Psoriatic ArthritisUPJOINTNCT04758117
A Study to Assess the Change in Disease State in Adult Participants Being Treated With Oral Upadacitinib Tablets in Participants With Oligo- or Poly-artIcular Psoriatic Arthritis
An observational study of Psoriatic Arthritis, run by AbbVie at 93 sites in 2 countries.
Trial summary
Psoriatic arthritis (PsA) is a type of arthritis (swelling and stiffness in the joints) that is frequently seen in trial participants who also have the skin condition psoriasis. It is caused by the body's immune system mistakenly attacking healthy joint tissue causing inflammation, joint damage, disability, and a… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Psoriatic Arthritis
- How many people
- 394 participants
- Where
- 93 sitesin 2 countries
- Study dates
- 4 Feb 2021to 26 Jul 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Participants with psoriatic arthritis (PsA).
Who may be able to join
- Diagnosis of active Psoriatic Arthritis (PsA) upon judgment of the treating physician.
- Swollen joint count (SJC) >= 1 out of 66 joints.
- Decision on the treatment with Upadacitinib was made prior to any decision to approach the participant to participate in this study.
Who cannot join
- Cannot be treated with Upadacitinib according to the local Upadacitinib Summary of Product Characteristics (SmPC).
- Prior treatment with Upadacitinib.
- Currently participating in interventional research or within the last 30 days.
Trial locations and contacts
93 sites in 2 countries.
93 sites in 2 countries
Germany75 sites
Kupka & Kupka, Altenburg, DE /ID# 228243
Altenburg, 04600
Marycz, Amberg, DE /ID# 227413
Amberg, 92224
Rheumapraxis am Webereck /ID# 229274
Augsburg, 86157
MVZ Weserbergland /ID# 228806
Bad Pyrmont, 31812
ACURA Rheumazentrum Baden-Bade /ID# 239202
Baden-Baden, 76530
Rheumapraxis Prof Dr Karin Manger /ID# 229120
Bamberg, 96047
Sozialstiftung Bamberg /ID# 228549
Bamberg, 96049
Internistische-rheumatologische Praxisgemeinschaft /ID# 228240
Bayreuth, 95444
MVZ Rheumatologie /ID# 240868
Berlin, 10117
Praxis Dr. med. Angela Seifert /ID# 233772
Berlin, 12555
Praxis Dr. Silke Zinke /ID# 229127
Berlin, 13055
Rheumapraxis am Schlachtensee /ID# 228800
Berlin, 14129
Eisterhues, Braunschweig, DE /ID# 227390
Braunschweig, 38100
Fachpraxis fuer Rheumatologie und Osteologie /ID# 227391
Bruchhausen-Vilsen, Lower Saxony, 27305
Dres. Schuh /ID# 227411
Coburg, 96450
Rheumatologie in Veedel /ID# 228469
Cologne, 50825
Krankenhaus Porz am Rhein /ID# 228358
Cologne, 51149
Praxis Dr. Kirrstetter /ID# 229609
Deggendorf, 94469
Kreiskrankenhaus Demmin /ID# 228253
Demmin, 17109
Rheumatologisches MVZ Dresden /ID# 230787
Dresden, 01109
Praxis Dilltal /ID# 228640
Ehringshausen, 35630
MVZ Ambulantes Rheumazentrum Erfurt /ID# 248933
Erfurt, 99096
Dres. Waehrisch/Flaxenberg /ID# 228263
Essen, 45326
Michael Mueller, Freiberg, DE /ID# 228468
Freiberg, 09599
Praxis Dr. Behringer /ID# 229275
Fulda, 36039
Internistisches Praxiszentrum /ID# 228262
Giessen, Hesse, 35392
Rockwitz, Goslar, DE /ID# 227856
Goslar, 38642
Praxis Fiene /ID# 244732
Greifswald, 17493
Praxis Dr. Kuehne /ID# 229119
Haldensleben I, 39340
Praxis Dr. Liebhaber /ID# 228636
Halle, 06128
Stille, Hanover, DE /ID# 229604
Hanover, 30161
Heilig, Heidelberg, DE /ID# 228356
Heidelberg, 69120
