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.
COMPLETED
PHASE4
100 participants
Up to Week 32
2025-02-04
Participant Flow
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
| 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
| 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 32Population: 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
| 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 32Population: 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
| 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 14Population: 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
| 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 14Population: 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
| 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 24Population: 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
| 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 24Population: 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
| 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 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
| 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
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