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中等度から重度の関節リウマチ成人患者を対象とした、ウパダシチニブ経口投与とアダリムマブ皮下投与の疾患活動性および有害事象の変化を評価する試験

基本情報

NCT ID
NCT05814627
ステータス
実施中(募集終了)
試験のフェーズ
第3相
試験タイプ
介入
目標被験者数
487
治験依頼者名
AbbVie

概要

Rheumatoid Arthritis (RA) is a chronic inflammatory disease causing pain, stiffness, swelling and loss of joint function. This study will assess how safe and effective upadacitinib is in treating RA when compared to adalimumab in adult participants with inadequate response or intolerance to one TNF-inhibitor who are on a stable dose of methotrexate (MTX). Adverse events and change in disease activity will be assessed. Upadacitinib is an approved drug for the treatment of RA. This study is double-blinded means that neither the participants nor the study doctors will know who will be given upadacitinib and who will be given adalimumab. Study doctors put the participants in 1 of the 2 groups, called treatment arms randomly, to receive either upadacitinib or adalimumab. There is 1 in 2 chance that participants will receive adalimumab. Each group consists of 2 periods. Approximately 480 participants diagnosed with RA will be enrolled in approximately 250 sites across the world. Participants will receive the oral upadacitinib once daily and matching adalimumab placebo every other week, or the subcutaneous adalimumab every other week and matching upadacitinib placebo once daily during Period 1. Eligible participants will continue to receive same study treatment in Period 2 as assigned in Period 1 and will be followed for 30 days and 70 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.

対象疾患

Rheumatoid Arthritis

介入

Upadacitinib(DRUG)
Adalimumab(DRUG)
Upadacitinib Matching Placebo(DRUG)
Adalimumab Matching Placebo(DRUG)

依頼者(Sponsor)

実施施設 (21)

佐世保中央病院

Sasebo-shi, Nagasaki, Japan

海里マリン病院

Kochi, Kochi, Japan

医療法人社団協友会 柏厚生総合病院

Kashiwa-shi, Chiba, Japan

松原メイフラワー病院

Kato-shi, Hyōgo, Japan

医療法人雄美会 りんくう橋本リウマチ整形外科

Izumisano, Osaka, Japan

医療法人社団佐川昭リウマチクリニック

Sapporo, Hokkaido, Japan

医療法人社団片山整形外科リウマチ科クリニック

Asahikawa-shi, Hokkaido, Japan

Shono Rheumatism Clinic /ID# 252591

Fukuoka, Fukuoka, Japan

独立行政法人労働者健康安全機構 中部労災病院

Nagoya, Aichi-ken, Japan

Kumamoto Orthopaedic Hospital /ID# 253167

Kumamoto, Kumamoto, Japan

Maeshima Rheumatology Clinic /ID# 270448

Ōita, Japan

大同病院

Nagoya, Aichi-ken, Japan

さぬき市民病院

Sanuki-shi, Kagawa-ken, Japan

医療法人明幸会中央線診療所

Miyazaki, Miyazaki, Japan

国家公務員共済組合連合会浜の町病院

Fukuoka, Fukuoka, Japan

聖路加国際病院

Chuo-ku, Tokyo, Japan

慶應義塾大学病院

Shinjuku-ku, Tokyo, Japan

北海道内科リウマチ科病院

Sapporo, Hokkaido, Japan

杉本リウマチ内科クリニック

Fukui-shi, Fukui, Japan

森整形外科リウマチ科クリニック

Shimonoseki-shi, Yamaguchi, Japan

富山県立中央病院

Toyama, Japan