Telitacicept plus baricitinib for refractory rheumatoid arthritis
Official title: A Study on the Clinical Efficacy and Safety of Telitacicept Combined With Baricitinib in the Treatment of Difficult-to-Treat Rheumatoid Arthritis (D2T RA)
Run by Zhejiang Provincial People's Hospital · NCT07491016 · Data updated 2026-11-12
This test tries combining telitacicept with baricitinib to see if it helps adults with refractory rheumatoid arthritis who haven't improved on other treatments.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Zhejiang Provincial People's Hospital Academic / other |
| Drugs / interventions | tofacitinib, baricitinib |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | March 1, 2026 |
| Main results expected | March 30, 2027 |
| Study ends | March 30, 2028 |
| Registry record updated | March 30, 2026 |
| Trial ID | NCT07491016 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–85 with refractory rheumatoid arthritis per the 2021 EULAR criteria who have failed conventional DMARDs and at least two biologic or targeted therapies and who are planned to receive telitacicept plus baricitinib may qualify.
✕Probably not a fit
Patients with severe organ dysfunction, active infections including tuberculosis, malignancy, other autoimmune diseases, pregnancy or lactation, or known allergy to the study drugs are unlikely to benefit or be eligible.
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 at Zhejiang Provincial People's Hospital will follow adults with difficult-to-treat rheumatoid arthritis who are being prescribed telitacicept combined with baricitinib as part of routine care. Researchers will collect clinical measures of disease activity, laboratory safety tests, adverse events, and treatment adherence during scheduled clinic visits. There is no randomization or blinding; outcomes will be compared to patients' baseline status and clinical expectations. The focus is on real-world effectiveness and tolerability of the combination in a single-center setting.
Why it matters
Potential benefit: If successful, the combination could offer a new treatment option that reduces disease activity for patients with refractory rheumatoid arthritis.
How similar studies have gone: Telitacicept and baricitinib have shown efficacy individually in autoimmune disease and RA respectively, but the specific combination remains novel with limited published data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. Age 18-85 years * 2\. Diagnosed with refractory rheumatoid arthritis according to the 2021 EULAR (European Alliance of Associations for Rheumatology) diagnostic criteria * 3\. The traditional disease-improving rheumatic drug treatment is ineffective, and the use of two or more biological/targeted disease improving anti-rheumatic drugs is ineffective, and telitacicept combined with tofacitinib is required treated patients * 4\. Voluntarily provided written informed consent Exclusion Criteria: * 1\. Exclusion of patients with severe diseases of major organs (e.g., heart, liver, or lungs) * 2\. Patients with malignancies, hematological disorders, or other autoimmune diseases (excluding rheumatoid arthritis) * 3\. History of allergy/hypersensitivity to the study medications (Telitacicept or Tofacitinib) * 4\. Active tuberculosis or active infectious diseases requiring systemic treatment * 5\. Pregnancy, lactation, or refusal to use contraception during the study * 6\. Failure to complete the prescribed Telitacicept + Tofacitinib regimen due * to:Non-adherence or Severe adverse reactions * 7\. Other conditions contraindicating participation per investigator judgment
Where it's running
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Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Study coordinator: Zhenhua Ying
- Email: yingzh2021@163.com
- Phone: +86-571-3989897128
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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.