Can you cut your arthritis meds without flaring up? new trial aims to find out
NCT ID NCT07160231
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study looks at whether people with rheumatoid arthritis, psoriatic arthritis, or axial spondyloarthritis who are doing well on a JAK inhibitor can safely reduce their dose. About 200 participants will either lower their dose or stay on the same dose, guided by disease activity. The goal is to see if the lower dose keeps the disease under control just as well after 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- JAK inhibitor dose reduction strategy
- What this could lead to
- If successful, this could show that many patients can safely lower their JAK inhibitor dose without losing disease control, reducing side effects and costs.
- What could go wrong
- This is a Phase 4 trial with 200 participants, so results may not apply to everyone. Lowering the dose might lead to disease flares in some patients.
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 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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May 2028
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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16 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.
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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: * Patients ≥ 16 years of age * Clinical diagnosis of RA, PsA or axSpA * Treated with a JAKi (monotherapy or combination with csDMARDwith a JAKi dose ≥ 50% of the authorised dose) * LDA or remission for at least 6 months according to accepted criteria for the specific disease and/or the judgement of the treating rheumatologist and patient. (RA: DAS28-CRP \< 2.9; PsA: PASDAS ≤3.2 and psoriasis mBSA involvement ≤3%; axSpA: ASDAS \<2.1.) Exclusion Criteria: * Comorbidity for which continued JAKi treatment is expected to be necessary (e.g. active Crohn's disease, ulcerative colitis) * Life expectancy ≤12 months * Pregnancy (JAKi are contra-indicated during pregnancy, therefore we do not expect patients using a JAKi while pregnant) * Patients who are enrolled in other trials that might mutually interfere * Not able to provide informed consent
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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
7 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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Elisabeth-TweeSteden Ziekenhuis Tilburg
NOT_YET_RECRUITINGTilburg, North Brabant, 5022 GC, Netherlands
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Erasmus MC
NOT_YET_RECRUITINGRotterdam, South Holland, 3015 GD, Netherlands
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Isala Zwolle
NOT_YET_RECRUITINGZwolle, Overijssel, 8025 AB, Netherlands
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Maasstad ziekenhuis
NOT_YET_RECRUITINGRotterdam, South Holland, 3079 DZ, Netherlands
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Maastricht UMC+
NOT_YET_RECRUITINGMaastricht, Limburg, 6229 HX, Netherlands
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Medisch Spectrum Twente
NOT_YET_RECRUITINGEnschede, Overijssel, 7512 KZ, Netherlands
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Sint Maartenskliniek Nijmegen
RECRUITINGNijmegen, Gelderland, 6574 NA, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Smartphone app aims to catch rheumatoid arthritis before it takes hold
- A patient questionnaire may rival lab tests for spotting rheumatoid arthritis flares
- Could fewer pills mean same relief for rheumatoid arthritis?
- Can a single cell therapy calm multiple autoimmune diseases?
- Heart risk in rheumatoid arthritis: could a blood vessel drug help?
- Can talk therapy plus exercise beat arthritis fatigue?