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Search / Trial NCT04169373

A Study to Evaluate Efficacy and Safety of Upadacitinib in Adults With Axial Spondyloarthritis

Launched by ABBVIE · Nov 18, 2019

Trial Information

Current as of April 25, 2025

Completed

Keywords

Upadacitinib Axial Spondyloarthritis (Ax Sp A) Spondyloarthritis Ankylosing Spondylitis (As)

ClinConnect Summary

Study 1 (bDMARD-IR AS) is comprised of a 14-week randomized, double-blind, parallel-group, placebo-controlled period (the Double-Blind Period); a 90-week open-label, long-term extension period (the Open-Label Extension Period); and a 30-day Follow-Up Visit (F/U Visit).

Study 2 (nr-axSpA) is comprised of a 52-week randomized, double-blind, parallel-group, placebo-controlled period (the Double-Blind Period); a 52-week open-label, long-term extension period (the Open-Label Extension Period); and a 30-day F/U Visit.

In the Double-Blind Period for both studies, participants are randomized in a...

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • * Study 1:
  • Must have a clinical diagnosis of ankylosing spondylitis (AS) and meet the modified New York Criteria for AS,
  • Must not have total spinal ankylosis
  • Must have been previously exposed to 1 or 2 bDMARDs (at least 1 tumor necrosis factor \[TNF\] inhibitor or 1 interleukin \[IL\]-17 inhibitor \[IL-17i\]), and must have discontinued the bDMARD therapy due to either lack of efficacy (after at least 12 weeks of treatment with a bDMARD at an adequate dose) or intolerance (irrespective of treatment duration). Prior exposure to two bDMARDs was allowed for no more than 30% of patients; among patients with prior exposure to two bDMARDs, a lack of efficacy to one bDMARD and intolerance to another was permitted, but a patient could not have a lack of efficacy to two bDMARDs
  • * Study 2:
  • Must have a clinical diagnosis of nr-axSpA fulfilling the 2009 Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axSpA but not meeting the radiologic criterion of the modified New York criteria for AS
  • Must have objective signs of active inflammation consistent with axSpA on magnetic resonance imaging (MRI) of sacroiliac (SI) joints or based on high sensitivity C-reactive protein (hsCRP) \> the upper limit of normal (ULN).
  • Prior treatment with at most one bDMARD (either TNF inhibitor or IL-17i) is allowed for at least 20% but no more than 35% of enrolled patients who had to discontinue the prior bDMARD due to either lack of efficacy (after ≥ 12 weeks at an adequate dose) or intolerance (regardless of treatment duration).
  • Must have a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score ≥ 4 at the Screening and Baseline Visits.
  • Must have a Total Back Pain score ≥ 4 based on a 0 - 10 numerical rating scale at the Screening and Baseline Visits.
  • Has had an inadequate response to at least 2 nonsteroidal anti-inflammatory drugs (NSAIDs) over an at least 4-week period in total at maximum recommended or tolerated doses, or has an intolerance to or contraindication for NSAIDs as defined by the Investigator.
  • Exclusion Criteria:
  • Must not have been exposed to any Janus kinase (JAK) inhibitor (including but not limited to upadacitinib \[Rinvoq®\], tofacitinib \[Xeljanz®\], baricitinib \[Olumiant®\], filgotinib, ruxolitinib \[Jakafi®\], abrocitinib \[PF-04965842\], and peficitinib \[Smyraf®\]).
  • Prior bDMARD therapy must be washed out.
  • Participant must not have a history of an allergic reaction or significant sensitivity to constituents of the study drug.

About Abbvie

AbbVie is a global biopharmaceutical company dedicated to developing innovative therapies that address complex health challenges. Founded in 2013 as a spin-off from Abbott Laboratories, AbbVie focuses on key therapeutic areas, including immunology, oncology, neuroscience, and virology. The company is committed to advancing scientific research and delivering groundbreaking treatments that enhance patient outcomes and quality of life. With a robust pipeline and a strong emphasis on collaboration, AbbVie strives to transform the future of medicine through its commitment to clinical excellence and patient-centered approaches.

