Trial Outcomes & Findings for A Study of Golimumab in the Treatment of Indian Participants With Active Spondyloarthropathy of Ankylosing Spondylitis or Psoriatic Arthritis (NCT NCT03733925)

NCT ID: NCT03733925

Last Updated: 2025-02-04

Results Overview

An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. Any AE that occurred at or after the initial administration of study drug through the day of last dose plus 8 weeks was considered to be TEAE.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

100 participants

Primary outcome timeframe

Up to Week 32

Results posted on

2025-02-04

Participant Flow

Participant milestones

Participant milestones
Measure
Golimumab (Simponi)
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Overall Study
STARTED
100
Overall Study
Participants With Psoriatic Arthritis (PsA)
50
Overall Study
Participants With Ankylosing Spondylitis (AS)
50
Overall Study
COMPLETED
94
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Golimumab (Simponi)
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
2
Overall Study
Adverse Event
2
Overall Study
Non-Compliance with Study Drug
1

Baseline Characteristics

A Study of Golimumab in the Treatment of Indian Participants With Active Spondyloarthropathy of Ankylosing Spondylitis or Psoriatic Arthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Golimumab (Simponi)
n=100 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Age, Continuous
36.7 years
STANDARD_DEVIATION 12.02 • n=99 Participants
Sex: Female, Male
Female
22 Participants
n=99 Participants
Sex: Female, Male
Male
78 Participants
n=99 Participants
Race/Ethnicity, Customized
Indian
100 Participants
n=99 Participants
Region of Enrollment
India
100 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to Week 32

Population: Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.

An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. Any AE that occurred at or after the initial administration of study drug through the day of last dose plus 8 weeks was considered to be TEAE.

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=100 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Ankylosing Spondylitis (AS)
10 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Psoriatic Arthritis (PsA)
18 Participants

PRIMARY outcome

Timeframe: Up to Week 32

Population: SAS included all participants who were enrolled and received at least one dose of the study intervention.

An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product. Any AE that occurred at or after the initial administration of study drug through the day of last dose plus 8 weeks was considered to be TEAE.

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=100 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs)
AS
2 Participants
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs)
PsA
2 Participants

SECONDARY outcome

Timeframe: Week 14

Population: The intent to treat (ITT) analysis set included all participants who were enrolled and received at least one dose of the study drug and had completed Week 14 visit. Here, N (number of participants analyzed) is defined as the number of participants evaluable for this outcome measure.

ASAS 20 response criteria was defined as an improvement from baseline of greater than (\>)20% and \>1 unit in at least 3 of following 4 ASAS domains on scale of 0-10 units and no worsening from baseline of \>20% and \>1 unit in the remaining ASAS domain on a scale of 0-10 units. The 4 ASAS domains were as follows (0-10 units numerical rating scale \[NRS\]): Patient's global assessment (PGA) of disease:0=not active spondylitis, 10=very active spondylitis; total and night Spinal pain: 0=no pain, 10=most severe pain; bath ankylosing spondylitis functional index (BASFI, self-assessment of participant's degree of mobility and functional ability represented as mean of 10 questions \[8 of which relate to participant's functional anatomy and 2 relate to participant's ability to cope with everyday life): 0=easy, 10=impossible; and bath ankylosing spondylitis disease activity index (BASDAI, self-assessment survey of 6 questions for participant's disability due to AS): 0=none, 10=very severe).

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=47 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Percentage of Ankylosing Spondylitis (AS) Participants With at Least 20 Percent (%) Improvement in the Assessment of SpondyloArthritis International Society (ASAS20) Criteria at Week 14
74.5 percentage of participants

SECONDARY outcome

Timeframe: Week 14

Population: The ITT analysis set included all participants who were enrolled and received at least one dose of the study drug and had completed Week 14 visit. Here, N (number of participants analyzed) is defined as the number of participants evaluable for this outcome measure.

ACR20 was is defined as greater than or equal to (\>=) 20% improvement in swollen and tender joint count and \>=20% improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 centimeter \[cm\], 0 cm=no pain and 10 cm=worst possible pain), PGA of disease activity by using VAS (the scale ranges from 0 cm to 10 cm, \[0 cm=no pain to 10 cm=worst possible pain\]), physician's global assessment of disease activity using VAS (scale ranges from 0 cm to 10 cm; \[0 cm=very well and 10 cm=very poor\]), participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) level.

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=39 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Percentage of Psoriatic Arthritis (PsA) Participants Meeting the American College of Rheumatology 20% Improvement Criteria (ACR20) at Week 14
84.6 percentage of participants

SECONDARY outcome

Timeframe: Week 24

Population: The ITT analysis set included all participants who were enrolled and received at least one dose of the study drug and had completed Week 24 visit. Here, N (number of participants analyzed) is defined as the number of participants evaluable for this outcome measure.

