ClinicalTrials.gg
CompletedNCT04497597UPHOLDUpdated Apr 13, 2025

A Study of Oral Upadacitinib Tablets to Assess Treatment Patterns, Achievement of Treatment Targets and Maintenance of Response in Adult Participants With Moderate to Severe Rheumatoid Arthritis

An observational study in Rheumatoid Arthritis (RA), sponsored by AbbVie. Completed at 263 sites in 19 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-13.

Sponsored by AbbVie · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,532
Ages
18 Years and older
Sex
All
01

Study summary

Rheumatoid Arthritis (RA) is an inflammatory disease of the joints causing pain, stiffness, swelling and loss of joint function. Despite the range of treatment options for RA steadily increasing, many patients remain sub-optimally managed, with sustained clinical remission rarely achieved. This study will assess the treatment patterns, achievement of treatment targets and maintenance of response.

Upadacitinib is a drug approved for the treatment of moderately to severely active rheumatoid arthritis. Adult participants with moderate to severe RA who have been prescribed upadacitinib by their physicians will be enrolled. Approximately, 1660 participants will be enrolled this study, worldwide.

Participants will not receive Upadacitinib as part of this study, but will be followed for response to treatment for up to 24 months.

There may be higher burden for participants in this trial compared to their standard of care. Participants will attend regular visits, every 3 months, during the course of the study at a hospital or clinic and will be asked to provide additional information by questionnaire at each visit.

02

Conditions studied

  • Rheumatoid Arthritis (RA)

Keywords

  • Rheumatoid Arthritis
  • Upadacitinib
  • RINVOQ
03

In context

Arthritis, Rheumatoid

3,332 studies on the registry are indexed under Arthritis, Rheumatoid; 443 are open to participants now.

This study's enrollment of 1,532 is above the median of 176 across 1,016 observational studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

AbbVie is the lead sponsor of 973 studies on the registry; 133 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 214 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults receiving Upadacitinib according to the product prescribing information, for moderate to severe active Rheumatoid Arthritis (RA).

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed diagnosis of moderate to severe active Rheumatoid Arthritis (RA).
  • Physician decision on patient treatment with upadacitinib must have been reached prior to and independently of recruitment in the study.
  • Upadacitinib prescribed in accordance to the applicable approved label and local regulatory and reimbursement policies.
  • French Participants Only: Taking oral ≥5 mg/day of prednisone or equivalent for at least 3 months prior to study start.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with Upadacitinib.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,532 participants (actual)

Groups and cohorts

  • Participants receiving Upadacitinib

    Participants receiving Upadacitinib for moderate to severe rheumatoid arthritis (RA).

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieve Remission

    Remission is defined as Disease Activity Score at 28 joints (DAS28) C-reactive Protein (CRP)\<2.6.

    Time frame: At Month 6

  2. Percentage of Participants Who Achieve Remission at 6 Months and Maintain Remission

    Remission is defined as DAS28-CRP\<2.6. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: At Month 12

Secondary outcomes

  1. Percentage of Participants Who Achieve Remission at 6 Months and Maintain Remission

    Remission is defined as DAS28-CRP\<2.6. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: At Month 24

  2. Percentage of Participants Who Achieve Low Disease Activity (LDA) at 6 months that maintain LDA

    LDA is defined as DAS28-CRP≤3.2. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: Through Month 24

  3. Percentage of Participants Who Achieve Remission at 3 Months and Maintain Remission

    Remission is defined as DAS28-CRP\<2.6. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: Through Month 24

  4. Percentage of Participants Who Achieve Remission at 6 Months and Maintain Remission Grouped by Glucocorticoid Dose

    Remission is defined as DAS28-CRP\<2.6. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: At Month 12

  5. Percentage of Participants Who Achieve LDA at 3 months that maintain LDA Grouped by Glucocorticoid Dose

    LDA is defined as DAS28-CRP≤3.2. Maintaining remission is defined as no more than 0.6 point increase in DAS28-CRP.

