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The purpose of this study is to understand the safety and tolerability of INCB018424 in patients with rheumatoid arthritis
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: Treatment Group A | Experimental | INCB018424 15 mg twice daily (BID) or matching placebo |
|
| Cohort 2: Treatment Group B | Experimental | INCB018424 5 mg BID or matching placebo |
|
| Cohort 2: Treatment Group C | Experimental | INCB018424 25 mg BID or matching placebo |
|
| Cohort 2: Treatment Group D | Experimental | INCB018424 50 mg once daily (QD) or matching placebo |
|
| Placebo | Placebo Comparator | Matching placebo, oral |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INCB018424 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Percentage of Subjects Achieving American College of Rheumatology (ACR) 20 Improvement | The ACR 20 is defined as ≥ 20% improvement in tender joint count plus ≥ 20% improvement in swollen joint count plus ≥ 20% improvement in 3 of the following 5 criteria: subject's assessment of pain, Subject's global assessment of disease activity (PGA), Physician's global assessment of disease activity (PHGA), subject's self-assessed disability Health Assessment Questionnaire (HAQ), and Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP), whichever shows the greatest change. | Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| The Percentage of Subjects Achieving ACR 50 Improvement | The ACR 50 is defined as ≥ 50% improvement in tender joint count plus ≥ 50% improvement in swollen joint count plus ≥50% improvement in 3 of the following 5 criteria: subject's assessment of pain, PGA, PHGA, subject's self-assessed disability HAQ, and ESR or CRP, whichever shows the greatest change. | Day 28 |
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Inclusion Criteria:
Exclusion Criteria:
Patients who have taken the following drugs within the timeframe below:
Treatment with any investigational medication within 12 weeks prior to the first dose of study medication.
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| Name | Affiliation | Role |
|---|---|---|
| Monica Luchi, MD | Incyte Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huntsville | Alabama | 35801 | United States | |||
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | |
| FG001 | Cohort 1: Treatment Group A | INCB018424 15 mg BID |
| FG002 | Cohort 2: Treatment Group B |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug |
|
| The Percentage of Subjects Achieving ACR 70 Improvement | The ACR 70 is defined as ≥ 70% improvement in tender joint count plus ≥ 70% improvement in swollen joint count plus ≥ 70% improvement in 3 of the following 5 criteria: subject's assessment of pain, PGA, PHGA, subject's self-assessed disability HAQ, and ESR or CRP, whichever shows the greatest change. | Day 28 |
| Change From Baseline in Disease Activity Score 28 (DAS 28) ESR Score | Calculation of the disease activity score 28 (DAS 28) score was based on the tender joint count, plus swollen joint count, plus PGA, plus Erythrocyte sedimentation rate (ESR). The DAS28-ESR is expressed as units on a scale with the minimum score=0 (best) to maximum score=10 (worst). Remission was defined as DAS28-ESR <2.6. The mean change from baseline (which represent decreases in the DAS 28 ESR scores) are shown as positive numbers in these analyses. | Baseline, Day 28 |
| Change From Baseline in Disease Activity Score 28 (DAS 28) CRP Score | Calculation of the disease activity score 28 (DAS 28) score was based on the tender joint count, plus swollen joint count, plus PGA, plus C-reactive protein (CRP). A higher score indicated more disease activity. The mean change from baseline (which represent decreases in the DAS 28 CRP scores) are shown as positive numbers in these analyses. The DAS28 provides a score on a scale from 0 to 10 indicating the current activity of the rheumatoid arthritis (>5.1=high disease activity; <3.2=low disease activity; <2.6=remission). | Baseline, Day 28 |
| Percentage of Subjects Who Achieved DAS 28 ESR Low Disease | Subjects who achieved low disease activity based on the DAS 28 ESR (score <3.2). Subjects who achieved low disease activity were classified as responders in this analysis. | Day 28 |
| Percentage of Subjects Who Achieved DAS 28 CRP Low Disease | Subjects who achieved low disease activity based on the DAS 28 CRP (score <3.2). Subjects who achieved low disease activity were classified as responders in this analysis. | Day 28 |
| Percentage of Subjects Who Achieved DAS 28 ESR Inactive Disease | Subjects who achieved inactive disease based on the DAS 28 ESR (score <2.6). Subjects who achieved low disease activity were classified as responders in this analysis. | Day 28 |
| Percentage of Subjects Who Achieved DAS 28 CRP Inactive Disease | Subjects who achieved inactive disease based on DAS 28 CRP (score <2.6). Subjects who achieved low disease activity were classified as responders in this analysis. | Day 28 |
| Upland |
| California |
| 91786 |
| United States |
| Gainesville | Florida | 32607 | United States |
| Palm Harbor | Florida | 34684 | United States |
