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Crohn DiseasePhase 2APOLLO-CDNCT05013905

A Phase 2a Safety and Efficacy Open-Label Study of Tulisokibart (MK-7240/PRA023) in Participants With Moderately to Severely Active Crohn's Disease (MK-7240-006)

A Phase 2 study testing Tulisokibart and Companion Diagnostic (CDx) in people with Crohn Disease, run by Prometheus Biosciences, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 37 sites in 8 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

The purpose of this study is to assess the safety and efficacy of tulisokibart (MK-7240) in participants with moderately to severely active Crohn's Disease. After the completion of the 12-week Induction Period, eligible participants have the option to enter an Open-label Extension (OLE) Period for up to 170 weeks. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Crohn Disease
What is being tested?
Tulisokibart and Companion Diagnostic (CDx)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
55 participants
Where
37 sitesin 8 countries
Study dates
28 Jul 2021to 27 May 2025
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of Crohn's disease (CD)
  • Moderately to severely active CD as defined by Crohn's disease activity index (CDAI) score and centrally read endoscopy
  • Must have corticosteroid dependence or have had no response, insufficient response, loss of response and/or intolerance to at least one of the following therapies: corticosteroid, immunosuppressants, or an approved anti-tumor necrosis factor (TNF), anti-integrin, or anti-interleukin (IL)12/23
  • Able to provide written informed consent and understand and comply with the requirements of the study

Who cannot join

  • Women of child bearing potential (WOCBP) and men with female partner of childbearing potential who are unwilling to use two highly effective methods of contraception to avoid pregnancy for the entire study period and up to 12 weeks after the last dose of study drug
  • Diagnosis of ulcerative colitis (UC) or indeterminate colitis
  • CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or illeal involvement
  • Suspected or diagnosed intra-abdominal or perianal abscess at screening
  • Current stoma or need for colostomy or ileostomy
  • Previous small bowel resection with a combined resected length of >100 cm or previous colonic resection of > 2 segments
Show all 10Show fewer
  • Surgical bowel resection within 3 months before screening
  • Past or current evidence of definite low-grade or high-grade colonic dysplasia not completely removed
  • Participants in the opinion of the investigator are at an unacceptable risk for participation in the study
  • Participants who meet the protocol criteria for important laboratory exclusion criteria

Trial locations and contacts

37 sites in 8 countries.

37 sites in 8 countries

United States16 sites
  • Prometheus Biosciences Selected Site

    Bellevue, Washington, 98004

  • Prometheus Biosciences Selected Site

    Chesterfield, Michigan, 48047

  • Prometheus Biosciences Selected Site

    Garland, Texas, 75044

  • Prometheus Biosciences Selected Site

    Lebanon, New Hampshire, 03756

  • Prometheus Biosciences Selected Site

    Liberty, Kansas, 64098

  • Prometheus Biosciences Selected Site

    Los Angeles, California, 90045

  • Prometheus Biosciences Selected Site

    Los Angeles, California, 90048

  • Prometheus Biosciences Selected Site

    Lubbock, Texas, 79410

  • Prometheus Biosciences Selected Site

    Lubbock, Texas, 79424

  • Prometheus Biosciences Selected Site

    New York, New York, 10065

  • Prometheus Biosciences Selected Site

    San Antonio, Texas, 78229

  • Prometheus Biosciences Selected Site

    Southlake, Texas, 78229

  • Prometheus Biosciences Selected Site

    St Louis, Missouri, 63141

  • Prometheus Biosciences Selected Site

    Tacoma, Washington, 98405

  • Prometheus Biosciences Selected Site

    Tyler, Texas, 75702

  • Prometheus Biosciences Selected Site

    Ypsilanti, Michigan, 48197

Other trials in United States

Poland8 sites
  • Prometheus Biosciences Selected Center

    Krakow, 31-501

  • Prometheus Biosciences Selected Site

    Rzeszów, 35-326

  • Prometheus Biosciences Selected Site

    Sopot, 81-756

  • Prometheus Biosciences Selected Site

    Torun, 87-100

  • Prometheus Biosciences Selected Center

    Warsaw, 00-635

  • Prometheus Biosciences Selected Site

    Warsaw, 03-580

  • Prometheus Biosciences Selected Center

    Warsaw, 52-416

  • Prometheus Biosciences Selected Site

    Wroclaw, 52-416

Other trials in Poland

France4 sites
  • Prometheus Biosciences Selected Site

    Clichy, 92110

  • Prometheus Biosciences Selected Site

    Nice, 06202

  • Prometheus Biosciences Selected Site

    Saint-Priest-en-Jarez, 42270

  • Prometheus Biosciences Selected Site

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Australia3 sites
  • Prometheus Biosciences Selected Site

