A Study of Icotrokinra in Participants With Moderately to Severely Active Crohn's Disease

NCT ID: NCT07196722

Last Updated: 2025-12-19

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

PHASE2/PHASE3

Total Enrollment

1092 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-03

Study Completion Date

2032-10-06

Brief Summary

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The purpose of this study is to evaluate how-well icotrokinra works (clinical efficacy) and how safe it is (safety) in participants with moderately to severely active Crohn's disease (CD; a long-term condition causing severe inflammation of the intestinal tract).

Detailed Description

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Conditions

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Crohn Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Induction Study 1: Icotrokinra Dose 1

Participants will receive Icotrokinra dose 1 in Induction Study 1 up to Week 12. Subsequent treatment will be determined by the participant's response status at Week 12.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Induction Study 1: Icotrokinra Dose 2

Participants will receive Icotrokinra dose 2 in Induction Study 1 up to Week 12. Subsequent treatment will be determined by the participant's response status at Week 12.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Induction Study 1: Placebo

Participants will receive matching placebo in Induction Study 1 up to Week 12. Subsequent treatment will be determined by the participant's response status at Week 12.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo will be administered orally, daily.

Induction Study 2: Icotrokinra

Participants will receive Icotrokinra at the dose regimen determined in Induction Study 1 up to Week 12. Subsequent study treatment will be determined by the participant's response status at Week 12.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Induction Study 2: Placebo

Participants will receive matching placebo for up to Week 12. Subsequent study treatment will be determined by the participant's response status at Week 12.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo will be administered orally, daily.

Maintenance Study: Icotrokinra Dose 1

Participants who were receiving icotrokinra in either induction studies 1 or 2 and were in response at Week 12 of the induction study will be randomized to receive icotrokinra maintenance dose 1. Participants receiving Icotrokinra Dose 1 and meeting criteria for loss of response during the Maintenance Study will be eligibile for a single blinded dose adjustment to Icotrokinra Dose 2. After completion of the Maintenance Study through Week 40, eligible participants can participate in long-term extension (LTE).

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Maintenance Study: Icotrokinra Dose 2

Participants who were receiving icotrokinra in either induction studies 1 or 2 and were in response at Week 12 of the induction study will be randomized to receive icotrokinra maintenance dose 2. Participants who were non-responders at Week 12 of the induction studies will also receive icotrokinra maintenance dose 2 but will not be randomized. After completion of the Maintenance Study through Week 40, eligible participants can participate in LTE.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Maintenance Study: Placebo

Participants who were receiving icotrokinra in either induction studies 1 or 2 and were in response at Week 12 will be randomized to receive placebo. Participants receiving placebo in induction studies 1 or 2 and in response at Week 12 of the induction study will continue to receive placebo during maintenance on non-randomized basis. Placebo non-responders from induction study will receive icotrokinra maintenance dose 2 on a non-randomized basis and will be assessed for response at Week 12.

Participants receiving placebo and meeting criteria for loss of response during the Maintenance Study will be eligible for a single blinded dose adjustment to icotrokinra dose 2. After completion of the Maintenance Study through Week 40, eligible participants can participate in LTE.

Group Type PLACEBO_COMPARATOR

Icotrokinra

Intervention Type DRUG

Icotrokinra will be administered orally, daily.

Placebo

Intervention Type DRUG

Matching placebo will be administered orally, daily.

Interventions

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Icotrokinra

Icotrokinra will be administered orally, daily.

Intervention Type DRUG

Placebo

Matching placebo will be administered orally, daily.