| Kalispell | Montana | 59901 | United States |
| Hickory | North Carolina | 28601 | United States |
| Mayfield Village, | Ohio | 44143 | United States |
| Middleburg Heights | Ohio | 44130 | United States |
| Perrysburg | Ohio | 43551 | United States |
| Pittsburgh | Pennsylvania | 15261 | United States |
| Hixson | Tennessee | 37343 | United States |
| Memphis | Tennessee | 38119 | United States |
| Elblag | Poland |
| Gmina Końskie | Poland |
| Warsaw | Poland |
INCB018424 5 mg BID |
| FG003 | Cohort 2: Treatment Group C | INCB018424 25 mg BID |
| FG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
| COMPLETED |
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| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | |
| BG001 | Cohort 1: Treatment Group A | INCB018424 15 mg BID |
| BG002 | Cohort 2: Treatment Group B | INCB018424 5 mg BID |
| BG003 | Cohort 2: Treatment Group C | INCB018424 25 mg BID |
| BG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Percentage of Subjects Achieving American College of Rheumatology (ACR) 20 Improvement | The ACR 20 is defined as ≥ 20% improvement in tender joint count plus ≥ 20% improvement in swollen joint count plus ≥ 20% improvement in 3 of the following 5 criteria: subject's assessment of pain, Subject's global assessment of disease activity (PGA), Physician's global assessment of disease activity (PHGA), subject's self-assessed disability Health Assessment Questionnaire (HAQ), and Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP), whichever shows the greatest change. | modified intent-to-treat (mITT) Population: subjects enrolled, took 1 dose of study drug, had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects discontinuing before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
|
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| ||||||||||||||||||||||||||||||||||||||
| Secondary | The Percentage of Subjects Achieving ACR 50 Improvement | The ACR 50 is defined as ≥ 50% improvement in tender joint count plus ≥ 50% improvement in swollen joint count plus ≥50% improvement in 3 of the following 5 criteria: subject's assessment of pain, PGA, PHGA, subject's self-assessed disability HAQ, and ESR or CRP, whichever shows the greatest change. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | The Percentage of Subjects Achieving ACR 70 Improvement | The ACR 70 is defined as ≥ 70% improvement in tender joint count plus ≥ 70% improvement in swollen joint count plus ≥ 70% improvement in 3 of the following 5 criteria: subject's assessment of pain, PGA, PHGA, subject's self-assessed disability HAQ, and ESR or CRP, whichever shows the greatest change. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Disease Activity Score 28 (DAS 28) ESR Score | Calculation of the disease activity score 28 (DAS 28) score was based on the tender joint count, plus swollen joint count, plus PGA, plus Erythrocyte sedimentation rate (ESR). The DAS28-ESR is expressed as units on a scale with the minimum score=0 (best) to maximum score=10 (worst). Remission was defined as DAS28-ESR <2.6. The mean change from baseline (which represent decreases in the DAS 28 ESR scores) are shown as positive numbers in these analyses. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Mean | Standard Deviation | Units on a scale | Baseline, Day 28 |
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| Secondary | Change From Baseline in Disease Activity Score 28 (DAS 28) CRP Score | Calculation of the disease activity score 28 (DAS 28) score was based on the tender joint count, plus swollen joint count, plus PGA, plus C-reactive protein (CRP). A higher score indicated more disease activity. The mean change from baseline (which represent decreases in the DAS 28 CRP scores) are shown as positive numbers in these analyses. The DAS28 provides a score on a scale from 0 to 10 indicating the current activity of the rheumatoid arthritis (>5.1=high disease activity; <3.2=low disease activity; <2.6=remission). | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Mean | Standard Deviation | Units on a scale | Baseline, Day 28 |
| |||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Subjects Who Achieved DAS 28 ESR Low Disease | Subjects who achieved low disease activity based on the DAS 28 ESR (score <3.2). Subjects who achieved low disease activity were classified as responders in this analysis. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Subjects Who Achieved DAS 28 CRP Low Disease | Subjects who achieved low disease activity based on the DAS 28 CRP (score <3.2). Subjects who achieved low disease activity were classified as responders in this analysis. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
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| Secondary | Percentage of Subjects Who Achieved DAS 28 ESR Inactive Disease | Subjects who achieved inactive disease based on the DAS 28 ESR (score <2.6). Subjects who achieved low disease activity were classified as responders in this analysis. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
