{"id":1911,"date":"2026-03-19T09:28:57","date_gmt":"2026-03-19T09:28:57","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/bcrdbspar\/?p=1911"},"modified":"2026-03-19T09:28:57","modified_gmt":"2026-03-19T09:28:57","slug":"boosting-tofacitinib-recruitment-to-the-bcrd-study-why-your-centres-participation-matters-more-than-ever","status":"publish","type":"post","link":"https:\/\/sites.manchester.ac.uk\/bcrdbspar\/2026\/03\/19\/boosting-tofacitinib-recruitment-to-the-bcrd-study-why-your-centres-participation-matters-more-than-ever\/","title":{"rendered":"Boosting Tofacitinib Recruitment to the BCRD Study: Why Your Centre\u2019s Participation Matters More Than Ever"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; menu_id=&#8221;7&#8243; background_color=&#8221;#28a0d8&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; text_orientation=&#8221;left&#8221; dropdown_menu_animation=&#8221;fade&#8221; active_link_color=&#8221;#ffffff&#8221; menu_font=&#8221;Open Sans Light||||&#8221; mobile_menu_text_color=&#8221;#000000&#8243; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner locked=&#8221;off&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title _builder_version=&#8221;3.0.106&#8243; title=&#8221;on&#8221; meta=&#8221;on&#8221; author=&#8221;on&#8221; date=&#8221;on&#8221; categories=&#8221;on&#8221; comments=&#8221;on&#8221; featured_image=&#8221;on&#8221; featured_placement=&#8221;above&#8221; text_color=&#8221;dark&#8221; text_background=&#8221;off&#8221; locked=&#8221;on&#8221; parent_locked=&#8221;off&#8221; \/][et_pb_text _builder_version=&#8221;3.17.6&#8243; background_layout=&#8221;light&#8221; parent_locked=&#8221;off&#8221;]<\/p>\n<p><span>Across the UK, more children and young people with Juvenile Idiopathic Arthritis (JIA) are now starting\u00a0<\/span><b><span>tofacitinib<\/span><\/b><span>.\u00a0Although numbers\u00a0remain\u00a0small, each case provides crucial\u00a0real world\u00a0data that can improve care for the whole JIA community.\u00a0\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>Yet we know from recent feedback that many eligible patients are\u00a0<\/span><b><span>not yet being approached or recruited\u00a0to the national UK JIA Biologics Register \u2013 the BCRD Study<\/span><\/b><span>. We want to change that\u00a0&#8211;\u00a0and we need your help.<\/span><span>\u00a0<\/span><\/p>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>Why Tofacitinib Recruitment Is a Priority<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>Tofacitinib\u00a0remains\u00a0a relatively uncommon\u00a0treatment choice in JIA, making every eligible patient especially valuable for understanding outcomes, safety, and treatment pathways. The BCRD team has already seen registrations\u00a0in this cohort,\u00a0but we have\u00a0indications that\u00a0<\/span><b><span>many more children could be included<\/span><\/b><span>\u00a0if sites are aware of how flexible and supportive the process can be.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>Because numbers are small, even a handful of\u00a0additional\u00a0recruits can significantly enhance the power of national data and strengthen guidance for clinicians and\u00a0families.<\/span><span>\u00a0<\/span><\/p>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>Flexible Recruitment Windows\u00a0&#8211;\u00a0Including Retrospective Inclusion<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>Participants can be approached for recruitment any time after they have started treatment with tofacitinib\u00a0as long as\u00a0the required follow-up data can be provided.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<h3><b><span>You can recruit retrospectively,\u00a0even if the treatment has since been\u00a0discontinued.<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>This applies to:<\/span><span>\u00a0<\/span><\/p>\n<ul>\n<li><span>Children\u00a0starting tofacitinib,\u00a0not previously\u00a0registered with\u00a0BCRD<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li><span>Children already registered\u00a0on BCRD under a different therapy,\u00a0who can now be\u00a0<\/span><b><span>re-registered<\/span><\/b><span>\u00a0in\u00a0the tofacitinib cohort\u00a0and given a new ID number<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li><b><span>BSPAR Etanercept Study<\/span><\/b><span>\u00a0participants\u00a0starting treatment with tofacitinib\u00a0who can be\u00a0re-registered with BCRD.\u00a0<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<p><span>We\u00a0know that\u00a0real world\u00a0clinic pressures, staffing challenges, or difficulty contacting families can make\u00a0timely\u00a0recruitment difficult\u00a0so please do contact us to discuss any potential participants who may\u00a0have slipped through\u00a0being approached for recruitment.