This study focuses on patients with rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis who are currently taking medications called Janus Kinase inhibitors (JAKi). These medications include filgotinib (Jyseleca), tofacitinib (Xeljanz), upadacitinib (Rinvoq), and baricitinib (Olumiant), which are used to treat inflammatory conditions affecting joints and the spine.
The purpose of this research is to determine if gradually reducing the dose of these medications is as effective as continuing with the current dose in patients whose disease is well-controlled. The study will examine patients who have maintained low disease activity or whose symptoms have been in remission for at least 6 months while taking these medications.
During the 12-month study period, participants will be monitored for disease activity, quality of life, and any side effects. The study will track how well the joints function, any disease flare-ups, and other health-related factors. Researchers will also measure medication levels in the blood and examine immune system cells to better understand how these treatments work.



The Netherlands