    Time frame: Through Month 6

  6. Percentage of Participants in LDA that Achieve Glucocorticoid Dose <5 mg/Day Per Visit

    LDA is defined as DAS28-CRP\<3.2.

    Time frame: Through Month 24

  7. Percentage of Participants in Remission that Achieve Glucocorticoid Dose <5 mg/Day Per Visit

    Remission is defined as DAS28-CRP\<2.6.

    Time frame: Through Month 24

  8. Percentage of Participants Who Achieved a Glucocorticoid Dose <5 mg/Day Without Conventional Synthetic Disease Modifying Anti Rheumatic Drug (csDMARD) Intensification

    Percentage of participants who achieved a glucocorticoid dose \<5 mg/day without csDMARD intensification.

    Time frame: At Month 6

  9. Percentage of Participants Who Initiated Upadacitinib as Combination Therapy (csDMARD +/- Glucocorticoids) That Moved to Monotherapy (+/- Glucocorticoids)

    Percentage of participants who initiated Upadacitinib as combination therapy (csDMARD +/- Glucocorticoids) that moved to monotherapy (+/- glucocorticoids).

    Time frame: Through Week 24

  10. Of the Participants Initiating Upadacitinib as Combination Therapy (csDMARD +/- Glucocorticoids) and Achieve Remission at 6 months, the Percentage of Participants that Maintain Remission Grouped by Maintenance of Combination Therapy Strategy

    Remission is defined as DAS28-CRP\<2.6.

    Time frame: Through Month 24

  11. Of the Participants Initiating Upadacitinib as Combination Therapy (csDMARD +/- Glucocorticoids) and Achieve LDA at 6 months, the Percentage of Participants that Maintain LDA Grouped by Maintenance of Combination Therapy Strategy

    LDA is defined as DAS28-CRP\<3.2.

    Time frame: Through Month 24

  12. Of the Participants Initiating Upadacitinib as Monotherapy Therapy (+/- Glucocorticoids) and Achieve Remission at 6 months, the Percentage of Participants that Maintain Remission Grouped by Maintenance of Monotherapy

    Remission is defined as DAS28-CRP\<2.6.

    Time frame: Through Month 24

  13. Of the Participants Initiating Upadacitinib as Monotherapy Therapy (+/- Glucocorticoids) and Achieve LDA at 6 months, the Percentage of Participants that Maintain LDA Grouped by Maintenance of Monotherapy

    LDA is defined as DAS28-CRP\<3.2.

    Time frame: Through Month 24

  14. Percentage of Participants Who Do Not Achieve Remission at Any Point in the Study

    Remission is defined as DAS28-CRP\<2.6.

    Time frame: Through Month 24

  15. Time to the Discontinuation of Upadacitinib

    Time to the discontinuation of Upadacitinib.

    Time frame: Through Month 24

  16. Time to First Treatment Adjustment

    Treatment Adjustment is defined as treatment escalation/de-escalation/ addition/withdrawal.

    Time frame: Baseline (Month 0) Through Month 24

  17. Percentage of Participants Achieving LDA Grouped by Therapy Strategy

    LDA is defined as DAS28-CRP\<3.2, Simplified Disease Activity Index (SDAI) ≤11 and Clinical Disease Activity Index (CDAI) ≤10.

    Time frame: Through Month 24

  18. Percentage of Participants Achieving Remission Grouped by Therapy Strategy

    Remission is defined as DAS28-CRP\<2.6, SDAI≤3.3 and CDAI ≤2.8.

    Time frame: Through Month 24

  19. Change in Medication Burden Treatment Burden Questionnaire (TBQ) in Participants, Grouped by Therapy Strategy

    The TBQ is composed of 13 items rated on a Likert scale ranging from 0 (not a problem), to 10 (big problem). scores can be summed into a global score, ranging from 0 to 130.

    Time frame: Through Week 24

  20. Change in Physical Function Health Assessment Questionnaire - Disability Index (HAQ-DI) in Participants, Grouped by Therapy Strategy

    HAQ is a widely accepted, validated, rheumatology specific instrument to assess physical function in Rheumatoid Arthritis. It consists of 20 questions, covering eight types of activities. For each question, scores range from 0 to 3 (0 = without any difficulty; 1 = with some difficulty; 2 = with much difficulty or with assistance; 3 = unable to do). HAQ Disability Index (HAQ-DI) score is the average of the highest score in each of the eight categories.

