Crohn's Disease: Efficacy, Safety, and Pharmacokinetics of Upadacitinib in Pediatric Subjects With Moderately to Severely Active Crohn's Disease
NCT ID: NCT06332534
Last Updated: 2025-12-26
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
PHASE3
110 participants
INTERVENTIONAL
2024-07-26
2034-12-31
Brief Summary
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Upadacitinib (RINVOQ) is a drug approved in adults for moderate- to severely active CD and is being developed for moderate- to severely active CD in pediatric participants. This study is conducted in 2 periods: Period 1 is comprised of two phases: a 12-week open-label induction phase which means that the study doctor and participants know that participants will receive UPA Dose-A (or the adult equivalent based on body weight) followed by a 52-week double-blind maintenance phase meaning that neither the participants nor the study doctors will know which dose of upadacitinib will be given(UPA Dose B or Dose C). Period 2 is a 156-week open-label extension of Period 1. Approximately 110 pediatric participants with moderate to severely active CD will be enrolled at approximately 92 sites worldwide.
Participants will receive upadacitinib oral tablets once daily or oral solution twice daily at approximately the same time each day, with or without food. Participants will have a safety follow up for 30 days after discontinuation from any time point within the study.
There may be higher treatment burden for participants in this trial compared to their standard of care (due to study procedures). Participants will attend regular (weekly, monthly) visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
SEQUENTIAL
TREATMENT
QUADRUPLE
Study Groups
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Period 1: Open Label Induction Phase (Dose A)
All participants in the open label induction phase of Period 1 will receive upadacitinib Dose A for 12 weeks based on body weight.
Upadacitinib
Oral Solution/ Extended-Release Tablets
Period 1: Double-Blind Maintenance Phase (Dose B)
Clinical responders per PCDAI at the end of open label induction phase of Period 1 will be randomly assigned to receive Dose B or C for 52 weeks (oral solution dose will be based on body weight)
Upadacitinib
Oral Solution/ Extended-Release Tablets
Period 1: Double-Blind Maintenance Phase (Dose C)
Clinical responders per PCDAI at the end of open label induction phase of Period 1 will be randomly assigned to receive either upadacitinib Dose C or B for 52 weeks (oral solution dose will be based on body weight)
Upadacitinib
Oral Solution/ Extended-Release Tablets
Period 2: Open Label Long-Term Extension Phase Cohort 1
Participants receiving double-blind maintenance therapy with upadacitinib Dose B or upadacitinib Dose C daily in Period 1 who complete the Week 64 visit will receive upadacitinib Dose B daily for up to 156 weeks.
Upadacitinib
Oral Solution/ Extended-Release Tablets
Period 2: Open Label Long-Term Extension Phase Cohort 2
Participants who were receiving rescue therapy with open-label upadacitinib Dose C during maintenance phase in Period 1 and completed the Week 64 visit will continue to receive upadacitinib Dose C daily for up to 156 weeks.
Upadacitinib
Oral Solution/ Extended-Release Tablets
Period 2: Open Label Long-Term Extension Phase Cohort 3
Participants who did not achieve clinical response per PCDAI at Week 12 of Period 1 will receive an extended treatment with open-label upadacitinib Dose C daily for an additional 12 weeks. If they are responders after 12 weeks extended treatment, they will continue, otherwise they may be discontinued at the discretion of the investigator
Upadacitinib
Oral Solution/ Extended-Release Tablets
Interventions
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Upadacitinib
Oral Solution/ Extended-Release Tablets
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Moderate to severe CD defined as PCDAI \> 30 and endoscopic evidence of mucosal inflammation as documented by a centrally read SES-CD of \>/ 6 (or SES-CD of \>/4 for isolated ileal disease) excluding the presence of narrowing component.
* Documented diagnosis of CD prior to Baseline, confirmed by colonoscopy during the screening period, with exclusion of current infection, colonic dysplasia and/or malignancy. Appropriate documentation of biopsy results consistent with the diagnosis of CD, in the assessment of the investigator, must be available
* Demonstrated an inadequate response, loss of response, or intolerance to corticosteroids, IMMs, and/or biologic therapy or in whom use of those therapies is medically contraindicated. For participants in the US and South Korea, participants must have demonstrated an inadequate response, loss of response, or intolerance to one or more anti-TNFs (tumor necrosis factor).
Exclusion Criteria
* A diagnosis of CD prior to 2 years of age.
