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    Clinical Trial Results:
    A Phase 2, Multicenter, Open-Label Extension (OLE) Study with ABT-122 in Active Psoriatic Arthritis Subjects Who Have Completed a Preceding Study M14-197 Phase 2 Randomized Controlled Trial (RCT)

    Summary
    EudraCT number
    2014-005527-27
    Trial protocol
    HU   CZ   DE   LV   ES   IT  
    Global end of trial date
    02 Aug 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    11 Jun 2017
    First version publication date
    11 Jun 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    M14-198
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02429895
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AbbVie Deutschland GmbH & Co.KG
    Sponsor organisation address
    AbbVie House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, United Kingdom, SL6-4UB
    Public contact
    Lawrence McNamee, Program Lead, AbbVie, lawrence.mcnamee@abbvie.com
    Scientific contact
    Peloso, Paul, Medical Director, AbbVie, paul.peloso@abbvie.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 Aug 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Aug 2016
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Assess the long term efficacy, and safety and tolerability of ABT-122 in psoriatic arthritis (PsA) subjects on background methotrexate (MTX) who have completed Study M14-197, a Phase 2 randomized controlled trial (RCT).
    Protection of trial subjects
    Participant and/or legal guardian read and understood the information provided about the study and gave written permission.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 89
    Country: Number of subjects enrolled
    Romania: 1
    Country: Number of subjects enrolled
    Spain: 9
    Country: Number of subjects enrolled
    Bulgaria: 30
    Country: Number of subjects enrolled
    Czech Republic: 6
    Country: Number of subjects enrolled
    Germany: 2
    Country: Number of subjects enrolled
    Hungary: 2
    Country: Number of subjects enrolled
    Latvia: 22
    Country: Number of subjects enrolled
    Australia: 2
    Country: Number of subjects enrolled
    New Zealand: 5
    Worldwide total number of subjects
    168
    EEA total number of subjects
    161
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    151
    From 65 to 84 years
    17
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 168 subjects diagnosed with active RA on background MTX who had participated in the RCT Study M14-197 (2014-003558-15) enrolled in this open-label extension (OLE).

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    ABT-122
    Arm description
    Open-label ABT-122 240 mg every other week (EOW) for 24 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    ABT-122
    Investigational medicinal product code
    ABT-122
    Other name
    Remtolumab
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    All subjects were treated with ABT-122 240 mg EOW in an open-label fashion with the possibility of an extra 240 mg dose. In order to be considered for the extra dose the subject must have met American College of Rheumatology (ACR) 20 response criteria in the RCT (Study M14-197) or in the OLE (Study M14-198) and afterward lost ACR20 response.

    Number of subjects in period 1
    ABT-122
    Started
    168
    Completed
    29
    Not completed
    139
         Subject noncompliance
    1
         Consent withdrawn by subject
    5
         Study termination
    129
         Adverse event
    4

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Study
    Reporting group description
    -

    Reporting group values
    Overall Study Total
    Number of subjects
    168 168
    Age categorical
    Units: Subjects
        < 40 years
    48 48
        40 to < 65 years
    103 103
        >= 65 years
    17 17
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    47.7 ± 12.66 -
    Gender categorical
    Units: Subjects
        Female
    81 81
        Male
    87 87

    End points

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    End points reporting groups
    Reporting group title
    ABT-122
    Reporting group description
    Open-label ABT-122 240 mg every other week (EOW) for 24 weeks

    Primary: ACR20 Response Rate by Visit

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    End point title
    ACR20 Response Rate by Visit [1]
    End point description
    Percentage of subjects with an ACR20 response, defined as at least 20% improvement (compared to baseline values) in tender and swollen joint counts and at least 20% improvement in 3 of the remaining 5 core set measures (subject global assessment of pain, subject global assessment of disease activity, physician global assessment of disease activity, subject assessment of physical function and acute phase reactant high sensitivity C-reactive protein [hsCRP]). Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Primary
    End point timeframe
    Weeks 4, 8, 16, 24
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics, along with 95% confidence intervals, are presented per protocol.
    End point values
    ABT-122
    Number of subjects analysed
    163
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=163
    76.7 (69.6 to 82.5)
        Week 8; n=158
    79.7 (72.8 to 85.3)
        Week 16; n=117
    81.2 (73.1 to 87.3)
        Week 24; n=45
    77.8 (63.5 to 87.6)
    No statistical analyses for this end point

