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Study of Targeted Therapies for the Treatment of Adult Participants With Moderate to Severe Crohn's Disease (Target CD)

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AbbVie

Status and phase

Enrolling
Phase 2

Conditions

Crohn's Disease

Treatments

Drug: Risankizumab
Drug: Lutikizumab
Drug: ABBV-382

Study type

Interventional

Funder types

Industry

Identifiers

NCT06548542
2024-513009-30 (Other Identifier)
M24-885

Details and patient eligibility

About

Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness, swelling), in the digestive tract, most frequently affecting the bowels. It can cause many different symptoms including belly pain, diarrhea, tiredness, and weight loss. Treatments are available but do not work the same for all patients or may stop working over time. This study will evaluate the effectiveness and adverse events of targeted therapies (TaTs) for adult participants with moderate to severe CD.

The medicines assessed in this study are risankizumab, ABBV-382 and lutikizumab. When participants join the study, they will be randomized into available study treatment groups. Adult participants with CD will be enrolled. Around 500 participants will be enrolled in the study at approximately 300 sites worldwide.

Risankizumab and ABBV-382 are given as an injection under the skin or as an infusion into the vein. Lutikizumab is given as an injection under the skin. Each group includes a 12-week induction period, a 12-week maintenance period, and an optional long-term extension period where medication will be given after the maintenance period.

There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, endoscopies, checking for side effects and completing questionnaires and a daily diary.

Enrollment

500 estimated patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Participants' body weight must be ≥ 40 kg at Baseline.
  • Confirmed diagnosis of CD for at least 3 months prior to Baseline. Documentation of biopsy results consistent with the diagnosis of CD as assessed by the Investigator must be available.
  • CDAI ≥ 220 at Baseline.
  • Endoscopic evidence of mucosal inflammation as documented by an SES-CD of ≥ 6 for ileocolonic or colonic disease or SES-CD of ≥ 4 for isolated ileal disease. All eligible scores exclude the presence of narrowing component and are determined by a reader.
  • Participants must demonstrate intolerance or inadequate response to TaTs including biologics

Exclusion criteria

  • Participant who demonstrated intolerance to p19 inhibitors, including risankizumab.
  • Participant who received any investigational TaT (or TaT that becomes approved during the conduct of the study) within 30 days or 5 half-lives prior to Baseline, whichever is longer. Note: If there is documentation of an undetectable (or below the lower limit of quantification/quantitation) drug level measured by a commercially available assay for any of the approved biologics above, there is no minimum washout prior to Baseline.
  • Participant who have any of the following: Current diagnosis of UC or indeterminate colitis. Currently known complications of CD such as: Current ostomy or ileoanal pouch; Current short gut or short bowel syndrome; Surgical bowel resection within the past 3 months prior to Baseline.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

500 participants in 6 patient groups

Monotherapy: Risankizumab
Experimental group
Description:
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose B as SC injection.
Treatment:
Drug: Risankizumab
Drug: Risankizumab
Combination Therapy: Risankizumab and ABBV-382
Experimental group
Description:
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose C as SC injection; and ABBV-382 Dose A as IV infusion and ABBV-382 Dose B as SC injection.
Treatment:
Drug: ABBV-382
Drug: ABBV-382
Drug: Risankizumab
Drug: Risankizumab
Monotherapy: ABBV-382
Experimental group
Description:
Participants will receive ABBV-382 Dose A as IV infusion and ABBV-382 Dose B as SC injection.
Treatment:
Drug: ABBV-382
Drug: ABBV-382
Combination Therapy: Risankizumab and Lutikizumab
Experimental group
Description:
Participants will receive Risankizumab Dose A as IV infusion and Risankizumab Dose C as SC injection; and Lutikizumab Dose A, Dose B and Dose C as SC injection.
Treatment:
Drug: Lutikizumab
Drug: Risankizumab
Drug: Risankizumab
Monotherapy: Lutikizumab
Experimental group
Description:
Participants will receive Lutikizumab Dose A, Dose B and Dose C as SC injection.
Treatment:
Drug: Lutikizumab
Long-Term Extension: Risankizumab Monotherapy
Experimental group
Description:
Participants will receive Risankizumab Dose A as IV infusion and/or Risankizumab Dose B as SC injection for up to 72 weeks.
Treatment:
Drug: Risankizumab
Drug: Risankizumab

Trial contacts and locations

106

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Central trial contact

ABBVIE CALL CENTER

Data sourced from clinicaltrials.gov

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