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Psoriatic arthritis (PsA) is a type of arthritis (swelling and stiffness in the joints) that is frequently seen in trial participants who also have the skin condition psoriasis. It is caused by the body's immune system mistakenly attacking healthy joint tissue causing inflammation, joint damage, disability, and a reduced life expectancy. The main objective of this study is to characterize attainment of minimal disease activity (MDA) at week 24 under continuous treatment with upadacitinib in participants with oligo- or polyarticular PsA as part of real-world practice.
Upadacitinib is a drug approved for the treatment of Psoriatic arthritis (PsA) in Germany and Canada. Approximately 380 adult participants with PsA at multiple sites in Germany and Canada.
Participants will receive oral Upadacitinib tablets per current local label, according to local standard of care and international guidelines.
There may be a higher burden for participants in this study compared to standard of care. Participants will attend regular visits per routine clinical practice. The effect of the treatment will be checked by medical assessments, checking for side effects, and by questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants Receiving Upadacitinib | Participants receiving Upadacitinib for psoriatic arthritis (PsA). |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Receiving Upadacitinib who Attain Minimal Disease Activity (MDA) | MDA will be determined based on participants fulfilling 5 of 7 outcome measures: tender joint count 68 (TJC68) <= 1, swollen joint count (SJC66) ≤ 1, body surface area (BSA) <= 3%; Patient's Assessment of Pain numeric rating scale (NRS) <= 1.5, Patient's Global Assessment of Disease Activity (PtGA) NRS <= 2.0, Health Assessment Questionnaire Disability Index (HAQ-DI) <= 0.5, tender entheseal points <= 1. | At Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Maintaining MDA Under Upadacitinib Treatment, in Participants who had Achieved MDA at Week 24 | MDA will be determined based on participants fulfilling 5 of 7 outcome measures: TJC68 <= 1, SJC66 ≤ 1, BSA <= 3%; Patient's Assessment of Pain NRS <= 1.5, PtGA NRS <= 2.0, HAQ-DI <= 0.5, tender entheseal points <= 1. | At Week 48 |
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Inclusion Criteria:
Exclusion Criteria:
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Participants with psoriatic arthritis (PsA).
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| Name | Affiliation | Role |
|---|---|---|
| ABBVIE INC. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Jonathan D. Chan Inc. /ID# 241611 | Vancouver | British Columbia | V5Z 1J9 | Canada | ||
| Manitoba Clinic /ID# 234148 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41191276 | Derived | Werner SG, Schwarze I, Baraliakos X, Fiene M, Walter J, Girard T, Laliberte MC, Jeromin K, Baschuk N, Allard-Charmard H, Bessette L, Hueber AJ. Effectiveness and Safety of Upadacitinib in Treating Oligoarticular and Polyarticular Psoriatic Arthritis: Primary Analysis from the UPJOINT-Study. Rheumatol Ther. 2026 Feb;13(1):45-64. doi: 10.1007/s40744-025-00802-5. Epub 2025 Nov 5. | |
| 37695506 |
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| Mean change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Question 2 (Pain in Neck, Back or Hip) | The BASDAI consists of a 0 - 10 scale measuring discomfort, pain, and fatigue (0 being no problem and 10 being the worst problem). | Baseline to Week 48 |
| Mean Change in Disease Activity in PSoriatic Arthritis score (DAPSA) | The DAPSA is a numerical sum of the 66 swollen and 68 tender joint counts, the participant pain and global assessments (each on a 0-10 scale) and C-reactive protein (CRP) (in mg/dL), thus ranging from 0 to about 160. | Baseline to Week 48 |
| Mean Change in Percentage of Participants with Dactylitis | Mean change in percentage of participants with dactylitis. | Baseline to Week 48 |
| Mean Change in Number of Fingernails Affected with Psoriasis | Mean change in number of fingernails affected with psoriasis. | Baseline to Week 48 |