    Primary: ACR50 Response Rate by Visit

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    End point title
    ACR50 Response Rate by Visit [2]
    End point description
    Percentage of subjects with an ACR50 response, defined as at least 50% improvement (compared to baseline values) in tender and swollen joint counts and at least 50% improvement in 3 of the remaining 5 core set measures (subject global assessment of pain, subject global assessment of disease activity, physician global assessment of disease activity, subject assessment of physical function and acute phase reactant hsCRP). Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Primary
    End point timeframe
    Weeks 4, 8, 16, 24
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics, along with 95% confidence intervals, are presented per protocol.
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=165
    48.5 (41 to 56.1)
        Week 8; n=159
    45.3 (37.7 to 53)
        Week 16; n=118
    48.3 (39.5 to 57.2)
        Week 24; n=46
    50 (36.1 to 63.9)
    No statistical analyses for this end point

    Primary: ACR70 Response Rate by Visit

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    End point title
    ACR70 Response Rate by Visit [3]
    End point description
    Percentage of subjects with an ACR70 response, defined as at least 70% improvement (compared to baseline values) in tender and swollen joint counts and at least 70% improvement in 3 of the remaining 5 core set measures (subject global assessment of pain, subject global assessment of disease activity, physician global assessment of disease activity, subject assessment of physical function and acute phase reactant hsCRP). Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Primary
    End point timeframe
    Weeks 4, 8, 16, 24
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics, along with 95% confidence intervals, are presented per protocol.
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=165
    23.6 (17.8 to 30.7)
        Week 8; n=159
    27 (20.7 to 34.5)
        Week 16; n=118
    29.7 (22.1 to 38.5)
        Week 24; n=46
    26.1 (15.5 to 40.4)
    No statistical analyses for this end point

    Secondary: Change from Baseline in Disease Activity Score 28 (DAS28[hsCRP]) by Visit

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    End point title
    Change from Baseline in Disease Activity Score 28 (DAS28[hsCRP]) by Visit
    End point description
    The DAS28 (hsCRP) is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, hsCRP, and general health are included in the DAS28 (hsCRP) score. Scores range from 0 to 10, with higher scores indicating more disease activity. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n= subjects available at both the given visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    162
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=162
    -2.12 ± 1.211
        Week 8; n=159
    -2.18 ± 1.26
        Week 16; n=118
    -2.21 ± 1.27
        Week 24; n=45
    -2.09 ± 1.036
    No statistical analyses for this end point

    Secondary: Low Disease Activity (LDA) or Clinical Remission (CR) Response Rate per DAS28 (hsCRP) by Visit

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    End point title
    Low Disease Activity (LDA) or Clinical Remission (CR) Response Rate per DAS28 (hsCRP) by Visit
    End point description
    Percentage of subjects achieving LDA or CR on the DAS28 (hsCRP). The DAS28 (hsCRP) is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, hsCRP, and general health are included in the DAS28 (hsCRP) score. Scores range from 0 to 10, with higher scores indicating more disease activity. LDA was defined as a score from 2.6 to < 3.2, and CR was defined as a score < 2.6. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n= subjects available at both the given visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    162
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=162
    64.2 (56.6 to 71.2)
        Week 8; n=159
    69.8 (62.3 to 76.4)
        Week 16; n=118
    71.2 (62.4 to 78.6)
        Week 24; n=45
    84.4 (70.9 to 92.6)
    No statistical analyses for this end point

