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JAK Inhibitor Dose TAPering Strategy Study
Sponsor: University Hospital, Toulouse
Summary
This study aims to assess the feasibility of tapering JAK inhibitors in rheumatoid arthritis patients in low disease activity by comparing a group of patients tapering the JAK inhibitor dosage to a group of patients continuing the full-dose. Participants will: * Either take 1. JAK inhibitor dose-tapering strategy. 2. JAK inhibitor continuous therapy strategy. * Visit the clinic once every 3 months for checkups and tests * Keep a diary of their treatment intake and symptoms
Official title: JAK Inhibitor Dose TAPering Strategy Study in Low Disease Activity Rheumatoid Arthritis Patients
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
308
Start Date
2025-06-06
Completion Date
2029-04-01
Last Updated
2026-08-07
Healthy Volunteers
No
Conditions
Interventions
Baricitinib (LY3009104) 4 mg
Treatment with baricitinib 4 mg daily * Step 1 (after randomization): baricitinib 2mg daily * Step 2 (in case of CDAI≤ 10 AND CRP level below the laboratory standard; 6 months after starting step1): baricitinib 2mg every other day
filgotinib 200mg/day
Treatment with filgotinib 200 mg daily * Step 1 (after randomisation): filgotinib 100 mg daily * Step 2 (in case of CDAI≤ 10 AND CRP level below the laboratory standard; 6 months after starting step1): filgotinib 100mg every other day
Tofacitinib 5 mg twice daily
Treatment with tofacitinib 5 mg twice daily or tofacitinib 11mg daily * Step 1 (after randomisation): tofacitinib 5 mg once daily * Step 2 (in case of CDAI≤ 10 AND CRP level below the laboratory standard; 6 months after starting step1): tofacitinib 5 mg every other day
Upadacitinib 15 MG
Treatment with upadacitinib 15 mg daily * Step 1 (after randomisation): upadacitinib 15 mg every other day * Step 2 (in case of CDAI≤ 10 AND CRP level below the laboratory standard; 6 months after starting step1): upadacitinib 15 mg every 4 days
Baricitinib (LY3009104) 4 mg
use of JAK inhibitor at full dose until the end of the protocol
filgotinib 200mg/day
use of JAK inhibitor at full dose until the end of the protocol
Tofacitinib 5 mg twice daily
use of JAK inhibitor at full dose until the end of the protocol
Upadacitinib 15 MG
use of JAK inhibitor at full dose until the end of the protocol
Locations (24)
UH Toulouse
Toulouse, Occitanie, France
CHU d'Amiens
Amiens, France
Hôpital Pellegrin
Bordeaux, France
La Cavale Blanche
Brest, France
CHU de Clermont-Ferrand
Clermont-Ferrand, France
CHU Le Mans
Le Mans, France
Hôpital Saint Philibert
Lille, France
CHU Dupuytren 2
Limoges, France
Hôpital Sainte Marguerite
Marseille, France
Hôpital LAPEYRONIE
Montpellier, France
CHRU de Nancy
Nancy, France
Hôpital Pasteur 2
Nice, France
Nouvel Hôpital Orléans La Source
Orléans, France
GH Paris Saint-Joseph
Paris, France
Groupe hospitalier Pitié-Salpêtrière
Paris, France
Hopital Cochin
Paris, France
Hopital Lariboisière
Paris, France
Hopital Saint Antoine
Paris, France
Hôpital Bicêtre
Paris, France
Hopital Maison Blanche
Reims, France
CHU de Rouen
Rouen, France
Hopital Nord
Saint-Etienne, France
Hôpital Hautepierre
Strasbourg, France
CHU de Tours
Tours, France