Canadian study checks how well RA drug works in daily life
NCT ID NCT04574492
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This completed study followed 413 Canadian adults with moderate to severe rheumatoid arthritis who were prescribed upadacitinib by their doctors. Researchers tracked how well the drug controlled symptoms like joint pain and stiffness over 24 months. The goal was to see if the drug's benefits seen in earlier trials hold up in real-world settings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- upadacitinib
- What this could lead to
- If successful, this study could confirm that upadacitinib works well in everyday practice to control rheumatoid arthritis symptoms.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be less reliable. It also does not test new uses or long-term safety beyond 24 months.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
413 people
The number who actually took part.
- Started
-
Oct 2020
- Finished
-
Jul 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants receiving Upadacitinib according to the product prescribing information, for moderate to severe active Rheumatoid Arthritis (RA).
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of moderate to severe Rheumatoid Arthritis (RA) according to the investigator. * Decision to initiate UPA treatment by investigator according to the local product label independent of the participant's participation in the study. * Has been previously treated with Conventional Synthetic Disease-Modifying Antirheumatic Drugs (csDMARDs) and corresponds to one of the following subgroups: * Has not been previously exposed to any Biologic Disease-Modifying Antirheumatic Drugs (bDMARD) or Targeted Synthetic Disease-Modifying Antirheumatic Drugs (tsDMARD). * Has not been previously exposed to tsDMARD and has been previously exposed to \<= 2 bDMARDs. * Has been previously treated with one tsDMARD and \<=1 bDMARD prior to treatment with that tsDMARD. Exclusion Criteria: * Presence of any condition that, in the opinion of the treating physician, prohibits the participant from participating in the study or obscures the assessment of the treatment of RA. * Diagnosis of rheumatic disease other than RA. * Diagnosis of juvenile RA. * Currently participating in an investigational clinical trial. * Has prior exposure to a bDMARD after exposure to a tsDMARD. * Has prior exposure to tsDMARD in an investigational clinical trial.
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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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Adachi Medicine Prof. Corp /ID# 223872
Hamilton, Ontario, L8N 1Y2, Canada
-
Angela Montgomery Medicine Professional Corporation /ID# 231142
Ottawa, Ontario, K1H 7X3, Canada
-
Applied Medical Informatics Research Inc. (AMIR) /ID# 224321
Montreal, Quebec, H4A 3T2, Canada
-
Arthur Karasik Medicine Professional Corporation /ID# 225276
Etobicoke, Ontario, M9C 5N2, Canada
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Brandusa Florica Medicine Professional Corporation /ID# 222173
Mississauga, Ontario, L5A 3V8, Canada
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CISSSBSL -Hopital regional de Rimouski /ID# 224681
Rimouski, Quebec, G5L 5T1, Canada
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CIUSSS de l'Estrie - CHUS /ID# 225404
Sherbrooke, Quebec, J1G 2E8, Canada
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CIUSSS de l'est de l'Ile-de-Montreal - Hopital Maisonneuve-Rosemont /ID# 225021
Montreal, Quebec, H1T 2M4, Canada
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Centre de Recherche Musculo-Squelettique /ID# 224513
Trois-Rivières, Quebec, G8Z 1Y2, Canada
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Clinique de Rhumatologie de Montreal /ID# 221266
Montreal, Quebec, H4N 1C6, Canada
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Credit Valley Rheumatology /ID# 219226
Mississauga, Ontario, L5M 2V8, Canada
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Dr Naik-Medical Professional Corporation-Alliance Health /ID# 221195
Saskatoon, Saskatchewan, S7H 5M7, Canada
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Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 223814
Dundas, Ontario, L9H 1B7, Canada
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Dr. Jonathan D. Chan Inc. /ID# 222976
Vancouver, British Columbia, V5Z 1J9, Canada
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Dr. Juris Lazovskis Inc. /ID# 224817
Sydney, Nova Scotia, B1S 3N1, Canada
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Dr. L. Lisnevskaia Medicine Professional Corporation /ID# 225645
Oshawa, Ontario, L1H 1B9, Canada
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Dr. Milton F. Baker Inc. /ID# 224555
Victoria, British Columbia, V8P 5P6, Canada
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Dr. S. Gill Medicine Professional Corporation /ID# 225238
Oakville, Ontario, L6M 1M1, Canada
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Dr. Sabeen Anwar Medicine Professional Corporation /ID# 224797
Windsor, Ontario, N8X 1T3, Canada
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Dr. Sankalp V. Bhavsar Medicine Professional Corporation /ID# 223952
Burlington, Ontario, L7R 2H3, Canada
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Dr. Viktoria Pavlova Medicine Professional Corporation /ID# 224536
Ancaster, Ontario, L9G 3K9, Canada
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Drs. Rai & Sekhon Medicine Professional Corporation /ID# 224366
Brampton, Ontario, L6R 0W3, Canada
-
Eastern Regional Health Authority /ID# 223911
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
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Fraser Clinical Trials Inc /ID# 225200
New Westminster, British Columbia, V3L 3W4, Canada
-
Groupe de Recherche en Maladies Osseuses Inc /ID# 222977
Sainte-Foy, Quebec, G1V 3M7, Canada
-
Imtiaz MS Khan Medicine Prof /ID# 225275
Mississauga, Ontario, L5M 4N4, Canada
-
Makhzoum Medicine Professional Corporation /Id# 229629
Oakville, Ontario, L6H 3P1, Canada
-
Manitoba Clinic /ID# 223288
Winnipeg, Manitoba, R3A 1M3, Canada
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Nexus Clinical Research /ID# 225896
St. John's, Newfoundland and Labrador, A1B 5E8, Canada
-
Niagara Peninsula Arthritis Ct /ID# 221472
St. Catharines, Ontario, L2N 7E4, Canada
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Paolo Pace Medicine Professional Corporation /ID# 234057
Cambridge, Ontario, N1R 4S1, Canada
-
Rajwinder S. Dhillon Medicine /ID# 224365
Niagara Falls, Ontario, L2E 6A6, Canada
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Rheumatology Associates /ID# 228584
Saskatoon, Saskatchewan, S7K 0H6, Canada
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Rheumatology Institute of Montreal /ID# 224045
Montreal, Quebec, H2L 1S6, Canada
-
Rheumatology Research Associates /ID# 224534
Edmonton, Alberta, T5M 0H4, Canada
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Saurash Reddy Professional Corporation /ID# 225288
Edmonton, Alberta, T6G 0T2, Canada
-
St. Joseph's Healthcare /ID# 224042
Hamilton, Ontario, L8N 4A6, Canada
-
The Waterside Clinic /ID# 224205
Orillia, Ontario, L3V 1T5, Canada
-
West Mountain Medical Center /ID# 222975
Hamilton, Ontario, L9C 5N2, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A patient questionnaire may rival lab tests for spotting rheumatoid arthritis flares
- Could fewer pills mean same relief for rheumatoid arthritis?
- Can a single cell therapy calm multiple autoimmune diseases?
- Heart risk in rheumatoid arthritis: could a blood vessel drug help?
- Can talk therapy plus exercise beat arthritis fatigue?
- A Heart-Rhythm warning sign hidden in a routine ECG?