    Secondary: CR Response Rate Per DAS28 (hsCRP) by Visit

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    End point title
    CR Response Rate Per DAS28 (hsCRP) by Visit
    End point description
    Percentage of subjects achieving CR on the DAS28 (hsCRP). The DAS28 (hsCRP) is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, hsCRP, and general health are included in the DAS28 (hsCRP) score. Scores range from 0 to 10, with higher scores indicating more disease activity. CR was defined as a score < 2.6. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n= subjects available at both the given visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 32
    End point values
    ABT-122
    Number of subjects analysed
    162
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=162
    43.8 (36.4 to 51.5)
        Week 8; n=159
    46.5 (39 to 54.3)
        Week 16; n=118
    51.7 (42.8 to 60.5)
        Week 24; n=45
    64.4 (49.8 to 76.8)
    No statistical analyses for this end point

    Secondary: Psoriasis Area and Severity Index (PASI) 50 Response Rate by Visit

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    End point title
    Psoriasis Area and Severity Index (PASI) 50 Response Rate by Visit
    End point description
    Percentage of PASI50 responders, defined as a 50% improvement in PASI score compared to baseline in subjects with ≥ 3% Body Surface Area (BSA) psoriasis involvement at baseline. PASI assesses four anatomic sites (head, upper extremities, trunk, and lower extremities) for erythema, induration and desquamation related to psoriasis. PASI scores range from 0.0 to 72.0 with the highest score representing complete erythroderma of the severest possible degree. Typically, scores of 3 or less represent mild disease, scores over 3 and up and including 15 represent moderate disease, and scores over 15 are considered to be associated with severe disease. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    93
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=93
    91.4 (83.7 to 95.8)
        Week 8; n=86
    91.9 (83.9 to 96.3)
        Week 16; n=64
    90.6 (80.7 to 96)
        Week 24; n=23
    100 (83.1 to 100)
    No statistical analyses for this end point

    Secondary: PASI75 Response Rate by Visit

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    End point title
    PASI75 Response Rate by Visit
    End point description
    Percentage of PASI75 responders, defined as a 75% improvement in PASI score compared to baseline in subjects with ≥ 3% BSA psoriasis involvement at baseline. PASI assesses four anatomic sites (head, upper extremities, trunk, and lower extremities) for erythema, induration and desquamation related to psoriasis. PASI scores range from 0.0 to 72.0 with the highest score representing complete erythroderma of the severest possible degree. Typically, scores of 3 or less represent mild disease, scores over 3 and up and including 15 represent moderate disease, and scores over 15 are considered to be associated with severe disease. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    93
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=93
    78.5 (69 to 85.7)
        Week 8; n=86
    77.9 (68 to 85.5)
        Week 16; n=64
    84.4 (73.4 to 91.5)
        Week 24; n=23
    82.6 (62.3 to 93.6)
    No statistical analyses for this end point

    Secondary: PASI90 Response Rates by Visit

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    End point title
    PASI90 Response Rates by Visit
    End point description
    Percentage of PASI90 responders, defined as a 90% improvement in PASI score compared to baseline in subjects with ≥ 3% BSA psoriasis involvement at baseline. PASI assesses four anatomic sites (head, upper extremities, trunk, and lower extremities) for erythema, induration and desquamation related to psoriasis. PASI scores range from 0.0 to 72.0 with the highest score representing complete erythroderma of the severest possible degree. Typically, scores of 3 or less represent mild disease, scores over 3 and up and including 15 represent moderate disease, and scores over 15 are considered to be associated with severe disease. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    93
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=93
    62.4 (52.2 to 71.5)
        Week 8; n=86
    66.3 (55.8 to 75.4)
        Week 16; n=64
    60.9 (48.7 to 72)
        Week 24; n=23
    69.6 (48.9 to 84.6)
    No statistical analyses for this end point

    Secondary: Minimal Disease Activity (MDA) in PsA Response Rate by Visit in Subjects with PASI > 3 at Baseline

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    End point title
    Minimal Disease Activity (MDA) in PsA Response Rate by Visit in Subjects with PASI > 3 at Baseline
    End point description
    A subject was classified as in MDA when 5 of the following 7 criteria are met: Tender Joint Count 68 ≤ 1; Swollen Joint Count 66 ≤ 1; PASI ≤ 1 or BSA ≤ 3; Patient Assessment of Pain ≤ 15; Patient Global Assessment ≤ 20; Health Assessment Questionnaire Modified for the Spondyloarthropathies (HAQ-S) ≤ 0.5; tender entheseal points ≤ 1. Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Secondary
    End point timeframe
    Week 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    112
    Units: percentage of subjects
    number (confidence interval 95%)
        Week 4; n=112
    32.1 (24.2 to 41.3)
        Week 8; n=105
    30.5 (22.5 to 39.9)
        Week 16; n=76
    32.9 (23.3 to 44.1)
        Week 24; n=28
    42.9 (26.5 to 60.9)
    No statistical analyses for this end point

    Secondary: Physician's Global Assessment for Psoriasis Score of 0 or 1 Response Rate by Visit

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    End point title
    Physician's Global Assessment for Psoriasis Score of 0 or 1 Response Rate by Visit
    End point description
    The physician assessed the severity of a subject's disease activity at the time of visit using a Physician's Global Assessment of Psoriasis 7-point scale. The scale ranges from 0 to 6. A higher score indicates more severe psoriasis activity, with 0 corresponding to "clear" and 6 corresponding to "severe." Estimates of the 95% confidence interval of the response rates for each treatment group were calculated using the Agresti-Coull method. Safety Analysis Set: subjects who received ≥ 1 dose of study drug in Study M14-198; n=subjects who had an assessment at the given time point.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    164
    Units: percentage of participants
    number (confidence interval 95%)
        Week 4; n=164
    75.6 (68.5 to 81.6)
        Week 8; n=157
    79.6 (72.6 to 85.2)
        Week 16; n=118
    79.7 (71.5 to 86)
        Week 24; n=45
    88.9 (76 to 95.6)
    No statistical analyses for this end point

    Secondary: Change From Baseline in Psoriasis Target Lesion Score by Visit

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    End point title
    Change From Baseline in Psoriasis Target Lesion Score by Visit
    End point description
    Target lesion score for psoriasis in subjects with psoriatic arthritis is calculated by adding the scores of plaque erythema, scaling and thickness. Scores range from 0 (no erythema or evidence of plaque scaling and thickness) to 15 (severe erythema and evidence of plaque scaling and thickness). Safety Analysis Set: all subjects who received ≥ 1 dose of study medication in Study M14-198; n=subjects available at both the specific visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=165
    -4.95 ± 2.735
        Week 8; n=158
    -5.02 ± 2.665
        Week 16; n=119
    -4.98 ± 2.98
        Week 24; n=45
    -4.51 ± 2.582
    No statistical analyses for this end point

    Secondary: Change From Baseline in Physician's Global Assessment for Psoriasis by Visit

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    End point title
    Change From Baseline in Physician's Global Assessment for Psoriasis by Visit
    End point description
    The physician assessed the severity of a subject's disease activity at the time of visit using a Physician's Global Assessment of Psoriasis 7-point scale. The scale ranges from 0 to 6. A higher score indicates more severe psoriasis activity, with 0 corresponding to "clear" and 6 corresponding to "severe." Safety Analysis Set: all subjects who received ≥ 1 dose of study medication in Study M14-198; n=subjects available at both the specific visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    164
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=164
    -2.12 ± 1.326
        Week 8; n=157
    -2.14 ± 1.337
        Week 16; n=118
    -2.15 ± 1.325
        Week 24; n=45
    -2.02 ± 1.138
    No statistical analyses for this end point

