RA-PRO Pragmatic Trial for Rheumatoid Arthritis

This study is for people with active rheumatoid arthritis (RA) whose current treatment isn't working well. We are comparing two different approaches to changing your medication: switching to a targeted synthetic DMARD (like tofacitinib, baricitinib, or upadacitinib) or switching to a non-TNFi biologic (like rituximab, abatacept, tocilizumab, or sarilumab). The goal is to see which approach leads to better functional ability over 12 months. You may be able to join if you are 18 or older and have active, disabling RA despite using a TNFi-biologic, or if you stopped your previous medication due to side effects. The study aims to enroll 924 participants.

Study design
This is an interventional study with a planned enrollment of 924 participants. It compares two different drug classes for treating rheumatoid arthritis.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your functional ability will be measured for 12 months after starting the new treatment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT04692493

RA-PRO PRAGMATIC TRIAL

Recruiting
PHASE3Ages 18+InterventionalTreatment
University of Alabama at Birmingham
~924 participants
Updated 2026-07-17 on ClinicalTrials.gov
What's tested:targeted synthetic DMARD classnon-TNFi-biologic class

At a glance

Recruiting sites
49 of 49 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Functional Limitation
Measured over Change from baseline to 12 months
Rheumatoid Arthritis
49 sites across 19 states
Florida9
California5
Texas5
Ohio4
Pennsylvania4
Alabama3
Arizona2
Massachusetts2
  • Jasvinder Singh, MD · PRINCIPAL_INVESTIGATOR · University of Alabama at Birmingham

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  • Functional LimitationChange from baseline to 12 months

    Function limitation assessed by Health assessment questionnaire (HAQ); HAQ assesses difficulty in 20 items in 8 categories (dressing, arising, eating, walking, hygiene, reaching, gripping, and outside activity), the total score ranges from 0 (no disability) to 3 (complete disability). Higher score is worse, and indicates poor function.