A Study Comparing Upadacitinib (ABT-494) Monotherapy to Methotrexate (MTX) Monotherapy in Adults With Rheumatoid Arthritis (RA) Who Have an Inadequate Response to MTX (SELECT-MONOTHERAPY)
Rheumatoid Arthritis
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Musculoskeletal Disease, Arthritis, Joint Disease, Anti-inflammatory agents, Antirheumatic agents, Upadacitinib, ABT-494
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of RA for >= 3 months.
- Subjects must have been on oral or parenteral MTX therapy >= 3 months and on a stable dose for >= 4 weeks prior to first dose of study drug.
- Must have discontinued all conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) (other than MTX) >= 4 weeks prior to first dose of study drug.
- Meets the following minimum disease activity criteria: >= 6 swollen joints (based on 66 joint counts) and >= 6 tender joints (based on 68 joint counts) at Screening and Baseline Visits.
Exclusion Criteria:
- Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib).
- Prior exposure to any biological disease-modifying anti-rheumatic drugs (bDMARDs).
- Current diagnosis of inflammatory joint disease other than RA. Current diagnosis of secondary Sjogren's Syndrome is permitted.
Sites / Locations
- Rheum Assoc of North Alabama /ID# 146009
- Alabama Medical Group, PC /ID# 153941
- ArthroCare Arthritis Care & Re /ID# 143751
- Elite Clinical Studies, LLC /ID# 143760
- University of Arizona Cancer Center - North Campus /ID# 147175
- NEA Baptist Womens Clinic /ID# 148904
- C.V. Mehta MD, Med Corporation /ID# 143762
- Arthritis Assoc & Osteo Ctr /ID# 147176
- Ctr Rheum, Immuno, Arthritis /ID# 143766
- South Florida Research Ph I-IV /ID# 151983
- Advent Clinical Research /ID# 143767
- Sarasota Arthritis Center /ID# 146011
- W. Broward Rheum Assoc Inc. /ID# 146010
- Clinical Research West FL /ID# 148726
- SW FL Clin Res Ctr, Tampa, FL /ID# 143763
- University of South Florida /ID# 146004
- BayCare Medical Group, Inc. /ID# 151985
- BayCare Medical Group, Inc. /ID# 163595
- Jefrey D. Lieberman, MD, P.C. /ID# 151816
- Great Lakes Clinical Trials /ID# 150935
- PRN Professional Research Network of Kansas, LLC /ID# 143761
- Ochsner Clinic Foundation /ID# 153573
- The Arthritis & Diabetes Clinic, Inc. /ID# 160809
- Vanguard Medical Research, LLC /ID# 153124
- Mansfield Health Center /ID# 161627
- Quality Clinical Research Inc. /ID# 156415
- Dartmouth-Hitchcock Medical Center /ID# 146008
- Albuquerque Clinical Trials, Inc /ID# 147618
- Arthritis and Osteo Assoc /ID# 147177
- Coastal Carolina Health Care /ID# 149275
- STAT Research, Inc. /ID# 143770
- Health Research Oklahoma /ID# 159550
- Healthcare Research Consultant /ID# 147632
- Innovative Clinical Research /ID# 143757
- Nashville Arthritis and Rheumatology /ID# 162641
- Tekton Research, Inc. /ID# 159554
- Diagnostic Group Integrated He /ID# 148725
- Trinity Universal Res Assoc /ID# 150138
- Arth and Osteo Clin Brazo Valley /ID# 160810
- Adriana Pop-Moody MD Clinic PA /ID# 147627
- Accurate Clinical Management /ID# 143768
- Accurate Clinical Research /ID# 143769
- Pioneer Research Solutions, Inc. /ID# 143765
- P&I Clinical Research /ID# 151358
- SW Rheumatology Res. LLC /ID# 147620
- Sun Research Institute /ID# 159553
- Arthritis Clinic of Central TX /ID# 149266
- Adv Rheumatology of Houston /ID# 162609
- DM Clinical Research /ID# 151359
- Arthritis & Osteoporosis Clinic /ID# 143752
- Ctr for Arth and Rheum Disease /ID# 143759
- Aurora Rheumatology and Immunotherapy Center /ID# 160811
- Mautalen Salud e Investigacion /ID# 145980
- Ctr Privado Med Familiar /ID# 149183
- Consultorio Reumatologic Pampa /ID# 145979
- Centro de Educación Médica e Investigaciones Clínicas "Norberto Quimo" - CEMIC /ID# 149176
- Cordis S.A. /Id# 152621
- Centro de Enfermedades /ID# 153543
- Royal Prince Alfred Hospital /ID# 146028
- Rheuma-Zentrum Wien-Oberlaa /ID# 144728
- Algemeen Stedelijk Ziekenhuis /ID# 148720
- ReumaClinic Genk /ID# 146030
- Diag Consult Ctr 17 Sofia EOOD /ID# 144730
- UMHAT Sv. Ivan Rilski /ID# 147351
- Reg. Clinical Hosptial Concepcion /ID# 151267
- Quantum Research LTDA. /ID# 145984
- Quantum Research Stgo. /ID# 145983
- CTCenter MaVe, s.r.o. /ID# 144823
- Nuselská poliklinika, Revmatologie /ID# 145986
- Thomayerova nemocnice /ID# 144736
- RHEUMA s.r.o. /ID# 144737
- Medical Plus, s.r.o. /ID# 144821
- MediTrials /ID# 159745
- North Estonian Medical Centre /ID# 145455
- General Hospital of Athens "Ippokratio" /ID# 144739
- Vital Medical Center Orvosi es /ID# 144740
