NCT02675426

Brief Summary

The primary objectives of this study are to compare the efficacy, safety, and tolerability of upadacitinib 30 mg once daily (QD) and 15 mg QD versus placebo for the treatment of signs and symptoms of adults with moderately to severely active rheumatoid arthritis who were on a stable dose of csDMARDs and had an inadequate response to csDMARDs.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
661

participants targeted

Target at P75+ for phase_3 rheumatoid-arthritis

Timeline
Completed

Started Dec 2015

Longer than P75 for phase_3 rheumatoid-arthritis

Geographic Reach
36 countries

160 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 11, 2015

Completed
6 days until next milestone

Study Start

First participant enrolled

December 17, 2015

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 5, 2016

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 21, 2017

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

October 7, 2019

Completed
2.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 10, 2022

Completed
Last Updated

April 11, 2023

Status Verified

March 1, 2023

Enrollment Period

1.3 years

First QC Date

December 11, 2015

Results QC Date

September 13, 2019

Last Update Submit

March 17, 2023

Conditions

Keywords

Musculoskeletal DiseaseArthritisJoint DiseaseAnti-inflammatory agentsAntirheumatic agentsUpadacitinibABT-494

Outcome Measures

Primary Outcomes (2)

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

    The primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was ACR 20% response (ACR20) 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).

    Baseline and Week 12

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

    The primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was low disease activity, based on a Disease Activity Score 28 (DAS28)-CRP score of ≤ 3.2 at Week 12. 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 approximately 10, where higher scores indicate more disease activity. A DAS28 score less than or equal to 3.2 indicates low disease activity.

    Week 12

Secondary Outcomes (10)

  • Change From Baseline in in Disease Activity Score 28 (CRP) at Week 12

    Baseline and Week 12

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

    Baseline and Week 12

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

    Baseline and Week 12

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

    Week 12

  • Percentage of Participants Achieving Low Disease Activity Based on CDAI at Week 12

    Week 12

  • +5 more secondary outcomes

Study Arms (4)

Upadacitinib 15 mg

EXPERIMENTAL

Period 1: Participants receive upadacitinib 15 mg once daily for 12 weeks. Period 2: Participants continue to receive upadacitinib 15 mg once daily for an additional 248 weeks.

Drug: Upadacitinib

Upadacitinib 30 mg

EXPERIMENTAL

Period 1: Participants receive upadacitinib 30 mg once daily for 12 weeks. Period 2: Participants continue to receive upadacitinib 30 mg once daily for an additional 248 weeks or until implementation of Protocol Amendment 6 at which time participants switch to receive upadacitinib 15 mg once daily.

Drug: Upadacitinib

Placebo / Upadacitinib 15 mg

EXPERIMENTAL

Period 1: Participants receive placebo once daily for 12 weeks. Period 2: Participants receive upadacitinib 15 mg once daily for 248 weeks.

Drug: PlaceboDrug: Upadacitinib

Placebo / Upadacitinib 30 mg

EXPERIMENTAL

Period 1: Participants receive placebo once daily for 12 weeks. Period 2: Participants receive upadacitinib 30 mg once daily for 248 weeks or until implementation of Protocol Amendment 6 at which time participants switch to receive upadacitinib 15 mg once daily.

Drug: PlaceboDrug: Upadacitinib

Interventions

Tablet; Oral

Placebo / Upadacitinib 15 mgPlacebo / Upadacitinib 30 mg

Tablet; Oral

Also known as: ABT-494, Rinvoq
Placebo / Upadacitinib 15 mgPlacebo / Upadacitinib 30 mgUpadacitinib 15 mgUpadacitinib 30 mg

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult male or female, at least 18 years old.
  • Diagnosis of rheumatoid arthritis (RA) for greater than or equal to 3 months.
  • Subjects have been receiving conventional synthetic DMARD (csDMARD) therapy for greater than or equal to 3 months and on a stable dose for greater than or equal to 4 weeks prior to the first dose of study drug. The following csDMARDs are allowed: methotrexate (MTX), sulfasalazine, hydroxychloroquine, chloroquine, and leflunomide.
  • Meets the following minimum disease activity criteria: greater than or equal to 6 swollen joints (based on 66 joint counts) and greater than or equal to 6 tender joints (based on 68 joint counts) at Screening and Baseline Visits.
  • Subjects with prior exposure to at most one biologic DMARD (bDMARD) may be enrolled (up to 20% of study population) if they have documented evidence of intolerance to bDMARDs or limited exposure (less than 3 months) and have satisfied required washout periods.

