NCT05814627

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
487

participants targeted

Target at P50-P75 for phase_3 rheumatoid-arthritis

Timeline
2mo left

Started Jun 2023

Typical duration for phase_3 rheumatoid-arthritis

Geographic Reach
25 countries

218 active sites

Status
active not recruiting

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

Study Progress95%
Jun 2023Jul 2026

First Submitted

Initial submission to the registry

April 4, 2023

Completed
14 days until next milestone

First Posted

Study publicly available on registry

April 18, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

June 15, 2023

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Last Updated

January 12, 2026

Status Verified

January 1, 2026

Enrollment Period

3 years

First QC Date

April 4, 2023

Last Update Submit

January 8, 2026

Conditions

Keywords

Rheumatoid ArthritisRAUpadacitinibAdalimumabMethotrexateMTXTNF Inhibitor

Outcome Measures

Primary Outcomes (2)

  • Percentage of Participants Achieving Disease Activity Score 28 C-reactive Protein [DAS28-CRP]) <= 3.2

    The DAS28-CRP 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 (NRS), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Scores on the DAS28-CRP range from 0 to approximately 10, where higher scores indicate more disease activity. Low Disease Activity (LDA) based on DAS28 (CRP) is defined as achieving a DAS28 (CRP) of less than or equal to 3.2.

    Week 12

  • Number of Participants with Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not the event is considered causally related to the use of the product.

    From first dose of study drug until 70 days following last dose of study drug (up to approximately 58 weeks)

Secondary Outcomes (5)

  • Percentage of Participants Achieving American College of Rheumatology 50 % (ACR50) Response

    Week 12

  • Percentage of Participants Achieving Disease Activity Score 28 C-reactive Protein [DAS28-CRP]) < 2.6

    Week 12

  • Change from Baseline in Disease Activity Score 28 C-reactive Protein [DAS28-CRP])

    Week 12

  • Change from Baseline in Participants Assessment of Pain

    Week 12

  • Change from Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Score

    Week 12

Study Arms (2)

Upadacitinib+ Adalimumab matching Placebo

EXPERIMENTAL

Participants will receive upadacitinib once a day along with matching placebo for adalimumab at eow (every other week) in Period 1. Eligible participants will continue to receive same study treatment in Period 2 as assigned in Period 1.

Drug: UpadacitinibDrug: Adalimumab Matching Placebo

Adalimumab + Upadacitinib matching Placebo

EXPERIMENTAL

Participants will receive adalimumab at eow (every other week) along with matching placebo for upadacitinib once a day in Period 1. Eligible participants will continue to receive same study treatment in Period 2 as assigned in Period 1.

Drug: AdalimumabDrug: Upadacitinib Matching Placebo

Interventions

Subcutaneous Injection

Also known as: Humira
Adalimumab + Upadacitinib matching Placebo

Subcutaneous Injection

Upadacitinib+ Adalimumab matching Placebo

Oral Tablets

Also known as: RINVOQ
Upadacitinib+ Adalimumab matching Placebo

Oral Tablets

Adalimumab + Upadacitinib matching Placebo

Eligibility Criteria

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

You may qualify if:

  • Diagnosis of Rheumatoid Arthritis (RA) for \>= 3 months based on the 2010 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) classification criteria for RA.
  • Treated for \>= 3 consecutive months prior to screening with 1 tumor necrosis factor inhibitor (TNFi) (only 1 of originator or biosimilar certolizumab pegol, etanercept, golimumab or infliximab) for RA, but continue to exhibit active RA, or had to discontinue due to intolerability or toxicity, irrespective of treatment duration. Up to 15% of participants who were intolerant to 1 TNFi will be allowed to enroll. Prior administration of different biosimilar versions for the same originator TNFi or switching between originator and biosimilar version of the same originator TNFi are acceptable. Cycling between biosimilars of different originator TNF inhibitors is not acceptable.
  • On oral or parenteral methotrexate (MTX) therapy \>= 3 consecutive months and on a stable prescription of 15 to 25 mg/week (or \>= 10 mg/week in participants intolerant of MTX at doses \>= 15 mg/week) for \>= 4 weeks prior to the first dose of study drug. In addition, all participants should take a dietary supplement of folic acid or folinic acid throughout the study participation.
  • For a Chinese, Japanese, Korean, or Taiwanese participant, a stable dose of MTX \>= 7.5 mg/week is acceptable.
  • Additional local requirements for MTX may apply.
  • Meets both of the following disease activity criteria:
  • \>= 6 swollen joint (based on 66 joint counts) and \>= 6 tender joints (based on 68 joint counts) at screening and baseline;
  • High-sensitivity C-reactive protein (hsCRP) \>= 3 mg/L (central lab, upper limit of normal \[ULN\] 2.87 mg/L) at screening.

