Crohn's DiseasePhase 3U-EXCELNCT03345849
A Study of the Efficacy and Safety of Upadacitinib in Participants With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Conventional and/or Biologic Therapies
A Phase 3 study testing Upadacitinib in people with Crohn's Disease, run by AbbVie at 432 sites in 49 countries.
Trial summary
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo as induction therapy in adults with moderately and severely active Crohn's disease (CD). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Crohn's Disease
- 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
- 526 participants
- Where
- 432 sitesin 49 countries
- Study dates
- 7 Dec 2017to 13 Jan 2022
- Phase
- Phase 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed diagnosis of CD for at least 3 months prior to Baseline.
- Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score.
- Evidence of mucosal inflammation based on the Simplified Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader.
- Demonstrated an inadequate response or intolerance to one or more conventional and/or biologic therapies (oral locally acting steroids, intravenous or oral corticosteroids, immunosuppressants or biologic therapies for CD), in the opinion of the investigator.
- Note: Participants who have had inadequate response or intolerance to conventional therapy who have received prior biologic may be enrolled; however, participants must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease).
- If female, participant must meet the contraception recommendations.
Who cannot join
- Participant with a current diagnosis of ulcerative colitis or indeterminate colitis.
- Participant not on stable doses of CD related antibiotics, oral aminosalicylates, corticosteroids or methotrexate (MTX).
- Participant with the following ongoing known complications of CD: abscess (abdominal or peri-anal), symptomatic bowel strictures, fulminant colitis, toxic megacolon, > 2 entire missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum, or any other manifestation that might require surgery while enrolled in the study.
- Participant with ostomy or ileoanal pouch.
- Participant diagnosed with conditions that could interfere with drug absorption including but not limited to short gut or short bowel syndrome.
- Screening laboratory and other analyses show abnormal results.
Trial locations and contacts
432 sites in 49 countries.
432 sites in 49 countries
United States119 sites
University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 164943
Ann Arbor, Michigan, 48109
TX Clinical Research Institute /ID# 164896
Arlington, Texas, 76012
Johns Hopkins University School of Medicine /ID# 211941
Baltimore, Maryland, 21287-0010
Inquest Clinical Research /ID# 164785
Baytown, Texas, 77521-2415
Washington Gastroenterology /ID# 164824
Bellevue, Washington, 98004
Treasure Valley Medical Research /ID# 215032
Boise, Idaho, 83706
HP Clinical Research /ID# 164933
Bountiful, Utah, 84010
NY Scientific /ID# 164931
Brooklyn, New York, 11235
Lahey Hospital and Medical Center /ID# 214726
Burlington, Massachusetts, 01805
Texas Digestive Disease Consultants /ID# 209953
Cedar Park, Texas, 78613-5028
Texas Digestive Disease Consultants /ID# 209801
Cedar Park, Texas, 78613
Delsol Research Management, Ll /Id# 170145
Chandler, Arizona, 85224
Pharmacorp Clinical Trials /ID# 164916
Charleston, South Carolina, 29412
Atrium Health Carolinas Medical Center /ID# 164932
Charlotte, North Carolina, 28203
PMG Research of Charlotte /ID# 171160
Charlotte, North Carolina, 28209
MGG Group Co, Inc.Chevy Chase Clinical Research /ID# 164935
Chevy Chase, Maryland, 20815
Rush University Medical Center /ID# 165497
Chicago, Illinois, 60612
University of Chicago Medicine /ID# 165503
Chicago, Illinois, 60637-1426
Gastro Health Research /ID# 164791
Cincinnati, Ohio, 45219
University of Cincinnati /ID# 164825
Cincinnati, Ohio, 45267-0585
Clinical Research of West Florida, Inc /ID# 205827
Clearwater, Florida, 33765
Clinical Research of West Florida, Inc /ID# 208118
Clearwater, Florida, 33765
Cleveland Clinic Main Campus /ID# 209231
Cleveland, Ohio, 44195
Peak Gastroenterology Associates, PC /ID# 170143
Colorado Springs, Colorado, 80907
Delta Waves, Inc. /ID# 164776
Colorado Springs, Colorado, 80918
Gastro Center of Maryland /ID# 171161
Columbia, Maryland, 21045
The Ohio State University /ID# 170141
Columbus, Ohio, 43210
Optimed Research, Ltd. /ID# 205624
Columbus, Ohio, 43235
Advanced Research - Coral Springs /ID# 218021
Coral Springs, Florida, 33067-3173
Southern California Res. Ctr. /ID# 169655
Coronado, California, 92118-1408
Citrus Valley Gastroenterology /ID# 166173
Covina, California, 91722-3797
Tri-State Gastroenterology /ID# 165496
Crestview Hills, Kentucky, 41017
Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 170144
Dallas, Texas, 75246
Hometown Urgent Care and Resea /ID# 201291
Dayton, Ohio, 45424
DuPage Medical Group /ID# 205328
Downers Grove, Illinois, 60515-5509
AGA Clinical Research Associates, LLC /ID# 164769
Egg Harbor, New Jersey, 08234
Dayton Gastroenterology, Inc. /ID# 167627
Englewood, Ohio, 45415
MediSphere Medical Research Center /ID# 166175
Evansville, Indiana, 47714-8011
Plains Clinical Research Center, LLC /ID# 170140
Fargo, North Dakota, 58104-5925
Digestive Health Associates (DHA) - Farmington Hills /ID# 205793
Farmington Hills, Michigan, 48334-3230
Gastro One /ID# 164826
Germantown, Tennessee, 38138
Gastroenterology Associates, P.A. of Greenville /ID# 164771
Greenville, South Carolina, 29615-3593
Medical Research Center of CT /ID# 164926
Hamden, Connecticut, 06518
CroNOLA, LLC /ID# 164823
Houma, Louisiana, 70360
CliniCore International, LLC /ID# 164902
Houston, Texas, 77027-6812
Baylor College of Medicine - Baylor Medical Center /ID# 164947
Houston, Texas, 77030-3411
Centex Studies, Inc. - Houston /ID# 201214
Houston, Texas, 77058
GI Specialists of Houston /ID# 202339
Houston, Texas, 77070-4347
Indianapolis Gastroenterology /ID# 164938
Indianapolis, Indiana, 46237
University of Iowa Hospitals and Clinics /ID# 165436
Iowa City, Iowa, 52242
Hoag Memorial Hosp Presbyterian /ID# 222540
Irvine, California, 92618
Southern Therapy and Advanced Research (STAR) LLC /ID# 165343
Jackson, Mississippi, 39216
Encore Borland-Groover Clinical Research /Id# 203499
Jacksonville, Florida, 32256
United Health Services Hospitals, Inc /ID# 217485
Johnson City, New York, 13790-2107
East Tennessee Research Institute /ID# 203613
Johnson City, Tennessee, 37604
NYU Langone Long Island Clinical Research Associates /ID# 164927
Lake Success, New York, 11042
Las Vegas Medical Research /ID# 168588
Las Vegas, Nevada, 89113
United Medical Doctors /ID# 207449
Los Alamitos, California, 90720-3309
Gastrointestinal Biosciences Clinical Trials, LLC /ID# 164762
Los Angeles, California, 90067-2001
University of Louisville /ID# 165366
Louisville, Kentucky, 40202
University of Louisville /ID# 168572
Louisville, Kentucky, 40202
