PALACE 2: Efficacy and Safety Study of Apremilast to Trea... | NCT01212757 | Trialant
NCT01212757
Sponsor
Amgen
Status
Completed
Last Update Posted
May 6, 2020Actual
Enrollment
488Actual
Phase
Phase 3
Conditions
Psoriatic Arthritis
Interventions
Apremilast 20mg
Apremilast 30mg
Placebo + 20 mg Apremilast
Placebo + 30 mg Apremilast
Countries
United States
Belgium
Bulgaria
Canada
Czechia
Estonia
France
Germany
Hungary
Italy
Poland
Russia
South Africa
Spain
Taiwan
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT01212757
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CC-10004-PSA-003
Secondary IDs
ID
Type
Description
Link
2010-018386-32
EudraCT Number
Brief Title
PALACE 2: Efficacy and Safety Study of Apremilast to Treat Active Psoriatic Arthritis
Official Title
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Efficacy and Safety Study of Two Doses of Apremilast (CC-10004) in Subjects With Active Psoriatic Arthritis
Acronym
PALACE2
Organization
AmgenINDUSTRY
Status Module
Record Verification Date
Apr 2020
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Sep 27, 2010Actual
Primary Completion Date
Jul 26, 2012Actual
Completion Date
Jan 25, 2017Actual
First Submitted Date
Sep 29, 2010
First Submission Date that Met QC Criteria
Sep 30, 2010
First Posted Date
Oct 1, 2010Estimated
Results Waived
Not provided
Results First Submitted Date
Apr 21, 2014
Results First Submitted that Met QC Criteria
Apr 21, 2014
Results First Posted Date
May 19, 2014Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
May 29, 2013
Certification/Extension First Submitted that Passed QC Review
May 29, 2013
Certification/Extension First Posted Date
Jun 6, 2013Estimated
Last Update Submitted Date
Apr 22, 2020
Last Update Posted Date
May 6, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AmgenINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of this study is to determine whether apremilast is safe and effective in the treatment of patients with psoriatic arthritis.
Apremilast is proposed to improve signs and symptoms of psoriatic arthritis (tender and swollen joints, pain, physical function) in treated patients.
Detailed Description
Psoriatic arthritis (PsA) is an inflammatory arthritis that occurs in 6-39% of psoriasis patients. The immunopathogenesis of PsA, which mirrors but is not identical to that seen in psoriatic plaques, reflects a complex interaction among resident dendritic, fibroblastic and endothelial cells, and inflammatory cells attracted to the synovium by cytokines and chemokines. Apremilast (CC-10004) is a novel oral agent that modulates multiple inflammatory pathways through targeted phosphodiesterase type 4 (PDE4) enzyme inhibition. Therefore, apremilast has the potential to be effective in the treatment of PsA.
Conditions Module
Conditions
Psoriatic Arthritis
Keywords
Psoriasis
Arthritis
Psoriatic Arthritis
inflammation
skin condition
inflammatory cells
apremilast
CC-10004
phosphodiesterase type 4
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
488Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Apremilast 20mg
Experimental
20 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 20 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase
Drug: Apremilast 20mg
Apremilast 30mg
Experimental
30 mg Apremilast tablets administered twice a day for 24 weeks during the placebo-controlled phase followed by 30 mg Apremilast tablets administered twice a day for up to 4.5 years in the active treatment / long-term safety phase orally twice daily
Drug: Apremilast 30mg
Placebo + 20 mg Apremilast
Placebo Comparator
Placebo + 20 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 20 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase. Subjects who do not have at least 20% improvement in their swollen and tender joint counts at Week 16 will escape to 20 mg Apremilast twice daily at Week 16
Drug: Placebo + 20 mg Apremilast
Placebo + 30 mg Apremilast
Placebo Comparator
Placebo + 30 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 30 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase. Subjects who do not have at least 20% improvement in their swollen and tender joint counts at Week 16 will escape to 30 mg Apremilast twice daily at Week 16.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Apremilast 20mg
Drug
Apremilast 20 mg twice daily, orally
Apremilast 20mg
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 16
Percentage of participants with an ACR20 response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Baseline and Week 16
Secondary Outcomes
Measure
Description
Time Frame
Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 16
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Males or females, aged ≥ 18 years at time of consent.
Have a diagnosis of Psoriatic Arthritis (PsA, by any criteria) of ≥ 6 months duration.
Meet the Classification Criteria for Psoriatic Arthritis (CASPAR) PsA at time of screening.
Must have been inadequately treated by disease-modifying antirheumatic drugs (DMARDs)
May not have axial involvement alone
Concurrent Treatment allowed with methotrexate, leflunomide, or sulfasalazine
Have ≥ 3 swollen AND ≥ 3 tender joints.
Males & Females must use contraception
Stable dose of nonsteroidal anti-inflammatory drugs (NSAIDs), narcotics and low dose oral corticosteroids allowed.
Exclusion Criteria:
Pregnant or breast feeding.
History of allergy to any component of the investigational product.
Hepatitis B surface antigen and/or Hepatitis C antibody positive at screening.
Therapeutic failure on > 3 agents for PsA or > 1 biologic tumor necrosis factor (TNF) blocker
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
MD
Amgen
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Clinical and Translational Research Center of Alabama, PC
Cutolo M, Myerson GE, Fleischmann RM, Liote F, Diaz-Gonzalez F, Van den Bosch F, Marzo-Ortega H, Feist E, Shah K, Hu C, Stevens RM, Poder A. A Phase III, Randomized, Controlled Trial of Apremilast in Patients with Psoriatic Arthritis: Results of the PALACE 2 Trial. J Rheumatol. 2016 Sep;43(9):1724-34. doi: 10.3899/jrheum.151376. Epub 2016 Jul 15.
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Types
Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
This study consisted of a 24-week randomized, double-blind, placebo-controlled phase, a 28-week randomized, double-blind active treatment phase and a 4-year open-label safety phase, for an overall study duration of 5 years.
Recruitment Details
This study was a multicenter study with 84 sites from the United States, Canada, Europe, Russia, Australia, South Africa and Taiwan.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo
Participants initially randomized to placebo tablets twice daily (BID) in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
Percentage of Participants With an ACR 20 Response at Week 24
Percentage of participants with an American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Baseline and Week 24
Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 24
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
Baseline and Week 24
Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 16
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
Baseline and Week 16
Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 16
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: - 78 tender joint count, - 76 swollen joint count, - Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; - Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
Baseline and Week 16
Change From Baseline in Patient's Assessment of Pain at Week 16
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
Baseline and Week 16
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 16
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Baseline and Week 16
Change From Baseline in Dactylitis Severity Score at Week 16
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Baseline and Week 16
Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 16
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: - 28 tender joint count (TJC), - 28 swollen joint count (SJC), - Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; - Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
Baseline and Week 16
Change From Baseline in the Disease Activity Score (DAS28) at Week 16
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: - 28 tender joint count - 28 swollen joint count, which do not include the distal interphalangeal (DIP) joints, the hip joint, or the joints below the knee; - C-reactive protein (CRP) - Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
Baseline and Week 16
Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 16
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
Baseline and Week 16
Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 24
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
Baseline and Week 24
Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 24
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
Baseline and Week 24
Change From Baseline in Patient's Assessment of Pain at Week 24
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
Baseline and Week 24
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 24
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Baseline and Week 24
Change From Baseline in Dactylitis Severity Score at Week 24
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Baseline and Week 24
Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 24
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8; Low Disease Activity: > 2.8 and ≤ 10; Moderate Disease Activity: > 10 and ≤ 22; High Disease Activity: > 22.
