A Study to Evaluate the Long-Term Efficacy, Safety, and Tolerability of Repeated Administration of Upadacitinib (ABT-494) in Participants With Crohn's Disease

2024-510727-19-00 Protocol M14-327 Therapeutic exploratory (Phase II) Ended

Start 11 Oct 2016 · End 18 Jul 2025 · Status Ended · 6 EU/EEA countries · 10 sites · Protocol M14-327

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 33
Countries 6
Sites 10

Crohn's Disease (CD)

To observe the long-term efficacy, safety, and tolerability of repeated administration of upadacitinib in subjects with Crohn's disease (CD) who completed Study M13-740

Key facts

Sponsor
AbbVie Deutschland GmbH & Co. KG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Trial duration
11 Oct 2016 → 18 Jul 2025
Decision date (initial)
2024-06-25
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
AbbVie Inc.

External identifiers

EU CT number
2024-510727-19-00
EudraCT number
2015-003759-23
ClinicalTrials.gov
NCT02782663

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To observe the long-term efficacy, safety, and tolerability of repeated administration of upadacitinib in subjects with Crohn's disease (CD) who completed Study M13-740

Conditions and MedDRA coding

Crohn's Disease (CD)

VersionLevelCodeTermSystem organ class
20.0 LLT 10013099 Disease Crohns 10017947

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 96 month follow-up period
96 month follow up period to observe the long-term efficacy, safety, and tolerability of upadacitinib
Not Applicable None Upadacitinib (ABT-494) Dose A: Open label dose A once daily (QD)
Upadacitinib (ABT-494) Dose B: Open label dose B QD

Regulatory references

Plan to share IPD
Yes
IPD plan description
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information. To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/ For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
EU CT numberTitleSponsor
2014-003240-12 A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of ABT-494 for the Induction of Symptomatic and Endoscopic Remission in Subjects with Moderately to Severely Active Crohn's Disease who have Inadequately Responded to or are Intolerant to Anti-TNF Therapy., Estudio multicéntrico, aleatorizado, con doble enmascaramiento y controlado con placebo sobre ABT-494 para inducir la remisión sintomática y endoscópica en pacientes con enfermedad de Crohn activa de intensidad moderada a grave que han respondido de forma insuficiente al tratamiento anti-TNF o que no toleran el tratamiento, Multicentrické randomizované dvojitě zaslepené placebem kontrolované klinické hodnocení přípravku ABT-494 podávaného k vyvolání symptomatické a endoskopicky potvrzené remise u pacientů se středně závažnou až závažnou aktivní Crohnovou chorobou, kteří nereagují dostatečně na imunomodulační léčbu nebo na léčbu proti faktoru TNF nebo ji nesnášejí., Multicentrické randomizované dvojitě zaslepené placebem kontrolované klinické hodnocení přípravku ABT-494 podávaného k vyvolání symptomatické a endoskopicky potvrzené remise u pacientů se středně závažnou až závažnou aktivní Crohnovou chorobou, kteří nereagují dostatečně na léčbu proti faktoru TNF nebo ji nesnášejí, Multicentrické randomizované dvojitě zaslepené placebem kontrolované klinické hodnocení přípravku ABT-494 podávaného k vyvolání symptomatické a endoskopicky potvrzené remise u pacientů se středně závažnou až závažnou aktivní Crohnovou chorobou, kteří nereagují dostatečně na léčbu proti faktoru TNF nebo ji nesnášejí, Uno studio multicentrico, randomizzato, in doppio cieco, controllato con placebo di ABT-494 per l’induzione della remissione sintomatica ed endoscopica in soggetti affetti da morbo di Crohn da moderatamente a gravemente attivo che hanno risposto in modo inadeguato o sono intolleranti alla terapia anti-TNF

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Participant must have completed Study M13-740 through Week 52.
  2. If female, participant must be postmenopausal, surgically sterile or on using a birth control method.

