Ulcerative Colitis (UC)Phase 2/3NCT02819635
A Study to Evaluate the Safety and Efficacy of Upadacitinib (ABT-494) for Induction and Maintenance Therapy in Participants With Moderately to Severely Active Ulcerative Colitis (UC)
A Phase 2/3 study testing Upadacitinib in people with Ulcerative Colitis (UC), run by AbbVie at 496 sites in 46 countries.
Trial summary
This study was comprised of three substudies. The objective of Substudy 1 was to characterize the dose-response, efficacy, and safety of upadacitinib compared to placebo in inducing clinical remission to identify the induction dose of upadacitinib for further evaluation in Substudy 2. Read more about this study
- Who is it for?
- Ages 16 to 75 years
- Conditions the study is for
- Ulcerative Colitis (UC)
- What is being tested?
- Upadacitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,302 participants
- Where
- 496 sitesin 46 countries
- Study dates
- 26 Sep 2016to 13 Dec 2021
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Note: Adolescent participants who are 16 or 17 years old will be eligible to participate if approved by the country or regulatory/health authority. If approval has not been granted, only participants ≥18 years old will be enrolled. Adolescents must weigh ≥ 40 kilograms and meet the definition of Tanner Stage 5 at Screening Visit.
- Diagnosis of ulcerative colitis for 90 days or greater prior to Baseline, confirmed by colonoscopy during the Screening Period, with exclusion of current infection, colonic dysplasia and/or malignancy. Appropriate documentation of biopsy results consistent with the diagnosis of UC, in the assessment of the Investigator, must be available.
- Active ulcerative colitis with an Adapted Mayo score of 5 to 9 points and endoscopic sub score of 2 to 3 (confirmed by central reader).
- Demonstrated an inadequate response to, loss of response to, or intolerance to at least one of the following treatments including: oral aminosalicylates, corticosteroids, immunosuppressants, and/or biologic therapies in the opinion of the investigator.
- Note: Participants who have had inadequate response, loss of response to conventional therapy, but have not failed biologic therapy (Non-bio-IR) and have received a prior biologic for up to 1 year may be enrolled, however they must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease) and must meet criteria for inadequate response, loss of response or intolerance to aminosalicylates, corticosteroids, and/or immunosuppressants as defined above.
- If female, participant must meet the criteria for Contraception Recommendations
- Female participants of childbearing potential must have a negative serum pregnancy test at the Screening Visit and a negative urine pregnancy test at the Baseline Visit prior to study drug dosing.
Who cannot join
- Participant with current diagnosis of Crohn's disease (CD) or diagnosis of indeterminate colitis (IC)
- Current diagnosis of fulminant colitis and/or toxic megacolon
- Participant with disease limited to the rectum (ulcerative proctitis) during the screening endoscopy
- Received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to Baseline
- Participant on azathioprine or 6-mercaptopurine within 10 days of Baseline
- Received intravenous corticosteroids within 14 days prior to Screening or during the Screening Period.
- Participant with previous exposure to Janus Activated Kinase (JAK) inhibitor (e.g., tofacitinib, baricitinib, filgotinib, upadacitinib).
- Screening laboratory and other analyses show any abnormal results meeting the exclusion criteria
Trial locations and contacts
496 sites in 46 countries.
496 sites in 46 countries
United States149 sites
Duplicate_University of New Mexico Department of Internal Medicine /ID# 214396
Albuquerque, New Mexico, 87131
University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 151140
Ann Arbor, Michigan, 48109
Huron Gastroenterology Assoc /ID# 152710
Ann Arbor, Michigan, 48197
TX Clinical Research Institute /ID# 151526
Arlington, Texas, 76012
Digestive Health Partners, P.A /ID# 167237
Asheville, North Carolina, 28801
University of Maryland Med Ctr /ID# 150449
Baltimore, Maryland, 21201
Inquest Clinical Research /ID# 164635
Baytown, Texas, 77521-2415
Washington Gastroenterology /ID# 163629
Bellevue, Washington, 98004
Birmingham Gastroenterology Associates P.C /ID# 151276
Birmingham, Alabama, 35209
Massachusetts General Hospital /ID# 165676
Boston, Massachusetts, 02114
HP Clinical Research /ID# 163939
Bountiful, Utah, 84010
NY Scientific /ID# 152707
Brooklyn, New York, 11235
Texas Digestive Disease Consultants /ID# 209947
Cedar Park, Texas, 78613-5028
Texas Digestive Disease Consultants /ID# 209804
Cedar Park, Texas, 78613
Delsol Research Management, Ll /Id# 170131
Chandler, Arizona, 85224
Pharmacorp Clinical Trials /ID# 153354
Charleston, South Carolina, 29412
Atrium Health Carolinas Medical Center /ID# 156971
Charlotte, North Carolina, 28203
Charlotte Gastroenterology and Hepatology, PLLC /ID# 150545
Charlotte, North Carolina, 28207
Clin Res Inst of Michigan, LLC /ID# 153027
Chesterfield, Michigan, 48047
Next Innovative Clinical Research - Chicago /ID# 216060
Chicago, Illinois, 60605-2168
The University of Chicago DCAM /ID# 150547
Chicago, Illinois, 60637
Consultants for Clinical Research /ID# 151679
Cincinnati, Ohio, 45219
University of Cincinnati /ID# 164582
Cincinnati, Ohio, 45267-0585
Gastro Florida /ID# 155245
Clearwater, Florida, 33756
Delta Waves, Inc. /ID# 151721
Colorado Springs, Colorado, 80918
Gastro Center of Maryland /ID# 200022
Columbia, Maryland, 21045
The Ohio State University /ID# 169416
Columbus, Ohio, 43210
Optimed Research, Ltd. /ID# 169696
Columbus, Ohio, 43235
Citrus Valley Gastroenterology /ID# 151914
Covina, California, 91722-3797
Tri-State Gastroenterology /ID# 169811
Crestview Hills, Kentucky, 41017
Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 200770
Dallas, Texas, 75246
Western Connecticut Medical Group /ID# 169210
Danbury, Connecticut, 06810
Hometown Urgent Care and Resea /ID# 200065
Dayton, Ohio, 45424
Moonshine Research Center, Inc /ID# 152533
Doral, Florida, 33166
Universal Axon Clinical Research /ID# 213461
Doral, Florida, 33166
AGA Clinical Research Associates, LLC /ID# 153040
Egg Harbor, New Jersey, 08234
Dayton Gastroenterology, Inc. /ID# 167631
Englewood, Ohio, 45415
NorthShore University HealthSystem /ID# 150555
Evanston, Illinois, 60201
MediSphere Medical Research Center /ID# 152064
Evansville, Indiana, 47714-8011
Plains Clinical Research Center, LLC /ID# 170290
Fargo, North Dakota, 58104-5925
Ctr for Gastrointestinal Healt /ID# 153360
Franklin, Virginia, 23851
DHAT Research Institute /ID# 151218
Garland, Texas, 75044-2208
Gastro One /ID# 151144
Germantown, Tennessee, 38138
Aurora Medical Center - Grafto /ID# 151717
Grafton, Wisconsin, 53024
NYU Langone Long Island Clinical Research Association /ID# 155272
Great Neck, New York, 11021
Atlantic Gastroenterology Clinical Research /ID# 151899
Greenville, North Carolina, 27834
Gastroenterology Associates, P.A. of Greenville /ID# 150541
Greenville, South Carolina, 29615-3593
Medical Research Center of CT /ID# 150482
Hamden, Connecticut, 06518
Palmetto Research, LLC /ID# 151716
Hialeah, Florida, 33016
Northwest Health Care Associates /ID# 151590
Hoffman Estates, Illinois, 60169
Houma Digestive Health Special /ID# 151844
Houma, Louisiana, 70360
Vilo Research Group Inc /ID# 212624
Houston, Texas, 77017-2337
CliniCore International, LLC /ID# 152062
Houston, Texas, 77027-6812
Baylor College of Medicine - Baylor Medical Center /ID# 150486
Houston, Texas, 77030-3411
Centex Studies, Inc. - Houston /ID# 201216
Houston, Texas, 77058
GI Specialists of Houston /ID# 202327
Houston, Texas, 77070-4347
Newport Huntington Medical Group /ID# 217005
Huntington Beach, California, 92648-5994
Indianapolis Gastroenterology /ID# 162901
Indianapolis, Indiana, 46237
Nature Coast Clinical Research - Inverness /ID# 154064
Inverness, Florida, 34452-4717
University of Iowa Hospitals and Clinics /ID# 157058
Iowa City, Iowa, 52242
University of Mississippi Medical Center /ID# 213139
Jackson, Mississippi, 39216-4500
Southern Therapy and Advanced Research (STAR) LLC /ID# 170712
Jackson, Mississippi, 39216
Encore Borland-Groover Clinical Research /Id# 170912
Jacksonville, Florida, 32256
East Tennessee Research Institute /ID# 203610
Johnson City, Tennessee, 37604
SIH Research Mumtaz, Inc /ID# 163319
Kissimmee, Florida, 34741-4161
UC San Diego Health System /ID# 155185
La Jolla, California, 92093
Las Vegas Medical Research /ID# 153044
Las Vegas, Nevada, 89113
Dartmouth-Hitchcock Medical Center /ID# 150549
Lebanon, New Hampshire, 03756
Emeritas Research Group, LLC /ID# 150258
Leesburg, Virginia, 20176
South Denver Gastroenterology /ID# 151223
Lone Tree, Colorado, 80124
United Medical Doctors /ID# 207464
Los Alamitos, California, 90720-3309
TLC Clinical Research Inc /ID# 216829
Los Angeles, California, 90048
Gastrointestinal Biosciences Clinical Trials, LLC /ID# 157080
Los Angeles, California, 90067-2001
Caprock Gastro Research, LLC /ID# 214754
Lubbock, Texas, 79424-3017
Gastroenterology Associates of Central Georgia, LLC /ID# 165782
Macon, Georgia, 31201
Cfagi Llc /Id# 202017
Maitland, Florida, 32751-6108
Great Lakes Medical Research, LLC /ID# 201772
Mentor, Ohio, 44060-6211
Ohio Clinical Research Partner /ID# 154068
Mentor, Ohio, 44060
Digestive Disease Consultants, A Division of Arizona Digestive Health, P.C /ID# 211885
Mesa, Arizona, 85206
University of Miami /ID# 215441
Miami, Florida, 33136
Advanced Pharma /ID# 151719
Miami, Florida, 33147
New Horizon Research Center /ID# 152474
Miami, Florida, 33165-3372
Crystal Pharmacology Research /ID# 151841
Miami, Florida, 33165
Coral Research Clinic /ID# 150444
Miami, Florida, 33186-4643
Wisconsin Center for Advanced Research, a division of GI Associates, LLC /ID# 151838
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin /ID# 151843
Milwaukee, Wisconsin, 53226-3522
Facey Medical Foundation /ID# 203133
Mission Hills, California, 91345
East View Medical Research, LLC /ID# 171183
Mobile, Alabama, 36606
CB Flock Research Corporation /ID# 165980
Mobile, Alabama, 36608
Atlantic Digestive Health Inst /ID# 150447
Morristown, New Jersey, 07960
United Medical Doctors - Murrieta /ID# 151211
