NCT04169373

Brief Summary

This protocol includes 2 standalone studies with randomization, data collection, analysis and reporting conducted independently. The main objectives of this protocol are:

  • To evaluate the efficacy of upadacitinib compared with placebo on reduction of signs and symptoms in adults with active axial spondyloarthritis (axSpA) including biologic disease-modifying antirheumatic drug inadequate responders (bDMARD-IR) ankylosing spondylitis (AS) (Study 1) and non-radiographic axial spondyloarthritis (nr-axSpA) (Study 2).
  • To assess the safety and tolerability of upadacitinib in adults with active axSpA including bDMARD-IR AS (Study 1) and nr-axSpA (Study 2).
  • To evaluate the safety and tolerability of upadacitinib in extended treatment in adult participants with active axSpA including bDMARD-IR AS who have completed the Double-Blind Period (Study 1) and nr-axSpA who have completed the Double-Blind Period (Study 2).
  • To evaluate the maintenance of disease control after withdrawal of upadacitinib.

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
734

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Nov 2019

Longer than P75 for phase_3

Geographic Reach
25 countries

212 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

November 18, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 19, 2019

Completed
7 days until next milestone

Study Start

First participant enrolled

November 26, 2019

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 2, 2021

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

September 21, 2022

Completed
2.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2025

Completed
Last Updated

February 24, 2026

Status Verified

February 1, 2025

Enrollment Period

1.8 years

First QC Date

November 18, 2019

Results QC Date

August 23, 2022

Last Update Submit

February 6, 2026

Conditions

Keywords

UpadacitinibAxial Spondyloarthritis (axSpA)SpondyloarthritisAnkylosing Spondylitis (AS)

Outcome Measures

Primary Outcomes (2)

  • Study 1: Percentage of Participants Achieving Assessment of SpondyloArthritis International Society 40 (ASAS40) Response at Week 14

    ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 2 units (on a scale from 0 to 10) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of \> 0 units) in the potential remaining domain: * Patient's global assessment of disease activity, measured on a numeric rating scale (NRS) from 0 (no activity) to 10 (severe activity); * Pain, measured by the total back pain NRS from 0 (no pain) to 10 (most severe pain); * Function, measured by the Bath Ankylosing Spondylitis Functional Index (BASFI) which consists of 10 items assessing participants' ability to perform activities on an NRS ranging from 0 (easy) to 10 (impossible); * Inflammation, measured by the mean of the 2 morning stiffness-related Bath AS Disease Activity Index (BASDAI) NRS scores (items 5 \[level of stiffness\] and 6 \[duration of stiffness\]) each on a scale from 0 (none/0 hours) to 10 (very severe/2 hours or more duration).

    Baseline and Week 14

  • Study 2: Percentage of Participants Achieving an ASAS40 Response at Week 14

    ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 2 units (on a scale from 0 to 10) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of \> 0 units) in the potential remaining domain: * Patient's global assessment of disease activity, measured on a numeric rating scale (NRS) from 0 (no activity) to 10 (severe activity); * Pain, measured by the total back pain NRS from 0 (no pain) to 10 (most severe pain); * Function, measured by the Bath Ankylosing Spondylitis Functional Index (BASFI) which consists of 10 items assessing participants' ability to perform activities on an NRS ranging from 0 (easy) to 10 (impossible); * Inflammation, measured by the mean of the 2 morning stiffness-related Bath AS Disease Activity Index (BASDAI) NRS scores (items 5 \[level of stiffness\] and 6 \[duration of stiffness\]) each on a scale from 0 (none/0 hours) to 10 (very severe/2 hours or more duration).

    Baseline and Week 14

Secondary Outcomes (35)

  • Study 1: Change From Baseline in Ankylosing Spondylitis Disease Activity Score (ASDAS) at Week 14

    Baseline and Week 14

  • Study 1: Change From Baseline in Magnetic Resonance Imaging (MRI) Spondyloarthritis Research Consortium of Canada (SPARCC) Score for the Spine at Week 14

    Baseline and Week 14

  • Study 1: Percentage of Participants With Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) 50 Response at Week 14

    Baseline and Week 14

  • Study 1: Percentage of Participants With an ASAS20 Response at Week 14

    Baseline and Week 14

  • Study 1: Percentage of Participants With ASDAS Inactive Disease at Week 14

    Week 14

  • +30 more secondary outcomes

Study Arms (4)

Study 1: Upadacitinib 15 mg

EXPERIMENTAL

Participants receive 15 mg upadacitinib orally once a day for 104 weeks. Participants who flare after 104 weeks will receive open-label upadacitinib once daily from the time of flare for 24 weeks (re-treatment).

