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RecruitingNCT05749666TOFGCTAKUpdated Mar 1, 2023

Comparison of Tofacitinib and Prednisolone in the Treatment of Active Takayasu's Arteritis

A Phase 3 interventional study of Tofacitinib 5 MG and Prednisolone in Takayasu Arteritis, sponsored by Chinese SLE Treatment And Research Group. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-03-01.

Sponsored by Chinese SLE Treatment And Research Group · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Jan 2023; still recruiting 3 years 9 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a prospective, double-blinded, single center, randomized clinical trial. It compares the clinical efficacy and safety of thees 2 drugs in the treatment of active Takayasu's arteritis patients.

Read the detailed description

In this study, 40 Takayasu's arteritis patients with active disease will be enrolled. Patients are randomized into the tofacitinib treatment group and prednisolone treatment group. Patients will follow the same reduction steps for prednisolone and its placebo. The primary end point is the percentage of patients who are in complete response at week 24.

The efficacy will be evaluated at week 4, 12 and 24. Safety is also monitored during the study.

02

Conditions studied

  • Takayasu Arteritis

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Keywords

  • Tofacitinib
  • prednisolone
03

In context

Takayasu Arteritis

78 studies on the registry are indexed under Takayasu Arteritis; 32 are open to participants now.

This study's planned enrollment of 50 is close to the median of 50 across 37 interventional studies indexed under Takayasu Arteritis.

Browse Takayasu Arteritis studies →

Lead sponsor

Chinese SLE Treatment And Research Group is the lead sponsor of 24 studies on the registry; 17 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Patients aged between 18-65 years old;
  2. Fulfilled the classification criteria of Takayasu's arteritis by ACR 1990;
  3. Active TAK: defined by the definition of active disease in the recommendations released by EULAR in 2018 or Kerr's criteria by NIH;
  4. Patients who signed the form.

Exclusion criteria

Exclusion Criteria:

  1. Patients who failed or intolerant to either tofacitinib or its similar drugs;
  2. Patients with severe liver disease defined by the serum or AST elevated more than 2 times the upper limits;
  3. Not well controlled diabetes;
  4. Moderate and severe hyperlipedimia;
  5. Patients with history of thrombus;
  6. Uncontrolled heart failure od renal dysfunction ( \<30ml/min);
  7. Patients with active infection, including tuberculosis, and C, infection, bacterial or fungal infection;
  8. Upper GI bleeding happened in 3 months before enrollment;
  9. hypertension;
  10. Pregnant or intended to be pregnant recently;
  11. Severe coronary artery involvement demonstrated by CTA;
  12. Severe cranial or cervical or renal artery diseases that need surgery;
  13. Patients that should not be included judged by the investigator.
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Tofacitinib group

    Tofacitinib 5mg BID taken orally for 24 weeks and placebo of prednisolone taken daily according to preset tapering protocol during same period

    Drug: Tofacitinib 5 MG · Other: Placebo of prednisolone

  • Active comparator
    Prednisolone group

    Prednisolone taken daily according to preset tapering protocol and placebo of tofacitinib 5mg BID taken orally for 24 weeks

    Drug: Prednisolone · Other: Placebo of tofacitinib 5mg

Interventions

  • Tofacitinib 5 MG BID taken orally for 24 weeks

  • Prednisolone taken daily according to preset tapering protocol

  • OtherPlacebo of tofacitinib 5mg

    Placebo of tofacitinib 5mg BID taken orally for 24 weeks

  • OtherPlacebo of prednisolone

    Placebo of prednisolone taken daily according to preset tapering protocol for 24 weeks

06

What researchers measure

Primary outcomes

  1. Percentage of patients with complete response

    Percentage of patients with complete response at week 24

    Time frame: week 24

Secondary outcomes

  1. Percentage of patients with partial response

    Percentage of patients with partial response at week 24

    Time frame: week 24

  2. Percentage of patients with adverse events due to treatment of tofacitinib

    Percentage of patients with adverse events due to treatment of tofacitinib at week 24

    Time frame: 24 weeks

  3. Percentage of patients with adverse events due to treatment of prednisolone

    Percentage of patients with adverse events due to treatment of prednisolone at week 24

    Time frame: 24 weeks

  4. Percentage of patients with progression, no change, and improvement in vessel image at the end of study

    Percentage of patients with progress disease, stable disease, and improved disease demonstrated by CTA, MRI or Doppler at week 24

    Time frame: week 24

  5. Intervention procedures

    Percentage of patients who require intervention procedures during the study period

    Time frame: 24 weeks

  6. Complication of Takayasu's arteritis

    Complication of Takayasu's arteritis happened during 24 weeks

    Time frame: 24 weeks

  7. Glucocorticoid toxicity index

    Glucocorticoid toxicity index at week 24 which indicate the toxicity of prednisolone.

    Time frame: week 24

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05749666
Lead sponsor
Chinese SLE Treatment And Research Group
Responsible party
Xinping Tian (Professor of Medicine, Chinese SLE Treatment And Research Group) — Principal investigator
First posted
Mar 1, 2023
Start date
Jan 20, 2023
Primary completion
Jul 20, 2025 (estimated)
Completion
Jul 20, 2025 (estimated)
Last update
Mar 1, 2023

Study contacts

Xinping Tian, MD
Contact
tianxp6@126.com
+86-13691165939
Jing Li, MD
Contact
lijing6515@pumch.cn
+86-13020061363
Xinping Tian, MD
principal investigator · Peking Union Medical College Hospital

Oversight

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

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