Evidence map›Paper›PMID 41922627›Full record

Trial reportClinical rheumatology2026

Effect of ivarmacitinib on patient-reported outcomes in patients with moderate-to-severe active rheumatoid arthritis: a post-hoc analysis of a phase III trial.

Nannan Xia, Lijuan Zhu, Weifeng Zhang, Luyue Zhang, Lixin Feng, Zhijuan Ren, Yuqing Luo, Nan Wang, Lei Yang, Haixue Dai and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Nannan XiaDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Lijuan ZhuDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Weifeng ZhangDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Luyue ZhangDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Lixin FengDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Zhijuan RenDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Yuqing LuoDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Nan WangDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China.
Lei YangDepartment of Rheumatologic Immunity, Zhengzhou Central Hospital Affiliated to Zhengzhou University, No.16 Tongbai North Road, Zhongyuan District, Zhengzhou, 450000, China. dryangruoyu@126.com.ORCID http://orcid.org/0009-0000-6899-0141
Haixue DaiMedical Affairs, Jiangsu Hengrui Pharmaceuticals, Shanghai, 201210, China.
Shanshan YinMedical Affairs, Jiangsu Hengrui Pharmaceuticals, Shanghai, 201210, China.
Tan LuMedical Affairs, Jiangsu Hengrui Pharmaceuticals, Shanghai, 201210, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIvarmacitinib (SHR0302), a selective Janus kinase 1 inhibitor, has demonstrated efficacy and safety in patients with moderate-to-severe rheumatoid arthritis (RA) who exhibited inadequate response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs-IR) by a phase III clinical trial (NCT04333771). This post-hoc study focused on patient-reported outcomes (PROs) using the data of this trial, aiming to comprehensively assess the treatment's impact on patients' quality-of-life and symptom perception.

methodsPatients were randomized (1:1:1) to receive once daily ivarmacitinib 4 mg (N = 189), ivarmacitinib 8 mg (N = 189) or placebo (N = 188). At week 24, patients with placebo switched to ivarmacitinib 4 mg for an additional 28 weeks, while the others continued their initial dosage. PROs included morning stiffness duration and severity, Health Assessment Questionnaire-Disability Index (HAQ-DI), Patient Global Assessment of Disease Activity (PtGA), 36-Item Short Form Health Survey (SF-36), and pain by visual analog scale.

resultsIvarmacitinib 4 mg and 8 mg demonstrated significantly higher rates of HAQ-DI improvement ≥ 0.22 compared to placebo from week 2 to 24 (all P < 0.05). Meanwhile, ivarmacitinib 4 mg and 8 mg significantly improved morning stiffness duration and severity, HAQ-DI score, SF-36 physical and mental component score, PtGA, and pain at week 24 compared to placebo (all P < 0.05). From week 24 to 52, all PROs were sustainedly improved by ivarmacitinib 4 and 8 mg; patients who switched from placebo to ivarmacitinib 4 mg at week 24 also achieved substantial improvements in PROs.

conclusionIvarmacitinib significantly and sustained improves PROs in patients with moderate-to-severe RA with csDMARDs-IR. Key Points • In patients with moderate-to-severe RA with csDMARDs-IR, ivarmacitinib, a novel selective JAK-1 inhibitor, improved various dimensions of PROs compared with placebo, including patient-reported symptoms of RA, overall physical functioning, quality-of-life, and spiritual well-being. • From week 24 to week 52, patients who switched from placebo to ivarmacitinib experienced substantial improvements in all PROs. • From week 24 to week 52, patients who continued ivarmacitinib treatment showed sustained improvements in PROs.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidPatient Reported Outcome MeasuresPyrrolesAdultAgedDouble-Blind MethodFemaleHeterocyclic Compounds, 2-RingHumansJanus Kinase 1MaleMiddle AgedPyrimidinesQuality of LifeSeverity of Illness Index2-((2-(1H-pyrrolo(2,3-b)pyridin-3-yl)pyrimidin-4-yl)amino)-2-methyl-N-(2,2,2-trifluoroethyl)butanamideAntirheumatic AgentsHeterocyclic Compounds, 2-RingJanus Kinase 1PyrimidinesPyrrolesValineconventional synthetic DMARDsivarmacitinibJAK inhibitorpatient-reported outcomesrheumatoid arthritis

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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.