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A Study of Tofacitinib in Patients With Ulcerative Colitis in Stable Remission

NCT03281304 — Phase 4, Terminated, 140 participants, Pfizer

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A PHASE 3B/4, MULTI-CENTER, DOUBLE-BLIND, RANDOMIZED, PARALLEL GROUP STUDY OF TOFACITINIB (CP-690,550) IN SUBJECTS WITH ULCERATIVE COLITIS IN STABLE REMISSION

RegistryNCT03281304
StatusTerminated - The study terminated early due to business reasons, with the study already meeting its primary objective. The decision to terminate the trial was not based on any safety and/or efficacy concerns.
PhasePhase 4
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
Enrollment140 (Actual)
SponsorPfizer (Industry)
ConditionsUlcerative Colitis
InterventionsCP-690,500 5 mg, CP-690,550 10 mg (Drug)
Datesstart 2017-11-16, primary completion 2020-02-14, completion 2022-03-18, first posted 2017-09-13, last updated 2023-03-21
Locations80 sites in United States, Belgium, Canada, Czechia, France, Germany, Hungary, Italy and 12 more countries

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-Summary

This study is a follow up study for subjects with Ulcerative Colitis (UC) in stable remission designed to evaluate flexible dosing of CP-690,550.

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+Arms and interventions

ArmTypeInterventionsDescription
CP-690,550 5 mgExperimentalDrug: CP-690,500 5 mgCP-690,550 5 mg tablet by mouth twice a day (BID)
CP-690,550 10 mgExperimentalDrug: CP-690,550 10 mgCP-690,550 10 mg BID
  • CP-690,500 5 mg (Drug): CP-690,550 5 mg tablet BID
  • CP-690,550 10 mg (Drug): CP-690,550 10 mg tablet BID

+Outcome measures

Primary outcomes

  • Number of Participants With Remission Based on Modified Mayo Score at Month 6 [Month 6]: Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0 at Month 6. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.

Secondary outcomes

  • Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method [Up to Month 42]: Time to loss of remission(flare): time from first drug administration until time of meeting loss of remission criteria based on modified mayo score. Loss of remission: meeting at least (>=)1 criteria: increase from Baseline in rectal bleeding subscore by >=1 point and increase in endoscopic subscore by >=1 point; increase from Baseline in rectal bleeding subscore by >=2 points and endoscopic subscore >0; increase in stool frequency subscore by >=2 points and increase in endoscopic subscore by >=1 point; increase in endoscopic subscore by >=2 points. Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores: Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores, each subscore graded from 0 to 3 with higher scores for each score=more severe disease. All scores summed up to give total modified mayo score range from 0 to 9; higher scores=more severe disease.
  • Number of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Remission as per modified partial mayo score was defined as stool frequency subscore of 0 or 1, and rectal bleeding sub score of 0 at the specified time points. Modified partial mayo scores consisted of 2 components: stool frequency and rectal bleeding: each subscore graded from 0 to 3 with higher scores for each score = more severe disease. These scores were summed up to give a total modified partial mayo score range of 0 to 6; where higher scores indicating more severe disease.
  • Number of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42 [Months 6, 18, 30 and 42]: Remission as per total mayo score was defined by a total mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and physician global assessment (PGA), each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.
  • Number of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Remission as per partial mayo score was defined as partial mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.
  • Number of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42 [Months 18, 30 and 42]: Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease.
  • Change From Baseline in Modified Mayo Score at Month 6 [Baseline, Month 6]: Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.
  • Change From Baseline in Modified Mayo Score at Months 18, 30 and 42 [Baseline, Months 18, 30 and 42]: Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease.
  • Change From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6 [Baseline, Months 1, 3 and 6]: Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total Modified partial mayo score ranges from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.
  • Change From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total modified partial mayo score range from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease.
  • Change From Baseline in Total Mayo Score at Month 6 [Baseline, Month 6]: Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.
  • Change From Baseline in Total Mayo Score at Months 18, 30 and 42 [Baseline, Months 18, 30 and 42]: Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease.
  • Change From Baseline in Partial Mayo Score at Months 1, 3 and 6 [Baseline, Months 1, 3 and 6]: Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.
  • Change From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score ranges from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease.
  • Number of Participants With Mucosal Healing at Months 6, 18, 30 and 42 [Months 6, 18, 30 and 42]: Mucosal healing in participants was defined as the mayo endoscopic subscore of 0 or 1. The Mayo endoscopic subscore consisted of the findings of centrally read flexible sigmoidoscopy, graded from 0 to 3 with higher scores indicated more severe disease.
  • Number of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42 [Months 6, 18, 30 and 42]: Clinical response was defined as a decrease from baseline in mayo score of at least 3 points and at least 30 percent, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of 0 or 1. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a mayo score range of 0 to 12, where higher scores indicating more severe disease.
  • Change From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Change from baseline in fecal calprotectin (in micrograms per gram \[mcg/g\]) was reported.
  • Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 [Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42]: Change From baseline in hs-CRP level (in milligrams per liter \[mg/L\]) is reported.
  • Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) [Baseline up to 43 months]: An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment or worsened during the treatment period relative to the pretreatment state. AEs included both serious and all non-serious adverse events (irrespective of frequency threshold used to report other AEs in safety section).
  • Number of Participants With Serious Infections [Baseline up to 43 months]: Serious infections were defined as any infections (viral, bacterial, and fungal) requiring parenteral antimicrobial therapy, hospitalization for treatment, or meeting other criteria that require the infection to be classified as serious adverse event. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events.
  • Number of Participants With Clinical Laboratory Abnormalities [Baseline up to 27 months]: Abnormality criteria: Hematology: hemoglobin(Hg): <0.8* lower limit of normal (LLN); hematocrit: <0.8*LLN; lymphocytes: <0.8* LLN; lymphocytes/leukocytes: <0.8*LLN; erythrocytes: <0.8*LLN; erythrocytes mean corpuscular volume: <0.9*LLN; erythrocytes mean corpuscular Hg: <0.9*LLN; reticulocytes, reticulocytes/erythrocytes:>1.5* upper limit of normal (ULN); neutrophils, neutrophils/leukocytes: >1.2*ULN; basophils/leukocytes, eosinophils, eosinophils/leukocytes, monocytes/leukocytes: >1.2*ULN; leukocyte esterase: >=1; Clinical chemistry: bicarbonate:<0.9*LLN, bilirubin: >1.5*ULN; indirect bilirubin: >1.5* ULN; aspartate aminotransferase(AT): >3.0*ULN; alanine AT: >3.0*ULN; gamma glutamyl transferase: >3.0* ULN; creatine kinase: >2.0*ULN; potassium: >1.1*ULN; blood urea nitrogen: >1.3*ULN; creatinine: >1.3*ULN; urate: >1.2*ULN; cholesterol: >1.3*ULN; HDL-cholesterol: <0.8* LLN; LDL-cholesterol: >1.2*ULN; triglycerides: >1.3*ULN; glucose: >1.5*ULN; and urine Hg >=1.
  • Number of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation [Baseline up to 43 months]: Laboratory abnormalities leading to study treatment discontinuation: 2 sequential neutrophil counts <750 neutrophils per cubic millimeter (mm\^3); 2 sequential lymphocyte counts <500 lymphocytes/mm\^3; 2 sequential hemoglobin <8.0 grams per deciliter; 2 sequential platelet counts <75000 platelets/mm\^3; 2 sequential AST or ALT elevations >=3*ULN with at least one total bilirubin value >=2*ULN; 2 sequential AST or ALT elevations >=3*ULN accompanied by signs or symptoms consistent with hepatic injury; 2 sequential AST or ALT elevations >=5*ULN; 2 sequential increases in creatinine >50% and >0.5 milligrams per deciliter over A3921139 baseline; 2 sequential CK elevations >10*ULN unless the causality is known not to be medically serious (eg, exercise induced).
  • Number of Participants With Vital Sign Abnormalities [Baseline up to 43 months]: Vital signs abnormality criteria included: 1) a) diastolic blood pressure (DBP) of (less than) <50 millimeter of mercury (mmHg), b) change greater than equal to (>=) 20 mmHg increase, c) change >=20 mmHg decrease; 2) a) systolic blood pressure (SBP) of <90 mmHg, b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate >120 bpm. Only those categories in which at least 1 participant had data were reported.
  • Number of Participants With Clinically Significant Physical Examinations Abnormalities [Baseline up to 43 months]: Physical examination included assessment of the weight, general appearance, eyes, mouth, lungs, heart, abdomen, musculoskeletal, extremities, skin and lymph nodes. Clinical significance was assessed by the Investigator.
  • Number of Participants With Opportunistic Infections, All Malignancy, Gastrointestinal Perforation and Cardiovascular Events Adjudicated by Adjudication Committee [Baseline up to 43 months]: Number of participants with adjudicated opportunistic infections including herpes zoster (non-adjacent or >2 adjacent dermatomes); all malignancies including non-melanoma skin cancer; gastrointestinal perforation and cardiovascular events including pulmonary embolism and cerebrovascular accident, adjudicated by adjudication committee were reported.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Currently enrolled in Study A3921139 receiving CP-690,550 10 mg BID for at least 2 years consecutively.
* In stable remission on CP-690,550 10 mg BID
* Agree to use highly effective contraception
* Negative pregnancy test
* Comply with visits, treatments, lab tests, diary and other study procedures
* Signed and dated informed consent document.

Exclusion Criteria:

* Subjects who were initially assigned to tofacitinib 10 mg BID at baseline of Study A3921139 whose tofacitinib dose was reduced to 5 mg BID due to safety or efficacy.
* Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis or findings suggestive of Crohn's disease
* Likely to require surgery for ulcerative colitis during study
* Expected to receive any prohibited medication
* Expected to receive live or attenuated virus vaccination during study
* Women who are pregnant or breastfeeding or planning to become pregnant during the study
* Evidence of colonic malignancy or any dysplasia
* Acute or chronic medical or psychiatric condition that may increase risk of participation
* Investigator site staff member
* Subjects likely to be uncooperative or unable to comply with study procedures
* Participation in other studies involving investigational drugs during study
* Subjects with any of the following risk factors for pulmonary embolism at baseline as defined by EMA's PRAC:

  * has heart failure;
  * has inherited coagulation disorders;
  * has had venous thromboembolism, either deep venous thrombosis or pulmonary embolism;
  * is taking combined hormonal contraceptives or hormone replacement therapy;
  * has malignancy (association is strongest with cancers other than non-melanoma skin cancers);
  * is undergoing major surgery

+Posted results

Participant flow

MilestoneTofacitinib 5 mg BIDTofacitinib 10 mg BID
Started7070
Completed3627
Not completed3443

Outcome results

  • Number of Participants With Remission Based on Modified Mayo Score at Month 6 (Primary), Count of participants, Participants: Tofacitinib 5 mg BID 54; Tofacitinib 10 mg BID 63
  • Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method (Secondary), Median, Days: Tofacitinib 5 mg BID NA (29 to 1268); Tofacitinib 10 mg BID 1270 (28 to 1270)
  • Number of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 62; Tofacitinib 10 mg BID 64
  • Number of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 53; Tofacitinib 10 mg BID 61
  • Number of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 62; Tofacitinib 10 mg BID 64
  • Number of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 37; Tofacitinib 10 mg BID 48
  • Change From Baseline in Modified Mayo Score at Month 6 (Secondary), Least squares mean, Units on a scale: Tofacitinib 5 mg BID 0.6 +/- 0.2; Tofacitinib 10 mg BID 0.3 +/- 0.2
  • Change From Baseline in Modified Mayo Score at Months 18, 30 and 42 (Secondary), Mean, Units on a scale: Tofacitinib 5 mg BID 0.5 +/- 1.3; Tofacitinib 10 mg BID 0.3 +/- 1.5
  • Change From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6 (Secondary), Least squares mean, Units on a scale: Tofacitinib 5 mg BID 0.1 +/- 0.1; Tofacitinib 10 mg BID 0.2 +/- 0.1
  • Change From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Mean, Units on a scale: Tofacitinib 5 mg BID 0.1 +/- 0.7; Tofacitinib 10 mg BID 0.1 +/- 0.6
  • Change From Baseline in Total Mayo Score at Month 6 (Secondary), Least squares mean, Units on a scale: Tofacitinib 5 mg BID 0.9 +/- 0.2; Tofacitinib 10 mg BID 0.4 +/- 0.3
  • Change From Baseline in Total Mayo Score at Months 18, 30 and 42 (Secondary), Mean, Units on a scale: Tofacitinib 5 mg BID 0.7 +/- 1.7; Tofacitinib 10 mg BID 0.4 +/- 1.9
  • Change From Baseline in Partial Mayo Score at Months 1, 3 and 6 (Secondary), Least squares mean, Units on a scale: Tofacitinib 5 mg BID 0.2 +/- 0.1; Tofacitinib 10 mg BID 0.2 +/- 0.1
  • Change From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Mean, Units on a scale: Tofacitinib 5 mg BID 0.2 +/- 0.8; Tofacitinib 10 mg BID 0.2 +/- 0.9
  • Number of Participants With Mucosal Healing at Months 6, 18, 30 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 56; Tofacitinib 10 mg BID 64
  • Number of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42 (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 59; Tofacitinib 10 mg BID 67
  • Change From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Mean, Micrograms per gram: Tofacitinib 5 mg BID -137.5 +/- 980.6; Tofacitinib 10 mg BID -21.9 +/- 304.7
  • Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 (Secondary), Mean, Milligrams per liter: Tofacitinib 5 mg BID 1.1 +/- 9.8; Tofacitinib 10 mg BID -0.7 +/- 3.4
  • Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 55; Tofacitinib 10 mg BID 58
  • Number of Participants With Serious Infections (Secondary), Count of participants, Participants: Tofacitinib 5 mg BID 3; Tofacitinib 10 mg BID 6
  • 5 more outcome measures not shown.

Adverse events

Time frame: From baseline up to 4 weeks after last dose (maximum up to 43 months)

ArmDeathsSerious adverse eventsOther adverse events
Tofacitinib 5 mg BID0/70 (0.0%)7/70 (10.0%)47/70 (67.1%)
Tofacitinib 10 mg BID1/70 (1.4%)16/70 (22.9%)47/70 (67.1%)

Serious adverse events by term

TermOrgan systemTofacitinib 5 mg BIDTofacitinib 10 mg BID
Angina pectorisCardiac disorders0/701/70
CellulitisInfections and infestations1/700/70
Urinary tract infectionInfections and infestations1/700/70
Limb injuryInjury, poisoning and procedural complications0/701/70
Back painMusculoskeletal and connective tissue disorders0/701/70
Squamous cell carcinoma of the vulvaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/700/70
Cerebrovascular accidentNervous system disorders1/700/70
Breast disorderReproductive system and breast disorders1/700/70
Endometrial hyperplasiaReproductive system and breast disorders1/700/70
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/701/70
Colon dysplasiaGastrointestinal disorders1/700/70
HaemorrhoidsGastrointestinal disorders0/701/70
Large intestine polypGastrointestinal disorders0/701/70
PancreatitisGastrointestinal disorders1/700/70
AppendicitisInfections and infestations1/700/70
COVID-19Infections and infestations0/702/70
COVID-19 pneumoniaInfections and infestations0/702/70
Herpes zoster oticusInfections and infestations0/701/70
PneumoniaInfections and infestations0/701/70
Ankle fractureInjury, poisoning and procedural complications0/701/70
Spinal stenosisMusculoskeletal and connective tissue disorders0/701/70
Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/700/70
Diffuse large B-cell lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/701/70
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/701/70

Other adverse events by term

TermOrgan systemTofacitinib 5 mg BIDTofacitinib 10 mg BID
Abdominal painGastrointestinal disorders5/703/70
Colitis ulcerativeGastrointestinal disorders16/7014/70
Large intestine polypGastrointestinal disorders1/703/70
NauseaGastrointestinal disorders3/703/70
Oedema peripheralGeneral disorders2/702/70
BronchitisInfections and infestations1/705/70
Herpes zosterInfections and infestations2/705/70
InfluenzaInfections and infestations1/703/70
NasopharyngitisInfections and infestations7/708/70
Oral herpesInfections and infestations5/700/70
Upper respiratory tract infectionInfections and infestations3/704/70
Aspartate aminotransferase increasedInvestigations0/703/70
Blood creatine phosphokinase increasedInvestigations2/705/70
Faecal calprotectin increasedInvestigations1/703/70
Lymphocyte count decreasedInvestigations1/703/70
MyalgiaMusculoskeletal and connective tissue disorders4/702/70
HeadacheNervous system disorders4/703/70
HypertensionVascular disorders4/705/70
AnaemiaBlood and lymphatic system disorders0/703/70
LymphopeniaBlood and lymphatic system disorders2/705/70
Atrial fibrillationCardiac disorders0/702/70
Abdominal pain upperGastrointestinal disorders2/702/70
DiarrhoeaGastrointestinal disorders4/702/70
Gastrooesophageal reflux diseaseGastrointestinal disorders1/702/70
HaemorrhoidsGastrointestinal disorders0/702/70
Mouth ulcerationGastrointestinal disorders2/700/70
Rectal haemorrhageGastrointestinal disorders3/700/70
Chest painGeneral disorders2/700/70
FatigueGeneral disorders2/700/70
PyrexiaGeneral disorders5/702/70
COVID-19Infections and infestations2/700/70
Clostridium difficile infectionInfections and infestations2/700/70
SinusitisInfections and infestations2/701/70
Urinary tract infectionInfections and infestations2/701/70
SARS-CoV-2 test positiveInvestigations2/707/70
HypercholesterolaemiaMetabolism and nutrition disorders2/701/70
ArthralgiaMusculoskeletal and connective tissue disorders4/705/70
ArthritisMusculoskeletal and connective tissue disorders1/702/70
Back painMusculoskeletal and connective tissue disorders3/702/70
Neck painMusculoskeletal and connective tissue disorders0/702/70
OsteoarthritisMusculoskeletal and connective tissue disorders1/702/70
Colon adenomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/702/70
NephrolithiasisRenal and urinary disorders0/702/70
CoughRespiratory, thoracic and mediastinal disorders3/701/70
Oropharyngeal painRespiratory, thoracic and mediastinal disorders1/702/70
Respiratory disorderRespiratory, thoracic and mediastinal disorders2/700/70
PruritusSkin and subcutaneous tissue disorders1/702/70
RashSkin and subcutaneous tissue disorders2/700/70
Rash pruriticSkin and subcutaneous tissue disorders2/700/70

+Locations (80)

FacilityCityCountryStatus
Surgicare of MobileMobile, AlabamaUnited States
Alabama Medical Group, P.C.Mobile, AlabamaUnited States
Clinical Applications Laboratories, Inc.San Diego, CaliforniaUnited States
Bristol HospitalBristol, ConnecticutUnited States
Connecticut Clinical Research InstituteBristol, ConnecticutUnited States
Central Connecticut Endoscopy CenterPlainville, ConnecticutUnited States
Advanced Medical Research CenterPort Orange, FloridaUnited States
Florida Medical Clinic, P.A.Zephyrhills, FloridaUnited States
Cotton-O'Neil Clinical Research Center, Digestive HealthTopeka, KansasUnited States
Chevy Chase Endoscopy CenterChevy Chase, MarylandUnited States
MGG Group Co., Inc., Chevy Chase Clinical ResearchChevy Chase, MarylandUnited States
Clinical Research Institute of Michigan, LLCChesterfield, MichiganUnited States
Eastside Endoscopy CenterMacomb, MichiganUnited States
Clinical Research Institute of Michigan, LLCTroy, MichiganUnited States
NYU Langone Long Island Clinical Research AssociatesLake Success, New YorkUnited States
Columbia University Irving Medical CenterNew York, New YorkUnited States
Columbia University Medical Center Research Pharmacy/ Milstein HospitalNew York, New YorkUnited States
Great Lakes Gastroenterology Research, LLCMentor, OhioUnited States
Memorial Hermann HospitalHouston, TexasUnited States
The University of Texas Health Science Center at Houston (UTHealth)- McGovern Medical SchoolHouston, TexasUnited States
Christus Trinity Mother Frances Endoscopy CenterTyler, TexasUnited States
Tyler Research Institute, LLCTyler, TexasUnited States
Alpine Medical GroupSalt Lake City, UtahUnited States
Wasatch Clinical Research, LLCSalt Lake City, UtahUnited States
UZ Leuven (University Hospital Leuven), Campus GasthuisbergLeuvenBelgium
London Health Sciences Centre - University HospitalLondon, OntarioCanada
Royal University HospitalSaskatoon, SaskatchewanCanada
Nemocnice Strakonice a.s.StrakoniceCzechia
CHU Hotel DieuNantesFrance
CHU de Bordeaux Hopital Haut LevequePessacFrance
Universitaetsklinikum Schleswig-HolsteinKielGermany
Szent Janos Korhaz és Eszak-budai Egyesitett KorhazakBudapestHungary
Pannonia Maganorvosi Centrum Kft.BudapestHungary
Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz Endoszkopos LaboratoriumGyulaHungary
Università "Magna Graecia" di CatanzaroCatanzaro, CZItaly
Aichi Medical University HospitalNagakute, Aichi-kenJapan
Fukuoka University Chikushi HospitalChikushino-shi, FukuokaJapan
Kurume University HospitalKurume, FukuokaJapan
Hokkaido P.W.F.A.C Sapporo-Kosei General HospitalSapporo, HokkaidoJapan
Osaka Medical and Pharmaceutical University HospitalTakatsuki-shi, OsakaJapan
Shiga University of Medical Science HospitalŌtsu, ShigaJapan
Tokyo Medical And Dental University Hospital, Faculty of MedicineBunkyo-ku, TokyoJapan
Tokai University Hachioji HospitalHachiōji, TokyoJapan
Kitasato University Kitasato Institute HospitalMinato-ku, TokyoJapan
Showa University HospitalShinagawa-ku, TokyoJapan
Toho University Sakura Medical CenterChibaJapan
Hiroshima University HospitalHiroshimaJapan
Osaka Metropolitan University HospitalOsakaJapan
Keio University HospitalTokyoJapan
Academic Medical CentreAmsterdamNetherlands
North Shore Hospital (Waitemata District Health Board)Takapuna, AucklandNew Zealand
Christchurch Hospital (Canterbury District Health Board)ChristchurchNew Zealand
Southern District Health BoardDunedinNew Zealand
Endoskopia Sp. z o.o.SopotPoland
LexmedicaWroclawPoland
Federal State Budgetary Institution "State Scientific Centre of ColoproctologyMoscowRussia
LLC Novosibirskiy GastrocenterNovosibirskRussia
Federal State Budgetary Scientific Institution "Scientific Research Institute of PhysiologyNovosibirskRussia
Clinical Centre of Serbia, Clinic for Gastroenterology and HepatologyBelgradeSerbia
Clinical Hospital Centre ZvezdaraBelgradeSerbia
Military Medical Academy, Clinic for Gastroenterology and HepatologyBelgradeSerbia
Clinical Center KragujevacKragujevacSerbia
General Hospital "Djordje Joanovic"ZrenjaninSerbia
Medak s.r.o.BratislavaSlovakia
KM Management spol. s.r.o.NitraSlovakia
Gastro I., s.r.o., Gastroenterologicka ambulanciaPrešovSlovakia
Kingsbury HospitalClaremont, CAPE TOWNSouth Africa
Wits Clinical Research (WCR) Bara Site, Chris Hani Baragwanath Academic HospitalSoweto, Johannesburg, GautengSouth Africa
Chris Hani Baragwanath Academic HospitalSoweto, JohannesburgSouth Africa
Endocare Research CentrePaarl, Western CapeSouth Africa
Panorama MediclinicPanorama, Western CapeSouth Africa
Hanyang University Guri HospitalGyeonggi-doSouth Korea
Kyung Hee University HospitalSeoulSouth Korea
Severance Hospital, Yonsei University Health SystemSeoulSouth Korea
Hospital Clinic de BarcelonaBarcelonaSpain
Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Clinical Hospital" Surgery DepartmChernivtsiUkraine
Kyiv Municipal Clinical Hospital #18KyivUkraine
MI Uzhgorod Regional HospitalUzhhorodUkraine
Vinnytsia Regional Clinical Hospital for War Veterans, Therapeutics Dept. No. 2VinnytsiaUkraine
University Hospitals Bristol NHS Foundation TrustBristol, AVONUnited Kingdom

+Publications

  • Results publication: Rubin DT, Panes J, Torres J, Kobayashi T, Su C, Lawendy N, Modesto I, Segovia M, Gardiner S, Wang W, Vermeire S. Outcomes of tofacitinib dose reduction in patients with ulcerative colitis in stable remission: a long-term follow-up of the randomized RIVETING trial. Crohns Colitis 360. 2026 Aug 6;8(3):otag093. doi: 10.1093/crocol/otag093. eCollection 2026 Jul. PMID 42669025
  • Results publication: Torres J, D'Haens GR, Regueiro M, Santana G, Panes J, Vermeire S, Gardiner S, Kulisek N, Modesto I, Su C, Lawendy N, Mundayat R, Paulissen J, Dubinsky MC. Potential predictors of efficacy outcomes following tofacitinib dose reduction in patients with ulcerative colitis in stable remission: a post hoc analysis of outcomes from the RIVETING study. Ther Adv Gastroenterol. 2025 Feb 27;18:17562848251318849. doi: 10.1177/17562848251318849. eCollection 2025. PMID 40028509
  • Results publication: Panes J, D'Haens GR, Sands BE, Ng SC, Lawendy N, Kulisek N, Guo X, Wu J, Vranic I, Panaccione R, Vermeire S. Analysis of tofacitinib safety in ulcerative colitis from the completed global clinical developmental program up to 9.2 years of drug exposure. United European Gastroenterol J. 2024 Jul;12(6):793-801. doi: 10.1002/ueg2.12584. Epub 2024 May 22. PMID 38778549
  • Results publication: Rubin DT, Torres J, Regueiro M, Reinisch W, Prideaux L, Kotze PG, Tan FH, Gardiner S, Mundayat R, Cadatal MJ, Ng SC. Association Between Smoking Status and the Efficacy and Safety of Tofacitinib in Patients with Ulcerative Colitis. Crohns Colitis 360. 2024 Jan 20;6(1):otae004. doi: 10.1093/crocol/otae004. eCollection 2024 Jan. PMID 38425446
  • Results publication: Sandborn WJ, D'Haens GR, Sands BE, Panaccione R, Ng SC, Lawendy N, Kulisek N, Modesto I, Guo X, Mundayat R, Su C, Vranic I, Panes J. Tofacitinib for the Treatment of Ulcerative Colitis: An Integrated Summary of up to 7.8 Years of Safety Data from the Global Clinical Programme. J Crohns Colitis. 2023 Apr 3;17(3):338-351. doi: 10.1093/ecco-jcc/jjac141. PMID 36124702
  • Results publication: Winthrop KL, Vermeire S, Long MD, Panes J, Ng SC, Kulisek N, Mundayat R, Lawendy N, Vranic I, Modesto I, Su C, Melmed GY. Long-term Risk of Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib. Inflamm Bowel Dis. 2023 Jan 5;29(1):85-96. doi: 10.1093/ibd/izac063. PMID 35648151

+Study documents

+Investigators

  • Pfizer CT.gov Call Center, Study director, Pfizer

+Funding

NIH grants: 2017

My Notes