thalidomide has been researched along with Arthritis, Rheumatoid in 29 studies
Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.
thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.
2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group.
Arthritis, Rheumatoid: A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.
Excerpt | Relevance | Reference |
---|---|---|
"To study the efficacy/safety of apremilast, an oral phosphodiesterase 4 inhibitor, compared with placebo in patients with active rheumatoid arthritis (RA) who had an inadequate response to methotrexate (MTX)." | 9.20 | Apremilast in Patients With Active Rheumatoid Arthritis: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study. ( Alper, J; Chen, M; Cieślak, D; Genovese, MC; Hough, DR; Jarosova, K; Kivitz, A; Maes, P; Pineda, L; Zaidi, F, 2015) |
"To review outcomes in 10 patients with rheumatoid arthritis (RA) treated with thalidomide." | 9.09 | Thalidomide in the treatment of refractory rheumatoid arthritis. ( Bookman, A; Keesal, N; Keystone, EC; Lapp, V; Wasserman, MJ; Weber, DA, 1999) |
"To investigate the release and intracellular localization of high mobility group box chromosomal protein 1 (HMGB1) in the peripheral blood monocytes of rheumatoid arthritis (RA) patients and the inhibitive effect of thalidomide." | 7.74 | [The plasmic translocation and release of high mobility group box chromosomal protein 1 in peripheral blood monocytes of patients with rheumatoid arthritis and the effect of thalidomide]. ( Gong, YH; Luo, H; Xiao, XZ; Zhou, YO; Zuo, XX, 2008) |
"The present study investigates synergistic effects of the TNF-alpha inhibitor thalidomide and the poly(ADP-ribose) polymerase (PARP)-inhibitor nicotinic acid amide (NAA) in male DBA/1 hybird mice suffering from type II collagen-induced arthritis." | 7.69 | Synergistic effects of thalidomide and poly (ADP-ribose) polymerase inhibition on type II collagen-induced arthritis in mice. ( Dietrich, A; Kröger, H; Miesel, R; Ockenfels, H; Ohde, M; Rajnavölgyi, E, 1996) |
"12 patients with active rheumatoid arthritis were treated with 1200 mg pentoxifylline and 100 mg thalidomide a day during 12 weeks." | 7.69 | An open study of pentoxyfylline and thalidomide as adjuvant therapy in the treatment of rheumatoid arthritis. ( Breedveld, FC; Dijkmans, BA; Huizinga, TW; van de Pouw Kraan, TC; van der Velde, EA; Verweij, CL, 1996) |
"In an open study, oral administration of thalidomide to 7 female patients with classic or definite rheumatoid arthritis, in doses ranging from 6." | 7.67 | Thalidomide. A promising new treatment for rheumatoid arthritis. ( Gutiérrez-Rodríguez, O, 1984) |
"In an open study, 17 patients (16 women, 1 man) with refractory or severe rheumatoid arthritis were treated with thalidomide." | 7.67 | Treatment of refractory rheumatoid arthritis--the thalidomide experience. ( Gutiérrez-Montes, O; Gutiérrez-Rodríguez, O; Starusta-Bacal, P, 1989) |
"To study the efficacy/safety of apremilast, an oral phosphodiesterase 4 inhibitor, compared with placebo in patients with active rheumatoid arthritis (RA) who had an inadequate response to methotrexate (MTX)." | 5.20 | Apremilast in Patients With Active Rheumatoid Arthritis: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study. ( Alper, J; Chen, M; Cieślak, D; Genovese, MC; Hough, DR; Jarosova, K; Kivitz, A; Maes, P; Pineda, L; Zaidi, F, 2015) |
"To review outcomes in 10 patients with rheumatoid arthritis (RA) treated with thalidomide." | 5.09 | Thalidomide in the treatment of refractory rheumatoid arthritis. ( Bookman, A; Keesal, N; Keystone, EC; Lapp, V; Wasserman, MJ; Weber, DA, 1999) |
"This review article discusses the thalidomide therapy of diseases such as systemic sclerosis, rheumatoid arthritis, Behçet syndrome, lupus erythematosus disseminatus and graft-versus-host disease." | 4.82 | [Thalidomide--a new prospective therapy in rheumatology and transplantation]. ( Dziedziczko, A; Pałgan, I; Pałgan, K, 2003) |
" We assessed the anti-inflammatory effects of a novel PDE4 inhibitor, apremilast, in human synovial cells from rheumatoid arthritis (RA) patients, as well as two murine models of arthritis." | 3.76 | Apremilast, a novel PDE4 inhibitor, inhibits spontaneous production of tumour necrosis factor-alpha from human rheumatoid synovial cells and ameliorates experimental arthritis. ( Andrews, M; Brennan, FM; Feldmann, M; Inglis, JJ; McCann, FE; Palfreeman, AC; Perocheau, DP; Schafer, P; Williams, RO, 2010) |
"To investigate the release and intracellular localization of high mobility group box chromosomal protein 1 (HMGB1) in the peripheral blood monocytes of rheumatoid arthritis (RA) patients and the inhibitive effect of thalidomide." | 3.74 | [The plasmic translocation and release of high mobility group box chromosomal protein 1 in peripheral blood monocytes of patients with rheumatoid arthritis and the effect of thalidomide]. ( Gong, YH; Luo, H; Xiao, XZ; Zhou, YO; Zuo, XX, 2008) |
