A Study to Compare Upadacitinib (ABT-494) to Placebo in Adults With Rheumatoid Arthritis on Stable Dose of Conventional Synthetic Disease-Modifying Antirheumatic Drugs (csDMARDs) With an Inadequate Response or Intolerance to Biologic DMARDs (SELECT-BEYOND)
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, ABT-494, upadacitinib
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of rheumatoid arthritis (RA) for≥ 3 months.
- Treated for ≥ 3 months with ≥ 1 bDMARD therapy, but continue to exhibit active RA or had to discontinue due to intolerability or toxicity, irrespective of treatment duration prior to the first dose of study drug.
- Participant has been receiving csDMARD therapy ≥ 3 months and on a stable dose for ≥ 4 weeks prior to the first dose of study drug. The following csDMARDs are allowed: methotrexate (MTX), sulfasalazine, hydroxychloroquine, chloroquine, and leflunomide. A combination of up to two background csDMARDs is allowed except the combination of MTX and leflunomide.
- Meets both of the following criteria:
- ≥ 6 swollen joints (based on 66 joint counts) and ≥ 6 tender joints (based on 68 joint counts) at Screening and Baseline Visits.
- hsCRP ≥ 3mg/L at Screening Visit.
Exclusion Criteria:
- Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib).
- 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
- Rheum Assoc of North Alabama /ID# 145959
- AZ Arthritis and Rheum Assoc /ID# 148593
- AZ Arthritis and Rheum Researc /ID# 142816
- AZ Arthritis and Rheum Researc /ID# 146075
- AZ Arthritis and Rheum Researc /ID# 148592
- Arizona Research Center, Inc. /ID# 142741
- AZ Arthr & Rheum Research /ID# 155256
- AZ Arthritis & Rheum Research /ID# 156090
- NEA Baptist Clinic /ID# 149280
- Covina Arthritis Clinic /ID# 142794
- Rheumatology Ctr of San Diego /ID# 153576
- St. Joseph Heritage Healthcare /ID# 149273
- TriWest Research Associates- La Mesa /ID# 142792
- Arthritis & Osteo Medical Ctr /ID# 142770
- Valerius Med Grp & Res Ctr /ID# 142799
- Pacific Arthritis Ctr Med Grp /ID# 142783
- University of California, Los Angeles /ID# 148348
- Desert Medical Advances /ID# 142765
- Stanford University School of Med /ID# 142761
- Robin K. Dore MD, Inc /ID# 150908
- Inland Rheum Clin Trials Inc. /ID# 142787
- Medvin Clinical Research /ID# 142814
- Arthritis Assoc & Osteo Ctr /ID# 142809
- Denver Arthritis Clinic /ID# 142771
- New England Research Associates, LLC /ID# 142763
- Delaware Arthritis /ID# 142803
- Lakes Research, LLC /ID# 142755
- Medallion Clinical Research Institute, LLC /ID# 142740
- Omega Research Consultants /ID# 142780
- Millennium Research /ID# 142782
- Arthritis Research of Florida /ID# 142811
- Arthritis Center, Inc. /ID# 142822
- Advent Clinical Research /ID# 142817
- St. Anthony Comprehsve Res Ins /ID# 148349
- University of South Florida /ID# 145611
- BayCare Medical Group, Inc. /ID# 142747
- Lovelace Scientific Resources /ID# 142779
- Jefrey D. Lieberman, MD, P.C. /ID# 151713
- Marietta Rheumatology Assoc /ID# 151347
- St. Luke's Clinic - Rheumatolo /ID# 150923
- Institute of Arthritis Res /ID# 142810
- Advanced Clinical Research /ID# 153089
- Great Lakes Clinical Trials /ID# 148341
- Clinical Investigation Special /ID# 149270
- Springfield Clinic /ID# 142818
- Deerbrook Medical Associates /ID# 151712
- The Arthritis & Diabetes Clinic, Inc. /ID# 142793
- Vanguard Medical Research, LLC /ID# 153123
- MMP Women's Health /ID# 145612