Baseline and Week 24
Change From Baseline in the Disease Activity Score (DAS28) at Week 24
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
Baseline and Week 24
Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
Baseline and Week 24
Percentage of Participants With MASES Improvement ≥ 20% at Week 16
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 16 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Baseline and Week 16
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 16
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 16 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Baseline and Week 16
Percentage of Participants With Good or Moderate European League Against Rheumatism (EULAR) Response at Week 16
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
Baseline and Week 16
Percentage of Participants With MASES Improvement ≥ 20% at Week 24
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 24 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Baseline and Week 24
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 24
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 24 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Baseline and Week 24
Percentage of Participants With Good or Moderate EULAR Response at Week 24
EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
Baseline and Week 24
Percentage of Participants With a ACR 50 Response at Week 16
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Baseline and Week 16
Percentage of Participants With an ACR 70 Response at Week 16
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Baseline and Week 16
Percentage of Participants With an ACR 50 Response at Week 24
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Baseline and Week 24
Percentage of Participants With a ACR 70 Response at Week 24
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Baseline and Week 24
Percentage of Participants Achieving a MASES Score of Zero at Week 16
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 16 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Week 16
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 16
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 16 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Week 16
Percentage of Participants Achieving a MASES Score of Zero at Week 24
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Week 24
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 24
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 24 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Week 24
Percentage of Participants With a ACR 20 Response at Week 52
Percentage of participants with an American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) at Week 52
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
Baseline and Week 52
Change From Baseline in the SF-36 Physical Functioning Scale Score at Week 52
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
Baseline and Week 52
Percentage of Participants With a Modified PsARC Response at Week 52
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Change From Baseline in the Patient Assessment of Pain at Week 52
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
Baseline and Week 52
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 52
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Baseline and Week 52
Change From Baseline in the Dactylitis Severity Score at Week 52
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Baseline and Week 52
Change From Baseline in the CDAI Score at Week 52
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
Baseline and Week 52
Change From Baseline in the DAS28 at Week 52
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
Baseline and Week 52
Change From Baseline in the FACIT-Fatigue Scale Score at Week 52
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
Baseline and Week 52
Percentage of Participants With MASES Improvement ≥ 20% at Week 52
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 52 weeks. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 52
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 52 weeks. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Percentage of Participants Achieving Good or Moderate EULAR Response at Week 52
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
Baseline and Week 52
Percentage of Participants With an ACR 50 Response at Week 52
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Percentage of Participants With an ACR 70 Response at Week 52
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦ C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Baseline and Week 52
Percentage of Participants Achieving a MASES Score of Zero at Week 52
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Week 52
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 52
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 52 weeks. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
Week 52
Number of Participants With Treatment Emergent Adverse Events During the Placebo-Controlled Phase
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
Resulted in death
Was life-threatening
Required inpatient hospitalization or prolongation of existing hospitalization
Resulted in persistent or significant disability/incapacity
Was a congenital anomaly/birth defect
Constituted an important medical event
Week 0 to Week 16 for placebo participants who entered EE at Week 16 and up to Week 24 for all other participants (placebo participants who remained on placebo through week 24 and participants randomized to the APR 20 mg BID or APR 30 mg BID)
Number of Participants With TEAEs During the Apremilast-Exposure Period
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
Resulted in death
Was life-threatening
Required inpatient hospitalization or prolongation of existing hospitalization
Resulted in persistent or significant disability/incapacity
Was a congenital anomaly/birth defect
Constituted an important medical event
Week 0 to week 260; overall median duration of exposure to apremilast 20 mg and 30 mg BID was 198 weeks
Denver Arthritis Clinic
Denver
Colorado
80230
United States
New England Research Associates, LLC
Trumbull
Connecticut
6611
United States
Centre For Rheumatology, Immun. And Arthritis
Fort Lauderdale
Florida
33334
United States
DMI Research
St. Petersburg
Florida
33710
United States
University of South Florida
Tampa
Florida
33612
United States
Arthritis and Rheumatology of Georgia
Atlanta
Georgia
30342
United States
Michael Bukhalo MD SC
Arlington Hts
Illinois
60005
United States
Associated Internal Medical Specialist, PC
Battle Creek
Michigan
49015
United States
Advanced Rheumatology
Lansing
Michigan
48910
United States
Mayo Clinic
Rochester
Minnesota
55905
United States
Research West Incorporated
Kalispell
Montana
59901
United States
University of Rochester Medical Center
Rochester
New York
14623
United States
Vital Research
Greensboro
North Carolina
27408
United States
Unifour Medical Research Associatets LLC
Hickory
North Carolina
28602
United States
Rheumatic Disease Associates
Willow Grove
Pennsylvania
19090
United States
Metroplex Clinical Research Center
Dallas
Texas
75231
United States
Baylor Research Institute
Dallas
Texas
75246-1613
United States
Arthritis Care and Diagnostic Center
Dallas
Texas
75321
United States
Luckster Enterprises
San Antonio
Texas
78232
United States
Seattle Rheumatology Associates
Seattle
Washington
98104
United States
Tacoma Center for Arthritis Research, PS
Tacoma
Washington
98405
United States
Rheumatology and Immunotherapy Center
Franklin
Wisconsin
53132
United States
CHU Brugmann
Brussels
1020
Belgium
UZ Gent
Ghent
9000
Belgium
UZ Leuven
Leuven
3000
Belgium
University Hospital of Liege CHU Liege
Liège
4000
Belgium
Diagnostic and Consulting Centre 7
Sofia
1233
Bulgaria
University Multiprofile Hospital for Active Treatment ACIBADEM City Clinic Sofia
Sofia
1407
Bulgaria
17 Diagnostic and Consulting Centre Sofia EOOD
Sofia
1505
Bulgaria
Multiprofile Hospital for Active Treatment Sv. Ivan Rilski
Sofia
1612
Bulgaria
Diagnostic-Consultative Center Sveta Anna
Sofia
1709
Bulgaria
Diagnostic and Consulting Centre 4
Varna
9010
Bulgaria
Rheumatology Research Associates
Edmonton
Alberta
T5M 0H4
Canada
PerCuro Clinical Research
Victoria
British Columbia
V8P5P6
Canada
Anna Jaroszynska Private Practice
Burlington
Ontario
L7L0B7
Canada
William Bensen's Private Practice
Hamilton
Ontario
L8N1Y2
Canada
North Bay Dermatology Center
North Bay
Ontario
P1B 3Z7
Canada
Rheumatology Research Associates
Ottawa
Ontario
K1H 1A2
Canada
Wilderman Medical Clinic
Thornhill
Ontario
L4J1W3
Canada
Darryl Toth's Private Practice
Windsor
Ontario
N8W 1E6
Canada
Revmatologie s.r.o.
Brno
638 00
Czechia
MEDIPONT PLUS s.r.o..
České Budějovice
370 01
Czechia
L.K.N. Arthrocentrum s.r.o.
Hlučín
748 01
Czechia
ARTMEDI UPD s.r.o.
Hostivice
253 01
Czechia
Revmatologicky ustav
Prague
128 50
Czechia
Revmatologicka Ambulance
Prague
140 00
Czechia
Affidea Praha s.r.o
Prague
148 00
Czechia
Revmatologicka Ambulance
Sokolov
356 01
Czechia
PV - MEDICAL, s.r.o.
Zlín
760 01
Czechia
Parnu Hospital
Pärnu
EE-80010
Estonia
East Tallinn Central Hospital
Tallinn
EE-11412
Estonia
North Estonia Regional Hospital
Tallinn
EE-13419
Estonia
Clinical Research Centre Ltd
Tartu
50106
Estonia
Tartu University Hospital
Tartu
EE-51014
Estonia
Hopital Universitaire Dupuytren
Limoges
87042
France
Hopital Lariboisiere
Paris
75010
France
Fondation Hôpital Saint-Joseph
Paris
75014
France
Groupe Hospitalier Pitié- Salpétrière
Paris
75651
France
Centre Hospitalier Lyon Sud
Pierre-Bénite
69495
France
Charite - Universitätsmedizin Berlin
Berlin
10117
Germany
Klinikum der Johann-Wolfgang Goethe-Universität
Frankfurt
60590
Germany
Praxis Karin Rockwitz
Goslar
38642
Germany
Synexus Clinical Research GmbH
Leipzig
4103
Germany
Debreceni Egyetem Orvos- es Egeszsegtudomanyi Centrum
Debrecen
4032
Hungary
Pest Megyei Flor Ferenc Korhaz
Kistarcsa
2143
Hungary
Principal SMO Kft.
