UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057385
Receipt number R000065277
Scientific Title Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors
Date of disclosure of the study information 2025/03/24
Last modified on 2026/02/06 09:20:02

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors

Acronym

Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors

Scientific Title

Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors

Scientific Title:Acronym

Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors

Region

Japan


Condition

Condition

Switching to IL-6 inhibitors in Patients with Rheumatoid Arthritis Achieving Low Disease Activity with JAK Inhibitors

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the maintenance rate of low disease activity and the safety of switching to IL-6 inhibitors over 24 weeks in adult rheumatoid arthritis patients who have maintained low disease activity with JAK inhibitors.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The proportion of patients with rheumatoid arthritis maintaining low disease activity (CDAI < 10) at 24 weeks after switching to IL-6 inhibitors.

Key secondary outcomes

Changes in CDAI, HAQ, and EQ-5D at 12 and 24 weeks.
Safety assessment of infections, malignancies, drug allergies, and other adverse events.
Differences in the incidence of events between JAK inhibitor continuation group and IL-6 inhibitor switching group.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients aged 18 years or older who have been diagnosed with rheumatoid arthritis by a physician based on the ACR/EULAR 2010 classification criteria and have been receiving a stable dose of JAK inhibitors for at least six months, with confirmed low disease activity (CDAI < 10) on at least two consecutive visits. This study includes patients who, after being informed of the benefits and risks of continuing JAK inhibitors versus switching to IL-6 inhibitors, opted to switch to IL-6 inhibitors based on shared decision-making.

Key exclusion criteria

Patients with a history of allergic reactions to IL-6 inhibitors will be excluded.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Shunichi
Middle name
Last name Fujita

Organization

Kawasaki Medical School

Division name

Department of rheumatology

Zip code

701-0192

Address

577 Matsushima, Kurashiki city, Okayama, Japan

TEL

086-462-1111

Email

shunichi@med.kawasaki-m.ac.jp


Public contact

Name of contact person

1st name Shunichi
Middle name
Last name Fujita

Organization

Kawasaki Medical School

Division name

Department of Rheumatology

Zip code

701-0192

Address

577 Matsushima, Kurashiki city, Okayama, Japan

TEL

086-462-1111

Homepage URL


Email

shunichi@med.kawasaki-m.ac.jp


Sponsor or person

Institute

Kawasaki Medical School

Institute

Department

Personal name



Funding Source

Organization

Kawasaki Medical School

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kawasaki Medical School

Address

577 Matsushima, Kurashiki city, Okayama, Japan

Tel

086-462-1111

Email

shunichi@med.kawasaki-m.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 03 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 03 Month 24 Day

Date of IRB

2025 Year 05 Month 19 Day

Anticipated trial start date

2025 Year 05 Month 20 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

No additional information.


Management information

Registered date

2025 Year 03 Month 24 Day

Last modified on

2026 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065277