Drug: Upadacitinib

Study 1: Placebo

PLACEBO COMPARATOR

Participants receive matching placebo for 14 weeks and then switch to receive 15 mg upadacitinib orally once a day for 90 weeks. Participants who flare after 104 weeks will receive open-label upadacitinib once daily from the time of flare for 24 weeks (re-treatment).

Drug: UpadacitinibDrug: Placebo

Study 2: Upadacitinib 15 mg

EXPERIMENTAL

Participants receive 15 mg upadacitinib orally once a day for 104 weeks. Participants who flare after 104 weeks will receive open-label upadacitinib once daily from the time of flare for 24 weeks (re-treatment).

Drug: Upadacitinib

Study 2: Placebo

PLACEBO COMPARATOR

Participants receive matching placebo for 52 weeks and then switch to receive 15 mg upadacitinib orally once a day for 52 weeks. Participants who flare after 104 weeks will receive open-label upadacitinib once daily from the time of flare for 24 weeks (re-treatment).

Drug: UpadacitinibDrug: Placebo

Interventions

Upadacitinib tablet administered orally

Also known as: ABT-494, RINVOQ
Study 1: PlaceboStudy 1: Upadacitinib 15 mgStudy 2: PlaceboStudy 2: Upadacitinib 15 mg

Placebo for upadacitinib tablet administered orally

Study 1: PlaceboStudy 2: Placebo

Eligibility Criteria

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

You may qualify if:

  • Study 1:
  • Must have a clinical diagnosis of ankylosing spondylitis (AS) and meet the modified New York Criteria for AS,
  • Must not have total spinal ankylosis
  • Must have been previously exposed to 1 or 2 bDMARDs (at least 1 tumor necrosis factor \[TNF\] inhibitor or 1 interleukin \[IL\]-17 inhibitor \[IL-17i\]), and must have discontinued the bDMARD therapy due to either lack of efficacy (after at least 12 weeks of treatment with a bDMARD at an adequate dose) or intolerance (irrespective of treatment duration). Prior exposure to two bDMARDs was allowed for no more than 30% of patients; among patients with prior exposure to two bDMARDs, a lack of efficacy to one bDMARD and intolerance to another was permitted, but a patient could not have a lack of efficacy to two bDMARDs
  • Study 2:
  • Must have a clinical diagnosis of nr-axSpA fulfilling the 2009 Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axSpA but not meeting the radiologic criterion of the modified New York criteria for AS
  • Must have objective signs of active inflammation consistent with axSpA on magnetic resonance imaging (MRI) of sacroiliac (SI) joints or based on high sensitivity C-reactive protein (hsCRP) \> the upper limit of normal (ULN).
  • Prior treatment with at most one bDMARD (either TNF inhibitor or IL-17i) is allowed for at least 20% but no more than 35% of enrolled patients who had to discontinue the prior bDMARD due to either lack of efficacy (after ≥ 12 weeks at an adequate dose) or intolerance (regardless of treatment duration).
  • Must have a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score ≥ 4 at the Screening and Baseline Visits.
  • Must have a Total Back Pain score ≥ 4 based on a 0 - 10 numerical rating scale at the Screening and Baseline Visits.
  • Has had an inadequate response to at least 2 nonsteroidal anti-inflammatory drugs (NSAIDs) over an at least 4-week period in total at maximum recommended or tolerated doses, or has an intolerance to or contraindication for NSAIDs as defined by the Investigator.

You may not qualify if:

  • Must not have been exposed to any Janus kinase (JAK) inhibitor (including but not limited to upadacitinib \[Rinvoq®\], tofacitinib \[Xeljanz®\], baricitinib \[Olumiant®\], filgotinib, ruxolitinib \[Jakafi®\], abrocitinib \[PF-04965842\], and peficitinib \[Smyraf®\]).
  • Prior bDMARD therapy must be washed out.
  • Participant must not have a history of an allergic reaction or significant sensitivity to constituents of the study drug.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (212)

