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. 2023 Jan 31;9(1):e002559. doi: 10.1136/rmdopen-2022-002559

Table 2.

Efficacy endpoints at month 3 and month 6 (full analysis set)†‡

Endpoint Month 3 Month 6
Tofacitinib
5 mg BID
(N=136)
Placebo
(N=68)
Difference (SE) (95% CI) Tofacitinib
5 mg BID
(N=136)
Placebo→ tofacitinib
5 mg BID
(N=68)
Difference (SE) (95% CI)
ACR50, n (%) (SE) 52 (38.2) (4.2)§ 4 (5.9)
(2.9)§
32.4 (5.1)§
(22.5 to 42.3)***
75 (55.2) (4.3) 25 (36.8) (5.9) 18.4 (7.2)
(4.2 to 32.6)*
ACR50 excl. COVID-19, n (%) (SE) 52 (40.6) (4.3)
(N1=128)
4 (6.3)
(3.0)
(N1=64)
34.4 (5.3)
(24.0 to 44.8)***
N/A N/A N/A
ACR20, n (%) (SE) 88 (64.7) (4.1) 19 (27.9) (5.4) 36.8 (6.8)
(23.4 to 50.1)***
99 (72.8) (3.8) 40 (58.8) (6.0) 14.0 (7.1)
(0.1 to 27.9)*
ACR70, n (%) (SE) 20 (14.7) (3.0) 1 (1.5)
(1.5)
13.2 (3.4)
(6.6 to 19.8)***
50 (36.8) (4.1) 16 (23.5) (5.1) 13.2 (6.6)
(0.3 to 26.2)*
HAQ-DI response,
n (%) (SE)¶††
54 (65.1) (5.2)
(N1=83)
16 (41.0) (7.9)
(N1=39)
24.0 (9.5)
(5.5 to 42.6)*
61 (73.5) (4.8)
(N1=83)
26 (66.7) (7.6)
(N1=39)
6.8 (9.0)
(−10.8 to 24.4)
∆HAQ-DI (SE) −0.3 (0.0)
(N1=127)
−0.1 (0.0)
(N1=62)
−0.2 (0.1)
(−0.3 to −0.1)***
−0.4 (0.0)
(N1=126)
−0.3 (0.0)
(N1=61)
−0.1 (0.0)
(−0.2 to 0.0)
∆TJC (SE) −8.9 (0.6)
(N1=123)
−1.9 (0.9)
(N1=60)
−7.0 (1.1)
(−9.2 to −4.8)***
−11.9 (0.6)
(N1=115)
−9.5 (0.9)
(N1=57)
−2.4 (1.1)
(−4.6 to −0.2)*
∆SJC (SE) −6.4 (0.5)
(N1=123)
−0.6 (0.7)
(N1=60)
−5.9 (0.9)
(−7.5 to −4.2)***
−8.1 (0.4)
(N1=115)
−5.5 (0.5)
(N1=57)
−2.6 (0.7)
(−3.9 to −1.3)**
∆CGA (SE) −29.5 (1.4)
(N1=123)
−11.0 (2.1)
(N1=60)
−18.4 (2.5)
(−23.4 to −13.5)***
−38.8 (1.3)
(N1=114)
−31.1 (1.9)
(N1=57)
−7.7 (2.3)
(−12.1 to −3.2)***
∆Pain (VAS) (SE) −23.1 (1.7)
(N1=127)
−1.2 (2.5)
(N1=62)
−21.9 (3.0)
(−27.8 to −15.9)***
−29.4 (1.7)
(N1=124)
−26.3 (2.4)
(N1=59)
−3.1 (3.0)
(9.0 to 2.8)
∆PtGA (SE) −26.0 (1.8)
(N1=127)
−7.3 (2.6)
(N1=62)
−18.8 (3.2)
(−25.1 to −12.5)***
−33.5 (1.7)
(N1=124)
−28.4 (2.4)
(N1=59)
−5.1 (2.9)
(−10.9 to 0.6)
PsARC response, n (%) 94 (69.1) 20 (29.4) 39.7 (6.8)
(26.4 to 53.0)***
108 (79.4) 43 (63.2) 16.2 (6.8)
(2.9 to 29.5)*
PGA-PsO response,
n (%) (SE)‡‡
10 (9.4)
(2.8)
(N1=106)
1 (2.0)
(1.9)
(N1=51)
7.5 (3.4)
(0.7 to 14.2)*
11 (10.4) (3.0)
(N1=106)
11 (21.6) (5.8)
(N1=51)
−11.2 (6.5)
(−23.9 to 1.5)
∆PGA-PsO (SE) −1.12 (0.1)
(N1=119)
−0.5 (0.1)
(N1=58)
−0.6 (0.1)
(−0.9 to −0.3)***
−1.3 (0.1)
(N1=112)
−1.3 (0.1)
(N1=54)
0.0 (0.2)
(−0.3 to 0.3)
PASI75, n (%) (SE)§§ 27 (36.0) (5.5)
(N1=75)
3 (11.1)
(6.1)
(N1=27)
24.9 (8.2)
(8.8 to 41.0)**
31 (41.3) (5.7)
(N1=75)
16 (59.3) (9.5)
(N1=27)
−17.9 (11.0)
(−39.6 to 3.7)
Resolution of enthesitis,
n (%) (SE)¶¶
35 (49.3) (5.9)
(N1=71)
7 (25.0)
(8.2)
(N1=28)
24.3 (10.1)
(4.5 to 44.1)*
46 (64.8) (5.7)
(N1=71)
17 (60.7) (9.2)
(N1=28)
4.1 (10.8)
(−17.2 to 25.3)
LEI (SE) −1.4 (0.2)
(N1=63)
−1.0 (0.3)
(N1=24)
−0.4 (0.3)
(−1.0 to 0.2)
−1.9 (0.1)
(N1=59)
−1.6 (0.2)
(N1=23)
−0.3 (0.2)
(−0.7 to 0.2)
Resolution of dactylitis, n (%) (SE)††† 42 (45.2) (5.2)
(N1=93)
8 (19.5)
(6.2)
(N1=41)
25.7 (8.1)
(9.9 to 41.4)**
60 (64.5) (5.0)
(N1=93)
17 (41.5) (7.7)
(N1=41)
23.1 (9.2)
(5.1 to 41.0)*
DSS (SE) −6.6 (0.5)
(N1=86)
−2.5 (0.8)
(N1=37)
−4.1 (1.0)
(−6.0 to −2.1)***
−7.8 (0.2)
(N1=79)
−6.8 (0.3)
(N1=34)
−1.0 (0.3)
(−1.7 to −0.3)**
NAPSI (SE) −1.0 (0.2)
(N1=86)
−0.8 (0.2)
(N1=48)
−0.2 (0.3)
(−0.8 to 0.4)
−2.4 (0.2)
(N1=82)
−2.1 (0.3)
(N1=47)
−0.3 (0.3)
(−1.0 to 0.3)
CRP mg/L (SE) −9.8 (0.7)
(N1=123)
−2.0 (1.0)
(N1=60)
−7.8 (1.2)
(−10.2 to −5.4)***
−10.2 (0.4)
(N1=115)
−9.0 (0.6)
(N1=56)
−1.3 (0.8)
(−2.8 to 0.3)
DAS28-3(CRP) (SE) −1.3 (0.1)
(N1=123)
−0.3 (0.1)
(N1=60)
−1.0 (0.1)
(−1.3 to −0.8)***
−1.9 (0.1)
(N1=115)
−1.6 (0.1)
(N1=56)
−0.2 (0.1)
(−0.5 to 0.1)
SF-36v2 PCS (SE) 6.0 (0.6)
(N1=125)
1.9 (0.8)
(N1=62)
4.2 (1.0)
(2.2 to 6.1)***
7.9 (0.6)
(N1=126)
7.6 (0.8)
(N1=61)
0.4 (1.0)
(−1.6 to 2.4)
SF-36v2 MCS (SE) 3.4 (0.7)
(N1=125)
0.1 (1.0)
(N1=62)
3.3 (1.2)
(0.8 to 5.7)**
4.0 (0.8)
(N1=126)
2.2 (1.2)
(N1=61)
1.8 (1.4)
(−1.0 to 4.6)
MDA, n (%) (SE)‡‡‡ 44 (32.4) (4.0) 4 (5.9)
(2.9)
26.5 (4.9)
(16.8 to 36.1)***
67 (49.3) (4.3) 25 (36.8) (5.9) 12.5 (7.3)
(-1.7 to 26.7)

