New hope for kids with eye inflammation: baricitinib trial shows promise
NCT ID NCT04088409
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether baricitinib, an oral drug, is safe and effective for children aged 2 to 18 with active uveitis (eye inflammation) linked to juvenile arthritis or a related condition. Participants had not responded well to standard treatments. The main goal is to reduce eye inflammation, with results expected to show if baricitinib can help control the disease.
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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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30 people
The number who actually took part.
- Started
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Oct 2019
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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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.
- Ages
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2 to 17 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants must have a diagnosis of JIA-U or chronic anterior antinuclear antibody (ANA) positive uveitis without systemic features. * Participants must have active anterior uveitis, defined as cellular infiltrate in the anterior chamber of SUN criteria grade ≥1+ at screening and randomization, despite prior treatment with adequate doses of topical steroid therapy and methotrexate (MTX). * Participants must have an inadequate response or intolerance to MTX. * Participants must be on a stable dose of corticosteroid eye drops for at least 2 weeks prior to screening with a maximum of 4 drops/day/eye at screening. * Participants and their partners of child bearing potential must agree to use 2 effective methods of contraception for the duration of the study and for at least 1 week following the last dose of investigational product. Exclusion Criteria: * Participants must not have a history or presence of any autoimmune inflammatory condition other than JIA, such as Crohn's disease or ulcerative colitis. * Participants must not have any contraindications to adalimumab. * Exception: Participants who are biologic disease-modifying antirheumatic drug (bDMARD) inadequate response or intolerance with a contraindication to adalimumab may be enrolled, as they will be assigned to baricitinib. * Participants must not have increased intraocular pressure ≥25 millimeters of mercury (mm Hg) or that required treatment, including increases in medications, surgery, or hospitalization, within 4 weeks prior to baseline that, in the opinion of the investigator, would pose an unacceptable risk to the participant. * Participants must not have had intraocular surgery within the 3 months prior to screening (such as for cataract(s), glaucoma or vitrectomy). * Participants must not have a current or recent (\<4 weeks prior to baseline) infection. * Participants must not have a positive test for hepatitis B virus (HBV) at screening. * Participants must not have evidence of active tuberculosis (TB) or untreated latent TB.
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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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Alder Hey Children's Hospital
Liverpool, England, L14 5AB, United Kingdom
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Asklepios Klinik Sankt Augustin
Sankt Augustin, North Rhine-Westphalia, 53757, Germany
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Azienda Ospedaliero Universitaria Meyer
Florence, 50100, Italy
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Bristol Royal Hospital for Children
Bristol, Bristol, City of, BS2 8BJ, United Kingdom
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Cambridge Clinical Research Facility
Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom
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Centre Hospitalier Universitaire de Poitiers
Poitiers, 86021, France
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Charité Campus Virchow-Klinikum
Berlin, 13353, Germany
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Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
Milan, Lombardy, 20122, Italy
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Great Ormond Street Hospital For Children NHS Foundation Trust
London, WC1N 3JH, United Kingdom
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HELIOS Klinikum Berlin-Buch
Berlin, 13125, Germany
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Hospital Infantil Universitario Niño Jesús
Madrid, Madrid, Comunidad de, 28009, Spain
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Hospital Sant Joan de Déu
Esplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Universitario La Fe de Valencia
Valencia, 46026, Spain
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Hospital Universitario La Paz
Madrid, Madrid, Comunidad de, 28046, Spain
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Hôpital Universitaire Necker Enfants Malades
Paris, 75015, France
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Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre
Le Kremlin-Bicêtre, 94270, France
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Praxis Kinder- und Jugendrheumatologie Dr. Ivan Foeldvari
Hamburg, 22081, Germany
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Royal Victoria Infirmary
Newcastle upon Tyne, England, NE1 4LP, United Kingdom
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Sheffield Children's Hospital
Sheffield, S10 2TH, United Kingdom
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University Hospital Southampton NHS Foundation Trust
Southampton, Hampshire, SO16 0YD, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a biologic combo match steroids for uveitis?
- Can a High-Speed eye scan catch silent blinding disease in kids?
- A simple blood draw might reveal hidden eye lymphoma
- Can a new pill tame eye inflammation when others fail?
- Could a simple blood test allow uveitis patients to safely take less medication?
- New DNA test could revolutionize diagnosis of eye infections