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Ulcerative Colitis (UC)Phase 1NCT04254783

A Study to Evaluate the Effect of Intravenous (IV) Infusions of Risankizumab on Pharmacokinetics of Cytochome P450 Substrates in Adult Participants With Moderately to Severely Active Ulcerative Colitis or Crohn's Disease

A Phase 1 study testing Risankizumab and Cytochrome P450 (CYP) Substrates in people with Ulcerative Colitis (UC) and Crohn's Disease, run by AbbVie at 6 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine).Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Ulcerative Colitis (UC), Crohn's Disease
What is being tested?
Risankizumab and Cytochrome P450 (CYP) Substrates
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
6 sitesin 3 countries
Study dates
27 May 2020to 14 Oct 2022
Phase
Phase 1
Are there results?
None posted in the registry

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of UC or CD for at least 3 months prior to Day -1 (baseline). Appropriate documentation of biopsy results consistent with the diagnosis of CD or UC, in the assessment of the gastroenterologist, must be available.
  • Moderately to severely active CD or UC.
  • Must have demonstrated intolerance or inadequate response to one or more of the following categories of drugs: aminosalicylates, oral locally acting steroids, systemic steroids, immunomodulators, and/or approved biologic therapies.
  • Participant must agree to not use any known inhibitors or inducers of cytochrome P450 within 1 month or 5 half-lives, whichever is greater before each administration of the cocktail probe and until the last pharmacokinetic sample is collected, 7 days after the intake of each probe cocktail.

Who cannot join

  • History of any clinically significant sensitivity or allergy to any medication or food.
  • History of or active medical condition(s) or surgical procedure(s) that might affect gastrointestinal motility, pH, or absorption (e.g., celiac disease, gastroparesis, cholecystectomy, vagotomy).
  • Positive for COVID-19 infection signs and symptoms.

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

United States4 sites
  • Southern California Res. Ctr. /ID# 216257

    Coronado, California, 92118-1408

  • University Clinical Research /ID# 216823

    DeLand, Florida, 32720

  • Atlantic Medical Research Group /ID# 227465

    Margate, Florida, 33063-5737

  • Clinical Trials of Texas, Inc /ID# 216277

    San Antonio, Texas, 78229

Other trials in United States

Germany1 site
  • Charite Research Organisation GmbH /ID# 218646

    Berlin, 10117

Other trials in Germany

Israel1 site
  • The Chaim Sheba Medical Center /ID# 223959

    Ramat Gan, Tel Aviv, 5265601

Other trials in Israel

About this study

Official title: A Phase 1 Study to Evaluate the Effect of Multiple IV Infusions of Risankizumab on the Pharmacokinetics of Cytochrome P450 Substrates Administered Orally in Subjects With Moderately to Severely Active Ulcerative Colitis or Crohn's Disease

Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine).Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. CD may cause tiredness, loose stools with or without bleeding, abdominal pain, weight loss, and fever. This study will evaluate the effect of repeated infusions of risankizumab on the pharmacokinetics of sensitive probe substrates of Cytochrome P450 (CYP) enzymes in participants with moderately to severely active UC or CD.

Risankizumab is an investigational drug being developed to treat trial participants with inflammatory diseases such as UC and CD. The study is split into two periods. In Period 1, participants will receive single oral doses of CYP sensitive probes and in Period 2, participants will receive risankizumab followed by single oral doses of CYP sensitive probes. Around 20 adult participants with moderately to severely active CD or UC will be enrolled in the study across multiple sites worldwide.

Read more

In Period 1, participants will receive oral doses of CYP sensitive probes on Day 1. In Period 2, participants will receive risankizumab by intravenous (IV) infusion on Days 1, 29 and 57 followed by oral CYP sensitive probes on Day 64.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests and checking for side effects.

Being tested
Risankizumab, Cytochrome P450 (CYP) Substrates
Keywords
Ulcerative Colitis (UC), Crohn's Disease, Risankizumab, SKYRIZI, ABBV-066, Cytochrome P450
Medical subject headings
Colitis, Ulcerative, Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RisankizumabDrug

    Also called SKYRIZI, ABBV-066

    Intravenous (IV) infusion

  • Cytochrome P450 (CYP) SubstratesDrug

    Tablet: Oral; CYP Substrates: midazolam, caffeine, warfarin, vitamin K, omeprazole and metoprolol

Study groups in NCT04254783
Study groupRoleWhat they receive
Cytochrome P450 (CYP) + RisankizumabExperimentalIn Period 1, participants will receive single oral dose of Cytochrome P450 (CYP) substrates on Day 1. In Period 2, three IV doses of risankizumab on Days 1, 29 and 57, followed by single oral dose of CYP substrates on Day 64 will be administered.
Receives: Drug: Risankizumab; Drug: Cytochrome P450 (CYP) Substrates

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Plasma Concentration (Cmax) of Midazolam