St. Elisabeth Gruppe GmbH -Katholische Kliniken /ID# 228797
Herne, 44649
Praxis Bernd Mueller /ID# 230776
Homburg, 66424
Praxis K. Pagel /ID# 228247
Hoppegarten, 15366
Kremers, Juelich, DE /ID# 240383
Jülich, 52428
Rheumapraxis Kaufering /ID# 231391
Kaufering, 86916
Alb-Donau Klinikum, Langenau /ID# 233770
Langenau, 89129
Hamann & Teich & Boche,Leipzig /ID# 228355
Leipzig, 04109
Praxis internistische Rheumatologie /ID# 227857
Leipzig, 04129
Dres. Teipel/Toussaint/Saech /ID# 228465
Leverkusen, 51373
Dr. Bolze, Ludwigshafen, DE /ID# 230773
Ludwigshafen, 67069
Aurich & Sieburg, Magdeburg /ID# 229605
Magdeburg, 39104
Praxis Dr. Annekatrin Rossbach /ID# 230783
Mansfeld / Großörner, 06343
Harmuth, Marktredwitz, DE /ID# 227709
Marktredwitz, 95615
RHIO Forschungsinstitut /ID# 227736
Meerbusch, 40668
Vollmer & Partner, DE /ID# 240869
Mönchengladbach, 41061
Praxis Dres. Kellerer/Kellerer/Krüger /ID# 227414
Munich, Bavaria, 81541
Prof-med-stud.de /ID# 228637
Munich, 80935
Rheumatologische Facharztpraxis /ID# 228808
Naumburg, 06618
Berger, Naunhof, DE /ID# 229612
Naunhof, 04683
Praxis Dr. med Thilo Klopsch /ID# 229123
Neubrandenburg, 17033
Erbsloeh-Moeller, Neunkirchen /ID# 230778
Neunkirchen, 66538
MVZ Medic-Center Nürnberg GmbH /ID# 240982
Nuremberg, 90443
Die Fachaerzte im Rottal - Nephrologie, Rheumatologie /ID# 230774
Pfarrkirchen, 84347
MVZ für Rheumatologie Dr. M. Welcker /ID# 227858
Planegg, 82152
Baumann & Lang, Plauen, DE /ID# 229128
Plauen, 08523
Rheumahaus Studien GbR, Potsdam, DE /ID# 230771
Potsdam, Brandenburg, 14467
Praxis Dr. Sabine Reckert /ID# 248986
Potsdam, 14469
Knappschaftsklinikum Saar /ID# 248882
Püttlingen, 66346
Rheumazentrum Ratingen /ID# 228261
Ratingen, 40882
Rheumatologische Praxis Dr. Jochen Walter /ID# 229607
Rendsburg, 24768
Rheumatologische Gemeinschaftspraxis Schwerin /ID# 228260
Schwerin, 19053
Melzer, Seesen, DE /ID# 227386
Seesen, 38723
Barmherzige Bruder MVZ Klinikum Straubing GmbH /ID# 228805
Straubing, 94315
Krankenhaus der Barmherzigen Brueder Trier /ID# 229603
Trier, 54292
Praxis Dr. Haas /ID# 228813
Tübingen, 72072
Praxis Dr. Rinaldi /ID# 228639
Ulm, Baden-Wurttemberg, 89073
Rheumathologie Ulm /ID# 238801
Ulm, 89073
MVZ Lahn-Dill-Kliniken GmbH /ID# 231390
Wetzlar, 35578
MVZ Lahn-Dill-Kliniken GmbH /ID# 262011
Wetzlar, 35578
Krankenhaus St. Josef /ID# 229611
Wuppertal, 42105
Praxis Barmen /ID# 227392
Wuppertal, 42285
Sprekeler, Zeven, DE /ID# 233773
Zeven, 27404
Fricke-Wagner, Zwickau, DE /ID# 230775
Zwickau, 08060
Canada18 sites
The Waterside Clinic /ID# 234146
Barrie, Ontario, L4M 6L2
Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 233565
Dundas, Ontario, L9H 1B7
Arthur Karasik Medicine Professional Corporation /ID# 234147
Etobicoke, Ontario, M9C 5N2
Lau Bacchus Professional Medicine Corp /ID# 245283
Hamilton, Ontario, L8N 1Y2
Credit Valley Rheumatology /ID# 234144
Mississauga, Ontario, L5M 2V8
Applied Medical Informatics Research Inc. (AMIR) /ID# 239614
Montreal, Quebec, H4A 3T2
Clinique de Rhumatologie de Montreal /ID# 239613
Montreal, Quebec, H4N 1C6
Dr. L. Lisnevskaia Medicine Professional Corporation /ID# 239611
Oshawa, Ontario, L1H 1B9
Angela Montgomery Medicine Professional Corporation /ID# 239608
Ottawa, Ontario, K1H 7X3
CISSSBSL -Hopital regional de Rimouski /ID# 234150
Rimouski, Quebec, G5L 5T1
