A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of ABBV-154 in Subjects With Moderately to Severely Active Crohn's Disease (CD): AIM-CD
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 发起方
- 入组人数
- 176
- 试验地点
- 166
- 主要终点
- Percentage of Participants Achieving Endoscopic Response Per Simple Endoscopic Score for Crohn's Disease (SES-CD)
研究概览
简要总结
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 evaluates how safe and effective ABBV-154 is in participants treated for moderately to severely active CD. Adverse events and change in the disease activity will be assessed.
ABBV-154 is an investigational drug being evaluated for the treatment of CD. In the induction period, there is a 1 in 5 chance that participants will be assigned to placebo. Depending on the dose received in the induction period, there is a 1 in 2 or 1 in 3 chance that participants will be assigned to placebo in the maintenance period. Around 265 participants 18-75 years of age with moderately to severely active CD will be enrolled in the study at approximately 200 sites worldwide.
The study is comprised of a 12-week double-blind, placebo-controlled induction period, followed by either a 12-week double-blind re-induction period for non-responders or a 40-week double-blind placebo-controlled maintenance period for responders. In the maintenance period, responders will be randomized to receive subcutaneous placebo or ABBV-154 in 2 different doses every other week. Participants in the placebo group who are initial responders will receive ABBV-154 in the maintenance period.
There may be higher treatment burden for participants in this trial compared to their standard of care due to study procedures. 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Confirmed diagnosis of Crohn's Disease (CD) for at least 3 months prior to Baseline of the Induction Period.
- •Crohn's Disease Activity Index (CDAI) score 220 to 450 at Baseline of the Induction Period.
- •Endoscopic evidence of mucosal inflammation as documented by an Simple Endoscopic Score for Crohn's Disease (SES-CD) of >= 6 for ileocolonic or colonic disease or SES-CD of >= 4 for isolated ileal disease as scored by a central reader. All eligible scores must exclude the presence of narrowing component.
- •Demonstrated intolerance or inadequate response to one or more of the following biologic agents: infliximab, adalimumab, certolizumab pegol, vedolizumab, natalizumab, ustekinumab, or risankizumab.
排除标准
- •Participants with prior intolerance to adalimumab.
研究组 & 干预措施
Re-Induction Phase: ABBV-154 Randomized Dose A
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Induction Phase: ABBV-154 Randomized Dose A
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Induction Phase: ABBV-154 Randomized Dose B
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Induction Phase: ABBV-154 Randomized Dose C
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Induction Phase: ABBV-154 Randomized Dose D
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Induction Phase: ABBV-154 Randomized Dose D
Varying doses of ABBV-154 as described in the protocol.
干预措施: Placebo (Drug)
Induction Phase: Randomized Placebo
Fixed dose placebo as described in the protocol.
干预措施: Placebo (Drug)
Re-Induction Phase: ABBV-154 Randomized Dose B
Varying doses of ABBV-154 as described in the protocol.
干预措施: ABBV-154 (Drug)
Maintenance Phase: ABBV-154 Randomized Dose A
Fixed dose ABBV-154 every other week.
干预措施: ABBV-154 (Drug)
Maintenance Phase: ABBV-154 Randomized Dose B
Fixed dose ABBV-154 every other week.
干预措施: ABBV-154 (Drug)
Maintenance Phase: Randomized Placebo
Fixed dose placebo every other week.
干预措施: Placebo (Drug)
结局指标
主要结局
Percentage of Participants Achieving Endoscopic Response Per Simple Endoscopic Score for Crohn's Disease (SES-CD)
时间窗: Baseline to Week 12
The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in 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). The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 (worst) 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.
次要结局
- Percentage of Participants Achieving Clinical Remission Per Crohn's Disease Activity Index (CDAI)(Induction Period Week 12)
- Percentage of Participants Achieving Clinical Remission Per Average Daily Liquid or Very Soft Stool Frequency (SF) and Average Daily Abdominal Pain (AP) Score (SF/AP)(Induction Period Week 12)
- Percentage of Participants Achieving Endoscopic Response Per SES-CD(Week 40 in the Maintenance Period)
- Percentage of Participants Achieving Clinical Remission Per CDAI(Week 40 in the Maintenance Period)
- Percentage of Participants Achieving Clinical Remission Per SF/AP(Week 40 in the Maintenance Period)
