Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. This study will evaluate how well risankizumab works compared to ustekinumab. This study will assess change in Crohn's Disease Activity Index (CDAI). Risankizumab is an investigational drug being developed for the treatment of Crohn's Disease (CD). Ustekinumab is an approved drug for the treatment of moderate and severe CD. Participants are randomly assigned to one of the three treatment groups. Each group receives a different treatment. There is a 1 in 2 chance that participants will be assigned to ustekinumab. Around 508 adult participants with moderate to severe CD will be enrolled in approximately 307 sites worldwide. In Part 1, participants assigned to risankizumab will receive intravenous (IV) doses of risankizumab at Week 0, 4,8 and subcutaneous (SC) doses every 8 weeks thereafter through Week 48. Participants assigned to ustekinumab will receive intravenous (IV) dose of ustekinumab at Week 0 and subcutaneous (SC) doses every 8 weeks thereafter through Week 48. In Part 2, participants who received risankizumab in Part 1 and completed the Week 48 visit will continue to receive SC risankizumab for up to an additional 220 weeks. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
527
Intravenous (IV) Infusion
Subcutaneous (SC) Injection
Intravenous (IV) infusion
Subcutaneous (SC) injection
Advanced Gastroenterology, P.C /ID# 224396
Chandler, Arizona, United States
Southern California Res. Ctr. /ID# 223484
Coronado, California, United States
Hoag Memorial Hosp Presbyterian /ID# 224373
Irvine, California, United States
United Medical Doctors /ID# 223486
Los Alamitos, California, United States
TLC Clinical Research Inc /ID# 223467
Los Angeles, California, United States
Percentage of Participants Achieving Clinical Remission at Week 24
Clinical remission is defined as Crohn's disease activity index (CDAI)\<150.
Time frame: Week 24
Percentage of Participants Achieving Endoscopic Remission
Endoscopic remission is defined as Simple Endoscopic Score for Crohn's Disease (SES-CD) \<= 4 and at least a 2-point reduction versus Baseline and no sub score greater than 1 in any individual variable, as scored by a central reviewer.
Time frame: Week 48
Number of Participants Reporting Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. 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 participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.
Time frame: Up to 220 Weeks
Percentage of Participants Achieving Clinical Remission at Week 48
Clinical remission is defined as Crohn's disease activity index (CDAI)\<150.
Time frame: Week 48
Percentage of Participants Achieving Endoscopic Response at Week 48
Endoscopic response is defined as decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).
Time frame: Week 48
Percentage of Participants Achieving Endoscopic Response at Week 24
Endoscopic response is defined as decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).
Time frame: Week 24
Percentage of Participants Achieving Steroid-Free Endoscopic Remission
Steroid-free endoscopic remission is defined as participants with endoscopic remission and not receiving steroids at Week 48.
Time frame: Week 48
Percentage of Participants Achieving Steroid-Free Clinical Remission
Steroid-free clinical remission is defined as participants with clinical remission and not receiving steroids at Week 48.
Time frame: Week 48
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Duplicate_UC Davis Medical Center /ID# 225700
Sacramento, California, United States
Duplicate_University of California, San Francisco /ID# 223621
San Francisco, California, United States
Duplicate_Western Connecticut Medical Group /ID# 223478
Danbury, Connecticut, United States
Duplicate_Medical Research Center of CT /ID# 223540
Hamden, Connecticut, United States
Yale Univ Digestive Diseases /ID# 224463
New Haven, Connecticut, United States
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