NCT04086745

Brief Summary

This post-marketing study is designed to compare the safety of baricitinib versus tumor necrosis factor (TNF) inhibitors with respect to venous thromboembolic events (VTEs) when given to participants with rheumatoid arthritis (RA).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,317

participants targeted

Target at P75+ for phase_4 rheumatoid-arthritis

Timeline
Completed

Started Feb 2020

Longer than P75 for phase_4 rheumatoid-arthritis

Geographic Reach
1 country

119 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

September 10, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 12, 2019

Completed
5 months until next milestone

Study Start

First participant enrolled

February 14, 2020

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 19, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 19, 2025

Completed
Last Updated

July 17, 2025

Status Verified

July 1, 2025

Enrollment Period

5.3 years

First QC Date

September 10, 2019

Last Update Submit

July 16, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time from First Dose of Study Treatment to First Event of Venous Thromboembolism (VTE)

    Time from First Dose of Study Treatment to First Event of VTE

    Baseline through Study Completion (Approximately 5.5 Years)

Secondary Outcomes (5)

  • Time from First Dose of Study Treatment to First Arterial Thromboembolic Event (ATE)

    Baseline through Study Completion (Approximately 5.5 Years)

  • Time from First Dose of Study Treatment to First Major Adverse Cerebro-Cardiovascular Event (MACE)

    Baseline through Study Completion (Approximately 5.5 Years)

  • Time from First Dose of Study Treatment to First Malignancy (excluding nonmelanoma skin cancer [NMSC])

    Baseline through Study Completion (Approximately 5.5 Years)

  • Time from First Dose of Study Treatment to First Opportunistic Infection

    Baseline through Study Completion (Approximately 5.5 Years)

  • Time from First Dose of Study Treatment to First Serious Infection

    Baseline through Study Completion (Approximately 5.5 Years)

Study Arms (3)

Baricitinib Low Dose

EXPERIMENTAL

Baricitinib administered orally.

Drug: Baricitinib

Baricitinib High Dose

EXPERIMENTAL

Baricitinib administered orally.

Drug: Baricitinib

TNF Inhibitor

ACTIVE COMPARATOR

Adalimumab or etanercept administered subcutaneously (SC) per standard of care.

Drug: TNF Inhibitor

Interventions

Administered orally.

Also known as: LY3009104
Baricitinib High DoseBaricitinib Low Dose

Administered SC

Also known as: Etanercept, Adalimumab
TNF Inhibitor

Eligibility Criteria

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

You may qualify if:

  • Participants must have at least one of the following characteristics:
  • Documented evidence of a VTE prior to this study
  • At least 60 years of age
  • A body mass index (BMI) greater than or equal to 30 kilograms per meter squared (kg/m²), or
  • Age 50 to less than 60 years and BMI 25 to less than 30 kg/m²
  • Participants must have an inadequate response or intolerance to at least 1 disease-modifying antirheumatic drugs (DMARD) (synthetic or biologic)

You may not qualify if:

  • Participant must not have prior use of a Janus kinase (JAK) inhibitor or have received more than 1 prior TNF inhibitor that was:
  • discontinued for IR (lack or loss of efficacy) for RA, or
  • discontinued for intolerance (AE) when used for any indication
  • Participants must not be pregnant or breastfeeding
  • Participants must not have had more than one VTE
  • Participants must not have cancer
  • Participants must not have active herpes zoster, serious infection, active tuberculosis, or any other serious illness
  • Participants must not have had a live vaccine within four weeks of study start
  • Participants must not have participated in any other clinical trial within four weeks of study start
  • Participants must not have a history of IV drug use, other illicit drug abuse, or chronic alcohol abuse in the past year

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (119)

Arizona Research Clinic PLLC

Chandler, Arizona, 85225, United States

Location

Arizona Arthritis & Rheumatology Associates, P. C.

Mesa, Arizona, 85202, United States

Location

Arizona Arthritis & Rheumatology Research

Paradise Valley, Arizona, 85253, United States

Location

Sun Valley Arthritis Center, LTD

Peoria, Arizona, 85381, United States

Location

Arizona Arthritis & Rheumatology Associates

Phoenix, Arizona, 85037, United States

Location

Arthritis and Rheumatism Associates

Jonesboro, Arkansas, 72401, United States

Location

Providence St. Joseph's Medical Center

Burbank, California, 91505, United States

Location

Hope Clinical Research, Inc.