Makó
6900
Hungary
Azienda Ospedaliera Universitaria San Martino
Genova
16132
Italy
Ospedale Luigi Sacco
Milan
20157
Italy
Seconda Universita degli Studi di Napoli
Naples
80130
Italy
IRCCS Policlinico San Matteo
Pavia
27100
Italy
Universita di Pisa
Pisa
56126
Italy
Ospedale Civile Maggiore Borgo Trento
Verona
37126
Italy
NZOZ Osteo-Medic sc A. Racewicz J. Supronik
Bialystok
15-351
Poland
Niepubliczny Zaklad Opieki Zdrowotnej REUMED
Lublin
20-582
Poland
Wojskowy Instytut Medyczny
Warsaw
00-909
Poland
Instytut Reumatologii im. prof. dr hab. med. Eleonory Reicher
Warsaw
02-637
Poland
Synexus SCM Sp. z o.o.
Wroclaw
50-088
Poland
City Clinical Hospital #1 n.a. N.I.Pirogov
Moscow
119049
Russia
City Clinical Hospital #5
Nizhny Novgorod
603005
Russia
St.Petersburg State Medical Academy n. a. I.I.Mechnikov
Saint Petersburg
195067
Russia
Yaroslavl Regional Clinical Hospital
Yaroslavl
150062
Russia
Nelson Mandela School Of Medicine
Durban
4091
South Africa
Greenacres Hospital
Port Elizabeth
6057
South Africa
Jacaranda Hospital
Pretoria
2
South Africa
Hospital General Carlos Haya
Málaga
29009
Spain
Hospital Universitario de Canarias
San Cristóbal de La Laguna
38320
Spain
Hospital Sierrallana
Torrelavega
39300
Spain
Chung Shan Medical University Hospital
Taichung
402
Taiwan
Taichung Veterans General Hospital
Taichung
40705
Taiwan
Cathay General Hospital
Taipei
106
Taiwan
Taipei Veterans General Hospital
Taipei
112
Taiwan
National Taiwan University Hospital
Tapei
10002
Taiwan
Basingstoke and North Hampshire Hospital
Basingstoke
RG24 9NA
United Kingdom
Cannock Chase Hospital
Cannock
WS11 5XY
United Kingdom
Chapel Allerton Hospital
Leeds
LS7 4SA
United Kingdom
Poole Hospital
Poole
BH 1 5JB
United Kingdom
Great Western Hospital
Swindon
SN3 6BB
United Kingdom
Derived
Mease PJ, Hatemi G, Paris M, Cheng S, Maes P, Zhang W, Shi R, Flower A, Picard H, Stein Gold L. Apremilast Long-Term Safety Up to 5 Years from 15 Pooled Randomized, Placebo-Controlled Studies of Psoriasis, Psoriatic Arthritis, and Behcet's Syndrome. Am J Clin Dermatol. 2023 Sep;24(5):809-820. doi: 10.1007/s40257-023-00783-7. Epub 2023 Jun 14.
Mease PJ, Gladman DD, Kavanaugh A, McGonagle D, Nash P, Guerette B, Nakasato P, Brunori M, Teng L, McInnes IB. Articular and Extra-Articular Benefits in ACR20 Non-responders at Week 104 Treated With Apremilast: Pooled Analysis of Three Randomized Controlled Trials. Rheumatol Ther. 2021 Dec;8(4):1677-1691. doi: 10.1007/s40744-021-00369-x. Epub 2021 Sep 18.
Mease PJ, Gladman DD, Ogdie A, Coates LC, Behrens F, Kavanaugh A, McInnes I, Queiro R, Guerette B, Brunori M, Teng L, Smolen JS. Treatment-to-Target With Apremilast in Psoriatic Arthritis: The Probability of Achieving Targets and Comprehensive Control of Disease Manifestations. Arthritis Care Res (Hoboken). 2020 Jun;72(6):814-821. doi: 10.1002/acr.24134. Epub 2020 May 8.
Kavanaugh A, Gladman DD, Edwards CJ, Schett G, Guerette B, Delev N, Teng L, Paris M, Mease PJ. Long-term experience with apremilast in patients with psoriatic arthritis: 5-year results from a PALACE 1-3 pooled analysis. Arthritis Res Ther. 2019 May 10;21(1):118. doi: 10.1186/s13075-019-1901-3.
Gladman DD, Kavanaugh A, Gomez-Reino JJ, Wollenhaupt J, Cutolo M, Schett G, Lespessailles E, Guerette B, Delev N, Teng L, Edwards CJ, Birbara CA, Mease PJ. Therapeutic benefit of apremilast on enthesitis and dactylitis in patients with psoriatic arthritis: a pooled analysis of the PALACE 1-3 studies. RMD Open. 2018 Jun 27;4(1):e000669. doi: 10.1136/rmdopen-2018-000669. eCollection 2018.
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
FG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
FG003
Placebo / Apremilast 20 mg EE
Participants initially randomized to placebo twice daily in the 24-week placebo-controlled phase were re-randomized due to early escape (EE) at Week 16 and began receiving 20 mg apremilast tablets twice a day in the active treatment phase.
FG004
Placebo / Apremilast 20 mg XO
Participants initially randomized to receive placebo twice daily in the 24-week placebo-controlled phase were re-randomized at Week 24 (XO) to 20 mg apremilast tablets twice daily in the active treatment phase.
FG005
Placebo / Apremilast 30 mg EE
Participants initially randomized to placebo twice daily in the 24-week placebo controlled phase were re-randomized due to early escape (EE) at Week 16 to 30 mg apremilast tablets twice daily in the active-treatment phase.
FG006
Placebo / Apremilast 30 mg XO
Participants initially randomized to placebo twice daily in the 24-week placebo-controlled phase were re-randomized at Week 24 to 30 mg apremilast tablets twice daily in the active treatment phase.
FG007
Placebo/Apremilast 20 mg (Long-Term Safety Phase)
Participants initially randomized to placebo tablets twice daily during the placebo controlled phase were re-randomized to 20 mg apremilast twice daily at Week 16 or Week 24 and continued receiving apremilast 20 mg twice daily in the active treatment / long-term safety phase. (After 30 mg apremilast twice daily was identified as the optimal dose, all participants receiving 20 mg apremilast twice daily were switched to the 30 mg apremilast twice daily dose).
FG008
Placebo/Apremilast 30 mg (Long-Term Safety Phase)
Participants initially randomized to placebo tablets twice daily during the placebo controlled phase were re-randomized to apremilast 30 mg tablets twice daily at Week 16 or Week 24 and continued receiving apremilast 30 mg twice daily in the active treatment / long-term safety phase.