Murrieta, California, 92563
Quality Medical Research /ID# 203426
Nashville, Tennessee, 37211
Vanderbilt University Medical Center /ID# 153355
Nashville, Tennessee, 37232-0011
Rutgers Robert Wood Johnson /ID# 155248
New Brunswick, New Jersey, 08901
Nola Research Works, LLC /ID# 153356
New Orleans, Louisiana, 70115
Advanced Research Institute, Inc /ID# 163098
New Port Richey, Florida, 34653
Columbia Univ Medical Center /ID# 163410
New York, New York, 10032-3725
DiGiovanna Institute for Medical Education & Research /ID# 201533
North Massapequa, New York, 11758
Advanced Research Institute /ID# 162624
Ogden, Utah, 84403
Hightower Clinical /ID# 216337
Oklahoma City, Oklahoma, 73102
Digestive Disease Specialists /ID# 201056
Oklahoma City, Oklahoma, 73112
Endoscopic Research, Inc. /ID# 151720
Orlando, Florida, 32803
Omega Research Maitland, LLC /ID# 200269
Orlando, Florida, 32808
InSite Digestive Health Care - Oxnard /ID# 163414
Oxnard, California, 93030
Northwest Gastroenterology Clinic /ID# 152527
Portland, Oregon, 97210
Premier Medical Group - GI Division /ID# 153357
Poughkeepsie, New York, 12601
Inland Empire Clinical Trials, LLC /ID# 216038
Rialto, California, 92377
Infinite Clinical Trials /ID# 215340
Riverdale, Georgia, 30274
Mayo Clinic - Rochester /ID# 151677
Rochester, Minnesota, 55905-0001
Gastoenterology Group of Rochester /ID# 151079
Rochester, New York, 14618-5703
Minnesota Gastroenterology PA /ID# 151678
Saint Paul, Minnesota, 55114
Utah Gastroenternology - St. Mark's Office /ID# 163101
Salt Lake City, Utah, 84124
Clinical Associates in Research Therapeutics of America, LLC /ID# 201260
San Antonio, Texas, 78212
Southern Star Research Institute, LLC /ID# 169396
San Antonio, Texas, 78229-5390
San Diego Clinical Trials /ID# 212120
San Diego, California, 92120
Medical Assoc Research Grp /ID# 169148
San Diego, California, 92123
Univ of California San Francis /ID# 164581
San Francisco, California, 94158
Guthrie Medical Group, PC /ID# 150481
Sayre, Pennsylvania, 18840
Virginia Mason Medical Center /ID# 153026
Seattle, Washington, 98101
The Polyclinic /ID# 164369
Seattle, Washington, 98122-4201
Louisana Research Center, LLC /ID# 150446
Shreveport, Louisiana, 71105-6800
Revival Research Institute, LLC /ID# 207280
Southfield, Michigan, 48034-1659
Washington University-School of Medicine /ID# 150485
St Louis, Missouri, 63110
Penn State Health Colonnade /ID# 150259
State College, Pennsylvania, 16803-2309
Richmond University Medical Center /ID# 201859
Staten Island, New York, 10310-1664
Carl R. Meisner Medical Clinic /ID# 171061
Sugar Land, Texas, 77478
Arizona Arthritis & Rheumatology Research, PLLC /ID# 169822
Sun City, Arizona, 85306
Atlanta Gastroenterology Spec /ID# 150548
Suwanee, Georgia, 30024
Clinical Research Trials of Florida, Inc. /ID# 201790
Tampa, Florida, 33607
University of South Florida /ID# 214493
Tampa, Florida, 33612
AdventHealth Tampa /ID# 200272
Tampa, Florida, 33613-4680
Baylor Scott & White Center for Diagnostic Medicine /ID# 204499
Temple, Texas, 76508
Montefiore Medical Center - Moses Campus /ID# 150543
The Bronx, New York, 10467
Advantage Clinical Trials /ID# 163938
The Bronx, New York, 10468
Cotton-O'Neil Clinical Res Ctr /ID# 167182
Topeka, Kansas, 66606
Center for Digestive Health /ID# 161984
Troy, Michigan, 48098-6363
Adobe Clinical Research LLC /ID# 155250
Tucson, Arizona, 85712
University of Arizona /ID# 150553
Tucson, Arizona, 85724
Options Health Research, LLC /ID# 150554
Tulsa, Oklahoma, 74104
Healthcare Research Consultant /ID# 163100
Tulsa, Oklahoma, 74135
Tyler Research Institute, LLC /ID# 169146
Tyler, Texas, 75701-4464
Carle Foundation Hospital /ID# 151137
Urbana, Illinois, 61801
The Vancouver Clinic, INC. PS /ID# 162333
Vancouver, Washington, 98664
Gastro Health & Nutrition - Victoria /ID# 167761
Victoria, Texas, 77904
Velocity Clinical Research - Salt Lake City /ID# 163181
West Jordan, Utah, 84088
Western States Clinical Res /ID# 158076
Wheat Ridge, Colorado, 80033-2896
Clinical Trials of America /ID# 153448
Winston-Salem, North Carolina, 27103
Wake Forest Baptist Medical Center /ID# 150448
Winston-Salem, North Carolina, 27157-0001
Gastroenterology Associates of Western Michigan, PLC d.b.a. West Michigan Clinic /ID# 157484
Wyoming, Michigan, 49519
Japan73 sites
Tokatsu Tsujinaka Hospital /ID# 214962
Abiko-shi, Chiba, 270-1168
Asahikawa Medical University Hospital /ID# 170289
Asahikawa-shi, Hokkaido, 078-8510
Tokyo Medical And Dental University Hospital /ID# 152016
Bunkyo-ku, Tokyo, 113-8519
Fukuoka University Chikushi Hospital /ID# 152628
Chikushino-shi, Fukuoka, 818-8502
St.Luke's International Hospital /ID# 208074
Chuo-ku, Tokyo, 104-8560
Fukui Prefectural Hospital /ID# 210448
Fukui-shi, Fukui, 910-8526
Saiseikai Fukuoka Genaral Hospital /ID# 209479
Fukuoka, Fukuoka, 810-0001
Kyushu University Hospital /ID# 152526
Fukuoka, Fukuoka, 812-8582
NHO Fukuyama Medical Center /ID# 206293
Fukuyama-shi, Hiroshima, 720-8520
Tokai University Hachioji Hospital /ID# 152587
Hachioji-shi, Tokyo, 192-0032
Hamamatsu University Hospital /ID# 205708
Hamamatsu, Shizuoka, 431-3192
National Hospital Organization Mito Medical Center /ID# 152631
Higashi Ibaraki-gun, Ibaraki, 311-3193
National Hospital Organization Higashi-Ohmi General Medical Center /ID# 210709
Higashi-ohmi-shi, Shiga, 527-8505
Hirosaki National Hospital /ID# 152763
Hirosaki-shi, Aomori, 036-8545
Hiroshima University Hospital /ID# 151951
Hiroshima, Hiroshima, 734-8551
Shimane University Hospital /ID# 208899
Izumo-shi, Shimane, 693-8501
Imamura General Hospital /ID# 227134
Kagoshima, Kagoshima-ken, 890-0064
Idzuro Imamura Hospital /ID# 206024
Kagoshima, Kagoshima-ken, 892-0824
Sameshima Hospital /ID# 206672
Kagoshima, Kagoshima-ken, 892-0846
Kanazawa University Hospital /ID# 205099
Kanazawa, Ishikawa-ken, 920-8641
Tsujinaka Hospital Kashiwanoha /ID# 209130
Kashiwa-shi, Chiba, 277-0871
Saitama Medical Center /ID# 152031
Kawagoe-shi, Saitama, 350-8550
St. Marianna University School of Medicine Hospital /ID# 208654
Kawasaki-shi, Kanagawa, 216-8511
Kitakyushu Municipal Med Ctr /ID# 152588
Kitakyushu, Fukuoka, 8020077
Aoyama Clinic /ID# 152049
Kobe, Hyōgo, 650-0015
Yamanashi Prefectural Central Hospital /ID# 151908
Kofu, Yamanashi, 400-8506
Chikuba Hospital for Proctological and Gastrointestinal Diseases /ID# 157821
Kurashiki-shi, Okayama-ken, 710-0142
Kurume University Hospital /ID# 151976
Kurume-shi, Fukuoka, 830-0011
Japanese Red Cross Kyoto Daiichi Hosital /ID# 152359
Kyoto, Kyoto, 605-0981
Kyoto University Hospital /ID# 211758
Kyoto, Kyoto, 606-8507
Kitasato University Kitasato Institute Hospital /ID# 152686
Minato-ku, Tokyo, 108-8642
Kyorin University Hospital /ID# 153194
Mitaka-shi, Tokyo, 181-8611
Iwate Medical University Uchimaru Medical Center /ID# 203411
Morioka, Iwate, 020-8505
Aichi Medical University Hospital /ID# 151993
Nagakute-shi, Aichi-ken, 480-1195
Nagoya University Hospital /ID# 152709
Nagoya, Aichi-ken, 4668560
Nagoya City University Hospital /ID# 151950
Nagoya, Aichi-ken, 467-8602
Saiseikai Niigata Hospital /ID# 209916
Niigata, Niigata, 950-1104
Niigata University Medical & Dental Hospital /ID# 218048
Niigata, Niigata, 951-8520
Hyogo College of Medicine College Hospital /Id# 152434
Nishinomiya-shi, Hyōgo, 663-8501
Obihiro kosei Hospital /ID# 210412
Obihiro-shi, Hokkaido, 080-0024
Ogaki Municipal Hospital /ID# 208225
Ogaki-shi, Gifu, 503-8502
Ishida Clinic of IBD and Gastroenterology /ID# 210117
Ōita, Oita Prefecture, 870-0823
Okayama University Hospital /ID# 217923
Okayama, Okayama-ken, 700-8558
NHO Nagasaki Medical Center /ID# 209531
Omura-shi, Nagasaki, 856-8562
Kinshukai Infusion Clinic /ID# 207864
Osaka, Osaka, 530-0011
Kitano Hospital /ID# 210395
Osaka, Osaka, 530-8480
Osaka City General Hospital /ID# 152704
Osaka, Osaka, 534-0021
Japanese Red Cross Osaka Hospital /ID# 209476
Osaka, Osaka, 543-8555
Osaka City University Hospital /ID# 152682
Osaka, Osaka, 545-8586
Saga University Hospital /ID# 209268
Saga, Saga-ken, 849-8501
Tokitokai Tokito clinic /ID# 152677
Saitama-shi, Saitama, 336-0963
Toho University Sakura Medical Center /ID# 151936
Sakura-shi, Chiba, 285-8741
Sapporo Tokushukai Hospital /ID# 209397
Sapporo, Hokkaido, 004-0041
Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 151506
Sapporo, Hokkaido, 060-0033
Sapporo Medical University Hospital /ID# 206492
Sapporo, Hokkaido, 060-8543
Sapporo Higashi Tokushukai Hospital /ID# 208487
Sapporo, Hokkaido, 065-0033
National Hospital Organization Sendai Medical Center /ID# 209527
Sendai, Miyagi, 983-8520
Center Hospital of the National Center for Global Health and Medicine /ID# 209267
Shinjuku-ku, Tokyo, 162-8655
Tokyo Women's Medical University Hospital /ID# 205977
Shinjuku-ku, Tokyo, 162-8666
Tokuyama Central Hospital /ID# 216993
Shunan-shi, Yamaguchi, 745-8522
NHO Shizuoka Medical Center /ID# 163572
Sunto-gun, Shizuoka, 411-8611
Teikyo University Hospital /ID# 208897
tabashi City, Tokyo, 173-8606
Shoyukai Fujita Gastroenterological Hospital /ID# 216492
Takatsuki-shi, 569-0086
Toyohashi Municipal Hospital /ID# 171457
Toyohashi, Aichi-ken, 441-8570
Toyonaka Municipal Hospital /ID# 217079
Toyonaka-shi, Osaka, 560-0055
Ieda Hospital /ID# 157781
Toyota-shi, Aichi-ken, 470-1219
Mie University Hospital /ID# 205362
Tsu, Mie-ken, 514-8507
Juntendo University Urayasu Hospital /ID# 208781
Urayasu-shi, Chiba, 279-0021
Yamagata University Hospital /ID# 171454
Yamagata, Yamagata, 990-9585
Kenseikai Dongo Hospital /ID# 208100
Yamatotakada-shi, Nara, 635-0022
Yokkaichi Hazu Medical Center /ID# 214347
Yokkaichi-shi, Mie-ken, 510-0016
Showa University Fujigaoka Hospital /ID# 208222
Yokohama, Kanagawa, 227-8501
Yokohama City University Medical Center /ID# 169899
Yokohama, Kanagawa, 232-0024
Canada16 sites
University of Calgary /ID# 151821
Calgary, Alberta, T2N 4Z6
Allen Whey Khye Lim Professional Corporation /ID# 211168
Edmonton, Alberta, T5R 1W2
University of Alberta - Zeidler Ledcor Centre /ID# 151100
Edmonton, Alberta, T6G 2X8
Covenant Health /ID# 158930
Edmonton, Alberta, T6K 4B2
Medicor Research Inc /ID# 151101
Greater Sudbury, Ontario, P3A 1W8
CISSS de la Monteregie /ID# 159215
Greenfield Park, Quebec, J4V 2H1
Hamilton Health Sciences - McMaster University Medical Centre /ID# 150365
Hamilton, Ontario, L8S 4K1
Okanagan Clinical Trials /ID# 153178
Kelowna, British Columbia, V1Y 1Z9
