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.

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NCT06016517

Application of the Personalized N-of-1 Trial Design in Patients With Rheumatoid Arthritis

Not Yet Recruiting
Not specifiedAges 18+Observational
Tufts Medical Center
~18 participants
Updated 2026-07-22 on ClinicalTrials.gov
What's tested:EtanerceptAdalimumabUpadacitinibTocilizumab

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Disease Activity Score (DAS) 28
Measured over Baseline and week 12 of each treatment period
Arthritis, Rheumatoid
1 sites across 1 states
Massachusetts1
  • Harry P Selker, MD · PRINCIPAL_INVESTIGATOR · Tufts Medical Center

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  • 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),