*p<0.05; **p<0.01; ***p<0.001 versus placebo (to month 3) or placebo→tofacitinib 5 mg BID (for remainder of study).

†All randomised patients who received ≥1 dose of study medication.

‡For change from baseline endpoints, missing values were not imputed; for binary endpoints, missing values were considered as non-response.

§Primary endpoint.

¶Defined as a decrease in HAQ-DI from baseline ≥0.30 in patients with baseline HAQ-DI ≥0.30.

††Identical results were observed for HAQ-DI response rate based on a decrease from baseline ≥0.35 in patients with baseline HAQ-DI ≥0.35.

‡‡In patients with PGA-PsO ≥2 at baseline.

§§In patients with psoriatic BSA ≥3% and PASI>0 at baseline.

¶¶In patients with baseline LEI >0, with resolution of enthesitis defined as LEI=0.

†††In patients with baseline DSS >0, with resolution of dactylitis defined as DSS=0.

‡‡‡Defined as meeting ≥5 out of 7 items: ≤1 tender joint, ≤1 swollen joint, a PASI score of ≤1 or a BSA covered by psoriasis of ≤3%, pain VAS ≤15 mm, PtGA VAS ≤20 mm, HAQ-DI ≤0.5, and ≤1 tender enthesitis site (based on LEI).

∆, change from baseline; ACR, American College of Rheumatology; BID, twice daily; BSA, body surface area; CGA, Clinician's Global Assessment of arthritis; CI, confidence interval; CRP, C-reactive protein; DAS28-3(CRP), Disease Activity Score in 28 joints with CRP; DSS, Dactylitis Severity Score; HAQ-DI, Health Assessment Questionnaire-Disability Index; LEI, Leeds Enthesitis Index; MCS, Mental Component Summary; MDA, minimal disease activity; N1, number of evaluable patients at each time point; n, number of patients with the specified characteristic; N, number of patients; NAPSI, Nail Psoriasis Severity Index; PASI, Psoriasis Area and Severity Index; PCS, Physical Component Summary; PGA-PsO, Physician’s Global Assessment of Psoriasis; PsARC, Psoriatic Arthritis Response Criteria; PtGA, Patient’s Global Assessment of arthritis; SE, standard error; SF-36v2, Short Form-36 Health Survey, version 2 acute; SJC, swollen joint count; TJC, tender joint count; VAS, Visual Analogue Scale.