Caprock Gastro Research, LLC /ID# 215438
Lubbock, Texas, 79424-3017
Gastroenterology Associates of Central Georgia, LLC /ID# 165478
Macon, Georgia, 31201
Ctr for Advanced Gastroenterol /ID# 165353
Maitland, Florida, 32751-6108
Great Lakes Medical Research, LLC /ID# 202010
Mentor, Ohio, 44060-6211
Crystal Pharmacology Research /ID# 166081
Miami, Florida, 33165
Coral Research Clinic /ID# 164890
Miami, Florida, 33186-4643
Facey Medical Foundation /ID# 203136
Mission Hills, California, 91345
East View Medical Research, LLC /ID# 171176
Mobile, Alabama, 36606
CB Flock Research Corporation /ID# 166185
Mobile, Alabama, 36608
United Medical Doctors - Murrieta /ID# 164945
Murrieta, California, 92563
Quality Medical Research /ID# 205263
Nashville, Tennessee, 37211
Vanderbilt University Medical Center /ID# 164946
Nashville, Tennessee, 37232-0011
Rutgers Robert Wood Johnson /ID# 166073
New Brunswick, New Jersey, 08901
Nola Research Works, LLC /ID# 164759
New Orleans, Louisiana, 70115
Advanced Research Institute, Inc /ID# 164921
New Port Richey, Florida, 34653
The Mount Sinai Hospital /ID# 170257
New York, New York, 10029
Columbia Univ Medical Center /ID# 164782
New York, New York, 10032-3725
Advanced Research Institute /ID# 164784
Ogden, Utah, 84403
Digestive Disease Specialists /ID# 201064
Oklahoma City, Oklahoma, 73112
Quality Clinical Research Inc. /ID# 170137
Omaha, Nebraska, 68114-3723
Duplicate_CHI Nebraska d/b/a CHI Health /ID# 168578
Omaha, Nebraska, 68124
Endoscopic Research, Inc. /ID# 206136
Orlando, Florida, 32803
Omega Research Maitland, LLC /ID# 203481
Orlando, Florida, 32808
University of Pennsylvania /ID# 168430
Philadelphia, Pennsylvania, 19104-5502
Wake Radiology UNC REX Healthcare - Raleigh Office /ID# 164904
Raleigh, North Carolina, 27612
Rapid City Medical Center - GI Research /ID# 201735
Rapid City, South Dakota, 57701
Mayo Clinic - Rochester /ID# 164783
Rochester, Minnesota, 55905-0001
Gastoenterology Group of Rochester /ID# 166177
Rochester, New York, 14618-5703
Gastroenterology Consultants PC - Roswell /ID# 218220
Roswell, Georgia, 30076-4913
Duplicate_Care Access Research /ID# 164794
Salt Lake City, Utah, 84124-1377
Clinical Associates in Research Therapeutics of America, LLC /ID# 164786
San Antonio, Texas, 78212
Southern Star Research Institute, LLC /ID# 169755
San Antonio, Texas, 78229-5390
Ucsd /Id# 164910
San Diego, California, 92103
Medical Assoc Research Grp /ID# 169706
San Diego, California, 92123
Univ of California San Francis /ID# 164944
San Francisco, California, 94158
Care Access Research /ID# 167767
San Pablo, California, 94806
HonorHealth Research Institute - Shea /ID# 164821
Scottsdale, Arizona, 85258
Virginia Mason Medical Center /ID# 164913
Seattle, Washington, 98101
Louisana Research Center, LLC /ID# 164894
Shreveport, Louisiana, 71105-6800
Richmond University Medical Center /ID# 201857
Staten Island, New York, 10310-1664
Carl R. Meisner Medical Clinic /ID# 201061
Sugar Land, Texas, 77478
Arizona Arthritis & Rheumatology Research, PLLC /ID# 164803
Sun City, Arizona, 85306
Atlanta Gastroenterology Spec /ID# 164799
Suwanee, Georgia, 30024
Clinical Research Trials of Florida, Inc. /ID# 203485
Tampa, Florida, 33607
AdventHealth Tampa /ID# 171167
Tampa, Florida, 33613-4680
Montefiore Medical Center - Moses Campus /ID# 166193
The Bronx, New York, 10467
Advantage Clinical Trials /ID# 168546
The Bronx, New York, 10468
Center for Digestive Health /ID# 164822
Troy, Michigan, 48098-6363
Clin Res Inst of Michigan, LLC /ID# 170133
Troy, Michigan, 48098
Options Health Research, LLC /ID# 164820
Tulsa, Oklahoma, 74104
Healthcare Research Consultant /ID# 166195
Tulsa, Oklahoma, 74135
Tyler Research Institute, LLC /ID# 168687
Tyler, Texas, 75701-4464
The Vancouver Clinic, INC. PS /ID# 164918
Vancouver, Washington, 98664
Gastro Health & Nutrition - Victoria /ID# 167812
Victoria, Texas, 77904
Allegiance Research Specialists /ID# 165346
Wauwatosa, Wisconsin, 53226
Velocity Clinical Research - Salt Lake City /ID# 166076
West Jordan, Utah, 84088
Western States Clinical Res /ID# 164760
Wheat Ridge, Colorado, 80033-2896
Wake Forest Baptist Medical Center /ID# 164908
Winston-Salem, North Carolina, 27157-0001
Japan50 sites
Asahikawa Medical University Hospital /ID# 167120
Asahikawa-shi, Hokkaido, 078-8510
Tokyo Medical And Dental University Hospital /ID# 165965
Bunkyo-ku, Tokyo, 113-8519
Fukuoka University Chikushi Hospital /ID# 214404
Chikushino-shi, Fukuoka, 818-8502
NHO Fukuyama Medical Center /ID# 167131
Fukuyama-shi, Hiroshima, 720-8520
Tokai University Hachioji Hospital /ID# 165967
Hachioji-shi, Tokyo, 192-0032
Hamamatsu University Hospital /ID# 224352
Hamamatsu, Shizuoka, 431-3192
National Hospital Organization Hirosaki General Medical Center /ID# 165961
Hirosaki-shi, Aomori, 036-8545
Hiroshima University Hospital /ID# 166014
Hiroshima, Hiroshima, 734-8551
Imamura General Hospital /ID# 227137
Kagoshima, Kagoshima-ken, 890-0064
Idzuro Imamura Hospital /ID# 206654
Kagoshima, Kagoshima-ken, 892-0824
Sameshima Hospital /ID# 206675
Kagoshima, Kagoshima-ken, 892-0846
Kanazawa University Hospital /ID# 169218
Kanazawa, Ishikawa-ken, 920-8641
Nara Medical University Hospital /ID# 169219
Kashihara-shi, Nara, 634-8522
Aoyama Clinic /ID# 166009
Kobe, Hyōgo, 650-0015
Chikuba Hospital for Proctological and Gastrointestinal Diseases /ID# 166010
Kurashiki-shi, Okayama-ken, 710-0142
Kurume University Hospital /ID# 166012
Kurume-shi, Fukuoka, 830-0011
Japanese Red Cross Kyoto Daiichi Hosital /ID# 165972
Kyoto, Kyoto, 605-0981
Kyoto University Hospital /ID# 169889
Kyoto, Kyoto, 606-8507
The Jikei University Hospital /ID# 167130
Minato-ku, Tokyo, 105-8471
Kyorin University Hospital /ID# 165966
Mitaka-shi, Tokyo, 181-8611
Iwate Medical University Uchimaru Medical Center /ID# 202464
Morioka, Iwate, 020-8505
Aichi Medical University Hospital /ID# 165971
Nagakute-shi, Aichi-ken, 480-1195
Nagoya University Hospital /ID# 165969
Nagoya, Aichi-ken, 4668560
Nagoya City University Hospital /ID# 165970
Nagoya, Aichi-ken, 467-8602
Niigata University Medical & Dental Hospital /ID# 170045
Niigata, Niigata, 951-8520
Hyogo College of Medicine College Hospital /Id# 165973
Nishinomiya-shi, Hyōgo, 663-8501
Ishida Clinic of IBD and Gastroenterology /ID# 167121
Ōita, Oita Prefecture, 870-0823
Okayama University Hospital /ID# 167356
Okayama, Okayama-ken, 700-8558
Kinshukai Infusion Clinic /ID# 218872
Osaka, Osaka, 530-0011
Osaka Metropolitan University Hospital /ID# 166015
Osaka, Osaka, 545-8586
Shiga University of Medical Science Hospital /ID# 167129
Ōtsu, Shiga, 520-2192
Tokitokai Tokito clinic /ID# 165962
Saitama-shi, Saitama, 336-0963
Toho University Sakura Medical Center /ID# 165963
Sakura-shi, Chiba, 285-8741
Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 165960
Sapporo, Hokkaido, 060-0033
Sapporo Medical University Hospital /ID# 167124
Sapporo, Hokkaido, 060-8543
Sapporo IBD Clinic /ID# 223561
Sapporo, Hokkaido, 064-0919
Tohoku University Hospital /ID# 167122
Sendai, Miyagi, 9808574
Tokyo Women's Medical University Hospital /ID# 205980
Shinjuku-ku, Tokyo, 162-8666
Osaka University Hospital /ID# 169663
Suita-shi, Osaka, 565-0871
NHO Shizuoka Medical Center /ID# 167125
Sunto-gun, Shizuoka, 411-8611
National Hospital Organization Takasaki General Medical Center /ID# 167127
Takasaki-shi, Gunma, 370-0829
Osaka Medical and Pharmaceutical University Hospital /ID# 206326
Takatsuki-shi, Osaka, 569-8686
Toyama Prefectural Central Hospital /ID# 217834
Toyama, Toyama, 930-8550
Toyohashi Municipal Hospital /ID# 200175
Toyohashi, Aichi-ken, 441-8570
Japanese Red Cross Wakayama Medical Center /ID# 200643
Wakayama, Wakayama, 640-8558
Wakayama Medical University Hospital /ID# 169482
Wakayama, Wakayama, 641-8510
Yamagata University Hospital /ID# 200157
Yamagata, Yamagata, 990-9585
Kenseikai Dongo Hospital /ID# 208104
Yamatotakada-shi, Nara, 635-0022
Yokkaichi Hazu Medical Center /ID# 167196
Yokkaichi-shi, Mie-ken, 510-0016
Yokohama City University Medical Center /ID# 167128
Yokohama, Kanagawa, 232-0024
Canada17 sites
University of Calgary /ID# 166974
Calgary, Alberta, T2N 4Z6
Allen Whey Khye Lim Professional Corporation /ID# 168044
Edmonton, Alberta, T5R 1W2
University of Alberta - Zeidler Ledcor Centre /ID# 166971
Edmonton, Alberta, T6G 2X8
South Edmonton Gastroenterology Research Clinic /ID# 166978
Edmonton, Alberta, T6K 4B2
Medicor Research Inc /ID# 166979
Greater Sudbury, Ontario, P3A 1W8
QEII - Health Sciences Centre /ID# 169307
Halifax, Nova Scotia, B3H 2Y9
CISSS de Chaudière-Appalaches, Hôpital Hotel-Dieu de Lévis /ID# 166969
Lévis, Quebec, G6V 3Z1
London Health Sciences Center /ID# 221038
London, Ontario, N6A 5W9
Centre Hospitalier de l'Universite de Montreal - CRCHUM /ID# 170120
Montreal, Quebec, H2X 0A9
Royal Victoria Hospital / McGill University Health Centre /ID# 170119
Montreal, Quebec, H4A 3J1
Fraser Clinical Trials Inc /ID# 166968
New Westminster, British Columbia, V3L 3W4
Scott Shulman Medicine Professional Corporation /ID# 169066
North Bay, Ontario, P1B 2H3
Taunton Surgical Centre /ID# 168043
Oshawa, Ontario, L1H 7K4
Ottawa Hospital Research Institute /ID# 212414
Ottawa, Ontario, K1H 8L6
CIUSSS de l'Estrie - CHUS /ID# 170940
Sherbrooke, Quebec, J1G 2E8
GIRI Gastrointestinal Research Institute /ID# 166975
Vancouver, British Columbia, V6Z 2K5
Toronto Digestive Disease Asso /ID# 166972
Vaughan, Ontario, L4L 4Y7
China15 sites
Beijing Friendship Hospital /ID# 204173
Beijing, 100032
The First Hospital of Jilin University /ID# 206868
Changchun, Jilin, 130021
The Second Xiangya Hospital of Central South University /ID# 204082
Changsha, 410011
The First Affiliated Hospital, Sun Yat-sen University /ID# 205228
Guangzhou, Guangdong, 510080
Nanfang Hospital of Southern Medical University /ID# 204083
Guangzhou, Guangdong, 510515
The Sixth Affiliated Hosp Sun /ID# 204077
Guangzhou, Guangdong, 510655
The second Affiliated hospital of Zhejiang University school of Medicine /ID# 204073
Hangzhou, Zhejiang, 310009
Sir Run Run Shaw Hospital,Meical School Zhejiang University /ID# 204076
Hangzhou, Zhejiang, 310018
The First Affiliated Hospital of Nanchang University /ID# 204092
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital /ID# 204900
Nanjing, Jiangsu, 210008
Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 204091
Shanghai, Shanghai Municipality, 200065
Duplicate_Tianjin Med Univ General Hosp /ID# 206994
Tianjin, 300052
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 204081
Wuhan, Hubei, 430022
Tongji Hospital Tongji Medical College of HUST /ID# 204088
Wuhan, 430030
Zhongshan Hospital Xiamen University /ID# 204984
Xiamen, Fujian, 361004
Italy14 sites
IRCCS Azienda Ospedaliero-Universitaria di Bologna /ID# 168187
Bologna, 40138
A.O. Per L'Emergenza Cannizzaro /ID# 168190
Catania, 95126
Policlinico San Martino/Univer /ID# 168191
Genova, 16132
ASST Fatebenefratelli Sacco - Ospedale Fatebenefratelli e Oftalmico /ID# 168181
Milan, 20121
ASST Grande Ospedale Metropolitano Niguarda /ID# 170849
Milan, 20162
Azienda Ospedaliero-Universitaria di Modena /ID# 201897
Modena, 41124
IRCCS Ospedale Sacro Cuore Don Calabria /ID# 168186
Negrar, Verona, 37024
A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 168189
Palermo, 90146
Azienda Ospedaliero Universitaria Pisana-Stabilimento di Cisanello /ID# 202421
Pisa, 56125
Policlinico Universitario Campus Bio-Medico /ID# 168183
Rome, Lazio, 00128
Azienda Ospedaliera San Camillo Forlanini /ID# 168184
Rome, Lazio, 00152
Fondazione PTV Policlinico Tor Vergata /ID# 168188
Rome, Roma, 00133
Presidio Columbus-Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Un /ID# 168182
Rome, Roma, 00168
Istituto Clinico Humanitas /ID# 168185
Rozzano, Milano, 20089
Russia12 sites
Immanuel Kant Baltic Federal University /ID# 203811
Kaliningrad, Kaliningrad Oblast, 236016
Kazan State Medical University /ID# 169638
Kazan', Tatarstan, Respublika, 420012
Olla-Med Clinic /ID# 208720
Moscow, 105554
P.A. Bayandin Murmansk Regiona /ID# 169639
Murmansk, 183047
LLC Medical Center /ID# 209236
Novosibirsk, Novosibirsk Oblast, 630099
Perm Clinical Center of the Federal Medical and Biological Agency /ID# 202990
Perm, Permskiy Kray, 614109
Republican hospital named after V.A. Baranov /ID# 206488
Petrozavodsk, 185019
Euromedservice /ID# 206610
Pushkin, 196603
LLC Novaya Klinika /ID# 206616
Pyatigorsk, Stavropol Kray, 357500
X7 Clinical Research Center /ID# 216350
Saint Petersburg, 194156
City Clinical Hospital No. 31 /ID# 208868
Saint Petersburg, 197110
Professor Pasechnikov Gastroenterology and Pankreatology clinic /ID# 202997
Stavropol, Stavropol Kray, 355012
United Kingdom12 sites
Royal United Hospitals Bath /ID# 169074
Bath, BA1 3NG
South Eastern Health and Social Care Trust /ID# 205323
Belfast, Antrim, BT16 1RH
University Hospitals Birmingham NHS Foundation Trust /ID# 169070
Birmingham, B15 2TH
The Dudley Group NHS Foundation Trust /ID# 169069
Dudley, DY1 2HQ
King's College Hospital NHS Foundation Trust /ID# 169072
London, SE5 9RS
The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 169075
Newcastle upon Tyne, NE7 7DN
Stockport NHS foundation trust /ID# 208719
Stockport, SK2 7JE
Taunton and Somerset NHS Foundation Trust /ID# 209665
Taunton, TA1 5DA
St George's University Hospitals NHS Foundation Trust /ID# 205552
Tooting, SW17 0QT
Warrington and Halton Hospitals NHS Foundation Trust /ID# 171383
Warrington, Cheshire West And Chester, WA5 1QG
Warrington and Halton Hospitals NHS Foundation Trust /ID# 209086
Warrington, Cheshire West And Chester, WA5 1QG
The Royal Wolverhampton NHS Trust /ID# 171382
Wolverhampton, WV10 0QP
Germany11 sites
Gastroenterologie am Mexikoplatz /ID# 203575
Berlin, 14163
Universitaetsklinikum Erlangen /ID# 203552
Erlangen, Bavaria, 91054
Universitaetsmedizin Essen St. Josef Krankenhaus Werden /ID# 203570
Essen, 45239
Universitaetsklinikum Frankfurt /ID# 203566
Frankfurt am Main, Hesse, 60590
