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Rheumatoid Arthritis (RA)Phase 3NCT02955212

A Study With Upadacitinib (ABT-494) in Subjects From China and Selected Countries With Moderately to Severely Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs)

A Phase 3 study testing Upadacitinib in people with Rheumatoid Arthritis (RA), run by AbbVie at 43 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study objectives of Period 1 of this study were to compare the efficacy, safety, and tolerability of upadacitinib versus placebo for the treatment of signs and symptoms of subjects from China and selected countries including Brazil and South Korea with moderately to severely active rheumatoid arthritis (RA) who… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rheumatoid Arthritis (RA)
What is being tested?
Upadacitinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
338 participants
Where
43 sitesin 3 countries
Study dates
3 Jan 2018to 3 Sep 2020
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of RA for ≥ 3 months who also fulfill the 2010 American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) classification criteria for RA.
  • Participants have been receiving csDMARD therapy ≥ 3 months and on a stable dose for ≥ 4 weeks prior to the first dose of study drug.
  • Participants must have failed (lack of efficacy) at least one of the following: methotrexate (MTX), sulfasalazine, or leflunomide.
  • The following csDMARDs are allowed: oral or parenteral MTX, sulfasalazine, hydroxychloroquine, chloroquine, and leflunomide.
  • A combination of up to two background csDMARDs is allowed except the combination of MTX and leflunomide.
  • Participant meets both of the following disease activity criteria:
Show all 12Show fewer
  • ≥ 6 swollen joints (based on 66 joint counts) and ≥ 6 tender joints (based on 68 joint counts) at Screening and Baseline Visits; and
  • High-sensitivity C-Reactive Protein (hsCRP) ≥ 3 mg/L at Screening
  • Participants with prior exposure to at most one biological disease-modifying anti-rheumatic drugs (bDMARD) may be enrolled (up to 20% of total number of subjects). Specifically, prior to enrollment:
  • Participants with limited exposure to bDMARD (< 3 months) OR
  • Participants who are responding to a bDMARD therapy but had to discontinue due to intolerability (regardless of treatment duration).
  • Participants must have discontinued bDMARD therapy prior to the first dose of study drug.

Who cannot join

  • Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib).
  • Participants who are considered inadequate responders (lack of efficacy) to bDMARD therapy as defined by the Investigator.
  • History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than RA (including but not limited to gout, systemic lupus erythematosus, psoriatic arthritis, axial spondyloarthritis including ankylosing spondylitis and non-radiographic axial spondyloarthritis, reactive arthritis, overlap connective tissue diseases, scleroderma, polymyositis, dermatomyositis, fibromyalgia [currently with active symptoms]. Current diagnosis of secondary Sjogren's Syndrome is permitted.

Trial locations and contacts

43 sites in 3 countries.

