A Study Comparing Upadacitinib (ABT-494) to Placebo in Participants With Active Psoriatic Arthritis Who Have a History of Inadequate Response to at Least One Biologic Disease Modifying Anti-Rheumatic Drug (bDMARD) (SELECT - PsA 2)
Psoriatic Arthritis
About this trial
This is an interventional treatment trial for Psoriatic Arthritis focused on measuring Arthritis, Psoriasis, Anti-Rheumatic, Anti-inflammatory, Joint disease, Musculoskeletal disease
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) criteria
- Participant has active disease at Baseline defined as >= 3 tender joints (based on 68 joint counts) and >= 3 swollen joints (based on 66 joint counts) at Screening and Baseline Visits
- Diagnosis of active plaque psoriasis or documented history of plaque psoriasis
- Participant has had an inadequate response (lack of efficacy after a minimum 12 week duration of therapy) or intolerance to treatment with at least 1 bDMARD.
Exclusion Criteria:
- Prior exposure to any Janus Kinase (JAK) inhibitor (including but not limited to ruxolitinib, tofacitinib, baricitinib, and filgotinib)
- Current treatment with > 2 non-biologic DMARDs or use of DMARDs other than methotrexate (MTX), sulfasalazine (SSZ), leflunomide (LEF), apremilast, hydroxychloroquine (HCQ), bucillamine or iguratimod or use of MTX in combination with LEF at Baseline.
- History of fibromyalgia, any arthritis with onset prior to age 17 years, or current diagnosis of inflammatory joint disease other than PsA (including, but not limited to rheumatoid arthritis, gout, overlap connective tissue diseases, scleroderma, polymyositis, dermatomyositis, systemic lupus erythematosus). Prior history of reactive arthritis or axial spondyloarthritis including ankylosing spondylitis and non-radiographic axial spondyloarthritis is permitted if documentation of change in diagnosis to PsA or additional diagnosis of PsA is made. Prior history of fibromyalgia is permitted if documentation of change in diagnosis to PsA or documentation that the diagnosis of fibromyalgia was made incorrectly.
Sites / Locations
- Alabama Medical Group, PC /ID# 159836
- AZ Arthritis & Rheum Research /ID# 160047
- SunValley Arthritis Center, Lt /ID# 161203
- AZ Arthritis and Rheumotology Research, PLLC /ID# 160006
- Covina Arthritis Clinic /ID# 159919
- TriWest Research Associates /ID# 159915
- Saint Jude Heritage /ID# 160005
- C.V. Mehta MD, Med Corporation /ID# 161192
- Care Access Research, Huntingt /ID# 160049
- Kotha and Kotha /ID# 159834
- Stanford University School of Med /ID# 161402
- Inland Rheum Clin Trials Inc. /ID# 159839
- Medvin Clinical Research /ID# 160045
- Denver Arthritis Clinic /ID# 159899
- Arthritis & Rheumatic Disease Specialties /ID# 161409
- Clinical Res of West FL, Inc. /ID# 159840
- International Medical Research - Daytona /ID# 160051
- Precision Research Org, LLC /ID# 161293
- Suncoast Clinical Research /ID# 161417
- Millennium Research /ID# 159833
- Arthritis Center, Inc. /ID# 163463
- Gulf Region Clinical Res Inst /ID# 159860
- BayCare Medical Group /ID# 161405
- Sarasota Arthritis Center /ID# 159854
- W. Broward Rheum Assoc Inc. /ID# 161412
- Clinical Research of West Florida, Inc /ID# 160069
- USF Health Morsani Center for /ID# 161291
- BayCare Medical Group, Inc. /ID# 159912
- Florida Medical Clinic /ID# 160013
- Atlanta Research Center for Rheumatology /ID# 161201
- Great Lakes Clinical Trials /ID# 163438
- Clinical Investigation Specialists - Skokie /ID# 160068
- Deerbrook Medical Associates /ID# 159815
- The Arthritis & Diabetes Clinic, Inc. /ID# 161294
- The Center for Rheumatology & Bone Research /ID# 159900
- Clinical Pharma Study Group /ID# 158712
- Clinvest Research LLC /ID# 161208
- Westroads Clinical Research /ID# 160004
- Atlantic Coast Research /ID# 159810
- Arthritis and Osteo Assoc /ID# 160015
- The Center for Rheumatology /ID# 167046
- St. Lawrence Health System /ID# 159857
- DJL Clinical Research, PLLC /ID# 161414
- PMG Research of Wilmington LLC /ID# 161403
- Trinity Health Med Arts Clinic /ID# 159811
- STAT Research, Inc. /ID# 161416
- Health Research of Oklahoma /ID# 159913
- Altoona Ctr Clinical Res /ID# 159861
- Articularis Healthcare Group, Inc d/b/a Low Country Rheumatology /ID# 163462
- Rheumatology Consultants, PLLC /ID# 161408
- Dr. Ramesh Gupta /ID# 160067
- Tekton Research, Inc. /ID# 160008
- Diagnostic Group Integrated He /ID# 161406
