Trial Outcomes & Findings for This is a Retrospective Observational Study Looking at the Characteristics and Outcomes of Participants Taking Inflectra Using the CorEvitas Rheumatoid Arthritis Registry (NCT NCT05375942)

NCT ID: NCT05375942

Last Updated: 2024-04-12

Results Overview

Clinical disease activity index (CDAI) was the numerical sum of 4 outcome parameters: tender and swollen joint count based on a 28-joint assessment, participant global assessment and physician global assessment assessed on 0 to 10 millimeter (mm) visual analogue scale (VAS) where 0 mm = minimum possible pain (best) and 100 mm = maximum possible pain (worst). Total score for CDAI ranged from 0 to 76 with higher score indicating greater disease activity. Participants who achieved LDA had CDAI score less than or equal to (\<=)10. Participants with moderate or high disease activity (CDAI greater than \[\>\]10) at baseline were analyzed for this outcome measure.

Recruitment status

COMPLETED

Target enrollment

255 participants

Primary outcome timeframe

6 Months (from the retrospective data collected from the CorEvitas RA registry)

Results posted on

2024-04-12

Participant Flow

Data of participants with Rheumatoid Arthritis (RA) who had initiated Inflectra was retrieved from the CorEvitas RA registry and observed in this retrospective observational study.

Participant milestones

Participant milestones
Measure
All Participants (Cohort 1)
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and whose data were observed in this study.
Overall Study
STARTED
255
Overall Study
Participants With 6 Month Follow-up (Cohort 2)
176
Overall Study
COMPLETED
255
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data is presented for participants evaluable in Cohort 1 and 2.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants (Cohort 1)
n=255 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and whose data were observed in this study.
Age, Continuous
Cohort 1
64.0 Years
STANDARD_DEVIATION 12.7 • n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Age, Continuous
Cohort 2
63.6 Years
STANDARD_DEVIATION 13.3 • n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Sex: Female, Male
Cohort 1 · Female
194 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Sex: Female, Male
Cohort 1 · Male
61 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Sex: Female, Male
Cohort 2 · Female
138 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Sex: Female, Male
Cohort 2 · Male
38 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 1 · White
192 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 1 · Non-white
62 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 1 · Not reported
1 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 2 · White
133 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 2 · Non-white
43 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
Race/Ethnicity, Customized
Cohort 2 · Not reported
0 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.

PRIMARY outcome

Timeframe: 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants with moderate or high disease activity (CDAI\>10) at baseline.

Clinical disease activity index (CDAI) was the numerical sum of 4 outcome parameters: tender and swollen joint count based on a 28-joint assessment, participant global assessment and physician global assessment assessed on 0 to 10 millimeter (mm) visual analogue scale (VAS) where 0 mm = minimum possible pain (best) and 100 mm = maximum possible pain (worst). Total score for CDAI ranged from 0 to 76 with higher score indicating greater disease activity. Participants who achieved LDA had CDAI score less than or equal to (\<=)10. Participants with moderate or high disease activity (CDAI greater than \[\>\]10) at baseline were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=85 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Percentage of Participants Who Achieved Low Disease Activity (LDA) at 6 Months After Inflectra Initiation
32.9 Percentage of participants
Interval 22.9 to 42.9

SECONDARY outcome

Timeframe: 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants with moderate or high disease activity (CDAI\>2.8) at baseline.

CDAI was the numerical sum of 4 outcome parameters: tender and swollen joint count based on a 28-joint assessment, participant global assessment and physician global assessment assessed on 0 to 10 mm VAS where 0 mm = minimum possible pain (best) and 100 mm = maximum possible pain (worst). Total score for CDAI ranged from 0 to 76 with higher score indicating greater disease activity. Participants who achieved clinical remission had a CDAI score \<=2.8. Participants with low, moderate or high disease activity (CDAI\>2.8) at baseline were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=131 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Percentage of Participants Who Achieved Clinical Remission at 6 Months After Inflectra Initiation
13.7 Percentage of Participants
Interval 7.8 to 19.6

SECONDARY outcome

Timeframe: Baseline, 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit.