FG000162 subjects
FG001163 subjects
FG002163 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Received Treatment
FG000159 subjects
FG001163 subjects
FG002162 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Completed Week 16
FG000148 subjects
FG001151 subjects
FG002149 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Early Escape at Week 16
FG00088 subjectsTwo participants who escaped early did not complete Week 24
FG00159 subjectsThree participants who escaped early did not complete Week 24
FG00264 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
COMPLETED
FG000143 subjectsTwo participants who completed Week 24 did not enter the active treatment phase
FG001143 subjects
FG002142 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
NOT COMPLETED
FG00019 subjects
FG00120 subjects
FG00221 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Type
Comment
Reasons
Adverse Event
FG0004 subjects
FG0015 subjects
FG00212 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Lack of Efficacy
FG0003 subjects
FG0012 subjects
FG0022 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG0007 subjects
FG0019 subjects
FG0023 subjects
FG0030 subjects
FG004
Randomization Error
FG0003 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0001 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG004
Protocol Violation
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
FG004
Other
FG0001 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG004
Active Treatment Phase (Weeks 24 - 52)
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG001137 subjects6 participants who completed Week 24 did not enter the Week 24-52 active treatment phase
FG002134 subjects8 participants who completed Week 24 did not enter the Week 24-52 active treatment phase
FG00343 subjects
FG00427 subjects
FG00541 subjects2 participants who EE and completed Week 24 did not enter the Week 24-52 active treatment phase
FG00628 subjects
FG0070 subjects
FG0080 subjects
COMPLETED
FG0000 subjects
FG001125 subjects
FG002114 subjects
FG00335 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG00112 subjects
FG00220 subjects
FG0038 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0012 subjects
FG0023 subjects
FG003
Long-Term Safety Phase (Year 2)
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG001119 subjects6 participants who completed Week 52 did not enter the long-term safety phase
FG002109 subjects5 participants who completed Week 52 did not enter the long-term safety phase
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG00758 subjectsCombined PBO-APR 20EE+XO;2 participants who completed Week 52 did not enter long-term safety phase
FG00860 subjectsCombined PBO-APR 30EE+XO;2 participants who completed Week 52 did not enter long-term safety phase
COMPLETED
FG0000 subjects
FG001107 subjects
FG00295 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG00112 subjects
FG00214 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Miscellaneous
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Long-Term Safety Phase (Year 3)
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG001107 subjects
FG00295 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG00748 subjects
FG00851 subjects
COMPLETED
FG0000 subjects
FG00189 subjects
FG00284 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG00118 subjects
FG00211 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0014 subjects
FG0021 subjects
FG003
Long-Term Safety Phase (Year 4)
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG00189 subjects
FG00284 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG00741 subjects1 participant who completed Year 3 did not continue treatment in Year 4
FG00846 subjects
COMPLETED
FG0000 subjects
FG00180 subjects
FG00277 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0019 subjects
FG0027 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Miscellaneous
FG0000 subjects
FG0012 subjects
FG0020 subjects
FG003
Long-Term Safety Phase (Year 5)
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG00180 subjects
FG00277 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG00738 subjects1 participant was only counted in year 5 but not in 4 year due to late APR dispensing
FG00839 subjects
COMPLETED
FG0000 subjects
FG00172 subjects
FG00269 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0018 subjects
FG0028 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Withdrawal by Subject
FG0000 subjects
FG0013 subjects
FG0023 subjects
FG003
Full analysis set consisting of all participants who were randomized as specified in the protocol. Four participants who were randomized in error and did not receive any dose of investigational product are excluded.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
BG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
BG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000159
BG001163
BG002162
BG003484
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00051.2± 10.97
BG00150.9± 11.82
BG00250.5± 11.20
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00085
BG00195
BG002
Duration of Psoriatic Arthritis
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG0007.76± 8.254
BG0017.83± 8.621
BG002
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
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 16
Percentage of participants with an ACR20 response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Full analysis set consisting of all participants randomized as specified in the protocol; participants who were randomized in error and did not receive any dose of study drug were excluded. Participants who withdrew early or who did not have sufficient data for a definitive determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00018.9
OG00137.4
OG00232.1
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
In order to maintain the Type 1 error at the 0.05 significance level, the Hochberg procedure was to be used. The results of the endpoint were to be considered statistically significant if both the 30 mg apremilast dose versus placebo comparison and the 20 mg versus placebo comparison were statistically significant at the 0.05 significance level, or one of the comparisons was statistically significant at the 0.025 level.
Cochran-Mantel-Haenszel
2-sided p-value is based on the Cochran-Mantel-Haenszel (CMH) test adjusting for baseline disease modifying antirheumatic drug (DMARD) use.
0.0060
Adjusted Difference
13.4
2-Sided
95
4.0
22.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% confidence interval (CI) is based on a normal approximation to the weighted average.
Secondary
Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 16
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included; Last observation carried forward (LOCF) imputation was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With an ACR 20 Response at Week 24
Percentage of participants with an American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Full analysis set; Participants who discontinued early, escaped early at Week 16 or who did not have sufficient data for a definitive determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 24
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 16
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included; LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 16
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: - 78 tender joint count, - 76 swollen joint count, - Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; - Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
Full analysis set; Participants who discontinued early, or who did not have sufficient data for a definitive determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Change From Baseline in Patient's Assessment of Pain at Week 16
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included; LOCF was used.
Posted
Least Squares Mean
Standard Error
mm
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Secondary
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 16
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 (i.e., pre-existing enthesopathy) and at least 1 postbaseline value at or prior to Week 16 are included; LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Dactylitis Severity Score at Week 16
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set. Participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) and at least 1 postbaseline value at or prior to Week 16 are included. LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 16
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: - 28 tender joint count (TJC), - 28 swollen joint count (SJC), - Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; - Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included. LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in the Disease Activity Score (DAS28) at Week 16
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: - 28 tender joint count - 28 swollen joint count, which do not include the distal interphalangeal (DIP) joints, the hip joint, or the joints below the knee; - C-reactive protein (CRP) - Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included. LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 16
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 16 are included. LOCF was used.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 24
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 24
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
Full analysis set; Participants who discontinued early, escaped early at Week 16 or who did not have sufficient data for a definitive determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Change From Baseline in Patient's Assessment of Pain at Week 24
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
mm
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 24
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 (i.e., pre-existing enthesopathy) and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Dactylitis Severity Score at Week 24
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set. Participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) and at least 1 postbaseline value at or prior to Week 24 are included. LOCF was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 24
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8; Low Disease Activity: > 2.8 and ≤ 10; Moderate Disease Activity: > 10 and ≤ 22; High Disease Activity: > 22.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Change From Baseline in the Disease Activity Score (DAS28) at Week 24
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
Full analysis set; participants with a baseline value and at least 1 postbaseline value at or prior to Week 24 are included; LOCF imputation was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With MASES Improvement ≥ 20% at Week 16
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 16 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 (i.e., pre-existing enthesopathy) are included; LOCF was used. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 16
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 16 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set; participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) are included; LOCF was used. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With Good or Moderate European League Against Rheumatism (EULAR) Response at Week 16
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
Full analysis set; Participants who discontinued early, or who did not have sufficient data for a definitive determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With MASES Improvement ≥ 20% at Week 24
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 24 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 are included; LOCF was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 24
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 24 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set; participants with a baseline dactylitis severity score > 0 are included; LOCF was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With Good or Moderate EULAR Response at Week 24
EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
Full analysis set; Participants who discontinued early, escaped early at Week 16 or who did not have sufficient data for a definitive determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With a ACR 50 Response at Week 16
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Full analysis set; Participants who discontinued early, or who did not have sufficient data for a definitive determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With an ACR 70 Response at Week 16
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Full analysis set; Participants who discontinued early, or who did not have sufficient data for a definitive determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With an ACR 50 Response at Week 24
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
Full analysis set; Participants who discontinued early, escaped early at Week 16 or who did not have sufficient data for a definitive determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With a ACR 70 Response at Week 24
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Full analysis set; Participants who discontinued early, escaped early at Week 16 or who did not have sufficient data for a definitive determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants Achieving a MASES Score of Zero at Week 16
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 16 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 (i.e., pre-existing enthesopathy) are included; LOCF was used. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 16
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 16 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set; participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) are included; LOCF was used. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 16 were counted as non-responders.
Posted
Number
percentage of participants
Week 16
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants Achieving a MASES Score of Zero at Week 24
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks of treatment. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Full analysis set; participants with a baseline MASES > 0 are included; LOCF was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 24
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 24 weeks of treatment. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Full analysis set; participants with a baseline dactylitis severity score > 0 are included; LOCF was used. The Week 16 value was carried over to Week 24 for participants who escaped early at Week 16. Participants who did not have sufficient data (observed or imputed) for a determination of response status at Week 24 were counted as non-responders.
Posted
Number
percentage of participants
Week 24
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Percentage of Participants With a ACR 20 Response at Week 52
Percentage of participants with an American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population consists of all participants who were randomized or re-randomized to apremilast at any time during the study. Only those participants who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Secondary
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) at Week 52
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Change From Baseline in the SF-36 Physical Functioning Scale Score at Week 52
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health). Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10. Higher scores indicate a higher level of functioning. The physical functioning domain assesses limitations in physical activities because of health problems. A positive change from Baseline score indicates an improvement.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Percentage of Participants With a Modified PsARC Response at Week 52
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest. Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Secondary
Change From Baseline in the Patient Assessment of Pain at Week 52
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined." The distance from the mark to the left-hand boundary was recorded in millimeters.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
mm
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
Secondary
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 52
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a baseline value > 0 (i.e., pre-existing enthesopathy) and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Change From Baseline in the Dactylitis Severity Score at Week 52
Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a baseline value > 0 (i.e., pre-existing dactylitis) and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Secondary
Change From Baseline in the CDAI Score at Week 52
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest. The CDAI score ranges from 0-76 where lower scores indicate less disease activity. The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Change From Baseline in the DAS28 at Week 52
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity. DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Change From Baseline in the FACIT-Fatigue Scale Score at Week 52
The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue. Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much." The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue. A positive change from baseline score indicates an improvement.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; participants with a Baseline value and a Week 52 value are included.
