Clinical trial • Phase III • Gastroenterology
RO7790121 for Moderately to severely active Crohn's disease
Phase III trial of RO7790121 for Moderately to severely active Crohn's disease.
Overview
- Trial Therapeutic Area
- Gastroenterology
- Trial Disease
- Moderately to severely active Crohn's disease
- Trial Stage
- Phase III
- Drug Modality
- Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 03-12-2024
- First CTIS Authorization Date
- 14-04-2025
Trial design
Randomised, placebo (ro7790121 placebo); dose and schedule not specified. active arms: ro7790121 (two ro7790121 arms stated) and matching placebo.-controlled Phase III trial in Hungary, Portugal, Netherlands and others.
- Randomised
- Yes
- Comparator
- Placebo (RO7790121 Placebo); dose and schedule not specified. Active arms: RO7790121 (two RO7790121 arms stated) and matching placebo.
- Biomarker Stratified
- True, TL1A (tumor necrosis factor-like ligand 1A) biomarker-defined subgroups
- Target Sample Size
- 256
Eligibility
Recruits 256 Vulnerable population flagged in the application. Study materials include age-specific informed consent/assent documents (e.g., 'L1_SIS and ICF_Infants', 'L1_SIS and ICF_Assent 12-17 yo', parental consent / PPA forms). Assent is provided for adolescents (12-17) where applicable and parental/guardian consent for infants/children; there are also dedicated ICFs for pregnant partners and infant health. Multiple language versions of ICFs and assent forms are provided per country..
- Vulnerable Population
- Vulnerable population flagged in the application. Study materials include age-specific informed consent/assent documents (e.g., 'L1_SIS and ICF_Infants', 'L1_SIS and ICF_Assent 12-17 yo', parental consent / PPA forms). Assent is provided for adolescents (12-17) where applicable and parental/guardian consent for infants/children; there are also dedicated ICFs for pregnant partners and infant health. Multiple language versions of ICFs and assent forms are provided per country.
Inclusion criteria
- {"criterion_text":"- General Inclusion Criteria Age ≥18 to ≤ 80 years at the time of signing Informed Consent Form"}
- {"criterion_text":"- General Inclusion Criteria Bodyweight ≥ 40 kg"}
- {"criterion_text":"- Crohn's Disease-Specific Inclusion Criteria Confirmed diagnosis of CD with supportive clinical, endoscopic and histopathological evidence"}
- {"criterion_text":"- Crohn's Disease-Specific Inclusion Criteria Moderately to severely active CD, meeting all of the following: - CDAI ≥ 220 and ≤ 450 - SES-CD of ≥ 6 (or ≥ 4 for isolated ileal disease) -"}
- {"criterion_text":"- Crohn's Disease-Specific Inclusion Criteria Involvement of ileum and/or colon, with at least four colonic segments traversable by an endoscope or a pediatric endoscope, or three segments for patients who have undergone a bowel resection among the following segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum."}
- {"criterion_text":"- Crohn's Disease-Specific Inclusion Criteria Screening for colorectal cancer (CRC) during or prior to screening for all participants (performed according to local standards) with risk factors for bowel cancer a surveillance ileocolonoscopy must be performed within 12 months prior to screening. For all other patients, must be up to date with CRC surveillance (according to CRC risks and local standards) Screening ileocolonoscopy can be used for CRC surveillance (following local guidelines) and results must be available prior to randomization Any adenomatous polyps must be completely removed according to routine practice prior to their first dose of study drug."}
Exclusion criteria
- {"criterion_text":"- Inflammatory Bowel Disease Exclusion Criteria Participant with a history of ≥ 3 bowel resections > 2 missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum"}
- {"criterion_text":"- Inflammatory Bowel Disease Exclusion Criteria Diagnosis of short gut or short bowel syndrome"}
- {"criterion_text":"- Medical History Exclusion Criteria Lack of peripheral venous access"}
- {"criterion_text":"- Medical History Exclusion Criteria Significant uncontrolled medical comorbidity (such as cardiac, pulmonary, renal, hepatic, endocrine, or gastrointestinal disorders [excluding CD]), psychiatric, or other condition that in the opinion of the investigator, would confound the study results, compromise patient safety, interfere with the potential participant's provision of informed consent, or compliance with trial procedures."}
- {"criterion_text":"- Infection or Infection Risk Exclusion Criteria Any clinically significant infection < 4 weeks prior to randomization that has not resolved, and/or that required hospitalization, and/or IV antibiotics Any clinically significant infection that was opportunistic in nature is not permitted within 3 months prior to randomization"}
