New combo therapy shows promise for Tough-to-Treat rheumatoid arthritis
NCT ID NCT06028438
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding nipocalimab to the standard drug certolizumab works better than certolizumab alone for people with active rheumatoid arthritis. It involved 103 adults who still had moderate to severe symptoms despite trying other advanced treatments. The main goal was to see if the combination reduced joint swelling and tenderness more effectively after 12 weeks.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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103 people
The number who actually took part.
- Started
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Aug 2023
- Finished
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Oct 2024
- 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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18 to 75 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: * Diagnosis of rheumatoid arthritis (RA) and meeting the 2010 American college of rheumatology (ACR) or European League Against Rheumatism (EULAR) criteria for RA for at least 3 months before screening * Has moderate to severe active RA as defined by persistent disease activity with at least 6 of 66 swollen joints and 6 of 68 tender joints at the time of screening and at baseline * Is positive for anti-citrullinated protein antibodies (ACPA) or rheumatoid factor (RF) by the central laboratory at the time of screening * Has C-reactive protein (CRP) greater than or equal to (\>=) 0.3 milligram per deciliter (mg/dL) by the central laboratory at the time of screening * If has received prior biological disease-modifying antirheumatic drugs (bDMARDs) (or biosimilars) other than anti-tumor necrosis factor (anti-TNF) agent in RA, has demonstrated inadequate response (IR) or intolerance to the therapy based on one of the following: 1. IR to at least 1bDMARD (or the biosimilars) other than anti-TNF agents, as assessed by the treating physician, after at least 12 weeks of therapy including but not limited to abatacept, anakinra, tocilizumab, and sarilumab or at least 16 weeks of therapy with rituximab Documented IR may include inadequate improvement or loss in response after initial improvement in joint counts or other parameters of disease activity 2. Intolerance to bDMARD (or biosimilars) other than anti-TNF agent, as assessed by the treating physician. Documented intolerance includes side effects and injection or infusion reactions * If has received prior anti-TNF agent (including biosimilars), has demonstrated IR to \>=1 anti-TNF agent (including biosimilars), as assessed by the treating physician: 1. After at least 12 weeks dosage of etanercept, adalimumab, golimumab (including biosimilars), and/or 2. After at least 14 weeks dosage (example, at least 4 doses) of infliximab (including biosimilars) Documented IR may include inadequate improvement or loss in response after initial improvement in joint counts or other parameters of disease activity Exclusion Criteria: * Has a confirmed or suspected clinical immunodeficiency syndrome not related to treatment of RA or has a family history of congenital or hereditary immunodeficiency unless confirmed absent * Is (anatomically or functionally) asplenic * Has experienced myocardial infarction, unstable ischemic heart disease, or stroke less than or equal to (\<=) 12 weeks of screening * Has a diagnosis of congestive heart failure including medically controlled, asymptomatic congestive heart failure * Has a history of known demyelinating disease such as multiple sclerosis or optic neuritis
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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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ARCIS Salud SRL Aprillus asistencia e investigacion
CABA, C1406AGA, Argentina
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Altoona Center For Clinical Research
Duncansville, Pennsylvania, 16635, United States
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Arizona Arthritis and Rheumatology Research PLLC
Phoenix, Arizona, 85032, United States
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Atlanta Research Center for Rheumatology
Marietta, Georgia, 30060, United States
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Bay Area Arthritis and Osteoporosis
Brandon, Florida, 33511, United States
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Bekes Varmegyei Kozponti Korhaz Pandy Kalman Tagkorhaz
Gyula, 5700, Hungary
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Budai Irgalmasrendi Korhaz
Budapest, H-1027, Hungary
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CMed Rehabilitacios es Diagnosztikai Kozpont
Székesfehérvár, 8000, Hungary
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Centro Privado de Medicina Familiar
Buenos Aires, C1417, Argentina
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Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, T4000AXL, Argentina
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Centrum Medyczne Reuma Park
Warsaw, 02 665, Poland
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Clinical Research of West Florida
Clearwater, Florida, 33765, United States
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Graves Gilbert Clinic
Bowling Green, Kentucky, 42101, United States
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Hamburger Rheuma Forschungszentrum II
Hamburg, 20095, Germany
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Hospital Central Militar Cirujano Mayor Dr Cosme Argerich
Buenos Aires, C1426BOR, Argentina
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Inland Rheumatology Clinical Trials Inc.
Upland, California, 91786, United States
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Integral Rheumatology And Immunology Specialists
Plantation, Florida, 33324, United States
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Kings College Hospital
London, SE5 9RS, United Kingdom
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MICS Centrum Medyczne Warszawa
Warsaw, 00 874, Poland
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Mautalen Salud e Investigacion
CABA, C1128AAF, Argentina
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Medway NHS Foundation Trust
Gillingham, ME7 5NY, United Kingdom
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NZOZ Lecznica MAK MED S C
Nadarzyn, 05 830, Poland
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Newport Huntington Medical Group
Huntington Beach, California, 92648, United States
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Porcika Klinika - Vasarhelyi Sarkanyfu Kft.
Hódmezővásárhely, 6800, Hungary
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Rheumazentrum Ratingen
Ratingen, 40878, Germany
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Rheumazentrum Ruhrgebiet
Herne, 44649, Germany
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STAT Research S A
Buenos Aires, C1023AAB, Argentina
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Sanatorio Agote
Buenos Aires, C1425EOE, Argentina
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Southwest Rheumatology Research LLC
Mesquite, Texas, 75150, United States
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Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy
Bydgoszcz, 85-168, Poland
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Vital Medical Center Orvosi es Fogaszati Kozpont
Veszprém, 8200, Hungary
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Western General Hospital
Edinburgh, EH4 2XU, United Kingdom
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