Efficacy and Safety of Abatacept Combined With JAK Inhibitor for Refractory Rheumatoid Arthritis

Registration Number
NCT05451615
Lead Sponsor
Zhejiang Provincial People's Hospital
Brief Summary

The aim of this study is to observe the clinical efficacy and safety of abatacept combined with JAK inhibitor in the treatment of D2TRA patients

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
90
Inclusion Criteria
  1. Meet the above diagnostic criteria for refractory rheumatoid arthritis
  2. The traditional disease-improving rheumatic drug treatment is ineffective, and the use of two or more biological/targeted disease-improving anti-rheumatic drugs is ineffective, and abatacept combined with a JAK inhibitor is required treated patients
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Exclusion Criteria
  1. Patients with tumors, hematological diseases, and other autoimmune diseases
  2. Those who have a history of allergies to the drugs selected in this study
  3. Those who cannot adhere to abatacept combined with JAK inhibitor therapy, or who have serious adverse reactions and did not complete the observation period prescribed by the study
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
JAK inhibitorJanus Kinase InhibitorD2T RA patients receive JAKi
AbataceptAbataceptD2T RA patients receive Abatacept
JAK inhibitorAbataceptD2T RA patients receive JAKi
Primary Outcome Measures
NameTimeMethod
Efficacy of Abatacept Combined With JAK Inhibitor for Refractory Rheumatoid Arthritismaximum 1 years

The disease activity score of 28 joints with erythrocyte sedimentation rate (DAS28-ESR ≤ 2.6, remission; 2.6 \< DAS28-ESR ≤ 3.2, mild activity; 3.2 \< DAS28-ESR ≤ 5.1, moderate activity, and DAS28-ESR \> 5.1, severe activity)

Secondary Outcome Measures
NameTimeMethod
Incidence of Treatment-Emergent Adverse EventsArthritismaximum 1 years

Liver and kidney function

Trial Locations

Locations (1)

Zhejiang Provincial People's Hospital

🇨🇳

Hangzhou, Zhejiang, China

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