" Accordingly, TNF-alpha inhibitors, such as thalidomide, infliximab (Remicade), adalimumab (Humira), and etanercept (Enbrel), have been used with success in the treatment of autoimmune disorders, including psoriasis, rheumatoid arthritis, inflammatory bowel diseases, and lymphoproliferative disorders." | 3.73 | Interstitial granulomatous dermatitis associated with the use of tumor necrosis factor alpha inhibitors. ( Badros, A; Deng, A; Gaspari, A; Harvey, V; Junkins-Hopkins, JM; Oghilikhan, M; Samuels, A; Sina, B; Strobel, D, 2006) |
"The present study investigates synergistic effects of the TNF-alpha inhibitor thalidomide and the poly(ADP-ribose) polymerase (PARP)-inhibitor nicotinic acid amide (NAA) in male DBA/1 hybird mice suffering from type II collagen-induced arthritis." | 3.69 | Synergistic effects of thalidomide and poly (ADP-ribose) polymerase inhibition on type II collagen-induced arthritis in mice. ( Dietrich, A; Kröger, H; Miesel, R; Ockenfels, H; Ohde, M; Rajnavölgyi, E, 1996) |
"12 patients with active rheumatoid arthritis were treated with 1200 mg pentoxifylline and 100 mg thalidomide a day during 12 weeks." | 3.69 | An open study of pentoxyfylline and thalidomide as adjuvant therapy in the treatment of rheumatoid arthritis. ( Breedveld, FC; Dijkmans, BA; Huizinga, TW; van de Pouw Kraan, TC; van der Velde, EA; Verweij, CL, 1996) |
"In an open study, oral administration of thalidomide to 7 female patients with classic or definite rheumatoid arthritis, in doses ranging from 6." | 3.67 | Thalidomide. A promising new treatment for rheumatoid arthritis. ( Gutiérrez-Rodríguez, O, 1984) |
"In an open study, 17 patients (16 women, 1 man) with refractory or severe rheumatoid arthritis were treated with thalidomide." | 3.67 | Treatment of refractory rheumatoid arthritis--the thalidomide experience. ( Gutiérrez-Montes, O; Gutiérrez-Rodríguez, O; Starusta-Bacal, P, 1989) |
"Lenalidomide therapy was started after the diagnosis and the patient had a favorable outcome." | 1.46 | Utility of osteosclerotic lesion biopsy in diagnosis of POEMS syndrome: A case report. ( Akiyama, H; Hara, D; Hasegawa, Y; Hoshikawa, M; Nukui, S; Shimizu, T, 2017) |
"Thalidomide has been described as an inhibitor of both angiogenesis (which may account for its teratogenic effects on limb bud formation) and tumor necrosis factor-alpha (TNF-alpha) production." | 1.30 | The effect of thalidomide and 2 analogs on collagen induced arthritis. ( Banquerigo, ML; Brahn, E; Cheng, TP; Oliver, SJ, 1998) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 6 (20.69) | 18.7374 |
1990's | 5 (17.24) | 18.2507 |
2000's | 10 (34.48) | 29.6817 |
2010's | 7 (24.14) | 24.3611 |
2020's | 1 (3.45) | 2.80 |
Authors | Studies |
---|---|
Haller, C | 1 |
Cozzio, A | 1 |
von Kempis, J | 1 |
Rubbert-Roth, A | 1 |
Li, Y | 1 |
Ren, XY | 1 |
Sun, F | 1 |
Wang, P | 1 |
Zhao, JL | 1 |
Wu, QJ | 1 |
Zeng, XF | 1 |
Hara, D | 1 |
Akiyama, H | 1 |
Nukui, S | 1 |
Shimizu, T | 1 |
Hoshikawa, M | 1 |
Hasegawa, Y | 1 |
Labuda, SM | 1 |
Schieffelin, JS | 1 |
Shaffer, JG | 1 |
Stryjewska, BM | 1 |
Genovese, MC | 1 |
Jarosova, K | 1 |
Cieślak, D | 1 |
Alper, J | 1 |
Kivitz, A | 1 |
Hough, DR | 1 |
Maes, P | 1 |
Pineda, L | 1 |
Chen, M | 1 |
Zaidi, F | 1 |
Baek, MC | 1 |
Jung, B | 1 |
Kang, H | 1 |
Lee, HS | 1 |
Bae, JS | 1 |
Zuo, XX | 1 |
Gong, YH | 1 |
Zhou, YO | 1 |
Luo, H | 1 |
Xiao, XZ | 1 |
Esposito, E | 1 |
Cuzzocrea, S | 1 |
McCann, FE | 1 |
Palfreeman, AC | 1 |
Andrews, M | 1 |
Perocheau, DP | 1 |
Inglis, JJ | 1 |
Schafer, P | 1 |
Feldmann, M | 1 |
Williams, RO | 1 |
Brennan, FM | 1 |
Otto, S | 1 |
Schreyer, C | 1 |
Hafner, S | 1 |
Mast, G | 1 |
Ehrenfeld, M | 1 |
Stürzenbaum, S | 1 |
Pautke, C | 1 |
Braun, J | 1 |
Sieper, J | 1 |
Pałgan, K | 1 |
Pałgan, I | 1 |
Dziedziczko, A | 1 |
Deng, A | 1 |
Harvey, V | 1 |
Sina, B | 1 |
Strobel, D | 1 |
Badros, A | 1 |
Junkins-Hopkins, JM | 1 |
Samuels, A | 1 |
Oghilikhan, M | 1 |
Gaspari, A | 1 |
Wong, EH | 1 |
Leung, TW | 1 |
Wong, KS | 1 |
Gutiérrez-Rodríguez, O | 3 |
Kröger, H | 1 |
Miesel, R | 1 |
Dietrich, A | 1 |
Ohde, M | 1 |
Rajnavölgyi, E | 1 |
Ockenfels, H | 1 |
Huizinga, TW | 1 |
Dijkmans, BA | 1 |
van der Velde, EA | 1 |
van de Pouw Kraan, TC | 1 |
Verweij, CL | 1 |
Breedveld, FC | 1 |
Oliver, SJ | 1 |
Cheng, TP | 1 |
Banquerigo, ML | 1 |
Brahn, E | 1 |
Wendling, D | 1 |
Toussirot, E | 1 |
Keesal, N | 1 |
Wasserman, MJ | 1 |
Bookman, A | 1 |
Lapp, V | 1 |
Weber, DA | 1 |
Keystone, EC | 1 |
Calabrese, L | 1 |
Fleischer, AB | 1 |
Raza, A | 1 |
Eigler, A | 1 |
Loher, F | 1 |
Endres, S | 1 |
Kumar, S | 1 |
Li, C | 1 |
Starusta-Bacal, P | 2 |
Gutiérrez-Montes, O | 2 |
Beccerica, E | 1 |
Miyachi, Y | 1 |