Posted
Mean
Standard Deviation
units on a scale
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Secondary
Percentage of Participants With MASES Improvement ≥ 20% at Week 52
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 52 weeks. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants with a baseline MASES > 0 (i.e., pre-existing enthesopathy) and who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Secondary
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 52
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 52 weeks. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; Participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) and who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Percentage of Participants Achieving Good or Moderate EULAR Response at Week 52
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score. A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2. A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Percentage of Participants With an ACR 50 Response at Week 52
Percentage of participants with an American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Percentage of Participants With an ACR 70 Response at Week 52
Percentage of participants with an American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦ C-Reactive Protein. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline and Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Percentage of Participants Achieving a MASES Score of Zero at Week 52
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks. The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right. The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; only those participants with a baseline value > 0 (i.e., pre-existing enthesopathy) and who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Secondary
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 52
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 52 weeks. Dactylitis is characterized by swelling of the entire finger or toe. Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present. The dactylitis score is the sum of the individual scores for each digit. The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present. Two-sided 95% confidence interval is based on the Clopper-Pearson method.
The Apremilast Subjects as Randomized/Re-randomized (AAR) Population; Participants with a baseline dactylitis severity score > 0 (i.e., pre-existing dactylitis) and who had sufficient data for a definitive determination of response status at Week 52 are included.
Posted
Number
95% Confidence Interval
percentage of participants
Week 52
ID
Title
Description
OG000
Placebo / Apremilast 20 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 20 mg apremilast tablets twice daily and continued receiving apremilast 20 mg in the active treatment/long-term phase.
OG001
Placebo / Apremilast 30 mg
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
Secondary
Number of Participants With Treatment Emergent Adverse Events During the Placebo-Controlled Phase
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
Resulted in death
Was life-threatening
Required inpatient hospitalization or prolongation of existing hospitalization
Resulted in persistent or significant disability/incapacity
Was a congenital anomaly/birth defect
Constituted an important medical event
Safety population included all participants who were randomized and received at least one dose of IP.
Posted
Number
Participants
Week 0 to Week 16 for placebo participants who entered EE at Week 16 and up to Week 24 for all other participants (placebo participants who remained on placebo through week 24 and participants randomized to the APR 20 mg BID or APR 30 mg BID)
ID
Title
Description
OG000
Placebo
Participants initially randomized to placebo tablets twice daily in the 24-week placebo-controlled phase. Participants who did not have at least 20% improvement in swollen and tender joint counts at Week 16 were re-randomized to either 20 mg or 30 mg apremilast twice daily (early escape).
OG001
Apremilast 20 mg
Secondary
Number of Participants With TEAEs During the Apremilast-Exposure Period
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
Resulted in death
Was life-threatening
Required inpatient hospitalization or prolongation of existing hospitalization
Resulted in persistent or significant disability/incapacity
Was a congenital anomaly/birth defect
Constituted an important medical event
Apremilast subjects as treated who received at least 1 dose of apremilast at any time during the study at week 0, week 16 or week 24.
Posted
Number
participants
Week 0 to week 260; overall median duration of exposure to apremilast 20 mg and 30 mg BID was 198 weeks
ID
Title
Description
OG000
Apremilast 20 mg (Pre-switch)
Participants who received apremilast 20 mg BID regardless of when the apremilast exposure started (at week 0, 16 and 24). Only the TEAEs that occurred during apremilast 20 mg BID treatment (before the switch to 30 mg apremilast) were included.
OG001
Apremilast 20 mg/30 mg (Post-switch)
Participants who switched from apremilast 20 mg BID to apremilast 30 mg BID. Only the TEAEs that occurred during APR 30 mg BID treatment were included.
Time Frame
AEs are reported for the placebo-controlled phase from Week 0 to Week 16 for placebo participants who entered EE at Week 16 and up to Week 24 for all other participants. AEs are reported for the Apremilast Exposure Period from Week 0 to Week 260; overall median exposure to apremilast was 198 weeks
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Weeks 0-24: Placebo (Placebo-Controlled Phase)
Participants received placebo tablets twice daily during the placebo-controlled phase. Includes data through Week 16 for participants who escaped early, and through Week 24 for all other participants.
Participants received 30 mg apremilast tablets PO BID during the 24-week placebo-controlled phase.
4
162
82
162
EG003
APR Exposure Period Up to 5 Years: APR 20 mg
Participants who received apremilast 20 mg tablets twice daily regardless of when the apremilast exposure started (at Week 0, 16 or 24). Only the TEAEs that occurred during apremilast 20 mg BID treatment (before the switch to 30 mg apremilast) were included.
41
234
154
234
EG004
APR Exposure Period Up to 5 Years: APR 20mg/30 mg
Participants who switched from apremilast 20 mg BID to apremilast 30 mg BID. Only the TEAEs that occurred during APR 30 mg BID treatment were included.
5
113
19
113
EG005
APR Exposure Period Up to 5 Years: APR 30 mg
Participants who received 30 mg apremilast twice daily regardless of when their apremilast-exposure started (at Weeks 0, 16, or 24).
41
234
166
234
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG0031 affected234 at risk
EG0040 affected113 at risk
EG0051 affected234 at risk
Acute myocardial infarction
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Atrial tachycardia
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cardiac arrest
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hypertensive heart disease
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Myocardial ischaemia
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Palpitations
Cardiac disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Hydrocele
Congenital, familial and genetic disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Goitre
Endocrine disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Abdominal adhesions
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Colitis
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Gastric volvulus
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hernial eventration
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hiatus hernia
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Inguinal hernia
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Inguinal hernia, obstructive
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Intestinal obstruction
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Intestinal perforation
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Oesophagitis
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Small intestinal obstruction
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Pyrexia
General disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hepatitis acute
Hepatobiliary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Abscess soft tissue
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Arthritis infective
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Bronchitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cellulitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Gastrointestinal bacterial infection
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Lobar pneumonia
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Neuroborreliosis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Oral candidiasis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Peritoneal abscess
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Pneumonia
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Scrotal abscess
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Sepsis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Septic shock
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Skin candida
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Urinary tract infection bacterial
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Ankle fracture
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Contusion
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Dislocation of vertebra
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Foreign body
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Graft haemorrhage
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Head injury
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Limb injury
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Tendon injury
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Vascular pseudoaneurysm
Injury, poisoning and procedural complications
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Acquired claw toe
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Bunion
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Foot deformity
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Intervertebral disc disorder
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Lumbar spinal stenosis
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Osteonecrosis
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Psoriatic arthropathy
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
B-cell lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Benign neoplasm of thyroid gland
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Benign renal neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Breast cancer metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Colon adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Colon cancer stage 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Endometrial cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Prostate cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Prostatic adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Renal cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Renal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
T-cell lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Tonsil cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Brain stem stroke
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Carotid artery disease
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cerebral infarction
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Diabetic neuropathy
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Headache
