A Study of Oral Upadacitinib Tablets to Assess the Change in Disease Symptoms in Adult Canadian Participants With Moderate to Severe Rheumatoid Arthritis
CLOSEUP
Canadian Real-life Post-marketing Observational Study Assessing the Effectiveness of Upadacitinib for Treating Rheumatoid Arthritis (CLOSEUP)
1 other identifier
observational
413
1 country
39
Brief Summary
Rheumatoid Arthritis (RA) is an inflammatory disease of the joints causing pain, stiffness, swelling and loss of joint function. This study will assess how effective Upadacitinib is in changing the disease symptoms in Canadian participants with RA. Upadacitinib is a drug approved for the treatment of moderately to severely active rheumatoid arthritis. Adult Canadian participants with moderate to severe RA who have been prescribed upadacitinib by their physicians will be enrolled. Approximately, 390 participants will be enrolled this study, in multiple sites within Canada. Participants will receive Upadacitinib as prescribed by the physician and will be followed for approximately 24 months. There will be no additional burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic and will be asked to provide additional information by questionnaire at each visit.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2020
Typical duration for all trials
39 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 29, 2020
CompletedFirst Posted
Study publicly available on registry
October 5, 2020
CompletedStudy Start
First participant enrolled
October 7, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2024
CompletedSeptember 3, 2025
August 1, 2025
3.8 years
September 29, 2020
August 27, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Who Achieve Clinical Remission
Clinical remission is defined as Disease Activity Score at 28 joints (DAS28) C-reactive Protein (CRP)\<2.6.
At Month 6
Secondary Outcomes (20)
Change in Pain Using Visual Analogue Scale (VAS)
Baseline (Month 0) Through Month 24
Duration of Morning Stiffness
Baseline (Month 0) Through Month 24
Severity of Morning Stiffness
Baseline (Month 0) Through Month 24
Change in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F)
Baseline (Month 0) Through Month 24
Percentage of Participants Achieving Clinical Remission
Baseline (Month 0) Through Month 24
- +15 more secondary outcomes
Study Arms (1)
Participants receiving Upadacitinib
Participants receiving Upadacitinib for moderate to severe rheumatoid arthritis (RA).
Eligibility Criteria
Participants receiving Upadacitinib according to the product prescribing information, for moderate to severe active Rheumatoid Arthritis (RA).
You may qualify if:
- Diagnosis of moderate to severe Rheumatoid Arthritis (RA) according to the investigator.
- Decision to initiate UPA treatment by investigator according to the local product label independent of the participant's participation in the study.
- Has been previously treated with Conventional Synthetic Disease-Modifying Antirheumatic Drugs (csDMARDs) and corresponds to one of the following subgroups:
- Has not been previously exposed to any Biologic Disease-Modifying Antirheumatic Drugs (bDMARD) or Targeted Synthetic Disease-Modifying Antirheumatic Drugs (tsDMARD).
- Has not been previously exposed to tsDMARD and has been previously exposed to \<= 2 bDMARDs.
- Has been previously treated with one tsDMARD and \<=1 bDMARD prior to treatment with that tsDMARD.
You may not qualify if:
- Presence of any condition that, in the opinion of the treating physician, prohibits the participant from participating in the study or obscures the assessment of the treatment of RA.
- Diagnosis of rheumatic disease other than RA.
- Diagnosis of juvenile RA.
- Currently participating in an investigational clinical trial.
- Has prior exposure to a bDMARD after exposure to a tsDMARD.