Canoga Park, California, 91303, United States

Location

Medvin Clinical Research - Covina

Covina, California, 91722, United States

Location

TriWest Research Associates LLC

El Cajon, California, 92020, United States

Location

Newport Huntington Med Grp

Huntington Beach, California, 92648, United States

Location

BioSolutions Clinical Research Center

La Mesa, California, 91942, United States

Location

Valerius Medical Group and Research Center of Greater Long Beach

Los Alamitos, California, 90720, United States

Location

R. Srinivasan, M.D., Inc. dba Monterey Park Medical Center

Monterey Park, California, 91754, United States

Location

ACRC Studies

Poway, California, 92064, United States

Location

Desert Medical Advances

Rancho Mirage, California, 92270, United States

Location

Purushotham & Akther Kotha MD Inc

San Diego, California, 92120, United States

Location

East Bay Rheumatology Medical Group, Inc

San Leandro, California, 94578, United States

Location

Providence Medical Foundation

Santa Rosa, California, 95403, United States

Location

Dan La, MD Inc

Tujunga, California, 91042, United States

Location

Office: Dr Robin K Dore

Tustin, California, 92780, United States

Location

Inland Rheumatology & Osteoporosis Medical Group

Upland, California, 91786, United States

Location

Nazanin Firooz, MD Inc.

West Hills, California, 91307, United States

Location

Medvin Clinical Research - Whittier

Whittier, California, 90602, United States

Location

Danbury Clinical Research, LLC

Danbury, Connecticut, 06810, United States

Location

Delaware Arthritis

Lewes, Delaware, 19958, United States

Location

Omega Research Debary, LLC

DeBary, Florida, 32713, United States

Location

Cria Center for Rheumatology

Fort Lauderdale, Florida, 33334, United States

Location

SIMED Health

Gainesville, Florida, 32607, United States

Location

GNP Research at Mark Jaffe, MD

Hollywood, Florida, 33024, United States

Location

Rheumatology Center Of Palm Beach, Pllc

Lake Worth, Florida, 33467 2991, United States

Location

Arthritis and Rheumatology Center of South Florida

Margate, Florida, 33063, United States

Location

Miami Clinical Reserach

Miami, Florida, 33155, United States

Location

Felicidad Medical Research

Miami, Florida, 33185, United States

Location

Rheumatology Associates of Central Florida

Orlando, Florida, 32806, United States

Location

Heuer MD Research

Orlando, Florida, 32819, United States

Location

UCF Health Lake Nona Orlando

Orlando, Florida, 32827, United States

Location

IRIS Research and Development, LLC

Plantation, Florida, 33324, United States

Location

BayCare Health System Inc

St. Petersburg, Florida, 33705, United States

Location

West Broward Rheumatology Associates

Tamarac, Florida, 33321, United States

Location

Avita Clinical Research

Tampa, Florida, 33613, United States

Location

Tampa Medical Group, P.A.

Tampa, Florida, 33614, United States

Location

Florida Medical Clinic LLC

Zephyrhills, Florida, 33542-7505, United States

Location

Arthritis & Rheumatology of Georgia

Atlanta, Georgia, 30342, United States

Location

Arthritis Center of North Georgia

Gainesville, Georgia, 30501, United States

Location

St Luke's Clinic - Intermountain Orthopaedics

Boise, Idaho, 83702, United States

Location

Hinsdale Orthopaedics, Illinois Bone and Joint

Hinsdale, Illinois, 60521, United States

Location

Rockford Orthopedic Associates

Rockford, Illinois, 61107, United States

Location

Orthoillinois

Rockford, Illinois, 61114, United States

Location

Greater Chicago Specialty Physicians, LLC

Schaumburg, Illinois, 60195, United States

Location

Center of Robert Hozman

Skokie, Illinois, 60076, United States

Location

Beacon Medical Group Clinical Research

South Bend, Indiana, 46617, United States

Location

Graves-Gilbert Clinic

Bowling Green, Kentucky, 42101, United States

Location

Western KY Rheumatology PLLC

Hopkinsville, Kentucky, 42240, United States

Location

Accurate Clinical Research

Lake Charles, Louisiana, 70605, United States

Location

Arthritis and Diabetes Clinic, Inc.

Monroe, Louisiana, 71203, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

Klein and Associates MD, PA

Cumberland, Maryland, 21502, United States

Location

NECCR PrimaCare Research

Fall River, Massachusetts, 02721, United States

Location

Michigan Rheumatology Group

Grand Blanc, Michigan, 48439, United States

Location

Pandit Rheumatology PC

Okemos, Michigan, 48864, United States

Location

Jefferson City Medical Group

Jefferson City, Missouri, 65109, United States

Location

Clinvest Research LLC

Springfield, Missouri, 65807, United States

Location

West County Rheumatology

St Louis, Missouri, 63131, United States

Location

Lovelace Scientific Resources

Henderson, Nevada, 89104, United States

Location

Allied Clinical Research

Reno, Nevada, 89519, United States

Location

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Arthritis Care Medical Center