    Adelaide, South Australia, 5000

  • Prometheus Biosciences Selected Site

    Bankstown, New South Wales, 2146

  • Prometheus Biosciences Selected Site

    Woolloongabba, Queensland, 4102

Other trials in Australia

Belgium2 sites
  • Prometheus Biosciences Selected Site

    Leuven, 3000

  • Prometheus Biosciences Selected Site

    Liège, 4000

Other trials in Belgium

Czechia2 sites
  • Prometheus Biosciences Selected Site

    Brno

  • Prometheus Biosciences Selected Site

    Slaný, 274 01

Other trials in Czechia

Canada1 site
  • Prometheus Biosciences Selected Site

    London, Ontario, N6A 5W9

Other trials in Canada

Georgia1 site
  • Prometheus Biosciences Selected Site

    Tbilisi

Other trials in Georgia

About this study

Official title: A Phase 2a, Multi-Center, Open-Label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease

The purpose of this study is to assess the safety and efficacy of tulisokibart (MK-7240) in participants with moderately to severely active Crohn's Disease.

After the completion of the 12-week Induction Period, eligible participants have the option to enter an Open-label Extension (OLE) Period for up to 170 weeks.

Conditions
Crohn Disease
Being tested
Tulisokibart, Companion Diagnostic (CDx)
Keywords
APOLLO-CD, APOLLO, 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.

  • TulisokibartBiological

    Also called PRA023, MK-7240

    Tulisokibart administered by IV infusion as directed by the protocol

  • Companion Diagnostic (CDx)Diagnostic test

    PRA023 CDx Genotyping Assay

Study groups in NCT05013905
Study groupRoleWhat they receive
Induction TulisokibartExperimentalDuring the 12-week Induction Period, participants receive tulisokibart administered by intravenous (IV) infusion at 1000 mg at Week 0 and 500 mg at Weeks 2, 6, and 10.
Receives: Biological: Tulisokibart; Diagnostic Test: Companion Diagnostic (CDx)
OLE Tulisokibart 100 mgExperimentalAfter completing the 12-week Induction Period, eligible participants have the option to enter the OLE Period for up to 170 weeks. Participants are randomized into the OLE Period to receive 100 mg tulisokibart by IV infusion every 4 weeks (q4w). At the discretion of the investigator, participants may titrate up to 250 mg Q4W if disease activity is not adequately controlled.
Receives: Biological: Tulisokibart
OLE Tulisokibart 250 mgExperimentalAfter completing the 12-week Induction Period, eligible participants have the option to enter the OLE Period for up to 170 weeks. Participants are randomized into the OLE Period to receive 250 mg tulisokibart by IV infusion q4w.
Receives: Biological: Tulisokibart

What is being measured

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

  1. Adverse Events

    Number of participants who experienced treatment-emergent adverse events (AEs)

    Measured: Up to approximately 18 weeks

  2. Serious Adverse Events

    Number of participants who experienced serious adverse events (SAEs)

    Measured: Up to approximately 18 weeks

  3. Adverse Events Leading to Discontinuation

    Number of participants who experienced AEs leading to discontinuation

    Measured: Up to approximately 12 weeks

  4. Endoscopic Improvement

    Number of participants achieving induction of endoscopic improvement (decrease in simple endoscopy score for Crohn's disease [SES-CD] ≥ 50% from Baseline)

    Measured: Week 12

Secondary outcomes (11)
  1. Clinical Remission

    Number of participants achieving clinical remission, as defined by Crohn's disease activity index [CDAI] score < 150

    Measured: Week 12

  2. Endoscopic and Clinical Improvement

    Number of participants who achieved a decrease in SES-CD ≥ 50% AND reduction in CDAI ≥ 100 points from Baseline or CDAI<150

    Measured: Week 12

  3. Number of Participants Achieving Biomarker and Clinical Composite Improvement

    Biomarker and clinical composite improvement is defined as a decrease by at least 50% in hsCRP or fecal calprotectin from baseline and a reduction of either CDAI ≥ 100 points from Baseline or CDAI<150 in subjects with at least one elevated biomarker at baseline.

