Evidence map›Paper›PMID 41741728›Full record

Trial reportNaunyn-Schmiedeberg's archives of pharmacology2026

Effect of ivarmacitinib on swelling and tenderness in small and large joints and imaging changes in patients with moderate-to-severe RA: a post hoc analysis of a phase III clinical trial.

Yuxiang Han, Meng Ding, Shaoxin Cui, Yu Tian, Yushu Yang, Xuying Liu, Lin Yang, Xiaoping Wang, Hongtao Jin, Huifang Guo and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04333771 (A Multicenter, Randomized, Double-blind, Placebo-controlled Phase 3 Clinical Study to Evaluate the Efficacy and Safety of SHR0302 in Moderate to Severe Active Rheumatoid Arthritis Subjects With Inadequate Response to csDMARDs.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04333771 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Placebo-controlled Phase 3 Clinical Study to Evaluate the Efficacy and Safety of SHR0302 in Moderate to Severe Active Rheumatoid Arthritis Subjects With Inadequate Response to csDMARDs.

TypeinterventionalSponsorJiangsu HengRui Medicine Co., Ltd.Ran2020 to 2023Enrolled566ConditionsRheumatoid ArthritisArmsSHR0302, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yuxiang Han *Department of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Meng Ding *Department of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Shaoxin CuiDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Yu TianDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Yushu YangDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Xuying LiuDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Lin YangDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Xiaoping WangDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China.
Hongtao JinDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China. 15803210963@163.com.
Huifang GuoDepartment of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, 050000, Shijiazhuang, Hebei Province, China. guohfch@126.com.
Haixue DaiMedical Affairs, Jiangsu Hengrui Pharmaceuticals Co, Ltd., Shanghai, 201210, China.
Shanshan YinMedical Affairs, Jiangsu Hengrui Pharmaceuticals Co, Ltd., Shanghai, 201210, China.
Tan LuMedical Affairs, Jiangsu Hengrui Pharmaceuticals Co, Ltd., Shanghai, 201210, China.

Funding

the Provincial Key of Medical Science Research of Hebei No. 20241673
6 · The paper itself

Abstract

This post hoc analysis of a phase III clinical trial (NCT04333771) was aimed at evaluating the effect of ivarmacitinib (SHR0302) on joint symptoms in small and large joints and imaging changes in patients with moderate-to-severe rheumatoid arthritis (RA). Patients were randomized to receive 24-week ivarmacitinib 4 mg (n = 189), ivarmacitinib 8 mg (n = 189), or placebo (n = 188). At week (W) 24, patients receiving placebo switched to ivarmacitinib 4 mg; others continued initial regimens until W52. Changes in swollen joint count (SJC) and tender joint count (TJC) in small and large joints from baseline, and imaging changes from baseline to W24, were evaluated. Compared with the placebo group, ivarmacitinib 4 mg and 8 mg groups demonstrated greater reductions in SJC and TJC in small and large joints over the initial 24 weeks and showed sustained improvement throughout the treatment. Ivarmacitinib 4 mg and 8 mg groups showed greater reductions in TJC in small joints versus large joints at several time points, with especially pronounced effects in the ivarmacitinib 8 mg group from W20 to W52. From W24 to W52, patients switched to ivarmacitinib 4 mg exhibited sufficient improvement in SJC and TJC of small and large joints, with greater reductions in TJC in small joints versus large joints. Ivarmacitinib 4 mg and 8 mg groups showed greater reductions in bone erosion and synovitis scores under MRI scanning from baseline to W24 versus the placebo group. Ivarmacitinib improves swelling and tenderness in small and large joints in patients with moderate-to-severe RA, with superior effects on tenderness in small joints.

Indexed as

AmidesAntirheumatic AgentsArthritis, RheumatoidEdemaJointsAdultAgedDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSeverity of Illness IndexSulfuric AcidsTreatment OutcomeAmidesAntirheumatic AgentsivarmacitinibSulfuric AcidsImaging changesIvarmacitinibRheumatoid arthritisSwellingTenderness

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.