    Time frame: Baseline (Month 0) Through Month 24

  21. Change in Pain Visual Analogue Scale (VAS) in participants, Grouped by Therapy Strategy

    A VAS is used to assess worst joint pain in the past 7 days.

    Time frame: Baseline (Month 0) Through Month 24

  22. Change in Morning Stiffness in Participants, Grouped by Therapy Strategy

    A numeric rating scale (NRS) is used to assess severity and length of morning stiffness in the past 7 days.

    Time frame: Baseline (Month 0) Through Month 24

  23. Change in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) in Participants, Grouped by Therapy Strategy

    The FACIT Fatigue Scale is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a four-point Likert scale (0 = not at all fatigued to 4 = very much fatigued).

    Time frame: Baseline (Month 0) Through Month 24

07

Study locations

263 sites
  • Hospital Italiano La Plata /ID# 222190
    La Plata, Buenos Aires 1902, Argentina
  • CER Instituto Medico /ID# 222193
    Quilmes, Buenos Aires 1878, Argentina
  • Organizacion Medica de Investigacion (OMI) /ID# 222187
    Ciudad Autonoma de Buenos Aire, Ciudad Autonoma De Buenos Aires 1015, Argentina
  • CIER Centro de Investigaciones en Enfermedades Reumaticas /ID# 231769
    Ciudad Autonoma de Buenos Aire, Ciudad Autonoma De Buenos Aires 1055, Argentina
  • Instituto CAICI S.R.L /ID# 222191
    Rosario, Santa Fe 2000, Argentina
  • CIMER Centro Integral de Medicina Respiratoria /ID# 222188
    San Miguel de Tucuman, Tucuman 4000, Argentina
  • DOM Centro de Reumatologia /ID# 222194
    Buenos Aires, 1111, Argentina
  • Instituto Medico Strusberg /ID# 222189
    Cordoba, 5000, Argentina
  • Instituto de Cardiologia /ID# 226634
    Santiago Del Estero, 4200, Argentina
  • Genesis Research Services /ID# 224060
    Broadmeadow, New South Wales 2292, Australia
  • BJC Health /ID# 223884
    Paramatta, New South Wales 2150, Australia
  • Private Practice - Scott Walter Graf /ID# 223958
    Adelaide, South Australia 5000, Australia
  • Emeritus Research /ID# 223883
    Camberwell, Victoria 3124, Australia
  • Joint West Rheumatology /ID# 223886
    Murdoch, Western Australia 6150, Australia
  • Klinikum Klagenfurt am Wörthersee /ID# 239628
    Klagenfurt am Wörthersee, Kaernten 9020, Austria
  • Ordination Dr. Leeb /ID# 224293
    Hollabrunn, Niederoesterreich 2020, Austria
  • Dr. Georg Kurtz /ID# 225477
    Gleisdorf, Steiermark 8200, Austria
  • Dr. Maya Thun /ID# 224299
    Vienna, Wien 1010, Austria
  • Ordination Doz. Grisar /ID# 224298
    Vienna, Wien 1090, Austria
  • Rheuma-Zentrum Wien-Oberlaa GmbH /ID# 227853
    Vienna, Wien 1100, Austria
  • CHU Saint Pierre /ID# 223041
    Bruxelles, Bruxelles-Capitale 1000, Belgium
  • Rhumaconsult SPRL /ID# 221825
    Charleroi, Hainaut 6000, Belgium
  • Reuma Instituut Hasselt /ID# 221822
    Hasselt, Limburg 3500, Belgium
  • Duplicate_CHU UCL Namur - site Godinne /ID# 222797
    Godinne, Namur 5530, Belgium
  • Algemeen Stedelijk Ziekenhuis /ID# 224121
    Aalst, Oost-Vlaanderen 9300, Belgium
  • Private practice Sint-Niklaas /ID# 224123