You may not qualify if:

  • History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than Rheumatoid Arthritis (RA).
  • Prior exposure to any janus kinase (JAK) inhibitor.
  • Prior exposure to adalimumab (original or biosimilar) or to any approved or investigational TNF inhibitor other than infliximab, etanercept, certolizumab pegol and golimumab.
  • Prior exposure to an approved or investigational non-TNFi biologic disease modifying anti-rheumatic drug (bDMARD) or targeted synthetic disease modifying antirheumatic drug (tsDMARD).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (218)

AZ Arthritis and Rheumotology Research, PLLC - Flagstaff /ID# 253431

Flagstaff, Arizona, 86001-6299, United States

Location

Arizona Arthritis and Rheumatology Research - Glendale Office /ID# 255018

Glendale, Arizona, 85306-9802, United States

Location

Sun Valley Arthritis Center Ltd. /ID# 254654

Peoria, Arizona, 85381, United States

Location

Arizona Arthritis & Rheumatology Associates - East Bell Road /ID# 253432

Phoenix, Arizona, 85032, United States

Location

Arizona Arthritis & Rheumatology Associates - East Bell Road /ID# 255021

Phoenix, Arizona, 85032, United States

Location

Arizona Arthritis & Rheumatology Associates - Tucson /ID# 255017

Tucson, Arizona, 85704, United States

Location

Arthritis and Rheumatism Associates /ID# 254013

Jonesboro, Arkansas, 72401-6251, United States

Location

Providence - St. Jude Medical Center /ID# 252690

Fullerton, California, 92835, United States

Location

Newport Huntington Medical Group /ID# 252687

Huntington Beach, California, 92648-5994, United States

Location

Purushotham & Akther Kotha MD, Inc /ID# 252704

La Mesa, California, 91942, United States

Location

Valerius Medical Group & Research Center of Greater Long Beach, Inc /ID# 252692

Los Alamitos, California, 90720-5402, United States

Location

Rheumatology Center of San Diego /ID# 255038

San Diego, California, 92128-2549, United States

Location

Millennium Clinical Trials /ID# 252689

Thousand Oaks, California, 91360-3951, United States

Location

The Lundquist Institute at Harbor-UCLA Medical Center /ID# 252691

Torrance, California, 90502, United States

Location

Comprehensive Rheumatology Center /ID# 252688

Woodland Hills, California, 91364, United States

Location

University of Colorado Hospital /ID# 254617

Aurora, Colorado, 80045, United States

Location

Denver Arthritis Clinic /ID# 254058

Denver, Colorado, 80230, United States

Location

Tekton Research - Fort Collins - East Harmony Road /ID# 255036

Fort Collins, Colorado, 80528, United States

Location

Arthritis and Rheumatic Disease Specialties /ID# 260583

Aventura, Florida, 33180, United States

Location

Rheumatology Associates of South Florida (RASF) - Clinical Research /ID# 253733

Boca Raton, Florida, 33486, United States

Location

Bay Area Arthritis and Osteo /ID# 254046

Brandon, Florida, 33511, United States

Location

Believe Clinical Trial /ID# 262355

Coral Springs, Florida, 33065, United States

Location

International Medical Research /ID# 254651

Daytona Beach, Florida, 32117, United States

Location

Omega Research Debary, LLC /ID# 253735

DeBary, Florida, 32713-2260, United States

Location

Neoclinical Research /ID# 254622

Hialeah, Florida, 33016-1897, United States

Location

Gnp Research - Hollywood /ID# 273563

Hollywood, Florida, 33024, United States

Location

Life Clinical Trials /ID# 256061

Margate, Florida, 33063, United States

Location

Lakes Research, LLC /ID# 255023

Miami, Florida, 33014, United States

Location

HMD Research LLC /ID# 253732

Orlando, Florida, 32819, United States

Location

Millennium Research /ID# 253744

Ormond Beach, Florida, 32174, United States

Location

Vitalia Research /ID# 274213

Palm Beach Gardens, Florida, 33410, United States

Location

BayCare Medical Group /ID# 253799

St. Petersburg, Florida, 33705, United States

Location

Clinical Research Of West Florida - Tampa - North Howard Avenue /ID# 254649

Tampa, Florida, 33606, United States

Location

Clinical Research Of West Florida - Tampa - North Howard Avenue /ID# 255264

Tampa, Florida, 33606, United States

Location

University of South Florida- Neuroscience Institute /ID# 253745

Tampa, Florida, 33613, United States

Location

Baycare Medical Group - Tampa /ID# 255268

Tampa, Florida, 33614, United States

Location

Atlanta Research Center For Rheumatology - Marietta /ID# 254623

Marietta, Georgia, 30060, United States

Location

Next Innovative Clinical Research - Chicago /ID# 273453

Chicago, Illinois, 60616, United States

Location

Deerbrook Medical Associates /ID# 254008

Libertyville, Illinois, 60048, United States

Location

OrthoIllinois /ID# 254057

Rockford, Illinois, 61114-4937, United States

Location

Greater Chicago Specialty Physicians /ID# 254000

Schaumburg, Illinois, 60195-3106, United States

Location

Clinic Of Dr. Robert Hozman/Clinical Investigation Specialists, Inc /ID# 253999

Skokie, Illinois, 60076, United States

Location

Willow Rheumatology and Wellness, PLLC /ID# 254712

Willowbrook, Illinois, 60527, United States

Location

Qualmedica Research - Evansville /ID# 254005

Evansville, Indiana, 47715-2813, United States

Location

Western KY Rheumatology /ID# 255026

Hopkinsville, Kentucky, 42240, United States

Location

Bluegrass Community Research /ID# 254653

Lexington, Kentucky, 40504, United States

Location

Ochsner Health Center - The Grove /ID# 254059

Baton Rouge, Louisiana, 70836, United States

Location

The Arthritis & Diabetes Clinic, Inc. /ID# 254014

Monroe, Louisiana, 71203, United States

Location

Rheumatology Associates PA - Portland /ID# 255014

Portland, Maine, 04102-2643, United States

Location

Beth Israel Deaconess Medical Center - Rheumatology /ID# 255029

Boston, Massachusetts, 02149-4903, United States

Location

AA Medical Research Center - Grand Blanc /ID# 254007

Grand Blanc, Michigan, 48439, United States

Location

Advanced Rheumatology, PC /ID# 256059

Okemos, Michigan, 48910, United States

Location

St. Paul Rheumatology, PA /ID# 255037

Eagan, Minnesota, 55121, United States

Location

Arthritis Associates /ID# 253992

Hattiesburg, Mississippi, 39402, United States

Location

Kansas City Physician Partners /ID# 255035

Kansas City, Missouri, 64151, United States

Location

Clinvest Research LLC /ID# 254054

Springfield, Missouri, 65807, United States

Location

Logan Health Research - Glacier View Research Institute - Rheumatology /ID# 253738

