2\]/8)\*100. All domains had scale of 0 (no satisfaction) to 100 (best level of satisfaction), higher score=greater satisfaction.

Recruitment status

COMPLETED

Target enrollment

421 participants

Primary outcome timeframe

Day 1 (during approximately 20 months of data collection and observation)

Results posted on

2021-03-16

Participant Flow

In this study data was collected from participants who had been using tofacitinib citrate or adalimumab for 6 months or more and less than 2 years for rheumatoid arthritis (RA) treatment. Data was collected and analyzed from 2-July-2018 to 12-March-2020 (approximately 20 months), for comparing treatment satisfaction and quality of life between the 2 treatment groups.

Participant milestones

Participant milestones
Measure
Tofacitinib Citrate
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Overall Study
STARTED
288
133
Overall Study
COMPLETED
281
129
Overall Study
NOT COMPLETED
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Tofacitinib Citrate
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Overall Study
Not meeting eligibility criteria
7
4

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tofacitinib Citrate
n=281 Participants
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
n=129 Participants
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Total
n=410 Participants
Total of all reporting groups
Age, Continuous
54.473 years
STANDARD_DEVIATION 12.098 • n=281 Participants
51.450 years
STANDARD_DEVIATION 12.176 • n=129 Participants
53.522 years
STANDARD_DEVIATION 12.189 • n=410 Participants
Sex: Female, Male
Female
241 Participants
n=281 Participants
115 Participants
n=129 Participants
356 Participants
n=410 Participants
Sex: Female, Male
Male
40 Participants
n=281 Participants
14 Participants
n=129 Participants
54 Participants
n=410 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Day 1 (during approximately 20 months of data collection and observation)

Population: The propensity score method (greedy matching method) was used in analysis of the outcome measure. The purpose of the propensity score was to create conditions similar to those of randomized trials by balancing the covariates in participants between the groups. It reduces multidimensional covariates into a one-dimensional score. Here, 'Overall Number of Participants Analyzed' signifies number of participant evaluable for this outcome measure derived from propensity score method.

TSQM version 1.4: participant rated 14 items with 4 domains. Scores for item 1 to 3, 9 to 11 and 14 ranged from 1=extremely dissatisfied to 7=extremely satisfied. Items 5 to 8, 12, 13 ranged from 1=extremely dissatisfied to 5=not at all dissatisfied. Item 4 was scored as: 0=No, 1=Yes. Effectiveness measured as (\[{sum of item 1 to 3} - 3\]/18)\*100; if 1 question (Q) was missing: (\[{sum of item 1 to 3} -2\]/12)\*100. Side-effect measured as if item 4=No, score=100; if not then (\[{sum of item 5 to 8} -4\]/16)\*100; if 1 Q was missing: (\[{sum of item 5 to 8} -3\]/12)\*100. Convenience measured as (\[{sum of item 9 to 11} -3\]/18)\*100; if 1 Q was missing: (\[{sum of item 9 to 11} - 2\]/12)\*100. Global satisfaction as (\[{sum of item 12 to 14} -3\]/14)\*100; if item 12 or 13 was missing: (\[{sum of item 12 to 14} -2\]/10)\*100; if item 14 was missing: (\[{sum of item 12 and 13} -2\]/8)\*100. All domains had scale of 0 (no satisfaction) to 100 (best level of satisfaction), higher score=greater satisfaction.

Outcome measures

Outcome measures
Measure
Tofacitinib Citrate
n=139 Participants
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
n=92 Participants
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4
Effectiveness
62.271 units on a scale
Standard Deviation 13.301
64.191 units on a scale
Standard Deviation 13.315
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4
Side effects
93.390 units on a scale
Standard Deviation 16.668
96.603 units on a scale
Standard Deviation 11.625
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4
Convenience
68.785 units on a scale
Standard Deviation 13.349
64.946 units on a scale
Standard Deviation 12.845
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4
Global satisfaction
56.680 units on a scale
Standard Deviation 15.412
59.860 units on a scale
Standard Deviation 15.558

SECONDARY outcome

Timeframe: Day 1 (during approximately 20 months of data collection and observation)

Population: The propensity score method (greedy matching method) was used in analysis of the outcome measure. The purpose of the propensity score was to create conditions similar to those of randomized trials by balancing the covariates in participants between the groups. It reduces multidimensional covariates into a one-dimensional score. Here, 'Overall Number of Participants Analyzed' signifies number of participant evaluable for this outcome measure derived from propensity score method.

