Arthritis, RheumatoidPhase 3NCT00413699
Long-Term Effectiveness And Safety Of CP-690,550 For The Treatment Of Rheumatoid Arthritis
A Phase 3 study testing CP-690,550 in people with Arthritis, Rheumatoid, run by Pfizer at 469 sites in 43 countries.
Trial summary
The purpose of this study is to determine the long-term effectiveness and safety of CP-690,550 for the treatment of rheumatoid arthritis. Subjects are eligible for this study only after participating in another "qualifying" study of CP-690,550 A sub-study will be conducted within the A3921024 study, this study will… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Arthritis, Rheumatoid
- What is being tested?
- CP-690,550
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 4,488 participants
- Where
- 469 sitesin 43 countries
- Study dates
- 5 Feb 2007to 26 Oct 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who have participated in a randomized "qualifying" study of CP-690,550 for the treatment of rheumatoid arthritis
- Vaccine sub-study visit
- Subjects actively participating in Study A3921024 must have completed at least 3 months of continuous 10 mg BID CP-690,550 treatment in A3921024 as defined by >80% compliance with prescribed dose consumption of CP-690,550 over the previous 3 months.
Who cannot join
- Serious medical conditions that would make treatment with CP-690,550 potentially unsafe
- Vaccine sub-study visit
- Any documented influenza or pneumococcal infection within the last 3 months prior to randomization in this study
- Received any vaccine within 1 month prior to randomization in this study
- Received an influenza vaccine within 6 months or a pneumococcal vaccine within 5 years of randomization in this study.
Trial locations and contacts
469 sites in 43 countries.
469 sites in 43 countries
United States147 sites
The Center for Rheumatology, LLP
Albany, New York, 12203
Office of John P. Lavery, MD, PA
Allen, Texas, 75013
Asheville Rheumatology & Osteoporosis Research Associates, P.A.
Asheville, North Carolina, 28801
Asheville Rheumatology & Osteoporosis Research Associates, PA
Asheville, North Carolina, 28803
Arthritis and Rheumatology of Georgia P.C.
Atlanta, Georgia, 30342
Austin Rheumatology Research, PA
Austin, Texas, 78705
Arthritis and Rheumatic Disease Specialties
Aventura, Florida, 33180
Ochsner Clinic Foundation - Baton Rouge
Baton Rouge, Louisiana, 70809
Bronson Internal Medicine and Rheumatology
Battle Creek, Michigan, 49015
East Penn Rheumatology Associates, PC
Bethlehem, Pennsylvania, 18015
QUEST Research Institiute
Bingham Farms, Michigan, 48025
Regional Rheumatology Associates
Binghamton, New York, 13905
University of Alabama at Birmingham
Birmingham, Alabama, 35294
St. Luke's Clinic - Rheumatology
Boise, Idaho, 83702
St. Luke's Clinic
Boise, Idaho, 83702
St. Luke's Intermountain Research Center
Boise, Idaho, 83702
Boulder Medical Center, PC
Boulder, Colorado, 80304
Physician's Clinic of Iowa, P.C.
Cedar Rapids, Iowa, 52403
DJL Clinical Research, PLLC
Charlotte, North Carolina, 28210
Cincinnati Rheumatic Disease Study Group, Inc.
Cincinnati, Ohio, 45219
Mountain State Clinical Research
Clarksburg, West Virginia, 26301
Arthritis Associates and Osteoporosis Center of Colorado Springs
Colorado Springs, Colorado, 80910
University Physicians - Woodrail Clinic
Columbia, Missouri, 65203
University Of Missouri-Columbia
Columbia, Missouri, 65212
Klein and Associates, MD, PA
Cumberland, Maryland, 21502
Arthritis Care and Diagnostic Center, P.A.
Dallas, Texas, 75231
Baylor Research Institute
Dallas, Texas, 75231
Metroplex Clinical Research Center
Dallas, Texas, 75231
STAT Research, Inc.
Dayton, Ohio, 45417
Allergy, Asthma, Arthritis, & Lung
Daytona Beach, Florida, 32114
Physicians Research Alliance LLC
DeBary, Florida, 32713
Jeffrey D. Lieberman, MD, PC
Decatur, Georgia, 30333
Medical Associates Clinic, PC
Dubuque, Iowa, 52002
Altoona Center for Clinical Research
Duncansville, Pennsylvania, 16635
Arthritis and Rheumatology Consultants, P.A.
Edina, Minnesota, 55435
Med Investigations, Inc.
Fair Oaks, California, 95628
University of Connecticut Health Center
Farmington, Connecticut, 06030-5353
University of North Texas Health Science Center at Fort Worth
Fort Worth, Texas, 76107
The Arthritis Treatment Center
Frederick, Maryland, 21702
Southeastern Arthritis Center
Gainesville, Florida, 32607
Southeastern Imaging and Diagnostics
Gainesville, Florida, 32607
Southeastern Integrated Medical PL d/b/a Florida Medical Research Institute
Gainesville, Florida, 32607
Southeastern Integrated Medical, PL, d/b/a Florida Medical Research Institute
Gainesville, Florida, 32607
Arthrocare, Arthritis Care & Research, PC
Gilbert, Arizona, 85234
Piedmont Arthritis Clinic, PA
Greenville, South Carolina, 29601
Arthritis & Osteoporosis Center, PC
Hamden, Connecticut, 06518
PMG Research Hickory, LLC
Hickory, North Carolina, 28602
PMG Research of Hickory
Hickory, North Carolina, USA 28602
Arthritis Associates, PLLC
Hixson, Tennessee, 37343
CHI St. Vincent Medical Group Hot Springs
Hot Springs, Arkansas, 71913
Accurate Clinical Research, Inc.
Houston, Texas, 77034
Houston Institute for Clinical Research
Houston, Texas, 77074
Talbert Medical Group
Huntington Beach, California, 92646
Rheumatology Associates of North Alabama, PC
Huntsville, Alabama, 35801
Clinical Research Center of Cape Cod, Inc.
Hyannis, Massachusetts, 02601
Institute of Arthritis Research
Idaho Falls, Idaho, 83404
Diagnostic Rheumatology And Research PC
Indianapolis, Indiana, 46227
Arthritis Clinic
Jackson, Tennessee, 38305
West Tennessee Research Institute
Jackson, Tennessee, 38305
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
NEA Baptist Clinic
Jonesboro, Arkansas, 72401
Borgess Research Institute
Kalamazoo, Michigan, 49048
Rheumatology Consultants, PLLC
Knoxville, Tennessee, 37909-1907
University of California San Diego Center for Innovative Therapy
La Jolla, California, 92093
Florida Arthritis Center, P.L.
Lake Mary, Florida, 32746
BayCare Outpatient Imaging at Bardmoor
Largo, Florida, 33777
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Bluegrass Community Research, Inc.
Lexington, Kentucky, 40504
Physician Research Collaboration, LLC
Lincoln, Nebraska, 68516
Osborne Research Center, LLC
Little Rock, Arkansas, 72201
Little Rock Diagnostic Clinic, PA
Little Rock, Arkansas, 72205
Keck Medicine of USC
Los Angeles, California, 90033
University of Southern California (USC) Norris Comprehensive Cancer Center-
Los Angeles, California, 90033
University of Southern California (USC) Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Ronald Reagan UCLA Medical Center, Drug Information Center
Los Angeles, California, 90095-6984
University of California Los Angeles
Los Angeles, California, 90095
Arthritis and Osteoporosis Associates, LLP
Lubbock, Texas, 79424
Marietta Rheumatology Associates
Marietta, Georgia, 30060
Clinical Pharmacology Study Group
Massachusetts, Nebraska, 01605
Office of David R. Mandel, MD, Inc.
Mayfield, Ohio, 44143
Loyola University Medical Center
Maywood, Illinois, 60153
St. Luke's Clinic - Rhematology
Meridian, Idaho, 83642
Southwest Rheumatology Research, LLC
Mesquite, Texas, 75150
Center for Arthritis and Rheumatic Diseases
Miami, Florida, 33173
Trinity Health Center - Medical Arts
Minot, North Dakota, 58701
Illinois Bone and Joint Institute, LLC
Morton Grove, Illinois, 60053
Jeffrey Alper MD Research
Naples, Florida, 34102
Vanderbilt University Medical Center
Nashville, Tennessee, 37203
Louisiana State University Health Sciences Center
New Orleans, Louisiana, 70115
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Delaware Arthritis and Osteoporosis Center
Newark, Delaware, 19713
Ocala Rheumatology Research Center
Ocala, Florida, 34474
Oklahoma Medical Research Foundation (OMRF)
Oklahoma City, Oklahoma, 73104
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Southern Tier Arthritis and Rheumatism
Olean, New York, 14760
Westroads Clinical Research, Inc.
Omaha, Nebraska, 68114
Heartland Clinic Research, Inc.
Omaha, Nebraska, 68134
Gundersen Clinic, Ltd
Onalaska, Wisconsin, 54650
Buffalo Rheumatology and Medicine, PLLC
Orchard Park, New York, 14127
Dr. Jeffrey E. Poiley, MD , Office of
Orlando, Florida, 32804
Millennium Research
Ormond Beach, Florida, 32174
Kansas City Internal Medicine
Overland Park, Kansas, 66209
Stanford University School of Medicine
Palo Alto, California, 94304
Arizona Arthritis & Rheumatology Associates, P.C.
Phoenix, Arizona, 85032
DMI Research, Inc.
Pinellas Park, Florida, 33782
Florida Arthritis & Osteoporosis Center
Port Richey, Florida, 34668
Gulf Coast Medical Center
Port Richey, Florida, 34668
Rheumatology Associates
Portland, Maine, 04102
AAIR Research Center
Rochester, New York, 14618
Rockford Health Physicians
Rockford, Illinois, 61103-3692
Rockford Orthopedic Associates
Rockford, Illinois, 61114
Boice-Willis Clinic
Rocky Mount, North Carolina, 27804
Office of Anupama Bhat, MD
Roseville, California, 95661
San Diego Arthritis Medical Clinic
San Diego, California, 92108
Pacific Arthritis Center Medical Group
Santa Maria, California, 93454
Radiant Research, Inc.
