Hope for RA patients: drug may heal bone erosion
NCT ID NCT05955066
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether baricitinib, a JAK inhibitor, can heal bone erosion in people with active rheumatoid arthritis. Sixty adults with moderate-to-severe RA and at least one bone erosion will receive either baricitinib or a placebo for 24 weeks. The main goal is to see if the drug reduces erosion size, measured by a special CT scan.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Baricitinib (Olumiant) 4 mg daily
- What this could lead to
- If successful, this could show that JAK inhibitors help repair bone damage in rheumatoid arthritis, potentially leading to better long-term joint health.
- What could go wrong
- This is a small, early-phase study with only 60 participants, so results may not apply to everyone. The treatment may not heal bone erosion, and JAK inhibitors carry risks like infections and blood clots.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Jun 2026
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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18 to 65 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.
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: 1. ≥18 year-old, 2. fulfilment of the 2010 ACR/EULAR classification criteria of RA, 3. on MTX for at least 12 weeks, and 4. disease activity score 28-C-reactive protein (DAS28-CRP) \> 3.2. Exclusion Criteria: 1. ≥65 years old, 2. functional status class IV (limited in ability to perform usual self-care, vocational, and avocational activities); 3. pregnancy or premenopausal women planning pregnancy; 4. ever use of any b/tsDMARDs or csDMARDs other than methotrexate and hydroxychloroquine for RA; 5. ever use of bisphosphonates, denosumab or teriparatide; 6. history of cardiovascular disease/thrombo-embolism/malignancy; 7. contraindications to baricitinib; and 8. severe joint damage in MCP2-4 which preludes HR-pqCT measurement
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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
1 site. 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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The Chinese University of Hong Kong
RECRUITINGHong Kong, Hong Kong, Hong Kong
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- Can a new injection calm rheumatoid arthritis? an early trial puts ZB002 to the test