Somerset, New Jersey, 08873, United States

Location

Atlantic Coastal Research

Toms River, New Jersey, 08757, United States

Location

Sahni Rheumatology & Therapy PC

West Long Branch, New Jersey, 07764, United States

Location

NYU Langone

New York, New York, 10016, United States

Location

Medication Management

Greensboro, North Carolina, 27408, United States

Location

PMG Research of Hickory, LLC

Hickory, North Carolina, 28601, United States

Location

Cape Fear Arthritis Care

Leland, North Carolina, 28451, United States

Location

Carolina Arthritis Associates

Wilmington, North Carolina, 28401, United States

Location

Cincinnati Arthritis Associates

Cincinnati, Ohio, 45242, United States

Location

Craig S Thompson MD LLC

Marion, Ohio, 43302, United States

Location

Paramount Medical Research

Middleburg Heights, Ohio, 44130, United States

Location

Arthritis & Rheumatology Center of Oklahoma PLLC

Oklahoma City, Oklahoma, 73103, United States

Location

Good Samaritan Hospital Corvallis

Corvallis, Oregon, 97330, United States

Location

Advanced Rheumatology and Arthritis Research Center, PC

Cranberry Township, Pennsylvania, 15090, United States

Location

Altoona Center For Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Pennsylvania Regional Center for Arthritis and Osteoporosis Research

Wyomissing, Pennsylvania, 19610, United States

Location

Articularis Healthcare d/b/a/ Low Country Rheumatology, PA

North Charleston, South Carolina, 29406, United States

Location

Monument Health Rapid City Hospital

Rapid City, South Dakota, 57701, United States

Location

Cumberland Rheumatology

Crossville, Tennessee, 38555, United States

Location

West Tennessee Research Institute

Jackson, Tennessee, 38305, United States

Location

Nashville Arthritis and Rheumatology

Nashville, Tennessee, 37203, United States

Location

Accent Clinical Research Professionals, LLC

Allen, Texas, 75013, United States

Location

Amarillo Center for Clinical Research

Amarillo, Texas, 79124, United States

Location

Arthritis & Osteoporosis Clinic of Brazos Valley

College Station, Texas, 77845, United States

Location

Metroplex Clinical Research Center

Dallas, Texas, 75235, United States

Location

El Paso Integrated Physicians Group, P.A., an Elligo Health Research, Inc. Healthcare Enabled Research Organization

El Paso, Texas, 79912, United States

Location

UDL Clinical Research, LLC

Houston, Texas, 77002, United States

Location

Pioneer Research Solutions

Houston, Texas, 77008, United States

Location

Biopharma Informatic, LLC

Houston, Texas, 77043, United States

Location

Accurate Clinical Management - Houston

Houston, Texas, 77084, United States

Location

Synergy Group US

Katy, Texas, 77450, United States

Location

Houston Rheumatology & Arthritis Specialists

Katy, Texas, 77494, United States

Location

R and H Clinical Research

Katy, Texas, 77494, United States

Location

Prime Clinical Research

Mansfield, Texas, 76063, United States

Location

Southwest Rheumatology, P.A.

Mesquite, Texas, 75150, United States

Location

Advanced Clinical Research Center of Houston

Pearland, Texas, 77584, United States

Location

Clinrx Research Joseph INC.

Plano, Texas, 75007, United States

Location

Violeta T. Baddour, MD

Pleasanton, Texas, 78064, United States

Location

Accurate Clinical Research, Inc.

San Antonio, Texas, 78229, United States

Location

Accurate Clinical Management

Sugar Land, Texas, 77479, United States

Location

Fort Bend Clinical Research, LLC

Sugar Land, Texas, 77479, United States

Location

Mt. Olympus Medical Research

Sugar Land, Texas, 77479, United States

Location

Baylor Scott & White Health

Temple, Texas, 76508, United States

Location

North Houston Rheumatology Associates

The Woodlands, Texas, 77380, United States

Location

Dynamed Clinical Research, LP d/b/a DM Clinical Research

Tomball, Texas, 77375, United States

Location

Center for Arthritis and Rheumatic Diseases, PC

Chesapeake, Virginia, 23320, United States

Location

Spectrum Medical Inc.

Danville, Virginia, 24541, United States

Location

Arthritis & Osteoporosis Center of Northern Virinia

Manassas, Virginia, 20109, United States

Location

TPMG Rheumatology/TPMG Clinical Research

Newport News, Virginia, 23606, United States

Location

Arthritis Northwest, PLLC

Spokane, Washington, 99204, United States

Location

Rheumatology & Pulmonary Clinic

Beckley, West Virginia, 25801, United States

Location

Rheumatic Disease Center

Milwaukee, Wisconsin, 53211, United States

Location

Related Links

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

baricitinibTumor Necrosis Factor InhibitorsEtanerceptAdalimumab

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Anti-Inflammatory AgentsTherapeutic UsesPharmacologic ActionsChemical Actions and UsesImmunoglobulin Fc FragmentsImmunoglobulin FragmentsPeptide FragmentsPeptidesAmino Acids, Peptides, and ProteinsImmunoglobulin Constant RegionsImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulinsReceptors, Tumor Necrosis FactorReceptors, CytokineReceptors, ImmunologicReceptors, Cell SurfaceMembrane ProteinsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodies

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 10, 2019

First Posted

September 12, 2019

Study Start

February 14, 2020

Primary Completion

May 19, 2025

Study Completion

May 19, 2025

Last Updated

July 17, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations