Can less be more? trial tests cutting RA medication doses
NCT ID NCT06687551
First seen Aug 07, 2026 · Last updated Aug 07, 2026
Summary
This trial asks whether people with rheumatoid arthritis who have low disease activity can safely reduce their JAK inhibitor dose without losing control of their symptoms. Participants will either follow a step-by-step dose-tapering plan or continue their usual full-dose medication. Researchers will track how many patients maintain low disease activity after a year, as well as any flare-ups, to see if a lower dose can work just as well.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- JAK inhibitors (baricitinib, filgotinib, or tofacitinib) at reduced doses
- What this could lead to
- If successful, this could show that many RA patients can safely lower their medication dose while keeping the disease in check, potentially reducing side effects and costs.
- What could go wrong
- The trial is testing a strategy, not a new drug, and results may vary. Tapering could lead to disease flares in some patients, and the findings may not apply to all JAK inhibitors or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CHRU de Nancy
RECRUITINGNancy, France
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CHU Dupuytren 2
RECRUITINGLimoges, France
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CHU Le Mans
RECRUITINGLe Mans, France
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CHU d'Amiens
RECRUITINGAmiens, France
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CHU de Clermont-Ferrand
RECRUITINGClermont-Ferrand, France
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CHU de Rouen
RECRUITINGRouen, France
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CHU de Tours
RECRUITINGTours, France
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GH Paris Saint-Joseph
RECRUITINGParis, France
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Groupe hospitalier Pitié-Salpêtrière
RECRUITINGParis, France
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Hopital Cochin
RECRUITINGParis, France
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Hopital Lariboisière
RECRUITINGParis, France
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Hopital Maison Blanche
RECRUITINGReims, France
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Hopital Nord
RECRUITINGSaint-Etienne, France
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Hopital Saint Antoine
RECRUITINGParis, France
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Hôpital Bicêtre
RECRUITINGParis, France
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Hôpital Hautepierre
RECRUITINGStrasbourg, France
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Hôpital LAPEYRONIE
RECRUITINGMontpellier, France
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Hôpital Pasteur 2
RECRUITINGNice, France
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Hôpital Pellegrin
RECRUITINGBordeaux, France
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Hôpital Saint Philibert
RECRUITINGLille, France
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Hôpital Sainte Marguerite
RECRUITINGMarseille, France
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La Cavale Blanche
RECRUITINGBrest, France
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Nouvel Hôpital Orléans La Source
RECRUITINGOrléans, France
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UH Toulouse
RECRUITINGToulouse, Occitanie, 31059, France
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