Table 1 Summary of mean values of clinical signs and symptoms during long-term adalimumab treatment*
AssessmentBaseline value at randomisationDuration of adalimumab exposure
12 Weeks24 Weeks1 Year2 Years†
Placebo N  =  107 (SD)Adalimumab N  =  208 (SD)Observed (SD) nLOCF (SD) nObserved (SD) nLOCF (SD) nObserved (SD) nLOCF (SD) nObserved (SD) nLOCF (SD) n
Patient’s global assessment of disease activity, 0–10 cm VAS
    Baseline value6.5 (2.0)6.3 (2.2)6.2 (2.3) 3036.2 (2.3) 3096.2 (2.3) 2916.2 (2.3) 3096.2 (2.3) 2756.2 (2.3) 3096.3 (2.1) 1726.2 (2.3) 309
    Visit value3.6 (2.8) 3033.7 (2.8) 3093.1 (2.6) 2913.2 (2.7) 3092.8 (2.6) 2753.1 (2.8) 3092.3 (2.5) 1722.9 (2.8) 309
Total back pain, 0–10 cm VAS
    Baseline value6.7 (2.2)6.4 (2.2)6.2 (2.4) 3046.2 (2.4) 3106.2 (2.4) 2926.2 (2.4) 3106.2 (2.4) 2766.2 (2.4) 3106.4 (2.1) 1736.2 (2.4) 310
    Visit value3.7 (2.9) 3043.8 (2.9) 3103.1 (2.7) 2923.2 (2.7) 310)2.7 (2.6) 2763.1 (2.8) 3102.2 (2.5) 1732.9 (2.9) 310
BASFI, 0–10 cm VAS
    Baseline value5.6 (2.2)5.2 (2.2)5.2 (2.4) 2925.2 (2.4) 3105.2 (2.3) 2925.2 (2.4) 3105.2 (2.4) 2765.2 (2.4) 3105.3 (2.2) 1735.2 (2.4) 310
    Visit value3.5 (2.6) 3053.6 (2.6) 3103.1 (2.5) 2923.2 (2.5) 3102.8 (2.5) 2763.1 (2.6) 3102.4 (2.3) 1732.9 (2.5) 310
Inflammation (mean of questions 5 and 6 of the BASDAI), 0–10 cm VAS
    Baseline value6.7 (1.9)6.7 (2.0)6.4 (2.3) 3046.4 (2.3) 3106.4 (2.3) 2926.4 (2.3) 3106.3 (2.3) 2766.4 (2.3) 3106.7 (2.0) 1736.4 (2.3) 310
    Visit value3.5 (2.7) 3043.6 (2.8) 3102.8 (2.4) 2923.0 (2.5) 3102.5 (2.4) 2762.8 (2.6) 3102.1 (2.3) 1732.7 (2.6) 310
BASDAI, 0–10 cm VAS
    Baseline value6.3 (1.7)6.3 (1.7)6.0 (2.0) 3046.0 (2.0) 3106.0 (2.0) 2926.0 (2.0) 3105.9 (2.0) 2766.0 (2.0) 3106.3 (1.7) 1736.0 (2.0) 310
    Visit value3.6 (2.5) 3043.6 (2.5) 3103.0 (2.4) 2923.2 (2.5) 3102.7 (2.3) 2763.0 (2.5) 3102.4 (2.3) 1732.9 (2.5) 310
C-reactive protein, mg/dl‡
    Baseline value2.2 (2.9)1.8 (2.2)1.8 (2.3) 2991.8 (2.3) 3071.9 (2.4) 2861.8 (2.3) 3071.9 (2.4) 2701.8 (2.3) 3071.8 (2.4) 841.8 (2.3) 307
    Visit value0.5 (1.1) 2990.6 (1.3) 3070.6 (1.3) 2860.6 (1.4) 3070.6 (1.1) 2700.6 (1.3) 3070.5 (0.9) 840.7 (1.4) 307
BASMI, 0–10
    Baseline value4.2 (2.1)3.8 (2.2)3.9 (2.2) 2963.9 (2.2) 3094.0 (2.2) 2553.9 (2.2) 3103.9 (2.2) 2733.9 (2.2) 3103.9 (2.2) 1733.9 (2.2) 310
    Visit value3.5 (2.3) 2963.5 (2.3) 3093.4 (2.4) 2553.3 (2.4) 3103.2 (2.2) 2733.2 (2.3) 3103.1 (2.2) 1733.3 (2.3) 310
Chest expansion, cm
    Baseline value3.0 (1.9)3.4 (1.8)3.4 (1.9) 2773.4 (1.9) 3063.4 (1.8) 2373.4 (1.9) 3063.4 (1.9) 2343.4 (1.9) 3064.1 (2.1) 2603.4 (1.9) 306
    Visit value3.8 (2.2) 2773.8 (2.2) 2773.7 (2.0) 2373.7 (2.1) 3064.1 (6.7) 2344.0 (5.9) 3064.1 (2.1) 2604.0 (2.1) 306
MASES, 0–13
    Baseline value6.7 (7.5)6.4 (6.8)5.9 (7.0) 3085.9 (7.0) 3085.8 (6.9) 2945.9 (7.0) 3095.7 (6.9) 2795.9 (7.0) 3096.0 (7.1) 2175.9 (7.0) 309
    Visit value3.7 (6.0) 3083.7 (6.0) 3082.8 (5.1) 2943.0 (5.3) 3092.4 (4.6) 2792.8 (5.6) 3092.2 (4.4) 2172.7 (5.5) 309
Swollen joint count, 0–44
    Baseline value1.4 (2.8)1.5 (3.3)1.4 (3.1) 2971.3 (3.0) 3111.4 (3.1) 2921.3 (3.0) 3111.3 (3.1) 2641.3 (3.0) 3111.5 (3.2) 2161.3 (3.0) 311
    Visit value1.1 (3.1) 2971.2 (3.3) 3111.0 (2.5) 2921.1 (2.8) 3110.9 (2.7) 2641.1 (3.2) 3110.8 (3.1) 2160.9 (3.4) 311
Tender joint count, 0–46
    Baseline value5.6 (6.8)5.1 (7.4)5.1 (7.5) 2975.1 (7.7) 3114.8 (7.1) 2925.1 (7.7) 3114.4 (6.5) 2645.1 (7.7) 3114.9 (7.2) 2185.1 (7.7) 311
    Visit value4.0 (7.8) 2974.0 (7.8) 3113.4 (7.0) 2923.8 (7.3) 3112.7 (5.8) 2643.6 (7.2) 3112.7 (6.1) 2183.5 (7.5) 311
  • *Values are the mean (SD). For observed and last observation carried forward (LOCF) analyses, the baseline value is the last observation before the first dose of adalimumab. †The majority of patients treated with placebo for the first 24 weeks of the ATLAS study did not have 2 years of exposure to adalimumab at the time of this analysis. ‡Normal range using a ultrasensitive C-reactive protein assay is 0.007–0.49 mg/dl. BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; BASFI, Bath Ankylosing Spondylitis Functional Index; BASMI, Bath Ankylosing Spondylitis Metrology Index; MASES, Maastricht Ankylosing Spondylitis Enthesitis Score; VAS, visual analogue scale.