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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02660580
Other study ID # EMR200588-002
Secondary ID 2015-003287-37
Status Completed
Phase Phase 3
First received
Last updated
Start date February 16, 2016
Est. completion date December 18, 2017

Study information

Verified date December 2023
Source Fresenius Kabi SwissBioSim GmbH
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study was to compare the efficacy, safety and immunogenicity of MSB11022 and Humira® in adult subjects with moderate to severe chronic plaque type psoriasis.


Recruitment information / eligibility

Status Completed
Enrollment 443
Est. completion date December 18, 2017
Est. primary completion date December 31, 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Male or female participants greater than or equal to (>=) 18 years old with a clinical diagnosis of stable moderate to severe plaque psoriasis (defined by Psoriasis Area and Severity Index [PASI] score >=12, Physician Global Assessment [PGA] score >=3, and >=10% of body surface area affected at Screening and Baseline [Day 1 of Week 1]) who have a history of receipt of or are candidates for systemic therapy or phototherapy for active plaque-type psoriasis despite topical therapy - Participants must not have received more than 1 biologic therapy - Other protocol-defined inclusion criteria could apply Exclusion Criteria: - Participants was excluded if they have erythrodermic, pustular, guttate, or medication-induced forms of psoriasis or other active skin diseases/infections that may interfere with the evaluation of plaque psoriasis - Participants must not have received adalimumab or an investigational or licensed biosimilar of adalimumab; topical therapies for the treatment of psoriasis or ultraviolet B phototherapy within 2 weeks of investigational medicinal product (IMP) administration or plan to take such treatment during the trial; or psoralen combined with ultraviolet A phototherapy or nonbiological systemic therapies for psoriasis within 4 weeks prior to IMP administration - Participants was excluded if they have a history of an ongoing, chronic, or recurrent infectious disease (except for latent tuberculosis [TB]); history of active TB; or a history of hypersensitivity to any component of the IMP formulation, comparable drugs, or latex - Other protocol-defined exclusion criteria could apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
MSB11022
Participants received MSB11022 drug subcutaneously MSB11022 (Core Treatment Period), MSB11022 (Extended Treatment Period) and EU-Humira/MSB11022 arm.
Humira®
Participants received EU-Humira subcutaneously in EU-Humira, EU-Humira/EU-Humira and EU-Humira/MSB11022 arm.