CISSS de Chaudière-Appalaches, Hôpital Hotel-Dieu de Lévis /ID# 150361
Lévis, Quebec, G6V 3Z1
Recherche GCP Research /ID# 151822
Montreal, Quebec, H1M 1B1
Centre Hospitalier de l'Universite de Montreal - CRCHUM /ID# 167169
Montreal, Quebec, H2X 0A9
Montreal General Hospital - McGill University Health Centre /ID# 170012
Montreal, Quebec, H3G 1A4
Ottawa Hospital Research Institute /ID# 151820
Ottawa, Ontario, K1H 8L6
CIUSSS de l'Estrie - CHUS /ID# 150366
Sherbrooke, Quebec, J1G 2E8
Toronto Digestive Disease Asso /ID# 150363
Vaughan, Ontario, L4L 4Y7
Percuro Clinical Research, Ltd /ID# 150367
Victoria, British Columbia, V8V 3M9
China16 sites
The First Hospital of Jilin University /ID# 209986
Changchun, Jilin, 130021
Xiangya Hospital Central South University /ID# 167229
Changsha, 410008
West China Hospital, Sichuan University /ID# 167040
Chengdu, 610041
The First Affiliated Hospital, Sun Yat-sen University /ID# 150455
Guangzhou, Guangdong, 510080
The Sixth Affiliated Hosp Sun /ID# 150456
Guangzhou, Guangdong, 510655
The second Affiliated hospital of Zhejiang University school of Medicine /ID# 165807
Hangzhou, Zhejiang, 310009
Sir Run Run Shaw Hospital,Meical School Zhejiang University /ID# 150454
Hangzhou, Zhejiang, 310018
The First Affiliated Hospital of Nanchang University /ID# 211750
Nanchang, Jiangxi, 330006
Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 150461
Shanghai, Shanghai Municipality, 200065
Shanghai Tenth People's Hospital /ID# 150460
Shanghai, Shanghai Municipality, 200072
Renji Hospital, Shanghai Jiaotong University School of Medicine /ID# 165815
Shanghai, Shanghai Municipality, 200127
Shengjing Hospital of China Medical University /ID# 166920
Shenyang, 110022
Affiliated Taihe Hospital of Hubei University of Medicine /ID# 216405
Shiyan, Hubei, 442700
Tianjin Medical University General Hospital /ID# 170604
Tianjin, 300052
Tongji Hospital Tongji Medical College Huazhong University of Science and Techno /ID# 167088
Wuhan, Hubei, 430022
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 167078
Wuhan, Hubei, 430022
Russia11 sites
Immanuel Kant Baltic Federal University /ID# 200719
Kaliningrad, Kaliningrad Oblast, 236016
Kazan State Medical University /ID# 166042
Kazan', Tatarstan, Respublika, 420012
Olla-Med Clinic /ID# 215332
Moscow, 105554
City Clinical Hospital #24 /ID# 150395
Moscow, 127015
Perm Clinical Center of the Federal Medical and Biological Agency /ID# 150386
Perm, Permskiy Kray, 614109
Republican hospital named after V.A. Baranov /ID# 206506
Petrozavodsk, 185019
Euromedservice /ID# 203800
Pushkin, 196603
LLC Novaya Klinika /ID# 208107
Pyatigorsk, Stavropol Kray, 357500
NW State Medical Univ na Mechn /ID# 169322
Saint Petersburg, Leningradskaya Oblast', 191015
Medical Company Hepatolog /ID# 200197
Samara, Samara Oblast, 443063
Duplicate_Stavropol State Medical Univ /ID# 150387
Stavropol, 355017
Germany10 sites
MVZ fuer Gastroenterlogie am Bayerischen Platz /ID# 150766
Berlin, 10825
Agaplesion Markus Krankenhaus /ID# 161982
Frankfurt am Main, 60431
Gastroenterologische Gemeinschaftspraxis Herne /ID# 214574
Herne, North Rhine-Westphalia, 44623
Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 161981
Kiel, Schleswig-Holstein, 24105
Universitatsklinikum Mannheim /ID# 150173
Mannheim, Baden-Wurttemberg, 68167
Universitatsklinikum Munster /ID# 150158
Munster, Lower Saxony, 48149
Medizinisches Versorgungszentrum Portal 10 /ID# 207135
Münster, 48155
Zentrum für Gastroenterologie Saar MVZ GmbH /ID# 215811
Saarbrücken, Saarland, 66111
Universitaetsklinimum Tuebingen /ID# 150767
Tübingen, Baden-Wurttemberg, 72076
Praxis medicum /ID# 150166
Wiesbaden, 65189
Italy10 sites
IRCCS Azienda Ospedaliero-Universitaria di Bologna /ID# 150337
Bologna, 40138
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 150334
Milan, 20122
ASST Fatebenefratelli Sacco - Ospedale Fatebenefratelli e Oftalmico /ID# 150602
Milan, 20121
IRCCS Ospedale Sacro Cuore Don Calabria /ID# 201725
Negrar, Verona, 37024
A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 150253
Palermo, 90146
ASST Rhodense/Presidio Ospedaliero di Rho /ID# 216610
Rho, Milano, 20017
Azienda Ospedaliera San Camillo Forlanini /ID# 151360
Rome, Lazio, 00152
Fondazione PTV Policlinico Tor Vergata /ID# 150338
Rome, Roma, 00133
Presidio Columbus-Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Un /ID# 150333
Rome, Roma, 00168
Istituto Clinico Humanitas /ID# 151361
Rozzano, Milano, 20089
South Korea10 sites
Dong-A University Hospital /ID# 159480
Busan, 49201
Pusan National University Hospital /ID# 159481
Busan, 49241
Yeungnam University Medical Center /ID# 150345
Daegu, 42415
Hayang University GuriHospital /ID# 150344
Guri-si, Gyeonggido, 11923
CHA University Bundang Medical Center /ID# 159479
Seongnam-si, Gyeonggido, 13496
Kangbuk Samsung Hospital /ID# 150348
Seoul, Seoul Teugbyeolsi, 03181
Yonsei University Health System Severance Hospital /ID# 159478
Seoul, Seoul Teugbyeolsi, 03722
Asan Medical Center /ID# 150900
Seoul, 05505
Samsung Medical Center /ID# 150346
Seoul, 06351
The Catholic University of Korea, ST. Vincent's Hospital /ID# 150347
Suwon, Gyeonggido, 16247
Spain10 sites
Hospital Universitario A Coruna - CHUAC /ID# 203911
A Coruña, 15006
Hospital Clinic de Barcelona /ID# 150612
Barcelona, 08036
Hospital Universitario Reina Sofia /ID# 151066
Córdoba, 14004
Hospital Universitario Dr. Negrin /ID# 203937
Las Palmas de Gran Canaria, Las Palmas, 35019
Hospital Universitario Ramon y Cajal /ID# 151067
Madrid, 28034
Hospital Universitario La Paz /ID# 214539
Madrid, 28046
Hospital Universitario de Salamanca /ID# 150509
Salamanca, 37711
Hospital Unversitario Marques de Valdecilla /ID# 216620
Santander, Cantabria, 39008
Hospital Clínico Universitario de Santiago-CHUS /ID# 151065
Santiago de Compostela, A Coruna, 15706
Hospital Universitario y Politecnico La Fe /ID# 150611
Valencia, 46026
Ukraine10 sites
Municipal Enterprise "I.I. Mechnikov Dnipropetrovsk Regional Clinical Hospital" /ID# 207723
Dnipro, 49005
CNCE of Kharkiv Regional Council Regional Clinical Hospital /ID# 206940
Kharkiv, 61058
PE PMC Acinus, Medical and Diagnostic Center /ID# 217216
Kropyvnytskyi, 25006
Kyiv Municipal Clinical Hospital #18 /ID# 150372
Kyiv, 01030
Medical Center CONSILIUM MEDICAL /ID# 217446
Kyiv, 04050
CNPE of Kyiv Regional Council Kyiv Regional Hospital /ID# 217372
Kyiv, 04073
Lviv Regional Clinical Hospital /ID# 150375
Lviv, 79010
Municipal Non-Commercial Enterprise Odesa Regional Clinical Hospital of the Od /ID# 151275
Odesa, 65025
Medical Center of the "Health /ID# 151274
Vinnytsia, Vinnytsia Oblast, 21009
CNE Vinnytsya Regional Clinical Hospital named after N.I.Pirogov /ID# 216297
Vinnytsia, 21028
Croatia8 sites
Duplicate_Klinicki bolnicki centar Osijek /ID# 150216
Osijek, County of Osijek-Baranja, 31000
Klinicki bolnicki centar Rijeka /ID# 150708
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki bolnicki centar Split /ID# 213988
Split, Split-Dalmatia County, 21000
Zadar General Hospital /ID# 150221
Zadar, 23000
Clinical Hospital Dubrava /ID# 150213
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Zagreb /ID# 150225
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Zagreb /ID# 150709
Zagreb, City of Zagreb, 10000
Poliklinika Solmed /ID# 211483
Zagreb, City of Zagreb, 10000
France8 sites
CHU Amiens-Picardie Site Sud /ID# 163456
Amiens, Somme, 80054
CHD Vendée- La Roche-sur-Yon - Les Oudairies /ID# 154452
La Roche-sur-Yon, 85000
CHRU Lille - Hopital Claude Huriez /ID# 152607
Lille, Hauts-de-France, 59037
CHU Hopital Nord /ID# 163508
Marseille, Bouches-du-Rhone, 13915
CHU Montpellier - Hôpital Saint Eloi /ID# 200006
Montpellier, Herault, 34295
Chu de Nice-Hopital L'Archet Ii /Id# 152606
Nice, Alpes-Maritimes, 06200
HCL - Hôpital Lyon Sud /ID# 152539
Pierre-Bénite, Auvergne-Rhône-Alpes, 69495
CHU de Saint-Etienne, Hopital Nord /ID# 154453
Saint-Etienne, 42270
Portugal8 sites
Hospital Garcia de Orta, EPE /ID# 151613
Almada, 2805-267
CCA Braga - Hospital de Braga /ID# 151608
Braga, 4710-243
Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 151607
Guimarães, Braga District, 4835-044
Centro Hospitalar Universitario Lisboa Central, EPE - Hospital dos Capuchos /ID# 151611
Lisbon, 1169-050
Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 151606
Lisbon, 1649-035
Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 151609
Ponte de Lima, Viana do Castelo District, 4990-041
Centro Hospitalar Universitario de Sao Joao, EPE /ID# 151610
Porto, 4200-319
Centro Hospitalar de Entre Douro e Vouga /ID# 152335
Santa Maria DA Feira, Porto District, 4520-211
Serbia8 sites
Clinical Hosp Center Zvezdara /ID# 150427
Belgrade, Beograd, 11000
Military Medical Academy /ID# 150429
Belgrade, Beograd, 11000
University Clinical Center Serbia /ID# 150428
Belgrade, Beograd, 11000
Clin Hosp Ctr Bezanijska Kosa /ID# 150426
Belgrade, Beograd, 11080
University Clinical Center Kragujevac /ID# 150430
Kragujevac, Sumadijski Okrug, 34000
General Hospital Leskovac /ID# 217880
Leskovac, 16000
University Clinical Center of Nis /ID# 151903
Niš, Nisavski Okrug, 18000
Clinical Center Vojvodina /ID# 150764
Novi Sad, Vojvodina, 21000
South Africa8 sites
MD Search /ID# 167293
Boksburg North, Gauteng, 1460
Kingsbury Hospital /ID# 150497
Cape Town, Western Cape, 7708
Private Practice Dr MN Rajabally /ID# 155144
Cape Town, Western Cape, 7800
Spoke Research Inc /ID# 162202
CAPE TOWN Milnerton, Western Cape, 7441
Clinresco Centers /ID# 163622
Johannesburg, Gauteng, 1619
Lenasia Clinical Trial Centre /ID# 214344
Johannesburg, Gauteng, 1820
Wits Clinical Research , Wits Health Consortium (PTY) Ltd /ID# 150785
Johannesburg, Gauteng, 2193
Wits Clinical Research Site /ID# 150496
Johannesburg, Gauteng, 2193
United Kingdom8 sites
Hampshire Hospitals NHS Foundation Trust /ID# 150380
Basingstoke, Essex, RG24 9NA
Royal United Hospitals Bath /ID# 151532
Bath, BA1 3NG
University Hospitals Birmingham NHS Foundation Trust /ID# 150382
Birmingham, B15 2TH
Royal Devon and Exeter NHS Trust Hospital /ID# 150379
Exeter, Devon, EX2 5DW
NHS Greater Glasgow and Clyde /ID# 163787
Glasgow, Scotland, G12 0XH
Calderdale and Huddersfield NHS Foundation Trust /ID# 217658
Huddersfield, HX3 0PW
Barts Health NHS Trust /ID# 150384
London, London, City of, E1 2ES
St George's University Hospitals NHS Foundation Trust /ID# 208374