EQ-5D-3L assess health-related quality of life. It has 5 dimensions: mobility (M), self-care (SC), usual activities (UA), pain/discomfort (PD) and anxiety/depression (AD). Each dimension has 3 levels. For mobility, self-care and usual activities: 1= no effects, 2= sometimes affected, 3= very affected. For pain/discomfort and anxiety/depression: 1= none, 2= sometimes, 3= often. EQ-5D-3L index was calculated using formula = 1 - (0.0081 + \[0.1140 \* M2 + 0.6274 \* M3 + 0.0572 \* SC2 + 0.2073 \* SC3 + 0.0615 \* UA2 + 0.2812 \* UA3 + 0.0581 \* PD2+ 0.2353 \* PD3 + 0.0675 \* AD2 + 0.2351 \* AD3\]). In this formula, abbreviated form for dimension is followed by level, for example M2 = mobility level 2. Values were set to 1 if level was 2 or 3 for M2, SC2, UA2, PD2, AD2 or M3, SC3, UA3, PD3, AD3 respectively, else set to 0. Total score ranged from -0.27 to 1. Higher scores indicate better health.

Outcome measures

Outcome measures
Measure
Tofacitinib Citrate
n=139 Participants
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
n=92 Participants
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Index Score
0.812 units on a scale
Standard Deviation 0.146
0.808 units on a scale
Standard Deviation 0.134

SECONDARY outcome

Timeframe: Day 1 (during approximately 20 months of data collection and observation)

Population: The propensity score method (greedy matching method) was used in analysis of the outcome measure. The purpose of the propensity score was to create conditions similar to those of randomized trials by balancing the covariates in participants between the groups. It reduces multidimensional covariates into a one-dimensional score. Here, 'Overall Number of Participants Analyzed' signifies number of participant evaluable for this outcome measure derived from propensity score method.

EQ-VAS is a standardized tool for measuring overall health. EQ-VAS recorded the participant's self-rated health on a vertical, VAS on a scale ranging from and 0 (worst imaginable health state) to 100 (best imaginable health state). Higher scores indicated better health state.

Outcome measures

Outcome measures
Measure
Tofacitinib Citrate
n=139 Participants
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
n=92 Participants
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
European Quality of Life-Visual Analogue Scale (EQ-VAS) Score
65.403 units on a scale
Standard Deviation 19.974
65.668 units on a scale
Standard Deviation 19.554

Adverse Events

Tofacitinib Citrate

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

Adalimumab

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Tofacitinib Citrate
n=281 participants at risk
Participants who had been using tofacitinib citrate for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Adalimumab
n=129 participants at risk
Participants who had been using adalimumab for more than 6 months or more and less than 2 years for RA treatment were included in the group.
Infections and infestations
Viral infection
0.36%
1/281 • Up to 28 days after the last administration of tofacitinib citrate or adalimumab (during approximately 20 months of data collection and observation)
Full analysis set included all participants who satisfied the inclusion criteria and were registered for the study.
0.00%
0/129 • Up to 28 days after the last administration of tofacitinib citrate or adalimumab (during approximately 20 months of data collection and observation)
Full analysis set included all participants who satisfied the inclusion criteria and were registered for the study.
Infections and infestations
Acute Sinusitis
0.36%
1/281 • Up to 28 days after the last administration of tofacitinib citrate or adalimumab (during approximately 20 months of data collection and observation)
Full analysis set included all participants who satisfied the inclusion criteria and were registered for the study.
0.00%
0/129 • Up to 28 days after the last administration of tofacitinib citrate or adalimumab (during approximately 20 months of data collection and observation)
Full analysis set included all participants who satisfied the inclusion criteria and were registered for the study.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER