About this trial
The aim of this study is to observe the clinical efficacy and safety of telitacicept combined with tofacitinib in the treatment of D2TRA patients
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-85 years
Diagnosed with refractory rheumatoid arthritis according to the 2021 EULAR (European Alliance of Associations for Rheumatology) diagnostic criteria
The traditional disease-improving rheumatic drug treatment is ineffective, and the use of two or more biological/targeted disease-improving anti-rheumatic drugs is ineffective, and telitacicept combined with tofacitinib is required treated patients
Voluntarily provided written informed consent -
Disqualifiers
Exclusion of patients with severe diseases of major organs (e.g., heart, liver, or lungs)
Patients with malignancies, hematological disorders, or other autoimmune diseases (excluding rheumatoid arthritis)
History of allergy/hypersensitivity to the study medications (Telitacicept or Tofacitinib)
Active tuberculosis or active infectious diseases requiring systemic treatment
Trial population
Patients with refractory rheumatoid arthritis
Trial design
Cohort
Prospective
Treatments tested in this trial
Telitacicept Tofacitinib
DrugOne group of D2TRA subjects receive Telitacicept combine Tofacitinib treatment
Treatment groups
Trial outcomes
Primary outcomes
Efficacy of Telitacicept Combined With Tofacitinib for Refractory Rheumatoid Arthritis
The disease activity score of 28 joints with erythrocyte sedimentation rate (DAS28-ESR ≤ 2.6, remission; 2.6 \< DAS28-ESR ≤ 3.2, mild activity; 3.2 \< DAS28-ESR ≤ 5.1, moderate activity, and DAS28-ESR \> 5.1, severe activity)
Secondary outcomes
Incidence of Treatment-Emergent Adverse EventsArthritis
Liver and kidney function
Sponsors and contacts
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