FOR ADULTS WITH MODERATELY TO SEVERELY ACTIVE RA, IN COMBINATION WITH MTX

IMPROVEMENT IN PHYSICAL FUNCTION

ACR20 response at Week 14 (primary endpoint): 59% of patients receiving SIMPONI ARIA® + MTX achieved ACR20 response vs 25% of patients receiving placebo + MTX (P < 0.001)1,2

At Week 14: The mean improvement from baseline in HAQ-DI* score was

0.50

for patients receiving SIMPONI ARIA® + MTX (n=395) (P<0.001)

Bluecircle

0.19

for patients receiving placebo + MTX (n=197)1,2

haq-di-chart

ACR20 response at Week 14 (primary endpoint): 59% of patients receiving SIMPONI ARIA® + MTX achieved ACR20 response vs 25% of patients receiving placebo + MTX (P<0.001)1,2

At Week 14: The mean improvement from baseline in HAQ-DI* score was

0.50

for patients receiving SIMPONI ARIA® + MTX (n=395) (P<0.001)

versus

0.19

for patients receiving placebo + MTX (n=197)1,2

At Week 24: The mean change from baseline in HAQ-DI* score was

0.53

for patients receiving SIMPONI ARIA® + MTX (n=395)

versus

0.21

for patients receiving placebo + MTX (n=197)1-3

WEEK 24 CROSSOVER†‡

At Week 52: The mean change from baseline in HAQ-DI* score was

0.51

for patients receiving SIMPONI ARIA® + MTX (n=395)

versus

0.42

for patients receiving placebo who crossed over to SIMPONI ARIA® + MTX (n=197)3

OPEN-LABEL EXTENSION‡§||¶

At Week 100: The mean change from baseline in HAQ-DI* score was

0.53

for patients receiving SIMPONI ARIA® + MTX (n=395)

versus

0.47

for patients receiving placebo who crossed over to SIMPONI ARIA® + MTX (n=197)4

HAQ-DI responses at Week 24 were not adjusted for multiplicity. Therefore, statistical significance has not been established.

*A reduction in HAQ-DI score of ≥0.25 is clinically meaningful. The HAQ-DI is a validated questionnaire. It is scored from 0 (no disability) to 3 (completely disabled).
The same patients may not have responded at each time point.
In this ITT analysis, patients were considered to be nonresponders if they experienced any of the following: increased MTX dose above baseline for RA; initiated treatment with DMARDs (including commercial MTX), systemic immunosuppressives, and/or biologics for RA; initiated treatment with oral corticosteroids for RA above baseline dose or received IV or intramuscular corticosteroids for RA; or discontinued treatment due to an unsatisfactory therapeutic effect. Last observation carried forward rules were applied to missing data. The patients who early escaped at Week 16 also had Week 16 data carried forward up through Week 24.
§At Week 24, all remaining patients in the placebo + MTX group began receiving SIMPONI ARIA® + MTX in a blinded manner.
||In this ITT analysis, all rules were nullified and reapplied after Week 24. Patients were considered to be nonresponders if they discontinued treatment due to an unsatisfactory therapeutic effect.
At Week 52, all study personnel were unblinded to subject-level data.

Study design: GO-FURTHER™ was a global, multicenter, randomized, double-blind, placebo-controlled study in 592 adult patients who had moderately to severely active RA despite a stable dose of MTX (15-25 mg/week) for ≥3 months and who had not been previously treated with an anti-TNF agent. Moderately to severely active RA was defined as ≥6 swollen joints (out of 66 total) and ≥6 tender joints (out of 68 total), RF positive and/or anti-CCP antibody positive, and CRP ≥1.0 mg/dL. Patients were randomized to receive SIMPONI ARIA® 2 mg/kg + MTX (n=395) or placebo + MTX (n=197) as a 30-minute IV infusion at Weeks 0 and 4, and then q8w through Week 100. At Week 16, patients in the placebo + MTX group with <10% improvement from baseline in both swollen joint count and tender joint count began receiving SIMPONI ARIA® 2 mg/kg beginning with an induction regimen at Weeks 16 and 20, followed by maintenance infusions q8w in a blinded manner. At Week 24, all patients remaining in the placebo + MTX group began receiving SIMPONI ARIA® 2 mg/kg beginning with an induction regimen at Weeks 24 and 28, followed by maintenance infusions q8w in a blinded manner. All patients continued to receive MTX. The primary endpoint was the percentage of patients achieving an ACR20 response at Week 14.2

ACR20=20% improvement in American College of Rheumatology criteria; CCP=cyclic citrullinated peptide; CRP=C-reactive protein; DMARD=disease-modifying anti-rheumatic drug; HAQ-DI=health assessment questionnaire-disability index; MTX=methotrexate; q8w=every 8 weeks; RA=rheumatoid arthritis; RF=rheumatoid factor; TNF=tumor necrosis factor; vdH‑S=van der Heijde Modified Sharp score.

References: 1. SIMPONI ARIA® (golimumab) [Prescribing Information]. Horsham, PA: Johnson & Johnson. 2. Data on file. Johnson & Johnson. 3. Weinblatt ME, Bingham CO III, Mendelsohn
AM, et al. Intravenous golimumab is effective in patients with active rheumatoid arthritis despite methotrexate therapy with responses as early as week 2: results of the phase 3, randomised,
multicentre, double-blind, placebo-controlled GO-FURTHER trial. Ann Rheum Dis. 2013;72:381-389. 4. Bingham CO III, Mendelsohn AM, Kim L, et al. Arthritis Care Res (Hoboken).
2015;67(12):1627-1636.