Arizona Arthritis & Rheumatology Associates, P.C. /ID# 215282

Flagstaff, Arizona, 86001-6269, United States

Location

AZ Arthritis and Rheumotology Research, PLLC /ID# 215113

Phoenix, Arizona, 85032-9306, United States

Location

Arizona Arthritis & Rheumatology Research, PLLC /ID# 214731

Tucson, Arizona, 85704, United States

Location

Newport Huntington Medical Group /ID# 216281

Huntington Beach, California, 92648-5994, United States

Location

Inland Rheum & Osteo Med Grp /ID# 215807

Upland, California, 91786, United States

Location

Denver Arthritis Clinic /ID# 215346

Denver, Colorado, 80230, United States

Location

Tekton Research /ID# 215054

Fort Collins, Colorado, 80528, United States

Location

Arthritis & Rheumatic Disease Specialties /ID# 215306

Aventura, Florida, 33180, United States

Location

Sweet Hope Research Specialty Inc /ID# 215931

Hialeah, Florida, 33016-1897, United States

Location

Innovation Medical Research Center /ID# 216068

Palmetto Bay, Florida, 33157-1737, United States

Location

Conquest Research /ID# 215804

Winter Park, Florida, 32789, United States

Location

Great Lakes Clinical Trials /ID# 215790

Chicago, Illinois, 60640, United States

Location

Greater Chicago Specialty Physicians /ID# 216213

Schaumburg, Illinois, 60195-3106, United States

Location

Clinic of Robert Hozman/Clinical Investigation Specialists /ID# 215055

Skokie, Illinois, 60076, United States

Location

Klein and Associates MD /ID# 214767

Hagerstown, Maryland, 21740, United States

Location

Tufts Medical Center /ID# 215925

Boston, Massachusetts, 02111-1552, United States

Location

Clinical Pharmacology Study Group /ID# 215293

Worcester, Massachusetts, 01605, United States

Location

Wayne State University Health Center /ID# 215930

Detroit, Michigan, 48201-2153, United States

Location

Advanced Rheumatology, PC /ID# 214973

Lansing, Michigan, 48910, United States

Location

St. Paul Rheumatology /ID# 215537

Eagan, Minnesota, 55121, United States

Location

Clinvest Research LLC /ID# 215785

Springfield, Missouri, 65807, United States

Location

CenterPointe Institute of Research /ID# 215793

St Louis, Missouri, 63128-3841, United States

Location

NYU Langone Orthopedic Center /ID# 215594

New York, New York, 10016-2772, United States

Location

St. Lawrence Health System /ID# 215844

Potsdam, New York, 13676, United States

Location

Cape Fear Arthritis Care /ID# 215927

Leland, North Carolina, 28451, United States

Location

Marietta Memorial Hospital /ID# 215929

Marietta, Ohio, 45750-1635, United States

Location

STAT Research, Inc. /ID# 215264

Springboro, Ohio, 45066, United States

Location

Health Research of Oklahoma /ID# 215117

Oklahoma City, Oklahoma, 73103-2400, United States

Location

Oregon Health and Science University /ID# 216446

Portland, Oregon, 97239, United States

Location

Altoona Ctr Clinical Res /ID# 214770

Duncansville, Pennsylvania, 16635, United States

Location

Tekton Research, Inc. /ID# 214923

Austin, Texas, 78745, United States

Location

Trinity Universal Research Associates - Carrollton /ID# 214948

Carrollton, Texas, 75007, United States

Location

Arthritis and Osteoporosis Clinic Of Brazos Valley /ID# 215805

College Station, Texas, 77845, United States

Location

JPS Rheumatology Clinic /ID# 215962

Fort Worth, Texas, 76104-4917, United States

Location

Memorial Rheumatology /ID# 216311

Houston, Texas, 77024-2420, United States

Location

Biopharma Informatic, LLC /ID# 215885

Houston, Texas, 77043, United States

Location

Biopharma Informatic - Park Row /ID# 215907

Houston, Texas, 77084, United States

Location

West Texas Clinical Research /ID# 215928

Lubbock, Texas, 79410-1198, United States

Location

Trinity Universal Research Associates, Inc /ID# 215189

Plano, Texas, 75024-5283, United States

Location