Groupe de Recherche en Maladies Osseuses Inc /ID# 234145
Sainte-Foy, Quebec, G1V 3M7
Dr Naik-Medical Professional Corporation-Alliance Health /ID# 234149
Saskatoon, Saskatchewan, S7H 5M7
CIUSSS de l'Estrie - CHUS /ID# 241054
Sherbrooke, Quebec, J1G 2E8
Niagara Peninsula Arthritis Ct /ID# 245521
St. Catharines, Ontario, L2N 7E4
Centre de Recherche Musculo-Squelettique /ID# 234151
Trois-Rivières, Quebec, G8Z 1Y2
Dr. Jonathan D. Chan Inc. /ID# 241611
Vancouver, British Columbia, V5Z 1J9
Dr. Sabeen Anwar Medicine Professional Corporation /ID# 242696
Windsor, Ontario, N8X 1T3
Manitoba Clinic /ID# 234148
Winnipeg, Manitoba, R3A 1M3
About this study
Official title: Real-World Effectiveness of Upadacitinib in Patients Joining Subgroups Either With Oligo- or Poly-ArtIcular Psoriatic Arthritis on Minimal Disease Activity
Psoriatic arthritis (PsA) is a type of arthritis (swelling and stiffness in the joints) that is frequently seen in trial participants who also have the skin condition psoriasis. It is caused by the body's immune system mistakenly attacking healthy joint tissue causing inflammation, joint damage, disability, and a reduced life expectancy. The main objective of this study is to characterize attainment of minimal disease activity (MDA) at week 24 under continuous treatment with upadacitinib in participants with oligo- or polyarticular PsA as part of real-world practice.
Upadacitinib is a drug approved for the treatment of Psoriatic arthritis (PsA) in Germany and Canada. Approximately 380 adult participants with PsA at multiple sites in Germany and Canada.
Read more
Participants will receive oral Upadacitinib tablets per current local label, according to local standard of care and international guidelines.
There may be a higher burden for participants in this study compared to standard of care. Participants will attend regular visits per routine clinical practice. The effect of the treatment will be checked by medical assessments, checking for side effects, and by questionnaire.
- Conditions
- Psoriatic Arthritis
- Keywords
- Psoriatic Arthritis, Oligoarticular Psoriatic Arthritis, Polyarticular Psoriatic Arthritis, Upadacitinib, Rinvoq
- Medical subject headings
- Arthritis, Psoriatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Participants Receiving Upadacitinib | Participants receiving Upadacitinib for psoriatic arthritis (PsA). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Receiving Upadacitinib who Attain Minimal Disease Activity (MDA)
MDA will be determined based on participants fulfilling 5 of 7 outcome measures: tender joint count 68 (TJC68) <= 1, swollen joint count (SJC66) ≤ 1, body surface area (BSA) <= 3%; Patient's Assessment of Pain numeric rating scale (NRS) <= 1.5, Patient's Global Assessment of Disease Activity (PtGA) NRS <= 2.0, Health Assessment Questionnaire Disability Index (HAQ-DI) <= 0.5, tender entheseal points <= 1.
Measured: At Week 24
Secondary outcomes (7)
Percentage of Participants Maintaining MDA Under Upadacitinib Treatment, in Participants who had Achieved MDA at Week 24
MDA will be determined based on participants fulfilling 5 of 7 outcome measures: TJC68 <= 1, SJC66 ≤ 1, BSA <= 3%; Patient's Assessment of Pain NRS <= 1.5, PtGA NRS <= 2.0, HAQ-DI <= 0.5, tender entheseal points <= 1.
