Clinical trial • Phase III • Gastroenterology

RISANKIZUMAB for Crohn's disease

Phase III trial of RISANKIZUMAB for Crohn's disease.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Crohn's disease
Trial Stage
Phase III
Drug Modality
Monoclonal antibody
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
13-05-2024
First CTIS Authorization Date
19-06-2024

Trial design

Randomised, open-label, placebo arms: placebo for risankizumab 300mg/3.33ml solution for infusion (matching infusion placebo) and placebo for risankizumab 90mg/ml solution for injection in pre-filled syringe (matching sc placebo); active comparator is risankizumab (iv infusion and sc injection formulations). doses/schedules are described in product entries but not explicitly summarised in the public record.-controlled Phase III trial.

Randomised
Yes
Open Label
Yes
Comparator
Placebo arms: Placebo for risankizumab 300mg/3.33ml solution for infusion (matching infusion placebo) and Placebo for Risankizumab 90mg/mL Solution for injection in Pre-filled Syringe (matching SC placebo); active comparator is risankizumab (IV infusion and SC injection formulations). Doses/schedules are described in product entries but not explicitly summarised in the public record.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
595
Trial Duration For Participant
364

Eligibility

Recruits 595 paediatric patients.

Pregnancy Exclusion
Confirmed positive urine pregnancy test at the Final Visit of Study M16-006, Study M15-991 or another AbbVie risankizumab Crohn's disease study.
Vulnerable Population
Vulnerable populations are selected (isVulnerablePopulationSelected = true). The protocol requires written informed consent from participants. For minors, assent and parental/guardian consent procedures are used (country-specific assent and parental ICFs are provided, e.g. assent forms for 16-17 years in Belgium and parental/assent forms in Greece). The protocol text states subjects must be able and willing to give written informed consent and allows caregiver administration of SC injections if permitted by local requirements.

Inclusion criteria

  • {"criterion_text":"- Participants who have entered and completed Study M16-006 or Study M15-991 or other AbbVie risankizumab Crohn's disease study."}
  • {"criterion_text":"- Participants have completed the study M16-006 or M15-991 and have achieved clinical response."}
  • {"criterion_text":"- Subject must be able and willing to give written informed consent and to comply with the requirements of this study protocol, including self-administration or care-giver administration of SC injections (if allowed per local requirements)."}

Exclusion criteria

  • {"criterion_text":"- Participants should not be enrolled in Study M16-000 with high grade colonic dysplasia or colon cancer identified during Study M15-991, Study M16-006 or another AbbVie risankizumab Crohn's disease study if the final endoscopy was performed prior to enter Study M16-000 OR is considered by the Investigator, for any reason, to be an unsuitable candidate for the study."}
  • {"criterion_text":"- Participant who has a known hypersensitivity to risankizumab or the excipients of any of the study drugs or the ingredients of Chinese hamster ovary (CHO), OR had an adverse event (AE) during Studies M16-006, M15-991 or another AbbVie risankizumab Crohn's disease study that in the Investigator's judgment makes the participant unsuitable for this study."}
  • {"criterion_text":"- Participant is not in compliance with prior and concomitant medication requirements throughout Studies M16-006, M15-991 or another AbbVie risankizumab Crohn's disease study."}
  • {"criterion_text":"- Confirmed positive urine pregnancy test at the Final Visit of Study M16-006, Study M15-991 or another AbbVie risankizumab Crohn's disease study."}
  • {"criterion_text":"- Have a known history of lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy and/or splenomegaly."}
  • {"criterion_text":"- Any active or chronic recurring infections based on the Investigator's assessment makes the participant an unsuitable candidate for the study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- SS1: Proportion of subjects with clinical remission at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 (timepoint specified); no further definition provided in the record."}
  • {"endpoint_text":"- SS1: Proportion of subjects with endoscopic response at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 (timepoint specified); no further definition provided in the record."}
  • {"endpoint_text":"- SS3: Evaluation of Long-term safety","definition_or_measurement_approach":"Assessment of long-term safety over the open-label extension period; no specific measurement approach detailed in the record."}

