ClinicalTrials.gg
RecruitingNCT07796516Updated Sep 1, 2026

Efficacy and Safety of Telitacicept in the Treatment of Refractory Rheumatoid Arthritis

A Phase 2 interventional study of Telitacicept 160mg and Standard therapy in Difficult-to-treat Rheumatoid Arthritis and Rheumatoid Arthritis, sponsored by Peking University People's Hospital. Recruiting at 47 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Peking University People's Hospital · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
420
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 12 studies in Arthritis, Rheumatoid by Peking University People's Hospital — 5 open to participants now, 5 under way, none of them phase 3. Arthritis, Rheumatoid · Peking University People's Hospital.

Started
2026
with 1 other
Phase 2
5 of 12
2 open now
Registered
12th of 12
by date

Among the 12 studies in Arthritis, Rheumatoid by Peking University People's Hospital, this one is one of 2 that started in 2026, is one of 5 in phase 2, and was the 12th registered.

Arthritis, Rheumatoid

3,334 studies on the registry are indexed under Arthritis, Rheumatoid; 444 are open to participants now.

Browse Arthritis, Rheumatoid studies →

Open to participants now

5 of the 12 studies in Arthritis, Rheumatoid by Peking University People's Hospital are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Where they have run

Who these studies take

Of the 293 Arthritis, Rheumatoid studies recruiting now, 150 (51%) set no upper age limit and 109 (37%) stop at 75 or younger; 15 take children under 18; 36 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Arthritis, Rheumatoid by Peking University People's Hospital, or all of them as a file.
02

Study summary

This study is a multicenter, open-label, randomized controlled trial designed to preliminarily evaluate the efficacy and safety of telitacicept in patients with refractory rheumatoid arthritis during a 24-week treatment period followed by a 2-week follow-up period.

Read the detailed description

The refractory rheumatoid arthritis is a heterogeneous subgroup of RA patients, whose disease has not been satisfactorily controlled with several lines of DMARDs using the treat-to-target strategy. In 2024, telitacicept was approved for the treatment of rheumatoid arthritis in China, and several case reports have demonstrated its efficacy in refractory RA.

This study plans to enroll 420 adult patients with difficult-to-treat rheumatoid arthritis, randomized in a 1:1 ratio to receive either telitacicept (160mg qw) plus standard therapy or standard therapy alone for 24 weeks.

03

Conditions studied

  • Difficult-to-treat Rheumatoid Arthritis
  • Rheumatoid Arthritis

Keywords

  • Difficult-to-Treat Rheumatoid Arthritis
  • Telitacicept
  • BLyS
  • APRIL
  • B Cells
04

Who can participate

Ages eligible
18 Years and older
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. Male and Female participants of age >18 years will be enrolled;
  2. Meet the 2021 EULAR criteria for the diagnosis of difficult-to-treat rheumatoid arthritis;
  3. The dose of prednisone should be ≤10 mg or equivalent dose of , and the dose must remain unchanged for at least 4 weeks;
  4. Consent to use effective during the study period (women of childbearing age);
  5. Voluntarily signed .

Exclusion criteria

Exclusion Criteria:

  1. Those with specific allergy history (asthma, urticaria, eczema, etc.), or allergic constitution, or to any component of telitacicept;
  2. Subjects who have received intra-articular, intravenous, intramuscular, or intrarectal (excluding suppositories for anal diseases) within 4 weeks prior to baseline;
  3. Subjects who have used Tripterygium wilfordii glycosides, total glucosides of paeony, Huobahuagen tablets, or other or anti-inflammatory traditional Chinese medicines or decoctions within 4 weeks prior to baseline;
  4. Subjects currently using non-steroidal anti-inflammatory drugs (excluding acetaminophen) whose dose has not been stable for 4 weeks prior to randomization, or who are unable to continue treatment at the original dose during the trial;
  5. Subjects with abnormal laboratory parameters, including but not limited to the following:

    • White blood cell count \< 2.0 × 10⁹/L;
    • Neutrophils \< 1.0 × 10⁹/L;
    • \< 80 g/L;
    • count \< 50 × 10⁹/L;
    • Serum creatinine > 2 × or (CCr) ≤ 50 mL/min
    • Total > 2 × ULN, > 3 × ULN, AST > 3 × ULN, alkaline phosphatase > 2 × ULN;
  6. Female subjects who are pregnant or breastfeeding;
  7. Those with other systemic inflammatory diseases other than RA (excluding secondary Sjögren's syndrome), including but not limited to juvenile chronic arthritis, Crohn's disease, ulcerative colitis, psoriatic arthritis, systemic lupus erythematosus, ankylosing spondylitis, reactive arthropathy, systemic vasculitis, or gout;
  8. Those with non-inflammatory arthritis (NIRRA) (few or no swollen joints, normal CRP concentration, non-erosive pathology);
  9. Subjects who test positive for any one or more of the following: surface antigen, virus antibody, syphilis-specific antibody, or antibody;
  10. Subjects with active infection at screening, or who have had an infection requiring systemic treatment within 1 month prior to screening, or who are at high risk of infection;
  11. Subjects with clinical, radiological, or laboratory evidence of active tuberculosis at screening;
  12. Subjects with cardiovascular, respiratory, digestive, endocrine, hematologic, neurological, or psychiatric disorders, or any other serious and/or unstable disease or history thereof, that in the investigator's opinion would pose a safety risk if participating in this study;
  13. Subjects with other primary ;
  14. Subjects with a history of herpes zoster, major cardiovascular events, thromboembolism, or lymphoproliferative disease;
  15. Investigator considers candidates not appropriating for the study.
Terms in these criteria, in plain language(17)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
420 participants (estimated)