Intervention Type DRUG

Other Intervention Names

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JNJ-77242113

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of CD established at least 12 weeks before screening including both endoscopic evidence and a histopathology report consistent with a diagnosis of CD
* Moderately to severely active CD based on CDAI criteria, defined as baseline (Week I-0) CDAI score \>=220 but \<=450 and either mean daily SF count \>=4, or mean daily AP score \>=2
* Moderately to severely active CD based on SES-CD criteria assessed by baseline (Week I-0) endoscopic evidence of active ileal and/or colonic CD as assessed during central review of the screening video ileocolonoscopy defined as a SES-CD \>= 6 for participants with colonic or ileocolonic disease, and SES-CD \>= 4 for participants with isolated ileal disease, based on the presence of ulceration in any 1 of the 5 ileocolonic segments
* A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test (beta-hCG) at screening and a negative urine pregnancy test at Week I-0 prior to administration of study intervention and agree to further pregnancy tests
* Demonstrated an inadequate response, loss of response, or failure to tolerate previous conventional therapy (advanced drug therapy \[ADT\]-naïve) or advanced therapy defined as biologics and/or advanced oral agents for the treatment of CD (ADT-inadequate responder \[IR\]) as defined in the protocol

Exclusion Criteria

* Has complications of CD, such as symptomatic strictures or stenoses, short gut syndrome, or any other manifestation, that may require surgery while enrolled in the study and/or could impair the use of instruments (such as CDAI) to assess response to study intervention
* Presence of a stoma or ostomy
* Participants with presence of active fistulas may be included if there is no surgery needed
* Colonic resection within 24 weeks before baseline or any other major surgery performed within 12 weeks before baseline
* Presence on screening colonoscopy of adenomatous colon polyps outside of an area of known colitis not removed before randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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AZ Gastro Care

Chandler, Arizona, United States

Site Status RECRUITING

Clinnova Research

Anaheim, California, United States

Site Status RECRUITING

Alliance Research Institute, LLC - Canoga Park

Canoga Park, California, United States

Site Status RECRUITING

Southern California Research Center

Coronado, California, United States

Site Status RECRUITING

Om Research LLC

Lancaster, California, United States

Site Status RECRUITING

TLC Clinical Research Inc

Los Angeles, California, United States

Site Status RECRUITING

GastroIntestinal Bioscience

Los Angeles, California, United States

Site Status RECRUITING

Om Research LLC

Oxnard, California, United States

Site Status RECRUITING

Clinical Applications Laboratories, Inc

San Diego, California, United States

Site Status RECRUITING

Medical Associates Research Group, Inc.

San Diego, California, United States

Site Status RECRUITING

Peak Gastroenterology Associates

Colorado Springs, Colorado, United States

Site Status RECRUITING

Nuvance Health Danbury Hospital

Danbury, Connecticut, United States

Site Status RECRUITING

American Institute of Research

Cutler Bay, Florida, United States

Site Status RECRUITING

Nature Coast Clinical Research

Inverness, Florida, United States

Site Status RECRUITING

Green Leaf Clinical Trials

Jacksonville, Florida, United States

Site Status RECRUITING

Florida Research Center Inc.