Kalispell, Montana, 59901, United States

Location

Physician Research Collaboration, LLC /ID# 254012

Lincoln, Nebraska, 68516, United States

Location

Dartmouth-Hitchcock Medical Center /ID# 253798

Lebanon, New Hampshire, 03756, United States

Location

Arthritis Rheumatic and Back Disease Associates. P.A. /ID# 255266

Voorhees Township, New Jersey, 08043, United States

Location

Arthritis and Osteoporosis Associates of New Mexico /ID# 252684

Las Cruces, New Mexico, 88011, United States

Location

NYU Langone Ambulatory Care Brooklyn Heights /ID# 254621

Brooklyn, New York, 11201, United States

Location

Joint And Muscle Research Institute /ID# 275128

Charlotte, North Carolina, 28204, United States

Location

Trinity Health Med Arts Clinic /ID# 254010

Minot, North Dakota, 58701, United States

Location

Paramount Medical Research and Consulting /ID# 254048

Middleburg Heights, Ohio, 44130, United States

Location

Rheumatology Associates of Oklahoma /ID# 253994

Oklahoma City, Oklahoma, 73116-7226, United States

Location

Clinical Research of Philadelphia, LLC /ID# 255025

Philadelphia, Pennsylvania, 19114, United States

Location

West Tennessee Research Institute /ID# 254620

Jackson, Tennessee, 38305, United States

Location

Arthritis and Rheumatology Research Institute, PLLC /ID# 254045

Allen, Texas, 75013-6147, United States

Location

Tekton Research, L.L.C /ID# 254004

Austin, Texas, 78745, United States

Location

Trinity Universal Research Associates - Carrollton /ID# 254648

Carrollton, Texas, 75007, United States

Location

Adriana Pop-Moody MD Clinic PA /ID# 255030

Corpus Christi, Texas, 78404, United States

Location

JPS Rheumatology Clinic /ID# 254050

Fort Worth, Texas, 76104-4917, United States

Location

Biopharma Informatic - Houston - Business Center Drive /ID# 254051

Houston, Texas, 77043, United States

Location

Accurate Clinical Research - Houston /ID# 254647

Houston, Texas, 77089-6142, United States

Location

Research Physicians Network, LLC /ID# 254053

Houston, Texas, 77089, United States

Location

R & H Clinical Research - 777 Katy /ID# 255024

Katy, Texas, 77450-2244, United States

Location

West Texas Clinical Research /ID# 253736

Lubbock, Texas, 79424, United States

Location

Trinity Universal Research Associates, Inc /ID# 253995

Plano, Texas, 75024-5283, United States

Location

Sun Research Institute /ID# 255019

San Antonio, Texas, 78215, United States

Location

Advanced Rheumatology of Houston /ID# 254003

The Woodlands, Texas, 77382, United States

Location

DM Clinical Research - Tomball /ID# 254001

Tomball, Texas, 77375, United States

Location

Rheumatology Clinic of Houston /ID# 254002

Tomball, Texas, 77377, United States

Location

Aurora Rheumatology and Immunotherapy Center /ID# 254049

Franklin, Wisconsin, 53132, United States

Location

Rheumatic Disease Center, LLP /ID# 254015

Glendale, Wisconsin, 53217, United States

Location

Organizacion Medica de Investigacion (OMI) /ID# 253253

Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1015, Argentina

Location

Consultorios Reumatologicos Pampa /ID# 254095

Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1428, Argentina

Location

Aprillus Asistencia e Investigacion /ID# 253258

Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1958, Argentina

Location

Centro de Investigaciones Medicas Tucuman /ID# 253297

San Miguel de Tucumán, Tucumán Province, 4000, Argentina

Location

CIMER Centro Integral de Medicina Respiratoria /ID# 255277

San Miguel de Tucumán, Tucumán Province, 4000, Argentina