Secondary endpoints

  • {"endpoint_text":"- Proportion of participants with clinical remission per Crohn's Disease Activity Index (CDAI) at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 using CDAI as specified."}
  • {"endpoint_text":"- Proportion of subjects with clinical remission at Week 52 among the subjects with clinical remission in Week 0","definition_or_measurement_approach":"Proportion measured at Week 52 among the subgroup remitted at Week 0."}
  • {"endpoint_text":"- Proportion of subjects with ulcer-free endoscopy at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 by endoscopic assessment."}
  • {"endpoint_text":"- Proportion of subjects with endoscopic remission at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 by endoscopic assessment."}
  • {"endpoint_text":"- Mean change of IBDQ total score at Week 52 from baseline of induction","definition_or_measurement_approach":"Change from induction baseline to Week 52 in total IBDQ score."}
  • {"endpoint_text":"- Mean change of FACIT fatigue at Week 52 from baseline of induction","definition_or_measurement_approach":"Change from induction baseline to Week 52 in FACIT-Fatigue score."}
  • {"endpoint_text":"- Proportion of subjects who discontinued corticosteroid use for 90 days and achieved clinical remission at Week 52 in subjects taking steroids at baseline (of induction).","definition_or_measurement_approach":"Proportion measured at Week 52 among subjects on steroids at induction baseline who discontinued steroids for 90 days and achieved clinical remission."}
  • {"endpoint_text":"- Proportion of subjects with CDAI clinical response at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 using CDAI clinical response criteria."}
  • {"endpoint_text":"- Proportion of subjects with clinical remission and endoscopic response at Week 52","definition_or_measurement_approach":"Composite proportion measured at Week 52 (clinical remission plus endoscopic response)."}
  • {"endpoint_text":"- Proportion of subjects with enhanced clinical response at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 (enhanced response criterion defined in protocol but not detailed in the record)."}
  • {"endpoint_text":"- Proportion of subjects with deep remission at Week 52","definition_or_measurement_approach":"Proportion measured at Week 52 (deep remission definition referenced but not detailed in the record)."}
  • {"endpoint_text":"- Exposure adjusted occurrence of CD-related hospitalizations from Week 0 through Week 52","definition_or_measurement_approach":"Exposure-adjusted incidence of Crohn's disease-related hospitalizations over Weeks 0–52."}
  • {"endpoint_text":"- Change from baseline of the induction study in Short Form-36 (SF-36) Physical Component Summary score at Week 52","definition_or_measurement_approach":"Change from induction baseline to Week 52 in SF-36 Physical Component Summary score."}

Recruitment

Planned Sample Size
595
Recruitment Window Months
98
Consent Approach
Participants must provide written informed consent. The protocol and country-specific ICFs include assent and parental/guardian consent procedures for minors (assent forms for 16-17 years and parental ICFs are provided in country documents). ICFs and participant materials are available in country/local languages (examples in the dossier include English, Dutch, French, German, Spanish, Greek, Bulgarian and other local-language ICFs as listed per Member State). Caregiver administration of subcutaneous injections is allowed where locally permitted.

Sponsor

Primary sponsor

Full Name
AbbVie Deutschland GmbH & Co. KG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Contract research organisations

Name
Medidata Solutions Inc.
Responsibilities
Clinical trial technology / sponsor duties (code 7 listed)
Name
WCG Clinical Inc.
Responsibilities
External adjudication committee responsibilities (Cardiac/Cerebro-vascular – CAC Anaphylaxis - AAC)
Name
Endpoint Clinical Inc.
Responsibilities
Sponsor/CRO duties (code 3 listed)
Name
Signant Health LLC
Responsibilities
e-Patient Reported Outcome services
Name
Labcorp Central Laboratory Services LP
Responsibilities
Central laboratory services
Name
Alimentiv Inc.
Responsibilities
Medical imaging services
Name
AbbVie Biotechnology GmbH
Responsibilities
Biomarker laboratory analysis

Third parties

  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Sponsor duties (code 7) as listed in record","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"External Adjudication Committee (Cardiac/Cerebro-vascular – CAC Anaphylaxis - AAC)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Laboratory services (sponsor duties code 4)","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Alimentiv Inc.","duties_or_roles":"Medical imaging","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"Sponsor duties (code 3) as listed in record","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"AbbVie Biotechnology GmbH","duties_or_roles":"Biomarker laboratory analysis; laboratory duties (codes listed)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health LLC","duties_or_roles":"e-Patient Reported Outcome","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ABBV-066 / Risankizumab
Active Substance
RISANKIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
3600 mg (maxTotalDoseAmount as listed for product PRD10391031)
Investigational Product Name
Risankizumab
Active Substance
RISANKIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS USE
Route
SUBCUTANEOUS
Authorisation Status
Authorised
Maximum Dose
18720 mg (maxTotalDoseAmount as listed for product PRD9602765)
Investigational Product Name
Placebo for risankizumab 300mg/3.33ml solution for infusion
Modality
Other
Investigational Product Name
Placebo for Risankizumab 90mg/mL Solution for injection in Pre-filled Syringe
Modality
Other

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