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| ID | Type | Description | Link |
|---|---|---|---|
| Assuit university | Other Identifier | Assuit university |
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Systemic sclerosis (SSc) is a systemic autoimmune disease with heterogeneous clinical presentation and prognosis. JAK inhibitors reduced cutaneous and pulmonary fibrosis in mice models of SSc. Clinical data regarding the efficacy and safety of JAK inhibitors in SSc patients are scarce
Systemic sclerosis (SSc) is a systemic autoimmune disease with heterogeneous clinical presentation and prognosis. JAK inhibitors reduced cutaneous and pulmonary fibrosis in mice models of SSc. Clinical data regarding the efficacy and safety of JAK inhibitors in SSc patients are scarce. Upadacitinib mechanism of action JAK-STAT pathways are composed of four JAK kinases and seven STATs (STAT1-6, including homologs STAT5a and STAT5b). A cytokine binding to its receptor initiates the signaling cascade as well as the subsequent association/rearrangement of the receptor subunits. This rearrangement enables JAK activation by transphosphorylation and, upon activation, JAKs phosphorylate the receptors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| upadacitinib | Experimental | upadacitinib 15 mg oral once daily |
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| MMF | Active Comparator | MMF 2 gm oral daily |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Upadacitinib 15 MG | Drug | oral tablet upadacitinib |
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| Measure | Description | Time Frame |
|---|---|---|
| forced vital capacity | FVC reduction of 15% | 52 week |
| Measure | Description | Time Frame |
|---|---|---|
| High resolution chest computed tomography | HRCT chest pattern changes ground glass appearance | 52 week |
| modefided Rodnan skin score | skin score for tightness grade more than 14 is worse |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manal Hassanien, professor | Assiut University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medicinr | Asyut | Alabama | 7111 | Egypt |
allocation to which study arm and the outcome data analysis
15 july 2025
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| ID | Term |
|---|---|
| C000613732 | upadacitinib |
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Randomised double blinded clinical trial
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| Cellcept Oral Product | Device | active control group 2000mg MMF daily |
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| 52 week |