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.
Study Type
OBSERVATIONAL
Enrollment
394
Dr. Jonathan D. Chan Inc. /ID# 241611
Vancouver, British Columbia, Canada
Manitoba Clinic /ID# 234148
Winnipeg, Manitoba, Canada
The Waterside Clinic /ID# 234146
Barrie, Ontario, Canada
Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 233565
Dundas, Ontario, Canada
Arthur Karasik Medicine Professional Corporation /ID# 234147
Etobicoke, Ontario, Canada
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.
Time frame: At Week 24
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.
Time frame: At Week 48
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).
Time frame: 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.
Time frame: Baseline to Week 48
Mean Change in Percentage of Participants with Dactylitis
Mean change in percentage of participants with dactylitis.
Time frame: Baseline to Week 48
Mean Change in Number of Fingernails Affected with Psoriasis
Mean change in number of fingernails affected with psoriasis.
Time frame: 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.
Time frame: 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.
Time frame: Baseline to Week 48
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Lau Bacchus Professional Medicine Corp /ID# 245283
Hamilton, Ontario, Canada
Credit Valley Rheumatology /ID# 234144
Mississauga, Ontario, Canada
Dr. L. Lisnevskaia Medicine Professional Corporation /ID# 239611
Oshawa, Ontario, Canada
Angela Montgomery Medicine Professional Corporation /ID# 239608
Ottawa, Ontario, Canada
Niagara Peninsula Arthritis Ct /ID# 245521
St. Catharines, Ontario, Canada
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