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

  • CHRU de Nancy

    RECRUITING

    Nancy, France

  • CHU Dupuytren 2

    RECRUITING

    Limoges, France

  • CHU Le Mans

    RECRUITING

    Le Mans, France

  • CHU d'Amiens

    RECRUITING

    Amiens, France

  • CHU de Clermont-Ferrand

    RECRUITING

    Clermont-Ferrand, France

  • CHU de Rouen

    RECRUITING

    Rouen, France

  • CHU de Tours

    RECRUITING

    Tours, France

  • GH Paris Saint-Joseph

    RECRUITING

    Paris, France

  • Groupe hospitalier Pitié-Salpêtrière

    RECRUITING

    Paris, France

  • Hopital Cochin

    RECRUITING

    Paris, France

  • Hopital Lariboisière

    RECRUITING

    Paris, France

  • Hopital Maison Blanche

    RECRUITING

    Reims, France

  • Hopital Nord

    RECRUITING

    Saint-Etienne, France

  • Hopital Saint Antoine

    RECRUITING

    Paris, France

  • Hôpital Bicêtre

    RECRUITING

    Paris, France

  • Hôpital Hautepierre

    RECRUITING

    Strasbourg, France

  • Hôpital LAPEYRONIE

    RECRUITING

    Montpellier, France

  • Hôpital Pasteur 2

    RECRUITING

    Nice, France

  • Hôpital Pellegrin

    RECRUITING

    Bordeaux, France

  • Hôpital Saint Philibert

    RECRUITING

    Lille, France

  • Hôpital Sainte Marguerite

    RECRUITING

    Marseille, France

  • La Cavale Blanche

    RECRUITING

    Brest, France

  • Nouvel Hôpital Orléans La Source

    RECRUITING

    Orléans, France

  • UH Toulouse

    RECRUITING

    Toulouse, Occitanie, 31059, France

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