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Interleukin-6 (IL-6) Receptor Antagonist

Upadacitinib + Tocilizumab for Juvenile Idiopathic Arthritis (SELECT-sJIA Trial)

Phase 3
Recruiting
Research Sponsored by AbbVie
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 12
Awards & highlights

SELECT-sJIA Trial Summary

This trial is evaluating a potential new treatment for juvenile idiopathic arthritis, a chronic disease that affects children and can continue into adulthood. Participants will receive either upadacitinib or tocilizumab and be assessed for adverse events and disease activity.

Who is the study for?
This trial is for children and adolescents aged 1 to <18 with systemic juvenile idiopathic arthritis (sJIA). They must have at least 2 active joints, fever over 38°C, or elevated inflammation markers. Participants in Cohort 1 can't have had IL-6 inhibitor treatment; those in Cohort 2 must not respond well to it.Check my eligibility
What is being tested?
The study tests the safety and effectiveness of Upadacitinib, an oral medication, against Tocilizumab, given as a subcutaneous injection or intravenous infusion. About 90 participants will be randomly assigned to receive one of these treatments for a year.See study design
What are the potential side effects?
Possible side effects include reactions at the injection site for Tocilizumab and gastrointestinal issues, infections, or liver problems with Upadacitinib. Regular medical assessments will monitor any adverse events throughout the trial.

SELECT-sJIA Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and week 12 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Percentage of Participants Achieving Adapted systemic Juvenile Idiopathic Arthritis (sJIA) American College of Rheumatology (ACR) 30 Response
Secondary outcome measures
Change From Baseline in High-Sensitivity C-Reactive Protein (hsCRP)
Change From Baseline in Patient's Global Assessment (PtGA)
Change From Baseline in Physician's Global Assessment of Disease Activity (PhGA)
+13 more

Side effects data

From 2023 Phase 3 trial • 613 Patients • NCT03086343
6%
URINARY TRACT INFECTION
5%
UPPER RESPIRATORY TRACT INFECTION
5%
NASOPHARYNGITIS
3%
HYPERTENSION
100%
80%
60%
40%
20%
0%
Study treatment Arm
Abatacept
Upadacitinib 15 mg

SELECT-sJIA Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: Cohort 2 UpadacitinibExperimental Treatment1 Intervention
Participants will receive upadacitinib for 52 weeks.
Group II: Cohort 1 UpadacitinibExperimental Treatment1 Intervention
Participants will receive upadacitinib for 52 weeks.
Group III: Cohort 1 TocilizumabActive Control1 Intervention
Participants will receive tocilizumab for 52 weeks.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Upadacitinib
2014
Completed Phase 3
~9670

Find a Location

Who is running the clinical trial?

AbbVieLead Sponsor
958 Previous Clinical Trials
502,300 Total Patients Enrolled
ABBVIE INC.Study DirectorAbbVie
397 Previous Clinical Trials
147,019 Total Patients Enrolled

Media Library

Tocilizumab (Interleukin-6 (IL-6) Receptor Antagonist) Clinical Trial Eligibility Overview. Trial Name: NCT05609630 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this study open to individuals who are over twenty years of age?

"For this medical trial, only those aged 1-17 are eligible to participate. 58 studies have been conducted for minors while337 trials targeted participants over 65 years old."

Answered by AI

Has the FDA given a seal of approval to Upadacitinib in Cohort 1?

"Cohort 1 Upadacitinib has prior clinical data that indicate its safety, thus earning it a score of 3."

Answered by AI

Are there unfilled vacancies in the clinical trial that can be filled by participants?

"Affirmative. According to the information located on clinicaltrials.gov, this study is currently in search of participants with its initial post date being July 11th2023 and most recent update taking place on July 3rd 2023. 90 individuals are expected to be enrolled at one medical site."

Answered by AI

Who meets the criteria for participation in this trial?

"This clinical trial is recruiting up to 90 juvenile idiopathic arthritis patients between the ages of 1 and 17. To be eligible, applicants must exhibit an active sjia with 2 or more joints at screening as well as a fever above 38°C on any out of 14 consecutive days before their appointment; in addition, they will need to have an ESR or hsCRP >1.5 × ULN at Screening. Moreover, these individuals should have had an inadequate response to nonsteroidal anti-inflammatory drugs and systemic glucocorticoids while those recruited for Cohort 1 must not have previously used IL-"

Answered by AI

How many people are presently enrolled in this experiment?

"Affirmative, clinicaltrials.gov confirms that the trial is actively enrolling participants with an initial posting date of 11 July 2023 and a recent update on 3 July 2023. A total of 90 patients are needed at one medical centre for this study to be successful."

Answered by AI
~60 spots leftby Feb 2027