You may not qualify if:

  • Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib).
  • History of inflammatory joint disease other than RA. History of secondary Sjogren's Syndrome is permitted.
  • Subjects who are considered inadequate responders to bDMARD therapy as determined by the Investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (167)

AZ Arthritis and Rheum Assoc /ID# 148651

Mesa, Arizona, 85202, United States

Location

SunValley Arthritis Center, Lt /ID# 140452

Peoria, Arizona, 85381, United States

Location

AZ Arthritis and Rheum Researc /ID# 138500

Phoenix, Arizona, 85032-9306, United States

Location

AZ Arthritis and Rheum Researc /ID# 139286

Phoenix, Arizona, 85032-9306, United States

Location

AZ Arthritis & Rheuma Research /ID# 138598

Phoenix, Arizona, 85032, United States

Location

Arizona Research Center, Inc. /ID# 140448

Phoenix, Arizona, 85053-4061, United States

Location

University of Arizona Cancer Center - North Campus /ID# 140451

Tucson, Arizona, 85719-1478, United States

Location

Covina Arthritis Clinic /ID# 139881

Covina, California, 91722, United States

Location

T. Joseph Raoof, MD, Inc. /ID# 140964

Encino, California, 91436, United States

Location

Allergy and Rheum Med Clin /ID# 146082

La Jolla, California, 92037, United States

Location

Pacific Arthritis Ctr Med Grp /ID# 138744

Los Angeles, California, 90045, United States

Location

Robin K. Dore MD, Inc /ID# 138688

Tustin, California, 92780, United States

Location

Inland Rheum Clin Trials Inc. /ID# 138853

Upland, California, 91786, United States

Location

Denver Arthritis Clinic /ID# 139876

Denver, Colorado, 80230, United States

Location

Clinical Res of West FL, Inc. /ID# 138854

Clearwater, Florida, 33765, United States

Location

Ctr Arthritis & Rheumatic Dise /ID# 141696

Miami, Florida, 33173, United States

Location

Medallion Clinical Research Institute, LLC /ID# 140074

Naples, Florida, 34102, United States

Location

Suncoast Clinical Research /ID# 138633

New Port Richey, Florida, 34652, United States

Location

Omega Research Consultants /ID# 139877

Orlando, Florida, 32810, United States

Location

Arthritis Center, Inc. /ID# 141363

Palm Harbor, Florida, 34684, United States

Location

Institute of Arthritis Res /ID# 138548

Idaho Falls, Idaho, 83404, United States

Location

OrthoIllinois /ID# 139695

Rockford, Illinois, 61114-4937, United States

Location

Clinical Investigation Special /ID# 139696

Skokie, Illinois, 60076, United States

Location

Springfield Clinic /ID# 138602

Springfield, Illinois, 62702-3749, United States

Location

Deerbrook Medical Associates /ID# 139694

Vernon Hills, Illinois, 60061, United States

Location

Indiana Univ School of Med /ID# 140077

Indianapolis, Indiana, 46202, United States

Location

Bluegrass Community Research /ID# 138295

Lexington, Kentucky, 40515, United States

Location

Four Rivers Clinical Research /ID# 141134

Paducah, Kentucky, 42003, United States

Location

MMP Women's Health /ID# 141542

Portland, Maine, 04102, United States

Location

The Center for Rheumatology & /ID# 139203

Wheaton, Maryland, 20902, United States

Location

Mansfield Health Center /ID# 141357

Mansfield, Massachusetts, 02048, United States

Location

Advanced Rheumatology, PC /ID# 140071

Lansing, Michigan, 48910, United States

Location

Justus J. Fiechtner, MD, PC /ID# 138697

Lansing, Michigan, 48910, United States

Location

Physician Res. Collaboration /ID# 138533

Lincoln, Nebraska, 68516, United States

Location

Westroads Clinical Research /ID# 138304

Omaha, Nebraska, 68114, United States

Location

The Center for Rheumatology /ID# 138746

Albany, New York, 12206, United States

Location

PMG Research of Salisbury /ID# 141023

Salisbury, North Carolina, 28144, United States

Location

PMG Research of Wilmington LLC /ID# 140951

Wilmington, North Carolina, 28401, United States

Location

Cincinnati Rheumatic Disease Study Group, Inc. /ID# 138868

Cincinnati, Ohio, 45242-4468, United States

Location

Arthritis Assoc of NW Ohio /ID# 140953

Toledo, Ohio, 43606, United States

Location

Health Research Oklahoma /ID# 138535

Oklahoma City, Oklahoma, 73103-2400, United States

Location

Altoona Ctr Clinical Res /ID# 138741

Duncansville, Pennsylvania, 16635, United States

Location

Articularis Healthcare Group, Inc d/b/a Low Country Rheumatology /ID# 138689

Summerville, South Carolina, 29486-7887, United States

Location

Comprehensive Arthritis Care, a division of Comprehensive Rheumatology Care PLLC /ID# 141021

