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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

480 patients around the world
Available in Puerto Rico, Chile, United States, Argentina
AbbVie
20Research sites
480Patients around the world

This study is for people with

Arthritis
Rheumatoid arthritis

Requirements for the patient

From 18 Years
All Gender

Medical requirements

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.
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

Instituto Médico de Alta Complejidad San Isidro IMACSI
Instituto Médico de Alta Complejidad San Isidro IMACSI
Av. del Libertador 16958, San Isidro, Buenos Aires
Consultorios Reumatológicos Pampa
Consultorios Reumatológicos Pampa
La Pampa 1548, CABA, Buenos Aires
Organización Médica de Investigación (OMI)
Recruiting
Uruguay 725 PB , Buenos Aires, CP: 1015
Instituto Médico Damic S.R.L.
Instituto Médico Damic S.R.L.
Av. Colón 2057, Córdoba
Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich
Av. Luis Maria Campos 726, CABA, Buenos Aires
CEDIMBA - DIM Clínica Privada - Buenos Aires
CEDIMBA - DIM Clínica Privada - Buenos Aires
Belgrano 136, Ramos Mejia, Buenos Aires.
Centro Integral de Reumatología - Tucumán
Santiago del Estero 60, S. M. de Tucuman
Centro de Investigaciones Médicas Tucumán
Recruiting
Lavalle 506, T4000 San Miguel de Tucumán, Tucumán, Argentina
Hospital Italiano de La Plata
Av. 51 entre 29 y 30 Nro 1725, La Plata, Buenos Aires
Instituto CAICI - Rosario, Santa Fe
Mendoza 2612, Rosario, Santa Fe
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