Study arms

  • Experimental
    Telitacicept plus standard therapy group

    Biological: Telitacicept 160mg · Drug: Standard therapy

  • Active comparator
    Standard therapy group

    Standard therapy includes disease-modifying antirheumatic drugs (DMARDs), glucocorticoids and non-steroidal anti-inflammatory drugs.

    Drug: Standard therapy

Interventions

  • Telitacicept 160 mg will be administered subcutaneously once weekly for 24 consecutive weeks.

  • DrugStandard therapy

    Standard therapy includes DMARDs, GCs, and NSAIDs.

06

What researchers measure

Primary outcomes

  1. ACR20 response rate

    Time frame: Week 24

Secondary outcomes

  1. ACR50 and ACR70 response rates

    Time frame: Week 24

  2. Change from baseline in SDAI

    Time frame: Week 24

  3. The proportion of subjects achieving SDAI ≤ 3.3

    Time frame: Week 24

  4. Change from baseline in CDAI

    Time frame: Week 24

  5. The proportion of subjects achieving CDAI ≤ 2.8

    Time frame: Week 24

07

Study locations

1 of 47 sites recruiting
  • Anhui Provincial Hospital
    Hefei, Anhui, China
    Not yet recruiting
    • Zhu Chen · Contact
  • First Affiliated Hospital of Anhui Medical University
    Hefei, Anhui, China
    Not yet recruiting
    • Shengqian Xu · Contact
  • Peking University People's Hospital
    Beijing, Beijing Municipality 100044, China
    Recruiting
    • Xia Zhang, PHD · Contact+86-10-8831-6815
  • Army Characteristic Medical Center
    Chongqing, Chongqing Municipality, China
    Not yet recruiting
    • Huanzi Dai · Contact
  • Second Affiliated Hospital of Fujian Medical University
    Quanzhou, Fujian, China
    Not yet recruiting
    • Xiaoqing Chen · Contact
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
    Guangzhou, Guangdong, China
    Not yet recruiting
    • Lie Dai · Contact
  • Zhujiang Hospital of Southern Medical University
    Guangzhou, Guangdong, China
    Not yet recruiting
    • Ligang Jie · Contact
  • Jiangmen Central Hospital
    Jiangmen, Guangdong, China
    Not yet recruiting
    • Mingliang Feng · Contact
  • Peking University Shenzhen Hospital
    Shenzhen, Guangdong, China
    Not yet recruiting
    • Qingwen Wang · Contact
  • First Affiliated Hospital of Guangxi Medical University
    Nanning, Guangxi, China
    Not yet recruiting
    • Hanyou Mo · Contact
  • Hainan General Hospital
    Haikou, Hainan, China
    Not yet recruiting
    • Shudian Lin · Contact
  • Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
    Not yet recruiting
    • Huifang Guo · Contact
  • First Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang, China
    Not yet recruiting
    • Yanping Zhao, PHD · Contact
  • Second Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang, China
    Not yet recruiting
    • Yingkun Nie · Contact
  • Huaihe Hospital of Henan University
    Kaifeng, Henan, China
    Not yet recruiting
    • Qing Zhao · Contact
  • Henan Provincial People's Hospital
    Zhengzhou, Henan, China
    Not yet recruiting
    • Tianshu Chu · Contact
  • General Hospital of Central Theater Command of the PLA
    Wuhan, Hubei, China
    Not yet recruiting
    • Lifeng Chen · Contact
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Not yet recruiting
    • Cheng Wang · Contact
  • Wuhan Central Hospital
    Wuhan, Hubei, China
    Not yet recruiting
    • Xixi Wan · Contact
  • Zhongnan Hospital of Wuhan University
    Wuhan, Hubei, China
    Not yet recruiting
    • Chen Xiaoqi Chen Xiaoqi · Contact
  • Hunan Provincial People's Hospital
    Changsha, Hunan, China
    Not yet recruiting
    • Hui Rao · Contact
  • First Affiliated Hospital of University of South China
    Hengyang, Hunan, China
    Not yet recruiting
    • Lifang Huang · Contact
  • General Hospital of Hunan University of Medicine
    Huaihua, Hunan, China
    Not yet recruiting
    • Liang Song · Contact
  • Nantong First People's Hospital
    Nantong, Jiangsu, China
    Not yet recruiting
    • Yingying Gao, PHD · Contact
  • Affiliated Hospital of Yangzhou University
    Yangzhou, Jiangsu, China
    Not yet recruiting
    • Guoqing Li · Contact
  • First Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi, China
    Not yet recruiting
    • Rui Wu · Contact
  • Jilin Provincial People's Hospital
    Changchun, Jilin, China
    Not yet recruiting
    • Guoping Jiang · Contact
  • Dalian University of Technology Affiliated Central Hospital
    Dalian, Liaoning, China
    Not yet recruiting
    • Bingbing Dai · Contact
  • General Hospital of Northern Theater Command
    Shenyang, Liaoning, China
    Not yet recruiting
    • Ping Li · Contact
  • Shengjing Hospital of China Medical Universit
    Shenyang, Liaoning, China
    Not yet recruiting
    • Ning Zhang · Contact
  • Dongying People's Hospital
    Dongying, Shandong, China
    Not yet recruiting
    • Ling Guo · Contact
  • Shengli Oilfield Central Hospital
    Dongying, Shandong, China
    Not yet recruiting
    • Xirui Yang · Contact
  • Linyi People's Hospital
    Linyi, Shandong, China
    Not yet recruiting
    • Zhenchun Zhang · Contact
  • Qingdao Branch of Qilu Hospital of Shandong University
    Qingdao, Shandong, China
    Not yet recruiting
    • Zhenglun Pan · Contact
  • Qingdao Municipal Hospital
    Qingdao, Shandong, China
    Not yet recruiting
    • Qian Xing · Contact
  • Weifang People's Hospital
    Weifang, Shandong, China
    Not yet recruiting
    • Ming Li · Contact
  • Yantai Yuhuangding Hospital
    Yantai, Shandong, China
    Not yet recruiting
    • Xuehui Sun · Contact
  • Zibo Central Hospital
    Zibo, Shandong, China
    Not yet recruiting
    • Xiuying Zhang · Contact
  • Shanghai Tongji Hospital
    Shanghai, Shanghai Municipality, China
    Not yet recruiting
    • Xuan Wang · Contact
  • Linfen People's Hospital
    Linfen, Shanxi, China
    Not yet recruiting
  • The First Hospital of Shanxi Medical University
    Taiyuan, Shanxi, China
    Not yet recruiting
    • Hongyan Wen, PHD · Contact
  • First Affiliated Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang, China
    Not yet recruiting
    • Li Luo · Contact
  • First Affiliated Hospital of Kunming Medical University
    Kunming, Yunnan, China
    Not yet recruiting
    • Jian Xu · Contact
  • First People's Hospital of Yunnan Province
    Kunming, Yunnan, China
    Not yet recruiting
    • Jing Wang · Contact
  • Ningbo Hospital of Integrated Traditional Chinese and Western Medicine
    Ningbo, Zhejiang, China
    Not yet recruiting
    • Weili Liu · Contact
  • First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Zhejiang, China
    Not yet recruiting
    • Li Sun · Contact
  • Bethune First Hospital of Jilin University
    Changchun, China
    Not yet recruiting
    • Guoping Jiang · Contact
08

