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A Study to Evaluate the Efficacy and Safety of Upadacitinib in Participants With Takayasu Arteritis (TAK)

Phase 3
Active, not recruiting
Conditions
Takayasu Arteritis (TAK)
Interventions
Registration Number
NCT04161898
Lead Sponsor
AbbVie
Brief Summary

The main objective of this study is to evaluate the efficacy of upadacitinib in combination with a corticosteroid taper regimen compared to placebo in combination with a corticosteroid taper regimen.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Participants must be at least 18 years of age (at least 15 years of age in Japan)
  • Clinical diagnosis of TAK and fulfilling the Japanese Guidelines for Management of Vasculitis Syndrome 2017 criteria.
  • Participant must have experienced a relapse of TAK within 12 weeks of Baseline despite being on treatment with oral corticosteroid.
  • Participants must be in remission and on a stable corticosteroid dose prior to Baseline.
Exclusion Criteria
  • Treatment with an interleukin-6 (IL-6) inhibitor or Janus Kinase (JAK) inhibitor (including but not limited to tocilizumab, sirukumab, sarilumab, upadacitinib, tofacitinib, baricitinib, ruxolitinib, peficitinib, and filgotinib) within 4 weeks of Baseline.
  • Current use of immunomodulators other than corticosteroids.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 2: Placebo for UpadacitinibPlacebo for UpadacitinibParticipants will be administered placebo once daily (QD) along with prednisolone.
Arm 2: Placebo for UpadacitinibPrednisoloneParticipants will be administered placebo once daily (QD) along with prednisolone.
Arm 1: UpadacitinibUpadacitinibParticipants will be administered updadacitinib once daily (QD) along with prednisolone.
Arm 1: UpadacitinibPrednisoloneParticipants will be administered updadacitinib once daily (QD) along with prednisolone.
Arm 2: Placebo for UpadacitinibUpadacitinibParticipants will be administered placebo once daily (QD) along with prednisolone.
Primary Outcome Measures
NameTimeMethod
Time to First Relapse of Takayasu Arteritis (TAK) From Baseline through End of the Double-Blind (DB) PeriodUp to occurrence of 40 events (approximately 52 months)

Relapse of TAK is defined as the presence of signs or symptoms as judged by the investigator for at least 2 of the following categories: objective systemic symptoms, subjective systemic symptoms, elevated inflammation markers, vascular signs and symptoms, or ischemic symptoms OR where the criteria are met based on one category per protocol definition of relapse of TAK.

Secondary Outcome Measures
NameTimeMethod
Time to First Relapse of Takayasu Arteritis (TAK) by Kerr Criteria From Baseline through End of the DB PeriodUp to occurrence of 40 events (approximately 52 months)

Kerr criteria for relapse are defined as the presence of signs or symptoms as judged by the investigator for at least 2 of the following categories: objective or subjective systemic symptoms, elevated inflammation markers, vascular or ischemic signs and symptoms, or worsening in imaging assessment due to TAK.

Time to Worsening of Imaging Assessment Due to Takayasu Arteritis (TAK) From Baseline through End of the DB PeriodUp to occurrence of 40 events (approximately 52 months)

Imaging with computed tomography angiogram (CTA).

Trial Locations

Locations (48)

Fundación Sanatorio Guemes /ID# 249675

🇦🇷

Ciudad Autonoma Buenos Aires, Buenos Aires, Argentina

Duplicate_Hokkaido University Hospital /ID# 215066

🇯🇵

Sapporo-shi, Hokkaido, Japan

St Marianna University School Of Medicine /ID# 214535

🇯🇵

Kawasaki-shi, Kanagawa, Japan

Duplicate_Kyoto University Hospital /ID# 215128

🇯🇵

Kyoto-shi, Kyoto, Japan

Duplicate_Nagasaki University Hospital /ID# 215683

🇯🇵

Nagasaki-shi, Nagasaki, Japan

Duplicate_Keio University Hospital /ID# 214905

🇯🇵

Shinjuku-ku, Tokyo, Japan

Duplicate_Tokyo Women's Medical University Hospital /ID# 215129

🇯🇵

Shinjuku-ku, Tokyo, Japan

Hospital Italiano La Plata /ID# 249269

🇦🇷

La Plata, Buenos Aires, Argentina

SER - Servicos Especializados em Reumatologia da Bahia /ID# 243125

🇧🇷

Salvador, Bahia, Brazil

CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 242517

🇧🇷

Juiz de Fora, Minas Gerais, Brazil

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Fundación Sanatorio Guemes /ID# 249675
🇦🇷Ciudad Autonoma Buenos Aires, Buenos Aires, Argentina

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