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CTRI Number  CTRI/2025/08/092889 [Registered on: 12/08/2025] Trial Registered Prospectively
Last Modified On: 04/05/2026
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug
Biological 
Study Design  Single Arm Study 
Public Title of Study   To evaluate the safety and effectiveness of GolimuRel in patients with Rheumatoid Arthritis, Psoriatic Arthritis and Ulcerative Colitis. Golimurel will be administered in a total of 225 patients of these three indications and safety profile will be be evaluated as primary outcome in these patients. 
Scientific Title of Study   A prospective, multi-centre, open label, phase IV study to evaluate safety and efficacy profile of GolimuRel® (Golimumab manufactured by Reliance Life Sciences Pvt. Ltd.) in rheumatoid arthritis, psoriatic arthritis and ulcerative colitis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
RLS/PMS/2023/04; Version 4.0, Dated: 08 Oct 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajaykumar Yadav  
Designation  AVP & Head Clinical Research Group  
Affiliation  Reliance Life Sciences  
Address  RLS Clinical Research Group Reliance Life Sciences DALC Rabale Navi Mumbai 400701 Mumbai MAHARASHTRA 400701 Mumbai MAHARASHTRA 400701 India

Thane
MAHARASHTRA
400701
India 
Phone  919820804218  
Fax    
Email  Ajaykumar2.Yadav@relbio.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Sachin Kagane  
Designation  Medical Monitor  
Affiliation  Reliance Life Sciences  
Address  RLS Clinical Research Group Reliance Life Sciences DALC Rabale Navi Mumbai 400701 Mumbai MAHARASHTRA 400701

Thane
MAHARASHTRA
400701
India 
Phone  919987885679  
Fax    
Email  Sachin1.Kagane@relbio.com   
 
Details of Contact Person
Public Query
 
Name  Mr Ganesh Bagul  
Designation  Head- Clinical Operations  
Affiliation  Reliance Life Sciences  
Address  RLS Clinical Research Group Reliance Life Sciences DALC Rabale Navi Mumbai 400701 Mumbai MAHARASHTRA 400701

Thane
MAHARASHTRA
400701
India 
Phone  919820617721  
Fax    
Email  Ganesh1.Bagul@relbio.com   
 
Source of Monetary or Material Support  
Reliance Life Sciences Pvt Ltd 
 
Primary Sponsor  
Name  Reliance Life Sciences Pvt Ltd 
Address  Reliance Life Sciences Pvt. Ltd.,Dhirubhai Ambani Life Sciences Centre,Plot no. R-282, TTC area of MIDC, Thane Belapur Road, Rabale, Navi Mumbai – 400710, Maharashtra, India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 24  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Danveer Bhadu  All India Institute of Medical Sciences  Room no- 477, Department- Department of Rheumatology, Division- NA,Ansari Nagar, New Delhi- 110029, India.
New Delhi
DELHI 
9005493660

danveerbhadu2000@gmail.com 
Dr Vineet Ahuja  All India Institute of Medical Sciences  Room no- NA, Department- NA, Division- NA,Ansari Nagar, New Delhi- 110029, India.
New Delhi
DELHI 
9810707170

vineet.aims@gmail.com 
Dr Vishnu Sharma  Amber Clinic  Room- 401-402,Department NA, Division NA, 4th floor, Santorini Square, Opp star Bazzar, Behind Abhishree complex, Near Jodhpur cross road, Satellite Road, Ahmedabad- 380015
Ahmadabad
GUJARAT 
8511555477

drvishnusharma@yahoo.co.in 
Dr Syamasis Bandyopadhyay  Apollo Gleneagles Hospital  Room no- NA, Department of Internal Medicine and Rheumatology, Division NA 58 Canal Circular Road Kolkata 700054 West Bengal, India
Kolkata
WEST BENGAL 
9836576602

