Study to Assess Change in Disease Activity and Adverse Events of Oral Upadacitinib Compared to Subcutaneous Adalimumab in Adult Participants With Moderate to Severe Rheumatoid Arthritis (SELECT- SWITCH)
Rheumatoid Arthritis
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Rheumatoid Arthritis, RA, Upadacitinib, Adalimumab, Methotrexate, MTX, TNF Inhibitor
Eligibility Criteria
Inclusion Criteria: 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) (originator or biosimilar) for RA (except adalimumab [originator or biosimilar]), but continue to exhibit active RA, or had to discontinue due to intolerability, irrespective of treatment duration. Up to 15% of participants who were intolerant to 1 TNFi will be allowed to enroll. On oral or parenteral methotrexate (MTX) therapy >= 3 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 participants in China, Japan, Korea, or Taiwan, 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. Exclusion Criteria: 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). Prior exposure to a non-TNFi biologic disease modifying anti-rheumatic drug (bDMARD).
Sites / Locations
- AZ Arthritis and Rheumotology Research, PLLC - Flagstaff /ID# 253431Recruiting
- Arizona Arthritis and Rheumatology Research - Glendale Office /ID# 255018Recruiting
- Sun Valley Arthritis Center Ltd. /ID# 254654Recruiting
- AZ Arthritis and Rheumotology Research, PLLC /ID# 253432Recruiting
- AZ Arthritis and Rheumotology Research, PLLC /ID# 255021Recruiting
- Arizona Arthritis & Rheumatology Associates - Tucson /ID# 255017Recruiting
- Arthritis and Rheumatism Associates /ID# 254013Recruiting
- Newport Huntington Medical Group /ID# 252687Recruiting
- Purushotham & Akther Kotha MD, Inc /ID# 252704Recruiting
- Valerius Medical Group & Research Center of Greater Long Beach, Inc /ID# 252692Recruiting
- Rheumatology Center of San Diego /ID# 255038Recruiting
- Millennium Clinical Trials /ID# 252689Recruiting
- Comprehensive Rheumatology Center /ID# 252688Recruiting
- Denver Arthritis Clinic /ID# 254058Recruiting
- Tekton Research /ID# 255036Recruiting
- Rheumatology Associates of South Florida (RASF) - Clinical Research /ID# 253733Recruiting
- Bay Area Arthritis and Osteo /ID# 254046Recruiting
- Clinical Research of West Florida, Inc /ID# 254649Recruiting
- Omega Research Debary, LLC /ID# 253735Recruiting
- Neoclinical Research /ID# 254622Recruiting
- Life Clinical Trials /ID# 256061Recruiting
- Lakes Research, LLC /ID# 255023Recruiting
- HMD Research LLC /ID# 253732Recruiting
- Millennium Research /ID# 253744Recruiting
- BayCare Medical Group /ID# 253799Recruiting
- Clinical Research of West Florida - Tampa /ID# 255264Recruiting
- BayCare Medical Group, Inc. /ID# 255268Recruiting
- Atlanta Research Center for Rheumatology /ID# 254623Recruiting
- Crowley CORE, LLC - Hinsdale Orthopaedics /ID# 254712Recruiting
- Greater Chicago Specialty Physicians /ID# 254000Recruiting
- Clinic of Robert Hozman/Clinical Investigation Specialists /ID# 253999Recruiting
- Deerbrook Medical Associates /ID# 254008Recruiting
- Qualmedica Research - Evansville /ID# 254005Recruiting
- Bluegrass Community Research /ID# 254653Recruiting
- The Arthritis & Diabetes Clinic, Inc. /ID# 254014Recruiting
- Rheumatology Associates PA - Portland /ID# 255014Recruiting
- AA Medical Research Center - Grand Blanc /ID# 254007Recruiting
- Advanced Rheumatology, PC /ID# 256059Recruiting
- St. Paul Rheumatology, PA /ID# 255037Recruiting
- Arthritis Associates /ID# 253992Recruiting
- Kansas City Physician Partners /ID# 255035Recruiting
- Clinvest Research LLC /ID# 254054Recruiting
- Logan Health Research /ID# 253738Recruiting
- Physician Research Collaboration, LLC /ID# 254012Recruiting
- Arthritis and Osteo Assoc /ID# 252684Recruiting
- Paramount Medical Research Con /ID# 254048Recruiting
- Rheumatology Associates of Oklahoma /ID# 253994Recruiting
- Clinical Research of Philadelphia, LLC /ID# 255025Recruiting
- West Tennessee Research Institute /ID# 254620Recruiting
- Arthritis and Rheumatology Research Institute, PLLC /ID# 254045Recruiting
- Tekton Research, Inc. /ID# 254004Recruiting
- Trinity Universal Research Associates - Carrollton /ID# 254648Recruiting
- Biopharma Informatic, LLC /ID# 254053Recruiting
- Accurate Clinical Research /ID# 254647Recruiting
- R & H Clinical Research - 777 Katy /ID# 255024Recruiting
- West Texas Clinical Research /ID# 253736Recruiting
- Trinity Universal Research Associates, Inc /ID# 253995Recruiting
- Sun Research Institute /ID# 255019Recruiting
- Advanced Rheumatology of Houston /ID# 254003Recruiting
- DM Clinical Research - Tomball /ID# 254001Recruiting
- Rheumatology Clinic of Houston /ID# 254002Recruiting
- Rheumatic Disease Center, LLP /ID# 254015Recruiting
- Groupe de Recherche en Maladies Osseuses Inc /ID# 253409Recruiting
- Dr Naik-Medical Professional Corporation-Alliance Health /ID# 254018Recruiting
- Japan Organization of Occupational Health and Safety Chubu Rosai Hospital /ID# 252836Recruiting
- Daido Clinic /ID# 253058Recruiting
- Sugimoto rheumatology and internal medicine clinic /ID# 252774Recruiting
- Hamanomachi Hospital /ID# 253168Recruiting
- Shono Rheumatism Clinic /ID# 252591Recruiting
- Katayama Orthopedic Rheumatology Clinic /ID# 252746Recruiting
- Sagawa Akira Rheumatology Clin /ID# 252773Recruiting
- Matsubara Mayflower Hospital /ID# 252834Recruiting
- Sanuki Municipal Hospital /ID# 252747Recruiting
- Bay Side Misato Medical Center /ID# 252661Recruiting
- Kumamoto Orthopaedic Hospital /ID# 253167Recruiting
- Medical Corporation Keiai Kai Clinic /ID# 252750Recruiting
- Sasebo Chuo Hospital /ID# 252662Recruiting
- St.Luke's International Hospital /ID# 253131Recruiting
- Keio University Hospital /ID# 253205Recruiting
- Tokito Clinic Rheumatology and Orthopaedics Surgery /ID# 253057Recruiting
- SoonChunHyang University CheonAn Hospital /ID# 254942Recruiting
- Chonnam National University Bitgoeul Hospital /Id# 254802Recruiting
- Chungnam National University Hospital /ID# 252159Recruiting
- Seoul National University Hospital /ID# 252160Recruiting
- GCM Medical Group PSC /ID# 252700Recruiting
- Mindful Medical Research /ID# 252693Recruiting
- The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust /ID# 252301Recruiting
- Queen Mary University of London /ID# 252671Recruiting
- Portsmouth Hospitals University NHS Trust /ID# 252772Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Upadacitinib+ Adalimumab matching Placebo
Adalimumab + Upadacitinib matching Placebo
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.
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.