New pill could ease severe childhood arthritis

NCT ID NCT05609630

First seen Jun 25, 2026 · Last updated Aug 14, 2026 · Updated 6 times

Summary

This study tests a new oral medication, upadacitinib, in children aged 1 to 17 with active systemic juvenile idiopathic arthritis (sJIA), a rare and serious form of arthritis that can affect the whole body. About 90 participants will receive either upadacitinib or the standard injectable drug tocilizumab for 52 weeks. Researchers will measure how well the treatment controls symptoms like joint pain and fever, and monitor for side effects.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
upadacitinib (oral tablet or solution)
What this could lead to
If it works, this could provide a new oral treatment option for children with systemic juvenile idiopathic arthritis, potentially reducing symptoms and improving daily life.
What could go wrong
This is a Phase 3 trial, but upadacitinib is still investigational for this condition. It may not prove more effective than existing treatments, and side effects like infections or allergic reactions are possible.

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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

  • Akademiska Sjukhuset - Uppsala University Hospital /ID# 282653

    NOT_YET_RECRUITING

    Uppsala, Uppsala County, 751 85, Sweden

  • Asklepios Klinik Sankt Augustin /ID# 251565

    RECRUITING

    Sankt Augustin, North Rhine-Westphalia, 53757, Germany

  • Azienda Ospedaliero Universitaria Meyer /ID# 251775

    RECRUITING

    Florence, Firenze, 50139, Italy

  • CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 251769

    COMPLETED

    Juiz de Fora, Minas Gerais, 36010-570, Brazil

  • CREA de Guadalajara SC /ID# 252917

    RECRUITING

    Guadalajara, Jalisco, 44620, Mexico

  • Centro de Investigaciones Medicas Tucuman /ID# 251781

    RECRUITING

    San Miguel de Tucumán, Tucumán Province, 4000, Argentina

  • Children'S Hospital Of Soochow University /ID# 251755

    RECRUITING

    Suzhou, Jiangsu, 215025, China

  • Children's Hospital of Fudan University /ID# 251619

    RECRUITING

    Shanghai, Shanghai Municipality, 200032, China

  • Childrens National Medical Center /ID# 253344

    RECRUITING

    Washington D.C., District of Columbia, 20010-2916, United States

  • Cincinnati Childrens Hospital Medical Center /ID# 251827

    RECRUITING

    Cincinnati, Ohio, 45229, United States

  • Gazi University Medical Faculty /ID# 253677

    COMPLETED

    Ankara, 06560, Turkey (Türkiye)

  • Great Ormond Street Children's Hospital /ID# 251512

    RECRUITING

    London, Greater London, WC1N 3HZ, United Kingdom

  • Hamburger Zentrum fuer Kinder- und Jugendrheumatologie /ID# 251564

    RECRUITING

    Hamburg, 22081, Germany

  • Helios Klinikum Berlin - Buch /ID# 279847

    RECRUITING

    Berlin, 13125, Germany

  • Hospital Sant Joan de Deu /ID# 251353

    RECRUITING

    Esplugues de Llobregat, Barcelona, 08950, Spain

  • Hospital Sao Paulo /ID# 251765

    RECRUITING

    São Paulo, 04023-062, Brazil

  • Hospital Universitario y Politecnico La Fe /ID# 251352

    RECRUITING

    Valencia, 46026, Spain

  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao /ID# 251764

    RECRUITING

    São Paulo, 05403-000, Brazil

  • Hospital de Niños de la Santisima Trinidad /ID# 252736

    RECRUITING

    Córdoba, 5014, Argentina

  • Hyogo Prefectural Kobe Children'S Hospital - Minatojima /ID# 251649

    RECRUITING

    Kobe, Hyōgo, 650-0045, Japan

  • IRCCS Istituto Giannina Gaslini /ID# 251776

    RECRUITING

    Genoa, Genova, 16147, Italy

  • Institute of Science Tokyo Hospital /ID# 251505

    RECRUITING

    Bunkyo-ku, Tokyo, 113-8519, Japan

  • Instituto CAICI S.R.L /ID# 251448

    RECRUITING

    Rosario, Santa Fe Province, 2000, Argentina

  • Istanbul Universitesi-Cerrahpasa Cerrahpasa Tip Fakultesi /ID# 251651

    RECRUITING

    Istanbul, 34098, Turkey (Türkiye)

  • Istanbul University Istanbul Medical Faculty /ID# 251652

    RECRUITING

    Istanbul, 34093, Turkey (Türkiye)

  • Landeskrankenhaus Bregenz /ID# 266317

    RECRUITING

    Bregenz, Vorarlberg, 6900, Austria

  • Levine Children's Hospital /ID# 253491

    COMPLETED

    Charlotte, North Carolina, 28203, United States

  • Linkou Chang Gung Memorial Hospital /ID# 267390

    RECRUITING

    Taoyuan City, 333, Taiwan

  • Monash Health - Monash Medical Centre - Clayton /ID# 251691

    COMPLETED

    Clayton, Victoria, 3168, Australia

  • National Taiwan University Hospital /ID# 267387

    RECRUITING

    Taipei, 100, Taiwan

  • New York Medical College /ID# 253437

    RECRUITING

    Valhalla, New York, 10595, United States

  • Niigata University Medical and Dental Hospital /ID# 251538

    RECRUITING

    Niigata, Niigata, 951-8520, Japan

  • Osaka Medical and Pharmaceutical University Hospital /ID# 252092

    RECRUITING

    Takatsuki-shi, Osaka, 569-8686, Japan

  • Ostersunds Sjukhus /ID# 281645

    NOT_YET_RECRUITING

    Östersund, Jämtland County, 831 31, Sweden

  • Phoenix Children's Hospital /ID# 253403

    RECRUITING

    Phoenix, Arizona, 85016-7710, United States

  • Queen Silvia Children's Hosp /ID# 251318

    RECRUITING

    Gothenburg, Västra Götaland County, 416 85, Sweden

  • Randall Children's Hospital /ID# 251829

    RECRUITING

    Portland, Oregon, 97227-1654, United States

  • Royal Children's Hospital /ID# 251663

    COMPLETED

    Parkville, Victoria, 3052, Australia

  • Semmelweis Egyetem /ID# 266750

    RECRUITING

    Budapest, 1085, Hungary

  • Skane University Hospital Lund /ID# 282573

    NOT_YET_RECRUITING

    Lund, Skåne County, 224 84, Sweden

  • St Marianna University School Of Medicine /ID# 251623

    RECRUITING

    Kawasaki-shi, Kanagawa, 216-8511, Japan

  • St. Josef-Stift Sendenhorst /ID# 268680

    RECRUITING

    Sendenhorst, North Rhine-Westphalia, 48324, Germany

  • The Children's Hospital of Zhejiang University School of Medicine /ID# 251754

    RECRUITING

    Hangzhou, Zhejiang, 310003, China

  • The Childrens Hospital of Chongqing Medical University /ID# 251539

    RECRUITING

    Chongqing, Chongqing Municipality, 400065, China

  • Umraniye Training and Res Hosp /ID# 251653

    RECRUITING

    Istanbul, 34764, Turkey (Türkiye)

  • Universitaetsklinikum Freiburg /ID# 253288

    RECRUITING

    Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany

  • Universitair Medisch Centrum Utrecht /ID# 267435

    RECRUITING

    Utrecht, 3584 CX, Netherlands

  • Xi'an Children's Hospital /ID# 251693

    RECRUITING

    Xi'an, Shaanxi, 710054, China

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