Hendersonville, Tennessee, 37075-6213, United States

Location

Tekton Research, Inc. /ID# 141428

Austin, Texas, 78745, United States

Location

Trinity Universal Res Assoc /ID# 149271

Carrollton, Texas, 75007, United States

Location

Arth and Osteo Clin Brazo Valley /ID# 147809

College Station, Texas, 77845, United States

Location

Metroplex Clinical Research /ID# 138698

Dallas, Texas, 75231, United States

Location

Baylor College of Medicine /ID# 138682

Houston, Texas, 77030-3411, United States

Location

Houston Institute for Clin Res /ID# 138716

Houston, Texas, 77074, United States

Location

Arthritis Consultants, P.A. /ID# 141138

Killeen, Texas, 76549, United States

Location

Trinity Universal Research Association /ID# 148649

Plano, Texas, 75024-5283, United States

Location

Accurate Clinical Management /ID# 139338

San Antonio, Texas, 78229, United States

Location

Arthritis & Osteoporosis Clinic /ID# 138703

Waco, Texas, 76710, United States

Location

Western Washington Arthritis C /ID# 138728

Bothell, Washington, 98021, United States

Location

Arthritis Northwest, PLLC /ID# 138539

Spokane, Washington, 99204, United States

Location

Aurora Rheumatology and Immunotherapy Center /ID# 139306

Franklin, Wisconsin, 53132, United States

Location

Mautalen Salud e Investigacion /ID# 141419

Buenos Aires, 1128, Argentina

Location

Inst. Rheumatologic Strusberg /ID# 145648

Córdoba, 5000, Argentina

Location

Coffs Clinical Trials /ID# 138747

Coffs Harbour, New South Wales, 2450, Australia

Location

Optimus Clinical Research Pty. /ID# 138769

Kogarah, New South Wales, 2217, Australia

Location

Emeritus Research /ID# 138773

Camberwell, Victoria, 3124, Australia

Location

Barwon Rheumatology /ID# 138772

Geelong, Victoria, 3220, Australia

Location

Rheuma Zentrum Favoriten GmbH /ID# 138787

Vienna, 1100, Austria

Location

Wilhelminenspital der Stadt Wien /ID# 138788

Vienna, 1160, Austria

Location

Rhumaconsult SPRL /ID# 138813

Charleroi, Hainaut, 6000, Belgium

Location

UZ Gent /ID# 138806

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

AZ Sint Lucas /ID# 141338

Bruges, 8310, Belgium

Location

University Clinical Centre of the Republic of Srpska /ID# 138819

Banja Luka, Republika Srpska, 78000, Bosnia and Herzegovina

Location

University Clinical Centre of the Republic of Srpska /ID# 140372

Banja Luka, Republika Srpska, 78000, Bosnia and Herzegovina

Location

Diag Consult Ctr 17 Sofia EOOD /ID# 141006

Sofia, 1505, Bulgaria

Location

Diagnostic Consultative Center /ID# 138882

Sofia, 1612, Bulgaria

Location

Manitoba Clinic /ID# 139086

Winnipeg, Manitoba, R3A IM3, Canada

Location

Eastern Health /ID# 140431

St. John's, Newfoundland and Labrador, A1B 3V6, Canada

Location

Groupe de Recherche en Maladies Osseuses /ID# 138906

Sainte-Foy, Quebec, G1V 3M7, Canada

Location

Dr. Latha Naik /ID# 139089

Saskatoon, Saskatchewan, S7K 3H3, Canada

Location

Klinicki bolnicki centar Rijeka /ID# 138649