Location

ReumaClinic /ID# 252277

Genk, Limburg, 3600, Belgium

Location

UZ Gent /ID# 252306

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

AZ Sint-Jan Brugge /ID# 252278

Bruges, West-Vlaanderen, 8000, Belgium

Location

Duplicate_CHU de Liege /ID# 252309

Liège, 4000, Belgium

Location

CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 254203

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

Location

CETI - Centro de Estudos em Terapias Inovadoras /ID# 254201

Curitiba, Paraná, 80030-110, Brazil

Location

Hospital de Clinicas de Porto Alegre /ID# 254916

Porto Alegre, Rio Grande do Sul, 90035-903, Brazil

Location

LMK Sevicos Medicos S/S /ID# 254202

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

Location

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 254917

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

Location

CEPIC - Centro Paulista de Investigacao Clinica /ID# 254200

São Paulo, 04266-010, Brazil

Location

Diagnostic Consultative Centre (Dcc) - Foкus 5 /ID# 252354

Sofiya, Sofia, 1463, Bulgaria

Location

Diagnostic Consultative Centre (Dcc) - Foкus 5 /ID# 252555

Sofiya, Sofia, 1463, Bulgaria

Location

Umbal Kaspela /ID# 252343

Plovdiv, 4001, Bulgaria

Location

Medical center Unimed /ID# 252344

Plovdiv, 4023, Bulgaria

Location

MHAT Plovdiv /ID# 252342

Plovdiv, 4027, Bulgaria

Location

Diagnostic consultative center 17 Sofia /ID# 252341

Sofia, 1505, Bulgaria

Location

Military Medical Academy Multiprofile Hospital /ID# 252355

Sofia, 1606, Bulgaria

Location

Manitoba Clinic /ID# 254019

Winnipeg, Manitoba, R3A 1M3, Canada

Location

Centre Rhumatologie de l'Est /ID# 254932

Rimouski, Quebec, G5L 8W1, Canada

Location

Groupe de Recherche en Maladies Osseuses Inc /ID# 253409

Sainte-Foy, Quebec, G1V 3M7, Canada

Location

Centre de Recherche Musculo-Squelettique /ID# 256273

Trois-Rivières, Quebec, G8Z 1Y2, Canada

Location

Dr. Latha Naik Medical Professional Corporation /ID# 254018

Saskatoon, Saskatchewan, S7H 0P4, Canada

Location

Corporacion de Beneficiencia Osorno /ID# 252556

Osorno, Los Lagos Region, 1710216, Chile

Location

Centro Internacional de Estudios Clinicos - CIEC /ID# 252561

Santiago, Region Metropolitana Santiago, 8420383, Chile

Location

Clinica Dermacross /ID# 252560

Vitacura, Region Metropolitana Santiago, 7640881, Chile

Location

Complejo Asistencial Dr. Sotero del Rio /ID# 252559

Santiago, Santiago Metropolitan, 8207257, Chile

Location

The first affiliated hospital of bengbu medical college /ID# 252612

Bengbu, Anhui, 233004, China

Location

Peking University First Hospital /ID# 252392

Beijing, Beijing Municipality, 100034, China

Location

Peking University Third Hospital /ID# 252393

Beijing, Beijing Municipality, 100191, China

Location

The Third Affiliated Hospital, Sun Yat-Sen University /ID# 252394

Guangzhou, Guangdong, 510630, China

Location

Zhuzhou Central Hospital /ID# 252390

Zhuzhou, Hunan, 412007, China

Location

Nanjing Drum Tower Hospital /ID# 252613

Nanjing, Jiangsu, 210008, China

Location

Jiangxi Pingxiang Peoples Hospital /ID# 252381

Pingxiang, Jiangxi, 337055, China

Location

West China Hospital, Sichuan University /ID# 252364

Chengdu, Sichuan, 610041, China

Location

Hospital Pablo Tobón Uribe /ID# 253371

Medellín, Antioquia, 050034, Colombia

Location

Centro Integral de Reumatología del Caribe SAS - Circaribe SAS /ID# 252587

Barranquilla, Atlántico, 80002, Colombia

Location

Centro de Investigacion en Reumatologia y especialidades Medicas S.A.S- CIREEM /ID# 252586