sambando@yahoo.co.uk  
Dr Pravin Jadav  Assured Care Plus Hospital  Room no NA, Department NA, Division NA, 4th& 5th floor, star plus complex , lam road, Muktidham temple, opp, to divisional office, Nashik road, Nashik, Maharashtra ,422101 , India
Nashik
MAHARASHTRA 
9822055612

drpraveenjadhav@rediffmail.com 
Dr Dawesh Yadav  Banaras Hindu University  Room no 23, Department of Gastroenterology, Division: NA, Sir Sundarlal Hospital, New Building, Lanka, Varanasi- 221005, Uttar Pradesh, India.
Varanasi
UTTAR PRADESH 
8130856563

davesh.thedoc@gmail.com 
Dr Chandrashekhar Srikantia  ChanRe Rheumatology and Immunology center & Research  Room no 65, Department NA, Division NA, Metro station, 414, 20th Main Rd, near Rajajinagar, West of Chord Road 2nd Stage, Rajajinagar, Bengaluru, 560010, Karnataka, India
Bangalore
KARNATAKA 
9845071151

Chandrashekara_s@yahoo.com 
Dr V Krishnamurthy  Chennai Meenakshi Multispecialty Hospital  Room no NA, Department NA, Division NA, Old building no. 149, New no. 72, Luz Church Road, Mylapore, Chennai - 600004, Tamil Nadu, India
Chennai
TAMIL NADU 
9841041717

drvk56@gmail.com 
Dr Ksheetij Kothari  CIMET’S Inamdar Multispeciality Hospital  Room no:15, Department: NA, Division: NA, Behind KPCT mall, Fatima Nagar, Wanawadi, Pune-411040, Maharashtra, India
Pune
MAHARASHTRA 
9765180182

ksheetij.kothari@gmail.com 
Dr Vinay Kumar  GSVM Medical College  Room no- NA, Department- NA, Division- NA, Swaroop Nagar, Kanpur- 208002, Uttar Pradesh, India.
Kanpur Dehat
UTTAR PRADESH 
7887273354

Drvinakumar011@gmail.com 
Dr Nikunj Dadhaniya  Health1 Super Speciality Hospital  Room No. NA, Department NA, Division NA, Block C ,GF To 8 Floor, Shilaj 23/73, On S.P.Ring Road, Near Shilaj Circle, Shilaj. Ahmedabad Ahmedabad Gujarat - 380059 India
Ahmadabad
GUJARAT 
9712999726

nikunjvdadhaniya@gmail.com 
Dr Parasar Gosh  Institute of Post Graduate Medical Education & Research  Room no. 244,Department NA, Division NA, A.J.C. Bose Road, Kolkata- 700020, West Bengal, India.
Kolkata
WEST BENGAL 
9433988317

drparasar@gmail.com 
Dr Dnyaneshwar Halnore  Kasturi Medicare Pvt. Ltd  Room no NA, Department NA, Division NA, Harshniketan, Gaondevi Road, Behind Navrang Hotel, Bhayander (W)
Mumbai
MAHARASHTRA 
8976253447

drhalnorpolaris@gmail.com 
Dr V Satya Prasad  King George Hospital  Room no NA, Department NA, Division NA, Maharanipta, Visakhapatnam 530002, Andhra Pradesh, India
Visakhapatnam
ANDHRA PRADESH 
9393104578

drvsatyaprasadresearch@gmail.com 
Dr Girish Kakade  Lifepoint Multispecialty Hospital  Room no.145/1, Department NA, Division NA, Mumbai Bangalore Highway, Near Hotel Sayaji, Wakad, Pune 411 057, Maharashtra, India
Pune
MAHARASHTRA 
99752 59101

patilnj81@gmail.com 
Dr Shweta Khopade  Medipoint Hospital Pvt. Ltd  Room No. 241/1, Department NA, Division NA, New D. P. Road, Aundh: 411007, Maharashtra, India
Pune
MAHARASHTRA 
9594340931

