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, trosunilimab, lutikizumab, and ABBV-8736. When participants join the study, they will be randomized into available study treatment groups. Adult participants with CD will be enrolled. Around 540 participants will be enrolled in the study at approximately 300 sites worldwide. Risankizumab and trosunilimab are given as an injection under the skin or as an infusion into the vein. Lutikizumab is given as an injection under the skin. ABBV-8736 is given as an infusion into the vein. 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 Sex
- 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 conventional therapies (OUS) and/or TaTs. TaTs include biologics and/or targeted small molecules.
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 Trosunilimab |
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose C as SC injection; and trosunilimab Dose A as IV infusion and trosunilimab Dose B as SC injection. |
|
|
Experimental Monotherapy: Trosunilimab |
Participants will receive trosunilimab Dose A as IV infusion and trosunilimab 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 Monotherapy: ABBV-8736 - OUS Only |
Participants will receive ABBV-8736 as IV infusion. |
|
|
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 4059102, Alabama 4829764 36301
Mobile 4076598, Alabama 4829764 36606
Coronado 5339663, California 5332921 92118
La Jolla 5363943, California 5332921 92037
Sacramento 5389489, California 5332921 95817
San Diego 5391811, California 5332921 92103
Colorado Springs 5417598, Colorado 5417618 80907
Danbury 4832353, Connecticut 4831725 06810
New Haven 4839366, Connecticut 4831725 06510
Clermont 4151352, Florida 4155751 34711
Gainesville 4156404, Florida 4155751 32610
Inverness 4159786, Florida 4155751 34452-4717
Margate 4163407, Florida 4155751 33063
Miami 4164138, Florida 4155751 33144
Miami 4164138, Florida 4155751 33157
New Port Richey 4165869, Florida 4155751 34653
Orange City 4167055, Florida 4155751 32763
Orlando 4167147, Florida 4155751 32803
Tampa 4174757, Florida 4155751 33609
Tampa 4174757, Florida 4155751 33613
Zephyrhills 4178941, Florida 4155751 33542
Macon 4207400, Georgia 4197000 31201
Site Coordinator
478-742-2600
Boise 5586437, Idaho 5596512 83706
Chicago 4887398, Illinois 4896861 60637
Peoria 4905687, Illinois 4896861 61637-0001
Springfield 4250542, Illinois 4896861 62703-2403
Lexington 4297983, Kentucky 6254925 40536
Chevy Chase 4351335, Maryland 4361885 20815
New Bedford 4945121, Massachusetts 6254926 02740
Novi 5004062, Michigan 5001836 48377
Rochester 5043473, Minnesota 5037779 55905
Columbia 4381982, Missouri 4398678 65201
Liberty 4395052, Missouri 4398678 64068
St Louis 4407066, Missouri 4398678 63130
Las Vegas 5506956, Nevada 5509151 89128
Great Neck 5119218, New York 5128638 11021
New York 5128581, New York 5128638 10029
New York 5128581, New York 5128638 10075
Yonkers 5145215, New York 5128638 10701
Asheville 4453066, North Carolina 4482348 28801
Durham 4464368, North Carolina 4482348 27701
Cincinnati 4508722, Ohio 5165418 45267-2827
Columbus 4509177, Ohio 5165418 43210
Oklahoma City 4544349, Oklahoma 4544379 73112
Hershey 5193342, Pennsylvania 6254927 17033
Philadelphia 4560349, Pennsylvania 6254927 19104
Orangeburg 4590184, South Carolina 4597040 29118
Johnson City 4633419, Tennessee 4662168 37604
Cedar Park 4679867, Texas 4736286 78613
Houston 4699066, Texas 4736286 77030
Lubbock 5525577, Texas 4736286 79424
Mansfield 4709013, Texas 4736286 76063
San Antonio 4726206, Texas 4736286 78212
San Antonio 4726206, Texas 4736286 78215
San Antonio 4726206, Texas 4736286 78229
Tyler 4738214, Texas 4736286 75701
Ogden 5779206, Utah 5549030 84403
Seattle 5809844, Washington 5815135 98101
Tacoma 5812944, Washington 5815135 98405
More Details
- NCT ID
- NCT06548542
- Status
- Recruiting
- Sponsor
- AbbVie