ASAS 20 response criteria was defined as an improvement from baseline of greater than (\>) 20% and \>1 unit in at least 3 of following 4 ASAS domains on scale of 0 to 10 units and no worsening from baseline of \>20% and \>1 unit in the remaining ASAS domain on a scale of 0 to 10 units. The 4 ASAS domains were as follows (0 to 10 units NRS): PGA of disease:0=not active spondylitis, 10=very active spondylitis; total and night Spinal pain: 0=no pain, 10=most severe pain; BASFI, self-assessment of participant's degree of mobility and functional ability represented as mean of 10 questions \[8 of which relate to participant's functional anatomy and 2 relate to participant's ability to cope with everyday life): 0=easy, 10=impossible; and BASDAI, self-assessment survey of 6 questions for participant's disability due to AS): 0=none, 10=very severe).

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=47 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Percentage of AS Participants With ASAS20 Criteria at Week 24
66.0 percentage of participants

SECONDARY outcome

Timeframe: Week 24

Population: The ITT analysis set included all participants who were enrolled and received at least one dose of the study drug and had completed Week 24 visit. Here, N (number of participants analyzed) is defined as the number of participants evaluable for this outcome measure.

ACR20 was is defined as \>=20% improvement in swollen and tender joint count and \>=20% improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 centimeter \[cm\], 0 cm=no pain and 10 cm=worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 cm to 10 cm, \[0 cm=no pain to 10 cm=worst possible pain\]), PGA of disease activity using VAS (scale ranges from 0 cm to 10 cm; \[0=very well and 10 cm=very poor\]), participant's assessment of physical function measured by HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and ESR or CRP level.

Outcome measures

Outcome measures
Measure
Golimumab (Simponi)
n=44 Participants
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Percentage of PsA Participants Meeting the ACR20 Criteria at Week 24
93.2 percentage of participants

Adverse Events

Golimumab (Simponi)

Serious events: 4 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Golimumab (Simponi)
n=100 participants at risk
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Gastrointestinal disorders
Abdominal Pain
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Diarrhoea
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Irritable Bowel Syndrome
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Lower Respiratory Tract Infection Bacterial
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Upper Respiratory Tract Infection
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Urinary Tract Infection
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.

Other adverse events

Other adverse events
Measure
Golimumab (Simponi)
n=100 participants at risk
Participants with active spondyloarthropathy of AS or PsA received golimumab 50 milligrams (mg) subcutaneous (SC) injection at Week 0 and every 4 weeks (q4w) thereafter through Week 24.
Blood and lymphatic system disorders
Leukopenia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Eye disorders
Vision Blurred
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Aphthous Ulcer
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Diarrhoea
2.0%
2/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Food Poisoning
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Gastritis
2.0%
2/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Haemorrhoids
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Gastrointestinal disorders
Nausea
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
General disorders
Chills
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
General disorders
Pain
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
General disorders
Peripheral Swelling
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
General disorders
Pyrexia
4.0%
4/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Body Tinea
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Folliculitis
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Fungal Infection
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Fungal Skin Infection
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Herpes Zoster
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Nasopharyngitis
5.0%
5/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Tinea Pedis
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Infections and infestations
Upper Respiratory Tract Infection
4.0%
4/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Injury, poisoning and procedural complications
Arthropod Sting
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Injury, poisoning and procedural complications
Skin Abrasion
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Investigations
Blood Bilirubin Increased
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Investigations
Transaminases Increased
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Metabolism and nutrition disorders
Hyperglycaemia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Metabolism and nutrition disorders
Hyperuricaemia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Metabolism and nutrition disorders
Hypokalaemia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Musculoskeletal and connective tissue disorders
Arthralgia
2.0%
2/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Musculoskeletal and connective tissue disorders
Back Pain
2.0%
2/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Musculoskeletal and connective tissue disorders
Joint Swelling
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Nervous system disorders
Burning Sensation
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Nervous system disorders
Headache
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Nervous system disorders
Neuralgia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Psychiatric disorders
Insomnia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Renal and urinary disorders
Nephrolithiasis
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Reproductive system and breast disorders
Vaginal Discharge
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Respiratory, thoracic and mediastinal disorders
Cough
4.0%
4/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Skin and subcutaneous tissue disorders
Alopecia
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Skin and subcutaneous tissue disorders
Dermatitis Allergic
2.0%
2/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Skin and subcutaneous tissue disorders
Pruritus
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Skin and subcutaneous tissue disorders
Rash Pruritic
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.
Vascular disorders
Hypertension
1.0%
1/100 • Up to Week 32
Safety analysis set (SAS) included all participants who were enrolled and received at least one dose of the study intervention.

Additional Information

Medical Advisor Immunology

Johnson & Johnson Private Limited

Phone: 844-434-4210

Results disclosure agreements

  • Principal investigator is a sponsor employee If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER