LSM Change from baseline | ||||
---|---|---|---|---|
MR Prednisone | Placebo | LSM Difference±SE | p Value‡ | |
ACR core set measures | ||||
Tender joint count | −4.7 | −2.7 | −2.0±0.6 | 0.001 |
Swollen joint count | −3.3 | −2.2 | −1.1±0.4 | 0.009 |
Patient pain score‡ | −21.0 | −12.7 | −8.3±2.5 | 0.001 |
Patient global score‡ | −17.3 | −7.9 | −9.3±2.5 | <0.001 |
Physician global score‡ | −22.8 | −13.1 | −9.6±2.2 | <0.001 |
HAQ-DI score | −0.238 | −0.079 | −0.16±0.04 | <0.001 |
CRP, mg/l | 0.86 | 0.88 | 0.98§ | 0.86 |
ESR after 1 h, mm/h | −7.3 | −5.9 | −1.4±1.5 | 0.34 |
Other clinical end points | ||||
Severity of morning stiffness‡ | −27.4 | −19.6 | −7.8±2.8 | 0.007 |
Recurrence of stiffness, % of days (mean) | −20.3 | −6.7 | −13.6±4.5 | 0.003 |
Morning pain score‡ | −23.1 | −16.4 | −6.7±2.6 | 0.012 |
Evening pain score‡ | −20.2 | −14.9 | −5.3±2.7 | 0.049 |
DAS28 score | −1.15 | −0.63 | −0.52±0.13 | <0.001 |
Health-related quality of life | ||||
FACIT-fatigue score | 3.8 | 1.6 | 2.2±0.8 | 0.003 |
SF-36 physical component score | 3.6 | 1.3 | 2.3±0.6 | <0.001 |
SF-36 mental component score | 2.0 | 0.9 | 1.1±0.7 | 0.14 |
↵* Plus-minus values are means±SD.
↵† See figure 2 for changes in ACR20 response rate and duration of morning stiffness. Changes in interleukin 6 and tumour necrosis factor α from baseline to week 12 are described in the text.
↵‡ Values in mm, measured using a 0–100 visual analogue scale.
↵§ Geometric mean titre ratio for MR prednisone versus placebo.
ACR, American College of Rheumatology; CRP, C-reactive protein; DAS28, 28-joint Disease Activity Score; ESR, erythrocyte sedimentation rate; FACIT-F, Functional Assessment of Chronic Illness Therapy-Fatigue; HAQ-DI, Functional Disability Index of the Health Assessment Questionnaire; LSM, least-squares mean; MR, modified release; SF-36, 36-item Short-Form Health Survey.