Exclusion criteria 3

  1. For any reason participant is considered by the investigator to be an unsuitable candidate
  2. Female participant with a positive pregnancy test at Baseline or who is considering becoming pregnant during the study.
  3. Participant is not in compliance with prior and concomitant medication requirements and procedures throughout Study M13-740.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 19

  1. Proportion of subjects achieving Remission at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  2. Proportion of subjects in Remission at Week 0 who maintain remission at Months 12, 24, 36, 48, 60, 72, 84, and 96
  3. Proportion of subjects achieving Response at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  4. Proportion of subjects achieving Clinical Remission over time
  5. Proportion of subjects achieving modified Clinical Remission over time
  6. Proportion of subjects achieving enhanced Clinical Response over time
  7. Proportion of subjects achieving Clinical Response over time
  8. Proportion of subjects achieving Endoscopic Remission at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  9. Proportion of subjects in Endoscopic Remission at Week 0 who maintain Endoscopic Remission at Months 12, 24, 36, 48, 60, 72, 84, and 96
  10. Proportion of subjects achieving Endoscopic improvement at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  11. Proportion of subjects achieving Endoscopic Response at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  12. Proportion of subjects achieving Crohn's Disease Activity Index (CDAI) remission over time
  13. Proportion of subjects achieving CDAI response over time
  14. Proportion of subjects achieving Enhanced CDAI response over time
  15. Proportion of subjects achieving Inflammatory Bowel Disease Questionnaire (IBDQ) remission over time
  16. Proportion of subjects achieving IBDQ response over time
  17. Proportion of subjects taking steroids at Baseline (of Study M13-740) who are steroid-free over time
  18. Proportion of subjects taking steroids at Baseline (of Study M13-740) who are steroid-free for at least 90 days over time and achieve Remission
  19. Proportion of subjects achieving Remission and normal C-reactive protein on Months 12, 24, 36, 48, 60, 72, 84, and 96

Secondary endpoints 18

  1. Time to dose escalation
  2. Proportion of subjects who require dose escalation to upadacitinib 30 mg QD during this study
  3. Change from Baseline (of Study M13-740) in the average daily very soft/liquid stool frequency at every visit
  4. Change from Baseline (of Study M13-740) in average daily abdominal pain at every visit
  5. Change from Baseline (of Study M13-740) in CDAI at every visit
  6. Change from Baseline (of Study M13-740) in hs-CRP at every visit
  7. Change from Baseline (of Study M13-740) in fecal calprotectin at every visit.
  8. Change from Baseline (of Study M13-740) in Simple Endoscopic Score for Crohn's Disease at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  9. Proportion of subjects in Remission, and hs-CRP < 5 mg/L, and fecal calprotectin < 250 μg/g at Week 0 (Week 52 of Study M13-740), Months 12, 24, 36, 48, 60, 72, 84, and 96
  10. Proportion of subjects who were taking corticosteroids at Week 0 of Study M13-740 who discontinue corticosteroid use and achieved Remission over time.
  11. Change from Baseline of Study M13-740 in IBDQ over time
  12. Change from Baseline of Study M13-740 in EuroQol Dimensions 5 Levels over time
  13. Change from Baseline of Study M13-740 in Work Productivity and Impairment Questionnaire (WPAI) over time
  14. Proportion of subjects with CD-related hospitalization
  15. Proportion of subjects with CD-related surgeries and procedures
  16. The proportion of subjects with no draining fistulas over time
  17. Changes in extraintestinal manifestations over time.
  18. For analyses purposes, the baseline data for each subject will be the data collected immediately prior to starting double-blind-treatment of Study M13-740.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Upadacitinib

PRD3232825 · Product

Active substance
Upadacitinib
Pharmaceutical form
MODIFIED-RELEASE TABLET
Route of administration
ORAL USE
Max daily dose
15 mg milligram(s)
Max total dose
43200 mg milligram(s)
Max treatment duration
96 Month(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Upadacitinib

PRD3232826 · Product

Active substance
Upadacitinib
Pharmaceutical form
MODIFIED-RELEASE TABLET
Route of administration
ORAL USE
Max daily dose
30 mg milligram(s)
Max total dose
86400 mg milligram(s)
Max treatment duration
96 Month(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

AbbVie Deutschland GmbH & Co. KG

Sponsor organisation
AbbVie Deutschland GmbH & Co. KG
Address
Knollstrasse
City
Ludwigshafen Am Rhein
Postcode
67061
Country
Germany

Scientific contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Public contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Third parties 6

OrganisationCity, countryDuties
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Laboratory analysis
Signant Health Global LLC
ORG-100040604
Blue Bell, United States Other
Endpoint Clinical Inc.
ORG-100040567
Raleigh, United States Interactive response technologies (IRT)
Perceptive Informatics Inc.
ORG-100013171
Burlington, United States Other
WCG Clinical Inc.
ORG-100040730
Princeton, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture

Locations

6 EU/EEA countries · 10 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 1 1
France Ended 2 2
Germany Ended 2 2
Netherlands Ended 4 2
Poland Ended 2 2
Slovakia Ended 1 1
Rest of world
Israel, New Zealand, Canada, United States, United Kingdom
21

Investigational sites

Denmark

1 site · Ended
Hvidovre Hospital
Department of Gastroenterology, Kettegaard Alle 30, 2650, Hvidovre

France

2 sites · Ended
Centre Hospitalier Universitaire Amiens Picardie
SERVICE D’HEPATO GASTROENTEROLOGIE, 1 Rond Point Du Pr Christian Cabrol, 80054, Amiens Cedex 1
CHRU De Nancy
Gastro-entérologie, Rue Du Morvan, 54500, Vandoeuvre Les Nancy

Germany

2 sites · Ended
Medizinisches Versorgungszentrum Portal 10
N/A, Albersloher Weg 10b, 48155, Muenster
Universitaetsklinikum Schleswig-Holstein AöR
N/A, Arnold-Heller-Strasse 3, Brunswik, Kiel

Netherlands

2 sites · Ended
Universitair Medisch Centrum Utrecht
Gastrointestinal tract, Heidelberglaan 100, 3584 CX, Utrecht
Academisch Medisch Centrum
Gastrointestinal tract, Meibergdreef 9, 1105 AZ, Amsterdam

Poland

2 sites · Ended
Santa Sp. z o.o.
NA, Pilota Stanislawa Wigury 19, 90-302, Lodz
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Klinika Gastroenterologii i Chorob Wewnetrznych, Ul. Woloska 137, 02-507, Warsaw

Slovakia

1 site · Ended
Gastro I s.r.o.
Gastroenterologicka ambulancia, Puskinova 18, 080 01, Presov

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2016-12-29 2025-03-03 2017-01-11 2017-08-24
France 2016-12-12 2024-04-23 2016-12-27 2017-08-24
Germany 2017-01-25 2025-04-03 2017-01-26 2017-08-24
Netherlands 2017-02-07 2025-07-15 2017-02-07 2017-08-24
Poland 2017-04-03 2025-06-06 2017-04-05 2017-08-24
Slovakia 2016-10-11 2024-11-21 2016-10-11 2017-08-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_m14327-protocol-redacted 7.1
Recruitment arrangements (for publication) EU CTR Blank Document 1.0
Recruitment arrangements (for publication) EU CTR Blank Document 2
Subject information and informed consent form (for publication) L1_M14-327 NL _Addendum ICF_Public Clean 10
Subject information and informed consent form (for publication) M14-327 NL - ICF Main Dutch_Public 5.0
Subject information and informed consent form (for publication) M14-327 NL - ICF Preg Part Dutch_Public 2.2
Subject information and informed consent form (for publication) M14-327 PL ICF Addendum_Public 1
Subject information and informed consent form (for publication) M14-327 PL ICF Main_Public 10
Subject information and informed consent form (for publication) M14-327 PL ICF Pregnant Partner_Public 2
Synopsis of the protocol (for publication) D1_m14327-protocol synopsis 7.1
Synopsis of the protocol (for publication) D1_m14327-protocol synopsis-lay version 1
Synopsis of the protocol (for publication) D1_m14327-protocol synopsis-lay version-NL-NL 1
Synopsis of the protocol (for publication) D1_m14327-protocol synopsis-PL-PL 7.1
Synopsis of the protocol (for publication) m14-327-protocol-synopsis-fr_public 7
Synopsis of the protocol (for publication) m14-327-protocol-synopsis-sl_public 7

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-10 France Acceptable
2024-06-24
2024-06-24
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-09-16 Acceptable
2024-06-24
2024-09-16
3 NON SUBSTANTIAL MODIFICATION NSM-2 2024-09-16 France Acceptable
2024-06-24
2024-09-16
4 SUBSTANTIAL MODIFICATION SM-1 2025-04-30 Acceptable
2025-07-01
2025-07-08
5 NON SUBSTANTIAL MODIFICATION NSM-3 2025-07-28 France Acceptable
2025-07-01
2025-07-28