Agaplesion Markus Krankenhaus /ID# 168758
Frankfurt am Main, 60431
Universitaetsklinikum Halle (Saale) /ID# 207455
Halle, 06120
Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 168757
Kiel, Schleswig-Holstein, 24105
Universitatsklinikum Mannheim /ID# 168759
Mannheim, Baden-Wurttemberg, 68167
Medizinisches Versorgungszentrum Portal 10 /ID# 200214
Münster, 48155
Zentrum für Gastroenterologie Saar MVZ GmbH /ID# 206741
Saarbrücken, Saarland, 66111
Universitaetsklinikum Ulm /ID# 203560
Ulm, Baden-Wurttemberg, 89081
Hungary11 sites
Obudai Egeszsegugyi Centrum Kft. /ID# 201892
Budapest, Pest County, 1036
Semmelweis Egyetem /ID# 210167
Budapest, 1085
Magyar Honvedseg Egeszsegugyi Kozpont /ID# 201724
Budapest, 1134
Debreceni Egyetem Klinikai Kozpont /ID# 216419
Debrecen, Hajdú-Bihar, 4032
Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz /ID# 201723
Debrecen, 4031
CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 205547
Encs, Borsod-Abauj Zemplen county, 3860
Bugat Pal Korhaz /ID# 201893
Gyöngyös, Heves County, 3200
Pest Megyei Flor Ferenc Korhaz /ID# 206154
Kistarcsa, 2143
Mohacsi Korhaz /ID# 209441
Mohács, Baranya, 7700
Mentahaz Maganorvosi Kozpont /ID# 201895
Székesfehérvár, 8000
Szent Borbala Korhaz /ID# 209897
Tatabánya, Komárom-Esztergom, 2800
Spain11 sites
Hospital Universitario A Coruna - CHUAC /ID# 203910
A Coruña, 15006
Hospital Clinic de Barcelona /ID# 201990
Barcelona, 08036
Hospital Universitario de Girona Doctor Josep Trueta /ID# 202645
Girona, 17007
Hospital Juan Ramon Jimenez /ID# 201995
Huelva, 21005
Hospital Universitario La Paz /ID# 201994
Madrid, 28046
Hospital Universitari Son Espases /ID# 201998
Palma de Mallorca, Balearic Islands, 07120
Hospital Universitario de Navarra /ID# 202355
Pamplona, Navarre, 31008
Hospital Universitario de Salamanca /ID# 206358
Salamanca, 37711
Hospital Universitario Virgen Macarena /ID# 201993
Seville, 41009
Hospital Clinico Universitario de Valencia /ID# 209657
Valencia, 46010
Hospital Universitario y Politecnico La Fe /ID# 201992
Valencia, 46026
South Korea10 sites
Inje University Haeundae Hospital /ID# 202630
Busan, 48108
Dong-A University Hospital /ID# 167591
Busan, 49201
Pusan National University Hospital /ID# 167589
Busan, 49241
Kyungpook National University Hospital /ID# 207019
Daegu, 41944
Hayang University GuriHospital /ID# 167587
Guri-si, Gyeonggido, 11923
CHA University Bundang Medical Center /ID# 167592
Seongnam-si, Gyeonggido, 13496
Kangbuk Samsung Hospital /ID# 167586
Seoul, Seoul Teugbyeolsi, 03181
Yonsei University Health System Severance Hospital /ID# 167590
Seoul, Seoul Teugbyeolsi, 03722
Samsung Medical Center /ID# 167588
Seoul, 06351
Chung-Ang University Hostipal /ID# 207018
Seoul, 06973
Turkey (Türkiye)10 sites
Ankara Univ Medical Faculty /ID# 206409
Ankara, 06590
Inonu Universitesi Turgut Ozal /ID# 201268
Battalgazi/malatya, 44280
Mustafa Kemal University Medic /ID# 171336
Hatay, 31001
Istanbul University Istanbul Medical Faculty /ID# 171364
Istanbul, 34093
Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi /ID# 171332
Istanbul, 34899
Acibadem Kozyatagi Hospital /ID# 209406
Kadıköy, Istanbul, 34742
Erciyes University Medical Fac /ID# 171331
Melikgazi, Kayseri, 38030
Mersin University Medical /ID# 171338
Mersin, 33343
Sisli Etfal Train & Res Hosp /ID# 171334
Şişli, 34371
Gazi Universitesi Tip Fakultes /ID# 217444
Yenimahalle, 06560
Brazil7 sites
Upeclin Fmb - Unesp /Id# 166867
Botucatu, São Paulo, 18618-686
Hospital Nossa Senhora das Graças /ID# 166863
Curitiba, Paraná, 80810-040
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva /ID# 166852
Goiânia, Goiás, 74535-170
Hospital de Clinicas de Porto Alegre /ID# 166862
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto - USP /ID# 166866
Ribeirão Preto, São Paulo, 14051-140
Faculdade de Medicina do ABC /ID# 208323
Santo André, São Paulo, 09060-870
Kaiser Clinica e Hospital Dia /ID# 166865
São José do Rio Preto, São Paulo, 15015-110
Argentina6 sites
Hospital Italiano de Buenos Aires /ID# 215541
Ciudad Autonoma Buenos Aires, Ciuadad Autonoma de Buenos Aires, 1199
Gedyt /ID# 210020
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1115
Cemic /Id# 169182
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1431
Hospital Privado Univesitario /ID# 169230
Córdoba, 5016
Hospital Provincial del Centenario /ID# 171252
Rosario, Santa Fe Province, 2000
Cardio Alem /ID# 211285
San Isidro, Buenos Aires, 1642
Australia6 sites
Royal Adelaide Hospital /ID# 171514
Adelaide, South Australia, 5000
Box Hill Hospital /ID# 203736
Box Hill, Victoria, 3128
Concord Repatriation General Hospital /ID# 171512
Concord, New South Wales, 2139
Fiona Stanley Hospital /ID# 171513
Murdoch, Western Australia, 6150
Coral Sea Clinical Research institute /ID# 212988
North Mackay, Queensland, 4740
Mater Misericordiae Limited /ID# 204909
South Brisbane, Queensland, 4101
Croatia6 sites
UHC Split /ID# 171191
Split, 21000
Zadar General Hospital /ID# 205536
Zadar, 23000
Clinical Hospital Dubrava /ID# 171185
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Sestre milosrdnice /ID# 205535
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Zagreb /ID# 171203
Zagreb, City of Zagreb, 10000
Poliklinika Solmed /ID# 211519
Zagreb, City of Zagreb, 10000
Egypt6 sites
Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171012
Alexandria, 21131
Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171013
Alexandria, 21131
Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 209564
Alexandria, 21131
National Hepatology and Tropical Medicine Research Institute /ID# 170989
Cairo, 11559
Air Force Specialized Hospital /ID# 170996
Cairo
National Liver Institute /ID# 170988
Menoufiya, 35111
Israel6 sites
Assaf Harofeh Medical Center /ID# 204872
Be’er Ya‘aqov, 70300
Soroka University Medical Center /ID# 169913
Beersheba, Southern District, 8443901
Hadassah Medical Center-Hebrew University /ID# 169928
Jerusalem, 91120
Rabin Medical Center /ID# 202636
Petah Tikva, 4941492
Kaplan Medical Center /ID# 170276
Rehovot, 7661041
Tel Aviv Sourasky Medical Center /ID# 204877
Tel Aviv, Tel Aviv, 6423906
Serbia6 sites
Clinical Hosp Center Zvezdara /ID# 168214
Belgrade, Beograd, 11000
Military Medical Academy /ID# 168783
Belgrade, Beograd, 11000
University Clinical Center Serbia /ID# 168215
Belgrade, Beograd, 11000
Clin Hosp Ctr Bezanijska Kosa /ID# 168750
Belgrade, Beograd, 11080
University Clinical Center Kragujevac /ID# 205859
Kragujevac, Sumadijski Okrug, 34000
Clinical Center Vojvodina /ID# 168213
Novi Sad, Vojvodina, 21000
South Africa6 sites
Farmovs (Pty) Ltd /Id# 207535
Bloemfontein, Free State, 9301
Allergy & Immunology (AIU) /ID# 171431
Cape Town, Western Cape, 7700
Dr JP Wright /ID# 170887
Cape Town, Western Cape, 7708
Private Practice Dr MN Rajabally /ID# 169853
Cape Town, Western Cape, 7800
Lenasia Clinical Trial Centre /ID# 205145
Johannesburg, Gauteng, 1820
Wits Clinical Research Site /ID# 170852
Johannesburg, Gauteng, 2193