CDAI was the numerical sum of 4 outcome parameters: tender and swollen joint count based on a 28-joint assessment, participant global assessment and physician global assessment assessed on 0 to 10 mm VAS where 0 mm = minimum possible pain (best) and 100 mm = maximum possible pain (worst). CDAI total score = 0 to 76, higher scores=greater affection due to disease activity. CDAI \<2.8 indicated disease remission, 2.8 to \<10 indicated low disease activity, 10 to \<22 indicated moderate disease activity, and \>=22 indicated high disease activity.

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=176 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Change From Baseline in CDAI at 6 Months After Inflectra Initiation
-1.8 Units on scale
Standard Deviation 10.0

SECONDARY outcome

Timeframe: Baseline, 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants evaluable for this outcome measure.

HAQ: participant-reported questionnaire for the assessment of rheumatoid arthritis. It comprised of 20 questions in 8 categories of activities: dress/groom; arise; eat; grip; walk; hygiene; reach; and activities over past week. Each activity was assessed on a 4-point Likert scale from 0 to 3, where 0 = without difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score ranged from 0 to 3, where 0 = least difficulty and 3 = extreme difficulty, higher scores indicating worse functioning.

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=85 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Change From Baseline in Health Assessment Questionnaire (HAQ) at 6 Months After Inflectra Initiation
-0.0 Units on scale
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline, 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit.

Participant pain was measured on a VAS where 0 mm = minimum possible pain (best) and 100 mm = maximum possible pain (worst).

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=176 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Change From Baseline in Participant Pain Assessment at 6 Months After Inflectra Initiation
-0.5 Millimeter
Standard Deviation 22.4

SECONDARY outcome

Timeframe: Baseline, 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit.

Participant fatigue was measured on a VAS, where 0 mm = no fatigue and 100 mm = worst possible fatigue.

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=176 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Change From Baseline in Participant Fatigue Assessment at 6 Months After Inflectra Initiation
-1.4 Millimeter
Standard Deviation 24.4

SECONDARY outcome

Timeframe: 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants with complete information for calculation of mACR.

mACR20 response: \>= 20% improvement in tender and swollen joint count and 20% improvement in two of the following four criteria: 1) participant assessment of pain (scored from 0 mm to 100 mm, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the mHAQ (scored from 0 to 3, higher scores indicated worsening of function).

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=167 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Percentage of Participants With a Modified American College of Rheumatology 20 Percent (%) (mACR20) Response at 6 Months After Inflectra Initiation
12.6 Percentage of participants
Interval 7.5 to 17.6

SECONDARY outcome

Timeframe: 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants with complete information for calculation of mACR.

mACR50 response: \>= 50% improvement in tender and swollen joint count and 50% improvement in two of the following four criteria: 1) participant assessment of pain (scored from 0 mm to 100 mm, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the mHAQ (scored from 0 to 3, higher scores indicated worsening of function).

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=167 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Percentage of Participants With mACR50 at 6 Months After Inflectra Initiation
8.4 Percentage of participants
Interval 4.2 to 12.6

SECONDARY outcome

Timeframe: 6 Months (from the retrospective data collected from the CorEvitas RA registry)

Population: All eligible participants who had CDAI available at baseline and at 6-months follow-up visit and CDAI measured at the 6-month follow-up visit. Here "Number of Participants Analyzed" signifies number of participants with complete information for calculation of mACR.

mACR70 response: \>= 70% improvement in tender and swollen joint count and 70% improvement in two of the following four criteria: 1) participant assessment of pain (scored from 0 mm to 100 mm, higher scores indicated worsening of pain); 2) participant global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 3) physician global assessment of disease activity (scored from 0 to 100, higher scores indicated worsening of condition); 4) self-assessed disability index of the mHAQ (scored from 0 to 3, higher scores indicated worsening of function).

Outcome measures

Outcome measures
Measure
Participants With 6-Months Follow-up (Cohort 2)
n=167 Participants
All participants diagnosed with RA who were Inflectra initiators in real world, who met inclusion criteria, and had CDAI available at Baseline and at 6-months follow-up visit.
Percentage of Participants With mACR70 at 6 Months After Inflectra Initiation
4.2 Percentage of participants
Interval 1.2 to 7.2

Adverse Events

All Participants (Cohort 1)

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

Participants With 6-Months Follow-up (Cohort 2)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

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