    Sint-Niklaas, Oost-Vlaanderen 9100, Belgium
  • Onze Lieve Vrouw Hospital /ID# 223042
    Aalst, 9300, Belgium
  • AZ Sint-Jan Brugge /ID# 223713
    Brugge, 8000, Belgium
  • AZ Sint Lucas /ID# 223093
    Brugge, 8310, Belgium
  • Reumacentrum /ID# 222799
    Genk, 3600, Belgium
  • ReumaClinic /ID# 221353
    Genk, 3600, Belgium
  • Maertens, Gistel, BE /ID# 221823
    Gistel, 8470, Belgium
  • CHU de Liege /ID# 222201
    Liege, 4000, Belgium
  • AZ Alma Campus Sijsele /ID# 222214
    Sijsele, 8340, Belgium
  • Centre Hospitalier de Laon /ID# 224857
    Laon CEDEX, Aisne 02001, France
  • Polyclinique saint Odilon /ID# 225576
    Moulins, Allier 03000, France
  • CH Cannes - les Broussailles /ID# 226160
    Cannes CEDEX, Alpes-Maritimes 06414, France
  • CHU Strasbourg - Hopital de Hautepierre /ID# 222450
    Strasbourg, Bas-Rhin 67200, France
  • Hopital Saint Joseph /ID# 227221
    Marseille, Bouches-du-Rhone 13008, France
  • cabinet liberal- Dr CORNILLE /ID# 227869
    Caen, Calvados 14000, France
  • Centre Hospitalier d'Angouleme /ID# 226064
    Angouleme CEDEX 9, Charente 16959, France
  • CHU Dijon /ID# 223799
    Dijon, Cote-d Or 21000, France
  • CH Georges Renon /ID# 225197
    Niort CEDEX, Deux-Sevres 79028, France
  • CHU de Besancon - Jean Minjoz /ID# 222463
    Besancon, Doubs 25030, France
  • Cabinet de rhumatologie /ID# 227740
    Mennecy, Essonne 91540, France
  • Cabinet Rhumatologie St Michel Sur Orge /ID# 225176
    St Michel Sur Orge, Essonne 91240, France
  • Hopital de la Cavale Blanche /ID# 222462
    Brest, Finistere 29200, France
  • CH des Pays de Morlaix /ID# 223795
    Morlaix, Finistere 29600, France
  • CHU Limoges - Dupuytren 1 /ID# 222457
    Limoges CEDEX 1, Franche-Comte 87042, France
  • CHU Bordeaux - Hopital Pellegrin /ID# 224837
    Bordeaux, Gironde 33076, France
  • CHU Toulouse - Hopital Purpan /ID# 223150
    TOULOUSE Cedex 9, Haute-Garonne 31059, France
  • CH Bigorre - Site de la Gespe /ID# 225141
    Tarbes CEDEX 9, Hautes-Pyrenees 65013, France
  • CH Roubaix - Hopital Victor Provo /ID# 225032
    Roubaix Cedex 1, Hauts-de-France 59100, France
  • CHU Montpellier - Hopital Saint Eloi /ID# 222452
    Montpellier Cedex 5, Herault 34295, France
  • CHU Montpellier - Hopital Saint Eloi /ID# 223394
    Montpellier Cedex 5, Herault 34295, France
  • Clinique Beau Soleil /ID# 224238
    Montpellier, Herault 34070, France
  • Hopital Avicenne - APHP /ID# 224248
    Bobigny, Ile-de-France 93000, France
  • CHU Grenoble - Hopital Michallon /ID# 223211
    La Tronche, Isere 38700, France
  • Cabinet médical /ID# 225000
    Les Abrets En Dauphine, Isere 38490, France
  • CH Roanne /ID# 224729
    Roanne, Loire 42300, France
  • Cabinet médical /ID# 225321
    Reims, Marne 51100, France
  • Cabinet de Rhumatologie Poincare /ID# 224755
    Thionville, Moselle 57100, France
  • Cabinet liberal - Compiegne - Dr Banse /ID# 227099
    Compiegne, Oise 60200, France
  • Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 222986
    Paris CEDEX 14, Paris 75679, France
  • CHU de Nantes, Hotel Dieu -HME /ID# 225787