Ukraine6 sites
Kharkiv City Clinical Hospital No.2 n.a. Prof. O.O. Shalimov /ID# 167907
Kharkiv, 61037
Medical Centre of "Ukrainian German Antiulcer Gastroenterology Centre BYK-KYIV" /ID# 203738
Kyiv, Kyivska Oblast, 01030
Kyiv Municipal Clinical Hospital #18 /ID# 207889
Kyiv, 01030
MNI KRC Kyiv Regional Clinical Hospital /ID# 202454
Kyiv, 04107
Lviv Railway Clinical Hospital of branch Healthcare Centers of Public Joint Stoc /ID# 167908
Lviv, 79000
CNE Vinnytsya Regional Clinical Hospital named after N.I.Pirogov /ID# 222110
Vinnytsia, 21028
Chile5 sites
Hospital Guillermo Grant Benavente de Concepción /ID# 212423
Concepción, 4070038
CTR Estudios Clinicos /ID# 203941
Providencia, 7500571
M y F Estudios Clínicos /ID# 169984
Santiago, Region Metropolitana Santiago, 7750495
Research Group /ID# 203179
Santiago, Santiago Metropolitan, 2540364
Hospital Clinico Universidad De Los Andes /ID# 207466
Santiago, 7501504
Greece5 sites
General Hospital of Athens Ippokratio /ID# 167045
Athens, Attica, 11527
General Hospital of Chest Diseases of Athens SOTIRIA /ID# 202104
Athens, Attica, 11527
University General Hospital of Heraklion PA.G.N.I /ID# 167044
Heraklion, Crete, 71500
Tzaneio general hospital of Piraeus /ID# 206433
Piraeus, Attica, 18536
General Hospital of Thessaloniki Hippokrateio /ID# 208825
Thessaloniki, 54642
Netherlands5 sites
Onze Lieve Vrouwe Gasthuis /ID# 166929
Amsterdam, 1091 AC
Academisch Medisch Centrum /ID# 166927
Amsterdam, 1105 AZ
Medisch Spectrum Twente /ID# 170298
Enschede, 7512 KZ
Zuyderland Medisch Centrum /ID# 169700
Heerlen, Limburg, 6419 PC
Radboud Universitair Medisch Centrum /ID# 166928
Nijmegen, Gelderland, 6525 GA
Poland5 sites
Malopolskie Centrum Kliniczne /ID# 202167
Krakow, Lesser Poland Voivodeship, 30-149
Centrum Zdrowia MDM /ID# 200491
Warsaw, Masovian Voivodeship, 00-635
WIP Warsaw IBD Point Profesor Kierkus /ID# 224301
Warsaw, Masovian Voivodeship, 00-728
Centrum Medyczne Reuma Park /ID# 200490
Warsaw, Masovian Voivodeship, 02-665
Vistamed /ID# 208572
Wroclaw, Lower Silesian Voivodeship, 53-149
Portugal5 sites
Hospital Garcia de Orta, EPE /ID# 170241
Almada, 2805-267
Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 170245
Guimarães, Braga District, 4835-044
Hospital Egas Moniz /ID# 170253
Lisbon, Porto District, 1349-019
Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 200607
Ponte de Lima, Viana do Castelo District, 4990-041
Centro Hospitalar Universitario de Sao Joao, EPE /ID# 170248
Porto, 4200-319
Sweden5 sites
Alingsas lasarett /ID# 170826
Alingsås, Västra Götaland County, 441 33
Sodra Alvsborgs sjukhus /ID# 203077
Borås, Västra Götaland County, 501 82
Sahlgrenska University Hospital /ID# 169171
Gothenburg, Västra Götaland County, 413 46
Hallands Hospital Halmstad /ID# 170828
Halmstad, Halland County, 302 33
Karolinska University Hospital Solna /ID# 224488
Solna, Stockholm County, 171 64
Bosnia and Herzegovina4 sites
University Clinical Centre of the Republic of Srpska /ID# 208051
Banja Luka, Republika Srpska, 78000
Clinical Center University of Sarajevo /ID# 203887
Sarajevo, 71000
Polyclinic and Daily Hospital Dr. Al-Tawil /ID# 217842
Sarajevo, 71000
University Clinical Center Tuzla /ID# 210325
Tuzla, Tuzlanski, 75000
Czechia4 sites
Nemocnice Ceske Budejovice a.s. /ID# 224389
České Budějovice, 370 01
Hepato-Gastroenterologie HK, s.r.o. /ID# 171401
Hradec Králové, 500 12
ARTROSCAN s.r.o. /ID# 200790
Ostrava, 722 00
ResTrial s.r.o. /ID# 208653
Prague, 143 00
Denmark4 sites
Herlev Hospital /ID# 202423
Herlev, Capital Region, 2730
Nordsjaellands Hospital /ID# 202424
Hilleroed, Capital Region, 3600
Kobenhavns Universitet - Hvidovre Hospital (HH) /ID# 202425
Hvidovre, Capital Region, 2650
Duplicate_Sjaellands Universitets Hospital /ID# 209445
Roskilde, Region Sjælland, 4000
Belgium3 sites
AZ Sint-Lucas /ID# 200302
Ghent, 9000
CHU de Liege Sart Tilman /ID# 217534
Liège, Liege, 4000
UCL Saint-Luc /ID# 200303
Woluwe-Saint-Lambert, Brussels Capital, 1200
Bulgaria3 sites
UMHAT Kaspela EOOD /ID# 167613
Plovdiv, 4001
Duplicate_Second MHAT Sofia /ID# 167614
Sofia, 1202
MHAT Trakia /ID# 201679
Stara Zagora, 6004
France3 sites
CHU Grenoble - Hopital Michallon /ID# 219034
La Tronche, 38700
Clinique Jules Verne /ID# 219073
Nantes, 44300
CH Valenciennes /ID# 219035
Valenciennes, 59300
Latvia3 sites
VCA Polyclinic Aura /ID# 169498
Riga, 1035
Pauls Stradins Clinical University Hospital /ID# 169519
Riga, LV- 1002
Digestive Disease Center Gastro /ID# 169508
Riga, LV-1079
Malaysia3 sites
Hospital Sultanah Bahiyah /ID# 202626
Alor Star, Kedah, 05460
Universiti Sains Malaysia /ID# 200102
Kelantan, Kelantan, 16150
Universiti Kebangsaan Malaysia (UKM) Medical Centre /ID# 170773
Kuala Lumpur, Selangor, 56000
Mexico3 sites
Instituto de Investigaciones Aplicadas a la Neurociencias A.C. /ID# 207579
Durango, Durango, 34000
Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 207238
Guadalajara, Jalisco, 44650
Morales Vargas Centro de Investigacion S.C. /ID# 203494
León, Guanajuato, 37000
Romania3 sites
Clinica GASTRO MED SRL /ID# 206369
Cluj-Napoca, Cluj, 400380
Institutul Clinic Fundeni /ID# 167817
Sector 2, Bucharest, 022328
Cabinet Particular Policlinic Algomed /ID# 167818
Timișoara, 300002
Singapore3 sites
KL Ling Gastroenterology and Liver Clinic /ID# 217962
Singapore, 228510
Gleneagles Medical Centre /ID# 206531
Singapore, 258499
Tan Tock Seng Hospital /ID# 203160
Singapore, 308433
Taiwan3 sites
China Medical University Hospital /ID# 169791
Taichung, 40447
Taichung Veterans General Hospital /ID# 169790
Taichung, 40705
National Taiwan University Hospital /ID# 169792
Taipei, 100
Austria2 sites
Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 214470
Salzburg, 5020
Medizinische Universitaet Wien /ID# 169465
Vienna, State of Vienna, 1090
Colombia2 sites
Hospital Pablo Tobon Uribe /ID# 202404
Medellín, Antioquia, 50034
Hospital Universitario San Vic /ID# 200029
Medellín, 50010
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 206936
Kaunas, 50161
Vilnius University Hospital Santaros Klinikos /ID# 203286
Vilnius, 08661
Puerto Rico2 sites
Mindful Medical Research /ID# 203358
San Juan, 00918-3756
School of Medicine University of Puerto Rico-Medical Science Campus /ID# 166771
San Juan, 00935
Slovakia2 sites
Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 169958
Banská Bystrica, 975 17
KM Management, spol. s.r.o. /ID# 170201
Nitra, 949 01
Switzerland2 sites
Inselspital, Universitätsspital Bern /ID# 170997
Bern, 3010
Universitätsspital Zürich /ID# 170998
Zurich, Canton of Zurich, 8091
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Induction Study of the Efficacy and Safety of Upadacitinib (ABT-494) in Subjects With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Conventional and/or Biologic Therapies
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo as induction therapy in adults with moderately and severely active Crohn's disease (CD).
Read the detailed description