Bogotá, Cundinamarca, 110221, Colombia

Location

Healthy Medical Center S.A.S /ID# 252585

Zipaquirá, Cundinamarca, 250252, Colombia

Location

Fundacion Oftalmologica de Santander - FOSCAL /ID# 252589

Bucaramanga, Santander Department, 681004, Colombia

Location

Medical Center Kuna-Peric /ID# 252452

Zagreb, City of Zagreb, 10000, Croatia

Location

Poliklinika Bonifarm /ID# 252741

Zagreb, City of Zagreb, 10000, Croatia

Location

Poliklinika Repromed /ID# 252451

Zagreb, City of Zagreb, 10000, Croatia

Location

Poliklinika Solmed /ID# 252453

Zagreb, City of Zagreb, 10000, Croatia

Location

Duplicate_Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice /ID# 252455

Krapinske Toplice, 49217, Croatia

Location

Centre Hospitalier Universitaire de Nice - Hopital Pasteur /ID# 254224

Nice, Alpes-Maritimes, 06001, France

Location

CHU Toulouse - Hopital Purpan /ID# 252402

Toulouse, Haute-Garonne, 31059, France

Location

CHU Montpellier - Hôpital Lapeyronie /ID# 252386

Montpellier, Herault, 34090, France

Location

CHU Amiens-Picardie Site Sud /ID# 252384

Amiens, Somme, 80054, France

Location

Centre Hospitalier Régional d'Orléans - Hôpital de la Source /ID# 252385

Orléans, 45067, France

Location

Hôpital Charles-Nicolle /ID# 252908

Rouen, 76000, France

Location

Rheumatologische-Immunologische Praxis Templin /ID# 252863

Templin, Brandenburg, 17268, Germany

Location

Rheumazentrum Ruhrgebiet /ID# 252670

Herne, North Rhine-Westphalia, 44649, Germany

Location

MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH /ID# 252667

Hamburg, 20095, Germany

Location

Klinische Forschung im med. Versorgungsalltag GbR /ID# 254221

Planegg, 82152, Germany

Location

Rheumazentrum Ratingen /ID# 252669

Ratingen, 40882, Germany

Location

General Hospital of Athens Laiko /ID# 252258

Athens, Attica, 11527, Greece

Location

University General Hospital Attikon /ID# 254751

Athens, Attica, 12462, Greece

Location

University General Hospital of Heraklion PA.G.N.I /ID# 252261

Heraklion, Crete, 71500, Greece

Location

Vital-Medicina Kft. /ID# 252399

Veszprém, Fejér, 8200, Hungary

Location

Betegapolo Irgalmasrend Budai Irgalmasrendi Korhaz /ID# 253311

Budapest, 1023, Hungary

Location

CMED Rehabilitacios es Diagnosztikai Kozpont /ID# 252400

Székesfehérvár, 8000, Hungary

Location

MÁV Kórház /ID# 252628

Szolnok, 5000, Hungary

Location

Azienda Ospedaliero Universitaria Careggi /ID# 252460

Florence, Firenze, 50134, Italy

Location

ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO /ID# 252461

Milan, Milano, 20122, Italy

Location

Azienda Ospedaliero Universitaria delle Marche /ID# 252459

Ancona, 60020, Italy

Location

Japan Organization of Occupational Health and Safety Chubu Rosai Hospital /ID# 252836