Measured: At Week 48
Mean change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Question 2 (Pain in Neck, Back or Hip)
The BASDAI consists of a 0 - 10 scale measuring discomfort, pain, and fatigue (0 being no problem and 10 being the worst problem).
Measured: Baseline to Week 48
Mean Change in Disease Activity in PSoriatic Arthritis score (DAPSA)
The DAPSA is a numerical sum of the 66 swollen and 68 tender joint counts, the participant pain and global assessments (each on a 0-10 scale) and C-reactive protein (CRP) (in mg/dL), thus ranging from 0 to about 160.
Measured: Baseline to Week 48
Mean Change in Percentage of Participants with Dactylitis
Mean change in percentage of participants with dactylitis.
Measured: Baseline to Week 48
Mean Change in Number of Fingernails Affected with Psoriasis
Mean change in number of fingernails affected with psoriasis.
Measured: Baseline to Week 48
Mean Change in 12-Item Short Form Health Survey (SF-12)
The SF-12 is a 12-item, patient-reported, generic, non-disease specific, overall HRQoL instrument with extensive use in multiple disease states.
Measured: Baseline to Week 48
Mean Change in Dermatology Life Quality Index (DLQI) [in Participants with Skin Involvement]
The DLQI consists of 10 questions concerning participants' perception of the impact of the skin disease on different aspects of their HRQoL over the previous week.
Measured: Baseline to Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2021
- Study start4 Feb 2021
- Primary completion26 Jul 2023
- Study completion26 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Psoriatic ArthritisStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 394 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04758117
- Sponsor's protocol ID
- P20-483
- Acronym
- UPJOINT
- Status last verified
- Jul 2024
- First submitted
- 16 Feb 2021
- Last updated
- 17 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Werner SG, Schwarze I, Baraliakos X, Fiene M, Walter J, Girard T, Laliberte MC, Jeromin K, Baschuk N, Allard-Charmard H, Bessette L, Hueber AJ. Effectiveness and Safety of Upadacitinib in Treating Oligoarticular and Polyarticular Psoriatic Arthritis: Primary Analysis from the UPJOINT-Study. Rheumatol Ther. 2026 Feb;13(1):45-64. doi: 10.1007/s40744-025-00802-5. Epub 2025 Nov 5.
PubMed 41191276Werner SG, Baraliakos X, Reckert S, Bohl-Buhler M, Laliberte MC, Girard T, Jeromin K, Baschuk N, Fritz B, Bessette L, Hueber AJ. Treatment with Upadacitinib in Active Psoriatic Arthritis: Efficacy and Safety Data of the First 192 Patients from the UPJOINT Study, a Multicentre, Observational Study in Clinical Practice. Rheumatol Ther. 2023 Dec;10(6):1503-1518. doi: 10.1007/s40744-023-00589-3. Epub 2023 Sep 11.
PubMed 37695506
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Real-World Effectiveness of Upadacitinib in Patients Joining Subgroups Either With Oligo- or Poly-ArtIcular Psoriatic Arthritis on Minimal Disease Activity
- ClinicalTrials.gov ID
- NCT04758117
- Acronym / sponsor ID
- UPJOINT / P20-483
- Conditions
- Psoriatic Arthritis
- Keywords
- Psoriatic Arthritis, Oligoarticular Psoriatic Arthritis, Polyarticular Psoriatic Arthritis, Upadacitinib, Rinvoq
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 394 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 4 Feb 2021 (actual)
- Primary completion
- 26 Jul 2023 (actual)
- Study completion
- 26 Jul 2023 (actual)
- First posted
- 17 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Psoriatic arthritis (PsA) is a type of arthritis (swelling and stiffness in the joints) that is frequently seen in trial participants who also have the skin condition psoriasis. It is caused by the body's immune system mistakenly attacking healthy joint tissue causing inflammation, joint damage, disability, and a reduced life expectancy. The main objective of this study is to characterize attainment of minimal disease activity (MDA) at week 24 under continuous treatment with upadacitinib in participants with oligo- or polyarticular PsA as part of real-world practice.