* Currently known complications of CD such as:
* Active abscess (abdominal or perianal);
* Symptomatic bowel strictures;
* More than 2 missing segments of the following 5 intestinal segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum;
* Ostomy or ileoanal pouch;
* Surgical bowel resection within the past 3 months prior to Baseline, or a history of more than 3 bowel resections.
* Japan participants only: positive result of beta-D-glucan or two consecutive indeterminate results of beta-D-glucan during the Screening period (screening for Pneumocystis jiroveci infection)
* History of any of the following:
* Current diagnosis of UC, indeterminate colitis, or monogenic IBD;
* Fulminant colitis or toxic megacolon;
* Gastrointestinal perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for GI perforation per investigator judgment including history of volvulus and/or intussusception (telescoping of bowels);
* Current diagnosis of any primary immune deficiency
* Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery; subjects with a history of gastric banding/segmentation are not excluded.
2 Years
17 Years
ALL
No
Sponsors
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AbbVie
INDUSTRY
Responsible Party
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Principal Investigators
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ABBVIE INC.
Role: STUDY_DIRECTOR
AbbVie
Locations
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UCSF Benioff Children's Hospital - Oakland /ID# 262217
Oakland, California, United States
Lucile Packard Children's Hospital /ID# 262193
Palo Alto, California, United States
Children's Hospital Colorado - Aurora /ID# 262207
Aurora, Colorado, United States
Connecticut Children's Medical Center - Hartford /ID# 262256
Hartford, Connecticut, United States
OSF St. Francis Medical Center /ID# 262192
Peoria, Illinois, United States
Indiana University Health Riley Hospital for Children /ID# 262215
Indianapolis, Indiana, United States
Boston Children's Hospital /ID# 262191
Boston, Massachusetts, United States
MNGI Digestive Health, P. A. /ID# 262204
Minneapolis, Minnesota, United States
Icahn School of Medicine at Mount Sinai /ID# 262216
New York, New York, United States
Univ NC Chapel Hill /ID# 262198
Chapel Hill, North Carolina, United States
UH Cleveland Medical Center /ID# 262188
Cleveland, Ohio, United States
Children's Hospital of Philadelphia - Main /ID# 262197
Philadelphia, Pennsylvania, United States
Sydney Children's Hospital /ID# 262352
Randwick, New South Wales, Australia
Children's Hospital at Westmead /ID# 262350
Westmead, New South Wales, Australia
Queensland Children's Hospital /ID# 262351
South Brisbane, Queensland, Australia
Monash Health - Monash Medical Centre /ID# 262878
Clayton, Victoria, Australia
Perth Children'S Hospital /ID# 272905
Perth, Western Australia, Australia
Uza /Id# 261745
Edegem, Antwerpen, Belgium
Cliniques Universitaires UCL Saint-Luc /ID# 261741
Brussels, Brussels Capital, Belgium
Universitair Ziekenhuis Leuven /ID# 261740
Leuven, Vlaams-Brabant, Belgium
Hospital Universite Enfants Reine Fabiola /ID# 261744
Brussels, , Belgium
CHR de la Citadelle /ID# 261749
Liège, , Belgium
UCL Namur University Hospital, Site Sainte-Elisabeth /ID# 261750
Namur, , Belgium
Galileo Medical Research Ltda /ID# 262602
Juiz de Fora, Minas Gerais, Brazil
Hospital Pequeno Príncipe /ID# 262600
Curitiba, Paraná, Brazil
Irmandade da Santa Casa de Misericordia de Porto Alegre /ID# 262601
Porto Alegre, Rio Grande do Sul, Brazil
Rocco & Nazato Servicos Medicos /ID# 262485
São Paulo, São Paulo, Brazil
Hospital Sirio Libanes /ID# 262670
São Paulo, , Brazil
UMHAT Sveti Georgi /ID# 262590
Plovdiv, , Bulgaria
Specialized Hospital For Active Treatment Of Children Diseases Prof. Ivan Mitev /ID# 262589
Sofia, , Bulgaria
IWK Health Center /ID# 262543
Halifax, Nova Scotia, Canada
Beijing Children's Hospital /ID# 262258
Beijing, Beijing Municipality, China
Guangzhou Medical University Affiliated Women and Children's Medical Center /ID# 262596
Guangzhou, Guangdong, China
The Sixth Affiliated Hospital of Sun Yat-sen University /ID# 272807
Guangzhou, Guangdong, China