Rheumatology and Pulmonary Clinic /ID# 214946

Beckley, West Virginia, 25801, United States

Location

West Virginia Research Inst /ID# 214921

South Charleston, West Virginia, 25309, United States

Location

Organizacion Medica de Investigacion (OMI) /ID# 214557

Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1015, Argentina

Location

Centro de Enfermedades del Hígado y Aparato Digestivo /ID# 214556

Rosario, Santa Fe Province, 2000, Argentina

Location

Instituto CAICI /ID# 215242

Rosario, Santa Fe Province, 2000, Argentina

Location

Centro de Investigaciones Medicas Tucuman /ID# 214559

San Miguel de Tucumán, Tucumán Province, 4000, Argentina

Location

Hospital Cordoba /ID# 215846

Córdoba, 5000, Argentina

Location

Instituto Medico Strusberg /ID# 215239

Córdoba, 5000, Argentina

Location

Cimer /Id# 215240

San Miguel de Tucumán, 4000, Argentina

Location

Emeritus Research Sydney /ID# 215507

Botany, New South Wales, 2019, Australia

Location

BJC Health /ID# 215510

Paramatta, New South Wales, 2150, Australia

Location

Emeritus Research /ID# 215506

Camberwell, Victoria, 3124, Australia

Location

Monash Medical Centre /ID# 215509

Clayton, Victoria, 3168, Australia

Location

Barwon Rheumatology Services /ID# 215508

Geelong, Victoria, 3220, Australia

Location

UZ Gent /ID# 215004

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

Universitair Ziekenhuis Leuven /ID# 215006

Leuven, Vlaams-Brabant, 3000, Belgium

Location

ReumaClinic /ID# 215005

Genk, 3600, Belgium

Location

CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 215277

Juiz de Fora, Minas Gerais, 36010-570, Brazil

Location

EDUMED Educacao em Saude S/S L /ID# 215111

Curitiba, Paraná, 80440-080, Brazil

Location

LMK Sevicos Medicos S/S /ID# 215112

Porto Alegre, Rio Grande do Sul, 90480-000, Brazil

Location

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 215176

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

Location

CPCLIN - Centro de Pesquisas Clínicas /ID# 215175

São Paulo, 01228-200, Brazil

Location

UMHAT Kaspela EOOD /ID# 214803

Plovdiv, 4001, Bulgaria

Location

Medical center Unimed /ID# 214816

Plovdiv, 4023, Bulgaria

Location

MHAT Plovdiv /ID# 214815

Plovdiv, 4027, Bulgaria

Location

Medical center Teodora /ID# 214813

Rousse, 7012, Bulgaria

Location

Medical center Excelsior /ID# 214805

Sofia, 1407, Bulgaria

Location

UMHAT Sveti Ivan Rilski /ID# 214804

Sofia, 1431, Bulgaria

Location

UMHAT Sveti Ivan Rilski /ID# 214806

Sofia, 1431, Bulgaria

Location

Diagnostic consultative center 17 Sofia /ID# 214808

Sofia, 1505, Bulgaria

Location

Percuro Clinical Research, Ltd /ID# 215302

Victoria, British Columbia, V8V 3M9, Canada

Location

Toronto Western Hospital /ID# 215041

Toronto, Ontario, M5T 2S8, Canada

Location

Applied Medical Informatics Research Inc. (AMIR) /ID# 215303

Montreal, Quebec, H4A 3T2, Canada

Location

Centre de Recherche Musculo-Squelettique /ID# 215096

Trois-Rivières, Quebec, G8Z 1Y2, Canada

Location

Centre de recherche du CHUQ /ID# 215038

Québec, G1R 3S2, Canada

Location

The first affiliated hospital of bengbu medical college /ID# 216609

Bengbu, Anhui, 233004, China

Location

Anhui Provincial Hospital /ID# 216631

Hefei, Anhui, 230001, China

Location

Peking Union Medical College Hospital /ID# 216545

Beijing, Beijing Municipality, 100730, China

Location

Guangdong Provincial People's Hospital /ID# 216645

Guangzhou, Guangdong, 510080, China

Location

The First Affiliated Hospital of Shantou University Medical College /ID# 217883

Shantou, Guangdong, 515041, China

Location

Shenzhen People's Hospital /ID# 225438

Shenzhen, Guangdong, 518020, China

Location

Zhuzhou Central Hospital /ID# 216644

Zhuzhou, Hunan, 412007, China

Location

The First Affiliated Hospital of BaoTou Medical College, Inner Mongolia Universi /ID# 216612