Tooting, SW17 0QT
Brazil7 sites
Upeclin Fmb - Unesp /Id# 152485
Botucatu, São Paulo, 18618-686
Hospital Nossa Senhora das Graças /ID# 152480
Curitiba, Paraná, 80810-040
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva /ID# 153742
Goiânia, Goiás, 74535-170
Hospital de Clinicas de Porto Alegre /ID# 153743
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto - USP /ID# 152484
Ribeirão Preto, São Paulo, 14051-140
Faculdade de Medicina do ABC /ID# 152481
Santo André, São Paulo, 09060-870
Kaiser Clinica e Hospital Dia /ID# 152483
São José do Rio Preto, São Paulo, 15015-110
Czechia7 sites
Hepato-Gastroenterologie HK, s.r.o. /ID# 150912
Hradec Králové, 500 12
CTCenter MaVe s.r.o. /ID# 150904
Olomouc, 779 00
ARTROSCAN s.r.o. /ID# 150401
Ostrava, 722 00
Nemocnice Pardubickeho kraje, a.s. /ID# 213539
Pardubice, 530 03
Nemocnice Milosrdnych sester sv. Karla Boromejskeho v Praze /ID# 216221
Prague, 118 33
Axon Clinical, s.r.o. /ID# 152479
Prague, 140 00
ISCARE a.s. /ID# 209278
Prague, 190 00
Greece7 sites
General Hospital of Athens Laiko /ID# 208669
Athens, Attica, 11527
General Hospital of Chest Diseases of Athens SOTIRIA /ID# 202100
Athens, Attica, 11527
General Hospital of Athens Evaggelismos and Ophthalmiatrio of Athens Polyclinic /ID# 150309
Athens, 10676
University General Hospital of Heraklion PA.G.N.I /ID# 150250
Heraklion, Crete, 71500
University General Hospital of Ioannina /ID# 164248
Ioannina, 45500
Theageneio Anticancer Hospital /ID# 163896
Thessaloniki, 54639
General Hospital of Thessaloniki Hippokrateio /ID# 209521
Thessaloniki, 54642
Poland7 sites
Endoskopia Sp. z o.o. /ID# 150765
Sopot, Pomeranian Voivodeship, 81-756
Gastromed /Id# 216197
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Centrum Zdrowia MDM /ID# 150351
Warsaw, Masovian Voivodeship, 00-635
Centralny Szpital Kliniczny MSWiA w Warszawie /ID# 150580
Warsaw, Masovian Voivodeship, 02-507
Centrum Medyczne Reuma Park /ID# 150349
Warsaw, Masovian Voivodeship, 02-665
NZOZ Vivamed /ID# 216742
Warsaw, Masovian Voivodeship, 03-580
Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 215732
Warsaw, Masovian Voivodeship, 04-730
Argentina6 sites
Gedyt /ID# 210015
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1115
Mautalen Salud e Investigacion /ID# 171173
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1128
Hospital Britanico de Buenos Aires /ID# 209495
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1280
Hospital Privado Univesitario /ID# 164185
Córdoba, 5016
Cardio Alem /ID# 211280
San Isidro, Buenos Aires, 1642
Sanatorio 9 de Julio /ID# 150189
San Miguel de Tucumán, Tucumán Province, 4000
Australia6 sites
Monash Medical Centre /ID# 150206
Clayton, Victoria, 3168
St Vincent's Hospital Melbourne /ID# 152472
Fitzroy Melbourne, Victoria, 3065
Macquarie University Hospital /ID# 211951
Macquarie University, New South Wales, 2109
Fiona Stanley Hospital /ID# 211640
Murdoch, Western Australia, 6150
Mater Misericordiae Limited /ID# 212685
South Brisbane, Queensland, 4101
Griffith University /ID# 211952
Southport, Queensland, 4222
Chile6 sites
Hospital Guillermo Grant Benavente de Concepción /ID# 212424
Concepción, 4070038
CTR Estudios Clinicos /ID# 200110
Providencia, 7500571
M y F Estudios Clínicos /ID# 200107
Santiago, Region Metropolitana Santiago, 7750495
Research Group /ID# 203176
Santiago, Santiago Metropolitan, 2540364
Hospital Clinico Universidad De Los Andes /ID# 207422
Santiago, 7501504
Centro de Investigaciones Clínicas Viña del Mar /ID# 150212
Viña del Mar, Valparaiso, 2540488
Hungary6 sites
Bekes Megyei Kozponti Korhaz /ID# 151572
Békéscsaba, 5600
Semmelweis Egyetem /ID# 150312
Budapest, 1085
Meditres Kft. /ID# 151521
Kecskemét, 6000
Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet /ID# 151523
Sopron, 9400
Mentahaz Maganorvosi Kozpont /ID# 205884
Székesfehérvár, 8000
Markusovszky Egyetemi Oktatokorhaz /ID# 150313
Szombathely, Vas County, 9700
Slovakia6 sites
Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 150868
Banská Bystrica, 975 17
Medak s.r.o. /ID# 150480
Bratislava, 851 01
Slovak Research Center Team Me /ID# 150257
Ilava, 019 01
B+B MED, s.r.o. /ID# 150471
Košice, 040 01
Fakultna nemocnica s poliklinikou Nove Zamky /ID# 211370
Nové Zámky, 940 34
GASTRO I., s.r.o. /ID# 150472
Prešov, 080 01
Taiwan6 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 150575
Kaohsiung City, 807
Chung Shan Medical University Hospital /ID# 150573
Taichung, 40201
China Medical University Hospital /ID# 150571
Taichung, 40447
National Cheng Kung University Hospital /ID# 151749
Tainan, 704
National Taiwan University Hospital /ID# 150574
Taipei, 100
Taipei Veterans General Hosp /ID# 151748
Taipei, 11217
Turkey (Türkiye)6 sites
Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty /ID# 150125
Istanbul, 34098
Umraniye Training and Res Hosp /ID# 162659
Istanbul, 34764
Marmara University Medical Fac /ID# 213969
Istanbul, 34899
Erciyes University Medical Fac /ID# 150129
Melikgazi, Kayseri, 38030
Mersin University Medical /ID# 157849
Mersin, 33343
Gazi Universitesi Tip Fakultes /ID# 150127
Yenimahalle, 06560
Bosnia and Herzegovina5 sites
University Clinical Centre of the Republic of Srpska /ID# 150209
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 150706
Banja Luka, Republika Srpska, 78000
University Clinical Hospital Mostar /ID# 150705
Mostar, 88000
Clinical Center University of Sarajevo /ID# 150208
Sarajevo, 71000
University Clinical Center Tuzla /ID# 150211
Tuzla, Tuzlanski, 75000
Finland5 sites
Duplicate_Helsinki Univ Central Hospital /ID# 150407
Helsinki, 00290
Keski-Suomen Sairaala Nova /ID# 155666
Jyväskylä, 40620
Laakarikeskus Ikioma /ID# 150121
Mikkeli, 50100
Tampere University Hospital /ID# 150114
Tampere, Pirkanmaa, 33520
Turku University Hospital /ID# 168301
Turku, 20520
Ireland5 sites
Beaumont Hospital /ID# 150321
Beaumont, Dublin, D09 XR63
Mercy University Hospital /ID# 151529
Cork, T12 WE28
St James Hospital /ID# 150320
Dublin, Dublin, D08 NHY1
St Vincent's University Hospital /ID# 150318
Elm Park, Dublin, D04 T6F4
University Hospital Galway /ID# 150319
Galway, H91 YR71
Netherlands5 sites
Academisch Medisch Centrum /ID# 150647
Amsterdam, 1105 AZ
Leids Universitair Medisch Centrum /ID# 152624
Leiden, 2333 ZA
Radboud Universitair Medisch Centrum /ID# 151700
Nijmegen, Gelderland, 6525 GA
Erasmus Medisch Centrum /ID# 150308
Rotterdam, South Holland, 3015 GD
Universitair Medisch Centrum Utrecht /ID# 152775
Utrecht, 3584 CX
Austria4 sites
Ordensklinikum Linz GmbH Barmherzige Schwestern /ID# 150305
Linz, Upper Austria, 4010
Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 150306
Salzburg, 5020
Klinik Landstrasse /ID# 162866
Vienna, State of Vienna, 1030
Medizinische Universitaet Wien /ID# 150614
Vienna, State of Vienna, 1090
Estonia4 sites
East Tallinn Central Hospital /ID# 150417
Kesklinn, Harju, 10138
North Estonia Medical Centre /ID# 160870
Mustamäe, Harju, 13419
West Tallinn Central Hospital /ID# 150419
Tallinn, 10617
Tartu University Hospital /ID# 150418
Tartu, Tartu, 50406
Israel4 sites
Soroka University Medical Center /ID# 156561
Beersheba, Southern District, 8443901
Rambam Health Care Campus /ID# 150325
Haifa, 3109601
Shaare Zedek Medical Center /ID# 161677
Jerusalem, 91031
Hadassah Medical Center-Hebrew University /ID# 165118
Jerusalem, 91120
Lithuania4 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 150357
Kaunas, 50161
Klaipeda Seamens Hospital /ID# 154319
Klaipėda, 92288
Klaipeda University Hospital /ID# 158862
Klaipėda, 92288
Vilnius University Hospital /ID# 154318
Vilnius, LT-08661
Malaysia4 sites
Hospital Sultanah Bahiyah /ID# 151687
Alor Star, Kedah, 05460
Hospital Ampang /ID# 151298
Ampang, 68000
Universiti Kebangsaan Malaysia (UKM) Medical Centre /ID# 151689
Kuala Lumpur, Selangor, 56000
Uni Malaya MC /ID# 150359
Kuala Lumpur, 59100
Switzerland4 sites
Universitätsspital Basel /ID# 161731
Basel, Canton of Basel-City, 4031
Inselspital, Universitätsspital Bern /ID# 152590
Bern, 3010
Kantonsspital St. Gallen /ID# 152599
Sankt Gallen, Canton of St. Gallen, 9007
Universitätsspital Zürich /ID# 152591
Zurich, Canton of Zurich, 8091
Belgium3 sites
AZ Maria Middelares /ID# 150331
Ghent, 9000
Universitair Ziekenhuis Leuven /ID# 150332
Leuven, Vlaams-Brabant, 3000
AZ-Delta /ID# 150330
Roeselare, 8800
Colombia3 sites
Corporacion Hospitalaria Juan Cuidad Sede Denominada Hospital Universitario Mayo /ID# 151564
Bogota DC, Cundinamarca, 111221
Hospital Universitario de San /ID# 155387
Medellín
Instituto Medico de Alta Tecnologia Oncomédica S.A /ID# 207042
Montería, Departamento de Córdoba, 230002
Mexico3 sites
Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 150710
Guadalajara, Jalisco, 44650
Morales Vargas Centro de Investigacion S.C. /ID# 211325
León, Guanajuato, 37000
Centro Regiomontano de Estudios Clínicos ROMA S.C /ID# 150256
Monterrey, Nuevo León, 64610
Singapore3 sites
National University Hospital /ID# 150453
Singapore, 119074
Gleneagles Medical Centre /ID# 206018
Singapore, 258499
Tan Tock Seng Hospital /ID# 150443
Singapore, 308433
Latvia2 sites
Pauls Stradins Clinical University Hospital /ID# 151409
Riga, 1002
Riga East Clinical University Hospital /ID# 150354
Riga, LV-1079
Norway2 sites
Akershus universitetssykehus /ID# 150317
Nordbyhagen, Akershus, 1474
Universitetssykehuset Nord-Norge /ID# 152835
Tromsø, Troms, 9019
Puerto Rico1 site
School of Medicine University of Puerto Rico-Medical Science Campus /ID# 150358
San Juan, 00935
Sweden1 site
Sahlgrenska University Hospital /ID# 151496
Gothenburg, Västra Götaland County, 413 45
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Upadacitinib (ABT-494) for Induction and Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis
This study was comprised of three substudies. The objective of Substudy 1 was to characterize the dose-response, efficacy, and safety of upadacitinib compared to placebo in inducing clinical remission to identify the induction dose of upadacitinib for further evaluation in Substudy 2. The objective of Substudy 2 was to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission in participants. The objective of Substudy 3 was to evaluate the efficacy and safety of upadacitinib compared to placebo in achieving clinical remission in participants who had a response following induction with upadacitinib.