Sheehan, NJ | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study, To Compare the Efficacy and Safety of Two Doses of Apremilast (CC-10004) in Subjects With Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Methot[NCT01285310] | Phase 2 | 237 participants (Actual) | Interventional | 2010-12-09 | Terminated (stopped due to Study is terminated due to lack of efficacy) | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"The DAS28 measures the severity of disease at a specific time and is derived from the following variables:~28 tender joint count (TJC28)~28 swollen joint count (SJC28), which do not include the distal interphalangeal (DIP) joints, the hip joint, or the joints below the knee;~C-reactive protein (CRP)~Subject's global assessment of disease activity (SGA )~DAS28 values range from 2.0 to 10.0 while higher values mean a higher disease activity.~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." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | -0.90 |
Apremilast 20 mg | -0.73 |
Apremilast 30 mg | -0.90 |
"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)~Subject's Global Assessment of Disease Activity.~DAS28 values range from 2.0 to 10.0 while higher values mean a higher disease activity.~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." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | -0.82 |
Apremilast 20 mg | -0.78 |
Apremilast 30 mg | -0.91 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) 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. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | units on a scale (Mean) |
---|---|
Placebo | -0.069 |
Apremilast 20 mg | -0.080 |
Apremilast 30 mg | -0.227 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | units on a scale (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -0.219 |
Placebo/Apremilast 20 mg XO | -0.192 |
Apremilast 20 mg | -0.155 |
Apremilast 30 mg | -0.277 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | units on a scale (Mean) |
---|---|
Placebo | -0.106 |
Apremilast 20 mg | -0.114 |
Apremilast 30 mg | -0.209 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | units on a scale (Mean) |
---|---|
Placebo | -11.52 |
Apremilast 20 mg | -9.49 |
Apremilast 30 mg | -11.38 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | -10.40 |
Apremilast 20 mg | -9.46 |
Apremilast 30 mg | -11.63 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | units on a scale (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -16.22 |
Placebo/Apremilast 20 mg XO | -20.70 |
Apremilast 20 mg | -14.77 |
Apremilast 30 mg | -17.68 |
"The DAS28 measures the severity of disease at a specific time and is derived from the following variables:~28 tender joint count (TJC28)~28 swollen joint count (SJC28), which do not include the distal interphalangeal (DIP) joints, the hip joint, or the joints below the knee;~C-reactive protein (CRP)~Subject's global assessment of disease activity (SGA).~DAS28 values range from 2.0 to 10.0 while higher values mean a higher disease activity.~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." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | units on a scale (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -1.18 |
Placebo/Apremilast 20 mg XO | -1.68 |
Apremilast 20 mg | -1.10 |
Apremilast 30 mg | -1.38 |
"The FACIT-Fatigue scale was 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." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | units on a scale (Mean) |
---|---|
Placebo/Apremilast 20mg EE | 3.50 |
Placebo/Apremilast 20 mg XO | 3.18 |
Apremilast 20 mg | 2.87 |
Apremilast 30 mg | 3.47 |
"The FACIT-Fatigue scale was 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." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | 2.7 |
Apremilast 20 mg | 1.5 |
Apremilast 30 mg | 2.6 |
"The FACIT-Fatigue scale was 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." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | 1.7 |
Apremilast 20 mg | 0.5 |
Apremilast 30 mg | 3.4 |
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). The concepts measured by the SF-36 are not specific to any age, disease, or treatment group, allowing comparison of relative burden of different diseases and the relative benefit of different treatments. 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. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | units on a scale (Mean) |
---|---|
Placebo | 1.48 |
Apremilast 20 mg | 1.64 |
Apremilast 30 mg | 3.33 |
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. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | units on a scale (Least Squares Mean) |
---|---|
Placebo | 1.78 |
Apremilast 20 mg | 1.66 |
Apremilast 30 mg | 3.76 |
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. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | units on a scale (Mean) |
---|---|
Placebo/Apremilast 20mg EE | 2.11 |
Placebo/Apremilast 20 mg XO | 3.50 |
Apremilast 20 mg | 2.56 |
Apremilast 30 mg | 5.23 |