- The Center for Rheumatology & /ID# 142742
- Mansfield Health Center /ID# 147628
- Clinical Pharmacology Study Gr /ID# 142744
- June DO, PC /ID# 142756
- North Mississippi Med Clinics /ID# 142781
- Clayton Medical Associates dba Saint Louis Rheumatology /ID# 142745
- Barbara Caciolo, MD /ID# 142749
- Westroads Clinical Research /ID# 142802
- Dartmouth-Hitchcock Medical Center /ID# 145958
- Atlantic Coast Research /ID# 148347
- Ocean Rheumatology, PA /ID# 142785
- The Center for Rheumatology /ID# 142784
- North Shore University Hospital /ID# 142772
- Buffalo Rheumatology /ID# 142766
- Joint & Muscle Research Instit /ID# 142797
- DJL Clinical Research, PLLC /ID# 142769
- Cape Fear Arthritis Care /ID# 148344
- Coastal Carolina Health Care /ID# 148351
- Shanahan Rheuma & Immuno /ID# 142812
- Trinity Health Med Arts Clinic /ID# 142754
- Cincinnati Rheumatic Disease Study Group, Inc. /ID# 142791
- STAT Research, Inc. /ID# 142821
- Health Research Oklahoma /ID# 142751
- Healthcare Research Consultant /ID# 142815
- East Penn Rheumatology Assoc /ID# 142790
- Clinical Research Ctr Reading /ID# 151714
- Columbia Arthritis Center /ID# 153728
- West Tennessee Research Inst /ID# 142739
- Arthritis Associates, PLLC /ID# 142774
- Arthritis Associates, PLLC /ID# 155462
- Dr. Ramesh Gupta /ID# 142767
- Tekton Research, Inc. /ID# 142805
- Diagnostic Group Integrated He /ID# 148340
- Arth and Osteo Clin Brazo Valley /ID# 148343
- Arthritis Care and Diagnostic /ID# 151344
- Metroplex Clinical Research /ID# 142758
- Rheumatic Disease Clin Res Ctr /ID# 150914
- Baylor College of Medicine /ID# 142753
- Rheumatology Clinic of Houston /ID# 150915
- Houston Institute for Clin Res /ID# 142768
- Pioneer Research Solutions, Inc. /ID# 151346
- Arthritis & Osteoporosis Assoc /ID# 147567
- P&I Clinical Research /ID# 151345
- SW Rheumatology Res. LLC /ID# 142813
- Trinity Universal Research Association /ID# 149278
- Arthritis & Osteo Ctr of S. TX /ID# 142773
- Arthritis Clinic of Central TX /ID# 148346
- DM Clinical Research /ID# 151007
- Arthritis & Osteoporosis Clinic /ID# 142760
- Western Washington Arthritis C /ID# 142776
- Arthritis Northwest, PLLC /ID# 150924
- The Vancouver Clinic, INC. PS /ID# 147946
- West Virginia Research Inst /ID# 153087
- Aurora Rheumatology and Immunotherapy Center /ID# 142820
- The Queen Elizabeth Hospital /ID# 142419
- Emeritus Research /ID# 142416
- Medizinische Universität Wien /ID# 142424
- Universitaetsklinik fuer Inner /ID# 142423
- Rheuma Zentrum Favoriten GmbH /ID# 142421
- Rheuma-Zentrum Wien-Oberlaa /ID# 142425
- Wilhelminenspital der Stadt Wien /ID# 142422
- Cliniques Universitaires Saint Luc /ID# 142426
- Rhumaconsult SPRL /ID# 151378
- UZ Gent /ID# 142429
- ReumaClinic Genk /ID# 142431
- AZ Damiaan /ID# 142427
- Ciads /Id# 142526
- Revmatologie MUDr. Klara Sirova /ID# 142536
- Medical Plus, s.r.o. /ID# 148345
- MediTrials /ID# 151777
- East Tallinn Central Hospital /ID# 142543
- Kiljava Medical Research /ID# 142546
- Paijat-Hame Central Hospital /ID# 149185
- CHR Orleans - Hopital de la Source /ID# 142557
- Hopital Universitaire Purpan /ID# 144697
- Hopital Saint Eloi /ID# 142552
- Centre Hospitalier Le Mans /ID# 145956
- CHU Bordeaux-Hopital Pellegrin /ID# 144700
- Centre Hospitalier Jean Rougie /ID# 142556
- Hopital Edouard Herriot /ID# 144698
- Rheumazentrum Ruhrgebiet /ID# 145600
- Uniklinik Koln /ID# 142563
- Charité Universitätsmedizin Campus Mitte /ID# 142559