    Maximum observed plasma concentration (Cmax) of Midazolam

    Measured: Up to 71 Days

  2. Time to Maximum Observed Plasma Concentration (Tmax) of Midazolam

    Time to maximum plasma concentration (Tmax) of Midazolam

    Measured: Up to 71 Days

  3. Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Midazolam

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

    Measured: Up to 71 Days

  4. AUC From Time 0 to Infinity (AUCinf) of Midazolam

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

    Measured: Up to 71 Days

  5. Terminal Phase Elimination Rate Constant (β) of Midazolam

    Terminal phase elimination rate constant (β) for Midazolam

    Measured: Up to 71 Days

  6. Terminal Phase Elimination Half-Life (t1/2) of Midazolam

    Terminal phase elimination half-life (t1/2) of Midazolam

    Measured: Up to 71 Days

  7. Maximum Observed Plasma Concentration (Cmax) of Caffeine

    Maximum observed plasma concentration (Cmax) of Caffeine

    Measured: Up to 71 Days

  8. Time to Maximum Observed Plasma Concentration (Tmax) of Caffeine

    Time to maximum plasma concentration (Tmax) of Caffeine

    Measured: Up to 71 Days

  9. Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Caffeine

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

    Measured: Up to 71 Days

  10. AUC From Time 0 to Infinity (AUCinf) of Caffeine

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

    Measured: Up to 71 Days

  11. Terminal Phase Elimination Rate Constant (β) of Caffeine

    Terminal phase elimination rate constant (β) for Caffeine

    Measured: Up to 71 Days

  12. Terminal Phase Elimination Half-Life (t1/2) of Caffeine

    Terminal phase elimination half-life (t1/2) of Caffeine

    Measured: Up to 71 Days

  13. Maximum Observed Plasma Concentration (Cmax) of Warfarin

    Maximum observed plasma concentration (Cmax) of Warfarin

    Measured: Up to 71 Days

  14. Time to Maximum Observed Plasma Concentration (Tmax) of Warfarin

    Time to maximum plasma concentration (Tmax) of Warfarin

    Measured: Up to 71 Days

  15. Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Warfarin

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

    Measured: Up to 71 Days

  16. AUC From Time 0 to Infinity (AUCinf) of Warfarin

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

    Measured: Up to 71 Days

  17. Terminal Phase Elimination Rate Constant (β) of Warfarin

    Terminal phase elimination rate constant (β) for Warfarin

    Measured: Up to 71 Days

  18. Terminal Phase Elimination Half-Life (t1/2) of Warfarin

    Terminal phase elimination half-life (t1/2) of Warfarin

    Measured: Up to 71 Days

  19. Maximum Observed Plasma Concentration (Cmax) of Omeprazole

    Maximum observed plasma concentration (Cmax) of Omeprazole

    Measured: Up to 71 Days

  20. Time to Maximum Observed Plasma Concentration (Tmax) of Omeprazole

    Time to maximum plasma concentration (Tmax) of Omeprazole

    Measured: Up to 71 Days

  21. Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Omeprazole

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

    Measured: Up to 71 Days

  22. AUC From Time 0 to Infinity (AUCinf) of Omeprazole

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

    Measured: Up to 71 Days

  23. Terminal Phase Elimination Rate Constant (β) of Omeprazole

    Terminal phase elimination rate constant (β) for Omeprazole

    Measured: Up to 71 Days

  24. Terminal Phase Elimination Half-Life (t1/2) of Omeprazole

    Terminal phase elimination half-life (t1/2) of Omeprazole

    Measured: Up to 71 Days

  25. Maximum Observed Plasma Concentration (Cmax) of Metoprolol

    Maximum observed plasma concentration (Cmax) of Metoprolol

    Measured: Up to 71 Days

  26. Time to Maximum Observed Plasma Concentration (Tmax) of Metoprolol

    Time to maximum plasma concentration (Tmax) of Metoprolol

    Measured: Up to 71 Days

  27. Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Metoprolol

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

    Measured: Up to 71 Days

  28. AUC From Time 0 to Infinity (AUCinf) of Metoprolol

    Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

    Measured: Up to 71 Days

  29. Terminal Phase Elimination Rate Constant (β) of Metoprolol

    Terminal phase elimination rate constant (β) for Metoprolol

    Measured: Up to 71 Days

  30. Terminal Phase Elimination Half-Life (t1/2) of Metoprolol

    Terminal phase elimination half-life (t1/2) of Metoprolol

    Measured: Up to 71 Days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2020
  2. Study start27 May 2020
  3. Primary completion14 Oct 2022
  4. Study completion14 Oct 2022

Resources

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04254783
Sponsor's protocol ID
M19-974
Other IDs
2019-003684-22, 2019
Status last verified
Jun 2024
First submitted
3 Feb 2020
Last updated
1 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • D'Cunha R, Azam T, Kalabic J, Anschutz T, Lahat A, Pang Y. Evaluation of the Effect of Risankizumab on the Pharmacokinetics of Cytochrome P450 Substrates in Patients with Moderately to Severely Active Ulcerative Colitis or Crohn's Disease. Clin Pharmacokinet. 2025 Jan;64(1):143-154. doi: 10.1007/s40262-024-01462-4. Epub 2024 Dec 21.

    PubMed 39707077

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Risankizumab and Cytochrome P450 (CYP) Substrates in people with Ulcerative Colitis (UC) and Crohn's Disease, run by AbbVie at 6 sites in 3 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 4 inclusion and 3 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 1 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States, Germany, Israel. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Maximum Observed Plasma Concentration (Cmax) of Midazolam (time frame: Up to 71 Days). The study lists 30 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 NCT04254783, which also lists 1 linked publication.

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 1 Jul 2024.

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