Study of Advanced Therapies for the Treatment of Adult Participants With Moderately to Severely Active Crohn's Disease or Ulcerative Colitis
Purpose
Crohn's disease (CD) and Ulcerative colitis (UC) are 2 types of inflammatory bowel diseases which cause long-lasting, severe inflammation (redness, swelling) in the digestive tract. CD can affect any part of the digestive tract causing many different symptoms including belly pain, diarrhea, tiredness, and weight loss. UC affects the lining of the rectum and colon (large intestine) and can cause bleeding, belly pain, and diarrhea. This platform basket study will evaluate how safe and effective advanced therapies are in adults with moderately to severely active Crohn's Disease (CD) or Ulcerative Colitis (UC). This study currently includes 2 substudies evaluating different treatments in participants with CD or UC. Substudy 1 will evaluate the combination of risankizumab and trosunilimab (ABBV-466) and Substudy 2 will evaluate the combination of risankizumab and ABBV-701 (ABBV-7066). When adult participants with moderately to severely active CD or UC join the study, they will undergo a 2-step randomization within CD and UC substudies, respectively. The first unblinded randomization will assign participants into a substudy, and the second blinded randomization will assign participants to a treatment arm within the assigned substudy. Approximately 100 adult participants will be enrolled per treatment arm across both substudies at approximately 400 sites worldwide. 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, stool tests, endoscopies, checking for side effects and completing questionnaires and a daily diary.
Conditions
- Crohn's Disease
- Ulcerative Colitis
Eligibility
- Eligible Ages
- Between 18 Years and 75 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
CD specific: - Crohn's Disease Activity Index (CDAI) score of ≥ 220 - Confirmed diagnosis of CD at least 90 days prior to Baseline - Endoscopic evidence of mucosal inflammation as documented by an Simple Endoscopic Score for Crohn's Disease (SES-CD) of ≥ 6 for ileocolonic or colonic disease or SES-CD of ≥ 4 for isolated ileal disease. - Demonstrated failure of 1 or more therapy for CD UC specific: - Confirmed diagnosis of UC at least 90 days prior to Baseline - Active UC with a modified Mayo Score (mMS) of 5 to 9 points and endoscopic subscore (ESS) of 2 to 3 - Demonstrated failure of 1 or more therapy for UC
Exclusion Criteria
- Participants with demonstrated intolerance to p19 IL-23 inhibitors (including risankizumab) - Participants treated with any investigational drug within 30 days or 5 half-lives of the study treatments (whichever is longer) prior to the first dose of study treatment - Participants who received any ATs (biologic or small molecules) prior to first dose of study treatment within the protocol specified time frame - Participants with surgical bowel resection within the past 3 months prior to Baseline CD specific: - Participants with >3 prior bowel resections - Participants with previous small bowel resection(s) of combined length >100 cm UC specific: - Participants with prior colectomy (total or subtotal) - Participants with extent of disease limited to < 10 cm of rectum
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Substudy 1: UC Arm 1 Risankizumab monotherapy |
Ulcerative Colitis (UC) participants will receive Risankizumab Dose A as induction treatment followed by Risankizumab Dose C as maintenance treatment. |
|
|
Experimental Substudy 1: CD Arm 1 Risankizumab monotherapy |
Crohn's Disease (CD) participants will receive Risankizumab Dose B as induction treatment followed by Risankizumab Dose D as maintenance treatment. |
|
|
Experimental Substudy 1: UC Arm 2 Trosunilimab monotherapy |
Ulcerative Colitis (UC) participants will receive Trosunilimab Dose A as induction treatment followed by Trosunilimab Dose C as maintenance treatment. |
|
|
Experimental Substudy 1: CD Arm 2 Trosunilimab monotherapy |
Crohn's Disease (CD) participants will receive Trosunilimab Dose B as induction treatment followed by Trosunilimab Dose D as maintenance treatment. |
|
|
Experimental Substudy 1: UC Arm 3 Trosunilimab monotherapy |
Ulcerative Colitis (UC) participants will receive Trosunilimab Dose E as induction treatment followed by Trosunilimab Dose G as maintenance treatment. |
|
|
Experimental Substudy 1: CD Arm 3 Trosunilimab monotherapy |
Crohn's Disease (CD) participants will receive Trosunilimab Dose F as induction treatment followed by Trosunilimab Dose H as maintenance treatment. |
|
|
Experimental Substudy 1: UC Arm 4 ABBV-466 (Risankizumab/Trosunilimab) |