- {"criterion_text":"- Infection or Infection Risk Exclusion Criteria Confirmation of HIV infection (e.g., positive HIV test) at screening"}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Clinical remission, defined as CDAI < 150,","definition_or_measurement_approach":"Clinical remission defined as Crohn's Disease Activity Index (CDAI) < 150"}
- {"endpoint_text":"- 2. Endoscopic response, defined as decrease in SES-CD from baseline ≥ 50%,","definition_or_measurement_approach":"Endoscopic response defined as a ≥50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from baseline"}
Secondary endpoints
- {"endpoint_text":"- 1. Clinical remission, as defined above,","definition_or_measurement_approach":"See primary definition: CDAI < 150"}
- {"endpoint_text":"- 2. Endoscopic response, as defined above,","definition_or_measurement_approach":"See primary definition: ≥50% decrease in SES-CD from baseline"}
- {"endpoint_text":"- 3. Symptomatic remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 4. Endoscopic remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 5. Ulcer-free endoscopy,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 6. SF, from baseline","definition_or_measurement_approach":""}
- {"endpoint_text":"- 7. APS, from baseline","definition_or_measurement_approach":""}
- {"endpoint_text":"- 8. Endoscopic remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 9. Symptomatic remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 10. Corticosteroid-free clinical remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 11. Maintenance of clinical remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 12. Maintenance of endoscopic response,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 13. Clinical remission and endoscopic remission,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 14. Ulcer-free endoscopy,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 15. Bowel urgency, from baseline","definition_or_measurement_approach":""}
- {"endpoint_text":"- 16. Fatigue, as measured by Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F), from baseline","definition_or_measurement_approach":"Fatigue measured by FACIT-F scale"}
- {"endpoint_text":"- 17. Inflammatory Bowel Disease Questionnaire (IBDQ) score, from baseline","definition_or_measurement_approach":"Health-related quality of life measured by IBDQ"}
- {"endpoint_text":"- 18. Clinical remission","definition_or_measurement_approach":"CDAI-based definition as above"}
- {"endpoint_text":"- 19. Clinical remission","definition_or_measurement_approach":"CDAI-based"}
- {"endpoint_text":"- 20. Endoscopic response","definition_or_measurement_approach":"SES-CD based"}
- {"endpoint_text":"- 21. Endoscopic response","definition_or_measurement_approach":"SES-CD based"}
- {"endpoint_text":"- 22. Clinical response,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 23. Symptomatic response,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 24. Overall change in CD symptoms,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 25. Overall severity in CD symptoms,","definition_or_measurement_approach":""}
- {"endpoint_text":"- 26. General well-being, from baseline","definition_or_measurement_approach":""}
- {"endpoint_text":"- 27. Incidence and severity of the following: - Adverse events","definition_or_measurement_approach":"Safety assessed by incidence and severity of adverse events"}
- {"endpoint_text":"- 28. Incidence and severity of the following: - Serious adverse events","definition_or_measurement_approach":"Safety assessed by incidence and severity of serious adverse events"}
- {"endpoint_text":"- 29. Incidence and severity of the following: - Adverse events leading to study treatment discontinuation","definition_or_measurement_approach":""}
- {"endpoint_text":"- 30. Incidence and severity of the following: - Adverse events of special interest","definition_or_measurement_approach":""}
- {"endpoint_text":"- 31. Presence of draining fistulas","definition_or_measurement_approach":""}
Recruitment
- Digital Remote Recruitment
- True, uses social media posts, online patient flyers, and electronic patient-reported outcome (eCOA) tools
- Planned Sample Size
- 256
- Recruitment Window Months
- 69
- Consent Approach
- Informed consent obtained from participants via study-specific ICFs. Age-specific documents are provided: assent forms for adolescents (e.g., 'Assent 12-17 yo'), parental/guardian consent and infant ICFs for younger participants, and dedicated ICFs for pregnant partners/infants. Multiple language versions of ICFs and related materials are provided for country-specific deployment.