Scottsdale, Arizona, 85251
Virginia Mason Medical Center
Seattle, Washington, 98101
Seattle Rheumatology Associates
Seattle, Washington, 98122
The Seattle Arthritis Clinic
Seattle, Washington, 98133
Arthritis & Rheumatic Care Center
South Miami, Florida, 33143
Miami Research Associates
South Miami, Florida, 33143
Farmbrook Radiology Associates
Southfield, Michigan, 48034
Springfield Clinic
Springfield, Illinois, 62702
Springfield Clinic - Clinical Research
Springfield, Illinois, 62703
Suncoast Medical Clinic
St. Petersburg, Florida, 33782
Stanford Health Services - Medical Specialty Clinics
Stanford, California, 94305
Tacoma Center of Arthritis Research, PS
Tacoma, Washington, 98405
West Broward Rheumatology Associates, Inc.
Tamarac, Florida, 33321
BayCare Medical Group, Inc
Tampa, Florida, 33614
Rheumatology Associates of North Jersey
Teaneck, New Jersey, 07666
New England Research Associates, LLC
Trumbull, Connecticut, 06611
Catalina Pointe Clinical Research
Tucson, Arizona, 85704
North Mississippi Medical Clinics, Inc.
Tupelo, Mississippi, 38801
Inland Rheumatology Clinical Trials, Inc.
Upland, California, 91786
The Vancouver Clinic, Inc. PS
Vancouver, Washington, 98664
Lovelace Scientific Resources
Venice, Florida, 34292
Venice Arthritis Center
Venice, Florida, 34292
Deerbrook Medical Associates
Vernon Hills, Illinois, 60061
Arthritis, Rheumatic & Back Disease Associates
Voorhees Township, New Jersey, 08043
The Center for Rheumatology and Bone Research
Wheaton, Maryland, 20902
Professional Research Network of Kansas, LLC
Wichita, Kansas, 67203
Via Christi Clinic, P.A.
Wichita, Kansas, 67208
Rheumatic Disease Associates, Ltd.
Willow Grove, Pennsylvania, 19090
Reliant Medical Group, Inc.
Worcester, Massachusetts, 01605
Reliant Medical Group, Inc. at Worcester Medical Center
Worcester, Massachusetts, 01608
Clinical Research Center of Reading LLP
Wyomissing, Pennsylvania, 19610
Florida Medical Clinic, P.A.
Zephyrhills, Florida, 33542
Canada22 sites
Rheumatology Research Associates Ltd.
Edmonton, Alberta, T5M 0H4
Dr. William G. Bensen Medicine Professional Corporation
Hamilton, Ontario, L8N 1Y2
Office of Dr. Fernando Bianchi
Hamilton, Ontario, L8N 1Y2
Cividino Medicine Professional Corporation
Hamilton, Ontario, L8N 2B6
KW Musculoskeletal Research Inc.
Kitchener, Ontario, N2M 5N6
St Joseph's Health Centre
London, Ontario, N6A 4V2
Credit Valley Rheumatology
Missisauga, Ontario, L5M 2V8
Institut de Rhumatologie de Montreal
Montreal, Quebec, H2L 1S6
The Arthritis Program Research Group Inc.
Newmarket, Ontario, L3Y 3R7
Rheumatology and Osteoporosis Clinic
Oakville, Ontario, L6M 4J2
Rheumatology Research Associates
Ottawa, Ontario, K1H 1A2
West Island Rheumatology Research Associates
Pointe-Claire, Quebec, H9R 3J1
Groupe De Recherche En Rhumatologie Et Maladies Osseuses Inc.
Québec, Quebec, G1V 3M7
Centre de Recherche Saint-Louis
Québec, Quebec, G1W4R4
Arthritis Research Center, Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Niagara Peninsula Arthritis Centre
St. Catharines, Ontario, L2N 7E4
Nexus Clinical Research
St. John's, Newfoundland and Labrador, A1A 5E8
Centre de Recherche Musculo-Squelettique
Trois-Rivières, Quebec, G8Z 1Y2
Dr. Alice Klinkhoff, Inc.
Vancouver, British Columbia, V5Z 1L7
Percuro Clinical Research Limited
Victoria, British Columbia, V8V 3P9
Clinical Research and Arthritis Centre
Windsor, Ontario, N8X 5A6
Manitoba Clinic
Winnipeg, Manitoba, R3A 1M3
China20 sites
Beijing Chaoyang Hospital, Capital University of Medical Science
Beijing, Beijing Municipality, 100020
Peking University People's Hospital/Rheumatology and Immunology Department
Beijing, 100044
PLA General Hospital
Beijing, 100853
Xiangya Hospital of Centre-south University
Changsha, Hunan, 410008
Si Chuan Huaxi Hospital
Chengdu, 610041
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, 510260
The Third Affiliated Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, 510630
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, 310009
Anhui Province Hospital
Hefei, 230001
An Hui Medical University 1st Hospital
Hefei, 230022
QiLu Hospital of Shandong University
Jinan, Shandong, 250012
Jiangsu Province Hospital
Nanjing, 210029
Qingdao Municipal Hospital
Qingdao, Shandong, 266011
Shanghai Changzheng Hospital
Shanghai, Shanghai Municipality, 200003
Rheumatology and Immunology Dept., Renji Hospital Shanghai Jiao Tong University School of Medicine
Shanghai, 200001
Shanghai Changhai Hospital
Shanghai, 200433
The First Affiliated Hospital of Soochow University
Suzhou, 215006
"Department of Infectious Diseases & Immunology
Tianjin, 300052
Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030
Xijing Hospital, The Fourth Military Medical University
Xi'an, Shaan'xi, 710032
Czechia19 sites
X-MEDICA s.r.o.
Brno, 61300
Revmacentrum MUDr. Mostera, s.r.o.
Brno, 615 00
Fakultni Nemocnice Brno, Interni hematoonkologicka klinika
Brno, 625 00
Fakultni nemocnice u sv. Anny v Brne
Brno, 656 91
HESTE s.r.o. Revmatologie
Česká Lípa, 470 01
MEDIPONT Plus sro
České Budějovice, 370 01
L.K.N. Arthrocentrum, s.r.o.
Hlučín, 748 01
ARTMEDI UPD s r.o
Hostivice, 253 01
Fakultni nemocnice Hradec Kralove
Hradec Králové, 50005
Revmatologicka ambulance
Ostrava, 70800
ARTHROMED, s. r. o. Revmatologicka ambulance
Pardubice, 530 02
Revmatologicky ustav
Prague, 12850
Revmatologicka ambulance
Prague, 140 00
Fakultni Thomayerova nemocnice s poliklinikou
Prague, 140 59
Nuselska poliklinika RTG
Prague, 14000
Revmatologicka ambulance
Prague, 14000
Affidea Praha, s.r.o.
Praha 11 - Chodov, 148 00
Nemocnice Atlas, a.s.
Zlín, 760 01
PV-Medical s.r.o.
Zlín, 760 01
Russia19 sites
State Healthcare Institution Regional Clinical Hospital
Barnaul, 656024
State Healthcare Institution Regional Clinical Hospital for War Veterans
Kemerovo, 650099
Russian State Medical University Moscow Faculty City Clinical Hospital #4
Moscow, 115093
Rheumatology Research Institute of Russian Academy of Medical Sciences
Moscow, 115522
City Clinical Hospital # 1
Novosibirsk, Novosibirsk Oblast, 630047
"Consultative Diagnostic Rheumatology Center ""Healthy Joints"", LLC"
Novosibirsk, Novosibirsk Oblast, 630091
GUZ Republican Hospital n.a. Baranov
Petrozavodsk, 185019
State Healthcare Institution City Hospital # 40 of Administrative Health Resort District
Saint Petersburg, Sestroretsk, Russia, 197706
Saint-Petersburg State Budgetary Healthcare Institution "Clinical Rheumathology Hospital #25"
Saint Petersburg, 190068
Clinical Hospital #122 named after L.G. Sokolov of the Federal Medical-Biological Agency
Saint Petersburg, 194291
Federal North-West Medical Research Centre
Saint Petersburg, 197341
St. Petersburg State Institution of Healthcare Consultative-diagnostic Center #85
Saint Petersburg, 198260
Smolensk State Medical Academy
Smolensk, Smolensk Oblast, 214019
Regional State Budget Institution Of Healthcare
Tomsk, 634063
Regional State Budgetary Healthcare Institution of Tomsk Regional Clinical Hospital
Tomsk, 634063
State Healthcare Institution
Yekaterinburg, 620102
State Educational Institution of Higher Professional Education Ural State Medical Academy of Federal
Yekaterinburg, 620149
State Educational Institution of Higher Professional Education
Yekaterinburg, 620149
Ltd.Medical Association "Novaya Bolnitsa"
Yekaterinburg, 620219
Germany18 sites
Privat-Praxis
Aachen, 52064
Charite Campus Mitte, Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie
Berlin, 10117
Schlosspark-Klinik Innere Medizin II, Rheumatologie
Berlin, 14059
Ambulantes Rheumazentrum Dr Soerensen
Berlin, 14163
Universitaetsklinikum Koeln Klinik I fuer Innere Medizin, Haus 16, 1. OG, Raum 1.008
Cologne, 50937
Krankenhaus Friedrichstadt, I. Medizinische Klinik
Dresden, 01067
Studienambulanz Universitaetsklinikum Erlangen Medizinische Klinik 3
Erlangen, 91054
J.W.-Goethe-Universitaetsklinik, Medizinische Klinik II, Abteilung fuer Rheumatologie
Frankfurt am Main, 60590
Schwerpunktpraxis Rheumatologie
Halle, 06108
Schoen Klinik Hamburg-Eilbek
Hamburg, 22081
Rheumazentrum Ruhrgebiet
Herne, 44649
Universitaetsklinik Leipzig, Klinik fur Gastroenterologie und Rheumatologie, Sektion Rheumatologie
Leipzig, 04103
Universitaetsklinikum Leipzig
Leipzig, 04103
Klinikum der Universitaet Muenchen, Campus Innenstadt, Rheuma-Einheit
München, 80336
Arztpraxis, Internist - Rheumatologie
Nuremberg, 90429
Rheumaforschung- Studienambulanz
Ratingen, 40882
Schwerpunktpraxis fuer Rheumatologie
Rheine, 48431
Universitaetsklinikum Wuerzburg
Würzburg, 97080
Mexico18 sites
Investigacion y Biomedica de Chihuahua, SC
Chihuahua City, 31000
Centro de Investigacion Clinica Especializada, SC
Coyoacán, Mexico City, 04030
Fundacion El Hospitalito
Cuernavaca, Morelos, 62170
Centro Integral en Reumatologia, SA de CV
Guadalajara, Jalisco, 44160
Unidad de Investigacion en Enfermedades Cronico Degenerativas
Guadalajara, Jalisco, 44620
Unidad Reumatologica Las Americas SCP
Mérida, Yucatán, 97000
Centro Medico Toluca
Metepec, State of Mexico, 52140
Hospital Angeles del Pedregal
Mexico City, Mexico City, 10700
Hospital Angeles Mocel
Mexico City, 11850
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, 14080
Hospital Universitario Doctor Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64020
Centro de Investigacion Clinica de Morelia
Morelia, Michoacán, 58070
Clinica de Enfermedades Cronicas y Procedimientos Especiales SC
Morelia, Michoacán, 58249
Centro Reumatologico Queretaro
Querétaro, 76178
Centro de Alta Especialidad en Reumatologia e Investigacion del Potosi, S.C.