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Migraine
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Tension headache
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Anxiety
Psychiatric disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Depression
Psychiatric disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Schizoaffective disorder
Psychiatric disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Calculus ureteric
Renal and urinary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Renal failure acute
Renal and urinary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Renal tubular necrosis
Renal and urinary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Urethral stenosis
Renal and urinary disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Menometrorrhagia
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Ovarian cyst
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Pelvic floor muscle weakness
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Uterine haemorrhage
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Uterine polyp
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Uterine prolapse
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Vaginal haemorrhage
Reproductive system and breast disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Asthma
Respiratory, thoracic and mediastinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Nasal septum deviation
Respiratory, thoracic and mediastinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Nasal turbinate hypertrophy
Respiratory, thoracic and mediastinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Pulmonary fibrosis
Respiratory, thoracic and mediastinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hyperhidrosis
Skin and subcutaneous tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Lichen planus
Skin and subcutaneous tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Psoriasis
Skin and subcutaneous tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Aortic aneurysm
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Arterial thrombosis limb
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Hypertension
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Peripheral ischaemia
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Peripheral vascular disorder
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Subclavian artery stenosis
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0020 affected162 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abdominal pain
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0014 affected163 at risk
EG0022 affected162 at risk
EG00314 affected234 at risk
EG0040 affected113 at risk
EG0059 affected234 at risk
Abdominal pain upper
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0014 affected163 at risk
EG0025 affected162 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0008 affected159 at risk
EG00118 affected163 at risk
EG00225 affected162 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0014 affected163 at risk
EG0025 affected162 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0003 affected159 at risk
EG00115 affected163 at risk
EG00226 affected162 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA V14.0
Systematic Assessment
EG0002 affected159 at risk
EG0015 affected163 at risk
EG0026 affected162 at risk
EG003
Bronchitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0015 affected163 at risk
EG0026 affected162 at risk
EG003
Influenza
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0014 affected163 at risk
EG0023 affected162 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0006 affected159 at risk
EG0019 affected163 at risk
EG0029 affected162 at risk
EG003
Pharyngitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0002 affected159 at risk
EG0011 affected163 at risk
EG0022 affected162 at risk
EG003
Rhinitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0011 affected163 at risk
EG0021 affected162 at risk
EG003
Sinusitis
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0004 affected159 at risk
EG0014 affected163 at risk
EG0023 affected162 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0006 affected159 at risk
EG00114 affected163 at risk
EG00211 affected162 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA V14.0
Systematic Assessment
EG0002 affected159 at risk
EG0013 affected163 at risk
EG0021 affected162 at risk
EG003
Hypercholesterolaemia
Metabolism and nutrition disorders
MedDRA V14.0
Systematic Assessment
EG0001 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0015 affected163 at risk
EG0023 affected162 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0010 affected163 at risk
EG0021 affected162 at risk
EG003
Headache
Nervous system disorders
MedDRA V14.0
Systematic Assessment
EG0007 affected159 at risk
EG0019 affected163 at risk
EG00218 affected162 at risk
EG003
Depression
Psychiatric disorders
MedDRA V14.0
Systematic Assessment
EG0002 affected159 at risk
EG0011 affected163 at risk
EG0020 affected162 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0013 affected163 at risk
EG0021 affected162 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA V14.0
Systematic Assessment
EG0000 affected159 at risk
EG0014 affected163 at risk
EG0023 affected162 at risk
EG003
Hypertension
Vascular disorders
MedDRA V14.0
Systematic Assessment
EG0007 affected159 at risk
EG0014 affected163 at risk
EG0025 affected162 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Results from a center cannot be submitted for publication before results of multicenter study are published unless it is more than 1 year since study completion. Then, Investigator can publish if manuscript is submitted to Celgene 60 days prior to submission. If Celgene decides publication would hinder drug development, Investigator must delay submission for up to 90 days. Investigator must delete confidential information before submission or defer publication to permit patent applications.
Point of Contact
Title
Organization
Phone
Extension
Email
Associate Director, Clinical Trials Disclosure
Celgene Corporation
1-888-260-1599
clinicaltrialdisclosure@celgene.com
ID
Term
D015535
Arthritis, Psoriatic
D011565
Psoriasis
D001168
Arthritis
D007249
Inflammation
D012871
Skin Diseases
Ancestor Terms
ID
Term
D025242
Spondylarthropathies
D025241
Spondylarthritis
D013166
Spondylitis
D013122
Spinal Diseases
D001847
Bone Diseases
D009140
Musculoskeletal Diseases
D007592
Joint Diseases
D017444
Skin Diseases, Papulosquamous
D017437
Skin and Connective Tissue Diseases
D010335
Pathologic Processes
D013568
Pathological Conditions, Signs and Symptoms
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C505730
apremilast
Ancestor Terms
Not provided
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
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2 subjects
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1 subjects
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Lack of Efficacy
FG0000 subjects
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Non-compliance with Study Drug
FG0000 subjects
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Withdrawal by Subject
FG0000 subjects
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Lost to Follow-up
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Other
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Adverse Event
FG0000 subjects
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Lack of Efficacy
FG0000 subjects
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Withdrawal by Subject
FG0000 subjects
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Lost to Follow-up
FG0000 subjects
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0 subjects
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0 subjects
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Lack of Efficacy
FG0000 subjects
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Non-compliance with study drug
FG0000 subjects
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Withdrawal by Subject
FG0000 subjects
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Lost to Follow-up
FG0000 subjects
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Protocol Violation
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Miscellaneous
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0082 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG00737 subjects
FG00839 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0074 subjects
FG0087 subjects
0 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0081 subjects
Adverse Event
FG0000 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0071 subjects
FG0081 subjects
Lack of Efficacy
FG0000 subjects
FG0012 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0071 subjects
FG0081 subjects
Withdrawal by Subject
FG0000 subjects
FG0014 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0071 subjects
FG0083 subjects
Death
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0081 subjects
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0071 subjects
FG0080 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG00733 subjects
FG00837 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0075 subjects
FG0082 subjects
0 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0071 subjects
FG0081 subjects
Adverse Event
FG0000 subjects
FG0012 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0072 subjects
FG0080 subjects
Lack of Efficacy
FG0000 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0072 subjects
FG0081 subjects
Non-compliance with study drug
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Miscellaneous
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
50.9
± 11.32
95
BG003275
Male
BG00074
BG00168
BG00267
BG003209
6.82
± 7.592
BG0037.47± 8.163
Superiority or Other (legacy)
OG000
OG001
In order to maintain the Type 1 error at the 0.05 significance level, the Hochberg procedure was to be used. The results of the endpoint were to be considered statistically significant if both the 30 mg apremilast dose versus placebo comparison and the 20 mg versus placebo comparison were statistically significant at the 0.05 significance level, or one of the comparisons was statistically significant at the 0.025 level.
Cochran-Mantel-Haenszel
2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0002
Adjusted Difference
18.7
2-Sided
95
9.1
28.2
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001159
OG002154
Title
Denominators
Categories
Title
Measurements
OG000-0.053± 0.0358
OG001-0.157± 0.0351
OG002-0.193± 0.0354
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Pairwise comparisons (30 mg vs placebo and 20 mg vs placebo) were conducted conditional on the primary endpoint results. If the primary endpoint was statistically significant for both apremilast dose groups, pairwise comparisons for the HAQ-DI were to be evaluated at the 0.05 level using the Hochberg procedure. If only one apremilast dose was statistically significant, then only the comparison between that apremilast dose and placebo was conducted for the HAQ-DI score, at the 0.025 level.
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0042
LS Mean Difference
-0.140
2-Sided
95
-0.236
-0.045
Superiority or Other (legacy)
OG000
OG001
Pairwise comparisons (30 mg vs placebo and 20 mg vs placebo) were conducted conditional on the primary endpoint results. If the primary endpoint was statistically significant for both apremilast dose groups, pairwise comparisons for the HAQ-DI were to be evaluated at the 0.05 level using the Hochberg procedure. If only one apremilast dose was statistically significant, then only the comparison between that apremilast dose and placebo was conducted for the HAQ-DI score, at the 0.025 level.