    Nantes, Pays-de-la-Loire 44000, France
  • CHU Nice -Hopital Pasteur /ID# 222460
    Nice CEDEX 1, Provence-Alpes-Cote-d Azur 06002, France
  • Infirmerie Protestante /ID# 222438
    Caluire Et Cuire, Rhone 69300, France
  • HCL - Hopital Lyon Sud /ID# 222447
    Pierre Benite CEDEX, Rhone 69495, France
  • Cabinet medical /ID# 225366
    Aix les Bains, Savoie 73100, France
  • CHU Amiens-Picardie Site Sud /ID# 222444
    Amiens CEDEX 1, Somme 80054, France
  • Cabinet libéral du Dr PAUPIERE /ID# 238723
    Peronne, Somme 80200, France
  • Cabinet medical /ID# 224850
    Albi, Tarn 81000, France
  • CHD Vendée- La Roche-sur-Yon - Les Oudairies /ID# 229086
    La Roche Sur Yon, Vendee 85000, France
  • CH du Pays d'AIX /ID# 229561
    Aix En Provence Cedex 1, 13616, France
  • Cabinet Novel d'Annecy /ID# 232310
    Annecy, 74000, France
  • Centre Hospitalier d'Arras /ID# 223172
    Arras, 62022, France
  • Centre Hospitalier de Boulogne Sur Mer /ID# 222991
    Boulogne sur Mer, 62200, France
  • Centre Hospitalier Jean Rougie /ID# 224242
    Cahors, 46005, France
  • CHRU Tours - Hopital Trousseau /ID# 222445
    Chambray Les Tours, 37170, France
  • Centre Hospitalier de CHOLET /ID# 222455
    Cholet, 49300, France
  • Hia Percy /Id# 225642
    Clamart, 92190, France
  • CHU Clermont Ferrand - Hopital Gabriel Montpied /ID# 223801
    Clermont Ferrand, 63000, France
  • C. H. Sud Francilien /ID# 222446
    Corbeil Essonnes, 91106, France
  • Cabinet medical /ID# 225142
    Haguenau, 67500, France
  • CH La Rochelle - Hopital Saint Louis /ID# 224240
    La Rochelle, 17019, France
  • CH Emile Roux Le Puy en Velay /ID# 223688
    Le Puy en Velay, 43000, France
  • CHU Lille - Hôpital Roger Salengro /ID# 223170
    Lille, 59037, France
  • Clinique de la Sauvegarde /ID# 223424
    Lyon, 69009, France
  • CH Princesse Grace /ID# 222451
    Monaco, 98000, France
  • Ch Montauban /Id# 231854
    Montauban, 82000, France
  • ELSAN - Clinique du Pont de Chaume /ID# 224898
    Montauban, 82000, France
  • Ch Mulhouse /Id# 223442
    Mulhouse, 68100, France
  • Centre Hospitalier Régional d'Orléans - Hôpital de la Source /ID# 223591
    Orléans, 45067, France
  • AP-HP - Hopital Saint-Antoine /ID# 222441
    Paris, 75012, France
  • Hopital Pitie Salpetriere /ID# 222443
    Paris, 75013, France
  • Cabinet medical /ID# 224855
    Paris, 75014, France
  • Centre de Soins Osteoarticulaires Ambulatoires /ID# 224737
    Paris, 75015, France
  • AP-HP - Hopital Bichat - Claude-Bernard /ID# 222449
    Paris, 75018, France
  • GH Diaconesses Croix Saint-Simon /ID# 229126
    Paris, 75020, France
  • CHU de Rennes - Hospital Sud /ID# 222458
    Rennes CEDEX 2, 35203, France

Showing the first 100 of 263 sites across 19 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04497597
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Aug 4, 2020
Start date
Oct 16, 2020
Primary completion
May 15, 2024
Completion
May 15, 2024
Last update
Apr 13, 2025

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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