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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT02187055




Registration number
NCT02187055
Ethics application status
Date submitted
8/07/2014
Date registered
10/07/2014
Date last updated
27/06/2018

Titles & IDs
Public title
An Efficacy And Safety Study Evaluating Tofacitinib With And Without Methotrexate Compared To Adalimumab With Methotrexate
Scientific title
A Phase 3b/4 Randomized Double Blind Study Of 5 Mg Of Tofacitinib With And Without Methotrexate In Comparison To Adalimumab With Methotrexate In Subjects With Moderately To Severely Active Rheumatoid Arthritis
Secondary ID [1] 0 0
2014-000358-13
Secondary ID [2] 0 0
A3921187
Universal Trial Number (UTN)
Trial acronym
ORAL STRATEGY
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Rhematoid Arthritis 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Osteoarthritis
Inflammatory and Immune System 0 0 0 0
Rheumatoid arthritis

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Tofacitinib with methotrexate
Treatment: Drugs - Tofacitinib without methotrexate
Other interventions - Adalimumab with methotrexate

Experimental: Tofacitinib 5 mg twice daily with methotrexate -

Experimental: Tofacitinib 5 mg twice daily monotherapy -

Active Comparator: Adalimumab with methotrexate -


Treatment: Drugs: Tofacitinib with methotrexate
Tofacitinib 5 mg twice daily, oral for 12 months Methotrexate (previous stable dose 15-25 mg) every week, oral for 12 months Placebo for adalimumab every other week, subcutaneous for 12 months

Treatment: Drugs: Tofacitinib without methotrexate
Tofacitinib 5 mg twice daily, oral for 12 months Placebo for methotrexate (previous stable dose) every week, oral for 12 months Placebo for adalimumab every other week, subcutaneous for 12 months

Other interventions: Adalimumab with methotrexate
Placebo for tofacitinib twice daily, oral for 12 months Methotrexate (previous stable dose 15-25 mg) every week, oral for 12 months Adalimumab 40 mg every other week, subcutaneous for 12 months

Intervention code [1] 0 0
Treatment: Drugs
Intervention code [2] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants Achieving American College of Rheumatology Criteria 50% Improvement (ACR50) Response at Month 6
Timepoint [1] 0 0
Month 6
Secondary outcome [1] 0 0
Change From Baseline in Simplified Disease Activity Index (SDAI) Value at Month 6
Timepoint [1] 0 0
Month 6
Secondary outcome [2] 0 0
Change From Baseline in Clinical Disease Activity Index (CDAI) Value at Month 6
Timepoint [2] 0 0
Month 6
Secondary outcome [3] 0 0
Change From Baseline in Disease Activity Score 28-4 (DAS28-4) Including CRP at Month 6
Timepoint [3] 0 0
Month 6
Secondary outcome [4] 0 0
Change From Baseline in Disease Activity Score 28-4 (DAS28-4) Including Erythrocyte Sedimentation Rate (ESR) at Month 6
Timepoint [4] 0 0
Month 6
Secondary outcome [5] 0 0
Percentage of Participants Achieving Observed American College of Rheumatology-European League Against Rheumatism (ACR-EULAR) Boolean Remission Criteria at Month 6
Timepoint [5] 0 0
Month 6
Secondary outcome [6] 0 0
Percentage of Participants Achieving SDAI =3.3 at Month 6
Timepoint [6] 0 0
Month 6
Secondary outcome [7] 0 0
