RecruitingPhase 4NCT06112665

ToFAcitinib in Early Active Axial SpondyloarThritis:

ToFAcitinib in Early Active Axial SpondyloarThritis: a Prospective, Randomized, Double-BLind, PlAcebo-CoNtrolled MulticEntre Study


Sponsor

Charite University, Berlin, Germany

Enrollment

104 participants

Start Date

Nov 10, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a phase IV, multicentre, randomized, double-blind, placebo-controlled study designed to compare the efficacy and safety of tofacitinib versus placebo (on a background of an NSAID) over 16 weeks of treatment and 4 weeks of safety follow-up in subjects with early active axSpA and inadequate response to at least one NSAID, with objective signs of inflammation.


Eligibility

Min Age: 18 YearsMax Age: 45 Years

Inclusion Criteria3

  • Clinical diagnosis of axSpA and fulfilment of the ASAS classification criteria
  • Symptom (back pain) duration for ≤ 2 years, according to the definition of early axial SpA by ASAS.
  • Active disease activity as defined by: BASDAI ≥4 and back pain score (BASDAI question 2) of ≥4 AND objective signs of inflammation evident by osteitis in MRI of SIJ AND/OR elevated serum CRP levels.

Exclusion Criteria6

  • active current infection, severe infections in the last 3 months
  • history of recurrent Herpes zoster or disseminated Herpes simplex
  • immunodeficiency
  • chronic Hepatitis B, C or HIV infection
  • women: pregnant or lactating (have to practice reliable method of contraception)
  • other severe diseases conflicting with a clinical study, contraindications for MRI

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Interventions

DRUGTofacitinib 5 MG

Patients receive Tofacitinib and Naproxene


Locations(1)

Charité Universitätsmedizin Berlin

Berlin, Germany

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NCT06112665


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