"The erythrocyte sedimentation rate (ESR) is a blood test that can reveal inflammatory activity. The subject's blood is placed in a tall, thin tube, red erythrocytes gradually settle to the bottom. Inflammation can cause the cells to clump together. Because these clumps of cells are denser than individual cells, they settle to the bottom more quickly.~The ESR test measures the distance red blood cells fall in a test tube in one hour. The farther the red blood cells have descended, the greater the inflammatory response." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 6.81 |
Apremilast 20 mg | 13.98 |
Apremilast 30 mg | -9.39 |
"The erythrocyte sedimentation rate (ESR) is a blood test that can reveal inflammatory activity. The subject's blood is placed in a tall, thin tube, red erythrocytes gradually settle to the bottom. Inflammation can cause the cells to clump together. Because these clumps of cells are denser than individual cells, they settle to the bottom more quickly.~The ESR test measures the distance red blood cells fall in a test tube in one hour. The farther the red blood cells have descended, the greater the inflammatory response." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -0.06 |
Apremilast 20 mg | 11.99 |
Apremilast 30 mg | -6.60 |
"The erythrocyte sedimentation rate (ESR) is a blood test that can reveal inflammatory activity. The subject's blood is placed in a tall, thin tube, red erythrocytes gradually settle to the bottom. Inflammation can cause the cells to clump together. Because these clumps of cells are denser than individual cells, they settle to the bottom more quickly.~The ESR test measures the distance red blood cells fall in a test tube in one hour. The farther the red blood cells have descended, the greater the inflammatory response." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20 EE | -6.28 |
Placebo / Apremilast 20 mg XO | 17.15 |
Apremilast 20 mg | 4.83 |
Apremilast 30 mg | -15.99 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -13.32 |
Placebo/Apremilast 20 mg XO | -10.53 |
Apremilast 20 mg | -8.20 |
Apremilast 30 mg | -22.46 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -9.43 |
Apremilast 20 mg | -3.50 |
Apremilast 30 mg | -10.20 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -6.59 |
Apremilast 20 mg | -5.01 |
Apremilast 30 mg | -12.30 |
"C-Reactive Protein (CRP) is a substance produced by the liver that increases in the presence of inflammation in the body. An elevated CRP level is identified with blood tests and is considered a non-specific marker for disease." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 41.99 |
Apremilast 20 mg | 46.69 |
Apremilast 30 mg | 100.04 |
"C-Reactive Protein (CRP) is a substance produced by the liver that increases in the presence of inflammation in the body. An elevated CRP level is identified with blood tests and is considered a non-specific marker for disease." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 39.14 |
Apremilast 20 mg | 47.43 |
Apremilast 30 mg | 106.22 |
"C-Reactive Protein (CRP) is a substance produced by the liver that increases in the presence of inflammation in the body. An elevated CRP level is identified with blood tests and is considered a non-specific marker for disease." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | 13.34 |
Placebo/Apremilast 20 mg XO | 82.14 |
Apremilast 20 mg | 104.25 |
Apremilast 30 mg | 79.33 |
"The Physician Global Assessment of Disease Activity was measured asking the physician to assess the subject's current arthritis disease activity by placing a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -28.82 |
Apremilast 20 mg | -28.22 |
Apremilast 30 mg | -32.66 |
"The Physician Global Assessment of Disease Activity was measured asking the physician to assess the subject's current arthritis disease activity by placing a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -29.98 |
Apremilast 20 mg | -24.13 |
Apremilast 30 mg | -31.78 |
"The Physician Global Assessment of Disease Activity was measured asking the physician to assess the subject's current arthritis disease activity by placing a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -41.30 |
Placebo/Apremilast 20 mg XO | -49.10 |
Apremilast 20 mg | -41.19 |
Apremilast 30 mg | -44.85 |
"The Subject Assessment of Pain was measured asking the participant 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." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 30.50 |
Apremilast 20 mg | -5.03 |
Apremilast 30 mg | -7.87 |
"The Subject Assessment of Pain was measured asking the participant 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." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 28.16 |
Apremilast 20 mg | -6.66 |
Apremilast 30 mg | -9.66 |
"The Subject Assessment of Pain was measured asking the participant 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." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | 44.63 |
Placebo/Apremilast 20 mg XO | 15.78 |
Apremilast 20 mg | -11.69 |
Apremilast 30 mg | -3.73 |