drgirishk.medipoint@gmail.com 
Dr Araghya Chatopadhyay  North Bengal Medical College & Hospital  Room no NA, Department NA, Division NA, Sushruta nagar, Siliguri, Darjeeling, West Bengal 734012, India
Darjiling
WEST BENGAL 
9434198949

dr.arghyact21@gmail.com 
Dr Kunal Patil  Om Sai Onco Surgery Multispeciality Center  Room no 457/10 C ,Dr. Lad Colony, Department NA, Division NA, Sugar Mill corner, Main Road, Kasaba Bawada, Kolhapur-416006. Maharashtra, India.
Kolhapur
MAHARASHTRA 
8149839175

drkunal.crd@gmail. com 
Dr Aniruddha Tembhe  Oyster and Pearl Hospital  Room no. 1671- 75, Department NA, Division NA, Shivajinagar, Ganeshkhind road, Shivajinagar, Pune- 411005, Maharashtra, India
Pune
MAHARASHTRA 
8975751707

draniruddhatembe@gmail.com 
Dr Vaishali Bhardwaj  R.M.L. Hospital  Room no- 404, Department of Gastroenterology, Division: NA, Academic Block, 4th Floor, PGIMER R.M.L Hospital, Baba Kharag Singh Marg, New Delhi -110001, India.
New Delhi
DELHI 
8376022402

drvaishali22.db@gmail.com 
Dr Diwakar Sharma  Radha Krishna Critical Care and General Hospital  Room no- NA, Department: NA, Division: NA, 1-C-12, Sheela Chaudhary Road, Talwandi, Kota- 324005, Rajasthan, India.
Kota
RAJASTHAN 
8949797325

drdiwakartrial@gmail.com 
Dr Avinash Agrawal  Shri Nidan Hospital and Hope Fertility Centre  Room no-NA, Department: NA, Division NA, 27- Vidyut Nagar A, Ajmer Road, Jaipur- 302021, Rajasthan, India.
Jaipur
RAJASTHAN 
9829052451

dravitrial@gmail.com 
Dr Avinash Jain  SMS Medical College & Attached Hospitals  JLN Marg Jaipur -Rajasthan -302004 India
Jaipur
RAJASTHAN 
8980005584

avipatni@gmail.com 
Dr Make Naveen Chand  Visakha Institute of Medical Sciences  Room no: NA, Department of Medical Gastroenterology, Division: NA, Visakha Institute of Medical Sciences (VIMS), Hanumanthavaka, Chinnagadhili, Visakhapatnam-530040, Andhra Pradesh, India.
Visakhapatnam
ANDHRA PRADESH 
9885837772

