ClinicalTrials.gg
CompletedNCT07827469Updated Sep 18, 2026

Tofacitinib in the Treatment of IgG4 Related Diseases

An interventional study of Tofacitinib 5mg Oral Tablet and Prednisone 5mg in Immunoglobulin G4-Related Disease and Janus Kinase Inhibitors, sponsored by Peking University People's Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Peking University People's Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 5 months after the study started (first participant enrolled Apr 2023, registered Sep 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

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

Among 40 studies in Immunoglobulin G4-Related Disease with a site in China — 25 open to participants now, 28 under way, 5 of them phase 3. Immunoglobulin G4-Related Disease · China.

Enrollment
19th of 36
58 · median 59
Started
2023
with 4 others
No phase
10 of 40
7 open now
Registered
39th of 40
by date
Lead sponsor
2 of 40
Peking University People's Hospital

Among the 40 studies in Immunoglobulin G4-Related Disease with a site in China, this one is the 19th largest by enrollment of the 36 interventional ones that give a count, is one of 5 that started in 2023, is one of 10 with no phase, and was the 39th registered.

Immunoglobulin G4-Related Disease

72 studies on the registry are indexed under Immunoglobulin G4-Related Disease; 40 are open to participants now.

Browse Immunoglobulin G4-Related Disease studies →

Open to participants now

25 of the 40 studies in Immunoglobulin G4-Related Disease with a site in China are open now. Recruiting first, the newest first:

20 more — sign in →

All 25 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 28 Immunoglobulin G4-Related Disease studies recruiting now, 12 (43%) set no upper age limit and 13 (46%) stop at 75 or younger; 3 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

This study is a single centre, open label, randomized controlled study to compare the efficacy and safety between steroids plus tofacitinib and steroids alone in active IgG4-related diseases patients. It is expected to enroll a total of 58 IgG4 RD patients. The sample size of two groups is 1:1.

The primary end points of this study is to compare the IgG4-RD response rate between two groups at 24 weeks.

03

Conditions studied

  • Immunoglobulin G4-Related Disease
  • Janus Kinase Inhibitors

Keywords

  • IgG4-related Disease, Tofacitinib,efficacy, safety
04

Who can participate

Ages eligible
18 Years to 70 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. 18 ≤ Age ≤ 70 years old;
  2. Complies with the 2019 ACR/EULAR IgG4 RD classification criteria
  3. Patients with initial or recurrent active IgG4 RD (IgG4 RD RI ≥ 3 points).
  4. Voluntary signing of : Patients must be given a written consent form when participating in the trial, and it is hoped that patients can comply with the requirements of the study follow-up plan and other protocols;
  5. Female participants of childbearing age agreed to use effective measures during the study period.

Exclusion criteria

Exclusion Criteria:

  1. Participants in other trials or those who have participated in clinical trials of other drugs within 2 months;
  2. Individuals who have received immunization within 2 weeks prior to enrollment, or who require live vaccine immunization during the trial period;
  3. Merge other diseases
  4. Active infected individuals need to be excluded. Latent tuberculosis requires prevention with isoniazid 0.3g/d one month in advance; People with HBsAg+and HBV-DNA negative need to take anti hepatitis B virus drugs one month in advance.
  5. Pregnant and lactating women, or women of childbearing age who have fertility requirements during the study period and within 6 months after the last dose of medication;
  6. Patients with a history of thromboembolism, or severe diseases such as coronary heart disease and other important organs such as the heart, brain, liver, lung, kidney, and hematopoietic system, malignant tumors, and psychiatric disorders;
  7. Other researchers believe that it is not suitable for enrollment.
Terms in these criteria, in plain language(5)

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.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    steroids plus tofacitinib

    Prednisone (or equivalent drug) 0.6mg/kg/d orally. When the calculated values of two groups of prednisone are not multiples of 5, the dose of prednisone less than 5mg is rounded off. The initial dose should not exceed 60mg/day. If it exceeds 60mg/day, the medication should be administered at a rate of 60mg/day. Reduce the dosage by 5 mg every 2 weeks until reaching the maintenance dose of 5 mg/d. Tofacitinib: 5mg,bid

    Drug: Tofacitinib 5mg Oral Tablet · Drug: Prednisone 5mg

  • Placebo comparator
    steroids alone

    Prednisone (or equivalent drug) 0.6mg/kg/d orally. When the calculated values of two groups of prednisone are not multiples of 5, the dose of prednisone less than 5mg is rounded off. The initial dose should not exceed 60mg/day. If it exceeds 60mg/day, the medication should be administered at a rate of 60mg/day. Reduce the dosage by 5 mg every 2 weeks until reaching the maintenance dose of 5 mg/d.

    Drug: Prednisone 5mg

Interventions

  • all subjects were trteated immediately after ranomized enrollment. Patients in experimental arm is treated with tofacitinib plus prednisone.

  • all subjects were trteated immediately with prednisone after ranomized enrollment.

06

What researchers measure

Primary outcomes

  1. IgG4-RD remission rate

    Evaluate treatment response by assessing changes in the IgG4 RD RI score and categorize it into three types: complete response (CR), partial response (PR), and no effect (NE, including no improvement or deterioration). IgG4 RD RI score\<3 and a decrease of ≥ 2 is considered CR; A decrease of ≥ 2 in IgG4 RD RI score but a maintenance of ≥ 3 is considered PR. If the patient's IgG4 RD RI score is initially 3 points, a decrease of 1 point after treatment is considered PR. Patients with no significant changes in tumor size and/or clinical presentation and a decrease in IgG4 RD RI score\<2 are considered NE.

    Time frame: 24 week

Secondary outcomes

  1. recurrence rate

    compare the recurrence rates between two groups

    Time frame: 24 week

  2. serum IgG4

    compare the value of serum IgG4 between two groups

    Time frame: 24 week

  3. rate of adverse events

    Compare the incidence of treatment-related adverse events and treatment-related serious adverse events

    Time frame: 24 week

07

Study locations

1 site
  • Peking Univercity, People's Hospital
    Beijing, Beijing Municipality 100044, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2023 to primary completion in Jun 2026, 38 months.

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

Registered
Sep 15, 2026
First posted
Sep 18, 2026
StartActual
Apr 1, 2023
Primary completionActual
Jun 3, 2026
CompletionActual
Jun 3, 2026
Last update
Sep 18, 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 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07827469
Responsible party
Ye Hua (Professor, Peking University People's Hospital) — Principal investigator
First posted
Sep 18, 2026
Start date
Apr 1, 2023
Primary completion
Jun 3, 2026
Completion
Jun 3, 2026
Last update
Sep 18, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tofacitinib

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