Vasculitis & polymyalgia rheumatica

Clinical outcomes of upadacitinib continuation vs withdrawal in giant cell arteritis through 2 years

Ann Rheum DisPublished Secondary analysis of the SELECT-GCA randomised trial

Authors' conclusion

These data further support a favourable benefit-risk profile for extended use of upadacitinib 15 mg for treatment of GCA.

Study context

Population
Patients with giant cell arteritis (GCA) aged ≥50 years on upadacitinib 15 mg achieving ≥24 weeks of consecutive remission by week 52 in SELECT-GCAre-randomised 2:1 in period 2
Participants
103 patients
Comparison
Upadacitinib 15 mg continuation vs switch to placebo at week 52
  • Upadacitinib 15 mgn = 68
  • Placebon = 35reference
Methodological detailsre-randomised, blinded extension
  • Re-randomised
  • Blinded extension

Primary result

As reported in the abstract

Disease flares · weeks 52 to 104

P ≤ 0.0001

Further findings

Maintenance of GC-free remission · weeks 52 to 104 · All P values are nominal

P ≤ 0.0001

GC exposure · weeks 52 to 104 · All P values are nominal

P ≤ 0.0001

Safety

Safety generally similar between upadacitinib and placebo; no new clinically significant safety risks through 2 years

Original publication

Clinical outcomes of upadacitinib continuation vs withdrawal in giant cell arteritis through 2 years. Ann Rheum Dis. Published 28 July 2026. doi:10.1016/j.ard.2026.06.029

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.