Personalized N-of-1 Trial for Rheumatoid Arthritis Treatments
This study is for adults newly diagnosed with rheumatoid arthritis (RA), a condition that causes joint pain and swelling. It aims to find the best treatment for each individual patient by testing different FDA-approved medications: etanercept, adalimumab, upadacitinib, and tocilizumab. You will receive a sequence of three of these treatments, each for 12 weeks. The main goal is to see how each treatment changes your RA symptoms and overall condition, measured by a score called DAS28. This study also looks at how effective these treatments are across all participants. There are 18 people planned to join this observational study.
- Study design
- This is an observational study designed as an N-of-1 trial, meaning treatments are tested individually for each participant. Participants will be randomized to a sequence of three medications.
- What's involved
- You will receive a sequence of four different therapeutic regimens, each lasting 12 weeks. The study measures changes in your disease activity at the beginning and end of each 12-week treatment period.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants are followed during each 12-week treatment period to measure changes in their disease activity.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Application of the Personalized N-of-1 Trial Design in Patients With Rheumatoid Arthritis
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Harry P Selker, MD · PRINCIPAL_INVESTIGATOR · Tufts Medical Center
Who to contact
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What this trial measures
- Change in Disease Activity Score (DAS) 28Baseline and week 12 of each treatment period
Evaluates patient and physician overall assessment of disease activity, including the number of swollen and painful joints (out of 28 joints),