Read the detailed description
Substudy 1 was a Phase 2b dose-ranging study designed to evaluate the efficacy and safety of different oral doses of upadacitinib compared to placebo as 8-week induction therapy in participants with moderately to severely active UC. Approximately 250 participants were planned to be randomized 1:1:1:1:1 to the placebo group and 4 upadacitinib doses (7.5, 15, 30, and 45 mg). Randomization was stratified by previous biologic therapy use (yes/no), Baseline corticosteroid use (yes/no), and Baseline Adapted Mayo score (≤ 7 or > 7). The study duration included a Screening Period of up to 5 weeks and an 8-week double-blind (DB) Induction Period. After all randomized participants completed the 8-week induction, a dose-selection analysis of efficacy and safety (selected laboratory parameters) of upadacitinib versus placebo was performed. Based on this dose-selection analysis, one induction dose (upadacitinib 45 mg) was identified for further evaluation in two Phase 3 induction studies, M14-234 Substudy 2 and M14-675 (NCT03653026). During the analysis period, 132 additional participants were randomized into Groups 3 and 4 of Substudy 1 (upadacitinib 30 mg and 45 mg dose groups; approximately 66 participants per dose group). The objectives of enrolling these additional participants were to avoid interrupting the study activities during the analysis period and to support a sufficient number of participants with clinical response to be re-randomized into the maintenance portion in Substudy 3. Substudy 1 main participants are defined as those first 250 randomized 250, and additional participants are defined as those who were randomized after the main participants.
Substudy 2 was a two-part Phase 3 dose-confirming study designed to evaluate the efficacy and safety of oral administration of upadacitinib 45 mg compared to placebo as induction therapy for up to 16 weeks in participants with moderately to severely active UC. Substudy 2 included a Screening Period of up to 5 weeks, Part 1, and Part 2. Part 1 was a randomized, DB, placebo-controlled 8-week induction period. Part 2 was an open-label, 8-week extended treatment period for clinical non-responders from Part 1 of Substudy 2. Part 1 was planned to enroll 462 subjects; actual enrollment was 474 subjects. Eligible participants were randomized in a 2:1 ratio to one of the two treatment groups (DB upadacitinib 45 mg or matching placebo) for 8 weeks. The randomization was stratified by bio-IR status (Biologic inadequate responders [bio-IR] vs Non-biologic-inadequate responders [non-bio-IR], corticosteroid use (yes or no), and Adapted Mayo score (≤ 7 or > 7) at Baseline. Within bio-IR, the randomization was further stratified by number of prior biologic treatments (≤ 1 or > 1). Within non-bio-IR, the randomization was further stratified by previous biologic use (yes or no). Part 2 was an open label, 8-week Extended Treatment Period for those who did not achieve clinical response per Adapted Mayo score at Week 8 in Part 1. All participants received upadacitinib 45 mg.
Substudy 3 was a Phase 3 maintenance study designed to evaluate the efficacy and safety of upadacitinib 15 and 30 mg once daily (QD) compared to placebo in achieving clinical remission per Adapted Mayo score in participants with moderately to severely active UC who achieved clinical response per Adapted Mayo score following induction therapy from Substudy 1, Substudy 2, or Study M14-675. A total of 1,046 subjects who achieved clinical response per Adapted Mayo score after completion of induction treatment or Extended Treatment Period in Study M14-234 Substudy 1, Substudy 2, or Study M14-675 entered Substudy 3, and 1,044 were treated with a blinded treatment assignment for up to 52 weeks. Substudy 3 included 4 cohorts. Cohort 1: 847 participants who achieved clinical response in Substudy 1, Substudy 2, or Study M14-675 at either Week 8 or Week 16, and received upadacitinib 15, 30, or 45 mg QD. The treatment groups in Cohort 1 were Group 1: upadacitinib 15 mg QD; Group 2: upadacitinib 30 mg QD; and Group 3: placebo QD. Those who achieved clinical response and received upadacitinib 15 mg QD in Substudy 1 were re-randomized 1:1 to only receive upadacitinib 15 mg QD or placebo QD (treatment Group 1 or 3). Cohort 2: 104 participants who received double-blind placebo QD treatment for 8 weeks during Substudy 1, Substudy 2 Part 1, or Study M14-675 Part 1 and achieved clinical response at Week 8 continued to receive blinded placebo QD in Substudy 3. Cohort 3: 75 participants who received upadacitinib 45 mg QD in Induction Phase and did not achieve clinical response and received upadacitinib 45 mg QD in Extended Treatment in Substudy 2 Part 2 or in Study M14-675 Part 2 and achieved clinical response at Week 16 were re-randomized 1:1 and received blinded upadacitinib 30 mg QD or upadacitinib 15 mg QD in Substudy 3. Cohort 4: 20 participants who received double-blinded treatment of upadacitinib 7.5 mg QD for 8 weeks during Substudy 1 and achieved clinical response at Week 8 continued to receive blinded treatment of upadacitinib 7.5 mg QD in Substudy 3.
- Conditions
- Ulcerative Colitis (UC)
- Being tested
- Placebo, Upadacitinib
- Keywords
- Upadacitinib (ABT-494), Moderately to Severely Active UC, RINVOQ
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Film-coated tablet for oral administration
UpadacitinibDrug
Also called ABT-494, RINVOQ
Film-coated tablet for oral administration
| Study group | Role | What they receive |
|---|---|---|
| SS1: Placebo | Placebo comparator | During the 8-week induction phase in Substudy 1, participants received placebo for upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Receives: Drug: Placebo |
| SS1: Upadacitinib 7.5 mg | Experimental | During the 8-week induction phase in Substudy 1, participants received 7.5 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Receives: Drug: Upadacitinib |
| SS1: Upadacitinib 15 mg | Experimental | During the 8-week induction phase in Substudy 1, participants received 15 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Receives: Drug: Upadacitinib |
| SS1: Upadacitinib 30 mg | Experimental | During the 8-week induction phase in Substudy 1, participants received 30 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Additional participants were enrolled during the Substudy 1 analysis period and received 30 mg upadacitinib film-coated tablets once daily by mouth (QD) for 4 weeks. Receives: Drug: Upadacitinib |
| SS1: Upadacitinib 45 mg | Experimental | During the 8-week induction phase in Substudy 1, participants received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Additional participants were enrolled during the Substudy 1 analysis period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 4 weeks. Receives: Drug: Upadacitinib |
| SS2: Placebo/Upadacitinib 45 mg | Experimental | During the Substudy 2 Part 1 induction period, participants received placebo for upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Participants who did not achieve clinical response at Week 8 of Part 1 were enrolled in an open-label extended treatment period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for an additional 8 weeks. Receives: Drug: Placebo; Drug: Upadacitinib |
| SS2: Upadacitinib 45 mg/Upadacitinib 45 mg | Experimental | During the Substudy 2 Part 1 induction period, participants received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Participants who did not achieve clinical response at Week 8 of Part 1 were enrolled in an open-label expended treatment period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for an additional 8 weeks. Receives: Drug: Upadacitinib |
| SS3: M14-675 clinical responders | Experimental | Participants in Study M14-675 (NCT03653026) who achieved clinical response defined by Adapted Mayo Score at Week 8 or Week 16 in that study and did not meet any study discontinuation criteria were eligible to enroll into Substudy 3. Participants were re-randomized and treated with a blinded treatment assignment (15 mg upadacitinib film-coated tablets once daily by mouth [QD], or 30 mg upadacitinib film-coated tablets QD, or placebo for upadacitinib film-coated tablets QD) for up to 52 weeks. Receives: Drug: Placebo; Drug: Upadacitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Substudy 1: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal)
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed)
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration)
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
For Substudy 1, clinical remission is defined as SFS ≤ 1, RBS of 0, and endoscopic subscore ≤ 1.
Measured: At Week 8
Substudy 2: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal)
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed)
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration)
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
For Substudy 2, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In Substudy 2, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
Measured: At Week 8
Substudy 3: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 52
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
For Substudy 3, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In addition, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
Measured: At Week 52
Secondary outcomes (30)
Substudy 1: Percentage Of Participants With Endoscopic Improvement at Week 8
Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Remission Per Full Mayo Score at Week 8
The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The Full Mayo score (FMS) ranges from 0 (normal or inactive disease) to 12 (severe disease) and is calculated as the sum of 4 subscores (stool frequency, rectal bleeding, endoscopy [confirmed by a central reader], and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease). Negative changes indicate improvement. Clinical remission per FMS is defined as Mayo Score ≤ 2 and no individual subscore > 1.
Measured: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Response Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical response is defined as a decrease from baseline in the Adapted Mayo score ≥ 2 points and ≥ 30% from baseline, and a decrease in RBS ≥ 1 or an absolute RBS ≤ 1).
Measured: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Response Per Partial Mayo Score at Week 2
The Partial Mayo Score is a composite score of UC disease activity based on the following 2 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
The overall Partial Mayo score ranges from 0 to 6 with higher scores representing more severe disease.
