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Evaluation of bone mineral density and bone metabolism during treatment with januskinaseinhibitors baricitinib or tofacintib in patients with rheumatoid arthritis

Evaluation of bone mineral density and bone metabolism during treatment with januskinaseinhibitors baricitinib or tofacintib in patients with rheumatoid arthritis

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
DRKS
Registry ID
DRKS00020780
Enrollment
120
Registered
2020-03-17
Start date
2019-01-01
Completion date
Unknown
Last updated
2025-04-07

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

Conditions

M06.00 M05.80

Interventions

Group 1: Patient with rheumatoid arthritis under treatment with baricitinib Group 2: Patient with rheumatoid arthritis under treatment with tofacitinib Group 3: historical control group of patients w

Sponsors

Campus Kerckhoff der Justus Liebig Universität Giessen, Abteiliung für Rheumatologie, Immunologie, Osteologie und Physikalische Medizin
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Patients > 18 years with moderate to severe active rheumatoid arthritis who are going to receive treatment with tofacitinib or baricitinib. The indication for treatment with either one of the JAKi needs to be given by the treating rheumatologist. Only patients with RA fulfilling the ACR/EULAR classification criteria are eligible.

Exclusion criteria

Exclusion criteria: Contraindications to treatment with tofacitinib or baricitinib. Incompatible language barriers Missing consent During study: inadherence to pharmacological treatment

Design outcomes

Primary

MeasureTime frame
change of bone mineral density (BMD) using DEXA measurement (peripheral and axial skeleton) at baseline (0 month) and after 24 months under treatment with baricitinib or tofacitinib

Secondary

MeasureTime frame
To evaluate secondary objectives secondary endpoints will assess the change between baseline (0 months) and i) 12 months follow-up ii) 24 months follow-up • biochemical markers of bone metabolism: ALP, TRAP5b, BALP, CTX-1, osteocalcin, ß-crossLaps, RANKL/OPG quotient • molecular parameters of inflammation: CRP and ESR • patient global assessment and pain level (VAS, NRS) of the last 7 days • PROs (Patient Reported Outcomes) on functional impairment (FFbH, HAQ) • disease activity (DAS28, cDAI, sDAI)

Countries

Germany

Contacts

Public ContactPhilipp Klemm

Campus Kerckhoff der Justus Liebig Universität Giessen, Abteiliung für Rheumatologie, Immunologie, Osteologie und Physikalische Medizin

p.klemm@kerckhoff-klinik.de06032-996-0

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 9, 2026