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.
COMPLETED
255 participants
6 Months (from the retrospective data collected from the CorEvitas RA registry)
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
| 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.
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|---|---|
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Overall Study
STARTED
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255
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Overall Study
Participants With 6 Month Follow-up (Cohort 2)
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176
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Overall Study
COMPLETED
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255
|
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Overall Study
NOT COMPLETED
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0
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Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Data is presented for participants evaluable in Cohort 1 and 2.
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.
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|---|---|
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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.
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Age, Continuous
Cohort 2
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63.6 Years
STANDARD_DEVIATION 13.3 • n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
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Sex: Female, Male
Cohort 1 · Female
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194 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
|
|
Sex: Female, Male
Cohort 1 · Male
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61 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
|
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Sex: Female, Male
Cohort 2 · Female
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138 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
|
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Sex: Female, Male
Cohort 2 · Male
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38 Participants
n=176 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
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|
Race/Ethnicity, Customized
Cohort 1 · White
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192 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
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|
Race/Ethnicity, Customized
Cohort 1 · Non-white
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62 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
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|
Race/Ethnicity, Customized
Cohort 1 · Not reported
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1 Participants
n=255 Participants • Data is presented for participants evaluable in Cohort 1 and 2.
|
|
Race/Ethnicity, Customized
Cohort 2 · White
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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
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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
| 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.
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|---|---|
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Percentage of Participants Who Achieved Low Disease Activity (LDA) at 6 Months After Inflectra Initiation
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32.9 Percentage of participants
Interval 22.9 to 42.9
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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
| 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.
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|---|---|
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Percentage of Participants Who Achieved Clinical Remission at 6 Months After Inflectra Initiation
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13.7 Percentage of Participants
Interval 7.8 to 19.6
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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
| 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.
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|---|---|
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Change From Baseline in CDAI at 6 Months After Inflectra Initiation
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-1.8 Units on scale
Standard Deviation 10.0
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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
| 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.
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|---|---|
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Change From Baseline in Health Assessment Questionnaire (HAQ) at 6 Months After Inflectra Initiation
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-0.0 Units on scale
Standard Deviation 0.4
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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
| 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
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-0.5 Millimeter
Standard Deviation 22.4
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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
| 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.
|
|---|---|
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Change From Baseline in Participant Fatigue Assessment at 6 Months After Inflectra Initiation
|
-1.4 Millimeter
Standard Deviation 24.4
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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
| 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.
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|---|---|
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Percentage of Participants With a Modified American College of Rheumatology 20 Percent (%) (mACR20) Response at 6 Months After Inflectra Initiation
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12.6 Percentage of participants
Interval 7.5 to 17.6
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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
| 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.
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|---|---|
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Percentage of Participants With mACR50 at 6 Months After Inflectra Initiation
|
8.4 Percentage of participants
Interval 4.2 to 12.6
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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
| 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.
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|---|---|
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Percentage of Participants With mACR70 at 6 Months After Inflectra Initiation
|
4.2 Percentage of participants
Interval 1.2 to 7.2
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Adverse Events
All Participants (Cohort 1)
Participants With 6-Months Follow-up (Cohort 2)
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
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