Can a new pill ease arthritis in kids?
NCT ID NCT03725007
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This study is testing an oral medication called upadacitinib in children with polyarticular juvenile idiopathic arthritis (JIA), a condition causing joint inflammation. The goal is to understand how the drug moves through the body, its safety, and how well children tolerate it. Participants receive the drug in multiple parts, including a long-term extension to monitor ongoing safety and effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- upadacitinib (an oral drug that modulates the immune system)
- What this could lead to
- If successful, this could provide a new treatment option to help control arthritis symptoms and improve quality of life for children with this condition.
- What could go wrong
- This is an early-phase study, so the drug may not work as hoped or could cause side effects. Results from this small group may not apply to all children with JIA.
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 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 124 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2019
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- 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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2 to 17 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: * Participant have total body weight of 10 kg or higher at the time of screening. * Participant diagnosed with pcJIA (rheumatoid factor-positive or rheumatoid factor-negative polyarticular JIA, extended oligoarticular JIA, or systemic JIA with active arthritis and without active systemic features) with a history of arthritis affecting at least 5 joints within the first 6 months of disease (for extended oligoarticular JIA: \<=4 joints within first 6 months of disease and \>4 joints thereafter). * Participant have 5 or more active joints at the time of screening, defined as the presence of swollen joints (not due to deformity) or, in the absence of swelling, joints with the limitation of movement (LOM) plus pain on motion and/or tenderness with palpitation, with LOM present in at least three of the active joints. * If receiving methotrexate (MTX), have been taking MTX for at least 12 weeks immediately before and including Study Day 1 on a stable dose of \<=20 mg/m2 for at least 8 weeks before and including Study Day 1; in addition, participants should take either folic acid or folinic acid according to local standard of care. * If on oral glucocorticosteroids, must have been taking oral glucocorticosteroids at a stable dose (no greater than 10 mg/day or 0.2 mg/kg/day, whatever is lower) for at least 1 week before and including Study Day 1. Exclusion Criteria: * Participant with diagnosis of enthesitis-related arthritis (ERA) or juvenile psoriatic arthritis (JPSA). * Participant have prior exposure to JAK inhibitor.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Juvenile idiopathic arthritis (JIA) are added.
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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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Aichi Children's Health and Medical Center /ID# 248327
Obu-shi, Aichi-ken, 474-8710, Japan
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Alberta Children's Hospital /ID# 251738
Calgary, Alberta, T3B 6A8, Canada
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Ann & Robert H. Lurie Children's Hospital of Chicago /ID# 211162
Chicago, Illinois, 60611, United States
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Asklepios Klinik Sankt Augustin /ID# 203264
Sankt Augustin, North Rhine-Westphalia, 53757, Germany
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Boston Children's Hospital /ID# 202993
Boston, Massachusetts, 02115, United States
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British Columbia Children and Women's Hospital and Health Centre /ID# 251736
Vancouver, British Columbia, V6H 3N1, Canada
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Centro de Reumatologia Pediatrico de Puerto Rico /Id# 204406
Bayamón, 00959, Puerto Rico
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Children's Hospital of Pittsburgh of UPMC /ID# 202994
Pittsburgh, Pennsylvania, 15224-1334, United States
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Cincinnati Childrens Hospital Medical Center /ID# 209697
Cincinnati, Ohio, 45229, United States
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Duplicate_McGill University Health Centre /ID# 251252
Montreal, Quebec, H4A 3J1, Canada
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Duplicate_University of Louisville /ID# 202896
Louisville, Kentucky, 40202, United States
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GCM Medical Group /ID# 211702
San Juan, 00917-3104, Puerto Rico
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Hamburger Zentrum fuer Kinder- und Jugendrheumatologie /ID# 206571
Hamburg, 22081, Germany
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Helios Klinikum Berlin-Buch /ID# 206859
Berlin, 13125, Germany
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Hospital Infantil Universitario Nino Jesus /ID# 206466
Madrid, 28009, Spain
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Hospital Sant Joan de Deu /ID# 203915
Esplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Universitario La Paz /ID# 203927
Madrid, 28046, Spain
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Hospital Universitario Ramon y Cajal /ID# 203917
Madrid, 28034, Spain
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Hospital Universitario y Politecnico La Fe /ID# 203914
Valencia, 46026, Spain
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Hyogo Prefectural Kobe Children'S Hospital - Minatojima /ID# 246582
Kobe, Hyōgo, 650-0045, Japan
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Institute of Science Tokyo Hospital /ID# 246500
Bunkyo-ku, Tokyo, 113-8519, Japan
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Kagoshima University Hospital /ID# 246501
Kagoshima, Kagoshima-ken, 890-8520, Japan
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Mindful Medical Research /ID# 204488
San Juan, 00918-3756, Puerto Rico
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Miyagi Children's Hospital /ID# 246734
Sendai, Miyagi, 989-3126, Japan
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Niigata University Medical and Dental Hospital /ID# 247246
Niigata, Niigata, 951-8520, Japan
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Ospedale Pediatrico Bambino Gesù /ID# 203835
Rome, Roma, 00165, Italy
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PRI - Pediatric Rheumatology Research Institute /ID# 205954
Bad Bramstedt, Schleswig-Holstein, 24576, Germany
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Queen Silvia Children's Hosp /ID# 251145
Gothenburg, Västra Götaland County, 416 85, Sweden
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Randall Children's Hospital /ID# 213609
Portland, Oregon, 97227-1654, United States
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Seattle Children's Hospital /ID# 203003
Seattle, Washington, 98105, United States
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Semmelweis Egyetem /ID# 208970
Budapest, 1085, Hungary
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St Marianna University School Of Medicine /ID# 246478
Kawasaki-shi, Kanagawa, 216-8511, Japan
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St. Josef-Stift Sendenhorst /ID# 244740
Sendenhorst, North Rhine-Westphalia, 48324, Germany
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The Chaim Sheba Medical Center /ID# 222370
Ramat Gan, Tel Aviv, 5265601, Israel
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The Children's Hospital of Philadelphia /ID# 209617
Philadelphia, Pennsylvania, 19104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New pill could ease juvenile arthritis in kids