Percentage of Participants Achieving CDAI =2.8 at Month 6
Timepoint [7] 0 0
Month 6
Secondary outcome [8] 0 0
Percentage of Participants Achieving DAS28-4 (ESR) <2.6 at Month 6
Timepoint [8] 0 0
Month 6
Secondary outcome [9] 0 0
Percentage of Participants Achieving DAS28-4 (CRP) <2.6 at Month 6
Timepoint [9] 0 0
Month 6
Secondary outcome [10] 0 0
Percentage of Participants Achieving SDAI =11 at Month 6
Timepoint [10] 0 0
Month 6
Secondary outcome [11] 0 0
Percentage of Participants Achieving CDAI =10 at Month 6
Timepoint [11] 0 0
Month 6
Secondary outcome [12] 0 0
Percentage of Participants Achieving DAS28-4 (ESR) =3.2 at Month 6
Timepoint [12] 0 0
Month 6
Secondary outcome [13] 0 0
Percentage of Participants Achieving DAS28-4 (CRP) =3.2 at Month 6
Timepoint [13] 0 0
Month 6
Secondary outcome [14] 0 0
Percentage of Participants Achieving American College of Rheumatology Criteria 20% Improvement (ACR20) Response at Month 6
Timepoint [14] 0 0
Month 6
Secondary outcome [15] 0 0
Percentage of Participants Achieving American College of Rheumatology Criteria 70% Improvement (ACR70) Response at Month 6
Timepoint [15] 0 0
Month 6
Secondary outcome [16] 0 0
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) at Month 6
Timepoint [16] 0 0
Month 6
Secondary outcome [17] 0 0
Percentage of Participants Achieving an HAQ-DI Decrease of at Least 0.22 at Month 6
Timepoint [17] 0 0
Month 6
Secondary outcome [18] 0 0
Change From Baseline in the Short-Form-36 (SF-36) Health Survey, Physical Component Score at Month 6
Timepoint [18] 0 0
Month 6
Secondary outcome [19] 0 0
Change From Baseline in the SF-36 Health Survey, Mental Component Score at Month 6
Timepoint [19] 0 0
Month 6
Secondary outcome [20] 0 0
Change From Baseline in the SF-36 Health Survey, Physical Functioning Domain Score at Month 6
Timepoint [20] 0 0
Month 6
Secondary outcome [21] 0 0
Change From Baseline in the SF-36 Health Survey, Role Physical Domain Score at Month 6
Timepoint [21] 0 0
Month 6
Secondary outcome [22] 0 0
Change From Baseline in the SF-36 Health Survey, Bodily Pain Domain Score at Month 6
Timepoint [22] 0 0
Month 6
Secondary outcome [23] 0 0
Change From Baseline in the SF-36 Health Survey, General Health Domain Score at Month 6
Timepoint [23] 0 0
Month 6
Secondary outcome [24] 0 0
Change From Baseline in the SF-36 Health Survey, Vitality Domain Score at Month 6
Timepoint [24] 0 0
Month 6
Secondary outcome [25] 0 0
Change From Baseline in the SF-36 Health Survey, Social Functioning Domain Score at Month 6
Timepoint [25] 0 0
Month 6
Secondary outcome [26] 0 0
Change From Baseline in the SF-36 Health Survey, Role Emotional Domain Score at Month 6
Timepoint [26] 0 0
Month 6
Secondary outcome [27] 0 0
Change From Baseline in the SF-36 Health Survey, Mental Health Domain Score at Month 6
Timepoint [27] 0 0
Month 6
Secondary outcome [28] 0 0
Change From Baseline in the Work Productivity and Activity Impairment (WPAI) Questionnaire at Month 6
Timepoint [28] 0 0
Month 6
Secondary outcome [29] 0 0
Change From Baseline in the EuroQol European Quality of Life-5 Dimensions (EuroQol EQ-5D) at Month 6
Timepoint [29] 0 0
Month 6
Secondary outcome [30] 0 0
Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale Total Score at Month 6
Timepoint [30] 0 0
Month 6

Eligibility
Key inclusion criteria
- Have moderate to severe rheumatoid arthritis

- On methotrexate but inadequately controlled

- Subjects must not have active tuberculosis or an inadequately treated tuberculosis
infection

- Subjects must use contraception
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Subjects who have been previously treated with adalimumab or Tofacitinib

- Subjects with any current malignancy or a history of malignancy, with the exception of
adequately treated or excised non metastatic basal cell or squamous cell cancer of the
skin or cervical carcinoma in situ.

- Subjects with specific laboratory test abnormalities

- Subjects with specific types of infections

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 4
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
Recruitment hospital [1] 0 0
Royal Prince Alfred Hospital - Camperdown
Recruitment hospital [2] 0 0
Pacific Private Clinic - Southport
Recruitment hospital [3] 0 0
QML Pathology - Southport
Recruitment hospital [4] 0 0
The Queen Elizabeth Hospital - Woodville South
Recruitment hospital [5] 0 0
Emeritus Research - Malvern East
Recruitment hospital [6] 0 0
RK Will Pty Ltd - Victoria Park
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
4215 - Southport
Recruitment postcode(s) [3] 0 0
5011 - Woodville South
Recruitment postcode(s) [4] 0 0
3145 - Malvern East
Recruitment postcode(s) [5] 0 0
6100 - Victoria Park
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Connecticut
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Idaho
Country [7] 0 0
United States of America
State/province [7] 0 0
Illinois
Country [8] 0 0
United States of America
State/province [8] 0 0
Indiana
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United States of America
State/province [9] 0 0
Louisiana
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United States of America
State/province [10] 0 0
Maryland
Country [11] 0 0
United States of America
State/province [11] 0 0
Michigan
Country [12] 0 0
United States of America
State/province [12] 0 0
Mississippi
Country [13] 0 0
United States of America
State/province [13] 0 0
Missouri
Country [14] 0 0
United States of America
State/province [14] 0 0
New York
Country [15] 0 0
United States of America
State/province [15] 0 0
North Carolina
Country [16] 0 0
United States of America
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North Dakota
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United States of America
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Oklahoma
Country [18] 0 0
United States of America
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Pennsylvania
Country [19] 0 0
United States of America
State/province [19] 0 0
South Carolina
Country [20] 0 0
United States of America
State/province [20] 0 0
Tennessee
Country [21] 0 0
United States of America
State/province [21] 0 0
Texas
Country [22] 0 0
United States of America
State/province [22] 0 0
Washington
Country [23] 0 0
Argentina
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Buenos Aires
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Argentina
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Tucuman
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Argentina
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San Juan
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Bosnia and Herzegovina
State/province [26] 0 0
Republika Srpska
Country [27] 0 0
Bosnia and Herzegovina
State/province [27] 0 0
Tuzla
Country [28] 0 0
Bulgaria
State/province [28] 0 0
Pleven
Country [29] 0 0
Bulgaria
State/province [29] 0 0
Plovdiv
Country [30] 0 0
Bulgaria
State/province [30] 0 0
Ruse
Country [31] 0 0
Bulgaria
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Shumen
Country [32] 0 0
Bulgaria
State/province [32] 0 0
Sofia
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Bulgaria
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Targovisthe
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Canada
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Ontario
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Canada
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Quebec
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Chile
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Metropolitana
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Chile
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Valparaiso
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Chile
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X Region
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Czechia
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Czech Republic
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Czechia
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Brno
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Czechia
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Ceska Lipa
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Czechia
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Ostrava- Moravska Ostrava
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Czechia
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Praha 4
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Estonia
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Parnu
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Tallinn
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Haifa
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Incheon
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Korea, Republic of
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Daegu
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Korea, Republic of
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Gwangju
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Korea, Republic of
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Seoul
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Riga
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Lithuania
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Alytus
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Lithuania
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Kaunas
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Lithuania
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Siauliai
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Mexico
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Distrito Federal
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Davao DEL SUR
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Iloilo
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Metro Manila
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Davao
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Philippines
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Iloilo City
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WOJ Mazowieckie
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Bydgoszcz
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Bytom
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Elblag
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Gdynia
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Katowice
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Lodz
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Nadarzyn
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Poznan
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Poland
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Warszawa
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Poland
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Wroclaw
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Romania
State/province [85] 0 0
Cluj
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Romania
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Covasna
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Romania
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Maramures
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Romania
State/province [88] 0 0
Bucuresti
Country [89] 0 0
Romania
State/province [89] 0 0
Galati
Country [90] 0 0
Romania
State/province [90] 0 0
Iasi
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Russian Federation
State/province [91] 0 0
Karelia Republic
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Russian Federation
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Kemerovo
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Russian Federation
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Moscow
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Russian Federation
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Novosibirsk
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Russian Federation
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Orenburg
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Russian Federation
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Ryazan
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Russian Federation
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Saint Petersburg
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Russian Federation
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Samara
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Russian Federation
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Saratov
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Russian Federation
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Smolensk
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Russian Federation
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Yaroslavl
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South Africa
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FREE State
Country [103] 0 0
South Africa
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Gauteng
Country [104] 0 0
South Africa
State/province [104] 0 0
Kwazulu-natal
Country [105] 0 0
South Africa
State/province [105] 0 0
Western CAPE
Country [106] 0 0
Spain
State/province [106] 0 0
A Coruna
Country [107] 0 0
Spain
State/province [107] 0 0
Barcelona
Country [108] 0 0
Spain
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Madrid
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Spain
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Malaga
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Spain
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Sevilla
Country [111] 0 0
Taiwan
State/province [111] 0 0
Taiwan ROC
Country [112] 0 0
Taiwan
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Hualien
Country [113] 0 0
Taiwan
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Kaohsiung
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Taiwan
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Taipei
Country [115] 0 0
Taiwan
State/province [115] 0 0
Taoyuan County
Country [116] 0 0
Thailand
State/province [116] 0 0
Rajthevi
Country [117] 0 0
Thailand
State/province [117] 0 0
Bangkok
Country [118] 0 0
Thailand
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Songkhla
Country [119] 0 0
Turkey
State/province [119] 0 0
Ankara
Country [120] 0 0
Turkey
State/province [120] 0 0
Samsun
Country [121] 0 0
Turkey
State/province [121] 0 0
Sivas
Country [122] 0 0
United Kingdom
State/province [122] 0 0
WEST Midlands
Country [123] 0 0
United Kingdom
State/province [123] 0 0
Cannock
Country [124] 0 0
United Kingdom
State/province [124] 0 0
Leeds
Country [125] 0 0
United Kingdom
State/province [125] 0 0
Liverpool
Country [126] 0 0
United Kingdom
State/province [126] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Pfizer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
To assess the efficacy of tofacitinib monotherapy or tofacitinib with methotrexate as
compared to adalimumab with methotrexate. To compare the efficacy of tofacitinib monotherapy
compared to tofacitinib combined with methotrexate. To compare effects on all health outcomes
measures in the study. To evaluate the safety and tolerability of tofacitinib and adalimumab.
To evaluate the safety of the zoster vaccine given prior to the initiation of tofacitinb or
adalimumab.
Trial website
https://clinicaltrials.gov/ct2/show/NCT02187055
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Pfizer CT.gov Call Center
Address 0 0
Pfizer
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT02187055