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A Phase 3, Randomized, Double-Blind Study Comparing Upadacitinib (ABT-494) to Placebo and to Adalimumab in Subjects with Moderately to Severely Active Rheumatoid Arthritis Who are on a Stable Background of Methotrexate (MTX) and Who Have an Inadequate Response to MTX (MTX-IR)

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2022-501017-31-00
Acronym
M14-465
Enrollment
489
Registered
2023-02-03
Start date
2016-05-10
Completion date
Unknown
Last updated
2025-06-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid arthritis

Brief summary

The primary endpoint is the proportion of subjects achieving ACR20 response at Week 12 or the proportion of subjects achieving clinical remission (CR) based on DAS28 (CRP) at Week 12

Detailed description

Change from baseline in Disease Activity Score (DAS)28 (C-reactive protein [CRP]) at Week 12, Change from baseline in mTSS at Week 26, Change from baseline in HAQ-DI at Week 12, ACR50 response rate at Week 12 (non-inferiority of upadacitinib versus ADA), Change from baseline in Short Form 36 (SF-36) Physical Component Score (PCS) at Week 12, Proportion of subjects achieving low disease activity (LDA) based on DAS28 [CRP] ≤ 3.2 at Week 12, Proportion of subjects achieving clinical remission (CR) based on DAS28 (CRP) at Week 12, Proportion of subjects achieving LDA based on Clinical Disease Activity Index (CDAI) at Week 12, Change from baseline in morning stiffness at Week 12, Change from baseline in Functional Assessment of Chronic Illness Therapy Fatigue (FACIT-F) at Week 12, ACR50 response rate at Week 12 (superiority of upadacitinib vs. ADA), Change from baseline in Patient's Assessment of Pain at Week 12 (superiority of upadacitinib vs. ADA), Change from baseline in HAQ-DI at Week 12 (superiority of upadacitinib vs. ADA), Other key secondary endpoints (upadacitinib versus placebo): 1) ACR50 response rate at Week 12, 2) ACR70 response rate at Week 12, 3) Proportion of subjects with no radiographic progression (defined as change from baseline mTSS ≤ 0) at Week 26

Interventions

Sponsors

Abbvie Deutschland GmbH & Co. KG
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
The primary endpoint is the proportion of subjects achieving ACR20 response at Week 12 or the proportion of subjects achieving clinical remission (CR) based on DAS28 (CRP) at Week 12

Secondary

MeasureTime frame
Change from baseline in Disease Activity Score (DAS)28 (C-reactive protein [CRP]) at Week 12, Change from baseline in mTSS at Week 26, Change from baseline in HAQ-DI at Week 12, ACR50 response rate at Week 12 (non-inferiority of upadacitinib versus ADA), Change from baseline in Short Form 36 (SF-36) Physical Component Score (PCS) at Week 12, Proportion of subjects achieving low disease activity (LDA) based on DAS28 [CRP] ≤ 3.2 at Week 12, Proportion of subjects achieving clinical remission (CR) based on DAS28 (CRP) at Week 12, Proportion of subjects achieving LDA based on Clinical Disease Activity Index (CDAI) at Week 12, Change from baseline in morning stiffness at Week 12, Change from baseline in Functional Assessment of Chronic Illness Therapy Fatigue (FACIT-F) at Week 12, ACR50 response rate at Week 12 (superiority of upadacitinib vs. ADA), Change from baseline in Patient's Assessment of Pain at Week 12 (superiority of upadacitinib vs. ADA), Change from baseline in HAQ-DI at Week 1

Countries

Belgium, Bulgaria, Croatia, Czechia, Estonia, France, Germany, Greece, Hungary, Italy, Latvia, Lithuania, Poland, Portugal, Romania, Slovakia, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026