| Mean Change in 12-Item Short Form Health Survey (SF-12) | The SF-12 is a 12-item, patient-reported, generic, non-disease specific, overall HRQoL instrument with extensive use in multiple disease states. | Baseline to Week 48 |
| Mean Change in Dermatology Life Quality Index (DLQI) [in Participants with Skin Involvement] | The DLQI consists of 10 questions concerning participants' perception of the impact of the skin disease on different aspects of their HRQoL over the previous week. | Baseline to Week 48 |
| Winnipeg |
| Manitoba |
| R3A 1M3 |
| Canada |
| The Waterside Clinic /ID# 234146 | Barrie | Ontario | L4M 6L2 | Canada |
| Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 233565 | Dundas | Ontario | L9H 1B7 | Canada |
| Arthur Karasik Medicine Professional Corporation /ID# 234147 | Etobicoke | Ontario | M9C 5N2 | Canada |
| Lau Bacchus Professional Medicine Corp /ID# 245283 | Hamilton | Ontario | L8N 1Y2 | Canada |
| Credit Valley Rheumatology /ID# 234144 | Mississauga | Ontario | L5M 2V8 | Canada |
| Dr. L. Lisnevskaia Medicine Professional Corporation /ID# 239611 | Oshawa | Ontario | L1H 1B9 | Canada |
| Angela Montgomery Medicine Professional Corporation /ID# 239608 | Ottawa | Ontario | K1H 7X3 | Canada |
| Niagara Peninsula Arthritis Ct /ID# 245521 | St. Catharines | Ontario | L2N 7E4 | Canada |
| Dr. Sabeen Anwar Medicine Professional Corporation /ID# 242696 | Windsor | Ontario | N8X 1T3 | Canada |
| Applied Medical Informatics Research Inc. (AMIR) /ID# 239614 | Montreal | Quebec | H4A 3T2 | Canada |
| Clinique de Rhumatologie de Montreal /ID# 239613 | Montreal | Quebec | H4N 1C6 | Canada |
| CISSSBSL -Hopital regional de Rimouski /ID# 234150 | Rimouski | Quebec | G5L 5T1 | Canada |
| Groupe de Recherche en Maladies Osseuses Inc /ID# 234145 | Sainte-Foy | Quebec | G1V 3M7 | Canada |
| CIUSSS de l'Estrie - CHUS /ID# 241054 | Sherbrooke | Quebec | J1G 2E8 | Canada |
| Centre de Recherche Musculo-Squelettique /ID# 234151 | Trois-Rivières | Quebec | G8Z 1Y2 | Canada |
| Dr Naik-Medical Professional Corporation-Alliance Health /ID# 234149 | Saskatoon | Saskatchewan | S7H 5M7 | Canada |
| Praxis Dr. Rinaldi /ID# 228639 | Ulm | Baden-Wurttemberg | 89073 | Germany |
| Praxis Dres. Kellerer/Kellerer/Krüger /ID# 227414 | Munich | Bavaria | 81541 | Germany |
| Rheumahaus Studien GbR, Potsdam, DE /ID# 230771 | Potsdam | Brandenburg | 14467 | Germany |
| Internistisches Praxiszentrum /ID# 228262 | Giessen | Hesse | 35392 | Germany |
| Fachpraxis fuer Rheumatologie und Osteologie /ID# 227391 | Bruchhausen-Vilsen | Lower Saxony | 27305 | Germany |
| Kupka & Kupka, Altenburg, DE /ID# 228243 | Altenburg | 04600 | Germany |
| Marycz, Amberg, DE /ID# 227413 | Amberg | 92224 | Germany |
| Rheumapraxis am Webereck /ID# 229274 | Augsburg | 86157 | Germany |
| MVZ Weserbergland /ID# 228806 | Bad Pyrmont | 31812 | Germany |
| ACURA Rheumazentrum Baden-Bade /ID# 239202 | Baden-Baden | 76530 | Germany |
| Rheumapraxis Prof Dr Karin Manger /ID# 229120 | Bamberg | 96047 | Germany |
| Sozialstiftung Bamberg /ID# 228549 | Bamberg | 96049 | Germany |
| Internistische-rheumatologische Praxisgemeinschaft /ID# 228240 | Bayreuth | 95444 | Germany |
| MVZ Rheumatologie /ID# 240868 | Berlin | 10117 | Germany |
| Praxis Dr. med. Angela Seifert /ID# 233772 | Berlin | 12555 | Germany |
| Praxis Dr. Silke Zinke /ID# 229127 | Berlin | 13055 | Germany |
| Rheumapraxis am Schlachtensee /ID# 228800 | Berlin | 14129 | Germany |
| Eisterhues, Braunschweig, DE /ID# 227390 | Braunschweig | 38100 | Germany |
| Dres. Schuh /ID# 227411 | Coburg | 96450 | Germany |
| Rheumatologie in Veedel /ID# 228469 | Cologne | 50825 | Germany |
| Krankenhaus Porz am Rhein /ID# 228358 | Cologne | 51149 | Germany |
| Praxis Dr. Kirrstetter /ID# 229609 | Deggendorf | 94469 | Germany |
| Kreiskrankenhaus Demmin /ID# 228253 | Demmin | 17109 | Germany |
| Rheumatologisches MVZ Dresden /ID# 230787 | Dresden | 01109 | Germany |
| Praxis Dilltal /ID# 228640 | Ehringshausen | 35630 | Germany |
| MVZ Ambulantes Rheumazentrum Erfurt /ID# 248933 | Erfurt | 99096 | Germany |
| Dres. Waehrisch/Flaxenberg /ID# 228263 | Essen | 45326 | Germany |