drmnaveenchandresearch@gmail.com  
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 22  
Name of Committee  Approval Status 
CMMHEC, Chennai Meenakshi Multispeciality Hospital Limited  Approved 
Ethics Committe Inamdar Multispeciality Hospital  Approved 
Ethics Committee GSVM Medical College  Approved 
Health1 super speciality hospital EC Health 1 Super Speciality Hospital  Submittted/Under Review 
IEC King George Hospital  Submittted/Under Review 
Institute Ethics Committee All India Institute of Medical Sciences  Approved 
Institute Ethics Committee All India Institute of Medical Sciences  Approved 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee Apollo Gleneagles Hospital  Submittted/Under Review 
Institutional Ethics Committee North Bengal Medical College And Hospital  Submittted/Under Review 
Institutional Ethics Committee Shlok Superspecialty Care  Submittted/Under Review 
Institutional Ethics Committee – CRICR  Submittted/Under Review 
Institutional Ethics Committee- Visakha Institute of Medical Sciences (VIMS)  Approved 
IPGMER Oversight Committee  Approved 
Kota Institutional Ethics Committee, Radha Krishna Critical Care and General Hospital  Approved 
Lifepoint Research- Ethics Committee  Approved 
O and P Ethics Committee  Approved 
Office of the Ethics Committee, SMS Medical College and attached Hospitals  Approved 
Om Sai Onco Institutional Ethics Committee  Submittted/Under Review 
Penta-Med Ethics Committee Medipoint Hospitals Pvt. Ltd  Approved 
Sangini Hospital Ethics Committee  Submittted/Under Review 
Shah Lifeline Hospital And Heart Institute Ec Shah Lifeline Hospital And Heart Institute Pvt Ltd  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M069||Rheumatoid arthritis, unspecified, (2) ICD-10 Condition: K519||Ulcerative colitis, unspecified, (3) ICD-10 Condition: L405||Arthropathic psoriasis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GolimuRel®  Golimumab (50mg) L-Histidine and L-Histidine monohydrochloride monohydrate (0.44mg) Polysorbate- 80 (0.08mg) Sorbitol (20.5mg) Water for injection qs to 0.5 ml 50 mg subcutaneously every 4 weeks at week 0, 4, 8, 12, 16 and 20 for Rheumatoid arthritis and Psoriatic arthritis. 200 mg initially administered by subcutaneous injection at Week 0 followed by 100 mg at Week 2 and then 100 mg at Week 6, 10, 14, 18 and 22 for Ulcerative colitis  
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 Patients with rheumatoid arthritis psoriatic arthritis or ulcerative colitis as defined below
Rheumatoid Arthritis
Males and females aged 18 to 65 years inclusive
Diagnosis of Rheumatoid Arthritis according to the criteria based on the revised 2010 American College of Rheumatology ACR European League Against Rheumatism EULAR classification criteria for Rheumatoid Arthritis
Subjects must have ACR or EULAR diagnostic criteria score greater than or equal to 6
Subjects must have active disease as defined by
Greater than or equal to 6 swollen joints
Greater than or equal to 6 tender joints and
Acute phase reactant values CRP greater than 8 mg per L or ESR greater than 28 mm per h
Subject must have been treated with and tolerated MTX at a dose of at least 20 mg per week for at least 3 months prior to screening and have a stable MTX dose of greater than or equal to 20 mg per week and less than or equal to 25 mg per week for at least 4 weeks prior to first administration of study drug.
Subjects using oral corticosteroids must have been on a stable dose equivalent to less than or equal to 10 mg of prednisone per day for at least 2 weeks prior to first administration of study drug If currently not using corticosteroids the subject must not have received oral corticosteroids for at least 2 weeks prior to first administration of study drug
Subjects using NSAIDs or other analgesics for RA must have been on a stable dose for at least 2 weeks prior to the first administration of study drug
Patients must be considered eligible according to the following TB screening criteria
Have no history of latent or active TB prior to screening
Have no signs or symptoms suggestive of active TB upon medical history and per or physical examination.
Have had no recent close contact with a person with active TB or if there has been such contact patient should undergo thorough evaluation for TB prior to study enrolment
Have no evidence of latent TB based on tuberculin skin Mantoux test QuantiFERON TB Gold test or other tuberculosis screening tests performed during screening
Have no evidence of current active TB or old inactive TB based on chest radiograph at screening
Screening laboratory test results
Hemoglobin greater than or equal to 8.0 g per dL
White blood cells greater than or equal to 3.5 into 109 per L
Neutrophils greater than or equal to 1.5 into 109 per L
Platelets greater than or equal to 100 into 109 per L
ALT and AST levels less than or equal to 2 times the ULN
Serum creatinine less than or equal to 150 µmol per L less than or equal to 1.7 mg per dL

Psoriatic Arthritis
Patients aged 18 years or older
Active psoriatic arthritis greater than or equal to 3 swollen joints and greater than or equal to 3 tender joints in at least one of the following forms
1 DIP which is Distal interphalangeal involvement
2 Polyarticular arthritis absence of rheumatoid nodules and presence of psoriasis
3 Arthritis mutilans
4 Asymmetric psoriatic arthritis
5 Spondylitis like ankylosis
Patients with plaque psoriasis with a lesion greater than or equal to 2 cm in diameter

