A Study to Investigate the Safety and Efficacy of ABBV-105 Alone or in Combination With Upadacitinib (ABBV-599 Combination) in Participants With Active Rheumatoid Arthritis
Rheumatoid Arthritis (RA)
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis (RA) focused on measuring Elsubrutinib, ABBV-105, Upadacitinib, ABBV-599, Rheumatoid Arthritis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of rheumatoid arthritis (RA) for ≥ 3 months based on the 2010 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for RA
Participant 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
- High-sensitivity C-reactive protein (hsCRP) ≥ 3 mg/L (central lab) at Screening Visit
- Participants must have been treated for ≥ 3 months with ≥ 1 biologic disease-modifying anti-rheumatic drug (bDMARD) therapy but continue to exhibit active RA or had to discontinue due to intolerability or toxicity, irrespective of treatment duration
- Participants must have been receiving conventional synthetic disease-modifying anti-rheumatic drug (csDMARD) therapy ≥ 3 months and on a stable dose for ≥ 4 weeks prior to the first dose of study drug
- Participants must have discontinued all bDMARDs prior to the first dose of study drug
Exclusion Criteria:
- Participant has prior exposure to any Janus Kinase (JAK) inhibitor for greater than 2 weeks (including but not limited to upadacitinib, tofacitinib, baricitinib, and filgotinib). A washout period of ≥ 30 days is required for any JAK inhibitor prior to the first dose of study drug.
Sites / Locations
- Rheum Assoc of North Alabama /ID# 167382
- AZ Arthritis & Rheum Research /ID# 167446
- SunValley Arthritis Center, Lt /ID# 213073
- AZ Arthritis and Rheum Researc /ID# 167448
- St. Joseph Heritage Healthcare /ID# 167379
- Purushotham, Akther & Roshan K /ID# 168121
- Valerius Medical Group /ID# 168123
- Sierra Rheumatology /ID# 167976
- Rheumatology Center of San Diego /ID# 170690
- Iraj Sabahi Research, Inc /ID# 201923
- Inland Rheum Clin Trials Inc. /ID# 167459
- Medvin Clinical Research /ID# 205731
- Rheumatology Consultants of De /ID# 208238
- Bay Area Arthritis and Osteo /ID# 208111
- Clinical Res of West FL, Inc. /ID# 167462
- Omega Research Maitland, LLC /ID# 167376
- Riverside Clinical Research /ID# 167982
- Lakes Research, LLC /ID# 170660
- Kendall South Medical Center, Inc. /ID# 206857
- Medallion Clinical Research Institute, LLC /ID# 201710
- Rheum Assoc of Central FL /ID# 170858
- HMD Research LLC /ID# 208381
- International Medical Research - Ormond /ID# 170864
- Millennium Research /ID# 167453
- Arthritis Center, Inc. /ID# 170695
- Integral Rheumatology & Immunology Specialists /ID# 206724
- BayCare Medical Group /ID# 170860
- St. Anthony Comprehensive Rese /ID# 170668
- Clinical Research of West Florida, Inc /ID# 169099
- ForCare Clinical Research /ID# 206280
- Florida Medical Clinic /ID# 206279
- Institute of Arthritis Researc /ID# 170694
- Great Lakes Clinical Trials /ID# 167471
- Clinical Investigation Specialists - Skokie /ID# 167468
- Deerbrook Medical Associates /ID# 207098
- PRN of Kansas /ID# 167985
- The Arthritis & Diabetes Clinic, Inc. /ID# 170682
- Mansfield Health Center /ID# 167372
- Advanced Clinical Care /ID# 167367
- June DO, PC /ID# 170670
- Beals Instititute /ID# 170658
- Arthritis Associates /ID# 209075
- North Mississippi Med Clinics /ID# 167377
- Clayton Medical Associates dba Saint Louis Rheumatology /ID# 170650
- Physician Research Collaboration, LLC /ID# 200480
- Dhmc /Id# 167476
- Ocean Rheumatology /ID# 170673
- Arthritis and Osteo Assoc /ID# 167443
- DJL Clinical Research, PLLC /ID# 167374
- EmergeOrtho, P.A. /ID# 209154
- Cape Fear Arthritis Care /ID# 167413
- New Horizons Clinical Research /ID# 170862