Locations

Country Name City State
Bulgaria DCC 'Sveti Georgi' EOOD Haskovo
Bulgaria UMHAT 'Dr. Georgi Stranski', EAD Pleven
Bulgaria DCC "Sv. Georgi", EOOD Plovdiv
Bulgaria DCC "Alexandrovska", EOOD Sofia
Bulgaria Diagnostic Consultative Center II - Sofia OOD Sofia
Bulgaria MC "Robert Koch", EOOD Sofia
Bulgaria MC "Synexus - Sofia", EOOD Sofia
Bulgaria Medical Center "Excelsior", OOD Sofia
Bulgaria Military Medical Academy - MHAT - Sofia Sofia
Bulgaria UMHAT "Alexandrovska" EAD Sofia
Bulgaria DCC 3 - Varna, EOOD Varna
Canada Stratica Medical Edmonton Alberta
Canada Gupta, Aditya K. MD London Ontario
Canada Lynderm Research Inc. Markham Ontario
Canada DermEdge Research Mississauga Ontario
Canada Dr Melinda Gooderham Medicine Professional Corporation Peterborough Ontario
Canada York Dermatology Center Richmond Hill Ontario
Canada Centre de Recherche Dermatologique du Quebec Metropolitain Ste-Foy Quebec
Canada Dr. Lorne E. Albrecht, Inc. Surrey British Columbia
Canada K. Papp Clinical Research Waterloo Ontario
Czechia Nemocnice Jihlava Jihlava
Czechia Nemocnice Novy Jicin a.s. Novy Jicin
Czechia Fakultni nemocnice Olomouc Olomouc
Czechia Clintrial, s.r.o. Praha 10
Czechia Fakultni nemocnice Kralovske Vinohrady Praha 10
Czechia Dermatovenerologická klinika Praha 8 - Liben
Czechia Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem Usti nad Labem
Estonia East Tallinn Central Hospital Tallinn
Estonia Vahlberg & Pild OÜ Tallinn
Estonia Clinical Research Centre Tartu
Estonia Tartu University Hospital Tartu
France Groupe Hospitalier Sud - Hôpital Haut-Lévêque - Maison du Haut Lévêque Bordeaux Gironde
France Hôpital de la Timone Marseille cedex 5
France CHU Nice - Hôpital de l'Archet 2 Nice cedex 3 Alpes Maritimes
France Hôpital de Brabois Adultes Vandoeuvre les Nancy Meurthe Et Moselle
Germany Licca Augsburg Bayern
Germany Universitaetsklinikum Bonn AoeR Bonn Nordrhein Westfalen
Germany Praxis fuer Dermatologie und Venerologie Dresden Sachsen
Germany Klinikum der Johann Wolfgang Goethe-Universitaet Frankfurt Hessen
Germany Clinical Research Hamburg GmbH Hamburg
Hungary Ambrozia Gondozohaz Szolg. Nonprofit Kft. Budapest
Hungary Debreceni Egyetem Klinikai Kozpont Debrecen
Hungary SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz Nyiregyhaza
Hungary Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Szeged
Hungary ALLERGO-DERM BAKOS Kft. Szolnok
Mexico Derma Norte del Bajio S.C. Aguascalientes
Mexico Unidad de Investigacion de las Enfermedades Reumaticas Cuauhtemoc Distrito Federal
Mexico Clinica de Investigacion en Reumatologia y Obesidad S.C. Guadalajara Jalisco
Mexico Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatan Merida Yucatán
Mexico Köhler & Milstein Research S.A de C.V. Merida Yucatán
Mexico Centro de Dermatologia de Monterrey Monterrey Nuevo León
Mexico Clinical Research Institute S.C. Tlalnepantla Estado De Mexico
Poland Centrum Kliniczno - Badawcze J. Brzezicki, B. Górnikiewicz-Brzezicka Lekarze Spólka Partnerska Elblag
Poland Gdanskie Centrum Zdrowia Sp. z o.o. Gdansk
Poland Centrum Medyczne Plejady Krakow
Poland Grazyna Pulka Specjalistyczny Osrodek "ALL-MED" Krakow
Poland Centrum Terapii Wspolczesnej J.M. Jasnorzewska sp. komandytowo-akcyjna Lodz
Poland NZOZ ALL-MED Centrum Medyczne Specjalistyczne Gabinety Lekarskie Lodz
Poland Niepubliczny Zaklad Opieki Zdrowotnej "Med-Laser" Lublin
Poland Centrum Badan Klinicznych S.C. Poznan
Poland Centrum Medyczne Medyk Rzeszow
Poland Niepubliczny Zaklad Opieki Zdrowotnej "Nasz Lekarz" Praktyka Grupowa Lekarzy Rodzinnych z Torun
Poland Centrum Medyczne ADAMAR Wroclaw
Poland SP Szpital Kliniczny Nr 1 we Wroclawiu Wroclaw
Russian Federation SBEI HPE "Kazan State Medical University" of the MoH of the RF Kazan
Russian Federation LLC "Alliance Biomedical - Russian Group" Saint-Petersburg
Russian Federation Clinic of skin and veneral diseases Saratov
Russian Federation SBEI HPE "Yaroslavl State Medical University" of the MoH of the RF Yaroslavl
United Kingdom Russells Hall Hospital Dudley West Midlands
United Kingdom Royal Stoke University Hospital Stoke on Trent Staffordshire
United States Florida Academic Centers Research and Education Coral Gables Florida
United States Dermatology Treatment and Research Center Dallas Texas
United States Modern Research Associates Dallas Texas
United States Dermatology Clinical Research Center of San Antonio San Antonio Texas
United States San Luis Dermatology & Laser Clinic, Inc. San Luis Obispo California
United States Palm Beach Research Center West Palm Beach Florida

Sponsors (2)

Lead Sponsor Collaborator
Fresenius Kabi SwissBioSim GmbH Merck KGaA, Darmstadt, Germany