San Luis Potosí City, 78213
Hospital Central Dr Ignacio Morones Prieto Unidad Regional de Reumatologia y Osteoporosis
San Luis Potosí City, 78240
Centro de Investigacion del Noroeste
Tijuana, BAJA California Norte, 22010
Unidad de Enfermedades Reumaticas y Cronico Degenerativas SC
Torreón, Coahuila, 27000
Spain15 sites
Complejo Hospitalario Universitario A Coruna
A Coruña, 15006
Hospital Universitario Cruces
Barakaldo, Vizcaya, 48903
Hospital Del Mar
Barcelona, 08003
Hospital de Basurto
Bilbao, Vizcaya, 48013
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario De La Paz
Madrid, 28046
Hospital Civil. Hospital Regional Universitario Carlos Haya
Málaga, 29009
Hospital de Merida
Mérida, Badajoz, 06800
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Nuestra Senora de la Esperanza
Santiago de Compostela, A Coruna, 15705
Hospital Clinico Universitario de Santiago
Santiago de Compostela, A Coruna, 15706
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Nuestra Señora de Valme
Seville, 41014
Hospital El Tomillar
Seville, 41700
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
South Korea14 sites
Dong-A University Hospital
Busan, 49201
Daegu Catholic University Medical Center
Daegu, 42472
Eulji University Hospital
Daejeon, Republic of Korea, 35233
Chonnam National University Hospital
Gwangju, 61469
Inha University Hospital
Jung-gu, Incheon, 22332
Seoul National University Hospital
Seoul, 03080
Yonsei University Health System
Seoul, 03722
Hanyang University Hospital
Seoul, 04763
Konkuk University Medical Center
Seoul, 05030
Asan Medical Center-University of Ulsan College of Medicine
Seoul, 05505
Asan Medical Center
Seoul, 05505
Gangnam Severance Hospital-Yonsei University Health System
Seoul, 06273
Gangnam Severance Hospital
Seoul, 06273
Seoul St. Mary's Hospital-The Catholic University of Korea
Seoul, 06591
Poland11 sites
"ZDROWIE OSTEO-MEDIC" s.c. Lidia I Artur Racewicz, Agnieszka I Jerzy Supronik
Bialystok, 15-351
ClinicMed Badurski i wspolnicy Spolka Jawna
Bialystok, 15-879
NSZOZ Medicus II
Cieszyn, 43400
Szpital im. Teodora Dunina
Kościan, 64-000
Krakowskie Centrum Medyczne NZOZ
Krakow, 31-501
Centrum Badan Klinicznych s.c. Wieslawa Porawska, Lukasz Porawski
Poznan, 60-773
Wojewodzki Zespol Reumatologiczny im. dr Jadwigi Titz-Kosko
Sopot, 81-759
Nzoz "Nasz Lekarz"
Torun, 87-100
Synexus Polska Sp. z o.o. Oddzial w Warszawie
Warsaw, 01-192
Rheuma-Medicus - Specjalistyczne Centrum Reumatologii i Osteoporozy
Warsaw, 02-118
SYNEXUS Polska Sp. z.o.o.
Wroclaw, 50-088
Brazil10 sites
Centro de Estudos em Terapias Inovadoras
Curitiba, Paraná, 80030-110
Centro de Estudos em Terapias Inovadoras
Curitiba, Paraná, 80060-240
CIP - Centro Internacional de Pesquisa
Goiânia, Goiás, 74110-120
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Sao Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
CCBR Brasil Centro de Pesquisas e Analises Clinicas Ltda
Rio de Janeiro, Rio de Janeiro, 22271-100
Hospital Alemao Oswaldo Cruz
São Paulo, São Paulo, 01323-903
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP)
São Paulo, São Paulo, 05403-010
IMA Brasil -Instituto de Pesquisa Clinica e Medicina Avancada
São Paulo, São Paulo, 05437-010
CEPIC - Centro Paulista de Investigacao Clinica e Servicos Medicos Ltda
São Paulo, 04266-010
Bulgaria10 sites
Revmatologichen kabinet, DKTs Sveti Pantaleimon OOD
Pleven, 5800
Revmatologichno Otdelenie, MBAL - Plovdiv
Plovdiv, 4000
UMBAL Kaspela Plovdiv
Plovdiv, 4002
MBAL Akta Medika OOD
Sevlievo, 5400
Clinic of Cardiology and Rheumatology Military Medical Academy
Sofia, 1606
Clinic of Rheumatology Multiprofile Hospital for Active treatment Sveti Ivan Rilski
Sofia, 1612
MBAL Sveti Ivan Rilski Sofia
Sofia, 1612
DKTs "Sveta Anna" Sofia, Konsultativen kabinet po Revmatologia
Sofia, 1709
DKTs "Sveta Anna", Sofia / Diagnostic Consultative Center "Sveta Anna"
Sofia, 1709
MOBAL "D-r Stefan Cherkezov" AD,
Veliko Tarnovo, 5000
India10 sites
Rheumatic Diseases Clinic
Ahmedabad, Gujarat, 380009
Shalby Hospitals
Ahmedabad, Gujarat, 380015
Chanre Rheumatology and Immunology Center and Research
Bangalore, Karnataka, 560 003
St. John's Medical College and Hospital.
Bangalore, Karnataka, 560 034
Shirdi Sai Hospital
Bangalore, Karnataka, 560 054
Chanre Rheumatology & Immunology Center & Research
Bangalore, Karnataka, 560 079
Mahavir Hospital & Research Center
Hyderabad, Andhra Pradesh, 500 004
Arthritis Research and Care Foundation Centre for Rheumatic Diseases
Pune, Maharashtra, 411 001
Jehangir Clinical Development Centre Pvt. Ltd.
Pune, Maharashtra, 411001
Krishna Institute of Medical Sciences Ltd
Secunderabad, Telangana, 500 003
Slovakia10 sites
Reumatologicka ambulancia, Poliklinika Ruzinov
Bratislava, 82606
NOVAPHARM s.r.o -Zeleznicna NaP, Reumatologicka ambulancia
Bratislava, 832 99
AAGS, s.r.o. , nestatne zdravotnicke zariadenie
Dunajská Streda, 92901
Interna a reumatologicka ambulancia
Košice, 040 01
Ecclesia, s.r.o Reumatologicka ambulancia
Nové Zámky, 94001
Narodny Ustav Reumatickych Chorob
Piešťany, 92112
Reumatologicka ambulancia, MUDr. Zuzana Cizmarikova, s.r.o.
Poprad, 058 01
Reumatologicka ambulancia, REUMEX, s.r.o.
Rimavská Sobota, 979 01
Reumatologicka ambulancia, Nestatne zdravotnicke zariadenie
Senica, 905 01
Nestatna reumatologicka ambulancia, MUDr. Pavol Polak s.r.o.
Žilina, 010 01
Ukraine10 sites
Municipal Establishment of Health Care "Kharkiv City Clinical Hospital #8", Dept. of Rheumatology
Kharkiv, 61178
State Institution Republican Clinical Hospital of the Ministry of Health of Ukraine
Kyiv, 04053
State Establishment "Institute of Gerontology of NAMS of Ukraine n.a. D.F. Chebotareva"
Kyiv, 04114
Municipal City Clinical Hospital #4, Policlinic Care
Lviv, 79011
"Multifield Medical Center of Odesa National Medical University ""University Clinic #1"""
Odesa, 65026
Multifield Medical Center of Odesa National Medical University "University Clinic #1"
Odesa, 65026
Crimean Republican Institution "Clinical Territorial Medical Association "University Clinic",
Simferopol, Autonomous Republic of Crimea, 95017
CRIMEAN Republican Institution, "Clinical Hospital n.a. M.O. Semashko"
Simferopol Crimea, Ukraine, 95017
Vinnitsa Regional Clinical Hospital n.a. Pirogov
Vinnitsa, 21018
Municipal Establishment "City Hospital#7of Zaporizhzhia State Medical University
Zaporizhzhya, 69118
Chile9 sites
Clinica Santa Maria, Seccion Reumatologia
Providencia, Santiago, RM, 7530206
Hospital Regional de Rancagua
Rancagua, 2841959
Centro de Estudios Reumatologicos
Santiago, RM, 7501126
Consulta Privada Dra. Marta Aliste
Santiago, RM, 7510186
Centro de Diagnostico y Tratamiento Hospital San Borja Arriaran
Santiago, Santiago Metropolitan, 8360156
Clinica Santa Maria
Santiago, 7530206
Consulta Privada Dra. Lucia Ponce
Temuco, Araucania, 4790928
Hospital Base Valdivia, Policlinico de Reumatologia
Valdivia, Region XIV, 5090145
Estudios Clinicos V Region
Vina Del Mar, V Region, 2520997
Taiwan9 sites
Changhua Christian Hospital
Changhua, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Kaohsiung Veterans General Hospital
Kaohsiung City, 813
Chang Gung Medical Foundation-Linkou Branch
Kwei-Shan, Taoyuan County, 333
Chang Gung Medical Foundation-
Niao Sung Hsiang, Kaohsiung County, 833
Taichung Veterans General Hospital
Taichung, 407
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Taipei Veterans General Hospital
Taipei, 112
Argentina7 sites
OMI- Organizacion Medica de Investigacion
Buenos Aires, Buenos Aires F.D., C1015ABO
Centro de Investigaciones Reumatologicas y Osteologicas -CIRO
Buenos Aires, Buenos Aires F.D., C1114AAH
Hospital Sirio Libanes
Buenos Aires, 1419AHN
OMI - Organización Médica de Investigación
Buenos Aires, C1015ABO
Saint Dennis Medical Group S.A.