Baotou, Inner Mongolia, 014016, China

Location

The First Affiliated Hospital of Soochow University /ID# 216607

Suzhou, Jiangsu, 215006, China

Location

Huashan Hospital, Fudan University /ID# 216646

Shanghai, Shanghai Municipality, 200040, China

Location

First Affiliated Hospital of Kunming Medical University /ID# 217945

Kunming, 650032, China

Location

REVMACLINIC s.r.o. /ID# 215153

Brno, 602 00, Czechia

Location

Revmacentrum MUDr. Mostera, s.r.o. /ID# 215161

Brno, 615 00, Czechia

Location

Revmatologie, s.r.o. /ID# 215309

Brno, 638 00, Czechia

Location

CCR Ostrava, s.r.o. /ID# 215226

Ostrava, 702 00, Czechia

Location

ARTHROHELP, s.r.o. /ID# 215224

Pardubice, 530 02, Czechia

Location

Revmatologicky ustav v Praze /ID# 215154

Prague, 128 00, Czechia

Location

PV MEDICAL Services s.r.o. /ID# 215119

Prague, 130 00, Czechia

Location

Revmatologicka ambulance - MUDr. Zuzana Urbanova /ID# 215652

Prague, 140 00, Czechia

Location

Thomayerova nemocnice /ID# 215118

Prague, 140 59, Czechia

Location

Fakultni Nemocnice v Motole /ID# 215160

Prague, 150 06, Czechia

Location

MEDICAL PLUS, s.r.o. /ID# 215324

Uherské Hradiště, 686 01, Czechia

Location

CHU Toulouse /ID# 214780

Toulouse, Occitanie, 31300, France

Location

CHU Bordeaux - Hopital Pellegrin /ID# 214784

Bordeaux, 33000, France

Location

Hopital Ambroise Pare /ID# 214783

Boulogne-Billancourt, 92104, France

Location

AP-HP - Hopital Cochin /ID# 214782

Paris, 75014, France

Location

Universitaetsklinikum Erlangen /ID# 214281

Erlangen, Bavaria, 91054, Germany

Location

Rheumatologische Schwerpunktpraxis Brandt-Juergens /ID# 214282

Berlin, 12161, Germany

Location

Charite Universitaetsklinikum Berlin - Campus Benjamin Franklin /ID# 214211

Berlin, 12203, Germany

Location

Rheuma Research Lausitz, Dr. Mario Sutowicz /ID# 214218

Cottbus, 30342, Germany

Location

Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 214207

Dresden, 01307, Germany

Location

Praxisgemeinschaft Rheumatologie Nephrologie Erlangen /ID# 214212

Erlangen, 91056, Germany

Location

MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH /ID# 214208

Hamburg, 20095, Germany

Location

Medizinische Hochschule Hannover /ID# 214209

Hanover, 30625, Germany

Location

MVZ für Rheumatologie Dr. M. Welcker GmbH /ID# 214261

Planegg, 82152, Germany

Location

Debreceni Egyetem Klinikai Kozpont /ID# 215187

Debrecen, Hajdú-Bihar, 4032, Hungary

Location

Vital Medical Center Orvosi es Fogaszati Kozpont /ID# 215182

Veszprém, Veszprém megye, 8200, Hungary

Location

Rehavita Kft HU /ID# 215188

Kormend, Zala County, 9900, Hungary

Location

Betegapolo Irgalmasrend Budai Irgalmasrendi Korhaz /ID# 215183

Budapest, 1023, Hungary

Location

Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz /ID# 215186

Gyula, 5700, Hungary

Location

Hevizgyogyfurdo es Szent Andras Reumakorhaz /ID# 215184

Hévíz, 8380, Hungary

Location

Pest Megyei Flor Ferenc Korhaz /ID# 214501

Kistarcsa, 2143, Hungary

Location

CMED Rehabilitacios es Diagnosztikai Kozpont /ID# 215181

Székesfehérvár, 8000, Hungary

Location

The Chaim Sheba Medical Center /ID# 215854

Ramat Gan, Tel Aviv, 5265601, Israel

Location

Tel Aviv Sourasky Medical Center /ID# 216956

Tel Aviv, Tel Aviv, 6423906, Israel

Location

Bnai Zion Medical Center /ID# 215856

Haifa, 3339419, Israel

Location

Meir Medical Center /ID# 217255

Kfar Saba, 4428164, Israel

Location

Daido Clinic /ID# 214735

Nagoya, Aichi-ken, 457-8511, Japan

Location

Matsuyama Red Cross Hospital /ID# 216021

Matsuyama, Ehime, 790-8524, Japan

Location

National Hospital Organization Asahikawa Medical Center /ID# 214930

Asahikawa-shi, Hokkaido, 070-8644, Japan

Location

Hokkaido University Hospital /ID# 215221

Sapporo, Hokkaido, 060-8648, Japan

Location

Kobe University Hospital /ID# 214598

Kobe, Hyōgo, 650-0017, Japan

Location

Hyogo College of Medicine College Hospital /Id# 215638

Nishinomiya-shi, Hyōgo, 663-8501, Japan

Location

Kita-harima Medical Center /ID# 216069

Ono-shi, Hyōgo, 675-1327, Japan

Location

Kuwana City Medical Center /ID# 215196