    Secondary: Change From Baseline in PASI by Visit

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    End point title
    Change From Baseline in PASI by Visit
    End point description
    PASI assesses four anatomic sites (head, upper extremities, trunk, and lower extremities) for erythema, induration and desquamation related to psoriasis. PASI scores range from 0.0 to 72.0 with the highest score representing complete erythroderma of the severest possible degree. Typically, scores of 3 or less represent mild disease, scores over 3 and up and including 15 represent moderate disease, and scores over 15 are considered to be associated with severe disease. Safety Analysis Set: all subjects who received ≥ 1 dose of study medication in Study M14-198; n=subjects available at both the specific visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=165
    -7.56 ± 9.658
        Week 8; n=158
    -7.08 ± 8.626
        Week 16; n=119
    -6.75 ± 7.981
        Week 24; n=45
    -5.54 ± 5.741
    No statistical analyses for this end point

    Secondary: Change From Baseline in Dactylitis by Visit

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    End point title
    Change From Baseline in Dactylitis by Visit
    End point description
    The dactylitis count was calculated as the number of digits (hands and feet) with presence of dactylitis. The count ranges from 0 to 20, with higher scores indicating more severe dactylitis. Safety Analysis Set: all subjects who received ≥ 1 dose of study medication in Study M14-198; n=subjects available at both the specific visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=165
    -2.98 ± 4.744
        Week 8; n=158
    -3.28 ± 4.911
        Week 16; n=119
    -3.31 ± 4.905
        Week 24; n=45
    -4.02 ± 5.496
    No statistical analyses for this end point

    Secondary: Change From Baseline in Spondyloarthritis Research Consortium of Canada (SPARCC) Enthesitis by Visit

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    End point title
    Change From Baseline in Spondyloarthritis Research Consortium of Canada (SPARCC) Enthesitis by Visit
    End point description
    The SPARCC enthesitis index is an outcome measure for enthesitis in spondyloarthritis. Tenderness at each of 16 site is quantified on a dichotomous basis: 0 means non-tender and 1 means tender. The SPARCC enthesitis index is calculated by taking the sum of the scores from the 16 sites. The SPARCC score ranges from 0 to 16, with higher scores indicating more tenderness. Safety Analysis Set: all subjects who received ≥ 1 dose of study medication in Study M14-198; n=subjects available at both the specific visit and baseline visit.
    End point type
    Secondary
    End point timeframe
    Weeks 4, 8, 16, 24
    End point values
    ABT-122
    Number of subjects analysed
    165
    Units: units on a scale
    arithmetic mean (standard deviation)
        Week 4; n=165
    -2.87 ± 3.563
        Week 8; n=158
    -2.99 ± 3.329
        Week 16; n=119
    -2.44 ± 4.163
        Week 24; n=45
    -2.89 ± 2.83
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Protocol-related treatment-emergent adverse events and treatment-emergent serious adverse events were collected from the first dose of study drug in study M14-198 until 70 days after the last dose of study drug (up to 32 weeks).
    Adverse event reporting additional description
    A protocol-related event is defined as any AE with onset or worsening reported by a subject from the first dose of study drug in study M14-198 until 70 days have elapsed following discontinuation of ABT-122 administration. Events were collected whether elicited or spontaneously reported by the subject.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    ABT-122
    Reporting group description
    Open-label ABT-122 240 mg EOW for 24 weeks

    Serious adverse events
    ABT-122
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 168 (0.60%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    CONTUSION
         subjects affected / exposed
    1 / 168 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    LIGAMENT SPRAIN
         subjects affected / exposed
    1 / 168 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    MUSCLE STRAIN
         subjects affected / exposed
    1 / 168 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    ROAD TRAFFIC ACCIDENT
         subjects affected / exposed
    1 / 168 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    ABT-122
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    79 / 168 (47.02%)
    Investigations
    ALANINE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    9 / 168 (5.36%)
         occurrences all number
    11
    ASPARTATE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    5 / 168 (2.98%)
         occurrences all number
    7
    BLOOD BILIRUBIN INCREASED
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    4
    BLOOD CHOLESTEROL INCREASED
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    BLOOD TRIGLYCERIDES INCREASED
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    C-REACTIVE PROTEIN INCREASED
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    CRYSTAL URINE PRESENT
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    LYMPHOCYTE COUNT DECREASED
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    5
    MONOCYTE COUNT INCREASED
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    NEUTROPHIL COUNT DECREASED
         subjects affected / exposed
    5 / 168 (2.98%)
         occurrences all number
    6
    WHITE BLOOD CELL COUNT DECREASED
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    Blood and lymphatic system disorders
    NEUTROPENIA
         subjects affected / exposed
    9 / 168 (5.36%)
         occurrences all number
    9
    General disorders and administration site conditions
    PYREXIA
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    Gastrointestinal disorders
    ABDOMINAL PAIN
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    DIARRHOEA
         subjects affected / exposed
    4 / 168 (2.38%)
         occurrences all number
    4
    Respiratory, thoracic and mediastinal disorders
    RHINORRHOEA
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    Skin and subcutaneous tissue disorders
    PSORIASIS
         subjects affected / exposed
    7 / 168 (4.17%)
         occurrences all number
    9
    RASH
         subjects affected / exposed
    4 / 168 (2.38%)
         occurrences all number
    4
    Renal and urinary disorders
    CRYSTALLURIA
         subjects affected / exposed
    4 / 168 (2.38%)
         occurrences all number
    4
    GLYCOSURIA
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    PROTEINURIA
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    6 / 168 (3.57%)
         occurrences all number
    7
    BACK PAIN
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    INTERVERTEBRAL DISC DISORDER
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    PSORIATIC ARTHROPATHY
         subjects affected / exposed
    7 / 168 (4.17%)
         occurrences all number
    8
    TENDON DISORDER
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    Infections and infestations
    BRONCHITIS
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    INFLUENZA
         subjects affected / exposed
    3 / 168 (1.79%)
         occurrences all number
    3
    NASOPHARYNGITIS
         subjects affected / exposed
    6 / 168 (3.57%)
         occurrences all number
    6
    ORAL HERPES
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    PHARYNGITIS
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    RHINITIS
         subjects affected / exposed
    4 / 168 (2.38%)
         occurrences all number
    4
    SUBCUTANEOUS ABSCESS
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    3
    TONSILLITIS
         subjects affected / exposed
    2 / 168 (1.19%)
         occurrences all number
    2
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    10 / 168 (5.95%)
         occurrences all number
    11
    URINARY TRACT INFECTION
         subjects affected / exposed
    5 / 168 (2.98%)
         occurrences all number
    5
    Metabolism and nutrition disorders
    HYPERCHOLESTEROLAEMIA
         subjects affected / exposed
    9 / 168 (5.36%)
         occurrences all number
    9
    HYPERTRIGLYCERIDAEMIA
         subjects affected / exposed
    4 / 168 (2.38%)
         occurrences all number
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    06 Aug 2015
    The purpose of this amendment was to: ● Extend enrollment to a maximum of 220 subjects to allow all eligible subjects to have the option to participate. ● Increase the number of participating sites for consistency with the number of sites in the RCT. ● Revise wording for the approved birth control methods to ensure that only highly effective contraceptive measures were allowed, consistent with the recommendations related to contraception and pregnancy testing in clinical trials by the European Union Clinical Trial Facilitation Group (Heads of Medicines Agencies). ● Clarify the visits that had a 3-day visit window. ● Add electrocardiogram (ECG) at Week 0 and optional ECG at Week 24 to study procedures. ● Add assessment instructions in the event of an injection site reaction. ● Correct test names and clarification of microscopic urinalysis testing. ● Update study procedures to include Patient Global Disease Activity for Arthritis visual analog scale Patient's Global Assessment of Disease Activity (PtGA) assessments at the Week 4, 8, 16, 24/Premature Discontinuation visits. ● Remove 24 hour Methylhistamine assay deleted from hypersensitivity reaction panel. ● Add criteria for extra dose eligibility. ● Update of primary study contact. ● Add detail to comparison point for ACR 20/50/70 response assessment. ● Add details regarding the use of ePro devices for data collection. ● Apply administrative changes throughout the protocol.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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