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

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-26

Study Completion Date

2034-12-31

Brief Summary

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Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness, swelling), in the digestive tract, most often affecting the bowels. It can cause many different symptoms including abdominal pain, diarrhea, tiredness, and weight loss. This study will assess how safe and effective oral Upadacitinib is in treating moderately to severely active Crohn's Disease in pediatric participants aged 2 to 18 years old who have had inadequate response, loss of response, intolerance, or medical contraindications to corticosteroids, immunosuppressants, and/or biologic therapy.

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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Crohn's Disease

Keywords

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Crohn's Disease Upadacitinib RINVOQ

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

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.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

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)

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

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)

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

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

Group Type EXPERIMENTAL

Upadacitinib

Intervention Type DRUG

Oral Solution/ Extended-Release Tablets

Interventions

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Upadacitinib

Oral Solution/ Extended-Release Tablets

Intervention Type DRUG

Other Intervention Names

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RINVOQ

Eligibility Criteria

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Inclusion Criteria

* Weight at Screening and Baseline must be ≥ 10 kg
* 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

* History of:

* 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.
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status RECRUITING

Lucile Packard Children's Hospital /ID# 262193

Palo Alto, California, United States

Site Status RECRUITING

Children's Hospital Colorado - Aurora /ID# 262207

Aurora, Colorado, United States

Site Status RECRUITING

Connecticut Children's Medical Center - Hartford /ID# 262256

Hartford, Connecticut, United States

Site Status RECRUITING

OSF St. Francis Medical Center /ID# 262192

Peoria, Illinois, United States

Site Status RECRUITING

Indiana University Health Riley Hospital for Children /ID# 262215

Indianapolis, Indiana, United States

Site Status RECRUITING

Boston Children's Hospital /ID# 262191

Boston, Massachusetts, United States

Site Status RECRUITING

MNGI Digestive Health, P. A. /ID# 262204

Minneapolis, Minnesota, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai /ID# 262216

New York, New York, United States

Site Status RECRUITING

Univ NC Chapel Hill /ID# 262198

Chapel Hill, North Carolina, United States

Site Status RECRUITING

UH Cleveland Medical Center /ID# 262188

Cleveland, Ohio, United States

Site Status RECRUITING

Children's Hospital of Philadelphia - Main /ID# 262197

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Sydney Children's Hospital /ID# 262352

Randwick, New South Wales, Australia

Site Status RECRUITING

Children's Hospital at Westmead /ID# 262350

Westmead, New South Wales, Australia

Site Status RECRUITING

Queensland Children's Hospital /ID# 262351

South Brisbane, Queensland, Australia

Site Status RECRUITING

Monash Health - Monash Medical Centre /ID# 262878

Clayton, Victoria, Australia

Site Status RECRUITING

Perth Children'S Hospital /ID# 272905

Perth, Western Australia, Australia

Site Status RECRUITING

Uza /Id# 261745

Edegem, Antwerpen, Belgium

Site Status RECRUITING

Cliniques Universitaires UCL Saint-Luc /ID# 261741

Brussels, Brussels Capital, Belgium

Site Status RECRUITING

Universitair Ziekenhuis Leuven /ID# 261740

Leuven, Vlaams-Brabant, Belgium

Site Status RECRUITING

Hospital Universite Enfants Reine Fabiola /ID# 261744

Brussels, , Belgium

Site Status RECRUITING

CHR de la Citadelle /ID# 261749

Liège, , Belgium

Site Status RECRUITING

UCL Namur University Hospital, Site Sainte-Elisabeth /ID# 261750

Namur, , Belgium

Site Status RECRUITING

Galileo Medical Research Ltda /ID# 262602

Juiz de Fora, Minas Gerais, Brazil

Site Status RECRUITING

Hospital Pequeno Príncipe /ID# 262600

Curitiba, Paraná, Brazil

Site Status RECRUITING

Irmandade da Santa Casa de Misericordia de Porto Alegre /ID# 262601

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Rocco & Nazato Servicos Medicos /ID# 262485

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Hospital Sirio Libanes /ID# 262670

São Paulo, , Brazil

Site Status RECRUITING

UMHAT Sveti Georgi /ID# 262590

Plovdiv, , Bulgaria

Site Status RECRUITING

Specialized Hospital For Active Treatment Of Children Diseases Prof. Ivan Mitev /ID# 262589

Sofia, , Bulgaria

Site Status RECRUITING

IWK Health Center /ID# 262543

Halifax, Nova Scotia, Canada

Site Status RECRUITING

Beijing Children's Hospital /ID# 262258

Beijing, Beijing Municipality, China

Site Status RECRUITING

Guangzhou Medical University Affiliated Women and Children's Medical Center /ID# 262596

Guangzhou, Guangdong, China

Site Status RECRUITING

The Sixth Affiliated Hospital of Sun Yat-sen University /ID# 272807

Guangzhou, Guangdong, China

Site Status RECRUITING

Henan Children's Hospital Zhengzhou Children's Hospital /ID# 262300

Zhengzhou, Henan, China

Site Status RECRUITING

Hunan Children's Hospital /ID# 262512

Changsha, Hunan, China

Site Status RECRUITING

Jiangxi Provincial Children's Hospital /ID# 262295

Nanchang, Jiangxi, China

Site Status RECRUITING

Shengjing Hospital of China Medical University /ID# 262301

Shenyang, Liaoning, China

Site Status RECRUITING

Children's Hospital of Shanghai /ID# 262356

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 262502

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Children's Hospital of Zhejiang University School of Medicine /ID# 262337