Henan Children's Hospital Zhengzhou Children's Hospital /ID# 262300
Zhengzhou, Henan, China
Hunan Children's Hospital /ID# 262512
Changsha, Hunan, China
Jiangxi Provincial Children's Hospital /ID# 262295
Nanchang, Jiangxi, China
Shengjing Hospital of China Medical University /ID# 262301
Shenyang, Liaoning, China
Children's Hospital of Shanghai /ID# 262356
Shanghai, Shanghai Municipality, China
Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 262502
Shanghai, Shanghai Municipality, China
The Children's Hospital of Zhejiang University School of Medicine /ID# 262337
Hangzhou, Zhejiang, China
CHU de CAEN - Hopital de la Cote de Nacre /ID# 262311
Caen, Calvados, France
Hospices Civils de Lyon - Hôpital Femme Mère Enfant /ID# 263422
Bron, Rhone, France
Hopitaux de Paris (AP-HP) - Hopital Robert Debre - CHU /ID# 262308
Paris, , France
Agia Sofia Hospital /ID# 261792
Athens, Attica, Greece
General Hospital of Chest Diseases of Athens SOTIRIA /ID# 261790
Athens, Attica, Greece
University General Hospital of Heraklion PA.G.N.I /ID# 261791
Heraklion, Crete, Greece
Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 262384
San Giovanni Rotondo, Foggia, Italy
Ospedale Pediatrico Bambino Gesù /ID# 262379
Rome, Roma, Italy
Azienda Ospedaliera Universitaria Gaetano Martino /ID# 262380
Messina, , Italy
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico /ID# 275276
Milan, , Italy
Tsujinaka Hospital - Kashiwanoha /ID# 262454
Kashiwa-shi, Chiba, Japan
Kurume University Hospital /ID# 262455
Kurume-shi, Fukuoka, Japan
Miyagi Children's Hospital /ID# 262459
Sendai, Miyagi, Japan
Osaka Women's and Children's Hospital /ID# 262549
Izumi-Shi, Osaka, Japan
Saga University Hospital /ID# 262753
Saga, Saga-ken, Japan
Saitama Children's Medical Center /ID# 262461
Saitama-shi, Saitama, Japan
Institute of Science Tokyo Hospital /ID# 262510
Bunkyo-ku, Tokyo, Japan
Tokyo Metropolitan Children's Medical Center /ID# 262550
Fuchu-shi, Tokyo, Japan
National Center For Child Health And Development /ID# 262456
Setagaya City, Tokyo, Japan
Toyama Prefectural Central Hospital /ID# 262739
Toyama, Toyama, Japan
Christchurch Hospital. /ID# 262577
Christchurch, Canterbury, New Zealand
Starship Child Health /ID# 262576
Auckland, , New Zealand
Gastromed Sp. z o.o /ID# 262367
Torun, Kuyavian-Pomeranian Voivodeship, Poland
Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 262366
Warsaw, Masovian Voivodeship, Poland
Clinical Research Investigator Group, LLC /ID# 262357
Bayamón, , Puerto Rico
Puerto Rico Health Institute /ID# 262358
Dorado, , Puerto Rico
Clinical Research Puerto Rico /ID# 279595
San Juan, , Puerto Rico
Seoul National University Hospital /ID# 262324
Seoul, Seoul Teugbyeolsi, South Korea
Yonsei University Health System Severance Hospital /ID# 262721
Seoul, Seoul Teugbyeolsi, South Korea
Samsung Medical Center /ID# 262323
Seoul, Seoul Teugbyeolsi, South Korea
Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 262226
Ferrol, A Coruna, Spain
Hospital Sant Joan de Deu /ID# 262599
Esplugues de Llobregat, Barcelona, Spain
Hospital Regional Universitario de Malaga /ID# 262228
Málaga, , Spain
Hospital Universitario Virgen del Rocio /ID# 262712
Seville, , Spain
Hospital Clinico Universitario Lozano Blesa /ID# 262227
Zaragoza, , Spain
National Taiwan University Hospital /ID# 261695
Taipei City, Taipei, Taiwan
Linkou Chang Gung Memorial Hospital /ID# 261696
Taoyuan, , Taiwan
Addenbrookes Hospital /ID# 262707
Cambridge, Cambridgeshire, United Kingdom
Sheffield Children's Hospital NHS Foundation Trust /ID# 261832
Sheffield, England, United Kingdom
Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 262811
London, Greater London, United Kingdom
Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 262778
Norwich, Norfolk, United Kingdom
Royal Hospital for Children and Young People /ID# 262388
Edinburgh, , United Kingdom
Countries
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Central Contacts
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Related Links
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Other Identifiers
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M14-671
Identifier Type: -
Identifier Source: org_study_id