Nagoya, Aichi-ken, 455-8530, Japan

Location

Daido Clinic - Nagoya /ID# 253058

Nagoya, Aichi-ken, 457-8511, Japan

Location

Kashiwa Kousei General Hospital /ID# 270033

Kashiwa-shi, Chiba, 277-8551, Japan

Location

Sugimoto Rheumatology and Internal Medicine Clinic /ID# 252774

Fukui-shi, Fukui, 910-0068, Japan

Location

Hamanomachi Hospital /ID# 253168

Fukuoka, Fukuoka, 810-8539, Japan

Location

Shono Rheumatism Clinic /ID# 252591

Fukuoka, Fukuoka, 814-0002, Japan

Location

Katayama Orthopedic Rheumatology Clinic /ID# 252746

Asahikawa-shi, Hokkaido, 078-8243, Japan

Location

Sagawa Akira Rheumatology Clin /ID# 252773

Sapporo, Hokkaido, 060-0001, Japan

Location

Hokkaido Medical Center For Rheumatic Diseases /ID# 270019

Sapporo, Hokkaido, 063-0811, Japan

Location

Matsubara Mayflower Hospital /ID# 252834

Kato-shi, Hyōgo, 673-1462, Japan

Location

Sanuki Municipal Hospital /ID# 252747

Sanuki-shi, Kagawa-ken, 769-2393, Japan

Location

Bay Side Misato Medical Center /ID# 252661

Kochi, Kochi, 781-0112, Japan

Location

Kumamoto Orthopaedic Hospital /ID# 253167

Kumamoto, Kumamoto, 8620975, Japan

Location

Medical Corporation Keiai Kai Clinic /ID# 252750

Miyazaki, Miyazaki, 880-0053, Japan

Location

Sasebo Chuo Hospital /ID# 252662

Sasebo-shi, Nagasaki, 857-1195, Japan

Location

Rinku Hashimoto Rheumatology Orthopaedics /ID# 270396

Izumisano, Osaka, 598-0048, Japan

Location

St. Lukes International Hospital /ID# 253131

Chuo-ku, Tokyo, 104-8560, Japan

Location

Keio University Hospital /ID# 253205

Shinjuku-ku, Tokyo, 160-8582, Japan

Location

Tokito Clinic Rheumatology and Orthopaedics Surgery /ID# 253057

Shimonoseki-shi, Yamaguchi, 752-0976, Japan

Location

Maeshima Rheumatology Clinic /ID# 270448

Ōita, 870-0823, Japan

Location

Toyama Prefectural Central Hospital /ID# 270871

Toyama, 930-0975, Japan

Location

Centro Integral en Reumatologia S.A de C.V /ID# 252872

Guadalajara, Jalisco, 44160, Mexico

Location

Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 253480

Guadalajara, Jalisco, 44650, Mexico

Location

Hospital de Jesus /ID# 253114

Mexico City, Mexico City, 06090, Mexico

Location

CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 252873

Mexico City, Mexico City, 11850, Mexico

Location

Investigacion y Biomedicina de Chihuahua /ID# 253115

Chihuahua City, 31000, Mexico

Location

Hospital Garcia de Orta /ID# 252491

Almada, Setúbal District, 2805-267, Portugal

Location

Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 252489

Ponte de Lima, Viana do Castelo District, 4990-041, Portugal

Location

Unidade Local de Saude de Santa Maria, EPE /ID# 252492

Lisbon, 1649-035, Portugal

Location

GCM Medical Group PSC /ID# 252700

San Juan, 00917-3104, Puerto Rico

Location

Mindful Medical Research /ID# 252693

San Juan, 00918-3756, Puerto Rico

Location

Cabinet Medical Dr. Avram S.R.L /ID# 254133

Timișoara, Timiș County, 300134, Romania

Location

Banat Carina Med SRL /ID# 252757

Timișoara, Timiș County, 300766, Romania

Location

Spitalul Judetean de Urgenta Bacau /ID# 252860

Bacau, 600114, Romania

Location

Spitalul Clinic Sf. Maria /ID# 252759

Bucharest, 011172, Romania

Location

