A Study With Upadacitinib (ABT-494) in Subjects From China and Selected Countries With Moderately to Severely Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs)
Rheumatoid Arthritis (RA)
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis (RA) focused on measuring Rheumatoid Arthritis, Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs), ABT-494
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of RA for ≥ 3 months who also fulfill the 2010 American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) classification criteria for RA.
Participants have been receiving csDMARD therapy ≥ 3 months and on a stable dose for ≥ 4 weeks prior to the first dose of study drug.
- Participants must have failed (lack of efficacy) at least one of the following: methotrexate (MTX), sulfasalazine, or leflunomide.
- The following csDMARDs are allowed: oral or parenteral MTX, sulfasalazine, hydroxychloroquine, chloroquine, and leflunomide.
- A combination of up to two background csDMARDs is allowed except the combination of MTX and leflunomide.
Participant meets both of the following 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; and
- High-sensitivity C-Reactive Protein (hsCRP) ≥ 3 mg/L at Screening
Participants with prior exposure to at most one biological disease-modifying anti-rheumatic drugs (bDMARD) may be enrolled (up to 20% of total number of subjects). Specifically, prior to enrollment:
- Participants with limited exposure to bDMARD (< 3 months) OR
- Participants who are responding to a bDMARD therapy but had to discontinue due to intolerability (regardless of treatment duration).
- Participants must have discontinued bDMARD therapy prior to the first dose of study drug.
Exclusion Criteria:
- Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib).
- Participants who are considered inadequate responders (lack of efficacy) to bDMARD therapy as defined by the Investigator.
- History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than RA (including but not limited to gout, systemic lupus erythematosus, psoriatic arthritis, axial spondyloarthritis including ankylosing spondylitis and non-radiographic axial spondyloarthritis, reactive arthritis, overlap connective tissue diseases, scleroderma, polymyositis, dermatomyositis, fibromyalgia [currently with active symptoms]. Current diagnosis of secondary Sjogren's Syndrome is permitted.
Sites / Locations
- Ceti - Centro de Estudos Em Terapias Inovadoras Ltda /Id# 152964
- Parana Medical Research Center /ID# 153507
- LMK Sevicos Medicos S/S /ID# 152963
- Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 152961
- CEPIC - Centro Paulista de Investigação Clínica e Serviços Médicos Ltda /ID# 152966
- 1st Aff Hosp of Bengbu Med Col /ID# 162161
- Anhui Provincial Hospital /ID# 161117
- Zhongshan Hosp. of Fudan Uni. /ID# 161108
- The 1st Aff Hosp Xiamen Univ /ID# 162154
- Zhuzhou Central Hospital /ID# 162153
- The First Affiliated Hospital /ID# 163747
- The First People's Hospital /ID# 168462
- The First People's Hospital of Jiujiang /ID# 168461
- The First Hosp of Jilin Univ /ID# 161116
- Jining No.1 People's Hospital /ID# 162158
- Shanghai Changhai Hospital /ID# 161123
- West China Hospital /ID# 161119
- Xuanwu Hosp Capital Med Univ /ID# 161118
- Peking Union Med College Hosp /ID# 161107
- The Second Xiangya Hospital of Central South University /ID# 162152
- First Affiliated Hospital of Kunming Medical University /ID# 164637
- Jiangsu Province Hospital /ID# 161122
- Pingxiang People's Hospital /ID# 162151
- 1st Aff Hosp of Shantou Univ /ID# 162165
- The Second Hospital of Shanxi /ID# 162164
- Tianjin Med Univ General Hosp /ID# 162155
- People's Hospital of Xinjiang /ID# 162157
- First Affiliated Hospital of Xi'an Jiaotong University /ID# 162150
- SoonChunHyang University CheonAn Hospital /ID# 209078
- Kyungpook National Univ Hosp /ID# 166919
- Chungnam National University Hospital /ID# 167727
- Ajou University Hospital /ID# 163912
- St. Vincent's Hospital /ID# 166918
- Inha University Hospital /ID# 163910
- Chonnam National University Hospital /ID# 167726
- Kyung Hee University Medical Center /ID# 163908
- SMG-SNU Boramae Medical Center /ID# 163911
- Yonsei University Health System, Severance Hospital /ID# 168421
- Hanyang University Seoul Hospi /ID# 163913
- Konkuk University Medical Ctr /ID# 206148
- The Catholic University of Korea, Yeouido St. Mary's Hospital /ID# 204224
- Asan Medical Center /ID# 163909
- Chung-Ang University Hostipal /ID# 209076
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Placebo / Upadacitinib 15 mg
Upadacitinib 15 mg
Participants randomized to receive placebo once daily for 12 weeks in Period 1 followed by upadacitinib 15 mg once daily for up to 52 weeks in Period 2.
Participants randomized to receive upadacitinib 15 mg once daily for 12 weeks in Period 1 and up to an additional 52 weeks in Period 2.