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CTRI Number  CTRI/2026/01/102260 [Registered on: 28/01/2026] Trial Registered Prospectively
Last Modified On: 28/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare the effectiveness and safety of tofacitinib alone versus tofacitinib in combination with methotrexate in patients with rheumatoid arthritis” 
Scientific Title of Study   Efficacy, Safety and Tolerability of Tofacitinib in addition to Methotrexate versus Tofacitinib as a Monotherapy in Patients with Rheumatoid Arthritis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sanjana Mehta  
Designation  Assistant Professor  
Affiliation  Chitkara College of Pharmacy  
Address  Chitkara college of pharmacy, Rajpura, Punjab Chitkara University

Patiala
PUNJAB
140401
India 
Phone  7986984955  
Fax    
Email  Sanjana@chitkara.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Sanjana Mehta  
Designation  Assistant Professor  
Affiliation  Chitkara College of Pharmacy  
Address  Chitkara college of pharmacy, Rajpura, Punjab Chitkara University

Patiala
PUNJAB
140401
India 
Phone  09736236229  
Fax    
Email  Sanjana@chitkara.edu.in  
 
Details of Contact Person
Public Query
 
Name  Shushank Mahajan 
Designation  Junior Research Fellow 
Affiliation  Chitkara College of Pharmacy  
Address  Chitkara college of pharmacy, Rajpura, Punjab Chitkara University
department of Pharmacy practice
Patiala
PUNJAB
140401
India 
Phone  09736236229  
Fax    
Email  shushank.Mahajan@Chitkara.edu.in  
 
Source of Monetary or Material Support  
This study is being conducted without any external funding or monetary support.” 
 
Primary Sponsor  
Name  Chitkara University  
Address  Rajpura-Patiala 140401 
Type of Sponsor  Other [Educational Institute ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr vikas gupta   Centre for Rheumatology and Arthritis Care  Room no. 1, Department of Rheumatology, Ludhiana
Ludhiana
PUNJAB 
06239739991

dr_vikas_gupta@dmch.edu 
Dr Amit Kansal  Kansal Arthritis and rheumatology Centre of Excellence   Room no1, Department of Rheumatology, Ludhiana
Ludhiana
PUNJAB 
7508522151

kansal69@reddiff.com 
Dr Parshant Aggarwal   Punjab Rheumatology and Immunology Clinic  Room no 201, Department of Rheumatology,Ludhiana
Ludhiana
PUNJAB 
9876702493

drparshant@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Chitkara University Punjab  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M059||Rheumatoid arthritis with rheumatoid factor, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Tofacitinib   Tofacitinib 5mg BD for 6 months  
Comparator Agent  Tofacitinib + Methotrexate   Tofacitinib + Methotrexate  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Age between 18-50years
diagnosed With Rheumatoid Arthritis
on methotrexate from last one month 
 
ExclusionCriteria 
Details  1.Pregnant women and lactating women, those who deny to take contraceptives during study period.
2. Patients who deny to provide Consent form.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Comparing the DAS28 response of both groups at 24 weeks when compared to baseline   24 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
Occurrence of adverse events and serious adverse events (including Change from baseline in clinical laboratory test, Physical Examination and vital sign recorded as adverse events)  24weeks 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   10/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study evaluates the efficacy, safety, and tolerability of tofacitinib (a Janus kinase inhibitor) when used in combination with methotrexate (MTX) compared to tofacitinib alone (monotherapy) in patients with rheumatoid arthritis (RA). Results indicate that combining tofacitinib with MTX provides greater clinical improvement in RA symptoms than tofacitinib alone, particularly in patients who had an inadequate response to MTX previously. Both treatment approaches showed a manageable safety profile, though adverse events were slightly more frequent in the combination therapy group. Overall, tofacitinib + MTX was found to be more effective, with acceptable tolerability for most patients. 
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