Kuwana-shi, Mie-ken, 511-0061, Japan

Location

Nagasaki University Hospital /ID# 215947

Nagasaki, Nagasaki, 852-8501, Japan

Location

Sasebo Chuo Hospital /ID# 214703

Sasebo-shi, Nagasaki, 857-1195, Japan

Location

Japanese Red Cross Okayama Hospital /ID# 214732

Okayama, Okayama-ken, 700-8607, Japan

Location

Okinawa Prefectural Chubu Hospital /ID# 215575

Uruma, Okinawa, 904-2293, Japan

Location

National Hospital Organization Osaka Minami Medical Center /ID# 214205

Kawachinagano Shi, Osaka, 586-8521, Japan

Location

Osaka City General Hospital /ID# 215640

Osaka, Osaka, 534-0021, Japan

Location

Juntendo University Hospital /ID# 214929

Bunkyo-ku, Tokyo, 113-8431, Japan

Location

St.Luke's International Hospital /ID# 215414

Chuo-ku, Tokyo, 104-8560, Japan

Location

CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 215217

Mexico City, Mexico City, 11850, Mexico

Location

Middlemore Clinical Trials /ID# 215502

Papatoetoe, Auckland, 2025, New Zealand

Location

Waikato Hospital /ID# 215503

Hamilton, Waikato Region, 3240, New Zealand

Location

AI Centrum Medyczne Sp. z o.o. sp.k. /ID# 214354

Poznan, Greater Poland Voivodeship, 61-113, Poland

Location

Nasz Lekarz Przychodnie Medyczne /ID# 214352

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

Location

WroMedica I. Bielicka, A. Strzalkowska s.c. /ID# 215093

Wroclaw, Lower Silesian Voivodeship, 51-685, Poland

Location

REUMED Sp.z o.o. Filia nr 1 /ID# 214353

Lublin, Lublin Voivodeship, 20-607, Poland

Location

Osteo-Medic S.C. /ID# 214351

Bialystok, Podlaskie Voivodeship, 15-351, Poland

Location

ETYKA-Osrodek Badan Klinicznych /ID# 215572

Olsztyn, Warmian-Masurian Voivodeship, 10-117, Poland

Location

Chelyabinsk Regional Clinical Hospital /ID# 214463

Chelyabinsk, Chelyabinsk Oblast, 454087, Russia

Location

Immanuel Kant Baltic Federal University /ID# 218259

Kaliningrad, Kaliningrad Oblast, 236016, Russia

Location

LLC Family Outpatient Clinic № /ID# 214455

Korolev, Moscow, 141060, Russia

Location

Research Institute of Rheumatology named after V.A. Nasonova /ID# 214459

Moscow, Moscow, 115522, Russia

Location

LLC Medical Center /ID# 214410

Novosibirsk, Novosibirsk Oblast, 630099, Russia

Location

Nort-Western State Medical University n.a. Mechnikov /ID# 214454

Saint Petersburg, Sankt-Peterburg, 193015, Russia

Location

LLC Novaya Klinika /ID# 214420

Pyatigorsk, Stavropol Kray, 357500, Russia

Location

Family Clinic /ID# 214737

Yekaterinburg, Sverdlovsk Oblast, 620109, Russia

Location

Central City Hospital #7 /ID# 214741

Yekaterinburg, Sverdlovsk Oblast, 620137, Russia

Location

Kazan State Medical University /ID# 214421

Kazan', Tatarstan, Respublika, 420012, Russia

Location

Alliance Biomedical Ural Group /ID# 214457

Izhevsk, Udmurtiya Republic, 426061, Russia

Location

Olla-Med Clinic /ID# 214460

Moscow, 105554, Russia

Location

City Clinical Hospital n.a. O.M. Filatov /ID# 214486

Moscow, 111539, Russia

Location

Omsk Regional Clinic Hospital /ID# 214464

Omsk, 644111, Russia

Location

Orenburg State Medical University /ID# 214408

Orenburg, 460000, Russia

Location

Ryazan State Medical University named after academician I.P. Pavlov /ID# 214418

Ryazan, 390026, Russia

Location

Clinical Rheumatologic Hospital No 25 /ID# 214488

Saint Petersburg, 190068, Russia

Location

RZD-Medicine Saratov /ID# 214465

Saratov, 410004, Russia

Location

Ulyanovsk Regional Clinical Hospital /ID# 214458

Ulyanovsk, 432017, Russia

Location

Univerzitna nemocnica Bratislava Nemocnica Stare Mesto /ID# 214675

Bratislava, 813 69, Slovakia

Location

Reum.hapi s.r.o. /ID# 224268

Nové Mesto nad Váhom, 915 01, Slovakia

Location

Narodny ustav reumatickych chorob /ID# 214674

Piešťany, 921 12, Slovakia

Location

MUDr. Zuzana Cizmarikova s.r.o. /ID# 215220

Poprad, 058 01, Slovakia

Location

ALBAMED s.r.o. /ID# 215248

Zvolen, 960 01, Slovakia

Location

Ajou University Hospital /ID# 214533

Suwon, Gyeonggido, 16499, South Korea

Location

Hanyang University Seoul Hospital /ID# 214297

Seoul, Seoul Teugbyeolsi, 04763, South Korea

Location