Lakewood Rch, Florida, United States

Site Status RECRUITING

Sanchez Clinical Research, Inc

Miami, Florida, United States

Site Status RECRUITING

GCP Clinical Research

Tampa, Florida, United States

Site Status RECRUITING

Children's Center for Digestive Health Care

Atlanta, Georgia, United States

Site Status RECRUITING

Gastroenterolgy Associates of Central GA

Macon, Georgia, United States

Site Status RECRUITING

Kansas Gastroenterology, LLC

Wichita, Kansas, United States

Site Status RECRUITING

Tri-State Gastroenterology Assoc

Crestview Hills, Kentucky, United States

Site Status RECRUITING

Gastroenterology Clinic of Acadiana

Lafayette, Louisiana, United States

Site Status RECRUITING

Delta Research Partners, LLC

West Monroe, Louisiana, United States

Site Status RECRUITING

Westchester Putnam Gastroenterology

Carmel, New York, United States

Site Status RECRUITING

Manhattan Clinical Research LLC

New York, New York, United States

Site Status RECRUITING

New York Gastroenterology Associates

New York, New York, United States

Site Status RECRUITING

Gastro Intestinal Research Institute of Northern Ohio LLC

Westlake, Ohio, United States

Site Status SUSPENDED

Digestive Disease Specialists Inc

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

The Oregon Clinic

Portland, Oregon, United States

Site Status RECRUITING

Susquehanna Research Group

Harrisburg, Pennsylvania, United States

Site Status RECRUITING

Digestive Disease Associates

Rock Hill, South Carolina, United States

Site Status RECRUITING

DFW Clinical Trials

Carrollton, Texas, United States

Site Status RECRUITING

Victorium Clinical Research

Houston, Texas, United States

Site Status RECRUITING

Southern Star Research Institute, LLC

San Antonio, Texas, United States

Site Status RECRUITING

Tyler Research Institute, LLC

Tyler, Texas, United States

Site Status SUSPENDED

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status SUSPENDED

GEDYT

AAI, , Argentina

Site Status RECRUITING

Monash Medical Centre

Clayton, , Australia

Site Status RECRUITING

Concord Repatriation General Hospital

Concord, , Australia

Site Status RECRUITING

St Vincents Hospital Melbourne

Fitzroy, , Australia

Site Status RECRUITING

John Hunter Hospital

New Lambton Heights, , Australia

Site Status RECRUITING

Mater Hospital Brisbane

South Brisbane, , Australia

Site Status RECRUITING

Pesquisare Saude

Santo André, , Brazil

Site Status RECRUITING

GIRI Gastrointestinal Research Institute

Vancouver, British Columbia, Canada

Site Status RECRUITING

Viable Clinical Research

Kentville, Nova Scotia, Canada

Site Status RECRUITING

Barrie GI Associates

Barrie, Ontario, Canada

Site Status RECRUITING

London Digestive Disease Institute

London, Ontario, Canada

Site Status RECRUITING

ABP Research Services Corp.

Oakville, Ontario, Canada

Site Status RECRUITING

Toronto Immune and Digestive Health Institute Inc

Toronto, Ontario, Canada

Site Status RECRUITING

Chongqing General Hospital

Chongqing, , China

Site Status RECRUITING

The First Affiliated Hospital Sun Yat sen University

Guangzhou, , China

Site Status RECRUITING

Ningbo medical center lihuili hospital

Ningbo, , China

Site Status RECRUITING

PreventaMed, s.r.o.

Olomouc, , Czechia

Site Status RECRUITING

Gastromedic, Ltd.