- Magyar Honvedseg Egeszsegugyi Kozpont /ID# 144743
- Pest Megyei Flor Ferenc Korhaz /ID# 144742
- Fejer Megyei Szent Gyorgy Korh /ID# 144741
- Barzilai Medical Center /ID# 144744
- Bnai Zion Medical Center /ID# 144745
- The Lady Davis Carmel MC /ID# 147174
- Sheba Medical Center /ID# 144824
- Universita di Catanzaro Magna Graecia /ID# 144747
- A.O.U.I. di Verona Policlinico /ID# 144746
- Kondo Clinic for Rheum & Ortho /ID# 148268
- NHO Kyushu Medical Center /ID# 148279
- NHO Kyushu Medical Center /ID# 148280
- Aso Iizuka Hospital /ID# 148272
- Inoue Hospital /ID# 148069
- Bay Side Misato Medical Center /ID# 148281
- Center for Arthritis and Clinical Rheumatology Matsubara Clinic /ID# 148269
- Kumamoto Shinto General Hospital /ID# 148286
- Nagasaki University Hospital /ID# 149859
- Sasebo Chuo Hospital /ID# 148275
- Osaka Red Cross Hospital /ID# 148267
- Seirei Hamamatsu General Hosp /ID# 148270
- Ohira Orthopaedic Hospital /ID# 157944
- Shirahama Hamayu Hospital /ID# 148277
- Sanuki Municipal Hospital /ID# 158080
- Hokkaido University Hospital /ID# 148285
- Hokkaido Medical Center for Rheumatic Diseases /ID# 148274
- Miyasato Clinic /ID# 148271
- Takaoka Rheumatic Orthopedic Clinic /ID# 148068
- Matsuta Clinic /ID# 148278
- National Hospital Organization Shimoshizu National Hospital /ID# 148273
- Desarrollos Biomedicos y Biotc /ID# 147379
- Cryptex Investigación Clínica S.A de C.V /ID# 147095
- WroMedica I. Bielicka, A. Strzalkowska s.c. /ID# 157622
- REUMED Sp.z o.o. Filia nr 1 /ID# 144752
- Centralny Szpital Kliniczny MSWiA w Warszawie /ID# 149521
- Osteo-Medic spolka cywilna /ID# 144753
- Centrum Badań Klinicznych Pi-House /ID# 149520
- NZOZ Centrum Reumatologiczne /ID# 144749
- Medyczne Centrum Hetmanska /ID# 144751
- Instituto Portugues De Reumatologia /ID# 149281
- Centro Hospitalar De Vila Nova /ID# 146036
- Centro Hospitalar Lisboa Norte, EPE /ID# 146035
- Centro Hospitalar Baixo Vouga /ID# 152916
- Dr. Ramon L. Ortega-Colon, MD /ID# 145989
- Ponce School of Medicine /ID# 145990
- Spitalul Municipal Ploiesti /ID# 144756
- Clinical Hospital No.1 n.a. N.I.Pirogov /ID# 147255
- LLC Medical Center /ID# 144758
- Perm Clinical Center of FMBA /ID# 145993
- Tver Regional Clinical Hosp. /ID# 147254
- Сity Clinical Hospital 4 /ID# 145994
- City Clinical Hospital Botkina /ID# 145995
- City Clinical Hospital #5 /ID# 149832
- Orenburg State Medical Academy /ID# 145992
- Republican Clin Hos n.a. Baran /ID# 147251
- Samara Regional Clinical Hosp /ID# 150934
- Reg Clin Hosp n.a. Kuvatova G. /ID# 144757
- Yaroslavi State Medical Univer /ID# 147253
- Institute for Rheumatology /ID# 144759
- Institute for Rheumatology /ID# 144761
- Institute for Rheumatology /ID# 144762
- Special Hospital for Rheuma /ID# 144760
- Wits Clinical Research Site /ID# 149835
- University of Pretoria /ID# 148740
- Synexus Helderberg Clinical Tr /ID# 148724
- Tiervlei Trial Centre /ID# 153086
- Hospital Plató /ID# 145999
- Hospital Univ Germans Trias I /ID# 146037
- Hospital Infanta Luisa /ID# 144771
- Hospital Universitario de Valm /ID# 144770
- Hospital Universitario La Fe /ID# 158013
- Uludağ Üniversitesi Atatürk Rehabilitasyon Uygulama ve Araştırma Merkezi /ID# 144772
- Lviv Regional Clinical Hospita /ID# 154448
- Vinnytsia Regional Clinical Hospital n.a. M.I.Pyrogov /ID# 146002
- Regional Clinical Hospital /ID# 152007
- NSC-Strazhesko Ist Cardiology /ID# 152004
- Zaporizhzhia Regional Clinical /ID# 146000
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Upadacitinib 30 mg
Upadacitinib 15 mg
Methotrexate / Upadacitinib 30 mg
Methotrexate / Upadacitinib 15 mg
Period 1: Participants receive upadacitnib 30 mg once daily and placebo to methotrexate once weekly for 14 weeks. Period 2: Participants receive upadacitinib 30 mg once daily until implementation of Protocol Amendment 5 when participants begin to receive upadacitinib 15 mg once daily up to Week 260.
Period 1: Participants receive upadacitnib 15 mg once daily and placebo to methotrexate once weekly for 14 weeks. Period 2: Participants receive upadacitinib 15 mg once daily up to Week 260.
Period 1: Participants receive methotrexate once weekly and placebo to upadacitinib once daily for 14 weeks. Period 2: Participants receive upadacitinib 30 mg once daily until implementation of Protocol Amendment 5 when participants begin to receive upadacitinib 15 mg once daily up to Week 260.
Period 1: Participants receive methotrexate once weekly and placebo to upadacitinib for 14 weeks. Period 2: Participants receive upadacitinib 15 mg once daily up to Week 260.