New drug combo aims to cut steroid use in painful rheumatic condition
NCT ID NCT07279688
First seen Jun 24, 2026 · Last updated Aug 27, 2026 · Updated 3 times
Summary
This Phase 3 trial tests whether adding baricitinib (a JAK inhibitor pill) to standard steroid treatment can help people with polymyalgia rheumatica achieve disease control without needing long-term steroids. About 140 adults aged 50+ with active PMR will receive baricitinib (2 mg or 4 mg) or a placebo for 6 months, alongside tapering steroids. The main goal is to see if more patients can maintain low disease activity without steroids at 24 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Baricitinib (a JAK inhibitor drug taken as a tablet)
- What this could lead to
- If successful, this could offer a steroid-sparing treatment option for polymyalgia rheumatica, reducing long-term steroid side effects.
- What could go wrong
- This is a Phase 3 trial, but baricitinib carries risks of serious infections, heart problems, and cancer. The benefit over steroids is not yet proven.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * At least 50 years of age. * Fulfilling ACR/EULAR classification criteria for PMR newly diagnosed or treatment resistant. * No GCs or GCs \<15 mg/day since at least 15 days prior to planned randomization. * PMR-AS-CRP \>17. * Absence of other inflammatory arthropathy, connective tissue diseases or vasculitis. * Able to give informed consent. * French health insurance holder Exclusion Criteria: * Clinical evidence of giant cell arteritis. * Uncontrolled high blood pressure or cardiovascular disease. * High risk of VTE because of a history of VTE (DVT and/or PE) within 12 weeks prior to randomization or a history of recurrent (\>1) VTE (counting co-occurring DVT+PE as 1 single event). * Clinical evidence of significant unstable or uncontrolled acute or chronic diseases not due to PMR * Planned major surgical procedure during the study or medical history, blood abnormalities or any clinical condition that compromises inclusion. * Current smoker if age \>65 years. * Current active uncontrolled infection. * Treatment by probenecid. * Alkaline phosphatase (ALP) ≥2 x ULN. * Total bilirubin level (TBL) ≥1.5 x ULN. * Neutropenia (absolute neutrophil count \<1000 cells/uL) (\<1.00 x 103/uL or \<1.00 GI/L). * Lymphopenia (lymphocyte count \<500 cells/uL) (\<0.50 x 103/uL or \<0.50 GI/L). * Patient under court protection or protected adults
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Polymyalgia rheumatica (PMR) are added.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AL TABAA Omar
NOT_YET_RECRUITINGPontoise, France
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APHP - Kremlin-Bicêtre
RECRUITINGLe Kremlin-Bicêtre, 94270, France
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Besançon-CIC
RECRUITINGBesançon, 25000, France
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CARVAJAL ALEGRIA Guillermo
RECRUITINGTours, France
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CHU Reims
RECRUITINGReims, France
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CHU de Bordeaux Pellegrin
NOT_YET_RECRUITINGBordeaux, 33076, France
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CHU de Nice
RECRUITINGNice, 06000, France
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CHU de Toulouse
RECRUITINGToulouse, 31059, France
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DIREZ Guillaume
RECRUITINGLe Mans, France
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Dr Alain SARAUX
RECRUITINGBrest, France
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FAUTREL Bruno - AP-HP La Pitié-Salpétrière
NOT_YET_RECRUITINGParis, France
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FLIPO René-Marc
RECRUITINGLille, France
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GOTTENBERG Jacques-Eric
RECRUITINGStrasbourg, France
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LE HENAFF Catherine
RECRUITINGMorlaix, France
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LEGRAND Jean-Louis
RECRUITINGArras, France
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LESKE Charles
RECRUITINGCholet, France
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OTTAVIANI Sébastien - AP-HP Bichat
RECRUITINGParis, France
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PRATI Clément
RECRUITINGBesançon, France
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RAMON André
RECRUITINGDijon, France
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RAT Anne-Christine
RECRUITINGCaen, France
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TOURNADRE Anne
NOT_YET_RECRUITINGClermont-Ferrand, France
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VIDAL François
RECRUITINGAix-en-Provence, France
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WIRTH Théo
RECRUITINGMarseille, France
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