Locations

Flagstaff, Arizona, United States

Phoenix, Arizona, United States

Tucson, Arizona, United States

Huntington Beach, California, United States

Upland, California, United States

Denver, Colorado, United States

Fort Collins, Colorado, United States

Aventura, Florida, United States

Hialeah, Florida, United States

Palmetto Bay, Florida, United States

Winter Park, Florida, United States

Chicago, Illinois, United States

Schaumburg, Illinois, United States

Skokie, Illinois, United States

Hagerstown, Maryland, United States

Boston, Massachusetts, United States

Worcester, Massachusetts, United States

Detroit, Michigan, United States

Lansing, Michigan, United States

Eagan, Minnesota, United States

Saint Louis, Missouri, United States

Springfield, Missouri, United States

New York, New York, United States

Potsdam, New York, United States

Leland, North Carolina, United States

Marietta, Ohio, United States

Springboro, Ohio, United States

Oklahoma City, Oklahoma, United States

Portland, Oregon, United States

Duncansville, Pennsylvania, United States

Austin, Texas, United States

Carrollton, Texas, United States

College Station, Texas, United States

Fort Worth, Texas, United States

Houston, Texas, United States

Houston, Texas, United States

Houston, Texas, United States

Lubbock, Texas, United States

Plano, Texas, United States

Beckley, West Virginia, United States

South Charleston, West Virginia, United States

Ciudad Autonoma De Buenos Aire, Ciuadad Autonoma De Buenos Aires, Argentina

Rosario, Santa Fe, Argentina

Rosario, Santa Fe, Argentina

San Miguel De Tucuman, Tucuman, Argentina

Cordoba, , Argentina

Cordoba, , Argentina

San Miguel De Tucuman, , Argentina

Botany, New South Wales, Australia

Paramatta, New South Wales, Australia

Camberwell, Victoria, Australia

Clayton, Victoria, Australia

Geelong, Victoria, Australia

Gent, Oost Vlaanderen, Belgium

Leuven, Vlaams Brabant, Belgium

Genk, , Belgium

Juiz De Fora, Minas Gerais, Brazil

Curitiba, Parana, Brazil

Porto Alegre, Rio Grande Do Sul, Brazil

Sao Jose Do Rio Preto, Sao Paulo, Brazil

Sao Paulo, , Brazil

Plovdiv, , Bulgaria

Plovdiv, , Bulgaria

Plovdiv, , Bulgaria

Ruse, , Bulgaria

Sofia, , Bulgaria

Sofia, , Bulgaria

Sofia, , Bulgaria

Sofia, , Bulgaria

Victoria, British Columbia, Canada

Toronto, Ontario, Canada

Montréal, Quebec, Canada

Trois Rivières, Quebec, Canada

Quebec, , Canada

Bengbu, Anhui, China

Hefei, Anhui, China

Beijing, Beijing, China

Guangzhou, Guangdong, China

Shantou, Guangdong, China

Shenzhen, Guangdong, China

Zhuzhou, Hunan, China

Baotou, Inner Mongolia, China

Kunming, , China

Shanghai, , China

Soochow, , China

Brno, , Czechia

Brno, , Czechia

Brno, , Czechia

Ostrava, , Czechia

Pardubice, , Czechia

Praha, , Czechia

Praha, , Czechia

Praha, , Czechia

Praha, , Czechia

Praha, , Czechia

Uherske Hradiste, , Czechia

Toulouse, Occitanie, France

Bordeaux, , France

Boulogne Billancourt, , France

Paris, , France

Erlangen, Bayern, Germany

Berlin, , Germany

Berlin, , Germany

Cottbus, , Germany

Dresden, , Germany

Erlangen, , Germany

Hamburg, , Germany

Hannover, , Germany

Planegg, , Germany

Debrecen, Hajdu Bihar, Hungary

Veszprém, Veszprem, Hungary

Kormend, Zala, Hungary

Budapest, , Hungary

Gyula, , Hungary

Heviz, , Hungary

Kistarcsa, , Hungary

Szekesfehervar, , Hungary

Ramat Gan, Tel Aviv, Israel

Tel Aviv Yafo, Tel Aviv, Israel

Haifa, , Israel

Kfar Saba, , Israel

Nagoya Shi, Aichi, Japan

Matsuyama Shi, Ehime, Japan

Asahikawa Shi, Hokkaido, Japan

Sapporo Shi, Hokkaido, Japan

Kobe Shi, Hyogo, Japan

Nishinomiya Shi, Hyogo, Japan

Ono Shi, Hyogo, Japan

Kuwana Shi, Mie, Japan

Nagasaki Shi, Nagasaki, Japan

Sasebo Shi, Nagasaki, Japan

Okayama Shi, Okayama, Japan

Uruma Shi, Okinawa, Japan

Kawachinagano Shi, Osaka, Japan

Osaka Shi, Osaka, Japan

Bunkyo Ku, Tokyo, Japan

Chuo Ku, Tokyo, Japan

Suwon, Gyeonggido, Korea, Republic Of

Seoul, Seoul Teugbyeolsi, Korea, Republic Of

Incheon, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Mexico City, Ciudad De Mexico, Mexico

