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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Peking University Third Hospital Academic / other |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | January 1, 2023 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | April 2, 2026 |
| Trial ID | NCT07126431 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
- Study coordinator: Jinxia Zhao, Doctor
- Email: zhao-jinxia@163.com
- Phone: 13810098187
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
GenAI-assisted RA bone erosion risk and DMARD choice
This study tests whether GenAI-based decision support can help doctors assess rheumatoid arthritis bone erosion risk and pick DMARDs for newly diagnosed inpatients.
-
Pain patterns in rheumatic diseases: see if pain works differently in patients and healthy people
This observational study tests how pain is experienced and measured in people with rheumatic diseases compared with healthy volunteers.
-
Telitacicept for difficult-to-treat rheumatoid arthritis
This study tests whether adding telitacicept to standard therapy helps adults with hard-to-treat rheumatoid arthritis see better control of their symptoms.
-
PTC844 in people with active rheumatoid arthritis
This study tests whether PTC844 is safe and how it behaves in the body compared with placebo for people with active rheumatoid arthritis.
-
First-in-human test of CND319 in healthy people and people with rheumatic diseases
This early study tests whether CND319 is safe and tolerable and whether it shows any signs of activity in healthy adults and in people with rheumatoid arthritis or Sjogren's syndrome.
-
IV sarilumab for adults with rheumatoid arthritis
This study tests IV sarilumab to see how it works and how safe it is for adults with moderately to severely active rheumatoid arthritis, with or without certain standard arthritis medicines.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.