Buenos Aires, C1034ACO
Hospital Sirio Libanes
Buenos Aires, C1419AHN
Consultorios Reumatologicos Pampa
Buenos Aires, C1428DZF
Australia7 sites
Rheumatology Research
Cairns, Queensland, 4870
Optimus Clinical Research Pty. Ltd.
Kogarah, New South Wales, 2217
Emeritus Research
Malvern East, Victoria, 3145
Rheumatology Research Unit Sunshine Coast
Maroochydore, Queensland, 4558
Goatcher Clinical Research Unit
Perth, Western Australia, WA 6000
Royal North Shore Hospital
St Leonards, NSW2065
Queen Elizabeth Hospital, Department of Rheumatology
Woodville, South Australia, 5011
Malaysia7 sites
Hospital Selayang
Batu Caves, Selangor, 68100
Queen Elizabeth Hospital
Kota Kinabalu, Sabah, 88586
Sarawak General Hospital
Kuching, Sarawak, 93586
Sunway Medical Centre
Petaling Jaya, Selangor, 46150
Hospital Putrajaya, Dept. of Medicine
Putrajaya, Kuala Lumpur, 62250
Hospital Tuanku Ja'afar
Seremban, Negeri Sembilan, 70300
Subang Jaya Medical Centre
Subang Jaya, Selangor, 47500
Philippines7 sites
Angeles University Foundation Medical Center
Angeles City, Pampanga, 2009
Chong Hua Hospital
Cebu City, 6000
De La Salle University Health Sciences Campus Clinical Epidemiology Unit
Dasmariñas, Cavite, 4114
Southern Philippine Medical Center
Davao City, 8000
University of Perpetual Help Rizal Dalta Medical Center
Las Piñas, Philippines, 1742
Mary Mediatrix Medical Center
Lipa City, Batangas, 4217
University of Santo Tomas Hospital
Manila, 1008
France6 sites
Hopital Nord
Amiens, 80000
Hôpital Nord
Amiens, 80000
*CHR Hopital Porte Madeleine IPROS
Orléans, 45000
CHR ORLEANS - Service IPROS
Orléans, 45032
Hôpital Saint-Antoine
Paris, 75012
Hopital Cochin
Paris, 75014
Sweden6 sites
Falu lasarett
Falun, 791 82
Lanssjukhuset Ryhov
Jönköping, 551 85
Skanes Universitetssjukhus i Malmo Reumamottagningen
Malmö, 205 02
Sundsvalls Sjukhus
Sundsvall, 851 86
Norrlands Universitetssjukhus
Umeå, 901 85
Akademiska University Hospital
Uppsala, 75185
Croatia5 sites
University Hospital Center Osijek
Osijek, 31000
University Hospital Split, Department for Internal Medicine, Division of Clinical Rheumatology
Split, 21000
Clinical Hospital "Sveti Duh"
Zagreb, 10 000
University Hospital Center "Zagreb"
Zagreb, 10000
University Hospital Center Zagreb
Zagreb, 10000
Hungary5 sites
Drug Research Center Kft
Balatonfüred, 8230
Orszagos Reumatologiai Es Fizioterapias Intezet
Budapest, 1023
Revita Reumatologiai Rendelo
Budapest, 1027
Synexus Magyarorszag Kft.
Budapest, H-1036
MAV Korhaz es Rendelointezet, Reumatologiai szakrendeles
Szolnok, 5000
Thailand5 sites
Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine,
Amphoe Mueang, Chiang Mai, 50200
Rheumatology Unit, Department of Internal Medicine, Rajavithi Hospital
Bangkok, 10400
Siriraj Hospital, Mahidol University
Bangkok, 10700
Division of Allergy-Immunology-Rheumatology, Department of Medicine, Faculty of Medicine
Muang District, Khonkaen, 40002
Rheumatology Unit, Department of Internal Medicine, Phramongkutklao Hospital
Rajathevee, Bangkok, 10400
Colombia4 sites
Centro de Reumatologia y Ortopedia S.A.S.
Barranquilla, Atlántico
Riesgo de Fractura S.A.
Bogota D.C., Cundinamarca
Centro de Investigacion en Reumatologia y Especialidades Medicas S.A.S CIREEM S.A.S
Bogota, D.C., Cundinamarca
Servimed S.A.S.
Bucaramanga, Santander Department, 680003
Costa Rica4 sites
Centro de Reumatologia y Osteoporosis, Cartago
Cartago
Hospital Cima San Jose
San José, 00000
Hospital Cima San Jose
San José
Oficina Privada Del Colegio deMedicos
San José
United Kingdom4 sites
The Royal Wolverhampton NHS Trust
Cannock, WS11 5XY
Dudley Group of Hospitals NHS Trust
Dudley, WEST Midlands, DY1 2HQ
Wirral University Teaching Hospital NHS Foundation Trust-Arrowe Park Hospital
Metropolitan Borough of Wirral, CH49 5PE
Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP
Austria3 sites
Medizinische Universitaet Wien / AKH
Vienna, A-1090
Rheuma-Ordination Favoriten
Vienna, A-1100
Sozialmedizinisches Zentrum Sued - Kaiser Franz Josef Spital
Vienna, A-1100
Belgium3 sites
Universitair Ziekenhuis Gent - Reumatologie
Ghent, Oost-vlaanderen, 9000
AZ Groeninge
Kortrijk, 8500
Centre Hospitalier Universitaire de Liège
Liège, 4020
Finland3 sites
Helsingin Reumakeskus Oy
Helsinki, 00120
Kiljavan Laaketutkimus Oy
Hyvinkää, 05800
TAYS/Reumakeskus/Finn-Medi 1
Tampere, 33520
New Zealand3 sites
The Canterbury Geriatric Medical Research Trust, c/- The Princess Margaret Hospital
Christchurch, 8022
Waikato Hospital, Rheumatology
Hamilton, 3240
Clinical Trials Unit, Timaru Hospital
Timaru, 7910
Peru3 sites
Hospital Nacional IV Alberto Sabogal Sologuren
Callao, C-02
Centro Medico Corpac/Investigaciones en Reumatologia
Lima, L-27
Instituto Peruano del Hueso y la Articulacion SAC-Privado-Lima/Centro de Investigacion IPHAR
Lima, L-27
Puerto Rico3 sites
Ponce School Of Medicine
Ponce, 00716
Edificio Parra
Ponce, 00717-1321
Mindful Medical Research
San Juan, PR, 00918
Turkey (Türkiye)3 sites
Hacettepe University Medical Faculty
Ankara, 06100
Ege University Medical Faculty
Bornova, İzmir, 35100
Dokuz Eylul Universitesi Arastirma Uygulama Hastanesi
Izmir, 35340
Greece2 sites
General Hospital Euromedica "KYANOUS STAVROS"
Thessaloniki, 54636
424 General Army Hospital
Thessaloniki, 56429
Italy2 sites
A.O.U. Careggi - SOD Medicina Interna 1 e Reumatologia
Florence, FI, 50139
U.O. Clinica Reumatologica
Genova, 16132
Romania2 sites
Spitalul Clinic "Sf. Maria"
Bucharest, 011172
Spitalul Clinic De Recuperare
Iași, 700661
Bosnia and Herzegovina1 site
University Clinical Center Sarajevo
Sarajevo, 71000
Dominican Republic1 site
Hospital Central de las Fuerzas Armadas
Santo Domingo, 10119
About this study
Official title: A Long-term, Open-label Follow-up Study Of Tofacitinib (Cp-690,550) For Treatment Of Rheumatoid Arthritis
The purpose of this study is to determine the long-term effectiveness and safety of CP-690,550 for the treatment of rheumatoid arthritis. Subjects are eligible for this study only after participating in another "qualifying" study of CP-690,550
A sub-study will be conducted within the A3921024 study, this study will evaluate the immune response to pneumococcal and influenza vaccines in patients receiving CP-690,550
- Conditions
- Arthritis, Rheumatoid
- Being tested
- CP-690,550
- Keywords
- long-term, open-label, safety
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CP-690,550Drug
5 mg PO BID open label; may increase to 10 mg PO BID to provide greater control of RA if no related AEs are present. May be off study drug temporarily for up to 28 days for mild to moderate AEs.
CP-690,550Drug
10 mg PO BID open label; may decrease to 5 mg PO BID for mild to moderate AEs. May be off study drug temporarily for up to 28 days for mild to moderate AEs.
| Study group | Role | What they receive |
|---|---|---|
| Open-Label Active Treatment Enrolled from Phase 2 | Experimental | Patients enrolling from Phase 2 studies Receives: Drug: CP-690,550 |
| Open-Label Active Treatment Enrolled from Phase 3 | Experimental | Patients enrolling from Phase 3 studies Receives: Drug: CP-690,550 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Initial Period: Primary Endpoints Were Standard Laboratory Safety Data (Chemistry, Hematology, Etc.) and Adverse Event (AE) Reports
Treatment-emergent non serious AEs by System Organ Class (SOC) (all causalities) and Laboratory Test Abnormalities (without regard to baseline) The stated number of participants analyzed was the total number of participants in each group (AEs). The actual number of participants analyzed for each laboratory parameter varied, and is provided for each.
