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临床试验/2024-514026-23-00
2024-514026-23-00招募中2 期

JAK Inhibition in PReclinical Arthritis

Universitaetsklinikum Erlangen AöR1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2024年5月17日最近更新:

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
20
试验地点
1
主要终点
Number of patients with development of arthritis at week 48

研究概览

简要总结

to evaluate the effect of JAK inhibition with baricitinib in preclinical stage of arthritis

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
接受健康志愿者

入选标准

  • Female or male patients, at least 18 and at most 64 years of age
  • Clinical: no arthritis in 76/78 joint count
  • Imaging: ≥ 1 B-Mode or Power Doppler signal with ultrasound at one of the 76/78 joints of flexor/extensor tendons of hand or feet
  • Autoantibodies (2 different autoantibodies are compulsory, one of them anti-CCP antibodies): o Anti-CCP antibody positivity at screening o Anti-modified antibodies: citrullinated vimentin (citVIM); citrullinated a-enolase (citENO); citrullinated fibrinogen alpha (citFIBa); citrullinated fibrinogen beta (citFIBb); carbamylated vimentin (carVIM), ornithine acetylated vimentin (ac-orn VIM) and lysine acetylated Vimentin (ac-lys VIM) or RF
  • Genetics: HLA status with positive risk allele for RA such as HLA DRB1*01,*02,*03,*04...*015
  • Non-pregnant, non-breastfeeding female patients

排除标准

  • Clinically apparent arthritis (76/78 joint count)
  • Any known VTE risk factor (e.g. previous VTE/LE or inherited coagulation disorder)
  • Fulfilment of ACR/EULAR 2010 Classification Criteria for RA
  • Any previous therapy with bDMARD/tsDMARD/cDMARD
  • Any malignancy risk factor (e.g. current malignancy or history of malignancy)
  • Any active, chronic or recurrent infection
  • Any uncontrolled comorbidity
  • Chest X-ray or chest MRI with evidence of ongoing infectious or malignant process, obtained within 3 months or according to local guidelines prior to screening and evaluated by a qualified physician
  • Contraindication for baricitinib treatment according to its SmPC
  • Any pre-existing condition that constitutes a risk factor for major adverse cardiovascular events (e.g. history of stroke, coronary heart disease, myocardial infarction, current or past long-time smoker)

结局指标

主要结局

Number of patients with development of arthritis at week 48

Number of patients with development of arthritis at week 48

次要结局

  • Number of patients with development of arthritis at week 24
  • Fulfillment of the ACR/EULAR 2010 RA classification criteria
  • Ultrasound: number of patients without signs of PD synovitis or PD tenosynovitis at week 24 and week 48 compared to baseline and compared within both groups
  • Safety: (S)AE
  • Subjective (SACRAH, sMHQ) and objective (moberg pick up test (MPUT)) hand function
  • Change in anti CCP2 antibody levels (RE/ml)

研究者

发起方
Universitaetsklinikum Erlangen AöR
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Sara Bayat

Scientific

Universitaetsklinikum Erlangen AöR

研究点 (1)

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