Clinical trial Recruiting at 1 site Observational Ages 18 and up

Long-term tracking of refractory rheumatoid arthritis outcomes

Official title: Prospective Cohort Study on Refractory Rheumatoid Arthritis

Run by Peking University Third Hospital · NCT07126431 · Data updated 2026-11-12

This project will follow adults with refractory rheumatoid arthritis to see how their disease activity and treatments change over time.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorPeking University Third Hospital
Academic / other
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedJanuary 1, 2023
Main results expectedDecember 31, 2025
Study endsDecember 31, 2026
Registry record updatedApril 2, 2026
Trial IDNCT07126431 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (age >18) with RA meeting the 1987 ACR or 2010 ACR/EULAR criteria, treated with conventional synthetic DMARDs for at least one year and meeting the EULAR difficult-to-treat (refractory) RA definition, who can provide informed consent and attend follow-up at the study site.

Probably not a fit

People with early RA (less than one year of DMARD therapy), those who do not meet the refractory RA definition, or those unable/unwilling to participate in follow-up are unlikely to benefit from this cohort.

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

What this trial studies

This is a prospective observational cohort enrolling adults with rheumatoid arthritis who meet the EULAR definition of difficult-to-treat (refractory) RA and have at least one year of csDMARD therapy. Participants will be recruited at Peking University Third Hospital and followed longitudinally with routine clinical assessments and data collection on treatments, disease activity, and outcomes. No experimental interventions are assigned; investigators will analyze real-world treatment patterns, response trajectories, and potential predictors of persistent disease activity. The goal is to better characterize refractory RA and inform more targeted management strategies.

Why it matters

Potential benefit: If successful, the findings could help clinicians identify patients at risk of persistent disease and guide more personalized treatment decisions.

How similar studies have gone: Other observational cohorts have described clinical features and risk factors of refractory RA, but interventional advances specifically targeting refractory phenotypes remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Meet the 1987 American College of Rheumatology (ACR) classification criteria for RA or the 2010 ACR/European Alliance of Associations for Rheumatology (EULAR) classification criteria for RA.
2. Age \>18 years.
3. Treatment with conventional synthetic DMARDs (csDMARDs) for at least 1 year.
4. Fulfill the EULAR definition of difficult-to-treat RA (refractory RA).
5. Provide written informed consent.

Exclusion Criteria:

1. Age \<18 years.
2. Duration of DMARD therapy \<1 year.
3. Patients unwilling to participate in the cohort study.

Where it's running

  • Peking University Third Hospital
    Beijing, Beijing Municipality, China
    Recruiting

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.