Rijeka, Primorje-Gorski Kotar County, 51000, Croatia

Location

Klinicka bolnica Sveti Duh /ID# 152812

Zagreb, 10000, Croatia

Location

Medical Center Kuna-Peric /ID# 140365

Zagreb, 10000, Croatia

Location

Poliklinika Bonifarm /ID# 141415

Zagreb, 10000, Croatia

Location

L.K.N. Arthrocentrum, s.r.o /ID# 141340

Hlučín, Moravskoslezský kraj, 748 01, Czechia

Location

Revmatologie, s.r.o. /ID# 138899

Brno, 638 00, Czechia

Location

Artroscan s.r.o. /ID# 138833

Ostrava, 722 00, Czechia

Location

Nemocnice Slany /ID# 141112

Slaný, 274 01, Czechia

Location

PV-MEDICAL s.r.o. /ID# 138913

Zlín, 760 01, Czechia

Location

Center of Clinical and Basic Research /ID# 141116

Tallinn, Harju, 10128, Estonia

Location

Paernu Hospital /ID# 138961

Pärnu, 80010, Estonia

Location

East Tallinn Central Hospital /ID# 140618

Tallinn, 10138, Estonia

Location

Helsinki Univ Central Hospital /ID# 140381

Helsinki, 00290, Finland

Location

Kiljava Medical Research /ID# 139260

Hyvinkää, 05800, Finland

Location

South Karelia Central Hospital /ID# 139973

Lappeenranta, 53130, Finland

Location

Hopital Saint Joseph /ID# 149188

Marseille, Bouches-du-Rhone, 13285, France

Location

CHRU Tours - Hopital Trousseau /ID# 138969

Chambray-lès-Tours, 37170, France

Location

Uniklinik Koln /ID# 139084

Cologne, North Rhine-Westphalia, 50937, Germany

Location

Charité Universitätsmedizin Campus Mitte /ID# 139052

Berlin, 10117, Germany

Location

Immanuel-Krankenhaus /ID# 139059

Berlin, 13125, Germany

Location

Asklepios Klinik Altona /ID# 140466

Hamburg, 22763, Germany

Location

Welcker, Planegg, DE /ID# 140467

Planegg, 82152, Germany

Location

University General Hospital of Heraklion "PA.G.N.I" /ID# 139115

Heraklion, 71110, Greece

Location

Prince of Wales Hospital /ID# 139314

Shatin, Hong Kong

Location

Revita Reumatologiai Rendelo /ID# 140761

Budapest, 1027, Hungary

Location

Fejer Megyei Szent Gyorgy Korh /ID# 138554

Székesfehérvár, 8000, Hungary

Location

St Vincent's University Hosp /ID# 138562

Dublin, D04 T6F4, Ireland

Location

Universita di Catanzaro Magna Graecia /ID# 139316

Catanzaro, Calabria, 88100, Italy

Location

JSC Nat Scientific Med Res Ctr /ID# 140575

Astana, 010009, Kazakhstan

Location

LTD M+M Centers /ID# 138818

Ādaži, 2164, Latvia

Location

Klaipeda University Hospital /ID# 141416

Klaipėda, 92288, Lithuania

Location

Vilnius University Hospital /ID# 141348

Vilnius, LT-08661, Lithuania

Location

Centro Peninsular de Investigación Clínica SCP /ID# 148160

Colonia Centro, Yucatán, 97000, Mexico

Location

Unidad de Investigacion de las Enfermedades Reumatologicas SA de CV /ID# 138841

Mexico City, 06090, Mexico

Location

Porter Rheumatology Ltd /ID# 138347

Nelson, 7010, New Zealand

Location

NZOZ Nasz Lekarz /ID# 138374

Torun, Kuyavian-Pomeranian Voivodeship, 87-100, Poland

Location

McBk Sc /Id# 138360

Grodzisk Mazowiecki, Masovian Voivodeship, 05-825, Poland

Location

Osteo-Medic spolka cywilna /ID# 138371