Hangzhou, Zhejiang, China

Site Status RECRUITING

CHU de CAEN - Hopital de la Cote de Nacre /ID# 262311

Caen, Calvados, France

Site Status RECRUITING

Hospices Civils de Lyon - Hôpital Femme Mère Enfant /ID# 263422

Bron, Rhone, France

Site Status RECRUITING

Hopitaux de Paris (AP-HP) - Hopital Robert Debre - CHU /ID# 262308

Paris, , France

Site Status RECRUITING

Agia Sofia Hospital /ID# 261792

Athens, Attica, Greece

Site Status RECRUITING

General Hospital of Chest Diseases of Athens SOTIRIA /ID# 261790

Athens, Attica, Greece

Site Status RECRUITING

University General Hospital of Heraklion PA.G.N.I /ID# 261791

Heraklion, Crete, Greece

Site Status RECRUITING

Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 262384

San Giovanni Rotondo, Foggia, Italy

Site Status RECRUITING

Ospedale Pediatrico Bambino Gesù /ID# 262379

Rome, Roma, Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria Gaetano Martino /ID# 262380

Messina, , Italy

Site Status RECRUITING

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico /ID# 275276

Milan, , Italy

Site Status RECRUITING

Tsujinaka Hospital - Kashiwanoha /ID# 262454

Kashiwa-shi, Chiba, Japan

Site Status RECRUITING

Kurume University Hospital /ID# 262455

Kurume-shi, Fukuoka, Japan

Site Status RECRUITING

Miyagi Children's Hospital /ID# 262459

Sendai, Miyagi, Japan

Site Status RECRUITING

Osaka Women's and Children's Hospital /ID# 262549

Izumi-Shi, Osaka, Japan

Site Status RECRUITING

Saga University Hospital /ID# 262753

Saga, Saga-ken, Japan

Site Status RECRUITING

Saitama Children's Medical Center /ID# 262461

Saitama-shi, Saitama, Japan

Site Status RECRUITING

Institute of Science Tokyo Hospital /ID# 262510

Bunkyo-ku, Tokyo, Japan

Site Status RECRUITING

Tokyo Metropolitan Children's Medical Center /ID# 262550

Fuchu-shi, Tokyo, Japan

Site Status RECRUITING

National Center For Child Health And Development /ID# 262456

Setagaya City, Tokyo, Japan

Site Status RECRUITING

Toyama Prefectural Central Hospital /ID# 262739

Toyama, Toyama, Japan

Site Status RECRUITING

Christchurch Hospital. /ID# 262577

Christchurch, Canterbury, New Zealand

Site Status RECRUITING

Starship Child Health /ID# 262576

Auckland, , New Zealand

Site Status COMPLETED

Gastromed Sp. z o.o /ID# 262367

Torun, Kuyavian-Pomeranian Voivodeship, Poland

Site Status RECRUITING

Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 262366

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Clinical Research Investigator Group, LLC /ID# 262357

Bayamón, , Puerto Rico

Site Status RECRUITING

Puerto Rico Health Institute /ID# 262358

Dorado, , Puerto Rico

Site Status RECRUITING

Clinical Research Puerto Rico /ID# 279595

San Juan, , Puerto Rico

Site Status RECRUITING

Seoul National University Hospital /ID# 262324

Seoul, Seoul Teugbyeolsi, South Korea

Site Status RECRUITING

Yonsei University Health System Severance Hospital /ID# 262721

Seoul, Seoul Teugbyeolsi, South Korea

Site Status RECRUITING

Samsung Medical Center /ID# 262323

Seoul, Seoul Teugbyeolsi, South Korea

Site Status RECRUITING

Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 262226

Ferrol, A Coruna, Spain

Site Status RECRUITING

Hospital Sant Joan de Deu /ID# 262599

Esplugues de Llobregat, Barcelona, Spain

Site Status RECRUITING

Hospital Regional Universitario de Malaga /ID# 262228

Málaga, , Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocio /ID# 262712

Seville, , Spain

Site Status RECRUITING

Hospital Clinico Universitario Lozano Blesa /ID# 262227

Zaragoza, , Spain

Site Status COMPLETED

National Taiwan University Hospital /ID# 261695

Taipei City, Taipei, Taiwan

Site Status RECRUITING

Linkou Chang Gung Memorial Hospital /ID# 261696

Taoyuan, , Taiwan

Site Status RECRUITING

Addenbrookes Hospital /ID# 262707

Cambridge, Cambridgeshire, United Kingdom

Site Status RECRUITING

Sheffield Children's Hospital NHS Foundation Trust /ID# 261832

Sheffield, England, United Kingdom

Site Status RECRUITING

Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 262811

London, Greater London, United Kingdom

Site Status RECRUITING

Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 262778

Norwich, Norfolk, United Kingdom

Site Status RECRUITING

Royal Hospital for Children and Young People /ID# 262388

Edinburgh, , United Kingdom

Site Status RECRUITING

Countries

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United States Australia Belgium Brazil Bulgaria Canada China France Greece Italy Japan New Zealand Poland Puerto Rico South Korea Spain Taiwan United Kingdom

Central Contacts

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ABBVIE CALL CENTER

Role: CONTACT

Phone: 844-663-3742

Email: [email protected]

Related Links

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Other Identifiers

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M14-671

Identifier Type: -

Identifier Source: org_study_id