New trial aims to find best treatment for lung complication in rheumatoid arthritis
NCT ID NCT07643038
First seen Jun 26, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This 52-week study will compare three drugs—tocilizumab, telitacicept, and methotrexate—in 204 people with rheumatoid arthritis who also have interstitial lung disease. The main goal is to see which drug best improves lung function. Participants will continue their usual arthritis medications during the trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tocilizumab, telitacicept, and methotrexate
- What this could lead to
- If successful, this trial could identify a better treatment option for people with rheumatoid arthritis who also have lung disease, potentially slowing lung damage and improving breathing.
- What could go wrong
- This is a phase 4 study, so the drugs are already approved for other uses, but their effectiveness for this specific lung condition is unproven. The trial is not yet recruiting, and results may show no clear benefit or unexpected side effects.
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 204 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 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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18 to 80 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: * Fulfillment of the 2010 ACR/EULAR classification criteria for RA. * HRCT findings consistent with interstitial lung disease (ILD), including ground-glass opacities, reticular abnormalities, fibrotic linear opacities, traction bronchiectasis, or other compatible features, with pulmonary infection, cardiogenic pulmonary edema, and alveolar hemorrhage excluded. The extent of ILD involvement must be ≥20% on HRCT, as assessed by central review. * Pulmonary function impairment defined as forced vital capacity (FVC) \<80% of predicted and/or diffusing capacity of the lung for carbon monoxide (DLCO) \<70% of predicted. * Participants receiving glucocorticoids prior to enrollment must be on a stable dose of prednisone ≤10 mg/day (or equivalent) for at least 4 weeks before baseline. * Participants receiving a csDMARD prior to enrollment must be on a stable regimen for at least 4 weeks before baseline. * Able and willing to provide written informed consent and comply with study requirements, including scheduled visits and follow-up assessments. Exclusion Criteria: * Presence of other autoimmune diseases. * Presence of severe, uncontrolled clinically significant organ dysfunction or other medical conditions that, in the investigator's judgment, would place the participant at unacceptable risk. * History of malignancy within 5 years prior to screening. * Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study period. * Known hypersensitivity to tocilizumab, telitacicept, methotrexate, or any of their excipients. * Active hepatitis B or C virus infection, active tuberculosis, active herpes zoster infection, or a history of serious infection within 12 weeks prior to study treatment initiation (defined as an infection requiring hospitalization or intravenous antimicrobial therapy). * Severe hypoalbuminemia or serum immunoglobulin G (IgG) level \<6 g/L. * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3 × the upper limit of normal (ULN), total bilirubin \>1.5 × ULN, or creatinine clearance (CrCl) \<60 mL/min. * Participation in another interventional clinical trial within 4 weeks prior to screening. * Inability to adequately perform pulmonary function testing or other study-related assessments. * Any other condition that, in the opinion of the investigator, would make the participant unsuitable for participation in this study.
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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
22 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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Affiliated Hospital of Inner Mongolia Medical University
Hohhot, China
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Affiliated Hospital of Yan'an University
Yan’an, China
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Beijing Chao-Yang Hospital, Capital Medical University
Beijing, China
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China-Japan Friendship Hospital
Beijing, China
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China-Japan Union Hospital of Jilin University
Changchun, China
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Handan Central Hospital
Handan, China
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Jiujiang No. 1 People's Hospital
Jiujiang, China
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Peking Union Medical College Hospital
Beijing, China
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People's Hospital of Ningxia Hui Autonomous Region
Yinchuan, China
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Shanxi Bethune Hospital
Taiyuan, China
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The First Affiliated Hospital of Anhui Medical University
Hefei, China
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The First Affiliated Hospital of Army Medical University (Southwest Hospital)
Chongqing, China
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The First Affiliated Hospital of Guangxi Medical University
Nanning, China
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The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, China
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The First Affiliated Hospital of Nanjing Medical University
Nanjing, China
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The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, China
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The Second Affiliated Hospital of Dalian Medical University
Dalian, China
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The Second Affiliated Hospital of Nanchang University
Nanchang, China
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The Second Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, China
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The Second Hospital of Lanzhou University
Lanzhou, China
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Xingyi People's Hospital
Xingyi, China
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Xuanwu Hospital, Capital Medical University
Beijing, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 10,000-Patient study aims to unlock best of both worlds for arthritis
- Breathing workouts may rewire genes in arthritis patients
- Scientists seek lung disease clues from blood and breath samples
- Massive lung disease registry aims to unlock secrets of progressive fibrosis
- Home workouts tested for Arthritis-Lung condition
- Breathing in xenon: a new MRI scan to see lung damage?