Spitalul Clinic Sf. Maria /ID# 253334

Bucharest, 011172, Romania

Location

Institute for Rheumatology /ID# 252333

Belgrade, Beograd, 11000, Serbia

Location

Institute for Rheumatology /ID# 252334

Belgrade, Beograd, 11000, Serbia

Location

Institute for Rheumatology /ID# 252335

Belgrade, Beograd, 11000, Serbia

Location

Institute for Rheumatology /ID# 252338

Belgrade, Beograd, 11000, Serbia

Location

Special Hospital for Rheuma /ID# 252336

Novi Sad, Vojvodina, 21000, Serbia

Location

Special Hospital for Rheuma /ID# 252339

Novi Sad, Vojvodina, 21000, Serbia

Location

University of Pretoria /ID# 252368

Pretoria, Gauteng, 0001, South Africa

Location

Dr Elsa van Duuren /ID# 252387

Pretoria, Gauteng, 0002, South Africa

Location

Emmed Research cc /ID# 254317

Pretoria, Gauteng, 0002, South Africa

Location

Dr Asokan Naidoo /ID# 252894

Umhlanga, KwaZulu-Natal, 4319, South Africa

Location

Winelands Medical Research - Somerset West /ID# 252745

Cape Town, Western Cape, 7130, South Africa

Location

Arthritis Clinical Research Trials /ID# 252370

Cape Town, Western Cape, 7405, South Africa

Location

Winelands Medical Research Centre /ID# 252369

Stellenbosch, Western Cape, 7600, South Africa

Location

SoonChunHyang University Hospital Cheonan /ID# 254942

Cheonan-si, Chungcheongnam-do, 31151, South Korea

Location

Chungnam National University Hospital /ID# 252159

Daejeon, Daejeon Gwang Yeogsi, 35015, South Korea

Location

Chonnam National University Bitgoeul Hospital /ID# 254802

Gwangju, Gwangju Gwang Yeogsi, 61748, South Korea

Location

Seoul National University Hospital /ID# 252160

Seoul, Seoul Teugbyeolsi, 03080, South Korea

Location

Hanyang University Seoul Hospital /ID# 252161

Seoul, Seoul Teugbyeolsi, 04763, South Korea

Location

Complejo Hospitalario Universitario de Santiago (CHUS) /ID# 252430

Santiago de Compostela, A Coruna, 15706, Spain

Location

Hospital Marina Baixa /ID# 254141

Villajoyosa, Alicante, 03570, Spain

Location

Hospital Universitario Germans Trias i Pujol /ID# 254144

Badalona, Barcelona, 08916, Spain

Location

Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 252425

Sabadell, Barcelona, 08208, Spain

Location

Hospital Universitario y Politecnico La Fe /ID# 254143

Valencia, 46026, Spain

Location

Royal Free Hospital /ID# 252297

London, Greater London, NW3 2QG, United Kingdom

Location

The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust /ID# 252301

Kings Lynn, Norfolk, PE30 4ET, United Kingdom

Location

Queen Mary University of London /ID# 252671

London, EC1M 6BQ, United Kingdom

Location

Portsmouth Hospitals University NHS Trust /ID# 252772

Portsmouth, PO6 3LY, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

upadacitinibAdalimumab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • ABBVIE INC.

    AbbVie

    STUDY DIRECTOR

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

April 4, 2023

First Posted

April 18, 2023

Study Start

June 15, 2023

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

January 12, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access Criteria
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
More information

Locations