This study includes two parts:
- Part 1: a randomized double-blind placebo-controlled induction period and
- Part 2: an extended treatment period for non-responders from Part 1.
In Part 1, participants will be randomized in a 2:1 ratio to upadacitinib 45 mg once daily (QD) or matching placebo for 12 weeks. The randomization will be stratified by baseline corticosteroid use (yes or no), endoscopic disease severity (Simplified Endoscopic Score for Crohn's disease [SES-CD] < 15 and ≥ 15), and number of prior biologics with prior inadequate response or intolerance (0, 1, > 1).
Participants who do not achieve clinical response at Week 12 will be able to enroll in Part 2 to receive a double-blind extended treatment with upadacitinib until Week 24. Clinical response is defined as a ≥ 30% decrease in average daily very soft or liquid stool frequency (SF) and/or ≥ 30% decrease in average daily abdominal pain (AP) score (both not worse than Baseline).
Participants who achieve clinical response at Week 12 may be eligible to enter the 52-week, double-blind, maintenance portion of Study M14-430 (NCT03345823).
- Conditions
- Crohn's Disease
- Being tested
- Upadacitinib, Placebo for Upadacitinib
- Keywords
- Upadacitinib, ABT-494, Efficacy, Safety, Crohn's Disease
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
UpadacitinibDrug
Also called ABT-494, RINVOQ
Oral; Tablet
Placebo for UpadacitinibDrug
Oral; Tablet
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants will receive placebo once daily for 12 weeks in Part 1. Clinical non-responders will receive 45 mg upadacitinib once daily for 12 weeks in Part 2. Receives: Drug: Upadacitinib; Drug: Placebo for Upadacitinib |
| Upadacitinib | Experimental | Participants will receive 45 mg upadacitinib once daily for 12 weeks in Part 1. Clinical non-responders will receive 30 mg upadacitinib once daily for 12 weeks in Part 2. Receives: Drug: Upadacitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12
The co-primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was clinical remission based on CDAI at Week 12.
CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as a CDAI score less than 150.
Measured: Week 12
Percentage of Participants With Clinical Remission Per Patient-Reported Outcomes (PROs) at Week 12
The co-primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was clinical remission defined based on two patient reported outcomes, average daily stool frequency (SF) and average daily abdominal pain score (APS). Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.
Participants recorded APS and the number of very soft or liquid SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).
The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit.
Measured: Week 12
Percentage of Participants With Endoscopic Response at Week 12
Endoscopic response at Week 12 was a co-primary endpoint for both the US/FDA and EU/EMA regulatory purposes. Endoscopic response was defined as greater than 50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline of the induction study (or for participants with an SES-CD of 4 at Baseline, at least a 2-point reduction from Baseline), as scored by independent external and blinded central readers.
The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.
Measured: Baseline and Week 12
Secondary outcomes (11)
Percentage of Participants With Endoscopic Remission at Week 12
Endoscopic remission is defined as an SES-CD ≤ 4 and at least 2 point reduction from Baseline and no subscore > 1 in any individual variable,as scored by independent external and blinded central readers.
The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.
Measured: Baseline and Week 12
Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per CDAI at Week 12
Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per CDAI at Week 12, assessed for participants taking corticosteroids for CD at Baseline.
CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150.
Measured: Week 12
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) at Week 12
The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants in the previous 7 days, including physical fatigue (e.g., I feel tired), functional fatigue (e.g., trouble finishing things), emotional fatigue (e.g., frustration), and social consequences of fatigue (e.g., limits social activity). Participants respond to the questions on a scale from 0 (not at all) to 4 (very much). The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue. A positive change from Baseline indicates improvement.
Measured: Baseline and Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 12
The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with inflammatory bowel disease. 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 and Week 12
Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 2
Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline.
CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease.
Measured: Baseline and Week 2
Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 12
Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline.
CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease.
Measured: Baseline and Week 12
Percentage of Participants With Clinical Remission Per CDAI at Week 4
CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150.
Measured: Week 4
Percentage of Participants With Hospitalizations Due to Crohn's Disease (CD) During the 12-Week Induction Period
This was assessed by reviewing participant's hospitalization data.
Measured: 12 weeks
Percentage of Participants With Resolution of Extra-Intestinal Manifestation (EIMs) at Week 12
EIMs are defined as manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.
Only participants with any EIM present at Baseline were included in the analysis of resolution of EIMs. Resolution of EIMs was defined as absence of all EIMs at the Week 12 visit.
Measured: Week 12
Percentage of Participants With Clinical Remission Per PROs at Week 4
Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.
Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).
The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 4 visit.
Measured: Week 4
Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per PROs at Week 12
Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per PROs at Week 12, assessed for participants taking corticosteroids for CD at Baseline.
Clinical remission per PROs was defined as average daily very soft or liquid stool frequency (SF) ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.
Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).
The average daily liquid or very soft SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit.
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Nov 2017
- Study start7 Dec 2017
- Primary completion15 Oct 2021
- Study completion13 Jan 2022
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 (9)Papers the sponsor has linked to this study.
- Other trials for Crohn's DiseaseStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 526 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
- NCT03345849
- Sponsor's protocol ID
- M14-433
- Other IDs
- 2017-001240-35, 2017
- Acronym
- U-EXCEL
- Status last verified
- Oct 2022
- First submitted
- 15 Nov 2017
- Last updated
- 23 Nov 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, analyses plans, 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
Panaccione R, Panes J, Peyrin-Biroulet L, Colombel JF, Lindsay JO, Baert F, Atreya R, Vermeire S, Fujii T, Dubcenco E, Klaff J, Duncan B, Suravaram S, Fish I, Lacerda AP, Vladea R, Ford S, Shah S, Anyanwu SI, Rubin DT. Long-Term Safety of Upadacitinib in Patients With Inflammatory Bowel Disease: Integrated Analysis of Phase 2/3 Studies. Clin Gastroenterol Hepatol. 2026 Feb 27:S1542-3565(26)00145-X. doi: 10.1016/j.cgh.2026.02.018. Online ahead of print.
PubMed 41763462Vermeire S, Colombel JF, Danese S, Panaccione R, Peyrin-Biroulet L, Beck K, Chaparro M, Gisbert JP, Dubcenco E, Klaff J, Naling G, Ford S, Remple V, Joshi N, Suravaram S, Duncan B, Wang Y, Wick-Urban B, Loftus EV. Benefit-risk profile of upadacitinib: exploratory post hoc analysis of phase 2b/3 studies in patients with moderately to severely active ulcerative colitis or Crohn's disease. J Crohns Colitis. 2026 Jan 9;20(1):jjaf198. doi: 10.1093/ecco-jcc/jjaf198.
PubMed 41264726Dubinsky MC, D'Haens G, Dewit O, Juillerat P, Panaccione R, Fujii T, Dubcenco E, Lacerda AP, Anyanwu SI, Ford S, Cunneen C, Fish I, Joshi N, Garrison A, Loftus EV. Efficacy and Safety with Upadacitinib by Baseline Corticosteroid Use in Patients with Moderately to Severely Active Crohn's Disease. Inflamm Bowel Dis. 2026 Mar 1;32(3):498-511. doi: 10.1093/ibd/izaf250.
PubMed 41189093Panes J, Louis E, Bossuyt P, Joshi N, Lee WJ, Lacerda AP, Kligys K, Xuan S, Shukla N, Loftus EV Jr. Induction of Endoscopic Response, Remission, and Ulcer-Free Endoscopy With Upadacitinib Is Associated With Improved Clinical Outcomes and Quality of Life in Patients With Crohn's Disease. Inflamm Bowel Dis. 2025 Feb 6;31(2):394-403. doi: 10.1093/ibd/izae200.
PubMed 39231444Bhatnagar S, Schlachter L, Eckert D, Stodtmann S, Liu W, Lacerda AP, Mohamed MF. Pharmacokinetics and Exposure-Response Analyses to Support Dose Selection of Upadacitinib in Crohn's Disease. Clin Pharmacol Ther. 2024 Nov;116(5):1240-1251. doi: 10.1002/cpt.3359. Epub 2024 Jul 9.
PubMed 38982567Ghosh S, Feagan BG, Parra RS, Lopes S, Steinlauf A, Kakuta Y, Joshi N, Lee WJ, Lacerda AP, Zhou Q, Xuan S, Kligys K, Shukla N, Louis E. Impact of Upadacitinib Induction and Maintenance Therapy on Health-related Quality of Life, Fatigue, and Work Productivity in Patients with Moderately-to-severely Active Crohn's Disease. J Crohns Colitis. 2024 Nov 4;18(11):1804-1818. doi: 10.1093/ecco-jcc/jjae083.
PubMed 38835235Peyrin-Biroulet L, Panaccione R, Louis E, Atreya R, Rubin DT, Lindsay JO, Siffledeen J, Lukin DJ, Wright J, Watanabe K, Ford S, Remple VP, Lacerda AP, Dubcenco E, Garrison A, Zhou Q, Berg S, Anyanwu SI, Schreiber S. Upadacitinib Achieves Clinical and Endoscopic Outcomes in Crohn's Disease Regardless of Prior Biologic Exposure. Clin Gastroenterol Hepatol. 2024 Oct;22(10):2096-2106. doi: 10.1016/j.cgh.2024.02.026. Epub 2024 Mar 15.
PubMed 38492904Colombel JF, Hisamatsu T, Atreya R, Bresso F, Thin L, Panaccione R, Parra RS, Ford S, Remple VP, Lacerda AP, Anyanwu SI, Mallick M, Garrison A, Regueiro M. Upadacitinib Reduces Crohn's Disease Symptoms Within the First Week of Induction Therapy. Clin Gastroenterol Hepatol. 2024 Aug;22(8):1668-1677. doi: 10.1016/j.cgh.2024.02.027. Epub 2024 Mar 15.
PubMed 38492903Loftus EV Jr, Panes J, Lacerda AP, Peyrin-Biroulet L, D'Haens G, Panaccione R, Reinisch W, Louis E, Chen M, Nakase H, Begun J, Boland BS, Phillips C, Mohamed MF, Liu J, Geng Z, Feng T, Dubcenco E, Colombel JF. Upadacitinib Induction and Maintenance Therapy for Crohn's Disease. N Engl J Med. 2023 May 25;388(21):1966-1980. doi: 10.1056/NEJMoa2212728.
PubMed 37224198
Study at a glance
From the registry record, last updated by the sponsor on 23 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled Induction Study of the Efficacy and Safety of Upadacitinib (ABT-494) in Subjects With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Conventional and/or Biologic Therapies
- ClinicalTrials.gov ID
- NCT03345849
- Acronym / sponsor ID
- U-EXCEL / M14-433
- Conditions
- Crohn's Disease
- Keywords
- Upadacitinib, ABT-494, Efficacy, Safety, Crohn's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 526 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 7 Dec 2017 (actual)
- Primary completion
- 15 Oct 2021 (actual)
- Study completion
- 13 Jan 2022 (actual)
- First posted
- 17 Nov 2017 (actual)
- Results
- Posted 23 Nov 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo as induction therapy in adults with moderately and severely active Crohn's disease (CD).
Detailed description
This study includes two parts:
- Part 1: a randomized double-blind placebo-controlled induction period and
- Part 2: an extended treatment period for non-responders from Part 1.
In Part 1, participants will be randomized in a 2:1 ratio to upadacitinib 45 mg once daily (QD) or matching placebo for 12 weeks. The randomization will be stratified by baseline corticosteroid use (yes or no), endoscopic disease severity (Simplified Endoscopic Score for Crohn's disease [SES-CD] < 15 and ≥ 15), and number of prior biologics with prior inadequate response or intolerance (0, 1, > 1).
Participants who do not achieve clinical response at Week 12 will be able to enroll in Part 2 to receive a double-blind extended treatment with upadacitinib until Week 24. Clinical response is defined as a ≥ 30% decrease in average daily very soft or liquid stool frequency (SF) and/or ≥ 30% decrease in average daily abdominal pain (AP) score (both not worse than Baseline).
Participants who achieve clinical response at Week 12 may be eligible to enter the 52-week, double-blind, maintenance portion of Study M14-430 (NCT03345823).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Upadacitinib, Drug: Placebo for UpadacitinibParticipants will receive placebo once daily for 12 weeks in Part 1. Clinical non-responders will receive 45 mg upadacitinib once daily for 12 weeks in Part 2. |
| Upadacitinib | Experimental | Drug: UpadacitinibParticipants will receive 45 mg upadacitinib once daily for 12 weeks in Part 1. Clinical non-responders will receive 30 mg upadacitinib once daily for 12 weeks in Part 2. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Confirmed diagnosis of CD for at least 3 months prior to Baseline.
- Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score.
- Evidence of mucosal inflammation based on the Simplified Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader.
- Demonstrated an inadequate response or intolerance to one or more conventional and/or biologic therapies (oral locally acting steroids, intravenous or oral corticosteroids, immunosuppressants or biologic therapies for CD), in the opinion of the investigator.
- If female, participant must meet the contraception recommendations.
Key exclusion criteria (6 listed)
- Participant with a current diagnosis of ulcerative colitis or indeterminate colitis.
- Participant not on stable doses of CD related antibiotics, oral aminosalicylates, corticosteroids or methotrexate (MTX).