| Michael Mueller, Freiberg, DE /ID# 228468 | Freiberg | 09599 | Germany |
| Praxis Dr. Behringer /ID# 229275 | Fulda | 36039 | Germany |
| Rockwitz, Goslar, DE /ID# 227856 | Goslar | 38642 | Germany |
| Praxis Fiene /ID# 244732 | Greifswald | 17493 | Germany |
| Praxis Dr. Kuehne /ID# 229119 | Haldensleben I | 39340 | Germany |
| Praxis Dr. Liebhaber /ID# 228636 | Halle | 06128 | Germany |
| Stille, Hanover, DE /ID# 229604 | Hanover | 30161 | Germany |
| Heilig, Heidelberg, DE /ID# 228356 | Heidelberg | 69120 | Germany |
| St. Elisabeth Gruppe GmbH -Katholische Kliniken /ID# 228797 | Herne | 44649 | Germany |
| Praxis Bernd Mueller /ID# 230776 | Homburg | 66424 | Germany |
| Praxis K. Pagel /ID# 228247 | Hoppegarten | 15366 | Germany |
| Kremers, Juelich, DE /ID# 240383 | Jülich | 52428 | Germany |
| Rheumapraxis Kaufering /ID# 231391 | Kaufering | 86916 | Germany |
| Alb-Donau Klinikum, Langenau /ID# 233770 | Langenau | 89129 | Germany |
| Hamann & Teich & Boche,Leipzig /ID# 228355 | Leipzig | 04109 | Germany |
| Praxis internistische Rheumatologie /ID# 227857 | Leipzig | 04129 | Germany |
| Dres. Teipel/Toussaint/Saech /ID# 228465 | Leverkusen | 51373 | Germany |
| Dr. Bolze, Ludwigshafen, DE /ID# 230773 | Ludwigshafen | 67069 | Germany |
| Aurich & Sieburg, Magdeburg /ID# 229605 | Magdeburg | 39104 | Germany |
| Praxis Dr. Annekatrin Rossbach /ID# 230783 | Mansfeld / Großörner | 06343 | Germany |
| Harmuth, Marktredwitz, DE /ID# 227709 | Marktredwitz | 95615 | Germany |
| RHIO Forschungsinstitut /ID# 227736 | Meerbusch | 40668 | Germany |
| Vollmer & Partner, DE /ID# 240869 | Mönchengladbach | 41061 | Germany |
| Prof-med-stud.de /ID# 228637 | Munich | 80935 | Germany |
| Rheumatologische Facharztpraxis /ID# 228808 | Naumburg | 06618 | Germany |
| Berger, Naunhof, DE /ID# 229612 | Naunhof | 04683 | Germany |
| Praxis Dr. med Thilo Klopsch /ID# 229123 | Neubrandenburg | 17033 | Germany |
| Erbsloeh-Moeller, Neunkirchen /ID# 230778 | Neunkirchen | 66538 | Germany |
| MVZ Medic-Center Nürnberg GmbH /ID# 240982 | Nuremberg | 90443 | Germany |
| Die Fachaerzte im Rottal - Nephrologie, Rheumatologie /ID# 230774 | Pfarrkirchen | 84347 | Germany |
| MVZ für Rheumatologie Dr. M. Welcker /ID# 227858 | Planegg | 82152 | Germany |
| Baumann & Lang, Plauen, DE /ID# 229128 | Plauen | 08523 | Germany |
| Praxis Dr. Sabine Reckert /ID# 248986 | Potsdam | 14469 | Germany |
| Knappschaftsklinikum Saar /ID# 248882 | Püttlingen | 66346 | Germany |
| Rheumazentrum Ratingen /ID# 228261 | Ratingen | 40882 | Germany |
| Rheumatologische Praxis Dr. Jochen Walter /ID# 229607 | Rendsburg | 24768 | Germany |
| Rheumatologische Gemeinschaftspraxis Schwerin /ID# 228260 | Schwerin | 19053 | Germany |
| Melzer, Seesen, DE /ID# 227386 | Seesen | 38723 | Germany |
| Barmherzige Bruder MVZ Klinikum Straubing GmbH /ID# 228805 | Straubing | 94315 | Germany |
| Krankenhaus der Barmherzigen Brueder Trier /ID# 229603 | Trier | 54292 | Germany |
| Praxis Dr. Haas /ID# 228813 | Tübingen | 72072 | Germany |
| Rheumathologie Ulm /ID# 238801 | Ulm | 89073 | Germany |
| MVZ Lahn-Dill-Kliniken GmbH /ID# 231390 | Wetzlar | 35578 | Germany |
| MVZ Lahn-Dill-Kliniken GmbH /ID# 262011 | Wetzlar | 35578 | Germany |
| Krankenhaus St. Josef /ID# 229611 | Wuppertal | 42105 | Germany |
| Praxis Barmen /ID# 227392 | Wuppertal | 42285 | Germany |
| Sprekeler, Zeven, DE /ID# 233773 | Zeven | 27404 | Germany |
| Fricke-Wagner, Zwickau, DE /ID# 230775 | Zwickau | 08060 | Germany |
| Derived |
| Werner SG, Baraliakos X, Reckert S, Bohl-Buhler M, Laliberte MC, Girard T, Jeromin K, Baschuk N, Fritz B, Bessette L, Hueber AJ. Treatment with Upadacitinib in Active Psoriatic Arthritis: Efficacy and Safety Data of the First 192 Patients from the UPJOINT Study, a Multicentre, Observational Study in Clinical Practice. Rheumatol Ther. 2023 Dec;10(6):1503-1518. doi: 10.1007/s40744-023-00589-3. Epub 2023 Sep 11. |
| ID | Term |
|---|---|
| D015535 | Arthritis, Psoriatic |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D011565 | Psoriasis |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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