Countries where clinical trial is conducted

United States,  Bulgaria,  Canada,  Czechia,  Estonia,  France,  Germany,  Hungary,  Mexico,  Poland,  Russian Federation,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Who Achieved Psoriasis Area and Severity Index 75 (PASI 75) at Week 16 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI-75 response is defined as the percentage of participants who achieved at least a 75% improvement in PASI score from Baseline. Week 16
Secondary Percent Change From Baseline in PASI at Week 16 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Percent change from Baseline in PASI score was reported. Baseline (Day 1 of Core Treatment Period), Week 16
Secondary Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI 50, 90 and 100 response rate at Week 16 is measured as the percentage of participants who achieved at least 50, 90 and 100% improvement from baseline PASI score at Week 16. Week 16
Secondary Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 24 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 24. Week 24
Secondary Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 52 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 52. Week 52
Secondary Percent Change From Baseline in PASI at Week 24 and 52 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Baseline (Day 1 of Extended Treatment Period), Weeks 24 and 52
Secondary Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to "Clear" or "Almost Clear" at Week 16 PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates Clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal [focal] scaling), 2 indicates Mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates Moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates Severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions). Baseline (Day 1 of Core Treatment Period), Week 16
Secondary Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to "Clear" or "Almost Clear" at Week 24 and 52 PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal [focal] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions). Baseline (Day 1 of Extended Treatment Period), Week 24 and 52
Secondary Time to Achieve PASI 50 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 50% improvement in PASI from baseline was measured. Baseline (Day 1 of Core Treatment Period) up to Month 4
Secondary Time to Achieve PASI 75 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 75% improvement in PASI from baseline was measured. Baseline (Day 1 of Core Treatment Period) up to Month 4
Secondary Time to Achieve PASI 90 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 90% improvement in PASI from baseline was measured. Baseline (Day 1 of Core Treatment Period) up to Month 4
Secondary Time to Achieve PASI 100 PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 100% improvement in PASI from baseline was measured. Baseline (Day 1 of Core Treatment Period) up to Month 13.5
Secondary Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16 PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal [focal] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions). Baseline (Day 1 of Core Treatment Period), Week 16
Secondary Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24 PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal [focal] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions). Baseline (Day 1 of Extended Treatment Period), Week 24
Secondary Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52 PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal [focal] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions). Baseline (Day 1 of Extended Treatment Period), Week 52
Secondary Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16 Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs. Baseline (Day 1 of Core Treatment Period) up to Week 16
Secondary Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54 Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs. Baseline (Day 1 of Extended Treatment Period) up to Week 54
Secondary Number of Participants With Clinically Meaningful Differences in Laboratory Values Based on categories of low, normal, or high according to the laboratory normal ranges, there were no clinically meaningful differences across the treatment groups in the numbers of participants with shifts in Laboratory parameters including hematology, chemistry and urinalysis from normal at Core Baseline to either low or high during the overall treatment period. Clinical meaningful was determined by the investigator. Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54
Secondary Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16 Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (>) 1:160 and negativity is defined as ANA titer less than (<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA > 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA < 10 U/mL. Week 16
Secondary Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52 Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (>) 1:160 and negativity is defined as ANA titer less than (<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA > 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA < 10 U/mL. Week 24, 32, 40 and 52
Secondary Number of Participants With Clinically Meaningful Differences in Vital Signs Number of participants with clinically meaningful abnormalities in vital signs were reported. Clinical meaningful was determined by the investigator. Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54
Secondary Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG) Number of participants with clinically significant abnormalities in 12-ECG were reported. Clinical significance was determined by the investigator. Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54
Secondary Dermatology Life Quality Index (DLQI) at Week 16 The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life). Weeks 16
Secondary Dermatology Life Quality Index (DLQI) at Week 24 and 52 The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life). Week 24 and 52
Secondary European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 16 The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state). Week 16
Secondary European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52 The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state). Week 24 and 52
Secondary European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on Visual Analogue Scale (VAS) Score at Week 16 The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state. Week 16
Secondary European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52 The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state. Week 24 and 52
Secondary Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 16 HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty. Week 16
Secondary Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52 HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty. Week 24 and 52
Secondary Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 16 Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain. Week 16
Secondary Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52 Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain. Week 24 and 52
Secondary Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16 Number of participants with treatment emergent Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab were reported from baseline to week 16. Data was collected using validated bioanalytical method. Week 16
Secondary Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52 Number of participants With positive treatment emergent Anti-Drug Antibodies (ADAs) and positive Neutralizing Antibodies (NAbs) to Adalimumab were reported. Data was collected using validated bioanalytical method. Week 24, 32, 40 and 52
Secondary Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 16 Anti-Drug Antibodies (ADAs) Titers for adalimumab at week 16 was reported. Data was collected using validated bioanalytical method. Week 16
Secondary Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52 Anti-Drug Antibodies (ADAs) Titers for adalimumab at Week 24, 32, 40 and 50 was reported. Data was collected using validated bioanalytical method. Week 24, 32, 40 and 52
Secondary Observed Serum Concentration at Week 16 Observed serum concentrations at week 16 were reported. Week 16
Secondary Observed Serum Concentration at Week 24 and 52 Observed serum concentrations at week 24 and 52 were reported. Week 24 and 52
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