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0320
LS Mean Difference
-0.104
2-Sided
95
-0.199
-0.009
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00015.7
OG00131.3
OG00224.7
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0394
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
Adjusted Difference
9.2
2-Sided
95
0.5
17.8
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority or Other (legacy)
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use
0.0009
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
Adjusted Difference
15.7
2-Sided
95
6.7
24.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority or Other (legacy)
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001159
OG002154
Title
Denominators
Categories
Title
Measurements
OG000-0.085± 0.0377
OG001-0.165± 0.0370
OG002-0.206± 0.0372
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0191
LS Mean Difference
-0.121
2-Sided
95
-0.222
-0.020
Superiority or Other (legacy)
OG000
OG001
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
ANCOVA
0.1179
LS Mean Difference
-0.080
2-Sided
95
-0.180
0.020
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001159
OG002153
Title
Denominators
Categories
Title
Measurements
OG0000.81± 0.678
OG0012.17± 0.664
OG0022.91± 0.671
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0237
LS Mean Difference
2.10
2-Sided
95
0.28
3.92
Superiority
OG000
OG001
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above
ANCOVA
0.1388
LS Mean Difference
1.36
2-Sided
95
-0.44
3.15
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
Superiority
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00033.3
OG00147.9
OG00248.1
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0065
Adjusted Difference
14.9
2-Sided
95
4.3
25.5
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority or Other (legacy)
OG000
OG001
Secondary endpoints from the placebo-controlled period (Weeks 16 and 24) were analyzed in a hierarchical fashion to control the Type I error rate as described above.
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0071
Adjusted Difference
14.7
2-Sided
95
4.1
25.2
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000151
OG001157
OG002152
Title
Denominators
Categories
Title
Measurements
OG000-7.0± 1.93
OG001-12.5± 1.89
OG002-11.9± 1.90
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0648
LS Mean Difference
-4.9
2-Sided
95
-10.0
0.3
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0347
LS Mean Difference
-5.5
2-Sided
95
-10.6
-0.4
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000100
OG001105
OG00297
Title
Denominators
Categories
Title
Measurements
OG000-1.0± 0.29
OG001-0.9± 0.28
OG002-1.4± 0.29
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.3496
LS Mean Difference
-0.4
2-Sided
95
-1.2
0.4
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.8874
LS Mean Difference
0.1
2-Sided
95
-0.7
0.8
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00063
OG00175
OG00270
Title
Denominators
Categories
Title
Measurements
OG000-1.1± 0.28
OG001-0.8± 0.26
OG002-1.3± 0.26
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.5438
LS Mean Difference
-0.2
2-Sided
95
-1.0
0.5
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.3759
LS Mean Difference
0.3
2-Sided
95
-0.4
1.0
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000149
OG001155
OG002146
Title
Denominators
Categories
Title
Measurements
OG000-3.30± 0.871
OG001-7.75± 0.851
OG002-6.81± 0.869
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0035
LS Mean Difference
-3.51
2-Sided
95
-5.86
-1.16
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0002
LS Mean Difference
-4.45
2-Sided
95
-6.76
-2.14
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000150
OG001156
OG002151
Title
Denominators
Categories
Title
Measurements
OG000-0.27± 0.082
OG001-0.74± 0.080
OG002-0.67± 0.080
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0004
LS Mean Difference
-0.40
2-Sided
95
-0.61
-0.18
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
<0.0001
LS Mean Difference
-0.47
2-Sided
95
-0.68
-0.25
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001157
OG002154
Title
Denominators
Categories
Title
Measurements
OG0000.63± 0.724
OG0010.91± 0.712
OG0022.75± 0.715
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0318
LS Mean Difference
2.12
2-Sided
95
0.19
4.06
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.7803
LS Mean Difference
0.27
2-Sided
95
-1.65
2.20
Superiority or Other (legacy)
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001159
OG002154
Title
Denominators
Categories
Title
Measurements
OG0001.44± 0.688
OG0012.97± 0.673
OG0023.30± 0.679
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0473
LS Mean Difference
1.86
2-Sided
95
0.02
3.70
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0997
LS Mean Difference
1.53
2-Sided
95
-0.29
3.35
Superiority or Other (legacy)
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00024.5
OG00139.9
OG00232.1
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
0.1195
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
Adjusted Difference
7.8
2-Sided
95
-1.9
17.5
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0026
Adjusted Difference
15.5
2-Sided
95
5.6
25.5
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000152
OG001158
OG002153
Title
Denominators
Categories
Title
Measurements
OG000-8.0± 1.90
OG001-11.5± 1.86
OG002-9.7± 1.88
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.5067
LS Mean Difference
-1.7
2-Sided
95
-6.8
3.4
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.1762
LS mean Difference
-3.5
2-Sided
95
-8.5
1.6
Superiority or Other (legacy)
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000100
OG001105
OG00298
Title
Denominators
Categories
Title
Measurements
OG000-0.9± 0.29
OG001-0.9± 0.28
OG002-1.3± 0.29
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.2719
LS Mean Difference
-0.4
2-Sided
95
-1.2
0.3
Superiority or Other (legacy)
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.9727
LS Mean Difference
-0.0
2-Sided
95
-0.8
0.7
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00063
OG00175
OG00271
Title
Denominators
Categories
Title
Measurements
OG000-1.1± 0.27
OG001-0.9± 0.25
OG002-1.4± 0.26
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.3705
LS Mean Difference
-0.3
2-Sided
95
-1.0
0.4
Superiority
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.6777
LS Mean Difference
0.1
2-Sided
95
-0.6
0.8
Superiority
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000149
OG001155
OG002148
Title
Denominators
Categories
Title
Measurements
OG000-3.21± 0.884
OG001-7.71± 0.864
OG002-6.35± 0.878
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0097
LS Mean Difference
-3.14
2-Sided
95
-5.52
-0.76
Superiority
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0002
LS Mean Difference
-4.50
2-Sided
95
-6.85
-2.16
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000150
OG001157
OG002152
Title
Denominators
Categories
Title
Measurements
OG000-0.27± 0.084
OG001-0.73± 0.082
OG002-0.65± 0.083
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0011
LS Mean Difference
-0.38
2-Sided
95
-0.60
-0.15
Superiority
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0001
LS Mean Difference
-0.45
2-Sided
95
-0.68
-0.23
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000153
OG001157
OG002154
Title
Denominators
Categories
Title
Measurements
OG0000.52± 0.721
OG0010.68± 0.710
OG0022.65± 0.713
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.0303
LS Mean Difference
2.14
2-Sided
95
0.20
4.07
Superiority
OG000
OG001
ANCOVA
Based on an analysis of covariance (ANCOVA) model with treatment group and baseline DMARD use as factors, and the baseline value as a covariate.
0.8704
LS mean Difference
0.16
2-Sided
95
-1.76
2.08
Superiority
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000104
OG001107
OG002101
Title
Denominators
Categories
Title
Measurements
OG00052.9
OG00154.2
OG00256.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.6022
Adjusted Difference
3.6
2-Sided
95
-9.9
17.2
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.8462
Adjusted Difference
1.3
2-Sided
95
-12.1
14.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00066
OG00177
OG00273
Title
Denominators
Categories
Title
Measurements
OG00059.1
OG00162.3
OG00261.6
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.7337
Adjusted Difference
2.8
2-Sided
95
-13.3
18.9
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.6881
Adjusted Difference
3.3
2-Sided
95
-12.7
19.3
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00031.4
OG00153.4
OG00248.8
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0014
Adjusted Difference
17.5
2-Sided
95
7.0
27.9
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0001
Adjusted Difference
22.1
2-Sided
95
11.7
32.5
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000104
OG001107
OG002101
Title
Denominators
Categories
Title
Measurements
OG00051.0
OG00157.0
OG00257.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3376
Adjusted Difference
6.6
2-Sided
95
-6.8
20.0
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3756
Adjusted Difference
6.1
2-Sided
95
-7.2
19.4
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00066
OG00177
OG00273
Title
Denominators
Categories
Title
Measurements
OG00062.1
OG00168.8
OG00268.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3959
Adjusted Difference
6.8
2-Sided
95
-8.7
22.2
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3941
Adjusted Difference
6.8
2-Sided
95
-8.7
22.4
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the Cochran-Mantel-Haenszel (CMH) weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG00021.4
OG00141.7
OG00233.3
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0142
Adjusted Difference
12.1
2-Sided
95
2.6
21.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use
0.0001
Adjusted Difference
20.5
2-Sided
95
10.8
30.3
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG0005.0
OG00114.7
OG00210.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0589
Adjusted Difference
5.6
2-Sided
95
-0.2
11.3
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0034
Adjusted Difference
9.8
2-Sided
95
3.4
16.1
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG0000.6
OG0013.7
OG0021.2
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.5620
Adjusted Difference
0.6
2-Sided
95
-1.5
2.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.0570
Adjusted Difference
3.1
2-Sided
95
-0.0
6.2
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG0008.8
OG00114.1
OG00211.7
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3629
Adjusted Difference
3.1
2-Sided
95
-3.5
9.6
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use
0.1323
Adjusted Difference
5.4
2-Sided
95
-1.5
12.3
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Title
Measurements
OG0003.1
OG0015.5
OG0022.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.7273
Adjusted Difference
-0.6
2-Sided
95
-4.3
3.0
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.2929
Adjusted Difference
2.4
2-Sided
95
-2.0
6.8
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000104
OG001107
OG002101
Title
Denominators
Categories
Title
Measurements
OG00023.1
OG00129.0
OG00220.8
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.7023
Adjusted Difference
-2.2
2-Sided
95
-13.5
9.1
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3305
Adjusted Difference
5.9
2-Sided
95
-5.9
17.7
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00066
OG00177
OG00273
Title
Denominators
Categories
Title
Measurements
OG00040.9
OG00142.9
OG00241.1
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.9698
Adjusted Difference
0.3
2-Sided
95
-16.0
16.6
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.8205
Adjusted Difference
1.9
2-Sided
95
-14.3
18.1
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000104
OG001107
OG002101
Title
Denominators
Categories
Title
Measurements
OG00024.0
OG00129.9
OG00222.8
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.8424
Adjusted Difference
-1.2
2-Sided
95
-12.7
10.3
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.3395
Adjusted Difference
5.9
2-Sided
95
-6.0
17.8
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00068
OG00159
OG00268
Title
Denominators
Categories
Title
Measurements
OG00040.9
OG00144.2
OG00246.6
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.4811
Adjusted Difference
5.9
2-Sided
95
-10.3
22.1
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
OG000
OG001
Cochran-Mantel-Haenszel
The 2-sided p-value is based on the CMH test adjusting for baseline DMARD use.