Gachon University Gil Medical Center /ID# 214534

Incheon, 21565, South Korea

Location

Seoul National University Hospital /ID# 214532

Seoul, 03080, South Korea

Location

Kyunghee University Hospital at Gangdong /ID# 214296

Seoul, 05278, South Korea

Location

Asan Medical Center /ID# 214294

Seoul, 05505, South Korea

Location

The Catholic University of Korea, Seoul St. Mary's Hospital /ID# 214295

Seoul, 06591, South Korea

Location

Hospital Marina Baixa /ID# 215970

Villajoyosa, Alicante, 03570, Spain

Location

Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 214967

Sabadell, Barcelona, 08208, Spain

Location

Hospital Unversitario Marques de Valdecilla /ID# 214965

Santander, Cantabria, 39008, Spain

Location

Hospital Meixoeiro (CHUVI) /ID# 214969

Vigo, Pontevedra, 36213, Spain

Location

Hospital Universitario Reina Sofia /ID# 214968

Córdoba, 14004, Spain

Location

Hospital Universitario La Paz /ID# 216032

Madrid, 28046, Spain

Location

Hospital Universitario y Politecnico La Fe /ID# 214966

Valencia, 46026, Spain

Location

Kaohsiung Veterans General Hos /ID# 214332

Kaohsiung City, Taichung, 81362, Taiwan

Location

Far Eastern Memorial Hospital /ID# 215384

New Taipei City, 22060, Taiwan

Location

Chung Shan Medical University Hospital /ID# 214018

Taichung, 40201, Taiwan

Location

China Medical University Hospital /ID# 214019

Taichung, 40447, Taiwan

Location

Cathay General Hospital /ID# 214183

Taipei, 10630, Taiwan

Location

Hacettepe Universitesi Tip Fak /ID# 214898

Sihhiye, Ankara, 06100, Turkey (Türkiye)

Location

Istanbul University Cerrahpasa Faculty of Medicine /ID# 214895

Cerrahpaşa, 34098, Turkey (Türkiye)

Location

Mugla Sitki Kocman University Medical Faculty /ID# 215358

Muğla, 48000, Turkey (Türkiye)

Location

MNPE Chernihiv Regional Hospital of the Chernihiv Region Council /ID# 214145

Chernihiv, 14029, Ukraine

Location

State Institution L.T. Malaya Therapy National Institute of the NAMS of Ukraine /ID# 214155

Kharkiv, 61039, Ukraine

Location

CNCE of Kharkiv Regional Council Regional Clinical Hospital /ID# 214158

Kharkiv, 61058, Ukraine

Location

MNI City Multidisciplinary Hospital #18 /ID# 214154

Kharkiv, 61110, Ukraine

Location

Khmelnytskyi Regional Hospital /ID# 214153

Khmelnytskyi, 29000, Ukraine

Location

MI Kryvyi Rih City Clinical Hospital No.2 /ID# 214152

Kryvyi Rih, 50056, Ukraine

Location

Medical Center LLC Institute of Rheumatology /ID# 214146

Kyiv, 02081, Ukraine

Location

Kyiv Railway Clinical Hosp No.2 /ID# 214779

Kyiv, 03049, Ukraine

Location

Medical Center CONSILIUM MEDICAL /ID# 216234

Kyiv, 04050, Ukraine

Location

MNI KRC Kyiv Regional Clinical Hospital /ID# 214156

Kyiv, 04107, Ukraine

Location

Municipal Non-Commercial Enterprise Odesa Regional Clinical Hospital of the Od /ID# 214159

Odesa, 65025, Ukraine

Location

Multifield Medical Centre of ONMU /ID# 214149

Odesa, 65026, Ukraine

Location

PI "Poltava Regional Clinical Hospital n.a. M.V.Sklifosovsky" /ID# 214151

Poltava, 36011, Ukraine

Location

Ternopil University Hospital /ID# 214705

Ternopil, 46002, Ukraine

Location

CNE Vinnytsya Regional Clinical Hospital named after N.I.Pirogov /ID# 214147

Vinnytsia, 21028, Ukraine

Location

Clinic of Scientific Research Institute of Invalid Rehabilitation /ID# 214148

Vinnytsia, 21029, Ukraine

Location

Minerva Health Centre /ID# 216226

Preston, Lancashire, PR1 6SB, United Kingdom

Location

Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 214865

Norwich, Norfolk, NR4 7UY, United Kingdom

Location

West Suffolk Hospital /ID# 215529

Bury St Edmunds, Suffolk, IP33 2QZ, United Kingdom

Location

Doncaster Royal Infirmary /ID# 214971

Armthorpe Road, DN2 5LT, United Kingdom

Location

Related Publications (11)

  • Baraliakos X, Bessette L, de Vlam K, Taylor PC, Biljan A, Urbanik J, Gao T, Jasion VS, Kato K, Lippe R, Magrey M. Impact of Upadacitinib on Reducing Pain in Patients Across the Axial Spondyloarthritis Spectrum: A Post Hoc Analysis of the Phase 2/3 SELECT-AXIS Studies. Rheumatol Ther. 2026 Mar 13. doi: 10.1007/s40744-026-00834-5. Online ahead of print.