"The Subject Global Assessment of Disease Activity was measured asking the participant to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 10.84 |
Apremilast 20 mg | -3.50 |
Apremilast 30 mg | 11.19 |
"The Subject Global Assessment of Disease Activity was measured asking the participant to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | 15.04 |
Apremilast 20 mg | 0.70 |
Apremilast 30 mg | 2.54 |
"The Subject Global Assessment of Disease Activity was measured asking the participant to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents lowest disease activity, and the right-hand boundary (score = 100 mm) represents highest disease activity. The distance from the mark to the left-hand boundary was recorded in millimeters." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20 EE | 14.20 |
Placebo / Apremilast 20 mg XO | 33.31 |
Apremilast 20 mg | -5.20 |
Apremilast 30 mg | 8.22 |
Joint swelling is soft tissue swelling that is detectable along the joint margins and is assessed by inspection and direct palpation of the joint, by the examiner. The ACR 66 swollen joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, metacarpophalangeal, proximal interphalangeal and distal interphalangeal; lower: knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -36.96 |
Apremilast 20 mg | -34.38 |
Apremilast 30 mg | -40.22 |
Joint swelling is soft tissue swelling that is detectable along the joint margins and is assessed by inspection and direct palpation of the joint, by the examiner. The ACR 66 swollen joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, metacarpophalangeal, proximal interphalangeal and distal interphalangeal; lower: knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -34.41 |
Apremilast 20 mg | -32.56 |
Apremilast 30 mg | -41.43 |
Joint swelling is soft tissue swelling that is detectable along the joint margins and is assessed by inspection and direct palpation of the joint, by the examiner. The ACR 66 swollen joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, metacarpophalangeal, proximal interphalangeal and distal interphalangeal; lower: knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -59.40 |
Placebo/Apremilast 20 mg XO | -67.73 |
Apremilast 20 mg | -57.31 |
Apremilast 30 mg | -66.74 |
Joint tenderness is the presence of pain in a joint when pressure is applied by the examiner to elicit tenderness. The 68 tender joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, meta-carpophalangeal, proximal interphalangeal and distal interphalangeal; lower: hip, knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -33.08 |
Apremilast 20 mg | -26.92 |
Apremilast 30 mg | -33.68 |
Joint tenderness is the presence of pain in a joint when pressure is applied by the examiner to elicit tenderness. The 68 tender joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, meta-carpophalangeal, proximal interphalangeal and distal interphalangeal; lower: hip, knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percent change (Least Squares Mean) |
---|---|
Placebo | -30.81 |
Apremilast 20 mg | -26.21 |
Apremilast 30 mg | -27.80 |
Joint tenderness is the presence of pain in a joint when pressure is applied by the examiner to elicit tenderness. The 68 tender joint count evaluates the following joints: upper-temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, meta-carpophalangeal, proximal interphalangeal and distal interphalangeal; lower: hip, knee, ankle, midtarsal, metatarsophalangeal and proximal interphalangeal. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percent change (Mean) |
---|---|
Placebo/Apremilast 20mg EE | -55.47 |
Placebo/Apremilast 20 mg XO | -62.70 |
Apremilast 20 mg | -43.88 |
Apremilast 30 mg | -54.03 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 39.2 |
Apremilast 20 mg | 35.4 |
Apremilast 30 mg | 52.6 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) 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. (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 20.3 |
Apremilast 20 mg | 25.6 |
Apremilast 30 mg | 32.9 |
The Health Assessment Questionnaire - Disability Index (HAQ-DI) was 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. (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 58.3 |
Placebo/Apremilast 20 mg XO | 43.6 |
Apremilast 20 mg | 40.0 |
Apremilast 30 mg | 58.2 |
"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." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 41.7 |
Placebo/Apremilast 20 mg XO | 61.5 |
Apremilast 20 mg | 45.5 |
Apremilast 30 mg | 40.0 |
"The FACIT-Fatigue scale was 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." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 39.2 |
Apremilast 20 mg | 35.4 |
Apremilast 30 mg | 42.1 |
"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." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 26.6 |
Apremilast 20 mg | 14.6 |