- Marietta Memorial Hospital /ID# 210968
- STAT Research, Inc. /ID# 200485
- Health Research of Oklahoma /ID# 167370
- Clinical Research Ctr Reading /ID# 170708
- West Tennessee Research Inst /ID# 167366
- Nashville Arthritis and Rheumatology /ID# 206699
- Amarillo Ctr for Clin Research /ID# 200484
- Tekton Research, Inc. /ID# 167475
- Trinity Universal Res Assoc /ID# 209252
- Arth and Osteo Clin Brazo Valley /ID# 209401
- Metroplex Clinical Research /ID# 167458
- Rheumatic Disease Clin Res Ctr /ID# 167474
- Rheumatology Clinic of Houston /ID# 203689
- Accurate Clinical Research /ID# 207059
- West Texas Clinical Research /ID# 205732
- SW Rheumatology Res. LLC /ID# 167383
- Trinity Universal Research Association /ID# 209253
- Sun Research Institute /ID# 170667
- Accurate Clinical Management /ID# 200481
- DM Clinical Research /ID# 167444
- Arthritis & Osteoporosis Clinic /ID# 167407
- Tidewater Physicians Medical Center /ID# 210884
- Western Washington Arthritis C /ID# 205821
- Arthritis Northwest, PLLC /ID# 200479
- Rheumatology and Pulmonary cli /ID# 170863
- Aurora Rheumatology and Immunotherapy Center /ID# 167385
- CUB Hospital Erasme /ID# 201965
- Cliniques Universitaires Saint Luc /ID# 201756
- UZ Ghent /ID# 201757
- UZ Leuven /ID# 201927
- Rheumatology Research Assoc /ID# 207299
- Manitoba Clinic /ID# 202126
- CIADS Research Co Ltd /ID# 202125
- Credit Valley Rheumatology /ID# 202124
- Mount Sinai Hosp.-Toronto /ID# 202652
- Dr. Latha Naik /ID# 212972
- Revmatolog s.r.o. /ID# 202610
- Revmatologicky ustav Praha /ID# 202142
- Revmatologie MUDr. Klara Sirova /ID# 205185
- CCR Czech a.s /ID# 202144
- CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 202439
- Szabolcs-Szatmar-Bereg Megyei Korhazak & Egyetemi Oktatokorhaz /ID# 202441
- Revita Reumatologiai Rendelo /ID# 202438
- CMED Rehabilitacios es Diagnosztikai Kozpont /ID# 205804
- Vital Medical Center Orvosi-es Fogaszati Kozpont /ID# 202437
- Malopolskie Centrum Kliniczne /ID# 206473
- McBk Sc /Id# 212575
- NBR Polska /ID# 206476
- ClinicMed Daniluk, Nowak Sp.j. /ID# 212576
- Reumatika - Centrum Reumatologii NZOZ /ID# 206472
- GCM Medical Group, PSC /ID# 167983
- Hospital Universitario A Coruña - CHUAC /ID# 202140
- Hospital Unversitario Marques de Valdecilla /ID# 202133
- Hospital Regional de Malaga /ID# 202137
- Hospital Clinic /ID# 206575
- Hospital Santa Creu i Sant Pau /ID# 206535
- Hospital Universitario Basurto /ID# 206462
- Hospital Universitario Virgen de las Nieves /ID# 209705
- Hospital Clinico Universitario San Carlos /ID# 202135
- Hospital Universitario y Politecnico La Fe /ID# 202139
- The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 201976
- University of Oxford /ID# 201974
- Warrington and Halton Teaching Hosp NHS Foundation Trust /ID# 206002
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
ELS placebo/UPA placebo
UPA 15 mg/ELS 60 mg
ELS 60 mg/UPA placebo
ELS 20 mg/UPA placebo
ELS 5 mg/UPA placebo
UPA 15 mg/ELS placebo
Placebo capsule for elsubrutinib once a day by mouth for 12 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 12 weeks
15 mg film-coated upadacitinib tablet once a day by mouth for 12 weeks; 60 mg elsubrutinib capsule once a day by mouth for 12 weeks
60 mg elsubrutinib capsule once a day by mouth for 12 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 12 weeks
20 mg elsubrutinib capsule once a day by mouth for 12 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 12 weeks
5 mg elsubrutinib capsule once a day by mouth for 12 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 12 weeks
15 mg film-coated upadacitinib tablet once a day by mouth for 12 weeks; placebo capsule for elsubrutinib once a day by mouth for 12 weeks