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| Secondary | Percentage of Subjects Who Achieved DAS 28 CRP Inactive Disease | Subjects who achieved inactive disease based on DAS 28 CRP (score <2.6). Subjects who achieved low disease activity were classified as responders in this analysis. | mITT Population: subjects who were enrolled, took at least 1 dose of study drug, and had predose and at least 1 post baseline Rheumatoid arthritis (RA) assessments. Subjects who discontinued before the last scheduled efficacy evaluation had data imputed for time points after discontinuation; they had their last observation carried forward (LOCF). | Posted | Number | Percentage of participants | Day 28 |
|
Adverse events were collected from the time the subject ingested the first dose of study drug up to 28 days after the last dose of study drug was administered.
Treatment-Emergent Adverse Events are those that either newly occurred after the first study drug dosing, or worsened from baseline
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | 0 | 9 | 5 | 9 | |||
| EG001 | Cohort 1: Treatment Group A | INCB018424 15 mg BID | 0 | 12 | 6 | 12 | ||
| EG002 | Cohort 2: Treatment Group B | INCB018424 5 mg BID | 0 | 9 | 2 | 9 | ||
| EG003 | Cohort 2: Treatment Group C | INCB018424 25 mg BID | 0 | 10 | 6 | 10 | ||
| EG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD | 1 | 10 | 7 | 10 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Congestive cardiac failure | Cardiac disorders | MedDRA 10.0 | Systematic Assessment | Congestive cardiac failure and Interstitial lung disease were reported in the same subject 3 weeks after the last dose of study medication and resolved 2 weeks later. |
|
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment | Congestive cardiac failure and Interstitial lung disease were reported in the same subject 3 weeks after the last dose of study medication and resolved 2 weeks later. |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
| |
| Leukocytosis | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Lymphopenia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Atrial fibrillation | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Palpitations | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Ocular hyperaemia | Eye disorders | MedDRA 10.0 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Breath odour | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Chest pain | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
| |
| Oral herpes | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Tooth abscess | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
| |
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Blood cholesterol increased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Haematocrit decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Haemoglobin decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Mean cell haemoglobin concentration decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Mean cell volume increased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Neutrophil count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Occult blood positive | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Platelet count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Red blood cell count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Red cell distribution width increased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Reticulocyte count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Reticulocyte count increased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| White blood cell count decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Synovial cyst | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Renal colic | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Night sweats | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
| |
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Mass excision | Surgical and medical procedures | MedDRA 10.0 | Systematic Assessment |
|
Following the first publication, the Institution and/or Principal Investigator may publish data or results from the Study, provided, however, that the Institution and/or Principal Investigator submits the proposed publication to the Sponsor for review at least sixty (60) days prior to the date of the proposed publication. Sponsor may remove from the proposed publication any information that is considered confidential and/or proprietary other than Study data and results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Incyte Corporation | 1-855-463-3463 |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C540383 | ruxolitinib |
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| Male |
|
| Response |
|
| OG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
|
|
| OG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
|
|
INCB018424 25 mg BID |
| OG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
|
|
| OG003 |
| Cohort 2: Treatment Group C |
INCB018424 25 mg BID |
| OG004 | Cohort 2: Treatment Group D | INCB018424 50 mg QD |
|
|
| Cohort 2: Treatment Group D |
INCB018424 50 mg QD |
|
|
| Cohort 2: Treatment Group D |
INCB018424 50 mg QD |
|
|
| Cohort 2: Treatment Group D |
INCB018424 50 mg QD |
|
|
INCB018424 50 mg QD |
|
|