Pardubice, , Czechia

Site Status RECRUITING

Jules Verne Clinic

Nantes, , France

Site Status RECRUITING

Hopital Saint-Antoine

Paris, , France

Site Status RECRUITING

Hospices Civils de Lyon CHU Lyon Sud

Pierre-Bénite, , France

Site Status RECRUITING

CHU Toulouse - Hopital de Rangueil

Toulouse, , France

Site Status RECRUITING

CHRU de Nancy - Hopitaux de Brabois

Vandœuvre-lès-Nancy, , France

Site Status RECRUITING

Medizinisches Versorgungszentrum (MVZ) Dachau

Dachau, , Germany

Site Status RECRUITING

Evangelismos S A

Athens, , Greece

Site Status RECRUITING

Assuta MC

Ashdod, , Israel

Site Status RECRUITING

Shamir Medical Center Assaf Harofeh

Be’er Ya‘aqov, , Israel

Site Status RECRUITING

Bnai Zion Medical Center

Haifa, , Israel

Site Status RECRUITING

Rambam Medical Center

Haifa, , Israel

Site Status RECRUITING

Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Galilee Medical Center

Nahariya, , Israel

Site Status RECRUITING

Rabin Medical Center

Petah Tikva, , Israel

Site Status RECRUITING

Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status RECRUITING

Juntendo University Hospital Urayasu

Chiba, , Japan

Site Status RECRUITING

Fukui Prefectural Hospital

Fukui-shi, , Japan

Site Status RECRUITING

Gamagori City Hospital

Gamagōri, , Japan

Site Status RECRUITING

National Hospital Organization Mito Medical Center

Higashiibaraki-gun, , Japan

Site Status RECRUITING

Kagoshima IBD Gastroenterology Clinic

Kagoshima, , Japan

Site Status RECRUITING

Tsujinaka Hospital Kashiwanoha

Kashiwa, , Japan

Site Status RECRUITING

Japanese Red Cross Kumamoto Hospital

Kumamoto, , Japan

Site Status RECRUITING

Takano Hospital

Kumamoto, , Japan

Site Status RECRUITING

Takagi Clinic

Miyagi, , Japan

Site Status RECRUITING

Hyogo Medical University Hospital

Nishinomiya Shi, , Japan

Site Status RECRUITING

Nakagami Hospital

Okinawa, , Japan

Site Status RECRUITING

Kinshukai Infusion Clinic

Osaka, , Japan

Site Status RECRUITING

National Hospital Organization Osaka National Hospital

Osaka, , Japan

Site Status RECRUITING

Osaka Metropolitan University Hospital

Osaka, , Japan

Site Status RECRUITING

Saga University Hospital

Saga, , Japan

Site Status RECRUITING

Toho University Sakura Medical Center

Sakura, , Japan

Site Status RECRUITING

Sapporo Tokushukai Hospital

Sapporo, , Japan

Site Status RECRUITING

Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital

Sapporo, , Japan

Site Status RECRUITING

Sapporo IBD Clinic

Sapporo, , Japan

Site Status RECRUITING

Matsuda Hospital

Shizuoka, , Japan

Site Status RECRUITING

National Hospital Organization Shizuoka Medical Center

Sunto-gun, , Japan

Site Status RECRUITING

Hospital Sultanah Bahiyah

Alor Star, , Malaysia

Site Status RECRUITING

Hospital Ampang

Ampang, , Malaysia

Site Status RECRUITING

Hospital Sultanah Aminah

Johor Bahru, , Malaysia

Site Status RECRUITING

Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Hospital Tuanku Jaafar

Seremban, , Malaysia

Site Status RECRUITING

NZOZ Centrum Medyczne KERmed

Bydgoszcz, , Poland

Site Status RECRUITING

Uls Loures Odivelas - Hosp. Loures

Loures, , Portugal

Site Status RECRUITING

S C Delta Health Care S R L

Bucharest, , Romania

Site Status RECRUITING

Spitalul Clinic Colentina

Bucharest, , Romania

Site Status RECRUITING

Hosp. Clinic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hosp. Virgen Macarena

Seville, , Spain

Site Status RECRUITING

Changhua Christian Hospital

Changhua, , Taiwan

Site Status RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Linkou Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Site Status RECRUITING

Ege Universitesi Tip Fakultesi

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Kocaeli University Medical Faculty

Kocaeli, , Turkey (Türkiye)

Site Status RECRUITING

Queen Elizabeth Hospital Birmingham

Birmingham, , United Kingdom

Site Status RECRUITING

Glasgow Royal Infirmary

Glasgow, , United Kingdom

Site Status RECRUITING

Fairfield General Hospital

Greater Manchester, , United Kingdom

Site Status RECRUITING

St Georges University Hospital NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Whiston Hospital

Rainhill, , United Kingdom

Site Status RECRUITING

Stepping Hill Hospital

Stockport, , United Kingdom

Site Status RECRUITING

Countries

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United States Argentina Australia Brazil Canada China Czechia France Germany Greece Israel Japan Malaysia Poland Portugal Romania Spain Taiwan Turkey (Türkiye) United Kingdom

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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77242113CRD3001

Identifier Type: OTHER

Identifier Source: secondary_id

2025-521382-27-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

77242113CRD3001

Identifier Type: -

Identifier Source: org_study_id