References and documents

Publications

  • Cohen SB, Emery P, Greenwald MW, Dougados M, Furie RA, Genovese MC, Keystone EC, Loveless JE, Burmester GR, Cravets MW, Hessey EW, Shaw T, Totoritis MC; REFLEX Trial Group. Rituximab for rheumatoid arthritis refractory to anti-tumor necrosis factor therapy: Results of a multicenter, randomized, double-blind, placebo-controlled, phase III trial evaluating primary efficacy and safety at twenty-four weeks. Arthritis Rheum. 2006 Sep;54(9):2793-806. doi: 10.1002/art.22025. PubMed 16947627 ↗
  • Tao Y, Zhang J, Li H, Zhou J, Wu M. Clinical efficacy and safety of telitacicept combined with methotrexate in the treatment of rheumatoid arthritis. Am J Transl Res. 2026 Apr 15;18(4):3220-3229. doi: 10.62347/PKWI2684. eCollection 2026. PubMed 42170450 ↗
  • Hofman ZLM, Roodenrijs NMT, Nikiphorou E, Kent AL, Nagy G, Welsing PMJ, van Laar JM. Difficult-to-treat rheumatoid arthritis: what have we learned and what do we still need to learn? Rheumatology (Oxford). 2025 Jan 1;64(1):65-73. doi: 10.1093/rheumatology/keae544. PubMed 39383505 ↗

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Dec 2027, 15 months later.

Of 42 non-industry phase 2 interventional studies under Arthritis, Rheumatoid, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 49. This study's planned 15 months is below that.

Counting every sponsor, half of 158 studies reached it within 18 months; a quarter within 13 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 27, 2026
First posted
Sep 1, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Dec 30, 2027
CompletionEst.
Jun 30, 2028
Last update
Sep 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07796516
Responsible party
Zhanguo Li (Dept. Rheumatology and Immunology, Peking University People's Hospital) — Principal investigator
First posted
Sep 1, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Dec 30, 2027 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Sep 1, 2026

Study contacts

zhanguo LI, PHD
Contact
li99@bjmu.edu.cn
+86-010-88326666

Oversight

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

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