Abs=absolute; ALT=alanine aminotransferase; AST=aspartate aminotransferase; ESR=erythrocyte sedimentation rate; GGT=gamma glutamyl transferase; hgb=hemoglobin; HDL=high density lipids; LDL=low density lipids; LLN=lower limit of normal; qual=qualitative; Tot=total; ULN=upper limit of normal; WBC=white blood cell
Measured: Includes laboratory test abnormality data for all visits and adverse event data up to 999 days after last dose of study drug
Extension Period: Number of Participants With Treatment Emergent Adverse Events (AEs), Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both serious and non-serious adverse events.
Measured: Baseline (Day 1 at Entry of Extension Period) up to 28 days after last study drug dose in Extension Period (13 Months)
Extension Period: Number of Participants With Laboratory Test Abnormalities
Criteria for laboratory abnormalities: hemoglobin (Hg), hematocrit, red blood cell (RBC), high density lipoprotein (HDL) cholesterol:<0.8*lower limit of normal (LLN), platelet<0.5*LLN/>1.75*upper limit of normal (ULN), white blood cell (WBC)<0.6*LLN/>1.5*ULN, lymphocyte, neutrophil, protein, albumin <0.8*LLN/>1.2*ULN, basophil, eosinophil, monocyte, low density lipoprotein (LDL) cholesterol: >1.2*ULN; bilirubin>1.5*ULN, aspartate amino transferase(AT), alanine AT, gammaglutamyl transferase, alkaline phosphatase:>3.0*ULN; blood urea nitrogen, creatinine, cholesterol, triglyceride:>1.3*ULN; sodium <0.95*LLN/>1.05*ULN, potassium, chloride, calcium, bicarbonate: <0.9*LLN/>1.1*ULN; glucose<0.6*LLN/>1.5*ULN; Urine (specific gravity<1.003/>1.030, pH<4.5/>8, glucose, ketone, protein, blood/Hg(>=1; RBC, WBC>=20; creatinine kinase>2*ULN).
Measured: Baseline (Day 1 at Entry of Extension Period) up to 28 days after last study drug dose in Extension Period (13 Months)
Initial Period: The Long Term Safety and Tolerability of CP-690,550 5 Milligrams (mg) Twice Daily (BID) and 10 mg BID for the Treatment of Rheumatoid Arthritis
Treatment-emergent AEs by SOC (all causalities) - all participants, by time. Data presented for Post Month 96 includes data up to and including Month 114.
Measured: Includes AEs for every visit and up to 999 days after last dose of study drug
Extension Period: Percentage of Participants With Adverse Events and Who Discontinued Treatment Due to Adverse Events to Assess Long-term Safety and Tolerability of Tofacitinib
Long term safety and tolerability of Tofacitinib was measured as following: percentage (%) of participants with AEs, percentage of participants who discontinued due to AEs. An AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship.
Measured: Baseline (Day 1 at Entry of Extension Period) up to Month 6 of Extension Period; Month 6 of Extension Period to Month 12 of Extension Period
Secondary outcomes (21)
Initial Period: Percentage of Patients With American College of Rheumatology (ACR) 20, 50, and 70 Responses
The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented. ACR20 is defined as a 20% improvement from baseline in tender/painful joint count and swollen joint count, and at least 3 of the following 5 variables: Subject's Global Assessment of Arthritis, Physician's Global Assessment of Arthritis, Subject's Assessment of Arthritis Pain, Health Assessment Questionnaire - Disability Index, C-Reactive Protein (CRP). ACR50 is a 50% improvement and ACR70 a 70% improvement in these variables.
Measured: Every visit until study completion
Extension Period: Percentage of Participants With American College of Rheumatology (ACR) 20, 50, and 70 Responses
ACR20=20 percent (%) improvement from baseline (Month 0 at entry of Initial Period) in tender/painful joint count and swollen joint count, and in at least 3 of 5 variables: participant's global assessment of arthritis (PtGA), physician's global assessment of arthritis (PGA), participant's assessment of arthritis pain (PtA), HAQ-DI, C-reactive protein. ACR50 is a 50% improvement and ACR70 is a 70% improvement in these variables. PtGA: participant assessed overall disease activity, score: 0 (no arthritis) to 10 (extreme arthritis), higher score=more arthritis. PGA: physician judged participant's overall disease activity, score: 0 (no arthritis) to 10 (extreme arthritis), higher score=more arthritis. PtA: participant assessed arthritis pain by 100 millimeter (mm) visual analogue scale, score: 0 mm (no pain) to 100 mm (extreme pain), higher score=more pain. HAQ-DI: functional disability evaluation, score: 0 (no difficulty) to 3 (extreme difficulty), higher score=more disability.
Measured: Month 3, 6, 9 and 12 of Extension Period
Initial Period: Area Under American College of Rheumatology (ACR) n Curve
No data were collected for this endpoint because it was removed from the protocol in a previous amendment.
Measured: Not applicable as no data were collected for this endpoint.
Initial Period: Disease Activity Score (DAS)28 (C-reactive Protein [CRP]) and DAS28 (Erythrocyte Sedimentation Rate [ESR])
Descriptive statistics for DAS28-3 (CRP) and DAS28-4 (ESR). The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
DAS28 is a composite score, calculated using a mathematical formula, and is derived from the number of tender/painful joints (out of 28), number of swollen joints (out of 28), and a blood marker of inflammation (ESR or CRP). DAS28-4 also includes a score of general health in the formula.
The score range is from 0 to 9.4, with a higher score indicating more disease activity. A score of >5.1 indicates active disease, a score of ≤3.2 indicates low disease activity, and a score of <2.6 indicates disease remission.
Measured: Every visit until study completion
Extension Period: Change From Baseline in Disease Activity Score (DAS) 28-3 C-Reactive Protein (CRP)(DAS28-3 CRP) and DAS28-4 Erythrocyte Sedimentation Rate (ESR)(DAS28-4 ESR) at Month 3, 6, 9 and 12
DAS28 is composite score, calculated using mathematical formula, derived from: 1) tender/painful joints count, out of 28 joints (TJC28), 2) swollen joints count, out of 28 joints (SJC28), 3) blood marker of inflammation (ESR [millimeter per hour] or CRP [milligram per liter]). DAS28-4 also include score of general health (GH). GH is general health or participants' global assessment of disease activity on 100 mm visual analog scale (GH score: 0 mm [very well] to 100 mm [extremely bad], higher scores = worse health condition). DAS28-3(CRP) = (0.56*sqrt[TJC28] + 0.28*sqrt[SJC28] + 0.36*ln[CRP+1]) *1.10 + 1.15) and DAS28-4(ESR) = (0.56*sqrt[TJC28] + 0.28*sqrt[SJC28] + 0.70*ln[ESR] + 0.014*GH), where sqrt = square root, ln = natural logarithm. DAS28-4 ESR and DAS28-3 CRP: score ranges from 0 (none) to 9.4 (extreme disease activity), with a higher score indicating more disease activity. Score of <=3.2 indicate low disease activity and score of <2.6 indicate disease remission.
Measured: Baseline (Month 0 at the entry of Initial period); Month 3, 6, 9 and 12 of Extension Period
Initial Period: Number (%) of Participants With DAS28-4 (ESR) and DAS28-3 (CRP) <2.6 and ≤3.2
Percent participants with DAS28-4 (ESR) <2.6 and ≤3.2 and percent participants with DAS28-3 (CRP) <2.6 and ≤3.2. The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
DAS28 is a composite score, calculated using a mathematical formula, and is derived from the number of tender/painful joints (out of 28), number of swollen joints (out of 28), and a blood marker of inflammation (ESR or CRP). DAS28-4 also includes a score of general health in the formula.
The score range is from 0 to 9.4, with a higher score indicating more disease activity. A score of >5.1 indicates active disease, a score of ≤3.2 indicates low disease activity, and a score of <2.6 indicates disease remission.
Measured: Every visit until study completion
Extension Period: Percentage of Participants With DAS28-4 (ESR) and DAS28-3 (CRP) Less Than (<) 2.6 and Less Than or (<=) 3.2
DAS28 is composite score, calculated using mathematical formula, derived from: 1) tender/painful joints count, out of 28 joints (TJC28), 2) swollen joints count, out of 28 joints (SJC28), 3) blood marker of inflammation (ESR [millimeter per hour] or CRP [milligram per liter]). DAS28-4 also include score of GH. GH is general health or participants' global assessment of disease activity on 100 mm visual analog scale (GH score: 0 mm [very well] to 100 mm [extremely bad], higher scores = worse health condition). DAS28-3(CRP) = (0.56*sqrt[TJC28] + 0.28*sqrt[SJC28] + 0.36*ln[CRP+1]) *1.10 + 1.15) and DAS28-4(ESR) = (0.56*sqrt[TJC28] + 0.28*sqrt[SJC28] + 0.70*ln[ESR] + 0.014*GH), where sqrt = square root, ln = natural logarithm. DAS28-4 ESR and DAS28-3 CRP: score range is from 0 (none) to 9.4 (extreme disease activity), with a higher score indicating more disease activity. Score of <=3.2 indicate low disease activity and score of <2.6 indicate disease remission.
Measured: Baseline (Day 1 at the entry of Extension period); Month 3, 6, 9 and 12 of Extension Period
Initial Period: Health Assessment Questionnaire - Disability Index (HAQ-DI) Score
Change from baseline by visit. HAQ-DI scores range from 0 to 3, where lower score implies less disease. A reduction from baseline in score indicates an improvement in condition. A clinically meaningful decrease from baseline is defined as a decrease of at least 0.22 units. The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
Measured: Every visit until study completion
Extension Period: Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Month 3, 6, 9 and 12
HAQ-DI assesses the degree of difficulty a participant has experienced during the past week in 8 categories of daily living activities: dressing/grooming; arising; eating; walking; reach; grip; hygiene; and other activities. Each activity category consisted of 2-3 questionnaire. Each questionnaire was scored on a 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Any activity that required assistance from another individual or required the use of an assistive device was adjusted to a score of 2 to represent a more limited functional status. Overall score was computed as the sum of total scores divided by the number of questionnaire answered. Total possible HAQ-DI score range: 0 (least difficulty) and 3 (extreme difficulty), where higher scores indicate more difficulty while performing daily living activities.