Apremilast 30 mg | 26.3 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 17.7 |
Apremilast 20 mg | 12.2 |
Apremilast 30 mg | 10.5 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 16.5 |
Apremilast 20 mg | 12.2 |
Apremilast 30 mg | 21.1 |
"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),~Subject's 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's Global Assessment of Disease Activity -measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = 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" (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 16.7 |
Placebo/Apremilast 20 mg XO | 41.0 |
Apremilast 20 mg | 25.0 |
Apremilast 30 mg | 27.3 |
"EULAR response criteria classify each participant as a good, moderate or non-responder to treatment based on the degree of improvement from baseline and the level of disease activity at the endpoint. EULAR response is derived using the individual subject's DAS28 as the measure of severity of disease.~Good or moderate response is defined as follows: Good response: DAS28 at the time point ≤ 3.2 and improvement from baseline > 1.2 Moderate response: DAS28 at the time point > 3.2 and improvement from baseline > 1.2, or DAS28 at the time point ≤ 5.1 and improvement from baseline > 0.6 and ≤ 1.2" (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 46.8 |
Apremilast 20 mg | 41.5 |
Apremilast 30 mg | 44.7 |
"EULAR response criteria classify each participant as a good, moderate or non-responder to treatment based on the degree of improvement from baseline and the level of disease activity at the endpoint. EULAR response is derived using the individual subject's DAS28 as the measure of severity of disease.~Good or moderate response is defined as follows: Good response: DAS28 at the time point ≤ 3.2 and improvement from baseline > 1.2 Moderate response: DAS28 at the time point > 3.2 and improvement from baseline > 1.2, or DAS28 at the time point ≤ 5.1 and improvement from baseline > 0.6 and ≤ 1.2" (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 40.5 |
Apremilast 20 mg | 29.3 |
Apremilast 30 mg | 35.5 |
"The EULAR response criteria classify each subject as a good, moderate or non-responder to treatment based on the degree of improvement from baseline and the level of disease activity at the endpoint. EULAR response is derived using the individual subject's DAS28 as the measure of severity of disease.~Good or moderate response is defined as follows: Good response: DAS28 at the time point ≤ 3.2 and improvement from baseline > 1.2 Moderate response: DAS28 at the time point > 3.2 and improvement from baseline > 1.2, or DAS28 at the time point ≤ 5.1 and improvement from baseline > 0.6 and ≤ 1.2" (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 69.6 |
Placebo/Apremilast 20 mg XO | 82.1 |
Apremilast 20 mg | 63.0 |
Apremilast 30 mg | 65.5 |
"Percentage of participants with an American College of Rheumatology 20% Improvement (ACR 20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 20% improvement in 68 tender joint count;~≥ 20% improvement in 66 swollen joint count; and~≥ 20% improvement in at least 3 of the 5 following parameters: Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index ([HAQ-DI]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 35.4 |
Apremilast 20 mg | 28 |
Apremilast 30 mg | 34.2 |
"Percentage of participants with an American College of Rheumatology 20% Improvement (ACR 20) response. A participant was a responder if the following 3 criteria for improvement from baseline were met:~≥ 20% improvement in 68 tender joint count;~≥ 20% improvement in 66 swollen joint count; and~≥ 20% improvement in at least 3 of the 5 following parameters: Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index ([HAQ-DI]); C-Reactive Protein" (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 24.1 |
Apremilast 20 mg | 19.5 |
Apremilast 30 mg | 27.6 |
"Percentage of participants with an American College of Rheumatology 20% Improvement (ACR 20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 20% improvement in 68 tender joint count;~≥ 20% improvement in 66 swollen joint count; and~≥ 20% improvement in at least 3 of the 5 following parameters: Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index ([HAQ-DI]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 47.8 |
Placebo/Apremilast 20 mg XO | 51.3 |
Apremilast 20 mg | 30.9 |
Apremilast 30 mg | 38.2 |
"Percentage of participants with an American College of Rheumatology 50% Improvement (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 50% improvement in 68 tender joint count;~≥ 50% improvement in 66 swollen joint count; and~≥ 50% improvement in at least 3 of the 5 following parameters:~Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [(HAQ-DI)]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percentage of participants (Number) |
---|---|
Placebo | 11.4 |
Apremilast 20 mg | 4.9 |
Apremilast 30 mg | 9.2 |
