New hope for hidden arthritis: drug trial targets pain without X-Ray signs
NCT ID NCT07339566
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called xeligekimab in 40 adults with non-radiographic axial spondyloarthritis, a form of arthritis that causes back pain but doesn't appear on X-rays. Participants receive six injections over 12 weeks, and doctors check if symptoms improve by at least 20%. After 12 weeks, patients may continue the drug but must pay for it themselves. The goal is to control disease activity, not cure it.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 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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18 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.
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: * Male or female patients aged 18 years or older; * Diagnosis of non-radiographic axial spondyloarthritis (nr-axSpA) according to the Assessment of SpondyloArthritis International Society (ASAS) criteria for axial spondyloarthritis; * Ineffective or intolerant to NSAID therapy; * Objective signs of inflammation (abnormal MRI or C-reactive protein); * Active axial spondyloarthritis with BASDAI score ≥4 and BASDAI question 2 ≥4; * Visual Analogue Scale (VAS) score ≥4; Exclusion Criteria: * Patients with radiographic evidence of sacroiliitis, bilateral ≥grade 2 or unilateral ≥grade 3; * Presence of other active inflammations besides axial spondyloarthritis (e.g., active inflammatory bowel disease \[IBD\] or uveitis); * Chest X-ray suggesting active infection or malignant lesions; * Active systemic infection within 2 weeks prior to enrollment; * Known tuberculosis, HIV, hepatitis B, or hepatitis C infection at screening; * History of lymphoproliferative disease, any history of malignancy (within the past 5 years); * Subjects with unstable cardiovascular disease; * Patients taking potent opioid analgesics; * Pregnant or lactating women.
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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
1 site. 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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Tongji Hospital, Affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, 430000, China