43 sites in 3 countries

China23 sites
  • The First Affiliated Hospital /ID# 163747

    Baotou, Inner Mongolia, 014016

  • Xuanwu Hosp Capital Med Univ /ID# 161118

    Beijing, 100053

  • Peking Union Med College Hosp /ID# 161107

    Beijing, 100730

  • 1st Aff Hosp of Bengbu Med Col /ID# 162161

    Bengbu, Anhui, 233099

  • The First Hosp of Jilin Univ /ID# 161116

    Changchun, Jilin, 130021

  • The Second Xiangya Hospital of Central South University /ID# 162152

    Changsha, 410000

  • The First People's Hospital /ID# 168462

    Changzhou, Jiangsu, 213004

  • West China Hospital /ID# 161119

    Chengdu, Sichuan, 610041

  • Anhui Provincial Hospital /ID# 161117

    Hefei, Anhui, 230001

  • Jining No.1 People's Hospital /ID# 162158

    Jining, Shandong, 272001

  • The First People's Hospital of Jiujiang /ID# 168461

    Jiujiang, Jiangxi, 332000

  • First Affiliated Hospital of Kunming Medical University /ID# 164637

    Kunming, 650032

  • Jiangsu Province Hospital /ID# 161122

    Nanjing, 210029

  • Pingxiang People's Hospital /ID# 162151

    Pingxiang, 337055

  • Zhongshan Hosp. of Fudan Uni. /ID# 161108

    Shanghai, Anhui, 200032

  • Shanghai Changhai Hospital /ID# 161123

    Shanghai, Shanghai Municipality, 200433

  • 1st Aff Hosp of Shantou Univ /ID# 162165

    Shantou Guangdong, 515041

  • The Second Hospital of Shanxi /ID# 162164

    Taiyuan, 030001

  • Tianjin Med Univ General Hosp /ID# 162155

    Tianjin, 300052

  • People's Hospital of Xinjiang /ID# 162157

    Ürümqi, 830001

  • First Affiliated Hospital of Xi'an Jiaotong University /ID# 162150

    Xi'an, 710061

  • The 1st Aff Hosp Xiamen Univ /ID# 162154

    Xiamen, Fujian, 361003

  • Zhuzhou Central Hospital /ID# 162153

    Zhuzhou, Hunan, 412007

Other trials in China

South Korea15 sites
  • SoonChunHyang University CheonAn Hospital /ID# 209078

    Cheonan-si, Chungcheongnam-do, 31151

  • Kyungpook National Univ Hosp /ID# 166919

    Daegu, Daegu Gwang Yeogsi, 41944

  • Kyung Hee University Medical Center /ID# 163908

    Dongdaemun-gu, Seoul Teugbyeolsi, 02447

  • SMG-SNU Boramae Medical Center /ID# 163911

    Dongjak-gu, Seoul Teugbyeolsi, 07061

  • Chonnam National University Hospital /ID# 167726

    Gwangju, Jeonranamdo, 61469

  • Chungnam National University Hospital /ID# 167727

    Junggu, Daejeon Gwang Yeogsi, 35015

  • Inha University Hospital /ID# 163910

    Junggu, Incheon Gwang Yeogsi, 22332

  • Yonsei University Health System, Severance Hospital /ID# 168421

    Seodaemun-gu, Seoul Teugbyeolsi, 03722

  • Hanyang University Seoul Hospi /ID# 163913

    Seongdong-gu, Seoul Teugbyeolsi, 04763

  • Konkuk University Medical Ctr /ID# 206148

    Seoul, Seoul Teugbyeolsi, 05030

  • The Catholic University of Korea, Yeouido St. Mary's Hospital /ID# 204224

    Seoul, Seoul Teugbyeolsi, 07345

  • Asan Medical Center /ID# 163909

    Seoul, 05505

  • Chung-Ang University Hostipal /ID# 209076

    Seoul, 06973

  • St. Vincent's Hospital /ID# 166918

    Suwon, Gyeonggido, 16247

  • Ajou University Hospital /ID# 163912

    Suwon, Gyeonggido, 16499

Other trials in South Korea

Brazil5 sites
  • Ceti - Centro de Estudos Em Terapias Inovadoras Ltda /Id# 152964

    Curitiba, Paraná, 80030-110

  • Parana Medical Research Center /ID# 153507

    Maringá, Paraná, 87015-000

  • LMK Sevicos Medicos S/S /ID# 152963

    Porto Alegre, Rio Grande do Sul, 90480-000

  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 152961

    São José do Rio Preto, São Paulo, 15090-000

  • CEPIC - Centro Paulista de Investigação Clínica e Serviços Médicos Ltda /ID# 152966

    São Paulo, São Paulo, 04266-010

Other trials in Brazil

About this study

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study With Upadacitinib (ABT-494) in Subjects From China and Selected Countries With Moderately to Severely Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs)

The study objectives of Period 1 of this study were to compare the efficacy, safety, and tolerability of upadacitinib versus placebo for the treatment of signs and symptoms of subjects from China and selected countries including Brazil and South Korea with moderately to severely active rheumatoid arthritis (RA) who are on a stable dose of csDMARDs and have an inadequate response to csDMARDs.

The study objective of Period 2 is to evaluate the long-term safety, tolerability, and efficacy of upadacitinib in subjects with RA who have completed Period 1.

Read the detailed description

This is a Phase 3 multicenter study that includes two periods. Period 1 is a 12-week, randomized, double-blind, parallel-group, placebo-controlled period designed to compare the safety and efficacy of upadacitinib versus placebo for the treatment of signs and symptoms of participants with moderately to severely active RA who are on a stable dose of csDMARDs and have an inadequate response to csDMARDs. Period 2 is an open label 52 week extension period to evaluate the long-term safety, tolerability, and efficacy of upadacitinib in participants with RA who have completed Period 1.

Being tested
Upadacitinib, Placebo
Keywords
Rheumatoid Arthritis, Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs), ABT-494
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • UpadacitinibDrug

    Also called ABT-494, RINVOQ™

    Tablets for oral administration

  • PlaceboDrug

    Tablets for oral administration

Study groups in NCT02955212
Study groupRoleWhat they receive
Placebo / Upadacitinib 15 mgPlacebo comparatorParticipants randomized to receive placebo once daily for 12 weeks in Period 1 followed by upadacitinib 15 mg once daily for up to 52 weeks in Period 2.
Receives: Drug: Upadacitinib; Drug: Placebo
Upadacitinib 15 mgExperimentalParticipants randomized to receive upadacitinib 15 mg once daily for 12 weeks in Period 1 and up to an additional 52 weeks in Period 2.
Receives: Drug: Upadacitinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 12

    Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:

    1. ≥ 20% improvement in 68-tender joint count;
    2. ≥ 20% improvement in 66-swollen joint count; and
    3. ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Physician global assessment of disease activity
    • Patient global assessment of disease activity
    • Patient assessment of pain
    • Health Assessment Questionnaire - Disability Index (HAQ-DI)
    • High-sensitivity C-reactive protein (hsCRP).

