Study of Targeted Therapies for the Treatment of Adult Participants With Moderate to Severe Crohn's Disease
Purpose
Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness, swelling), in the digestive tract, most frequently affecting the bowels. It can cause many different symptoms including belly pain, diarrhea, tiredness, and weight loss. Treatments are available but do not work the same for all patients or may stop working over time. This study will evaluate the effectiveness and adverse events of targeted therapies (TaTs) for adult participants with moderate to severe CD. The medicines assessed in this study are risankizumab, ABBV-382 and lutikizumab. When participants join the study, they will be randomized into available study treatment groups. Adult participants with CD will be enrolled. Around 500 participants will be enrolled in the study at approximately 300 sites worldwide. Risankizumab and ABBV-382 are given as an injection under the skin or as an infusion into the vein. Lutikizumab is given as an injection under the skin. Each group includes a 12-week induction period, a 12-week maintenance period, and an optional long-term extension period where medication will be given after the maintenance period. There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, endoscopies, checking for side effects and completing questionnaires and a daily diary.
Condition
- Crohn's Disease
Eligibility
- Eligible Ages
- Between 18 Years and 75 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Participants' body weight must be ≥ 40 kg at Baseline. - Confirmed diagnosis of CD for at least 3 months prior to Baseline. Documentation of biopsy results consistent with the diagnosis of CD as assessed by the Investigator must be available. - CDAI ≥ 220 at Baseline. - Endoscopic evidence of mucosal inflammation as documented by an SES-CD of ≥ 6 for ileocolonic or colonic disease or SES-CD of ≥ 4 for isolated ileal disease. All eligible scores exclude the presence of narrowing component and are determined by a reader. - Participants must demonstrate intolerance or inadequate response to TaTs including biologics
Exclusion Criteria
- Participant who demonstrated intolerance to p19 inhibitors, including risankizumab. - Participant who received any investigational TaT (or TaT that becomes approved during the conduct of the study) within 30 days or 5 half-lives prior to Baseline, whichever is longer. Note: If there is documentation of an undetectable (or below the lower limit of quantification/quantitation) drug level measured by a commercially available assay for any of the approved biologics above, there is no minimum washout prior to Baseline. - Participant who have any of the following: Current diagnosis of UC or indeterminate colitis. Currently known complications of CD such as: Current ostomy or ileoanal pouch; Current short gut or short bowel syndrome; Surgical bowel resection within the past 3 months prior to Baseline.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Monotherapy: Risankizumab |
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose B as SC injection. |
|
Experimental Combination Therapy: Risankizumab and ABBV-382 |
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose C as SC injection; and ABBV-382 Dose A as IV infusion and ABBV-382 Dose B as SC injection. |
|
Experimental Monotherapy: ABBV-382 |
Participants will receive ABBV-382 Dose A as IV infusion and ABBV-382 Dose B as SC injection. |
|
Experimental Combination Therapy: Risankizumab and Lutikizumab |
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose C as SC injection; and Lutikizumab Dose A, Dose B and Dose C as SC injection. |
|
Experimental Monotherapy: Lutikizumab |
Participants will receive Lutikizumab Dose A, Dose B and Dose C as SC injection. |
|
Experimental Long-Term Extension: Risankizumab Monotherapy |
Participants will receive Risankizumab Dose A as IV infusion and/or Risankizumab Dose B as SC injection for up to 72 weeks. |
|
Recruiting Locations
Dothan, Alabama 36301
Mobile, Alabama 36606
Coronado, California 92118
La Jolla, California 92037
Sacramento, California 95817
San Diego, California 92103
Colorado Springs, Colorado 80907
Danbury, Connecticut 06810
New Haven, Connecticut 06510
Inverness, Florida 34452-4717
Margate, Florida 33063
Miami, Florida 33144
Miami, Florida 33157
New Port Richey, Florida 34653
Orange City, Florida 32763
Orlando, Florida 32803
Tampa, Florida 33613
Zephyrhills, Florida 33542
Macon, Georgia 31201
Site Coordinator
478-742-2600
Boise, Idaho 83706
Peoria, Illinois 61637-0001
Springfield, Illinois 62703-2403
Lexington, Kentucky 40536
Chevy Chase, Maryland 20815
New Bedford, Massachusetts 02740
Columbia, Missouri 65201
Liberty, Missouri 64068
Saint Louis, Missouri 63130
Las Vegas, Nevada 89128-0435
Great Neck, New York 11021
New York, New York 10029
New York, New York 10075
Yonkers, New York 10701
Asheville, North Carolina 28801
Durham, North Carolina 27701
Cincinnati, Ohio 45267-2827
Columbus, Ohio 43210
Oklahoma City, Oklahoma 73112
Hershey, Pennsylvania 17033
Philadelphia, Pennsylvania 19104
Orangeburg, South Carolina 29118
Johnson City, Tennessee 37604
Cedar Park, Texas 78613
El Paso, Texas 79902
Garland, Texas 75044
Houston, Texas 77030
Lubbock, Texas 79424
Mansfield, Texas 76063
San Antonio, Texas 78212
San Antonio, Texas 78215
Southlake, Texas 76092
Tyler, Texas 75701
Ogden, Utah 84403
Tacoma, Washington 98405
More Details
- NCT ID
- NCT06548542
- Status
- Recruiting
- Sponsor
- AbbVie