- Has prior exposure to tsDMARD in an investigational clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AbbVielead
Study Sites (39)
Rheumatology Research Associates /ID# 224534
Edmonton, Alberta, T5M 0H4, Canada
Saurash Reddy Professional Corporation /ID# 225288
Edmonton, Alberta, T6G 0T2, Canada
Fraser Clinical Trials Inc /ID# 225200
New Westminster, British Columbia, V3L 3W4, Canada
Dr. Jonathan D. Chan Inc. /ID# 222976
Vancouver, British Columbia, V5Z 1J9, Canada
Dr. Milton F. Baker Inc. /ID# 224555
Victoria, British Columbia, V8P 5P6, Canada
Manitoba Clinic /ID# 223288
Winnipeg, Manitoba, R3A 1M3, Canada
Eastern Regional Health Authority /ID# 223911
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
Nexus Clinical Research /ID# 225896
St. John's, Newfoundland and Labrador, A1B 5E8, Canada
Dr. Juris Lazovskis Inc. /ID# 224817
Sydney, Nova Scotia, B1S 3N1, Canada
Dr. Viktoria Pavlova Medicine Professional Corporation /ID# 224536
Ancaster, Ontario, L9G 3K9, Canada
Drs. Rai & Sekhon Medicine Professional Corporation /ID# 224366
Brampton, Ontario, L6R 0W3, Canada
Dr. Sankalp V. Bhavsar Medicine Professional Corporation /ID# 223952
Burlington, Ontario, L7R 2H3, Canada
Paolo Pace Medicine Professional Corporation /ID# 234057
Cambridge, Ontario, N1R 4S1, Canada
Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 223814
Dundas, Ontario, L9H 1B7, Canada
Arthur Karasik Medicine Professional Corporation /ID# 225276
Etobicoke, Ontario, M9C 5N2, Canada
Adachi Medicine Prof. Corp /ID# 223872
Hamilton, Ontario, L8N 1Y2, Canada
St. Joseph's Healthcare /ID# 224042
Hamilton, Ontario, L8N 4A6, Canada
West Mountain Medical Center /ID# 222975
Hamilton, Ontario, L9C 5N2, Canada
Brandusa Florica Medicine Professional Corporation /ID# 222173
Mississauga, Ontario, L5A 3V8, Canada
Credit Valley Rheumatology /ID# 219226
Mississauga, Ontario, L5M 2V8, Canada
Imtiaz MS Khan Medicine Prof /ID# 225275
Mississauga, Ontario, L5M 4N4, Canada
Rajwinder S. Dhillon Medicine /ID# 224365
Niagara Falls, Ontario, L2E 6A6, Canada
Makhzoum Medicine Professional Corporation /Id# 229629
Oakville, Ontario, L6H 3P1, Canada
Dr. S. Gill Medicine Professional Corporation /ID# 225238
Oakville, Ontario, L6M 1M1, Canada
The Waterside Clinic /ID# 224205
Orillia, Ontario, L3V 1T5, Canada
Dr. L. Lisnevskaia Medicine Professional Corporation /ID# 225645
Oshawa, Ontario, L1H 1B9, Canada
Angela Montgomery Medicine Professional Corporation /ID# 231142
Ottawa, Ontario, K1H 7X3, Canada
Niagara Peninsula Arthritis Ct /ID# 221472
St. Catharines, Ontario, L2N 7E4, Canada
Dr. Sabeen Anwar Medicine Professional Corporation /ID# 224797
Windsor, Ontario, N8X 1T3, Canada
CIUSSS de l'est de l'Ile-de-Montreal - Hopital Maisonneuve-Rosemont /ID# 225021
Montreal, Quebec, H1T 2M4, Canada
Rheumatology Institute of Montreal /ID# 224045
Montreal, Quebec, H2L 1S6, Canada
Applied Medical Informatics Research Inc. (AMIR) /ID# 224321
Montreal, Quebec, H4A 3T2, Canada
Clinique de Rhumatologie de Montreal /ID# 221266
Montreal, Quebec, H4N 1C6, Canada
CISSSBSL -Hopital regional de Rimouski /ID# 224681
Rimouski, Quebec, G5L 5T1, Canada
Groupe de Recherche en Maladies Osseuses Inc /ID# 222977
Sainte-Foy, Quebec, G1V 3M7, Canada
CIUSSS de l'Estrie - CHUS /ID# 225404
Sherbrooke, Quebec, J1G 2E8, Canada
Centre de Recherche Musculo-Squelettique /ID# 224513
Trois-Rivières, Quebec, G8Z 1Y2, Canada
Dr Naik-Medical Professional Corporation-Alliance Health /ID# 221195
Saskatoon, Saskatchewan, S7H 5M7, Canada
Rheumatology Associates /ID# 228584
Saskatoon, Saskatchewan, S7K 0H6, Canada
Related Publications (1)
Bessette L, Chan J, Chow A, Lisnevskaia L, Richard N, Fournier PA, Liazoghli D, Girard T, Haaland D. Real-World Effectiveness of Upadacitinib for Treatment of Rheumatoid Arthritis in Canadian Patients: Interim Results from the Prospective Observational CLOSE-UP Study. Rheumatol Ther. 2024 Jun;11(3):563-582. doi: 10.1007/s40744-024-00651-8. Epub 2024 Mar 11.
PMID: 38467912DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
ABBVIE INC.
AbbVie
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 29, 2020
First Posted
October 5, 2020
Study Start
October 7, 2020
Primary Completion
July 30, 2024
Study Completion
July 30, 2024
Last Updated
September 3, 2025
Record last verified: 2025-08