Table 2.
Summary of phase II and III studies with efficacy, safety, and pharmacokinetic characterization of upadacitinib in subjects with rheumatoid arthritis
| Study | Description | Upadacitinib formulation used in the study | References |
|---|---|---|---|
| Phase II studies | |||
| BALANCE IIa | Comparison of upadacitinib to placebo in subjects with moderately to severely active RA who are on a stable background of MTX and have an inadequate response to MTX | IR capsules | [14] |
| BALANCE Ia | Comparison of upadacitinib to placebo in subjects with moderately to severely active RA who are on a stable background of MTX and who have an inadequate response or intolerance to anti-TNF biologic therapy | IR capsules | [13] |
| SELECT-SUNRISEa,b | Comparison of upadacitinib to placebo in Japanese subjects with moderately to severely active RA who are on a stable dose of csDMARDs and have an inadequate response to csDMARDs | ER tablets | [15] |
| Phase III studies | |||
| SELECT-COMPAREa | Comparison of upadacitinib to placebo and to adalimumab in subjects with moderately to severely active RA who are on a stable background of MTX and who have an inadequate response to MTX (MTX-IR) | ER tablets | [16] |
| SELECT-NEXTa | Comparison of upadacitinib to placebo in subjects with moderately to severely active RA who are on a stable dose of csDMARDs and have an inadequate response to csDMARD | ER tablets | [18] |
| SELECT-MONOTHERAPYa | Comparison of upadacitinib monotherapy to MTX in subjects with moderately to severely active RA with inadequate response to MTX | ER tablets | [17] |
| SELECT-BEYONDa | Comparison of upadacitinib to placebo in subjects with moderately to severely active RA with inadequate response or intolerance to bDMARDs who are on stable background of csDMARDs | ER tablets | [19] |
| SELECT-EARLYa | Comparison of upadacitinib monotherapy to MTX monotherapy in MTX-naïve subjects with moderately to severely active RA | ER tablets | [20] |
bDMARDs biologic disease-modifying antirheumatic drugs, csDMARDs conventional synthetic disease-modifying antirheumatic drugs, ER extended-release, IR immediate-release, MTX methotrexate, RA rheumatoid arthritis, TNF tumor necrosis factor
aSparse blood samples were collected for population pharmacokinetic analyses
bStudy included intensive pharmacokinetic assessment in a cohort of subjects