E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Crohn's disease |
Enfermedad de Crohn |
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E.1.1.1 | Medical condition in easily understood language |
Crohn's disease |
Enfermedad de Cronh |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10013099 |
E.1.2 | Term | Disease Crohns |
E.1.2 | System Organ Class | 100000004856 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Sub-study 1: Randomized, double-blind, placebo-controlled maintenance To evaluate the efficacy and safety of risankizumab versus placebo as maintenance therapy in subjects with moderately to severely active Crohn's disease (CD) who responded to risankizumab induction treatment in Study M16-006 or Study M15-991.
Sub-study 2: Randomized, exploratory maintenance To evaluate the efficacy and safety of two different dosing regimens for risankizumab as maintenance therapy in subjects with moderately to severely active CD who responded to induction treatment in Study M16-006 or Study M15-991.
Sub-study 3: Open-label long term extension To evaluate long-term safety of risankizumab in subjects who completed Sub-study 1 or 2. |
Subestudio 1: Estudio de mantenimiento aleatorizado, doble ciego, controlado con placebo. Para evaluar la eficacia y la seguridad de Risankizumab frente placebo como terapia de mantenimiento en sujetos con Enfermedad de Crohn activa (EC) de moderada a severa que respondieron al tratamiento de inducción con Risankizumab en el estudio M16-006 o en el estudio M15-991. Sub-estudio 2: Estudio de mantenimiento exploratorio y aleatorizado Evaluar la eficacia y seguridad de dos regímenes de dosificación diferentes con Risankizumab como terapia de mantenimiento en sujetos con EC activa de moderada a severa que respondieron al tratamiento de inducción en el Estudio M16-006 o en el Estudio M15-991. Subestudio 3: Estudio abierto de extensión a largo plazo. Evaluar la seguridad a largo plazo de Risankizumab en sujetos que completaron el Sub-estudio 1 o 2. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Subjects who have completed Study M16-006 or Study M15-991 and have achieved clinical response.
Main entry criteria for Study M16-006 and Study M15-991: • Males and females 18 to 80 years of age, and 16 to < 18 years of age where locally permitted and who meet the definition of Tanner stage 5 development (M16-006 only) • Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score, and Simple Endoscopic Score for Crohn's Disease (SES-CD) for at least 3 months prior to Baseline. |
Sujetos que hayan completado el estudio M16-006 o el estudio M15-991 y hayan logrado obtener respuesta clínica. Criterios principales para participar en el estudio M16-006 y el estudio M15-991: • Varones y mujeres de 18 a 80 años de edad, y de 16 a menores de 18 años de edad donde estén permitidos localmente y que cumplan con la definición de Tanner etapa 5 de desarrollo (M16-006 solamente) • Diagnóstico confirmado de EC de moderada a grave según la frecuencia de heces (SF), puntuación de dolor abdominal (AP) y puntuación endoscópica simple para la enfermedad de Crohn (SES-CD) durante al menos 3 meses antes de la línea de base. |
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E.4 | Principal exclusion criteria |
Subject is considered by the Investigator, for any reason, to be an unsuitable candidate for the study.
Subject who has a known hypersensitivity to risankizumab or the excipients of any of the study drugs or the ingredients of CHO, or had an AE during Studies M16 006 or M15-991 that in the Investigator's judgment makes the subject unsuitable for this study.
Subject is not in compliance with prior and concomitant medication requirements throughout Studies M16-006 or M15-991. |
Sujetos que a criterio del investigador, por cualquier razón, sea considerado como candidato inadecuado para el estudio. Sujetos con hipersensibilidad conocida a Risankizumab o a los excipientes de cualquiera de los fármacos del estudio o a los ingredientes de CHO, o que tuvo un acontecimiento adverso durante los Estudios M16 006 o M15-991 que a juicio del Investigador haga que el sujeto no sea adecuado para este estudio. Sujetos que no cumplan con los requerimientos de tratamientos previos y concomitantes a lo largo de los Estudios M16-006 o M15-991. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Percentage of participants with clinical remission per daily stool frequency (SF) and average daily abdominal pain (AP) score at Week 52.