Ulcerative Colitis UC
Patients aged 18 years or older
Has a clinical diagnosis of Ulcerative Colitis UC at least 3 months prior to screening
Has a current UC severity that is judged by the treating physician to be moderate to severe being a partial Mayo score of 5 to 9 inclusive
Participants must have biopsy results collected at the screening endoscopy procedure or obtained within the last 1 year prior to screening consistent with the diagnosis of UC
Participants either currently receiving treatment with or have a history of failure to respond to or tolerate at least 1 of the following therapies
oral 5 aminosalicylate
oral corticosteroids
6-mercaptopurine and azathioprine
Participants with current dependency or with a history of corticosteroid dependency that is an inability to successfully taper corticosteroids without a return of the symptoms of UC

2 Women of childbearing potential or men capable of fathering children must agree to use adequate birth control measures eg abstinence oral contraceptives intrauterine device barrier method with spermicide surgical sterilization during the study and for 6 months after receiving the last administration of study drug Women of childbearing potential must test negative for pregnancy at screening
3 Menopausal females must have experienced their last period more than 12 months prior to screening to be classified as not of childbearing potential
4 Subject must be capable of providing informed consent which must have been obtained prior to any study related procedures
5 Subject must be able to understand the study procedures adhere to the study visit schedule and other protocol requirements and must be able to complete study related forms and questionnaires
 
 
ExclusionCriteria 
Details  If patients have any of the following conditions they are not eligible to participate in the study
1 Patients with hypersensitivity to golimumab or any component of the formulation Chinese hamster ovary cell products or other recombinant human or humanized antibodies
2 Inflammatory diseases other than RA that might confound the evaluation of the efficacy of golimumab eg psoriatic arthritis ankylosing spondylitis systemic lupus erythematosus or Lyme disease for RA only
3 Received infliximab adalimumab etanercept certolizumab tocilizumab rituximab or golimumab or any biological treatment of Rheumatoid Arthritis psoriatic arthritis or ulcerative colitis
4 Received DMARDs per systemic immunosuppressives eg leflunomide Dpenicillamine hydroxychloroquine chloroquine oral or parenteral gold sulfasalazine azathioprine cyclosporine mycophenolate mofetil anakinra or intraarticular IM or IV corticosteroids including adrenocorticotropic hormone within the 4 weeks prior to the first administration of study drug
5 Subjects with prior and current use of anakinra abatacept or biologic antitumor necrosis factor TNF agents
6 Participants with severe extensive UC that is likely to require a colectomy surgery to remove part or all of the colon within 12 weeks of study entry for UC only

Participants having UC limited to the rectum only or to less than 20 centimeter of the colon for UC only
9 Presence of a stoma an artificial permanent opening especially in the abdominal wall made in surgical procedures or presence of a fistula for UC only
10 Received any investigational drug within 5 halflives prior to the first administration of study drug
11 Received herbal homeopathic ayurvedic or traditional medicines for rheumatoid arthritis psoriatic arthritis or ulcerative colitis within 1 months prior to the first administration of the study drug
12 History of or ongoing chronic or recurrent infectious disease including but not limited to chronic renal infection chronic chest infection eg bronchiectasis sinusitis recurrent urinary tract infection eg recurrent pyelonephritis chronic nonremitting cystitis an open draining or infected skin wound or an ulcer
13 History of a serious infection eg hepatitis pneumonia pyelonephritis or sepsis which caused hospitalization within 6 months prior to the first administration of the study drug or treated with IV antibiotics for an infection within 2 months prior to administration of study drug
14 Positive HIV HBsAg or HCV test at screening
15 History of active or latent granulomatous infection including TB histoplasmosis or coccidioidomycosis
16 Had a nontuberculous mycobacterial infection or opportunistic infection eg cytomegalovirus Pneumocystis carinii aspergillosis within 6 months prior to screening
17 Received or is expected to receive any live virus or bacterial vaccination within 3 months before the first administration of study drug or within 6 months after the last administration of study drug
18 Received or is expected to receive Bacille CalmetteGuerin BCG vaccination within 12 months before the first administration of study drug or within 6 months after the last administration of study drug
19 History of lymphoproliferative disease including lymphoma or signs suggestive of possible lymphoproliferative disease eg lymphadenopathy of unusual size or location or clinically significant splenomegaly
20 Known history of malignancy or organ transplantation
21 Presence of any abnormality suggestive of a malignancy or current active infection including TB based on chest radiograph at screening
22 Known history of demyelinating disease such as multiple sclerosis or optic neuritis