Upadacitinib is a drug approved for the treatment of Psoriatic arthritis (PsA) in Germany and Canada. Approximately 380 adult participants with PsA at multiple sites in Germany and Canada.
Participants will receive oral Upadacitinib tablets per current local label, according to local standard of care and international guidelines.
There may be a higher burden for participants in this study compared to standard of care. Participants will attend regular visits per routine clinical practice. The effect of the treatment will be checked by medical assessments, checking for side effects, and by questionnaire.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Participants Receiving Upadacitinib | – | –Participants receiving Upadacitinib for psoriatic arthritis (PsA). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Participants with psoriatic arthritis (PsA).
Key inclusion criteria (3 listed)
- Diagnosis of active Psoriatic Arthritis (PsA) upon judgment of the treating physician.
- Swollen joint count (SJC) >= 1 out of 66 joints.
- Decision on the treatment with Upadacitinib was made prior to any decision to approach the participant to participate in this study.
Key exclusion criteria (3 listed)
- Cannot be treated with Upadacitinib according to the local Upadacitinib Summary of Product Characteristics (SmPC).
- Prior treatment with Upadacitinib.
- Currently participating in interventional research or within the last 30 days.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of Participants Receiving Upadacitinib who Attain Minimal Disease Activity (MDA)
Time frame: At Week 24
MDA will be determined based on participants fulfilling 5 of 7 outcome measures: tender joint count 68 (TJC68) <= 1, swollen joint count (SJC66) ≤ 1, body surface area (BSA) <= 3%; Patient's Assessment of Pain numeric rating scale (NRS) <= 1.5, Patient's Global Assessment of Disease Activity (PtGA) NRS <= 2.0, Health Assessment Questionnaire Disability Index (HAQ-DI) <= 0.5, tender entheseal points <= 1.
7 secondary outcomes
Percentage of Participants Maintaining MDA Under Upadacitinib Treatment, in Participants who had Achieved MDA at Week 24
Time frame: At Week 48
Mean change in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Question 2 (Pain in Neck, Back or Hip)
Time frame: Baseline to Week 48
Mean Change in Disease Activity in PSoriatic Arthritis score (DAPSA)
Time frame: Baseline to Week 48
Mean Change in Percentage of Participants with Dactylitis
Time frame: Baseline to Week 48
Mean Change in Number of Fingernails Affected with Psoriasis
Time frame: Baseline to Week 48
Mean Change in 12-Item Short Form Health Survey (SF-12)
Time frame: Baseline to Week 48
Mean Change in Dermatology Life Quality Index (DLQI) [in Participants with Skin Involvement]
Time frame: Baseline to Week 48
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jul 2024.
- Derived from this study: PubMed 41191276Werner SG, Schwarze I, Baraliakos X, Fiene M, Walter J, Girard T, Laliberte MC, Jeromin K, Baschuk N, Allard-Charmard H, Bessette L, Hueber AJ. Effectiveness and Safety of Upadacitinib in Treating Oligoarticular and Polyarticular Psoriatic Arthritis: Primary Analysis from the UPJOINT-Study. Rheumatol Ther. 2026 Feb;13(1):45-64. doi: 10.1007/s40744-025-00802-5. Epub 2025 Nov 5.
- Derived from this study: PubMed 37695506Werner SG, Baraliakos X, Reckert S, Bohl-Buhler M, Laliberte MC, Girard T, Jeromin K, Baschuk N, Fritz B, Bessette L, Hueber AJ. Treatment with Upadacitinib in Active Psoriatic Arthritis: Efficacy and Safety Data of the First 192 Patients from the UPJOINT Study, a Multicentre, Observational Study in Clinical Practice. Rheumatol Ther. 2023 Dec;10(6):1503-1518. doi: 10.1007/s40744-023-00589-3. Epub 2023 Sep 11.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
93 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Psoriatic Arthritis, run by AbbVie at 93 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 93 sites in Germany, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Receiving Upadacitinib who Attain Minimal Disease Activity (MDA) (time frame: At Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04758117, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2024.