- Rheumaforschungszentrum II /ID# 142560
- Schoen Klinikum Hamburg Eilbek /ID# 142566
- Asklepios Klinik Altona /ID# 142561
- LMU Klinikum der Universität München /ID# 142564
- MVZ Planegg /ID# 142565
- Knappschaftsklinikum Saar /ID# 142562
- General Hospital of Athens Laiko /ID# 142579
- Vital Medical Center Orvosi es /ID# 142586
- Revita Reumatologiai Rendelo /ID# 142590
- Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz /ID# 142587
- Bekes Megyei Pandy Kalman Korh /ID# 142588
- St Vincent's University Hosp /ID# 142593
- Tel Aviv Sourasky Medical Ctr /ID# 142597
- Bnai Zion Medical Center /ID# 151945
- The Lady Davis Carmel MC /ID# 142599
- Hanyang University Seoul Hospi /ID# 150883
- Inha University Hospital /ID# 150881
- Seoul National University Hospital /ID# 142622
- LTD M+M Centers /ID# 142624
- P. Stradins Clinical Univ Hosp /ID# 142623
- Arthritis Clinic Ltd /ID# 153560
- Timaru Medical Specialists Ltd /ID# 142657
- WroMedica I. Bielicka, A. Strzalkowska s.c. /ID# 142665
- Pratia MCM Krakow /ID# 142664
- Centrum Medyczne Pratia Warszawa /ID# 142667
- Centrum Medyczne AMED Warszawa Targowek /ID# 142663
- Centrum Medyczne Pratia Gdynia /ID# 142666
- Centro Hospitalar De Vila Nova /ID# 142670
- Centro Hospitalar Lisboa Norte, EPE /ID# 142668
- GCM Medical Group /ID# 142671
- Family Outpatient clinic#4,LLC /ID# 150910
- ARTROMAC n.o. /ID# 142692
- Nemocnica Kosice Saca, a.s. /ID# 142693
- Narodny ustav reumatickych chorob Piestany /ID# 142691
- H. Un. Marques de Valdecilla /ID# 142706
- Hospital Regional de Malaga /ID# 142707
- Comple Hosp Univ de A Coruna /ID# 142708
- Hospital Clin Univ San Carlos /ID# 142711
- Clinica Gaias /ID# 142709
- Hospital Universitario La Fe /ID# 142716
- Sahlgrenska University Hosp /ID# 142720
- Capio Movement Halmstad /ID# 148236
- Orebro Universitetssjukhuset /ID# 142718
- Vastmanlands Sjukhus /ID# 142721
- Universitaetsspital Basel /ID# 145610
- HFR Fribourg - Hopital Canton /ID# 142723
- Hacettepe University Medical Faculty /ID# 142729
- Ankara Ataturk Training & Res /ID# 142727
- Ondokuz mayis University Facul /ID# 142728
- Whipps Cross Univ Hospital /ID# 145957
- The Royal Free Hospital /ID# 142733
- Mid Essex Hospitals NHS Trust /ID# 148992
- Western General Hospital /ID# 142732
- West Suffolk Hospital /ID# 148993
- Queen Alexandra Hospital /ID# 142735
- Arrowe Park Hospital /ID# 148991
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 / Upadacitnib 15 mg
Placebo / Upadacitnib 30 mg
Period 1: Participants receive upadacitinib 15 mg once daily for 24 weeks. Period 2: Participants will continue on upadacitinib 15 mg once daily from Week 24 to Week 260.
Period 1: Participants receive upadacitinib 30 mg once daily for 24 weeks. Period 2: Participants continue on upadacitinib 30 mg once daily until implementation of Protocol Amendment 4, then participants begin to receive upadacitinib 15 mg once daily up to Week 260.
Period 1: Participants receive placebo once daily for 12 weeks followed by upadacitinib 15 mg once daily for 12 weeks. Period 2: Participants will continue on upadacitinib 15 mg once daily from Week 24 to Week 260.
Period 1: Participants receive placebo once daily for 12 weeks followed by upadacitinib 30 mg once daily for 12 weeks. Period 2: Participants continue on upadacitinib 30 mg once daily until implementation of Protocol Amendment 4, then participants begin to receive upadacitinib 15 mg once daily up to Week 260.