Bialystok, Podlaskie Voivodeship, 15-351, Poland

Location

NZOZ Centrum Reumatologiczne /ID# 138353

Elblag, Warmian-Masurian Voivodeship, 82-300, Poland

Location

Rheuma Medicus /ID# 138372

Warsaw, 02-118, Poland

Location

Instituto Portugues De Reumatologia /ID# 148315

Lisbon, Lisbon District, 1050-034, Portugal

Location

Centro Hospitalar Lisboa Ocidental, EPE /ID# 140594

Lisbon, Lisbon District, 1349-019, Portugal

Location

School of Medicine University of Puerto Rico-Medical Sciences Campus /ID# 139328

San Juan, 00935, Puerto Rico

Location

Spitalul Clinic Judetean de Urgenta /ID# 138407

Cluj-Napoca, 400006, Romania

Location

Spitalul Municipal Ploiesti /ID# 138405

Ploieşti, 100337, Romania

Location

Spitalul Clinic Judetean de Ur /ID# 138393

Sibiu, 550245, Romania

Location

LLC Novaya Klinika /ID# 139269

Pyatigorsk, Stavropol Kray, 357500, Russia

Location

Kazan State Medical University /ID# 138413

Kazan', Tatarstan, Respublika, 420012, Russia

Location

Republican Clin Hos n.a. Baran /ID# 139273

Petrozavodsk, 185019, Russia

Location

Samara Regional Clinical Hosp /ID# 148642

Samara, 443095, Russia

Location

Ulyanovsk Regional Clin Hosp /ID# 139279

Ulyanovsk, 432018, Russia

Location

Voronezh State Medical Univers /ID# 148431

Voronezh, 394036, Russia

Location

Yaroslavi State Medical Univer /ID# 139908

Yaroslavl, 150000, Russia

Location

ARTROMAC n.o. /ID# 138428

Košice, 040 11, Slovakia

Location

Nemocnica Kosice Saca, a.s. /ID# 138918

Košice, 040 15, Slovakia

Location

Slovak research center Team Member, Thermium s.r.o. /ID# 139924

Pieštany, 921 01, Slovakia

Location

Narodny ustav reumatickych chorob Piestany /ID# 138427

Pieštany, 921 12, Slovakia

Location

REUMA-GLOBAL, s.r.o. /ID# 139912

Trnava, 91701, Slovakia

Location

St. Augustine's Medical Centre /ID# 141352

Berea, KwaZulu-Natal, NL 4001, South Africa

Location

Arthritis Clinical Research Tr /ID# 138945

Cape Town, Western Cape, 7405, South Africa

Location

Winelands Medical Research Ctr /ID# 138944

Stellenbosch, Western Cape, 7600, South Africa

Location

Inha University Hospital /ID# 149310

Incheon, Gwang Yeogsi, 22332, South Korea

Location

Ajou University Hospital /ID# 149311

Suwon, Gyeonggido, 16499, South Korea

Location

Chonnam National University Hospital /ID# 138651

Gwangju, Jeonranamdo, 61469, South Korea

Location

Hanyang University Seoul Hospi /ID# 138655

Seoul, Seongdong-gu, 04763, South Korea

Location

Cath Univ Seoul St Mary's Hosp /ID# 138652

Seoul, Seoul Teugbyeolsi, 06591, South Korea

Location

Daegu Catholic University Med /ID# 139249

Daegu, 705-718, South Korea

Location

Chungnam National University Hospital /ID# 138653

Daejeon, 35015, South Korea

Location

Seoul National University Hospital /ID# 138659

Seoul, 03080, South Korea

Location

Asan Medical Center /ID# 140579

Seoul, 05505, South Korea

Location

Hospital Regional de Malaga /ID# 138975

Málaga, Malaga, 29009, Spain

Location

