Can a JAK inhibitor boost remission in IgG4-Related disease?
NCT ID NCT07827469
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers are testing whether adding tofacitinib to prednisone works better than prednisone alone for people with active IgG4-related disease. The trial enrolls 58 adults with active disease and assigns them to either tofacitinib plus prednisone or prednisone alone. The main goal is to compare remission rates at 24 weeks, with secondary measures including recurrence, serum IgG4 levels, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tofacitinib, a Janus kinase inhibitor drug, added to prednisone
- What this could lead to
- If adding tofacitinib helps, it could offer a way to control IgG4-related disease with lower steroid doses and fewer steroid side effects.
- What could go wrong
- The trial is small and open label, so results may not hold up in larger blinded studies. Tofacitinib carries known risks of infection and other side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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58 people
The number who actually took part.
- Started
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Apr 2023
- Finished
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Jun 2026
- 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 70 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 ≤ Age ≤ 70 years old; 2. Complies with the 2019 ACR/EULAR IgG4 RD classification criteria 3. Patients with initial or recurrent active IgG4 RD (IgG4 RD RI ≥ 3 points). 4. Voluntary signing of informed consent: Patients must be given a written consent form when participating in the trial, and it is hoped that patients can comply with the requirements of the study follow-up plan and other protocols; 5. Female participants of childbearing age agreed to use effective contraceptive measures during the study period. Exclusion Criteria: 1. Participants in other trials or those who have participated in clinical trials of other drugs within 2 months; 2. Individuals who have received live vaccine immunization within 2 weeks prior to enrollment, or who require live vaccine immunization during the trial period; 3. Merge other autoimmune diseases 4. Active infected individuals need to be excluded. Latent tuberculosis requires prevention with isoniazid 0.3g/d one month in advance; People with hepatitis B HBsAg+and HBV-DNA negative need to take anti hepatitis B virus drugs one month in advance. 5. Pregnant and lactating women, or women of childbearing age who have fertility requirements during the study period and within 6 months after the last dose of medication; 6. Patients with a history of thromboembolism, or severe diseases such as coronary heart disease and other important organs such as the heart, brain, liver, lung, kidney, and hematopoietic system, malignant tumors, and psychiatric disorders; 7. Other researchers believe that it is not suitable for enrollment.
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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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Peking Univercity, People's Hospital
Beijing, Beijing Municipality, 100044, China
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