Percentage of participants with endoscopic response at Week 52. |
Porcentaje de participantes con remisión clínica según frecuencia diaria de heces (SF) y puntuación promedio de dolor abdominal diario (AP) en la semana 52. Porcentaje de participantes con respuesta endoscópica en la semana 52. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
-Percentage of participants with clinical remission per Crohn's Disease Activity Index (CDAI) at Week 52 -Percentage of participants who discontinued corticosteroid use and achieved clinical remission per average daily SF and average daily AP score at Week 52 -Percentage of participants who discontinued corticosteroid use at Week 52 -Percentage of participants with sustained clinical remission -Percentage of participants with enhanced clinical response at Week 52 -Percentage of participants with clinical remission per average daily SF and average daily AP score and endoscopic response at Week 52 -Percentage of participants with endoscopic healing at Week 52 -Crohn's Symptoms Severity (CSS): Change from week 0 to week 52 -Percentage of participants with resolution of extra-intestinal manifestations (EIMs) at week 52 in subjects with EIMs at baseline of the induction study -Percentage of participants with deep remission at Week 52 -Percentage of participants with hospitalizations through Week 52 -Percentage of participants with draining fistulas at Week 52 in subjects with draining fistulas at baseline of the induction study -Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue): Change from Baseline of the induction study to Week 52 -36-Item Short Form Health Status Survey (SF-36): Change from Baseline of the induction study to Week 52 -Percentage of participants with Crohn's disease (CD)-related surgeries through Week 52 |
-Porcentaje de participantes con remisión clínica según Índice de Actividad de la Enfermedad de Crohn (CDAI) en la semana 52 -Porcentaje de participantes que interrumpieron el uso de corticosteroides y alcanzaron la remisión clínica según SF promedio diario y la puntuación promedio AP en la semana 52 -Porcentaje de participantes que interrumpieron el uso de corticosteroides en la semana 52 -Porcentaje de participantes con remisión clínica sostenida -Porcentaje de participantes con respuesta clínica mejorada en la semana 52 -Porcentaje de participantes con remisión clínica según SF promedio diario, puntuación promedio AP y respuesta endoscópica a la semana 52 -Porcentaje de participantes con curación endoscópica en la Semana 52 -Escala de Severidad de los Síntomas de Cromo (CSS): Cambio de la semana 0 a la semana 52 -Porcentaje de participantes con resolución de manifestaciones extra-intestinales (EIM) a la semana 52 en sujetos con EIMs en la etapa basal del estudio de inducción -Porcentaje de participantes con remisión profunda en la semana 52 -Porcentaje de los participantes con hospitalizaciones hasta la semana 52 -Porcentaje de participantes con fístulas de drenaje en la Semana 52 en sujetos con fístulas de drenaje al inicio del estudio de inducción -Evaluación funcional de la Enfermedad Crónica Terapia-Fatiga (FACIT-Fatiga): Cambio desde la etapa basal del estudio de inducción a la semana 52 -Encuesta de Salud 36 versión corta (SF-36): Cambio desde la etapa basal del estudio de inducción a la semana 52 -Porcentaje de participantes con cirugías relacionadas con la enfermedad de Crohn (CD) hasta la semana 52 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
all are Week 52 unless noted: sustained clinical remission and CSS are at Week 0 and Week 52, and the FACIT and SF-36 are from Baseline of induction study and Week 52 |
Todos son la semana 52 a menos que se indique: la remisión clínica sostenida y CSS son en la semana 0 y la semana 52, y el FACIT y SF-36 son desde la basal del estudio de inducción a la semana 52 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 6 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 160 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Austria |
Belarus |
Belgium |
Bosnia and Herzegovina |
Brazil |
Bulgaria |
Canada |
Chile |
Colombia |
Croatia |
Czech Republic |
Denmark |
Egypt |
Estonia |
Finland |
France |
Germany |
Greece |
Hong Kong |
Hungary |
Ireland |
Israel |
Italy |
Japan |
Korea, Republic of |
Latvia |
Lithuania |
Malaysia |
Mexico |
Netherlands |
New Zealand |
Norway |
Poland |
Portugal |
Puerto Rico |
Romania |
Russian Federation |
Serbia |
Singapore |
Slovakia |
Slovenia |
South Africa |
Spain |
Sweden |
Switzerland |
Taiwan |
Turkey |
Ukraine |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 8 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 8 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 0 |