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>Funding Available for Every Recruited Participant<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>Don\u2019t\u00a0forget:<\/span><span>\u00a0<\/span><\/p>\n<p><b><span>Up to \u00a3350 is available per tofacitinib participant recruited.<\/span><\/b><span>\u00a0<\/span><\/p>\n<p><span>This includes \u00a350 per baseline and\u00a0followup\u00a0form\u00a0submitted, helping to support research teams and offset capacity pressures.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>Multiple centres told us that research staffing shortages were a barrier to recruitment, so we hope this funding helps make the process more achievable locally.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>We\u2019re\u00a0Supporting Centres with New Tools and Alerts<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>Based on your feedback, the BCRD team has implemented several improvements to make it easier to\u00a0identify\u00a0eligible patients:<\/span><span>\u00a0<\/span><\/p>\n<ul>\n<li><b><span>Automatic alerts<\/span><\/b><span>\u00a0will now flag when an existing BCRD participant (under 18) starts tofacitinib, prompting sites to reregister them.<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li><b><span>Lists of eligible\u00a0\u2018re-registration\u2019\u00a0participants<\/span><\/b><span>\u00a0are being shared proactively<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li><b><span>Updated promotional materials<\/span><\/b><span>\u00a0are available for you to share within your teams, including reference guides and\u00a0recruitment flow charts<\/span><span>\u00a0<\/span><\/li>\n<\/ul>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>What\u00a0We\u2019re\u00a0Asking from Centres<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>To support this important national effort, we ask that your team:<\/span><span>\u00a0<\/span><\/p>\n<ol>\n<li><b><span>Identify\u00a0all children and young people\u00a0who are already\u00a0receiving\u00a0tofacitinib\u00a0or who are about to start<\/span><\/b><span>\u00a0<\/span><span>\u00a0<\/span><\/li>\n<li><b><span>Approach families about BCRD participation<\/span><\/b><span>\u00a0at the time of treatment decision, or at the next suitable appointment\u00a0if they are already on treatment. Remember, study materials can be posted out to families and consent taken remotely, if there is no upcoming clinic visit.\u00a0<\/span><span>\u00a0<\/span><\/li>\n<li><b><span>Let us know of any barriers<\/span><\/b><span>, such as research capacity or uncertainty around eligibility\u2014your feedback directly informs how we improve the process.<\/span><span>\u00a0<\/span><\/li>\n<li><b><span>Use the simplified reregistration process<\/span><\/b><span>\u00a0for patients switching treatments within BCRD or from BSPAR Etanercept Study.\u00a0\u00a0<\/span><span>\u00a0<\/span><\/li>\n<\/ol>\n<p><span>\u00a0<\/span><\/p>\n<h3><b><span>Together, We Can Capture the Full Picture<\/span><\/b><span>\u00a0<\/span><\/h3>\n<p><span>Children starting tofacitinib are rare &#8211; and because they are rare,\u00a0<\/span><b><span>every single recruit matters<\/span><\/b><span>. Centres have told us repeatedly that they want to support this work, and many already feel well\u00a0supported by the JIA Biologics team and local CRF staff.<\/span><span>\u00a0<\/span><\/p>\n<p><span>By working together, we can make sure these young people are represented in national data, strengthen future evidence, and\u00a0ultimately improve\u00a0care for the JIA community.<\/span><span>\u00a0<\/span><\/p>\n<p><span>If your centre\u00a0can\u00a0start or boost recruitment &#8211; even by\u00a0a handful\u00a0this year &#8211; it will have a meaningful impact.<\/span><span>\u00a0<\/span><\/p>\n<p><span>If in any doubt at all about whether to approach a patient for recruitment, please do contact the team to check \u2013\u00a0<\/span><a href=\"mailto:Praksha.jariwala@manchester.ac.uk\"><span>Praksha.jariwala@manchester.ac.uk<\/span><\/a><span>.<\/span><span>\u00a0<\/span><\/p>\n<p><span>Thank you for your support.\u00a0<\/span><span>\u00a0<\/span><\/p>\n<p><span>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1828\" src=\"https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic-300x120.jpg\" alt=\"CGI research representation\" width=\"300\" height=\"120\" srcset=\"https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic-300x120.jpg 300w, https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic-150x60.jpg 150w, https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic-250x100.jpg 250w, https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic-350x140.jpg 350w, https:\/\/sites.manchester.ac.uk\/bcrdbspar\/wp-content\/uploads\/sites\/37\/2025\/08\/research-pic.jpg 750w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/span><\/p>\n<p class=\"paragraph ng-attr-widget\">\u00a0<\/p>\n<p>[\/et_pb_text][et_pb_post_nav _builder_version=&#8221;3.0.106&#8243; 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