Hospital General Univ de Elche /ID# 138991

Elche, 03202, Spain

Location

Hospital Clin Univ San Carlos /ID# 138993

Madrid, 28040, Spain

Location

Hosp Nuestra Senora Esperanza /ID# 138997

Santiago de Compostela, 15705, Spain

Location

HFR Fribourg - Hopital Canton /ID# 139155

Fribourg, 1708, Switzerland

Location

China Medical University Hosp /ID# 139232

Taichung, Taichung, 40447, Taiwan

Location

National Cheng Kung University Hospital /ID# 140868

Tainan, Tainan, 70403, Taiwan

Location

National Taiwan Univ Hosp /ID# 141443

Taipei City, Taipei, 10002, Taiwan

Location

Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 140869

Kaohsiung City, 80708, Taiwan

Location

Far Eastern Memorial Hospital /ID# 140871

New Taipei City, 22060, Taiwan

Location

Taipei Veterans General Hosp /ID# 139234

Taipei, 11217, Taiwan

Location

Ankara Numune Training and Res /ID# 139237

Ankara, 06100, Turkey (Türkiye)

Location

LLC Revmocentr /ID# 139872

Kyiv, 04070, Ukraine

Location

MNCE "Lviv City Clinical Hospital #4" /ID# 139873

Lviv, 79007, Ukraine

Location

Odessa National Medical Univ /ID# 139179

Odesa, 65026, Ukraine

Location

Leicester Royal Infirmary /ID# 139184

Leicester, England, LE1 5WW, United Kingdom

Location

Whipps Cross Univ Hospital /ID# 139523

London, London, City of, E11 1NR, United Kingdom

Location

The Royal Free Hospital /ID# 139191

London, London, City of, NW3 2QG, United Kingdom

Location

Western General Hospital /ID# 139524

Edinburgh, EH4 2XU, United Kingdom

Location

Southampton General Hospital /ID# 139169

Southampton, SO16 6YD, United Kingdom

Location

Warrington + Halton Hosp NHS /ID# 139195

Warrington, WA5 1LZ, United Kingdom

Location

Related Publications (15)

  • Burmester GR, Kremer JM, Van den Bosch F, Kivitz A, Bessette L, Li Y, Zhou Y, Othman AA, Pangan AL, Camp HS. Safety and efficacy of upadacitinib in patients with rheumatoid arthritis and inadequate response to conventional synthetic disease-modifying anti-rheumatic drugs (SELECT-NEXT): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet. 2018 Jun 23;391(10139):2503-2512. doi: 10.1016/S0140-6736(18)31115-2. Epub 2018 Jun 18.

    PMID: 29908669BACKGROUND
  • Burmester GR, Deodhar A, Irvine AD, Panaccione R, Winthrop KL, Vleugels RA, Levy G, Suravaram S, Palac H, Wegrzyn L, Ford S, Meerwein S, Guttman-Yassky E. Safety Profile of Upadacitinib: Descriptive Analysis in Over 27,000 Patient-Years Across Rheumatoid Arthritis, Psoriatic Arthritis, Axial Spondyloarthritis, Atopic Dermatitis, and Inflammatory Bowel Disease. Adv Ther. 2025 Oct;42(10):5215-5237. doi: 10.1007/s12325-025-03328-y. Epub 2025 Aug 28.

  • Burmester GR, Van den Bosch F, Tesser J, Shmagel A, Liu Y, Khan N, Camp HS, Kivitz A. Upadacitinib in Rheumatoid Arthritis and Inadequate Response to Conventional Synthetic Disease-Modifying Antirheumatic Drugs: Efficacy and Safety Through 5 Years (SELECT-NEXT). J Rheumatol. 2024 Jul 1;51(7):663-672. doi: 10.3899/jrheum.2023-1062.