Measured: Baseline (Month 0 at the entry of Initial Period); Month 3, 6, 9, and 12 of Extension Period
Initial Period: Short-Form-36 Health Survey (SF-36) Score
Change from Baseline for Physical Component and Mental Component Scores by visit. SF-36 is a health status measure of 8 general health domains, each scored on a 0 to 100 scale: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. These domains can be summarized as physical and mental component scores. The domain scores were "normed" and the resulting component scores treated as Z-scores with a scale of negative to positive infinity. A higher score implies less disease. The greater the change from baseline, the greater the improvement. The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
Measured: Every visit until study completion
Initial Period: FACIT Fatigue Scale, EuroQol EQ 5D, Work Limitations Questionnaire, and RA Healthcare Resource Utilization Questionnaire (RA-HCRU)
Change from Baseline Scores for each: FACIT Fatigue Scale (score range 0 to 52, higher score indicates higher quality of life and an increase from baseline score indicates improvement), EuroQol EQ 5D (index values derived from a measure of central tendency and a measure of dispersion, an increase from baseline indicates improvement, score range 0 to 1), Work Limitations (WL) Physical Demands (covers ability to perform job tasks that involve bodily strength, a decrease from baseline indicates improvement, score range 0 to 100, higher scores indicating greater limitation), and RA Healthcare Resource Utilization Work Performance in Past 3 Months on Days Bothered by RA (assesses healthcare use over previous 3 months, a decrease from baseline indicates improvement, score range 0 to 10).
The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
Measured: Every visit until study completion
Initial Period: Preservation of Joint Structure in Participants Who Had Baseline Radiographs Obtained in Their Qualifying Index Study
Modified Total Sharp Score per visit. Baseline score was the last available assessment from the index study. The Modified Total Sharp Score measures disease progression; increased scores indicate disease progression. Score range 0 (normal) to 448 (worst possible total score). The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed on each occasion varied, and is provided for each visit presented.
TSS=Total Sharp Score
Measured: Every 6 months until study completion
Vaccine Sub-study. Percent Achieving a Satisfactory Humoral Response to the Pneumococcal Vaccine as Defined by ≥ 2-fold Increase in Antibody Concentrations
Number (%) of participants achieving a satisfactory humoral response to the pneumococcal vaccine as defined by ≥2-fold increase in antibody concentration from vaccine sub-study visit 2 (vaccination baseline) in ≥6 of 12 anti-pneumococcal antigens (serotypes 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) The number of participants was the number with a determinate antibody titer to the given vaccine antigen within the population.
95% CI is based on Clopper-Pearson exact method for response rate.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percent Achieving a Satisfactory Humoral Response to the Seasonal Influenza Vaccine as Defined by ≥ 4-fold Increase in Antibody Titers
Number of participants achieving a satisfactory humoral response to the seasonal influenza vaccine as defined by ≥4-fold increase in antibody titers from visit 2 (vaccination baseline) in ≥2 of 3 influenza antigens (HAI B, HAI H1N1, and HAI H3N2) The number of participants was the number with a determinate antibody titer to the given vaccine antigen within the population.
95% CI is based on Clopper-Pearson exact method for response rate.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Achieving Protective Antibody Titers to the Seasonal Influenza Vaccine as Measured by a Hemagglutination Inhibition (HI) Assay Titer of ≥ 1:40 in ≥ 2 of 3 Influenza Antigens at Vaccine Sub-study Visit 3 and 4
Number (%) of participants achieving protective antibody titers to the seasonal influenza vaccine as measured by an HAI assay titer of ≥1:40 in ≥2 of 3 influenza antigens measured at vaccine sub-study visits 3 and 4.
The number of participants was the number with a determinate antibody titer to the given vaccine antigen within the population.
95% CI is based on Clopper-Pearson exact method for response rate.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Who Respond to Each of the 12 Pneumococcal Antigens as Defined by ≥ 2-fold Increase in Antibody Concentrations From Vaccine Sub-study Visit 2 (Vaccination Baseline) Measured at Vaccine Sub-study Visit 4
Number (%) of participants achieving a satisfactory humoral response to the pneumococcal vaccine as defined by ≥2-fold increase in antibody concentration from vaccine sub-study visit 2 (vaccination baseline) in ≥6 of 12 anti-pneumococcal antigens (serotypes 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F) The number of participants was the number with a determinate antibody titer to the given vaccine antigen within the population.
95% CI is based on Clopper-Pearson exact method for response rate.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Who Respond to Each of the 3 Influenza Antigens as Defined by ≥ 4-fold Increase in Antibody Titers From Vaccine Sub-study Visit 2 (Vaccination Baseline) Measured at Vaccine Sub-study Visit 4
Number (%) of participants achieving a satisfactory humoral response to the seasonal influenza vaccine defined as ≥4-fold increase in antibody titers from visit 2 (vaccination baseline) in ≥2 of 3 influenza antigens (HAI B, HAI H1N1, and HAI H3N2).
The number of participants was the number with a determinate antibody titer to the given vaccine antigen within the population.
95% CI is based on Clopper-Pearson exact method for response rate.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Fold Increase of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens Above Vaccination Baseline Values (Vaccine Sub-study Visit 2) at Vaccine Sub-study Visit 4
Geometric Mean Fold Increase From Baseline of Pneumococcal Antigens Measured at Visit 4.
n was the number of participants with valid and determinate assay results for the specified serotype at the given visit.
The stated number of participants analyzed was the total number of participants. The actual number of participants analyzed for some serotypes varied, and is provided where it differed from the total number of participants.
Confidence Intervals (CIs) were back transformations of a CI based on the Student t distribution for the mean logarithm of the concentrations.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Fold Increase of Anti-influenza Antibody Levels to Each of the 3 Influenza Antigens Above Vaccination Baseline Values (Vaccine Sub-study Visit 2) at Vaccine Sub-study Visit 4
Geometric Mean Fold Increase From Baseline of Influenza Antigens Measured at Visit 4.
n was the number of participants with valid and determinate assay results for the specified HAI strain at the given visit.
Confidence Intervals (CIs) were back transformations of a CI based on the Student t distribution for the mean logarithm of the titers.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Concentrations of Anti-pneumococcal Antibodies at Vaccine Sub-study Visit 3 and 4
Mean pneumococcal concentrations (ug/mL) at vaccine baseline (visit 2) and post-vaccination visits (visits 3 and 4) by serotype. The stated number of participants analyzed was the total number of participants in each group. The actual number of participants analyzed for each serotype varied, and is provided for each individually.
ug/mL=micrograms per milliliter
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Titers of Anti-influenza Antibodies at Vaccine Sub-study Visit 3 and 4
Mean influenza antibody titers at visits 3 and 4.
Measured: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Dec 2006 (estimated)
- Study start5 Feb 2007
- Primary completion30 Nov 2016
- Study completion26 Oct 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (24)Papers the sponsor has linked to this study.
- Other trials for Arthritis, RheumatoidStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 4,488 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00413699
- Sponsor's protocol ID
- A3921024
- Other IDs
- 2006-005035-19
- Status last verified
- Oct 2018
- First submitted
- 18 Dec 2006
- Last updated
- 30 Oct 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Strand V, Schulze-Koops H, Al-Emadi S, Kinch CD, Gruben D, Germino R, Connell CA, Mysler E. Sex differences in the efficacy, safety and persistence of tofacitinib in patients with rheumatoid arthritis: a post hoc analysis of phase III and long-term extension trials. BMJ Open. 2025 Dec 24;15(12):e082366. doi: 10.1136/bmjopen-2023-082366.
PubMed 41448717Pope J, Finckh A, Silva-Fernandez L, Mandl P, Fan H, Rivas JL, Valderrama M, Montoro M. Tofacitinib Monotherapy in Rheumatoid Arthritis: Clinical Trials and Real-World Data Contextualization of Patients, Efficacy, and Treatment Retention. Open Access Rheumatol. 2024 Jun 11;16:115-126. doi: 10.2147/OARRR.S446431. eCollection 2024.
PubMed 38883150Curtis JR, Wollenhaupt J, Tas SW, Chatzidionysiou K, Wang L, Roberts K, Tsekouras V. Determinants of tofacitinib discontinuation in adult patients with rheumatoid arthritis during long-term extension studies up to 9.5 years. Rheumatol Adv Pract. 2024 May 11;8(2):rkae063. doi: 10.1093/rap/rkae063. eCollection 2024.
PubMed 38854417Charles-Schoeman C, Hyde C, Guan S, Parikh N, Wang J, Shahbazian A, Stockert L, Andrews J. Relationship Between Paraoxonase-1 Genotype and Activity, and Major Adverse Cardiovascular Events and Malignancies in Patients With Rheumatoid Arthritis Receiving Tofacitinib. J Rheumatol. 2023 Jul 15:jrheum.2023-0112. doi: 10.3899/jrheum.2023-0112. Online ahead of print.
PubMed 37453736Kristensen LE, Danese S, Yndestad A, Wang C, Nagy E, Modesto I, Rivas J, Benda B. Identification of two tofacitinib subpopulations with different relative risk versus TNF inhibitors: an analysis of the open label, randomised controlled study ORAL Surveillance. Ann Rheum Dis. 2023 Jul;82(7):901-910. doi: 10.1136/ard-2022-223715. Epub 2023 Mar 17.
PubMed 36931693Hansen KE, Mortezavi M, Nagy E, Wang C, Connell CA, Radi Z, Litman HJ, Adami G, Rossini M. Fracture in clinical studies of tofacitinib in rheumatoid arthritis. Ther Adv Musculoskelet Dis. 2022 Dec 27;14:1759720X221142346. doi: 10.1177/1759720X221142346. eCollection 2022.