  • 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.

  • Navarro-Compan V, Van den Bosch F, Sampaio-Barros PD, Ostor AJK, Parikh B, Kato K, Gao T, Stigler J, Ramiro S. Efficacy of upadacitinib in subgroups of patients with axial spondyloarthritis with early versus established disease. RMD Open. 2025 Mar 4;11(1):e005110. doi: 10.1136/rmdopen-2024-005110.

  • Van den Bosch F, Deodhar A, Poddubnyy D, Maksymowych WP, van der Heijde D, Kim TH, Kishimoto M, Baraliakos X, Bu X, Lagunes-Galindo I, Song IH, Wung P, Kato K, Shmagel A. Upadacitinib in active non-radiographic axial spondyloarthritis: 2-year data from the phase 3 SELECT-AXIS 2 study. Arthritis Res Ther. 2025 Feb 4;27(1):23. doi: 10.1186/s13075-024-03441-3.

  • Baraliakos X, van der Heijde D, Sieper J, Inman RD, Kameda H, Maksymowych WP, Lagunes-Galindo I, Bu X, Wung P, Kato K, Shmagel A, Deodhar A. Efficacy and safety of upadacitinib in patients with active ankylosing spondylitis refractory to biologic therapy: 2-year clinical and radiographic results from the open-label extension of the SELECT-AXIS 2 study. Arthritis Res Ther. 2024 Nov 12;26(1):197. doi: 10.1186/s13075-024-03412-8.

  • Burmester GR, Stigler J, Rubbert-Roth A, Tanaka Y, Azevedo VF, Coombs D, Lagunes I, Lippe R, Wung P, Gensler LS. Safety Profile of Upadacitinib up to 5 Years in Psoriatic Arthritis, Ankylosing Spondylitis, and Non-radiographic Axial Spondyloarthritis: An Integrated Analysis of Clinical Trials. Rheumatol Ther. 2024 Jun;11(3):737-753. doi: 10.1007/s40744-024-00671-4. Epub 2024 Apr 29.

  • 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.

  • Kiltz U, Kishimoto M, Walsh JA, Sampaio-Barros P, Mittal M, Saffore CD, Wung P, Ganz F, Biljan A, Poddubnyy D. Effect of Upadacitinib on Quality of Life and Work Productivity in Active Non-radiographic Axial Spondyloarthritis: Results From Randomized Phase 3 Trial SELECT-AXIS 2. Rheumatol Ther. 2023 Aug;10(4):887-899. doi: 10.1007/s40744-023-00550-4. Epub 2023 May 16.

  • Navarro-Compan V, Baraliakos X, Magrey M, Ostor A, Saffore CD, Mittal M, Song IH, Ganz F, Stigler J, Deodhar A. Effect of Upadacitinib on Disease Activity, Pain, Fatigue, Function, Health-Related Quality of Life and Work Productivity for Biologic Refractory Ankylosing Spondylitis. Rheumatol Ther. 2023 Jun;10(3):679-691. doi: 10.1007/s40744-023-00536-2. Epub 2023 Feb 23.

  • Deodhar A, Van den Bosch F, Poddubnyy D, Maksymowych WP, van der Heijde D, Kim TH, Kishimoto M, Blanco R, Duan Y, Li Y, Pangan AL, Wung P, Song IH. Upadacitinib for the treatment of active non-radiographic axial spondyloarthritis (SELECT-AXIS 2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2022 Jul 30;400(10349):369-379. doi: 10.1016/S0140-6736(22)01212-0.

  • van der Heijde D, Baraliakos X, Sieper J, Deodhar A, Inman RD, Kameda H, Zeng X, Sui Y, Bu X, Pangan AL, Wung P, Song IH. Efficacy and safety of upadacitinib for active ankylosing spondylitis refractory to biological therapy: a double-blind, randomised, placebo-controlled phase 3 trial. Ann Rheum Dis. 2022 Nov;81(11):1515-1523. doi: 10.1136/ard-2022-222608. Epub 2022 Jul 4.

Related Links

MeSH Terms

Conditions

SpondylarthritisAxial SpondyloarthritisSpondylitis, Ankylosing

Interventions

upadacitinib

Condition Hierarchy (Ancestors)

SpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint DiseasesSpondylarthropathiesAnkylosis

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

November 18, 2019

First Posted

November 19, 2019

Study Start

November 26, 2019

Primary Completion

September 2, 2021

Study Completion

February 28, 2025

Last Updated

February 24, 2026

Results First Posted

September 21, 2022

Record last verified: 2025-02

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