Clinical trial Recruiting at 74 sites Observational Ages 18 and up

Comparing the effectiveness of Upadacitinib and TNF inhibitors for rheumatoid arthritis in Germany

Official title: Comparison of Persistence of UPadacitinib vs. TNF-inhibitoRs In a German Real-world SettING

Run by AbbVie · NCT06712628 · Data updated 2026-11-12

This study is testing whether Upadacitinib works better than traditional TNF inhibitors for adults with moderate to severe rheumatoid arthritis in Germany.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment678 (estimated)
SponsorAbbVie
Industry-sponsored
Drugs / interventionsUpadacitinib
Locations75 sites (Freiburg im Breisgau, Baden-Wurttemberg and 74 other locations)
StatusRecruiting
StartedNovember 7, 2024
Main results expectedDecember 2028
Study endsDecember 2028
Registry record updatedOctober 15, 2026
Trial IDNCT06712628 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults with a confirmed diagnosis of moderate to severe active rheumatoid arthritis who are starting treatment with either Upadacitinib or a TNF inhibitor.

Probably not a fit

Patients who have previously been treated with Upadacitinib or the same TNF inhibitor prescribed for this study will not benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to compare the retention rates of Upadacitinib (UPA) versus tumor necrosis factor inhibitors (TNFi) in adult patients with moderate to severe active rheumatoid arthritis (RA) in Germany. Approximately 678 participants will be enrolled across 80 sites, with recruitment lasting around 24 months and participation lasting up to 24 months. The study will assess the effectiveness of these treatments as prescribed by physicians according to local standards of care.

Why it matters

Potential benefit: If successful, this study could provide insights into which treatment option offers better long-term retention for patients with moderate to severe rheumatoid arthritis.

How similar studies have gone: While this study is observational and focuses on real-world data, similar studies comparing treatment retention rates have shown promising results, indicating the potential for valuable insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Current or Past participants with a confirmed diagnosis of moderate to severe active RA upon judgement of the treating physician.
* Physician decision on participant treatment with Upadacitinib (UPA) or tumor necrosis factor inhibitor (TNFi) must have been reached prior to and independently of recruitment in the study
* UPA or TNFi prescribed in accordance with the applicable approved label and local regulatory and reimbursement policies

Exclusion Criteria:

* Participation in a clinical trial with an investigational drug (within a minimum of 30 days or 5 half-lives of the investigational drug \[whichever is longer\] prior to baseline)
* Prior treatment with Upadacitinib
* Prior treatment with the same tumor necrosis factor inhibitor as the one prescribed for this study

Where it's running

  • Gemeinschaftspraxis Innere Medizin/Rheumatologie /ID# 278584
    Freiburg im Breisgau, Baden-Wurttemberg, Germany
    Recruiting
  • Rheumapraxis Heidelberg /ID# 276475
    Heidelberg, Baden-Wurttemberg, Germany
    Recruiting
  • Rheumapraxis Haas Tubingen /ID# 275536
    Tübingen, Baden-Wurttemberg, Germany
    Recruiting
  • Rheumapraxis Ulm Dr. med. Nadia Rinaldi /ID# 276293
    Ulm, Baden-Wurttemberg, Germany
    Recruiting
  • Dr. Med. Thomas Marycz /ID# 274646
    Amberg, Bavaria, Germany
    Recruiting
  • Rheumapraxis Am Webereck /ID# 274412
    Augsburg, Bavaria, Germany
    Recruiting
Show 44 more locations
  • Private Practice - Dr. Karin Manger /ID# 287347
    Bamberg, Bavaria, Germany
    Recruiting
  • Praxisgemeinschaft Rheumatologie Nephrologie Erlangen /ID# 286648
    Erlangen, Bavaria, Germany
    Recruiting
  • Dr. Harmuth /ID# 273401
    Marktredwitz, Bavaria, Germany
    Recruiting
  • Praxiszentrum Dr. Med. Klaus Kruger Dres. Günther Kellerer Und Paul Kellerer /ID# 276138
    Munich, Bavaria, Germany
    Recruiting
  • Klinische Forschung Im Medizinischen Versorgungalltag Gbr /ID# 274587
    Planegg, Bavaria, Germany
    Recruiting
  • Medikomp Mvz /ID# 285898
    Elsterwerda, Brandenburg, Germany
    Recruiting
  • Private Practice - Dr. Dirk Wernicke /ID# 276820
    Hohen Neuendorf, Brandenburg, Germany
    Recruiting
  • Praxis K. Pagel /ID# 279121
    Hoppegarten, Brandenburg, Germany
    Recruiting
  • Rheumahaus Studien GbR /ID# 275917
    Potsdam, Brandenburg, Germany
    Recruiting
  • Rheumatologisch Immunologisch /ID# 275830
    Templin, Brandenburg, Germany
    Recruiting
  • Rheumatism Center Mittelhessen /ID# 274641
    Bad Endenbach, Hesse, Germany
    Recruiting
  • Deutsches Endokrinologisches Versorgungszentrum DEVZ - MVZ GdR /ID# 274291
    Frankfurt am Main, Hesse, Germany
    Recruiting
  • Mvz Dr. Med. Mahdy and Kollegen - Braunschweig /ID# 284988
    Braunschweig, Lower Saxony, Germany
    Recruiting
  • Stadtisches Klinikum Braunschweig /ID# 282626
    Braunschweig, Lower Saxony, Germany
    Recruiting
  • Private Practice - Dr. Jorg Sensse /ID# 281907
    Gifhorn, Lower Saxony, Germany
    Recruiting
  • Rheumatologische Facharztpraxis /ID# 286591
    Hanover, Lower Saxony, Germany
    Recruiting
  • Rheumapraxis Hannover-List /ID# 273735
    Hanover, Lower Saxony, Germany
    Recruiting
  • Praxis. F. Bigdeli-Wilshusen /ID# 273455
    Hanover, Lower Saxony, Germany
    Recruiting
  • Rheumatologie Kassel /ID# 275916
    Kassel, Lower Saxony, Germany
    Recruiting
  • Rheumapraxis An Der Hase /ID# 276949
    Osnabrück, Lower Saxony, Germany
    Recruiting
  • Fachpraxis fur Rheumatologie und Osteologie /ID# 275359
    Weyhe, Lower Saxony, Germany
    Recruiting
  • Dr. Ann-Dorthe Holst /ID# 285741
    Ludwigslust, Mecklenburg-Vorpommern, Germany
    Recruiting
  • Private Practice - Dr. Thilo Klopsch - Stargarder Strasse /ID# 276367
    Neubrandenburg, Mecklenburg-Vorpommern, Germany
    Recruiting
  • Rheumatologische Facharztpraxis - Schwerin /ID# 284785
    Schwerin, Mecklenburg-Vorpommern, Germany
    Recruiting
  • Klinikum Bielefeld Rosenhohe /ID# 283715
    Bielefeld, North Rhine-Westphalia, Germany
    Recruiting
  • Rheumatology Euskirchen /ID# 285419
    Euskirchen, North Rhine-Westphalia, Germany
    Recruiting
  • Rheumazentrum Ruhrgebiet /ID# 275518
    Herne, North Rhine-Westphalia, Germany
    Recruiting
  • St.Elisabeth Hospital Meerbusch /ID# 275030
    Meerbusch, North Rhine-Westphalia, Germany
    Recruiting
  • Gesundheitscampus Monheim /ID# 283726
    Monheim am Rhein, North Rhine-Westphalia, Germany
    Recruiting
  • Rheumazentrum Ratingen /ID# 275707
    Ratingen, North Rhine-Westphalia, Germany
    Recruiting
  • Praxis Dr. med. Florian Beyer /ID# 274293
    Kaiserslautern, Rhineland-Palatinate, Germany
    Recruiting
  • Private Practice - Dr. Alexander Lautwein /ID# 282328
    Wittlich, Rhineland-Palatinate, Germany
    Recruiting
  • Rheumapraxis Zweibruecken - Matar /ID# 282656
    Zweibrücken, Rhineland-Palatinate, Germany
    Recruiting
  • Rheumapraxis am Schlossberg /ID# 272728
    Homburg, Saarland, Germany
    Recruiting
  • Dr. Murawski /ID# 272724
    Neunkirchen, Saarland, Germany
    Recruiting
  • Knappschaftsklinikum Saar /ID# 279852
    Püttlingen, Saarland, Germany
    Recruiting
  • Rheumapraxis Dr. Prothmann /ID# 279851
    Püttlingen, Saarland, Germany
    Recruiting
  • Medizinischen Versorgungszentrums Agilomed /ID# 274887
    Chemnitz, Saxony, Germany
    Recruiting
  • Schwerpunktpraxis Rheumatologie und Klinische Immunologie /ID# 282628
    Dresden, Saxony, Germany
    Recruiting
  • Dr. Mueller /ID# 273081
    Freiberg, Saxony, Germany
    Recruiting
  • Private Practice - Dr. Frank Hamann, Dr. Andreas Teich & Dr. Konrad Boche /ID# 275358
    Leipzig, Saxony, Germany
    Recruiting
  • Private Practice - Dr. Ilka Schwarze /ID# 276981
    Leipzig, Saxony, Germany
    Recruiting
  • Private Practice - Dr. Christine Baumann /ID# 275095
    Plauen, Saxony, Germany
    Recruiting
  • Praxis H. Fricke-Wagner /ID# 274467
    Zwickau, Saxony, Germany
    Recruiting

+25 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.