Methods
- Social media posts (documents: K2_social media_text, K4_Social Media Posts_IBD) — digital outreach to patients and public
- Patient-facing materials: posters and flyers (K2_Patient Poster, K2_Patient Flyer) — placed in clinics and hospitals to reach IBD patients
- Database letters / patient database communications (K2_Recruitment material_Database Letter) — contacting patients in existing databases
- Communication to doctors/GPs and professional outreach (K1_Recruitment Arrangements / Communication to Doctors) — engaging clinicians to refer eligible patients
- eCOA / electronic patient-reported outcome tools (third-party eCOA vendor documents present) — digital data capture and participant contact
Geography
- Total Number Of Sites
- 132
- Total Number Of Participants
- 348
Hungary
- Earliest CTIS Part Ii Submission Date
- 28-03-2025
- Latest Decision Or Authorization Date
- 26-08-2025
- Processing Time Days
- 151
- Number Of Sites
- 8
- Number Of Participants
- 21
Portugal
- Earliest CTIS Part Ii Submission Date
- 27-03-2025
- Latest Decision Or Authorization Date
- 22-08-2025
- Processing Time Days
- 148
- Number Of Sites
- 5
- Number Of Participants
- 5
Netherlands
- Earliest CTIS Part Ii Submission Date
- 03-04-2025
- Latest Decision Or Authorization Date
- 22-08-2025
- Processing Time Days
- 141
- Number Of Sites
- 6
- Number Of Participants
- 18
Denmark
- Earliest CTIS Part Ii Submission Date
- 18-12-2024
- Latest Decision Or Authorization Date
- 27-08-2025
- Processing Time Days
- 252
- Number Of Sites
- 1
- Number Of Participants
- 3
Spain
- Earliest CTIS Part Ii Submission Date
- 21-03-2025
- Latest Decision Or Authorization Date
- 25-08-2025
- Processing Time Days
- 157
- Number Of Sites
- 7
- Number Of Participants
- 14
Croatia
- Earliest CTIS Part Ii Submission Date
- 01-04-2025
- Latest Decision Or Authorization Date
- 22-04-2025
- Processing Time Days
- 167
- Number Of Sites
- 3
- Number Of Participants
- 10
Italy
- Earliest CTIS Part Ii Submission Date
- 26-03-2025
- Latest Decision Or Authorization Date
- 26-08-2025
- Processing Time Days
- 153
- Number Of Sites
- 17
- Number Of Participants
- 47
Germany
- Earliest CTIS Part Ii Submission Date
- 26-03-2025
- Latest Decision Or Authorization Date
- 22-08-2025
- Processing Time Days
- 149
- Number Of Sites
- 11
- Number Of Participants
- 31
France
- Earliest CTIS Part Ii Submission Date
- 04-04-2025
- Latest Decision Or Authorization Date
- 27-08-2025
- Processing Time Days
- 145
- Number Of Sites
- 12
- Number Of Participants
- 57
Poland
- Earliest CTIS Part Ii Submission Date
- 10-03-2025
- Latest Decision Or Authorization Date
- 05-12-2025
- Processing Time Days
- 270
- Number Of Sites
- 28
- Number Of Participants
- 35
Romania
- Earliest CTIS Part Ii Submission Date
- 02-04-2025
- Latest Decision Or Authorization Date
- 02-02-2026
- Processing Time Days
- 306
- Number Of Sites
- 3
- Number Of Participants
- 9
Czechia
- Earliest CTIS Part Ii Submission Date
- 25-03-2025
- Latest Decision Or Authorization Date
- 18-11-2025
- Processing Time Days
- 238
- Number Of Sites
- 4
- Number Of Participants
- 22
Belgium
- Earliest CTIS Part Ii Submission Date
- 11-03-2025
- Latest Decision Or Authorization Date
- 12-01-2026
- Processing Time Days
- 307
- Number Of Sites
- 13
- Number Of Participants
- 23
Austria
- Earliest CTIS Part Ii Submission Date
- 26-03-2025
- Latest Decision Or Authorization Date
- 17-11-2025
- Processing Time Days
- 236
- Number Of Sites
- 4
- Number Of Participants
- 11
Bulgaria
- Earliest CTIS Part Ii Submission Date
- 02-04-2025
- Latest Decision Or Authorization Date
- 02-03-2026
- Processing Time Days
- 334
- Number Of Sites
- 5
- Number Of Participants
- 30
Slovakia
- Earliest CTIS Part Ii Submission Date
- 28-03-2025
- Latest Decision Or Authorization Date
- 01-12-2025
- Processing Time Days
- 248
- Number Of Sites
- 4
- Number Of Participants
- 12
Sponsor
Primary sponsor
- Full Name
- F. Hoffmann-La Roche AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Icon Clinical Research Limited
- Responsibilities
- Global CRO
- Name
- IQVIA Limited
- Responsibilities
- sponsorDuties code: 1
- Name
- PPD Development LP
- Responsibilities
- sponsorDuties code: 4
Third parties
- {"country":"Canada","full_name":"Alimentiv Inc.","duties_or_roles":"Central Imaging","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pathai Inc.","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"sponsorDuties code: 3","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Global CRO","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"Translations","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Q2 Solutions LLC","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"Mobile Nursing","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"eCOA","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- RO7790121
- Active Substance
- RO7790121
- Modality
- Monoclonal antibody
- Routes Of Administration
- SUBCUTANEOUS
- Route
- SUBCUTANEOUS
- Authorisation Status
- prodAuthStatus: 1
- Investigational Product Name
- RO7790121 Placebo
- Modality
- Other
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