PubMed 36601090Curtis JR, Yamaoka K, Chen YH, Bhatt DL, Gunay LM, Sugiyama N, Connell CA, Wang C, Wu J, Menon S, Vranic I, Gomez-Reino JJ. Malignancy risk with tofacitinib versus TNF inhibitors in rheumatoid arthritis: results from the open-label, randomised controlled ORAL Surveillance trial. Ann Rheum Dis. 2023 Mar;82(3):331-343. doi: 10.1136/ard-2022-222543. Epub 2022 Dec 5.
PubMed 36600185Winthrop KL, Yndestad A, Henrohn D, Danese S, Marsal S, Galindo M, Woolcott JC, Jo H, Kwok K, Shapiro AB, Jones TV, Diehl A, Su C, Panes J, Cohen SB. Influenza Adverse Events in Patients with Rheumatoid Arthritis, Ulcerative Colitis, or Psoriatic Arthritis in the Tofacitinib Clinical Development Programs. Rheumatol Ther. 2023 Apr;10(2):357-373. doi: 10.1007/s40744-022-00507-z. Epub 2022 Dec 17.
PubMed 36526796Mueller RB, Schulze-Koops H, Furst DE, Cohen SB, Kwok K, Wang L, Killeen T, von Kempis J. Effect of dose adjustments on the efficacy and safety of tofacitinib in patients with rheumatoid arthritis: a post hoc analysis of an open-label, long-term extension study (ORAL Sequel). Clin Rheumatol. 2022 Apr;41(4):1045-1055. doi: 10.1007/s10067-021-05908-z. Epub 2022 Jan 1.
PubMed 34973077Winthrop KL, Curtis JR, Yamaoka K, Lee EB, Hirose T, Rivas JL, Kwok K, Burmester GR. Clinical Management of Herpes Zoster in Patients With Rheumatoid Arthritis or Psoriatic Arthritis Receiving Tofacitinib Treatment. Rheumatol Ther. 2022 Feb;9(1):243-263. doi: 10.1007/s40744-021-00390-0. Epub 2021 Dec 6.
PubMed 34870800Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Wang L, Chen C, Kwok K, Biswas P, Shapiro A, Madsen A, Wollenhaupt J. Long-term safety of tofacitinib up to 9.5 years: a comprehensive integrated analysis of the rheumatoid arthritis clinical development programme. RMD Open. 2020 Oct;6(3):e001395. doi: 10.1136/rmdopen-2020-001395.
PubMed 33127856van der Heijde D, Landewe RBM, Wollenhaupt J, Strengholt S, Terry K, Kwok K, Wang L, Cohen S. Assessment of radiographic progression in patients with rheumatoid arthritis treated with tofacitinib in long-term studies. Rheumatology (Oxford). 2021 Apr 6;60(4):1708-1716. doi: 10.1093/rheumatology/keaa476.
PubMed 33057725Panaccione R, Isaacs JD, Chen LA, Wang W, Marren A, Kwok K, Wang L, Chan G, Su C. Characterization of Creatine Kinase Levels in Tofacitinib-Treated Patients with Ulcerative Colitis: Results from Clinical Trials. Dig Dis Sci. 2021 Aug;66(8):2732-2743. doi: 10.1007/s10620-020-06560-4. Epub 2020 Aug 20.
PubMed 32816215Kaine J, Tesser J, Takiya L, DeMasi R, Wang L, Snyder M, Soma K, Fan H, Bandi V, Wollenhaupt J. Re-establishment of efficacy of tofacitinib, an oral JAK inhibitor, after temporary discontinuation in patients with rheumatoid arthritis. Clin Rheumatol. 2020 Jul;39(7):2127-2137. doi: 10.1007/s10067-020-04956-1. Epub 2020 Feb 12.
PubMed 32048083Wollenhaupt J, Lee EB, Curtis JR, Silverfield J, Terry K, Soma K, Mojcik C, DeMasi R, Strengholt S, Kwok K, Lazariciu I, Wang L, Cohen S. Safety and efficacy of tofacitinib for up to 9.5 years in the treatment of rheumatoid arthritis: final results of a global, open-label, long-term extension study. Arthritis Res Ther. 2019 Apr 5;21(1):89. doi: 10.1186/s13075-019-1866-2.
PubMed 30953540
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Long-term, Open-label Follow-up Study Of Tofacitinib (Cp-690,550) For Treatment Of Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT00413699
- Acronym / sponsor ID
- A3921024
- Conditions
- Arthritis, Rheumatoid
- Keywords
- long-term, open-label, safety
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4,488 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 5 Feb 2007 (actual)
- Primary completion
- 30 Nov 2016 (actual)
- Study completion
- 26 Oct 2017 (actual)
- First posted
- 20 Dec 2006 (estimated)
- Results
- Posted 27 Mar 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the long-term effectiveness and safety of CP-690,550 for the treatment of rheumatoid arthritis. Subjects are eligible for this study only after participating in another "qualifying" study of CP-690,550
A sub-study will be conducted within the A3921024 study, this study will evaluate the immune response to pneumococcal and influenza vaccines in patients receiving CP-690,550
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Open-Label Active Treatment Enrolled from Phase 2 | Experimental | Drug: CP-690,550Patients enrolling from Phase 2 studies |
| Open-Label Active Treatment Enrolled from Phase 3 | Experimental | Drug: CP-690,550Patients enrolling from Phase 3 studies |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Subjects who have participated in a randomized "qualifying" study of CP-690,550 for the treatment of rheumatoid arthritis
- Vaccine sub-study visit
- Subjects actively participating in Study A3921024 must have completed at least 3 months of continuous 10 mg BID CP-690,550 treatment in A3921024 as defined by >80% compliance with prescribed dose consumption of CP-690,550 over the previous 3 months.
Key exclusion criteria (5 listed)
- Serious medical conditions that would make treatment with CP-690,550 potentially unsafe
- Vaccine sub-study visit
- Any documented influenza or pneumococcal infection within the last 3 months prior to randomization in this study
- Received any vaccine within 1 month prior to randomization in this study
- Received an influenza vaccine within 6 months or a pneumococcal vaccine within 5 years of randomization in this study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CP-690,5505 mg PO BID open label; may increase to 10 mg PO BID to provide greater control of RA if no related AEs are present. May be off study drug temporarily for up to 28 days for mild to moderate AEs. | Drug | Open-Label Active Treatment Enrolled from Phase 2 |
| CP-690,55010 mg PO BID open label; may decrease to 5 mg PO BID for mild to moderate AEs. May be off study drug temporarily for up to 28 days for mild to moderate AEs. | Drug | Open-Label Active Treatment Enrolled from Phase 3 |
Primary outcome
Initial Period: Primary Endpoints Were Standard Laboratory Safety Data (Chemistry, Hematology, Etc.) and Adverse Event (AE) Reports
Time frame: Includes laboratory test abnormality data for all visits and adverse event data up to 999 days after last dose of study drug
Treatment-emergent non serious AEs by System Organ Class (SOC) (all causalities) and Laboratory Test Abnormalities (without regard to baseline) The stated number of participants analyzed was the total number of participants in each group (AEs). The actual number of participants analyzed for each laboratory parameter varied, and is provided for each. Abs=absolute; ALT=alanine aminotransferase; AST=aspartate aminotransferase; ESR=erythrocyte sedimentation rate; GGT=gamma glutamyl transferase; hgb=hemoglobin; HDL=high density lipids; LDL=low density lipids; LLN=lower limit of normal; qual=qualitative; Tot=total; ULN=upper limit of normal; WBC=white blood cell
Extension Period: Number of Participants With Treatment Emergent Adverse Events (AEs), Serious Adverse Events (SAEs)
Time frame: Baseline (Day 1 at Entry of Extension Period) up to 28 days after last study drug dose in Extension Period (13 Months)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both serious and non-serious adverse events.
Extension Period: Number of Participants With Laboratory Test Abnormalities
Time frame: Baseline (Day 1 at Entry of Extension Period) up to 28 days after last study drug dose in Extension Period (13 Months)
Criteria for laboratory abnormalities: hemoglobin (Hg), hematocrit, red blood cell (RBC), high density lipoprotein (HDL) cholesterol:<0.8*lower limit of normal (LLN), platelet<0.5*LLN/>1.75*upper limit of normal (ULN), white blood cell (WBC)<0.6*LLN/>1.5*ULN, lymphocyte, neutrophil, protein, albumin <0.8*LLN/>1.2*ULN, basophil, eosinophil, monocyte, low density lipoprotein (LDL) cholesterol: >1.2*ULN; bilirubin>1.5*ULN, aspartate amino transferase(AT), alanine AT, gammaglutamyl transferase, alkaline phosphatase:>3.0*ULN; blood urea nitrogen, creatinine, cholesterol, triglyceride:>1.3*ULN; sodium <0.95*LLN/>1.05*ULN, potassium, chloride, calcium, bicarbonate: <0.9*LLN/>1.1*ULN; glucose<0.6*LLN/>1.5*ULN; Urine (specific gravity<1.003/>1.030, pH<4.5/>8, glucose, ketone, protein, blood/Hg(>=1; RBC, WBC>=20; creatinine kinase>2*ULN).
Initial Period: The Long Term Safety and Tolerability of CP-690,550 5 Milligrams (mg) Twice Daily (BID) and 10 mg BID for the Treatment of Rheumatoid Arthritis
Time frame: Includes AEs for every visit and up to 999 days after last dose of study drug
Treatment-emergent AEs by SOC (all causalities) - all participants, by time. Data presented for Post Month 96 includes data up to and including Month 114.
Extension Period: Percentage of Participants With Adverse Events and Who Discontinued Treatment Due to Adverse Events to Assess Long-term Safety and Tolerability of Tofacitinib
Time frame: Baseline (Day 1 at Entry of Extension Period) up to Month 6 of Extension Period; Month 6 of Extension Period to Month 12 of Extension Period
Long term safety and tolerability of Tofacitinib was measured as following: percentage (%) of participants with AEs, percentage of participants who discontinued due to AEs. An AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship.