Ulcerative Colitis (UC) participants will receive a combination induction treatment of ABBV-466 (Risankizumab/Trosunilimab) combo Dose A followed by a combination maintenance (Risankizumab/Trosunilimab) combo Dose C |
|
|
Experimental Substudy 1: CD Arm 4 ABBV-466 (Risankizumab/Trosunilimab) |
Crohn's Disease (CD) participants will receive a combination induction treatment of ABBV-466 (Risankizumab/Trosunilimab) combo Dose B followed by a combination maintenance (Risankizumab/Trosunilimab) combo Dose D |
|
|
Experimental Substudy 1: UC Arm 5 ABBV-466 (Risankizumab/Trosunilimab) |
Ulcerative Colitis (UC) participants will receive a combination induction treatment of ABBV-466 (Risankizumab/Trosunilimab) combo Dose E followed by a combination maintenance (Risankizumab/Trosunilimab) combo Dose G |
|
|
Experimental Substudy 1: CD Arm 5 ABBV-466 (Risankizumab/Trosunilimab) |
Crohn's Disease (CD) participants will receive a combination induction treatment of ABBV-466 (Risankizumab/Trosunilimab) combo Dose F followed by a combination maintenance (Risankizumab/Trosunilimab) combo Dose H |
|
|
Experimental Substudy 2: UC Arm 1 Risankizumab monotherapy |
Ulcerative Colitis (UC) participants will receive Risankizumab Dose A as induction treatment followed by Risankizumab Dose C as maintenance treatment. |
|
|
Experimental Substudy 2: CD Arm 1 Risankizumab monotherapy |
Crohn's Disease (CD) participants will receive Risankizumab Dose B as induction treatment followed by Risankizumab Dose D as maintenance treatment. |
|
|
Experimental Substudy 2: UC Arm 2 ABBV-701 monotherapy |
Ulcerative Colitis (UC) participants will receive ABBV-701 Dose A as induction treatment and Dose C maintenance treatment. |
|
|
Experimental Substudy 2: CD Arm 2 ABBV-701 monotherapy |
Crohn's Disease (CD) participants will receive ABBV-701 Dose B as induction treatment and Dose D maintenance treatment. |
|
|
Experimental Substudy 2: UC Arm 3 ABBV-701 monotherapy |
Ulcerative Colitis (UC) participants will receive ABBV-701 Dose E as induction treatment and Dose G maintenance treatment. |
|
|
Experimental Substudy 2: CD Arm 3 ABBV-701 monotherapy |
Crohn's Disease (CD) participants will receive ABBV-701 Dose F as induction treatment and Dose H maintenance treatment. |
|
|
Experimental Substudy 2: UC Arm 4 ABBV-7066 (Risankizumab/ABBV-701) |
Ulcerative Colitis (UC) participants will receive induction treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose A followed by maintenance treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose C. |
|
|
Experimental Substudy 2: CD Arm 4 ABBV-7066 (Risankizumab/ABBV-701) |
Crohn's Disease (CD) participants will receive induction treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose B followed by maintenance treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose D. |
|
|
Experimental Substudy 2: UC Arm 5 ABBV-7066 (Risankizumab/ABBV-701) |
Ulcerative Colitis (UC) participants will receive induction treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose E followed by maintenance treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose G. |
|
|
Experimental Substudy 2: CD Arm 5 ABBV-7066 (Risankizumab/ABBV-701) |
Crohn's Disease (CD) participants will receive induction treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose F followed by maintenance treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose H. |
|
|
Experimental Substudy 2: UC Arm 6 ABBV-7066 (Risankizumab/ABBV-701) |
Ulcerative Colitis (UC) participants will receive induction treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose I followed by maintenance treatment of ABBV-7066 (Risankizumab/ABBV-701) combination Dose J |
|
|
Experimental Substudy 2: CD Arm 6 ABBV-7066 (Risankizumab/ABBV-701) |
Crohn's Disease (CD) participants will receive induction treatment of ABBV-7066 (Risankizumab/ ABBV-701) combination Dose K followed by maintenance treatment of ABBV-7066 (Risankizumab/ ABBV-701) combination Dose L |
|
Recruiting Locations
Dothan, Alabama 36301
Phoenix, Arizona 85018
Site Coordinator
602-788-3437
Anaheim, California 92805
Lancaster, California 93534
Los Alamitos, California 90720
Rialto, California 92377
Colorado Springs, Colorado 80907
Kissimmee, Florida 34741
Miami, Florida 33134
Site Coordinator
786-476-8790
New Port Richey, Florida 34653
Site Coordinator
727-835-3261
Macon, Georgia 31201
Roswell, Georgia 30076
Site Coordinator
404-596-4480
Boise, Idaho 83706
Oak Lawn, Illinois 60453
Las Vegas, Nevada 89128
New York, New York 10075
Providence, Rhode Island 02905
Bellaire, Texas 77401
San Antonio, Texas 78229
Tacoma, Washington 98405
Vancouver, Washington 98664
Site Coordinator
360-397-3388
More Details
- Status
- Recruiting
- Sponsor
- AbbVie