Clinical response per Partial Mayo Score is defined as a decrease in Partial Adapted Mayo score ≥ 2 points and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.
Measured: At Week 2
Substudy 1: Change in Full Mayo Score From Baseline to Week 8
The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The Full Mayo score (FMS) ranges from 0 (normal or inactive disease) to 12 (severe disease) and is calculated as the sum of 4 subscores (stool frequency, rectal bleeding, endoscopy [confirmed by a central reader], and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease). Negative changes indicate improvement. Clinical remission per FMS is defined as Mayo Score ≤ 2 and no individual subscore > 1.
Measured: Baseline (Week 0), Week 8
Substudy 1: Percentage Of Participants With Endoscopic Remission at Week 8
Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 8
Substudy 1: Percentage Of Participants Who Achieved Histologic Improvement at Week 8
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Histologic improvement was defined as decrease from baseline in Geboes score.
Measured: At Week 8
Substudy 2: Percentage Of Participants With Endoscopic Improvement at Week 8
Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 8
Substudy 2: Percentage Of Participants With Endoscopic Remission at Week 8
Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 8
Substudy 2: Percentage Of Participants Achieving Clinical Response Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical response is defined as a decrease from baseline in the Adapted Mayo score ≥ 2 points and ≥ 30% from baseline, and a decrease in RBS ≥ 1 or an absolute RBS ≤ 1).
Measured: At Week 8
Substudy 2: Percentage Of Participants Achieving Clinical Response Per Partial Mayo Score at Week 2
The Partial Mayo Score is a composite score of UC disease activity based on the following 2 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
The overall Partial Mayo score ranges from 0 to 6 with higher scores representing more severe disease.
Clinical response per Partial Mayo Score is defined as a decrease from Baseline ≥ 1 point and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.
Measured: At Week 2
Substudy 2: Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8
Histologic-endoscopic mucosal improvement is defined as an endoscopic subscore of 0 or 1 and a Geboes score ≤ 3.1.
The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: At Week 8
Substudy 2: Percentage Of Participants Who Report No Bowel Urgency at Week 8
Bowel urgency was assessed by participants in a subject diary completed once a day.
Measured: At Week 8
Substudy 2: Percentage Of Participants Who Reported No Abdominal Pain at Week 8
Abdominal pain was assessed by participants in a subject diary completed once a day.
Measured: At Week 8
Substudy 2: Percentage Of Participants Who Achieved Histologic Improvement at Week 8
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration. Histologic improvement was defined as decrease from baseline in Geboes score.
Measured: At Week 8
Substudy 2: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8
The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with ulcerative colitis. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.
Measured: Baseline (Week 0), Week 8
Substudy 2: Percentage Of Participants With Mucosal Healing at Week 8
Mucosal healing is defined as an endoscopic score of 0 and Geboes score < 2.0. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: At Week 8
Substudy 2: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8
The FACIT fatigue questionnaire was developed to assess fatigue associated with anemia. It consists of 13 fatigue-related questions. Each question is answered on a 5-point Likert scale: 0 (not at all); 1 (a little bit); 2 (somewhat); 3 (quite a bit); and 4 (very much). The total score ranges from 0 to 52, where higher scores represent less fatigue, and a positive change from Baseline indicates improvement.
Measured: Baseline (Week 0), Week 8
Substudy 3: Percentage Of Participants With Endoscopic Improvement at Week 52
Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 52
Substudy 3: Percentage of Participants With Clinical Remission Per Adapted Mayo Score at Week 52 Among Those Who Achieved Clinical Remission at the End of the Induction Treatment
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
For Substudy 3, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In addition, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
Measured: At Week 52
Substudy 3: Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Wk 52 and Were Corticosteroid Free for ≥ 90 Days Immediately Preceding Wk 52 Among Those Who Achieved Clinical Remission at the End of the Induction Treatment
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
For Substudy 3, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In addition, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
Measured: At Week 52
Substudy 3: Percentage of Participants With Endoscopic Improvement at Wk 52 Among Those Who Achieved Endoscopic Improvement at the End of the Induction Treatment
Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 52
Substudy 3: Percentage Of Participants With Endoscopic Remission At Week 52
Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: At Week 52
Substudy 3: Percentage Of Participants Who Maintained Clinical Response Per Adapted Mayo Score at Wk 52 Among Those Who Achieved Clinical Response at the End of the Induction Treatment
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical response is defined as a decrease from baseline in the Adapted Mayo score ≥ 2 points and ≥ 30% from baseline, and a decrease in RBS ≥ 1 or an absolute RBS ≤ 1).
Measured: At Week 52
Substudy 3: Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 52
Histologic-endoscopic mucosal improvement is defined as an endoscopic subscore of 0 or 1 and a Geboes score ≤ 3.1.
The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: At Week 52
Substudy 3: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 52
The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with ulcerative colitis. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.
Measured: Baseline (Week 0), Week 52
Substudy 3: Percentage Of Participants With Mucosal Healing at Week 52
Mucosal healing is defined as an endoscopic score of 0 and Geboes score < 2.0. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: At Week 52
Substudy 3: Percentage Of Participants Who Reported No Bowel Urgency at Week 52
Bowel urgency was assessed by participants in a subject diary completed once a day.
Measured: At Week 52
Substudy 3: Percentage Of Participants Who Reported No Abdominal Pain at Week 52
Abdominal pain was assessed by participants in a subject diary completed once a day.
Measured: At Week 52
Substudy 3: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 52
The FACIT fatigue questionnaire was developed to assess fatigue associated with anemia. It consists of 13 fatigue-related questions. Each question is answered on a 5-point Likert scale: 0 (not at all); 1 (a little bit); 2 (somewhat); 3 (quite a bit); and 4 (very much). The total score ranges from 0 to 52, where higher scores represent less fatigue, and a positive change from Baseline indicates improvement.
Measured: Baseline (Week 0), Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jun 2016 (estimated)
- Study start26 Sep 2016
- Primary completion13 Dec 2021
- Study completion13 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (14)Papers the sponsor has linked to this study.
- Other trials for Ulcerative Colitis (UC)Studies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,302 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02819635
- Sponsor's protocol ID
- M14-234
- Other IDs
- 2016-000641-31, 2016
- Status last verified
- Jun 2022
- First submitted
- 28 Jun 2016
- Last updated
- 30 Jun 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Publications
Wei SC, Nakase H, Ye BD, Chao K, Wu HY, Eccleston J, Yao X, Palac H, Mohamed MF, Ponce-Bobadilla AV, Suravaram S, Barrachina EM, Hisamatsu T, Gao X. Efficacy, Safety, and Pharmacokinetics of Upadacitinib Among Patients in East Asia With Moderately to Severely Active Ulcerative Colitis: A Post Hoc Subanalysis of Randomized Phase 3 Studies. J Gastroenterol Hepatol. 2026 Aug 19. doi: 10.1111/jgh.70634. Online ahead of print.
PubMed 42613995Burmester GR, Deodhar A, Irvine AD, Panaccione R, Winthrop KL, Vleugels RA, Levy G, Suravaram S, Palac H, Wegrzyn L, Ford S, Meerwein S, Guttman-Yassky E. Safety Profile of Upadacitinib: Descriptive Analysis in Over 27,000 Patient-Years Across Rheumatoid Arthritis, Psoriatic Arthritis, Axial Spondyloarthritis, Atopic Dermatitis, and Inflammatory Bowel Disease. Adv Ther. 2025 Oct;42(10):5215-5237. doi: 10.1007/s12325-025-03328-y. Epub 2025 Aug 28.
PubMed 40875187Panes J, Dubinsky MC, Ishiguro Y, Shukla N, Dubcenco E, Remple V, Sharma D, Panaccione R. Achievement of long-term treatment goals in upadacitinib-treated patients with moderately to severely active ulcerative colitis: a post hoc analysis of phase 3 trial data. J Crohns Colitis. 2025 Jul 3;19(7):jjaf095. doi: 10.1093/ecco-jcc/jjaf095.
PubMed 40488552Panaccione R, Danese S, Zhou W, Klaff J, Ilo D, Yao X, Levy G, Higgins PDR, Loftus EV Jr, Chen S, Gonzalez YS, Leonard C, Hebuterne X, Lindsay JO, Cao Q, Nakase H, Colombel JF, Vermeire S. Efficacy and safety of upadacitinib for 16-week extended induction and 52-week maintenance therapy in patients with moderately to severely active ulcerative colitis. Aliment Pharmacol Ther. 2024 Feb;59(3):393-408. doi: 10.1111/apt.17816. Epub 2023 Nov 27.
PubMed 38010661Raine T, Ishiguro Y, Rubin DT, Finney-Hayward T, Vladea R, Liu J, Phillips C, Cheng E, Targownik L, Loftus EV Jr. Impact of Baseline Corticosteroid Use on the Efficacy and Safety of Upadacitinib in Patients with Ulcerative Colitis: A Post Hoc Analysis of the Phase 3 Clinical Trial Programme. J Crohns Colitis. 2024 May 31;18(5):695-707. doi: 10.1093/ecco-jcc/jjad190.
PubMed 37942921Vermeire S, Danese S, Zhou W, Ilo D, Klaff J, Levy G, Yao X, Chen S, Sanchez Gonzalez Y, Hebuterne X, Lindsay JO, Higgins PDR, Cao Q, Nakase H, Colombel JF, Loftus EV Jr, Panaccione R. Efficacy and safety of upadacitinib maintenance therapy for moderately to severely active ulcerative colitis in patients responding to 8 week induction therapy (U-ACHIEVE Maintenance): overall results from the randomised, placebo-controlled, double-blind, phase 3 maintenance study. Lancet Gastroenterol Hepatol. 2023 Nov;8(11):976-989. doi: 10.1016/S2468-1253(23)00208-X. Epub 2023 Sep 9.
PubMed 37683686Parkes G, Ungaro RC, Danese S, Abreu MT, Arenson E, Zhou W, Ilo D, Laroux FS, Deng H, Sanchez Gonzalez Y, Peyrin-Biroulet L. Correlation of mucosal healing endpoints with long-term clinical and patient-reported outcomes in ulcerative colitis. J Gastroenterol. 2023 Oct;58(10):990-1002. doi: 10.1007/s00535-023-02013-7. Epub 2023 Jul 25.
PubMed 37490069Loftus EV Jr, Ananthakrishnan AN, Lee WJ, Gonzalez YS, Fitzgerald KA, Wallace K, Zhou W, Litcher-Kelly L, Ollis SB, Su S, Danese S. Content Validity and Psychometric Evaluation of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) in Patients with Crohn's Disease and Ulcerative Colitis. Pharmacoecon Open. 2023 Sep;7(5):823-840. doi: 10.1007/s41669-023-00419-w. Epub 2023 Jun 9.
PubMed 37296268Danese S, Tran J, D'Haens G, Rubin DT, Aoyama N, Zhou W, Ilo D, Yao X, Sanchez Gonzalez Y, Panaccione R. Upadacitinib Induction and Maintenance Therapy Improves Abdominal Pain, Bowel Urgency, and Fatigue in Patients With Ulcerative Colitis: A Post Hoc Analysis of Phase 3 Data. Inflamm Bowel Dis. 2023 Nov 2;29(11):1723-1729. doi: 10.1093/ibd/izad016.
PubMed 36790041Panes J, Loftus EV, Higgins PDR, Lindsay JO, Zhou W, Yao X, Ilo D, Phillips C, Tran J, Sanchez Gonzalez Y, Vermeire S. Induction and Maintenance Treatment With Upadacitinib Improves Health-Related Quality of Life in Patients With Moderately to Severely Active Ulcerative Colitis: Phase 3 Study Results. Inflamm Bowel Dis. 2023 Sep 1;29(9):1421-1430. doi: 10.1093/ibd/izac260.