23 Known history or current evidence of CHF
24 Known history of asthma COPD or any other clinically significant respiratory disease
25 Current signs or symptoms of severe progressive or uncontrolled renal hepatic hematologic gastrointestinal endocrine pulmonary cardiac neurologic psychiatric or cerebral disease
26 Known hypersensitivity to human immunoglobulin proteins or other components of golimumab
27 Had a substance abuse drug or alcohol problem within the previous 3 years
28 Participation in any clinical study of an investigational product within the previous 3 months
29 Pregnant nursing or planning a pregnancy or fathering a child within 6 months after receiving the last administration of study drug

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Incidence of adverse events occurring during the study.  Rheumatoid Arthritis & Psoriatic Arthritis - Screening, Day 0, Weeks 4, 8, 12, 16, 20 and 24

Ulcerative Colitis - Screening, Day 0,Week 2 Weeks 6, 10, 14, 18, 22 and 24 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of patients with an ACR 20, ACR 50 and ACR 70 response at
each visit through Week 24 
Weeks 4, 8, 12, 16, 20 and 24 
Change from baseline in DAS 28 score at each visit through Week 24
 
Week 24
 
Change from baseline in CRP and ESR level at each visit through Week 24  Week 24 
Change from baseline in HAQ-DI score at each visit through Week 24  Week 24 
Improvement from baseline in Short Form 36 Health Survey Questionnaire (SF-36) score at Week 24  Week 24 
Proportion of patients achieving the ACR 20, 50, and 70 response across visits (i.e., at Weeks 4, 8, 12, 16, 20 and 24)  Weeks 4, 8, 12, 16, 20 and 24 
Proportion of patients achieving PASI 50/75/90/100 response from baseline across visits (i.e., at Weeks 4, 8, 12, 16, 20 and 24)  Weeks 4, 8, 12, 16, 20 and 24 
Change in HAQ-DI score from baseline across visits (i.e., at Weeks 4, 8, 12, 16, 20 and 24)  Weeks 4, 8, 12, 16, 20 and 24 
Number of patients with Clinical Response at Week 10 and 24  Week 10 and 24 
Number of patients with Clinical Remission at Week 10 and 24  Week 10 and 24 
Number of patients with Mucosal Healing at Week 10 and 24  Week 10 and 24 
Rheumatoid arthritis & Psoriatic Arthritis: Immunogenicity assessment at Weeks 0, 12 and 24 or withdrawal visit  Weeks 0, 12 and 24 or withdrawal visit 
Ulcerative colitis: Immunogenicity assessment at Weeks 0, 10 and 24 or withdrawal visit  Weeks 0, 10 and 24 or withdrawal visit 
 
Target Sample Size   Total Sample Size="225"
Sample Size from India="225" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   25/08/2025 
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="2"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 is prospective, multi-centre, open label, phase IV study to evaluate safety and efficacy profile of GolimuRel® in approved indications. In this study, a total of 225 patients with 75 patients in moderate to severe active rheumatoid arthritis, 75 patients moderate to severe psoriatic arthritis and 75 patients in moderate to severe ulcerative colitis will be enrolled to ensure 202 evaluable patients (considering a drop-out rate of 10%).


 
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