A Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Upadacitinib in Pediatric Subjects With Polyarticular Course Juvenile Idiopathic Arthritis

NCT ID: NCT03725007

Last Updated: 2025-08-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-24

Study Completion Date

2027-05-31

Brief Summary

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This is a study to evaluate pharmacokinetics, safety and tolerability of upadacitinib in pediatric participants with polyarticular course juvenile idiopathic arthritis. This study consists of three parts: Part 1 is multiple-cohort study that consists of two sequential multiple dose groups. Participants benefiting from the study drug with no ongoing adverse events of special interest or serious adverse events will have option to enroll in Part 2. Part 2 is open-label, long term extension study to evaluate safety and tolerability. Part 3 is an additional safety cohort to evaluate long-term safety and tolerability.

Detailed Description

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Conditions

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Juvenile Idiopathic Arthritis (JIA)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Participants of age group 12 to <18 years receiving dose A

Participants of age group 12 to \<18 years administered with upadacitinib dose A (weight dependent) as described in the protocol.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Participants of age group 12 to <18 years receiving dose B

Participants of age group 12 to \<18 years administered with upadacitinib dose B (weight dependent) as described in the protocol.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Participants of age group 6 to <12 years receiving dose A

Participants of age group 6 to \<12 years administered with upadacitinib dose A (weight dependent) as described in the protocol.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Participants of age group 2 to <6 years receiving dose A

Participants of age group 2 to \<6 years administered with upadacitinib dose A (weight dependent) as described in the protocol.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Participants of age group 2 to <18 years receiving dose A

Participants of age group 2 to \<18 years administered with upadacitinib dose A as described in the protocol.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Interventions

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Upadacitinib

Upadacitinib is administered as an oral solution or tablet as described in protocol.

Intervention Type DRUG

Other Intervention Names

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ABT-494

Eligibility Criteria

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Inclusion Criteria

* Participant have total body weight of 10 kg or higher at the time of screening.
* Participant diagnosed with pcJIA (rheumatoid factor-positive or rheumatoid factor-negative polyarticular JIA, extended oligoarticular JIA, or systemic JIA with active arthritis and without active systemic features) with a history of arthritis affecting at least 5 joints within the first 6 months of disease (for extended oligoarticular JIA: \<=4 joints within first 6 months of disease and \>4 joints thereafter).
* Participant have 5 or more active joints at the time of screening, defined as the presence of swollen joints (not due to deformity) or, in the absence of swelling, joints with the limitation of movement (LOM) plus pain on motion and/or tenderness with palpitation, with LOM present in at least three of the active joints.
* If receiving methotrexate (MTX), have been taking MTX for at least 12 weeks immediately before and including Study Day 1 on a stable dose of \<=20 mg/m2 for at least 8 weeks before and including Study Day 1; in addition, participants should take either folic acid or folinic acid according to local standard of care.
* If on oral glucocorticosteroids, must have been taking oral glucocorticosteroids at a stable dose (no greater than 10 mg/day or 0.2 mg/kg/day, whatever is lower) for at least 1 week before and including Study Day 1.

Exclusion Criteria

* Participant with diagnosis of enthesitis-related arthritis (ERA) or juvenile psoriatic arthritis (JPSA).
* Participant have prior exposure to JAK inhibitor.
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Ann & Robert H Lurie Children's Hospital of Chicago /ID# 211162

Chicago, Illinois, United States

Site Status

Duplicate_University of Louisville /ID# 202896

Louisville, Kentucky, United States

Site Status

Boston Children's Hospital /ID# 202993

Boston, Massachusetts, United States

Site Status

Cincinnati Childrens Hospital Medical Center /ID# 209697

Cincinnati, Ohio, United States

Site Status

Randall Children's Hospital /ID# 213609

Portland, Oregon, United States

Site Status

Children's Hospital of Philadelphia /ID# 209617

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh of UPMC /ID# 202994

Pittsburgh, Pennsylvania, United States

Site Status

Seattle Children's Hospital /ID# 203003

Seattle, Washington, United States

Site Status

Alberta Children's Hospital /ID# 251738

Calgary, Alberta, Canada

Site Status

British Columbia Children and Women's Hospital and Health Centre /ID# 251736

Vancouver, British Columbia, Canada

Site Status

Duplicate_McGill University Health Centre /ID# 251252

Montreal, Quebec, Canada

Site Status

Asklepios Klinik Sankt Augustin /ID# 203264

Sankt Augustin, North Rhine-Westphalia, Germany

Site Status

St. Josef-Stift Sendenhorst /ID# 244740

Sendenhorst, North Rhine-Westphalia, Germany

Site Status

PRI - Pediatric Rheumatology Research Institute /ID# 205954

Bad Bramstedt, Schleswig-Holstein, Germany

Site Status

Helios Klinikum Berlin-Buch /ID# 206859

Berlin, , Germany

Site Status

Hamburger Zentrum fuer Kinder- und Jugendrheumatologie /ID# 206571

Hamburg, , Germany

Site Status

Semmelweis Egyetem /ID# 208970

Budapest, , Hungary

Site Status

The Chaim Sheba Medical Center /ID# 222370

Ramat Gan, Tel Aviv, Israel

Site Status

Ospedale Pediatrico Bambino Gesù /ID# 203835

Rome, Roma, Italy

Site Status

Aichi Children's Health and Medical Center /ID# 248327

Obu-shi, Aichi-ken, Japan

Site Status

Hyogo Prefectural Kobe Children's Hospital /ID# 246582

Kobe, Hyōgo, Japan

Site Status

Kagoshima University Hospital /ID# 246501

Kagoshima, Kagoshima-ken, Japan

Site Status

St Marianna University School Of Medicine /ID# 246478

Kawasaki-shi, Kanagawa, Japan

Site Status

Miyagi Children's Hospital /ID# 246734

Sendai, Miyagi, Japan

Site Status

Niigata University Medical & Dental Hospital /ID# 247246

Niigata, Niigata, Japan

Site Status

Institute of Science Tokyo Hospital /ID# 246500

Bunkyo-ku, Tokyo, Japan

Site Status

Centro de Reumatologia Pediatrico de Puerto Rico /Id# 204406

Bayamón, , Puerto Rico

Site Status

GCM Medical Group PSC /ID# 211702

San Juan, , Puerto Rico

Site Status

Mindful Medical Research /ID# 204488

San Juan, , Puerto Rico

Site Status

Hospital Sant Joan de Deu /ID# 203915

Esplugues de Llobregat, Barcelona, Spain

Site Status

Hospital Infantil Universitario Nino Jesus /ID# 206466

Madrid, , Spain

Site Status

Hospital Universitario Ramon y Cajal /ID# 203917

Madrid, , Spain

Site Status

Hospital Universitario La Paz /ID# 203927

Madrid, , Spain

Site Status

Hospital Universitario y Politecnico La Fe /ID# 203914

Valencia, , Spain

Site Status

Queen Silvia Children's Hosp /ID# 251145

Gothenburg, Västra Götaland County, Sweden

Site Status

Countries

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United States Canada Germany Hungary Israel Italy Japan Puerto Rico Spain Sweden

Other Identifiers

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2018-000715-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M15-340

Identifier Type: -

Identifier Source: org_study_id

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