PubMed 36645051Ponce-Bobadilla AV, Stodtmann S, Eckert D, Zhou W, Liu W, Mohamed MF. Upadacitinib Population Pharmacokinetics and Exposure-Response Relationships in Ulcerative Colitis Patients. Clin Pharmacokinet. 2023 Jan;62(1):101-112. doi: 10.1007/s40262-022-01191-6. Epub 2022 Dec 26.
PubMed 36571701Loftus EV Jr, Colombel JF, Takeuchi K, Gao X, Panaccione R, Danese S, Dubinsky M, Schreiber S, Ilo D, Finney-Hayward T, Zhou W, Phillips C, Gonzalez YS, Shu L, Yao X, Zhou Q, Vermeire S. Upadacitinib Therapy Reduces Ulcerative Colitis Symptoms as Early as Day 1 of Induction Treatment. Clin Gastroenterol Hepatol. 2023 Aug;21(9):2347-2358.e6. doi: 10.1016/j.cgh.2022.11.029. Epub 2022 Dec 1.
PubMed 36464141Danese S, Vermeire S, Zhou W, Pangan AL, Siffledeen J, Greenbloom S, Hebuterne X, D'Haens G, Nakase H, Panes J, Higgins PDR, Juillerat P, Lindsay JO, Loftus EV Jr, Sandborn WJ, Reinisch W, Chen MH, Sanchez Gonzalez Y, Huang B, Xie W, Liu J, Weinreich MA, Panaccione R. Upadacitinib as induction and maintenance therapy for moderately to severely active ulcerative colitis: results from three phase 3, multicentre, double-blind, randomised trials. Lancet. 2022 Jun 4;399(10341):2113-2128. doi: 10.1016/S0140-6736(22)00581-5. Epub 2022 May 26.
PubMed 35644166Sandborn WJ, Ghosh S, Panes J, Schreiber S, D'Haens G, Tanida S, Siffledeen J, Enejosa J, Zhou W, Othman AA, Huang B, Higgins PDR. Efficacy of Upadacitinib in a Randomized Trial of Patients With Active Ulcerative Colitis. Gastroenterology. 2020 Jun;158(8):2139-2149.e14. doi: 10.1053/j.gastro.2020.02.030. Epub 2020 Feb 22.
PubMed 32092309
Study at a glance
From the registry record, last updated by the sponsor on 30 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Upadacitinib (ABT-494) for Induction and Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis
- ClinicalTrials.gov ID
- NCT02819635
- Acronym / sponsor ID
- M14-234
- Conditions
- Ulcerative Colitis (UC)
- Keywords
- Upadacitinib (ABT-494), Moderately to Severely Active UC, RINVOQ
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,302 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 26 Sep 2016 (actual)
- Primary completion
- 13 Dec 2021 (actual)
- Study completion
- 13 Dec 2021 (actual)
- First posted
- 30 Jun 2016 (estimated)
- Results
- Posted 30 Jun 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was comprised of three substudies. The objective of Substudy 1 was to characterize the dose-response, efficacy, and safety of upadacitinib compared to placebo in inducing clinical remission to identify the induction dose of upadacitinib for further evaluation in Substudy 2. The objective of Substudy 2 was to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission in participants. The objective of Substudy 3 was to evaluate the efficacy and safety of upadacitinib compared to placebo in achieving clinical remission in participants who had a response following induction with upadacitinib.
Detailed description
Substudy 1 was a Phase 2b dose-ranging study designed to evaluate the efficacy and safety of different oral doses of upadacitinib compared to placebo as 8-week induction therapy in participants with moderately to severely active UC. Approximately 250 participants were planned to be randomized 1:1:1:1:1 to the placebo group and 4 upadacitinib doses (7.5, 15, 30, and 45 mg). Randomization was stratified by previous biologic therapy use (yes/no), Baseline corticosteroid use (yes/no), and Baseline Adapted Mayo score (≤ 7 or > 7). The study duration included a Screening Period of up to 5 weeks and an 8-week double-blind (DB) Induction Period. After all randomized participants completed the 8-week induction, a dose-selection analysis of efficacy and safety (selected laboratory parameters) of upadacitinib versus placebo was performed. Based on this dose-selection analysis, one induction dose (upadacitinib 45 mg) was identified for further evaluation in two Phase 3 induction studies, M14-234 Substudy 2 and M14-675 (NCT03653026). During the analysis period, 132 additional participants were randomized into Groups 3 and 4 of Substudy 1 (upadacitinib 30 mg and 45 mg dose groups; approximately 66 participants per dose group). The objectives of enrolling these additional participants were to avoid interrupting the study activities during the analysis period and to support a sufficient number of participants with clinical response to be re-randomized into the maintenance portion in Substudy 3. Substudy 1 main participants are defined as those first 250 randomized 250, and additional participants are defined as those who were randomized after the main participants.
Substudy 2 was a two-part Phase 3 dose-confirming study designed to evaluate the efficacy and safety of oral administration of upadacitinib 45 mg compared to placebo as induction therapy for up to 16 weeks in participants with moderately to severely active UC. Substudy 2 included a Screening Period of up to 5 weeks, Part 1, and Part 2. Part 1 was a randomized, DB, placebo-controlled 8-week induction period. Part 2 was an open-label, 8-week extended treatment period for clinical non-responders from Part 1 of Substudy 2. Part 1 was planned to enroll 462 subjects; actual enrollment was 474 subjects. Eligible participants were randomized in a 2:1 ratio to one of the two treatment groups (DB upadacitinib 45 mg or matching placebo) for 8 weeks. The randomization was stratified by bio-IR status (Biologic inadequate responders [bio-IR] vs Non-biologic-inadequate responders [non-bio-IR], corticosteroid use (yes or no), and Adapted Mayo score (≤ 7 or > 7) at Baseline. Within bio-IR, the randomization was further stratified by number of prior biologic treatments (≤ 1 or > 1). Within non-bio-IR, the randomization was further stratified by previous biologic use (yes or no). Part 2 was an open label, 8-week Extended Treatment Period for those who did not achieve clinical response per Adapted Mayo score at Week 8 in Part 1. All participants received upadacitinib 45 mg.
Substudy 3 was a Phase 3 maintenance study designed to evaluate the efficacy and safety of upadacitinib 15 and 30 mg once daily (QD) compared to placebo in achieving clinical remission per Adapted Mayo score in participants with moderately to severely active UC who achieved clinical response per Adapted Mayo score following induction therapy from Substudy 1, Substudy 2, or Study M14-675. A total of 1,046 subjects who achieved clinical response per Adapted Mayo score after completion of induction treatment or Extended Treatment Period in Study M14-234 Substudy 1, Substudy 2, or Study M14-675 entered Substudy 3, and 1,044 were treated with a blinded treatment assignment for up to 52 weeks. Substudy 3 included 4 cohorts. Cohort 1: 847 participants who achieved clinical response in Substudy 1, Substudy 2, or Study M14-675 at either Week 8 or Week 16, and received upadacitinib 15, 30, or 45 mg QD. The treatment groups in Cohort 1 were Group 1: upadacitinib 15 mg QD; Group 2: upadacitinib 30 mg QD; and Group 3: placebo QD. Those who achieved clinical response and received upadacitinib 15 mg QD in Substudy 1 were re-randomized 1:1 to only receive upadacitinib 15 mg QD or placebo QD (treatment Group 1 or 3). Cohort 2: 104 participants who received double-blind placebo QD treatment for 8 weeks during Substudy 1, Substudy 2 Part 1, or Study M14-675 Part 1 and achieved clinical response at Week 8 continued to receive blinded placebo QD in Substudy 3. Cohort 3: 75 participants who received upadacitinib 45 mg QD in Induction Phase and did not achieve clinical response and received upadacitinib 45 mg QD in Extended Treatment in Substudy 2 Part 2 or in Study M14-675 Part 2 and achieved clinical response at Week 16 were re-randomized 1:1 and received blinded upadacitinib 30 mg QD or upadacitinib 15 mg QD in Substudy 3. Cohort 4: 20 participants who received double-blinded treatment of upadacitinib 7.5 mg QD for 8 weeks during Substudy 1 and achieved clinical response at Week 8 continued to receive blinded treatment of upadacitinib 7.5 mg QD in Substudy 3.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| SS1: Placebo | Placebo comparator | Drug: PlaceboDuring the 8-week induction phase in Substudy 1, participants received placebo for upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. |
| SS1: Upadacitinib 7.5 mg | Experimental | Drug: UpadacitinibDuring the 8-week induction phase in Substudy 1, participants received 7.5 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. |
| SS1: Upadacitinib 15 mg | Experimental | Drug: UpadacitinibDuring the 8-week induction phase in Substudy 1, participants received 15 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. |
| SS1: Upadacitinib 30 mg | Experimental | Drug: UpadacitinibDuring the 8-week induction phase in Substudy 1, participants received 30 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Additional participants were enrolled during the Substudy 1 analysis period and received 30 mg upadacitinib film-coated tablets once daily by mouth (QD) for 4 weeks. |
| SS1: Upadacitinib 45 mg | Experimental | Drug: UpadacitinibDuring the 8-week induction phase in Substudy 1, participants received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Additional participants were enrolled during the Substudy 1 analysis period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 4 weeks. |
| SS2: Placebo/Upadacitinib 45 mg | Experimental | Drug: Placebo, Drug: UpadacitinibDuring the Substudy 2 Part 1 induction period, participants received placebo for upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Participants who did not achieve clinical response at Week 8 of Part 1 were enrolled in an open-label extended treatment period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for an additional 8 weeks. |
| SS2: Upadacitinib 45 mg/Upadacitinib 45 mg | Experimental | Drug: UpadacitinibDuring the Substudy 2 Part 1 induction period, participants received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for 8 weeks. Participants who did not achieve clinical response at Week 8 of Part 1 were enrolled in an open-label expended treatment period and received 45 mg upadacitinib film-coated tablets once daily by mouth (QD) for an additional 8 weeks. |
| SS3: M14-675 clinical responders | Experimental | Drug: Placebo, Drug: UpadacitinibParticipants in Study M14-675 (NCT03653026) who achieved clinical response defined by Adapted Mayo Score at Week 8 or Week 16 in that study and did not meet any study discontinuation criteria were eligible to enroll into Substudy 3. Participants were re-randomized and treated with a blinded treatment assignment (15 mg upadacitinib film-coated tablets once daily by mouth [QD], or 30 mg upadacitinib film-coated tablets QD, or placebo for upadacitinib film-coated tablets QD) for up to 52 weeks. |
Who may qualify
- Ages
- 16 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (7 listed)
- Note: Adolescent participants who are 16 or 17 years old will be eligible to participate if approved by the country or regulatory/health authority. If approval has not been granted, only participants ≥18 years old will be enrolled. Adolescents must weigh ≥ 40 kilograms and meet the definition of Tanner Stage 5 at Screening Visit.
- Diagnosis of ulcerative colitis for 90 days or greater prior to Baseline, confirmed by colonoscopy during the Screening Period, with exclusion of current infection, colonic dysplasia and/or malignancy. Appropriate documentation of biopsy results consistent with the diagnosis of UC, in the assessment of the Investigator, must be available.
- Active ulcerative colitis with an Adapted Mayo score of 5 to 9 points and endoscopic sub score of 2 to 3 (confirmed by central reader).
- Demonstrated an inadequate response to, loss of response to, or intolerance to at least one of the following treatments including: oral aminosalicylates, corticosteroids, immunosuppressants, and/or biologic therapies in the opinion of the investigator.
- Note: Participants who have had inadequate response, loss of response to conventional therapy, but have not failed biologic therapy (Non-bio-IR) and have received a prior biologic for up to 1 year may be enrolled, however they must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease) and must meet criteria for inadequate response, loss of response or intolerance to aminosalicylates, corticosteroids, and/or immunosuppressants as defined above.