Papatoetoe, Auckland, New Zealand

Hamilton, Waikato, New Zealand

Wroclaw, Dolnoslaskie, Poland

Torun, Kujawsko Pomorskie, Poland

Lublin, Lubelskie, Poland

Bialystok, Podlaskie, Poland

Olsztyn, Warminsko Mazurskie, Poland

Poznan, Wielkopolskie, Poland

Chelyabinsk, Chelyabinskaya Oblast, Russian Federation

Kaliningrad, Kaliningradskaya Oblast, Russian Federation

Korolev, Moskva, Russian Federation

Moscow, Moskva, Russian Federation

Novosibirsk, Novosibirskaya Oblast, Russian Federation

St. Petersburg, Sankt Peterburg, Russian Federation

Pyatigorsk, Stavropol Skiy Kray, Russian Federation

Yekaterinburg, Sverdlovskaya Oblast, Russian Federation

Yekaterinburg, Sverdlovskaya Oblast, Russian Federation

Kazan, Tatarstan, Respublika, Russian Federation

Izhevsk, Udmurtskaya Respublika, Russian Federation

Moscow, , Russian Federation

Moscow, , Russian Federation

Omsk, , Russian Federation

Orenburg, , Russian Federation

Ryazan, , Russian Federation

Saratov, , Russian Federation

St. Petersburg, , Russian Federation

Ulyanovsk, , Russian Federation

Bratislava, , Slovakia

Nove Mesto Nad Vahom, , Slovakia

Piestany, , Slovakia

Poprad, , Slovakia

Zvolen, , Slovakia

Villajoyosa, Alicante, Spain

Sabadell, Barcelona, Spain

Santander, Cantabria, Spain

Vigo, Pontevedra, Spain

Cordoba, , Spain

Madrid, , Spain

Valencia, , Spain

Kaohsiung, Taichung, Taiwan

New Taipei City, , Taiwan

Taichung City, , Taiwan

Taichung, , Taiwan

Taipei, , Taiwan

Sihhiye, Ankara, Turkey

Cerrahpasa, , Turkey

Mugla, , Turkey

Kharkiv, Kharkivska Oblast, Ukraine

Vinnytsia, Vinnytska Oblast, Ukraine

Chernihiv, , Ukraine

Kharkiv, , Ukraine

Kharkiv, , Ukraine

Khmelnytskyi, , Ukraine

Kryvyi Rih, , Ukraine

Kyiv, , Ukraine

Kyiv, , Ukraine

Kyiv, , Ukraine

Kyiv, , Ukraine

Odesa, , Ukraine

Odesa, , Ukraine

Poltava, , Ukraine

Ternopil, , Ukraine

Vinnytsia, , Ukraine

Norwich, Norfolk, United Kingdom

Bury St Edmunds, Suffolk, United Kingdom

Armthorpe Road, , United Kingdom

Preston, , United Kingdom

Huntington Beach, California, United States

Worcester, Massachusetts, United States

Springfield, Missouri, United States

College Station, Texas, United States

Fort Worth, Texas, United States

San Miguel De Tucuman, Tucuman, Argentina

Suzhou, Jiangsu, China

Shanghai, Shanghai, China

Toulouse, Occitanie, France

Veszprém, Veszprem, Hungary

Kormend, Zala, Hungary

Kharkiv, , Ukraine

Kharkiv, , Ukraine

Kyiv, , Ukraine

Vinnytsia, , Ukraine

Vinnytsia, , Ukraine

Preston, Lancashire, United Kingdom

Bury St Edmunds, Suffolk, United Kingdom

Armthorpe Road, , United Kingdom

Patients applied

0 patients applied

Trial Officials

ABBVIE INC.

Study Director

AbbVie

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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