    Measured: Week 12

  4. Normalization of C-reactive Protein

    Number of participants with normalization of hsCRP (as defined by hsCRP < 5 mg/L), among subjects with elevated concentrations at Baseline, at Week 12

    Measured: Week 12

  5. Normalization of Fecal Calprotectin

    Number of participants with normalization of fecal calprotectin (fecal calprotectin < 250 ug/g), among subjects with elevated concentrations at Baseline, at Week 12

    Measured: Week 12

  6. Clinical Response

    Clinical response is defined as either a reduction of either CDAI ≥ 100 points from Baseline or CDAI<150.

    Measured: Week 12

  7. Two Component Patient-reported Outcome (PRO-2) Remission

    Number of subjects with PRO-2 remission (defined as average daily abdominal pain score ≤ 1 point and average daily stool frequency ≤ 3 points with abdominal pain and stool frequency no worse than Baseline) at Week 12.

    Measured: Week 12

  8. Change From Baseline in Simple Endoscopy Score for Crohn's Disease (SES-CD)

    Assessment of change in simple endoscopy score for Crohn's Disease (SES-CD) from Baseline. Measure Description: 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

  9. Serum Concentration of Tulisokibart

    Blood samples were obtained for PK analysis of the serum concentration of tulisokibart at week 12.

    Measured: Week 12

  10. Number of Participants Positive for Anti-drug Antibody (ADA)

    Blood samples were collected for the determination of anti-tulisokibart antibodies based on confirmatory assay. The number of participants with confirmed positive anti-tulisokibart antibodies results at any visit during the study is presented.

    Measured: Up to approximately 12 weeks

  11. Number of Participants With Positive Neutralizing Anti-Bodies (NAB)

    Blood samples were collected for the determination of NAB. The number of participants with positive NAB results at any visit during the study is presented.

    Measured: Up to approximately 12 weeks

Timeline

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

  1. First posted19 Aug 2021
  2. Study start28 Jul 2021
  3. Primary completion23 Sep 2022
  4. Study completion27 May 2025

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants enrolling in the study are initially allocated to a single treatment arm in the Induction Period. Eligible participants who complete the Induction Period and responded to tulisokibart treatment may then enter the optional 170-week OLE Period. Participants who enter the OLE Period are randomized to one of two tulisokibart treatment arms.
Masking
None (open label)
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05013905
Sponsor's protocol ID
PR200-103
Other IDs
7240-006, 2023-509742-35-00, U1111-1309-6108, PR200-103, 2021-000092-37, 2023
Acronym
APOLLO-CD
Status last verified
Jun 2026
First submitted
13 Aug 2021
Last updated
22 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Feagan BG, Sands BE, Siegel CA, Dubinsky MC, Longman RS, Sabino J, Laurent O, Luo A, Lu J, Nguyen DD, Munoz-Elias EJ, Llewellyn H, Wang Y, Jang I, Bilsborough J, Marchelletta R, Towfic F, Yen M, Anderson JK, DuVall A, Kierkus J, Woynarowski M, Al Kharrat H, Targan SR, McGovern DPB. Safety and efficacy of the anti-TL1A monoclonal antibody tulisokibart for Crohn's disease: a phase 2a induction trial. Lancet Gastroenterol Hepatol. 2025 Aug;10(8):715-725. doi: 10.1016/S2468-1253(25)00071-8. Epub 2025 May 30.

    PubMed 40456235

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tulisokibart and Companion Diagnostic (CDx) in people with Crohn Disease, run by Prometheus Biosciences, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 37 sites in 8 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 10 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 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Poland, France, Australia, Belgium and 3 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 1 Nov 2023). 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?

Adverse Events (time frame: Up to approximately 18 weeks). The study lists 4 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 NCT05013905, 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 22 Jul 2026.

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