Key exclusion criteria (8 listed)
- Participant with current diagnosis of Crohn's disease (CD) or diagnosis of indeterminate colitis (IC)
- Current diagnosis of fulminant colitis and/or toxic megacolon
- Participant with disease limited to the rectum (ulcerative proctitis) during the screening endoscopy
- Received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to Baseline
- Participant on azathioprine or 6-mercaptopurine within 10 days of Baseline
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboFilm-coated tablet for oral administration | Drug | SS1: Placebo, SS2: Placebo/Upadacitinib 45 mg, SS3: M14-675 clinical responders |
| UpadacitinibAlso: ABT-494, RINVOQFilm-coated tablet for oral administration | Drug | SS1: Upadacitinib 15 mg, SS1: Upadacitinib 30 mg, SS1: Upadacitinib 45 mg, SS1: Upadacitinib 7.5 mg, SS2: Placebo/Upadacitinib 45 mg, SS2: Upadacitinib 45 mg/Upadacitinib 45 mg, SS3: M14-675 clinical responders |
Primary outcome
Substudy 1: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
Time frame: At Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal) 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed) 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration) The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. For Substudy 1, clinical remission is defined as SFS ≤ 1, RBS of 0, and endoscopic subscore ≤ 1.
Substudy 2: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
Time frame: At Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal) 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed) 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration) The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. For Substudy 2, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In Substudy 2, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
Substudy 3: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 52
Time frame: At Week 52
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. For Substudy 3, clinical remission is defined as SFS ≤ 1 and not greater than Baseline, RBS of 0, and endoscopic subscore ≤ 1. In addition, evidence of friability during endoscopy in participants with otherwise "mild" endoscopic activity conferred an endoscopic subscore of 2.
30 secondary outcomes
Substudy 1: Percentage Of Participants With Endoscopic Improvement at Week 8
Time frame: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Remission Per Full Mayo Score at Week 8
Time frame: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Response Per Adapted Mayo Score at Week 8
Time frame: At Week 8
Substudy 1: Percentage Of Participants Achieving Clinical Response Per Partial Mayo Score at Week 2
Time frame: At Week 2
Substudy 1: Change in Full Mayo Score From Baseline to Week 8
Time frame: Baseline (Week 0), Week 8
Substudy 1: Percentage Of Participants With Endoscopic Remission at Week 8
Time frame: At Week 8
Substudy 1: Percentage Of Participants Who Achieved Histologic Improvement at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants With Endoscopic Improvement at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants With Endoscopic Remission at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants Achieving Clinical Response Per Adapted Mayo Score at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants Achieving Clinical Response Per Partial Mayo Score at Week 2
Time frame: At Week 2
Substudy 2: Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants Who Report No Bowel Urgency at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants Who Reported No Abdominal Pain at Week 8
Time frame: At Week 8
Substudy 2: Percentage Of Participants Who Achieved Histologic Improvement at Week 8
Time frame: At Week 8
Substudy 2: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8
Time frame: Baseline (Week 0), Week 8
Substudy 2: Percentage Of Participants With Mucosal Healing at Week 8
Time frame: At Week 8
Substudy 2: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8
Time frame: Baseline (Week 0), Week 8
Substudy 3: Percentage Of Participants With Endoscopic Improvement at Week 52
Time frame: At Week 52
Substudy 3: Percentage of Participants With Clinical Remission Per Adapted Mayo Score at Week 52 Among Those Who Achieved Clinical Remission at the End of the Induction Treatment
Time frame: At Week 52
Substudy 3: Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Wk 52 and Were Corticosteroid Free for ≥ 90 Days Immediately Preceding Wk 52 Among Those Who Achieved Clinical Remission at the End of the Induction Treatment
Time frame: At Week 52
Substudy 3: Percentage of Participants With Endoscopic Improvement at Wk 52 Among Those Who Achieved Endoscopic Improvement at the End of the Induction Treatment
Time frame: At Week 52
Substudy 3: Percentage Of Participants With Endoscopic Remission At Week 52
Time frame: At Week 52
Substudy 3: Percentage Of Participants Who Maintained Clinical Response Per Adapted Mayo Score at Wk 52 Among Those Who Achieved Clinical Response at the End of the Induction Treatment
Time frame: At Week 52
Substudy 3: Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 52
Time frame: At Week 52
Substudy 3: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 52
Time frame: Baseline (Week 0), Week 52
Substudy 3: Percentage Of Participants With Mucosal Healing at Week 52
Time frame: At Week 52
Substudy 3: Percentage Of Participants Who Reported No Bowel Urgency at Week 52
Time frame: At Week 52
Substudy 3: Percentage Of Participants Who Reported No Abdominal Pain at Week 52
Time frame: At Week 52
Substudy 3: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 52
Time frame: Baseline (Week 0), Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jun 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42613995Wei SC, Nakase H, Ye BD, Chao K, Wu HY, Eccleston J, Yao X, Palac H, Mohamed MF, Ponce-Bobadilla AV, Suravaram S, Barrachina EM, Hisamatsu T, Gao X. Efficacy, Safety, and Pharmacokinetics of Upadacitinib Among Patients in East Asia With Moderately to Severely Active Ulcerative Colitis: A Post Hoc Subanalysis of Randomized Phase 3 Studies. J Gastroenterol Hepatol. 2026 Aug 19. doi: 10.1111/jgh.70634. Online ahead of print.
- Derived from this study: PubMed 40875187Burmester GR, Deodhar A, Irvine AD, Panaccione R, Winthrop KL, Vleugels RA, Levy G, Suravaram S, Palac H, Wegrzyn L, Ford S, Meerwein S, Guttman-Yassky E. Safety Profile of Upadacitinib: Descriptive Analysis in Over 27,000 Patient-Years Across Rheumatoid Arthritis, Psoriatic Arthritis, Axial Spondyloarthritis, Atopic Dermatitis, and Inflammatory Bowel Disease. Adv Ther. 2025 Oct;42(10):5215-5237. doi: 10.1007/s12325-025-03328-y. Epub 2025 Aug 28.
- Derived from this study: PubMed 40488552Panes J, Dubinsky MC, Ishiguro Y, Shukla N, Dubcenco E, Remple V, Sharma D, Panaccione R. Achievement of long-term treatment goals in upadacitinib-treated patients with moderately to severely active ulcerative colitis: a post hoc analysis of phase 3 trial data. J Crohns Colitis. 2025 Jul 3;19(7):jjaf095. doi: 10.1093/ecco-jcc/jjaf095.
- Derived from this study: PubMed 38010661Panaccione R, Danese S, Zhou W, Klaff J, Ilo D, Yao X, Levy G, Higgins PDR, Loftus EV Jr, Chen S, Gonzalez YS, Leonard C, Hebuterne X, Lindsay JO, Cao Q, Nakase H, Colombel JF, Vermeire S. Efficacy and safety of upadacitinib for 16-week extended induction and 52-week maintenance therapy in patients with moderately to severely active ulcerative colitis. Aliment Pharmacol Ther. 2024 Feb;59(3):393-408. doi: 10.1111/apt.17816. Epub 2023 Nov 27.
- Derived from this study: PubMed 37942921Raine T, Ishiguro Y, Rubin DT, Finney-Hayward T, Vladea R, Liu J, Phillips C, Cheng E, Targownik L, Loftus EV Jr. Impact of Baseline Corticosteroid Use on the Efficacy and Safety of Upadacitinib in Patients with Ulcerative Colitis: A Post Hoc Analysis of the Phase 3 Clinical Trial Programme. J Crohns Colitis. 2024 May 31;18(5):695-707. doi: 10.1093/ecco-jcc/jjad190.
- Derived from this study: PubMed 37683686Vermeire S, Danese S, Zhou W, Ilo D, Klaff J, Levy G, Yao X, Chen S, Sanchez Gonzalez Y, Hebuterne X, Lindsay JO, Higgins PDR, Cao Q, Nakase H, Colombel JF, Loftus EV Jr, Panaccione R. Efficacy and safety of upadacitinib maintenance therapy for moderately to severely active ulcerative colitis in patients responding to 8 week induction therapy (U-ACHIEVE Maintenance): overall results from the randomised, placebo-controlled, double-blind, phase 3 maintenance study. Lancet Gastroenterol Hepatol. 2023 Nov;8(11):976-989. doi: 10.1016/S2468-1253(23)00208-X. Epub 2023 Sep 9.
- Derived from this study: PubMed 37490069Parkes G, Ungaro RC, Danese S, Abreu MT, Arenson E, Zhou W, Ilo D, Laroux FS, Deng H, Sanchez Gonzalez Y, Peyrin-Biroulet L. Correlation of mucosal healing endpoints with long-term clinical and patient-reported outcomes in ulcerative colitis. J Gastroenterol. 2023 Oct;58(10):990-1002. doi: 10.1007/s00535-023-02013-7. Epub 2023 Jul 25.
- Derived from this study: PubMed 37296268Loftus EV Jr, Ananthakrishnan AN, Lee WJ, Gonzalez YS, Fitzgerald KA, Wallace K, Zhou W, Litcher-Kelly L, Ollis SB, Su S, Danese S. Content Validity and Psychometric Evaluation of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) in Patients with Crohn's Disease and Ulcerative Colitis. Pharmacoecon Open. 2023 Sep;7(5):823-840. doi: 10.1007/s41669-023-00419-w. Epub 2023 Jun 9.
- Derived from this study: PubMed 36790041Danese S, Tran J, D'Haens G, Rubin DT, Aoyama N, Zhou W, Ilo D, Yao X, Sanchez Gonzalez Y, Panaccione R. Upadacitinib Induction and Maintenance Therapy Improves Abdominal Pain, Bowel Urgency, and Fatigue in Patients With Ulcerative Colitis: A Post Hoc Analysis of Phase 3 Data. Inflamm Bowel Dis. 2023 Nov 2;29(11):1723-1729. doi: 10.1093/ibd/izad016.
- Derived from this study: PubMed 36645051Panes J, Loftus EV, Higgins PDR, Lindsay JO, Zhou W, Yao X, Ilo D, Phillips C, Tran J, Sanchez Gonzalez Y, Vermeire S. Induction and Maintenance Treatment With Upadacitinib Improves Health-Related Quality of Life in Patients With Moderately to Severely Active Ulcerative Colitis: Phase 3 Study Results. Inflamm Bowel Dis. 2023 Sep 1;29(9):1421-1430. doi: 10.1093/ibd/izac260.
- Derived from this study: PubMed 36571701Ponce-Bobadilla AV, Stodtmann S, Eckert D, Zhou W, Liu W, Mohamed MF. Upadacitinib Population Pharmacokinetics and Exposure-Response Relationships in Ulcerative Colitis Patients. Clin Pharmacokinet. 2023 Jan;62(1):101-112. doi: 10.1007/s40262-022-01191-6. Epub 2022 Dec 26.
- Derived from this study: PubMed 36464141Loftus EV Jr, Colombel JF, Takeuchi K, Gao X, Panaccione R, Danese S, Dubinsky M, Schreiber S, Ilo D, Finney-Hayward T, Zhou W, Phillips C, Gonzalez YS, Shu L, Yao X, Zhou Q, Vermeire S. Upadacitinib Therapy Reduces Ulcerative Colitis Symptoms as Early as Day 1 of Induction Treatment. Clin Gastroenterol Hepatol. 2023 Aug;21(9):2347-2358.e6. doi: 10.1016/j.cgh.2022.11.029. Epub 2022 Dec 1.
- This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
496 sites in 46 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Upadacitinib in people with Ulcerative Colitis (UC), run by AbbVie at 496 sites in 46 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 496 sites in United States, Japan, Canada, China, Russia and 41 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Jun 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Substudy 1: Percentage Of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8 (time frame: At Week 8). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02819635, which also lists 14 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2022.