The study consists of 4 sub-studies, as follows: * Sub-study 1 (Randomized, double-blind, placebo controlled study) to evaluate the efficacy and safety of risankizumab versus placebo as maintenance therapy in participants with moderately to severely active Crohn's disease (CD) who responded to intravenous risankizumab induction treatment in Study M16-006 or Study M15-991; * Sub-study 2 (Randomized, exploratory maintenance study) to evaluate the efficacy and safety of two different dosing regimens for risankizumab as maintenance therapy in participants who responded to induction treatment in Study M16-006 or Study M15-991; * Sub-study 3 (Open-label, long-term extension study) to evaluate long-term safety of risankizumab in participants who completed Sub-study 1, Sub-study 2, another AbbVie risankizumab Crohn's disease study, or participants who responded to induction treatment in Study M16-006 or Study M15-991 with no final endoscopy due to the Covid-19 pandemic. Additional objectives are to further investigate long-term efficacy and tolerability of risankizumab; * Sub-study 4 (Open-label On Body Injector (OBI) administration and long-term extension study) to evaluate patient-reported outcomes, efficacy, safety, tolerability, and pharmacokinetics of risankizumab administered via OBI in participants who are receiving maintenance treatment with risankizumab. * OL CTE to ensure uninterrupted care in accordance with local regulations until risankizumab is commercially available for participants who completed Sub-study 3, Sub-study 4.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1,336
Placebo for Risankizumab SC Subcutaneous (SC) Injection
Risankizumab IV Intravenous (IV) infusion
Placebo for Risankizumab IV Intravenous (IV) infusion
Risankizumab SC Subcutaneous (SC) injection
Subcutaneous (SC) injection; on-body injector (OBI)
Digestive Disease Consultants, A Division of Arizona Digestive Health, P.C /ID# 211884
Mesa, Arizona, United States
Phoenix VA Health Care System /ID# 162264
Phoenix, Arizona, United States
Banner - University Medical Center Tucson /ID# 158502
Tucson, Arizona, United States
Atria Clinical Research /ID# 164505
Little Rock, Arkansas, United States
Southern California Res. Ctr. /ID# 211991
Coronado, California, United States
Sub-Study 1: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission
The CDAI is used to evaluate disease activity in patients with Crohn's disease. The CDAI clinical remission is defined as a CDAI score of \< 150.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Endoscopic Response
Endoscopic response defined as decrease from Baseline of the induction study in Simple Endoscopic Score for Crohn's Disease (SES-CD).
Time frame: Week 52
Sub-Study 3: Number of Participants With Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent AEs are defined as any event that began or worsened in severity after the first dose of study drug. For more details on adverse events please see the Adverse Event section.
Time frame: Up to Week 220
Sub-Study 4: Percentage of Participants With an Observer Rating of Successful Participant Self Administration
Participant who successfully completed the sequence of critical steps in the instructions for use (IFU) without errors to administer study drug via the OBI at Week 0 and 16.
Time frame: Up to Week 16
Sub-Study 4: Percentage of Participants who had no Potential Hazards
Measured by an observer on the possible use-related hazards checklist for self-administration with OBI at Week 0 and Week 16.
Time frame: Up to Week 16
Sub-Study 4: Percentage of Participants Rating of Acceptability Using Self-Injection Assessment Questionnaire (SIAQ) at Weeks 0, 8, 16
SIAQ evaluations consist of the PRE module, which is self-completed immediately before the first OBI self-injection at baseline, and the POST module, which is self-completed 20 to 40 min following injections at Weeks 0, 8, 16. These modules are completed by participants while alone in a quiet environment. Participants rate each item of the SIAQ. The ratings are later transformed to scores ranging from 0 (worst experience) to 10 (best experience). The domain score is the mean of the item scores included in the domain. Domain scores are calculated only if at least half of the domain items are completed. Item and domain scores from the PRE module are compared with the corresponding item and domain scores from the POST modules.
Time frame: Up to Week 16
Sub-Study 4: Percentage of Participants in CDAI Clinical Remission at Week 0, 16
Clinical remission per average daily stool frequency (SF) and average daily abdominal pain (AP) score.
Time frame: Up to Week 16
Sub-Study 1: Percentage of Participants With Clinical Remission
Clinical remission per average daily stool frequency (SF) and average daily AP score.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With CDAI Clinical Remission Among Participants With CDAI Clinical Remission in Week 0
The CDAI is used to evaluate disease activity in patients with Crohn's disease
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Ulcer-Free Endoscopy
Endoscopic healing was assessed using SES-CD.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Endoscopic Remission
Endoscopic Remission is defined as SES-CD \<= 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable, as scored by a central reviewer
Time frame: Week 52
Sub-Study 1: Change From Baseline of Induction in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue)
The FACIT-Fatigue is a validated tool that measures an individual's level of fatigue during their usual daily activities over the past week.
Time frame: Week 52
Sub-Study 1: Percentage of Participants Who Discontinued Corticosteroid Use for 90 Days and Achieved Clinical Remission in Participants Taking Steroids at Baseline
Participants who discontinued corticosteroid use and achieved clinical remission per average daily SF and average daily AP score.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response
The CDAI is used to evaluate disease activity in patients with Crohn's disease.
Time frame: Week 52
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Duplicate_Newport Huntington Medical Group /ID# 213035
Huntington Beach, California, United States
UC San Diego Health Systems /ID# 155555
La Jolla, California, United States
United Medical Doctors /ID# 207888
Los Alamitos, California, United States
TLC Clinical Research Inc /ID# 212719
Los Angeles, California, United States
Gastrointestinal Biosciences Clinical Trials /ID# 162657
Los Angeles, California, United States
...and 486 more locations
Sub-Study 1: Percentage of Participants With Stool Frequency (SF) Remission
SF Remission is defined by an average daily SF \<= 2.8 and not worse than baseline.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Abdominal Pain (AP) Remission
AP Remission is defined by an average daily AP \<= 1 and not worse than baseline.
Time frame: Week 52
Sub-Study 1: Percentage of Participants With CDAI Clinical Remission and Endoscopic Response
The CDAI is used to evaluate disease activity in patients with Crohn's disease. The CDAI clinical remission is defined as a CDAI score of \< 150. Endoscopic response defined as decrease from baseline of \> 50% of the induction study in Simple Endoscopic Score for Crohn's Disease (SES-CD).
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Deep Remission
Deep remission defined as participants with both clinical remission (per average daily SF and average daily AP score) and endoscopic remission (assessed using SES-CD).
Time frame: Week 52
Sub-Study 1: Percentage of Participants With Exposure Adjusted Occurrence of CD-related Hospitalizations From Week 0 Through Week 52
Participants with an event that results in admission to the hospital.
Time frame: Up to Week 52