- Adriana Pop-Moody MD Clinic PA /ID# 160009
- Metroplex Clinical Research /ID# 159818
- Accurate Clinical Research /ID# 160052
- P&I Clinical Research /ID# 159837
- SW Rheumatology Res. LLC /ID# 160014
- DM Clinical Research /ID# 161753
- Arthritis & Osteoporosis Clinic /ID# 161400
- Swedish Medical Center /ID# 159918
- UZ Ghent /ID# 164210
- Reuma clinic /ID# 164214
- CIP - Centro Internacional de Pesquisa /ID# 161808
- Hospital de Clínicas da Universidade Federal de Uberlândia /ID# 161794
- Hospital de Clinicas de Porto Alegre /ID# 161795
- LMK Sevicos Medicos S/S /ID# 161806
- Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP /ID# 163317
- Faculdade de Medicina do ABC /ID# 163489
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - HC /ID# 161793
- Percuro Clinical Research, Ltd /ID# 157835
- Ciads /Id# 157843
- The Waterside Clinic /ID# 157838
- Groupe de Recherche en Maladies Osseuses Inc /ID# 157836
- Ctr. de Recherche Musculo-Sque /ID# 163557
- CTR Estudios SpA /ID# 206038
- Centro Inter Estud Clin CIEC /ID# 169543
- Prosalud Ltda. /ID# 169542
- Clinica Dermacross S.A /ID# 169537
- Revmatologie Bruntal, s.r.o /ID# 159632
- Medical Plus, s.r.o. /ID# 159631
- Hopital Saint Joseph /ID# 163755
- CHU Toulouse /ID# 163743
- Hopital Lariboisiere /ID# 163773
- Hopital Trousseau /ID# 163772
- General Hospital of Athens Laiko /ID# 163474
- Naval Hospital of Athens /ID# 163495
- Betegapolo Irgalmas Rend - Budai Irgalmasrendi Korhaz /ID# 170911
- Revita Reumatologiai Rendelo /ID# 162575
- Debreceni Egyetem Kenezy Gyula /ID# 162572
- MAV Korhaz ess Rendelointezet /ID# 162574
- Vital Medical Center Orvosi-es Fogaszati Kozpont /ID# 162571
- Azienda Unita Sanitaria Locale/IRCCS c/o Arcispedale Santa Maria Nuova /ID# 162751
- A.O. Univ. Ospedali Riuniti /ID# 162748
- Azienda Ospedaliera Universitaria Policlinico "G. Rodolico - San Marco" /Id# 164126
- ASST G. Pini /ID# 164125
- Nagoya City University Hospital /ID# 162563
- Fukuoka University Hospital /ID# 161774
- Kitakyushu Municipal Medical Center /ID# 163516
- Asahikawa Medical University Hospital /ID# 200684
- Mie University Hospital /ID# 162085
- Tohoku University Hospital /ID# 164035
- Oribe Clinic of Rheumatism and Medicine /ID# 163704
- Kansai Medical University Hospital /ID# 162081
- National Hospital Organization Osaka Minami Medical Center /ID# 162589
- Osaka City University Hospital /ID# 162082
- Nippon Life Saiseikai Public Interest Foundation Nippon Life Hospital /ID# 161773
- Juntendo University Hospital /ID# 162089
- St.Luke's International Hospital /ID# 162013
- Keio University Hospital /ID# 162130
- Daido Hospital /ID# 163639
- Erasmus Medisch Centrum /ID# 163052
- Maasstad Ziekenhuis /ID# 163050
- Waikato Hospital /ID# 166412
- Middlemore Hospital /ID# 166411
- Porter Rheumatology Ltd /ID# 200422
- Timaru Rheumatology Studies /ID# 166410
- Instituto Portugues De Reumatologia /ID# 165894
- Centro Hospitalar Lisboa Ocidental, EPE /ID# 165896
- Centro Hospitalar de Vila Nova Gaia/Espinho, EPE /ID# 165897
- Centro Hospitalar Lisboa Norte, EPE /ID# 165895
- Unidade Local De Saude Do Alto Minho /ID# 165898
- Ponce School of Medicine /ID# 163918
- GCM Medical Group, PSC /ID# 163716
- Hospital Universitario A Coruña - CHUAC /ID# 161019
- Hospital Clinico Universitario Virgen de la Arrixaca /ID# 163138
- Hospital Universitario Reina Sofia /ID# 170764
- Royal United Hospitals Bath /ID# 161054
- Whipps Cross Univ Hospital /ID# 161053
- Luton & Dunstable University Hospital /ID# 162713
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Placebo Comparator
Placebo Comparator
Upadacitinib 15 mg
Upadacitinib 30 mg
Placebo then Upadacitinib 15 mg
Placebo then Upadacitinib 30 mg
Period 1: Participants receive upadacitinib 15 mg once daily for 56 weeks. Period 2: Participants will continue to receive upadacitinib 15 mg once daily.
Period 1: Participants receive upadacitinib 30 mg once daily for 56 weeks. Period 2: Participants will continue to receive upadacitinib 30 mg once daily.
Period 1: Participants receive placebo once daily for 24 weeks followed by upadacitinib 15 mg once daily for 32 weeks. Period 2: Participants will continue to receive upadacitinib 15 mg once daily.
Period 1: Participants receive placebo once daily for 24 weeks followed by upadacitinib 30 mg once daily for 32 weeks. Period 2: Participants will continue to receive upadacitinib 30 mg once daily.