    Measured: Baseline and Week 12

Secondary outcomes (9)
  1. Change From Baseline in Disease Activity Score Based on CRP (DAS28 [CRP]) at Week 12

    The DAS28 (CRP) is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100), and hsCRP (in mg/L). Scores on the DAS28 range from 0 to 10, where higher scores indicate more disease activity. A negative change from Baseline in DAS28 (CRP) indicates improvement in disease activity.

    Measured: Baseline and Week 12

  2. Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 12

    The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores) over the past week. Participants assessed their ability to do each task on a scale from 0 (without any difficulty) to 3 (unable to do). Scores were averaged to provide an overall score ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability.

    A negative change from Baseline in the overall score indicates improvement.

    Measured: Baseline and Week 12

  3. Change From Baseline in Short-Form 36 (SF-36) Physical Component Score (PCS) at Week 12

    The Short Form 36-Item Health Survey (SF-36) Version 2 is a self-administered questionnaire that measures the impact of disease on overall quality of life during the past 4 weeks. The SF-36 consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).

    The physical component score is a weighted combination of the 8 subscales with positive weighting for physical functioning, role-physical, bodily pain, and general health. The PCS was calculated using norm-based scoring so that 50 is the average score and the standard deviation equals 10. Higher scores are associated with better functioning/quality of life; a positive change from baseline score indicates an improvement.

    Measured: Baseline and Week 12

  4. Percentage of Participants Achieving Low Disease Activity (LDA) Based on DAS28 (CRP) at Week 12

    Low disease activity based on DAS28 (CRP) is defined a DAS28 (CRP) score of ≤ 3.2.

    The DAS28 is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100), and hsCRP (in mg/L). Scores on the DAS28 range from 0 to 10, where higher scores indicate more disease activity. A DAS28 score less than or equal to 3.2 indicates low disease activity.

    Measured: Week 12

  5. Percentage of Participants Achieving Clinical Remission Based on DAS28 (CRP) at Week 12

    Clinical remission (CR) based on DAS28 (CRP) is defined as achieving a DAS28 (CRP) score of less than 2.6.

    DAS28 (CRP) is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100), and hsCRP (in mg/L). Scores on the DAS28 range from 0 to 10, where higher scores indicate more disease activity.

    Measured: Week 12

  6. Percentage of Participants Achieving Low Disease Activity Based on Clinical Disease Activity Index (CDAI) at Week 12

    Low disease activity based on CDAI is defined as a CDAI score ≤ 10. CDAI is a composite index for assessing disease activity based on the summation of the total tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), patient global assessment of disease activity measured on a VAS from 0 to 10 cm, and physician global assessment of disease activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 76 with higher scores indicating higher disease activity.

    Measured: Week 12

  7. Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response at Week 12

    Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR50 response criteria:

    1. ≥ 50% improvement in 68-tender joint count;
    2. ≥ 50% improvement in 66-swollen joint count; and
    3. ≥ 50% improvement in at least 3 of the 5 following parameters:
    • Physician global assessment of disease activity
    • Patient global assessment of disease activity
    • Patient assessment of pain
    • Health Assessment Questionnaire - Disability Index (HAQ-DI)
    • High-sensitivity C-reactive protein (hsCRP).

    Measured: Baseline and Week 12

  8. Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response at Week 12

    Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR70 response criteria:

    1. ≥ 70% improvement in 68-tender joint count;
    2. ≥ 70% improvement in 66-swollen joint count; and
    3. ≥ 70% improvement in at least 3 of the 5 following parameters:
    • Physician global assessment of disease activity
    • Patient global assessment of disease activity
    • Patient assessment of pain
    • Health Assessment Questionnaire - Disability Index (HAQ-DI)
    • High-sensitivity C-reactive protein (hsCRP).

    Measured: Baseline and Week 12

  9. Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 1

    Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:

    1. ≥ 20% improvement in 68-tender joint count;
    2. ≥ 20% improvement in 66-swollen joint count; and
    3. ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Physician global assessment of disease activity
    • Patient global assessment of disease activity
    • Patient assessment of pain
    • Health Assessment Questionnaire - Disability Index (HAQ-DI)
    • High-sensitivity C-reactive protein (hsCRP).

    Measured: Baseline and Week 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Nov 2016 (estimated)
  2. Study start3 Jan 2018
  3. Primary completion14 Aug 2019
  4. Study completion3 Sep 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
338 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02955212
Sponsor's protocol ID
M15-557
Status last verified
Aug 2021
First submitted
2 Nov 2016
Last updated
27 Sep 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Upadacitinib in people with Rheumatoid Arthritis (RA), run by AbbVie at 43 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in China, South Korea, Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 12 (time frame: Baseline and Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Sep 2021.

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