0.6965
Adjusted Difference
3.3
2-Sided
95
-13.3
19.5
Adjusted difference is the weighted average of the treatment differences across the 2 strata of baseline DMARD use with the CMH weights. The 2-sided 95% CI is based on a normal approximation to the weighted average.
Superiority
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00161
OG002121
OG003116
Title
Denominators
Categories
Title
Measurements
OG00053.3(40.0 to 66.3)
OG00147.5(34.6 to 60.7)
OG00252.9(43.6 to 62.0)
OG00352.6(43.1 to 61.9)
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00163
OG002125
OG003117
Title
Denominators
Categories
Title
Measurements
OG000-0.208± 0.4831
OG001-0.310± 0.5990
OG002-0.192± 0.5729
OG003-0.330± 0.5089
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00163
OG002124
OG003115
Title
Denominators
Categories
Title
Measurements
OG0004.13± 9.106
OG0015.97± 9.612
OG0024.05± 8.752
OG0034.97± 9.656
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00160
OG002123
OG003114
Title
Denominators
Categories
Title
Measurements
OG00078.3(65.8 to 87.9)
OG00173.3(60.3 to 83.9)
OG00272.4(63.6 to 80.0)
OG00374.6(65.6 to 82.3)
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00162
OG002125
OG003117
Title
Denominators
Categories
Title
Measurements
OG000-15.6± 23.77
OG001-16.0± 24.48
OG002-13.5± 27.78
OG003-12.9± 26.54
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00040
OG00139
OG00280
OG00378
Title
Denominators
Categories
Title
Measurements
OG000-2.5± 4.41
OG001-2.5± 2.73
OG002-1.7± 3.12
OG003-2.1± 2.82
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00023
OG00127
OG00257
OG00360
Title
Denominators
Categories
Title
Measurements
OG000-1.9± 1.14
OG001-2.1± 2.32
OG002-1.8± 1.98
OG003-1.8± 2.06
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00160
OG002123
OG003114
Title
Denominators
Categories
Title
Measurements
OG000-13.66± 9.811
OG001-13.13± 13.148
OG002-12.03± 10.492
OG003-14.38± 11.531
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00162
OG002125
OG003117
Title
Denominators
Categories
Title
Measurements
OG000-1.18± 1.015
OG001-1.18± 1.366
OG002-1.11± 1.059
OG003-1.30± 1.033
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00059
OG00163
OG002123
OG003115
Title
Denominators
Categories
Title
Measurements
OG0001.97± 8.544
OG0014.95± 9.414
OG0022.45± 9.481
OG0034.38± 9.847
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00040
OG00139
OG00280
OG00378
Title
Denominators
Categories
Title
Measurements
OG00072.5(56.1 to 85.4)
OG00179.5(63.5 to 90.7)
OG00270.0(58.7 to 79.7)
OG00369.2(57.8 to 79.2)
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00023
OG00127
OG00257
OG00360
Title
Denominators
Categories
Title
Measurements
OG00095.7(78.1 to 99.9)
OG00188.9(70.8 to 97.6)
OG00280.7(68.1 to 90.0)
OG00385.0(73.4 to 92.9)
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00060
OG00162
OG002125
OG003117
Title
Denominators
Categories
Title
Measurements
OG00070.0
OG00164.5
OG00268.0
OG00367.5
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00059
OG00162
OG002120
OG003118
Title
Denominators
Categories
Title
Measurements
OG00030.5(19.2 to 43.9)
OG00127.4(16.9 to 40.2)
OG00226.7(19.0 to 35.5)
OG00318.6(12.1 to 26.9)
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00059
OG00163
OG002123
OG003118
Title
Denominators
Categories
Title
Measurements
OG00016.9(8.4 to 29.0)
OG00114.3(6.7 to 25.4)
OG0029.8(5.1 to 16.4)
OG0036.8(3.0 to 12.9)
Participants who received placebo twice daily up to Week 16 or Week 24 were re-randomized to 30 mg apremilast tablets twice daily and continued receiving apremilast 30 mg in the active treatment/long-term phase.
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00040
OG00139
OG00280
OG00378
Title
Denominators
Categories
Title
Measurements
OG00042.5(27.0 to 59.1)
OG00141.0(25.6 to 57.9)
OG00240.0(29.2 to 51.6)
OG00337.2(26.5 to 48.9)
OG002
Apremilast 20 mg
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG003
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG00023
OG00127
OG00257
OG00360
Title
Denominators
Categories
Title
Measurements
OG00078.3(56.3 to 92.5)
OG00177.8(57.7 to 91.4)
OG00257.9(44.1 to 70.9)
OG00365.0(51.6 to 76.9)
Participants initially randomized to 20 mg apremilast tablets BID in the 24-week placebo-controlled phase, continued receiving 20 mg apremilast tablets twice daily in the active treatment/long-term safety phase. (After 30 mg apremilast BID was identified as the optimal dose, all participants receiving 20 mg apremilast BID were switched to 30 mg apremilast BID dose).
OG002
Apremilast 30 mg
Participants initially randomized to 30 mg apremilast tablets twice daily in the 24-week placebo-controlled phase, continued receiving 30 mg apremilast tablets twice daily in the active treatment / long-term safety phase.
Units
Counts
Participants
OG000159
OG001163
OG002162
Title
Denominators
Categories
Any TEAE
Title
Measurements
OG00072
OG001106
OG00296
Any Drug-Related TEAE
Title
Measurements
OG00028
OG00153
OG00257
Any Severe TEAE
Title
Measurements
OG0005
OG0013
OG00211
Any Serious TEAE (SAE)
Title
Measurements
OG0003
OG0016
OG0024
Any Drug-Related SAE
Title
Measurements
OG0000
OG0013
OG0021
Any TEAE Leading to Drug Interruption
Title
Measurements
OG00011
OG00116
OG00231
Any TEAE Leading to Drug Withdrawal
Title
Measurements
OG0003
OG0015
OG00212
Any TEAE Leading to Death
Title
Measurements
OG0000
OG0010
OG0020
OG002
Apremilast 30 mg BID
Participants who received apremilast 30 mg twice daily regardless of when the apremilast-exposure started (at Weeks 0, 16, or 24).