- Participant with the following ongoing known complications of CD: abscess (abdominal or peri-anal), symptomatic bowel strictures, fulminant colitis, toxic megacolon, > 2 entire missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum, or any other manifestation that might require surgery while enrolled in the study.
- Participant with ostomy or ileoanal pouch.
- Participant diagnosed with conditions that could interfere with drug absorption including but not limited to short gut or short bowel syndrome.
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 |
|---|---|---|
| UpadacitinibAlso: ABT-494, RINVOQOral; Tablet | Drug | Placebo, Upadacitinib |
| Placebo for UpadacitinibOral; Tablet | Drug | Placebo |
Primary outcome
Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12
Time frame: Week 12
The co-primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was clinical remission based on CDAI at Week 12. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as a CDAI score less than 150.
Percentage of Participants With Clinical Remission Per Patient-Reported Outcomes (PROs) at Week 12
Time frame: Week 12
The co-primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was clinical remission defined based on two patient reported outcomes, average daily stool frequency (SF) and average daily abdominal pain score (APS). Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of very soft or liquid SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit.
Percentage of Participants With Endoscopic Response at Week 12
Time frame: Baseline and Week 12
Endoscopic response at Week 12 was a co-primary endpoint for both the US/FDA and EU/EMA regulatory purposes. Endoscopic response was defined as greater than 50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline of the induction study (or for participants with an SES-CD of 4 at Baseline, at least a 2-point reduction from Baseline), as scored by independent external and blinded central readers. The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.
11 secondary outcomes
Percentage of Participants With Endoscopic Remission at Week 12
Time frame: Baseline and Week 12
Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per CDAI at Week 12
Time frame: Week 12
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) at Week 12
Time frame: Baseline and Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 12
Time frame: Baseline and Week 12
Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 2
Time frame: Baseline and Week 2
Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 12
Time frame: Baseline and Week 12
Percentage of Participants With Clinical Remission Per CDAI at Week 4
Time frame: Week 4
Percentage of Participants With Hospitalizations Due to Crohn's Disease (CD) During the 12-Week Induction Period
Time frame: 12 weeks
Percentage of Participants With Resolution of Extra-Intestinal Manifestation (EIMs) at Week 12
Time frame: Week 12
Percentage of Participants With Clinical Remission Per PROs at Week 4
Time frame: Week 4
Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per PROs at Week 12
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Nov 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41763462Panaccione R, Panes J, Peyrin-Biroulet L, Colombel JF, Lindsay JO, Baert F, Atreya R, Vermeire S, Fujii T, Dubcenco E, Klaff J, Duncan B, Suravaram S, Fish I, Lacerda AP, Vladea R, Ford S, Shah S, Anyanwu SI, Rubin DT. Long-Term Safety of Upadacitinib in Patients With Inflammatory Bowel Disease: Integrated Analysis of Phase 2/3 Studies. Clin Gastroenterol Hepatol. 2026 Feb 27:S1542-3565(26)00145-X. doi: 10.1016/j.cgh.2026.02.018. Online ahead of print.
- Derived from this study: PubMed 41264726Vermeire S, Colombel JF, Danese S, Panaccione R, Peyrin-Biroulet L, Beck K, Chaparro M, Gisbert JP, Dubcenco E, Klaff J, Naling G, Ford S, Remple V, Joshi N, Suravaram S, Duncan B, Wang Y, Wick-Urban B, Loftus EV. Benefit-risk profile of upadacitinib: exploratory post hoc analysis of phase 2b/3 studies in patients with moderately to severely active ulcerative colitis or Crohn's disease. J Crohns Colitis. 2026 Jan 9;20(1):jjaf198. doi: 10.1093/ecco-jcc/jjaf198.
- Derived from this study: PubMed 41189093Dubinsky MC, D'Haens G, Dewit O, Juillerat P, Panaccione R, Fujii T, Dubcenco E, Lacerda AP, Anyanwu SI, Ford S, Cunneen C, Fish I, Joshi N, Garrison A, Loftus EV. Efficacy and Safety with Upadacitinib by Baseline Corticosteroid Use in Patients with Moderately to Severely Active Crohn's Disease. Inflamm Bowel Dis. 2026 Mar 1;32(3):498-511. doi: 10.1093/ibd/izaf250.
- Derived from this study: PubMed 39231444Panes J, Louis E, Bossuyt P, Joshi N, Lee WJ, Lacerda AP, Kligys K, Xuan S, Shukla N, Loftus EV Jr. Induction of Endoscopic Response, Remission, and Ulcer-Free Endoscopy With Upadacitinib Is Associated With Improved Clinical Outcomes and Quality of Life in Patients With Crohn's Disease. Inflamm Bowel Dis. 2025 Feb 6;31(2):394-403. doi: 10.1093/ibd/izae200.
- Derived from this study: PubMed 38982567Bhatnagar S, Schlachter L, Eckert D, Stodtmann S, Liu W, Lacerda AP, Mohamed MF. Pharmacokinetics and Exposure-Response Analyses to Support Dose Selection of Upadacitinib in Crohn's Disease. Clin Pharmacol Ther. 2024 Nov;116(5):1240-1251. doi: 10.1002/cpt.3359. Epub 2024 Jul 9.
- Derived from this study: PubMed 38835235Ghosh S, Feagan BG, Parra RS, Lopes S, Steinlauf A, Kakuta Y, Joshi N, Lee WJ, Lacerda AP, Zhou Q, Xuan S, Kligys K, Shukla N, Louis E. Impact of Upadacitinib Induction and Maintenance Therapy on Health-related Quality of Life, Fatigue, and Work Productivity in Patients with Moderately-to-severely Active Crohn's Disease. J Crohns Colitis. 2024 Nov 4;18(11):1804-1818. doi: 10.1093/ecco-jcc/jjae083.
- Derived from this study: PubMed 38492904Peyrin-Biroulet L, Panaccione R, Louis E, Atreya R, Rubin DT, Lindsay JO, Siffledeen J, Lukin DJ, Wright J, Watanabe K, Ford S, Remple VP, Lacerda AP, Dubcenco E, Garrison A, Zhou Q, Berg S, Anyanwu SI, Schreiber S. Upadacitinib Achieves Clinical and Endoscopic Outcomes in Crohn's Disease Regardless of Prior Biologic Exposure. Clin Gastroenterol Hepatol. 2024 Oct;22(10):2096-2106. doi: 10.1016/j.cgh.2024.02.026. Epub 2024 Mar 15.
- Derived from this study: PubMed 38492903Colombel JF, Hisamatsu T, Atreya R, Bresso F, Thin L, Panaccione R, Parra RS, Ford S, Remple VP, Lacerda AP, Anyanwu SI, Mallick M, Garrison A, Regueiro M. Upadacitinib Reduces Crohn's Disease Symptoms Within the First Week of Induction Therapy. Clin Gastroenterol Hepatol. 2024 Aug;22(8):1668-1677. doi: 10.1016/j.cgh.2024.02.027. Epub 2024 Mar 15.
- Derived from this study: PubMed 37224198Loftus EV Jr, Panes J, Lacerda AP, Peyrin-Biroulet L, D'Haens G, Panaccione R, Reinisch W, Louis E, Chen M, Nakase H, Begun J, Boland BS, Phillips C, Mohamed MF, Liu J, Geng Z, Feng T, Dubcenco E, Colombel JF. Upadacitinib Induction and Maintenance Therapy for Crohn's Disease. N Engl J Med. 2023 May 25;388(21):1966-1980. doi: 10.1056/NEJMoa2212728.
- 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, analyses plans, 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
432 sites in 49 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Upadacitinib in people with Crohn's Disease, run by AbbVie at 432 sites in 49 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 6 inclusion and 6 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 23 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 432 sites in United States, Japan, Canada, China, Italy and 44 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 phase mean?
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 23 Nov 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?
Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12 (time frame: Week 12). 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 NCT03345849, which also lists 9 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 23 Nov 2022.