  • Rubbert-Roth A, Kakehasi AM, Takeuchi T, Schmalzing M, Palac H, Coombs D, Liu J, Anyanwu SI, Lippe R, Curtis JR. Malignancy in the Upadacitinib Clinical Trials for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, and Non-radiographic Axial Spondyloarthritis. Rheumatol Ther. 2024 Feb;11(1):97-112. doi: 10.1007/s40744-023-00621-6. Epub 2023 Nov 20.

  • Charles-Schoeman C, Choy E, McInnes IB, Mysler E, Nash P, Yamaoka K, Lippe R, Khan N, Shmagel AK, Palac H, Suboticki J, Curtis JR. MACE and VTE across upadacitinib clinical trial programmes in rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. RMD Open. 2023 Nov;9(4):e003392. doi: 10.1136/rmdopen-2023-003392.

  • Fleischmann R, Curtis JR, Charles-Schoeman C, Mysler E, Yamaoka K, Richez C, Palac H, Dilley D, Liu J, Strengholt S, Burmester G. Safety profile of upadacitinib in patients at risk of cardiovascular disease: integrated post hoc analysis of the SELECT phase III rheumatoid arthritis clinical programme. Ann Rheum Dis. 2023 Sep;82(9):1130-1141. doi: 10.1136/ard-2023-223916. Epub 2023 Jun 12.

  • Conaghan PG, Pavelka K, Hsieh SC, Bonnington TL, Kent TC, Marchbank K, Edwards CJ. Evaluating the efficacy of upadacitinib in patients with moderate rheumatoid arthritis: a post-hoc analysis of the SELECT phase 3 trials. Rheumatol Adv Pract. 2023 Feb 8;7(1):rkad017. doi: 10.1093/rap/rkad017. eCollection 2023.

  • Burmester GR, Cohen SB, Winthrop KL, Nash P, Irvine AD, Deodhar A, Mysler E, Tanaka Y, Liu J, Lacerda AP, Palac H, Shaw T, Mease PJ, Guttman-Yassky E. Safety profile of upadacitinib over 15 000 patient-years across rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and atopic dermatitis. RMD Open. 2023 Feb;9(1):e002735. doi: 10.1136/rmdopen-2022-002735.

  • Kakehasi AM, Radominski SC, Baravalle MD, Palazuelos FCI, Garcia-Garcia C, Arruda MS, Curi M, Liu J, Qiao M, Velez-Sanchez P, Vargas JI. Safety of upadacitinib in Latin American patients with rheumatoid arthritis: an integrated safety analysis of the SELECT phase 3 clinical program. Clin Rheumatol. 2023 May;42(5):1249-1258. doi: 10.1007/s10067-023-06513-y. Epub 2023 Jan 30.

  • Bergman M, Buch MH, Tanaka Y, Citera G, Bahlas S, Wong E, Song Y, Zueger P, Ali M, Strand V. Routine Assessment of Patient Index Data 3 (RAPID3) in Patients with Rheumatoid Arthritis Treated with Long-Term Upadacitinib Therapy in Five Randomized Controlled Trials. Rheumatol Ther. 2022 Dec;9(6):1517-1529. doi: 10.1007/s40744-022-00483-4. Epub 2022 Sep 20.

  • Bergman M, Tundia N, Yang M, Orvis E, Clewell J, Bensimon A. Economic Benefit from Improvements in Quality of Life with Upadacitinib: Comparisons with Tofacitinib and Methotrexate in Patients with Rheumatoid Arthritis. Adv Ther. 2021 Dec;38(12):5649-5661. doi: 10.1007/s12325-021-01930-4. Epub 2021 Oct 12.

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Related Links

MeSH Terms

Conditions

Arthritis, RheumatoidMusculoskeletal DiseasesArthritisJoint Diseases

Interventions

upadacitinib

Condition Hierarchy (Ancestors)

Rheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Results Point of Contact

Title
Global Medical Services
Organization
AbbVie

Study Officials

  • AbbVie Inc.

    AbbVie

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 11, 2015

First Posted

February 5, 2016

Study Start

December 17, 2015

Primary Completion

April 21, 2017

Study Completion

March 10, 2022

Last Updated

April 11, 2023

Results First Posted

October 7, 2019

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will share

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, analyses plans, 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.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
More information

Locations