drugset / Trial / NCT03725202
A Study to Evaluate the Safety and Efficacy of Upadacitinib in Participants With Giant Cell Arteritis
RandomizedParallel-groupQuadruple-blindTreatment
Summary
This study consists of two periods. The objective of Period 1 is to evaluate the efficacy of upadacitinib in combination with a 26-week corticosteroid (CS) taper regimen compared to placebo in combination with a 52-week CS taper regimen, as measured by the proportion of participants in sustained remission at Week 52, and to assess the safety and tolerability of upadacitinib in participants with giant cell arteritis (GCA). The objective of Period 2 is to evaluate the safety and efficacy of continuing versus withdrawing upadacitinib in maintaining remission in participants who achieved sustained remission in Period 1.
Timeline
- Start
- 2019-01-24
- Primary completion
- 2024-02-06
- Completion
- 2025-03-11
Publications
- Blockmans D, Penn SK, Setty AR, Schmidt WA, Rubbert-Roth A, Hauge EM, Keen HI, Ishii T, Khalidi N, Dejaco C, Cid MC, Hellmich B, Liu M, Zhao W, Lagunes I, Romero AB, Wung PK, Merkel PA; SELECT-GCA Study Group. A Phase 3 Trial of Upadacitinib for Giant-Cell Arteritis. N Engl J Med. 2025 May 29;392(20):2013-2024. doi: 10.1056/NEJMoa2413449. Epub 2025 Apr 2.
- Loricera J, Tofade T, Prieto-Pena D, Romero-Yuste S, de Miguel E, Riveros-Frutos A, Ferraz-Amaro I, Labrador E, Maiz O, Becerra E, Narvaez J, Galindez-Agirregoikoa E, Gonzalez-Fernandez I, Urruticoechea-Arana A, Ramos-Calvo A, Lopez-Gutierrez F, Castaneda S, Unizony S, Blanco R. Effectiveness of janus kinase inhibitors in relapsing giant cell arteritis in real-world clinical practice and review of the literature. Arthritis Res Ther. 2024 Jun 5;26(1):116. doi: 10.1186/s13075-024-03314-9.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Upadacitinib | Small molecule | 7.5 mg | Oral |
| Subject | Upadacitinib | Small molecule | 15 mg | Oral |
| Background | Prednisolone | Other / unclassified | 20 mg | Oral |
| Background | Prednisolone | Other / unclassified | 30 mg | Oral |
| Background | Prednisolone | Other / unclassified | 40 mg | Oral |
| Background | Prednisolone | Other / unclassified | 50 mg | Oral |
| Background | Prednisolone | Other / unclassified | 60 mg | Oral |
| Background | Prednisone | Other / unclassified | 20 mg | Oral |
| Background | Prednisone | Other / unclassified | 30 mg | Oral |
| Background | Prednisone | Other / unclassified | 40 mg | Oral |
| Background | Prednisone | Other / unclassified | 50 mg | Oral |
| Background | Prednisone | Other / unclassified | 60 mg | Oral |