21 secondary outcomes
Initial Period: Percentage of Patients With American College of Rheumatology (ACR) 20, 50, and 70 Responses
Time frame: Every visit until study completion
Extension Period: Percentage of Participants With American College of Rheumatology (ACR) 20, 50, and 70 Responses
Time frame: Month 3, 6, 9 and 12 of Extension Period
Initial Period: Area Under American College of Rheumatology (ACR) n Curve
Time frame: Not applicable as no data were collected for this endpoint.
Initial Period: Disease Activity Score (DAS)28 (C-reactive Protein [CRP]) and DAS28 (Erythrocyte Sedimentation Rate [ESR])
Time frame: Every visit until study completion
Extension Period: Change From Baseline in Disease Activity Score (DAS) 28-3 C-Reactive Protein (CRP)(DAS28-3 CRP) and DAS28-4 Erythrocyte Sedimentation Rate (ESR)(DAS28-4 ESR) at Month 3, 6, 9 and 12
Time frame: Baseline (Month 0 at the entry of Initial period); Month 3, 6, 9 and 12 of Extension Period
Initial Period: Number (%) of Participants With DAS28-4 (ESR) and DAS28-3 (CRP) <2.6 and ≤3.2
Time frame: Every visit until study completion
Extension Period: Percentage of Participants With DAS28-4 (ESR) and DAS28-3 (CRP) Less Than (<) 2.6 and Less Than or (<=) 3.2
Time frame: Baseline (Day 1 at the entry of Extension period); Month 3, 6, 9 and 12 of Extension Period
Initial Period: Health Assessment Questionnaire - Disability Index (HAQ-DI) Score
Time frame: Every visit until study completion
Extension Period: Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Month 3, 6, 9 and 12
Time frame: Baseline (Month 0 at the entry of Initial Period); Month 3, 6, 9, and 12 of Extension Period
Initial Period: Short-Form-36 Health Survey (SF-36) Score
Time frame: Every visit until study completion
Initial Period: FACIT Fatigue Scale, EuroQol EQ 5D, Work Limitations Questionnaire, and RA Healthcare Resource Utilization Questionnaire (RA-HCRU)
Time frame: Every visit until study completion
Initial Period: Preservation of Joint Structure in Participants Who Had Baseline Radiographs Obtained in Their Qualifying Index Study
Time frame: Every 6 months until study completion
Vaccine Sub-study. Percent Achieving a Satisfactory Humoral Response to the Pneumococcal Vaccine as Defined by ≥ 2-fold Increase in Antibody Concentrations
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percent Achieving a Satisfactory Humoral Response to the Seasonal Influenza Vaccine as Defined by ≥ 4-fold Increase in Antibody Titers
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Achieving Protective Antibody Titers to the Seasonal Influenza Vaccine as Measured by a Hemagglutination Inhibition (HI) Assay Titer of ≥ 1:40 in ≥ 2 of 3 Influenza Antigens at Vaccine Sub-study Visit 3 and 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Who Respond to Each of the 12 Pneumococcal Antigens as Defined by ≥ 2-fold Increase in Antibody Concentrations From Vaccine Sub-study Visit 2 (Vaccination Baseline) Measured at Vaccine Sub-study Visit 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Percentage of Participants Who Respond to Each of the 3 Influenza Antigens as Defined by ≥ 4-fold Increase in Antibody Titers From Vaccine Sub-study Visit 2 (Vaccination Baseline) Measured at Vaccine Sub-study Visit 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Fold Increase of Anti-pneumococcal Antibody Levels to Each of the 12 Pneumococcal Antigens Above Vaccination Baseline Values (Vaccine Sub-study Visit 2) at Vaccine Sub-study Visit 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Fold Increase of Anti-influenza Antibody Levels to Each of the 3 Influenza Antigens Above Vaccination Baseline Values (Vaccine Sub-study Visit 2) at Vaccine Sub-study Visit 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Concentrations of Anti-pneumococcal Antibodies at Vaccine Sub-study Visit 3 and 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Vaccine Sub-study. Titers of Anti-influenza Antibodies at Vaccine Sub-study Visit 3 and 4
Time frame: From vaccine sub-study visit 2 (baseline) to sub-study visit 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41448717Strand V, Schulze-Koops H, Al-Emadi S, Kinch CD, Gruben D, Germino R, Connell CA, Mysler E. Sex differences in the efficacy, safety and persistence of tofacitinib in patients with rheumatoid arthritis: a post hoc analysis of phase III and long-term extension trials. BMJ Open. 2025 Dec 24;15(12):e082366. doi: 10.1136/bmjopen-2023-082366.
- Derived from this study: PubMed 38883150Pope J, Finckh A, Silva-Fernandez L, Mandl P, Fan H, Rivas JL, Valderrama M, Montoro M. Tofacitinib Monotherapy in Rheumatoid Arthritis: Clinical Trials and Real-World Data Contextualization of Patients, Efficacy, and Treatment Retention. Open Access Rheumatol. 2024 Jun 11;16:115-126. doi: 10.2147/OARRR.S446431. eCollection 2024.
- Derived from this study: PubMed 38854417Curtis JR, Wollenhaupt J, Tas SW, Chatzidionysiou K, Wang L, Roberts K, Tsekouras V. Determinants of tofacitinib discontinuation in adult patients with rheumatoid arthritis during long-term extension studies up to 9.5 years. Rheumatol Adv Pract. 2024 May 11;8(2):rkae063. doi: 10.1093/rap/rkae063. eCollection 2024.
- Derived from this study: PubMed 37453736Charles-Schoeman C, Hyde C, Guan S, Parikh N, Wang J, Shahbazian A, Stockert L, Andrews J. Relationship Between Paraoxonase-1 Genotype and Activity, and Major Adverse Cardiovascular Events and Malignancies in Patients With Rheumatoid Arthritis Receiving Tofacitinib. J Rheumatol. 2023 Jul 15:jrheum.2023-0112. doi: 10.3899/jrheum.2023-0112. Online ahead of print.
- Derived from this study: PubMed 36931693Kristensen LE, Danese S, Yndestad A, Wang C, Nagy E, Modesto I, Rivas J, Benda B. Identification of two tofacitinib subpopulations with different relative risk versus TNF inhibitors: an analysis of the open label, randomised controlled study ORAL Surveillance. Ann Rheum Dis. 2023 Jul;82(7):901-910. doi: 10.1136/ard-2022-223715. Epub 2023 Mar 17.
- Derived from this study: PubMed 36601090Hansen KE, Mortezavi M, Nagy E, Wang C, Connell CA, Radi Z, Litman HJ, Adami G, Rossini M. Fracture in clinical studies of tofacitinib in rheumatoid arthritis. Ther Adv Musculoskelet Dis. 2022 Dec 27;14:1759720X221142346. doi: 10.1177/1759720X221142346. eCollection 2022.
- Derived from this study: PubMed 36600185Curtis JR, Yamaoka K, Chen YH, Bhatt DL, Gunay LM, Sugiyama N, Connell CA, Wang C, Wu J, Menon S, Vranic I, Gomez-Reino JJ. Malignancy risk with tofacitinib versus TNF inhibitors in rheumatoid arthritis: results from the open-label, randomised controlled ORAL Surveillance trial. Ann Rheum Dis. 2023 Mar;82(3):331-343. doi: 10.1136/ard-2022-222543. Epub 2022 Dec 5.
- Derived from this study: PubMed 36526796Winthrop KL, Yndestad A, Henrohn D, Danese S, Marsal S, Galindo M, Woolcott JC, Jo H, Kwok K, Shapiro AB, Jones TV, Diehl A, Su C, Panes J, Cohen SB. Influenza Adverse Events in Patients with Rheumatoid Arthritis, Ulcerative Colitis, or Psoriatic Arthritis in the Tofacitinib Clinical Development Programs. Rheumatol Ther. 2023 Apr;10(2):357-373. doi: 10.1007/s40744-022-00507-z. Epub 2022 Dec 17.
- Derived from this study: PubMed 34973077Mueller RB, Schulze-Koops H, Furst DE, Cohen SB, Kwok K, Wang L, Killeen T, von Kempis J. Effect of dose adjustments on the efficacy and safety of tofacitinib in patients with rheumatoid arthritis: a post hoc analysis of an open-label, long-term extension study (ORAL Sequel). Clin Rheumatol. 2022 Apr;41(4):1045-1055. doi: 10.1007/s10067-021-05908-z. Epub 2022 Jan 1.
- Derived from this study: PubMed 34870800Winthrop KL, Curtis JR, Yamaoka K, Lee EB, Hirose T, Rivas JL, Kwok K, Burmester GR. Clinical Management of Herpes Zoster in Patients With Rheumatoid Arthritis or Psoriatic Arthritis Receiving Tofacitinib Treatment. Rheumatol Ther. 2022 Feb;9(1):243-263. doi: 10.1007/s40744-021-00390-0. Epub 2021 Dec 6.
- Derived from this study: PubMed 33127856Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Wang L, Chen C, Kwok K, Biswas P, Shapiro A, Madsen A, Wollenhaupt J. Long-term safety of tofacitinib up to 9.5 years: a comprehensive integrated analysis of the rheumatoid arthritis clinical development programme. RMD Open. 2020 Oct;6(3):e001395. doi: 10.1136/rmdopen-2020-001395.
- Derived from this study: PubMed 33057725van der Heijde D, Landewe RBM, Wollenhaupt J, Strengholt S, Terry K, Kwok K, Wang L, Cohen S. Assessment of radiographic progression in patients with rheumatoid arthritis treated with tofacitinib in long-term studies. Rheumatology (Oxford). 2021 Apr 6;60(4):1708-1716. doi: 10.1093/rheumatology/keaa476.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
469 sites in 43 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing CP-690,550 in people with Arthritis, Rheumatoid, run by Pfizer at 469 sites in 43 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 469 sites in United States, Canada, China, Czechia, Russia and 38 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Mar 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Initial Period: Primary Endpoints Were Standard Laboratory Safety Data (Chemistry, Hematology, Etc.) and Adverse Event (AE) Reports (time frame: Includes laboratory test abnormality data for all visits and adverse event data up to 999 days after last dose of study drug). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00413699, which also lists 24 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2018.