"Percentage of participants with an American College of Rheumatology 50% Improvement (ACR 50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 50% improvement in 68 tender joint count;~≥ 50% improvement in 66 swollen joint count; and~≥ 50% improvement in at least 3 of the 5 following parameters:~Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [(HAQ-DI)]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 6.3 |
Apremilast 20 mg | 4.9 |
Apremilast 30 mg | 15.8 |
"Percentage of participants with an American College of Rheumatology 50% Improvement (ACR 50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 50% improvement in 68 tender joint count;~≥ 50% improvement in 66 swollen joint count; and~≥ 50% improvement in at least 3 of the 5 following parameters:~Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [(HAQ-DI)]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 3.4 |
Placebo/Apremilast 20 mg XO | 11.9 |
Apremilast 20 mg | 4.9 |
Apremilast 30 mg | 5.3 |
"Percentage of participants with an American College of Rheumatology 70% Improvement (ACR70) response. A participant was a responder if the following 3 criteria for improvement from baseline were met:~≥ 70% improvement in 68 tender joint count;~≥ 70% improvement in 66 swollen joint count; and~≥ 70% improvement in at least 3 of the 5 following parameters: Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index ([HAQ-DI]); C-Reactive Protein" (NCT01285310)
Timeframe: Baseline and Week 16
Intervention | percent of participants (Number) |
---|---|
Placebo | 2.5 |
Apremilast 20 mg | 1.2 |
Apremilast 30 mg | 0.0 |
"Percentage of participants with an American College of Rheumatology 70% Improvement (ACR 70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:~≥ 70% improvement in 68 tender joint count;~≥ 70% improvement in 66 swollen joint count; and~≥ 70% improvement in at least 3 of the 5 following parameters:~Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [(HAQ-DI)]); C-Reactive Protein." (NCT01285310)
Timeframe: Baseline and Week 24
Intervention | percentage of participants (Number) |
---|---|
Placebo | 3.8 |
Apremilast 20 mg | 2.4 |
Apremilast 30 mg | 5.3 |
"Percentage of participants with an American College of Rheumatology 70% Improvement (ACR 70) response. A participant was a responder if the following 3 criteria for improvement from baseline were met:~≥ 70% improvement in 68 tender joint count;~≥ 70% improvement in 66 swollen joint count; and~≥ 70% improvement in at least 3 of the 5 following parameters: Subject's assessment of pain (measured on a 100 mm visual analog scale [VAS]); Subject'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); Subject's self-assessment of physical function (Health Assessment Questionnaire - Disability Index ([HAQ-DI]); C-Reactive Protein" (NCT01285310)
Timeframe: Baseline and Week 52
Intervention | percentage of participants (Number) |
---|---|
Placebo/Apremilast 20mg EE | 0.0 |
Placebo/Apremilast 20 mg XO | 5.0 |
Apremilast 20 mg | 7.1 |
Apremilast 30 mg | 5.5 |
8 reviews available for thalidomide and Arthritis, Rheumatoid
Article | Year |
---|---|
Novel insight into drug repositioning: Methylthiouracil as a case in point.
Topics: Animals; Anti-Inflammatory Agents; Antithyroid Agents; Arthritis, Rheumatoid; Biomarkers; Doxycyclin | 2015 |
TNF-alpha as a therapeutic target in inflammatory diseases, ischemia-reperfusion injury and trauma.
Topics: Anti-Inflammatory Agents; Antibodies, Monoclonal; Arthritis, Rheumatoid; Humans; Immunosuppressive A | 2009 |
Therapy of ankylosing spondylitis and other spondyloarthritides: established medical treatment, anti-TNF-alpha therapy and other novel approaches.
Topics: Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Blocking; Antibodies, Monoclonal; Antirheumatic | 2002 |
[Thalidomide--a new prospective therapy in rheumatology and transplantation].
Topics: Arthritis, Rheumatoid; Behcet Syndrome; Graft vs Host Disease; Humans; Immunosuppressive Agents; Int | 2003 |
Thalidomide: current and potential clinical applications.
Topics: Angiogenesis Inhibitors; Anti-HIV Agents; Arthritis, Rheumatoid; Behcet Syndrome; Dermatologic Agent | 2000 |
Anti-TNF therapies in rheumatoid arthritis, Crohn's disease, sepsis, and myelodysplastic syndromes.
Topics: Arthritis, Rheumatoid; Crohn Disease; Etanercept; Humans; Immunoglobulin G; Myelodysplastic Syndrome | 2000 |
[Suppression of synthesis of tumor necrosis factor].
Topics: Animals; Arthritis, Rheumatoid; Crohn Disease; Humans; Inflammation; Interleukin-10; Phosphodiestera | 2001 |
[Therapeutic approach to elderly patients with rheumatoid arthritis].
Topics: Adrenal Cortex Hormones; Age Factors; Aged; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non- | 1987 |
2 trials available for thalidomide and Arthritis, Rheumatoid
Article | Year |
---|---|
Apremilast in Patients With Active Rheumatoid Arthritis: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study.
Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; D | 2015 |
Thalidomide in the treatment of refractory rheumatoid arthritis.
Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Female; Humans; Immunosuppressive Agents; Male; Middle | 1999 |
19 other studies available for thalidomide and Arthritis, Rheumatoid
Article | Year |
---|---|
Successful Treatment of Rituximab-Associated Palmoplantar Pustulosis With Apremilast in a Patient With Seropositive Rheumatoid Arthritis.
Topics: Arthritis, Rheumatoid; Humans; Psoriasis; Rituximab; Thalidomide | 2021 |
[The 456th case: polyarthritis, dry cough, dyspnea on exertion].
Topics: Arthralgia; Arthritis, Rheumatoid; Autoantibodies; Blood Sedimentation; C-Reactive Protein; Cough; D | 2017 |
Utility of osteosclerotic lesion biopsy in diagnosis of POEMS syndrome: A case report.
Topics: Arthritis, Rheumatoid; Cell Proliferation; Diagnosis, Differential; Female; Humans; Immunoelectropho | 2017 |
Hansen's Disease and Rheumatoid Arthritis Crossover of Clinical Symptoms: A Case Series of 18 Patients in the United States.
Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Clofazimine; Cross-Over Studies; Drug Therapy, Co | 2017 |
[The plasmic translocation and release of high mobility group box chromosomal protein 1 in peripheral blood monocytes of patients with rheumatoid arthritis and the effect of thalidomide].
Topics: Adult; Arthritis, Rheumatoid; Blotting, Western; Cells, Cultured; Culture; Culture Media, Conditione | 2008 |
Apremilast, a novel PDE4 inhibitor, inhibits spontaneous production of tumour necrosis factor-alpha from human rheumatoid synovial cells and ameliorates experimental arthritis.
Topics: Animals; Arthritis, Experimental; Arthritis, Rheumatoid; Cells, Cultured; Disease Models, Animal; Do | 2010 |
Bisphosphonate-related osteonecrosis of the jaws - characteristics, risk factors, clinical features, localization and impact on oncological treatment.
Topics: Adult; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Antineoplastic Combined Chemotherapy Protoc | 2012 |
Interstitial granulomatous dermatitis associated with the use of tumor necrosis factor alpha inhibitors.
Topics: Adalimumab; Adult; Aged; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antirheumatic Ag | 2006 |
Stroke caused by small vessel occlusion in a patient taking etoricoxib and thalidomide.
Topics: Adult; Arthritis, Rheumatoid; Cerebral Infarction; Cyclooxygenase 2 Inhibitors; Drug Therapy, Combin | 2007 |
Thalidomide. A promising new treatment for rheumatoid arthritis.
Topics: Adult; Arthritis, Rheumatoid; Blood Sedimentation; Drug Eruptions; Female; Humans; Leukopenia; Middl | 1984 |
Synergistic effects of thalidomide and poly (ADP-ribose) polymerase inhibition on type II collagen-induced arthritis in mice.
Topics: Animals; Arthritis; Arthritis, Rheumatoid; Cattle; Collagen; Disease Models, Animal; Drug Synergism; | 1996 |
An open study of pentoxyfylline and thalidomide as adjuvant therapy in the treatment of rheumatoid arthritis.
Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Chemotherapy, Adjuvant; Hematologic Tests; Humans; Immu | 1996 |
The effect of thalidomide and 2 analogs on collagen induced arthritis.
Topics: Animals; Arthritis, Rheumatoid; Collagen; Disease Models, Animal; Endothelial Growth Factors; Female | 1998 |
TNF-alpha-targeted therapy in rheumatoid arthritis.
Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Monoclonal; Arthritis, Rheumatoid; Dru | 1999 |
Targeting of vasculature in cancer and other angiogenic diseases.
Topics: Angiogenesis Inhibitors; Antibodies, Monoclonal; Antigens, CD; Arthritis, Rheumatoid; Diabetic Retin | 2001 |
Treatment of refractory rheumatoid arthritis--the thalidomide experience.
Topics: Adult; Aged; Arthritis, Rheumatoid; Edema; Female; Humans; Male; Middle Aged; Pain; Sleep Stages; Th | 1989 |
A possible mechanism of action of thalidomide on rheumatoid arthritis.
Topics: Arthritis, Rheumatoid; Free Radicals; Humans; Neutrophils; Superoxides; Thalidomide | 1985 |
Thalidomide neurotoxicity and rheumatoid arthritis.
Topics: Arthritis, Rheumatoid; Female; Humans; Peripheral Nervous System Diseases; Thalidomide | 1986 |
Thalidomide-induced neuropathy in rheumatoid arthritis patients.
Topics: Arthritis, Rheumatoid; Female; Humans; Nervous System Diseases; Thalidomide | 1988 |