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    Clinical Trial Results:
    An Open-label Multiple-Dose Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Upadacitinib in Pediatric Subjects with Severe Atopic Dermatitis

    Summary
    EudraCT number
    2018-004409-17
    Trial protocol
    NO   NL  
    Global end of trial date
    29 Aug 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    22 Feb 2025
    First version publication date
    22 Feb 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    M16-049
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03646604
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AbbVie
    Sponsor organisation address
    1 North Waukegan Road, North Chicago, IL, United States, 60064
    Public contact
    Global Medical Services, AbbVie, 001 8006339110, abbvieclinicaltrials@abbvie.com
    Scientific contact
    Global Medical Services, AbbVie, 001 8006339110, abbvieclinicaltrials@abbvie.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001741-PIP04-17
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    29 Aug 2024
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Aug 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Part 1: - To evaluate the pharmacokinetics, activity, safety and tolerability of multiple doses of upadacitinib in pediatric subjects with severe atopic dermatitis. - To evaluate the palatability of upadacitinib oral solution in pediatric subjects. Part 2: - To evaluate the long-term safety and tolerability of multiple doses of upadacitinib in pediatric subjects with severe atopic dermatitis.
    Protection of trial subjects
    Subject and/or legal guardian read and understood the information provided about the study and gave written permission.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    31 Jan 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Puerto Rico: 3
    Country: Number of subjects enrolled
    United States: 32
    Worldwide total number of subjects
    35
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    35
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Within 35 days prior to the Baseline/Day 1 Visit, subject and subject's legally authorized representative received a full explanation of the study design and study procedures, provided a written informed consent/assent, and underwent the screening procedures outlined in the protocol.

    Period 1
    Period 1 title
    Part 1
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years
    Arm description
    Participants, 6 to <12 years of age, received weight-dependent low dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Low Dose: 10 < 20 kg body weight: 3 mg twice daily (BID; oral solution); 20 < 30 kg body weight: 4 mg BID (oral solution); >=30 kg body weight: 15 mg once daily (QD; tablet) or 6 mg BID (oral solution) if unable to swallow tablet.

    Arm title
    Cohort 2: High Dose Upadacitinib, 6 to < 12 years
    Arm description
    Participants, 6 to <12 years of age, received weight-dependent high dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    High Dose: 10 < 20 kg body weight: 6 mg BID (oral solution); 20 < 30 kg body weight: 8 mg BID (oral solution); >=30 kg body weight: 30 mg (QD) or 12 mg BID (oral solution) if unable to swallow tablet.

    Arm title
    Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Arm description
    Participants, 2 to <6 years of age, received weight-dependent low dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Low Dose: 10 < 20 kg body weight: 3 mg twice daily (BID; oral solution); 20 < 30 kg body weight: 4 mg BID (oral solution); >=30 kg body weight: 15 mg once daily (QD; tablet) or 6 mg BID (oral solution) if unable to swallow tablet.

    Arm title
    Cohort 4: High Dose Upadacitinib, 2 < 6 years
    Arm description
    Participants, 2 to <6 years of age, received weight-dependent high dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    High Dose: 10 < 20 kg body weight: 6 mg BID (oral solution); 20 < 30 kg body weight: 8 mg BID (oral solution); >=30 kg body weight: 30 mg (QD) or 12 mg BID (oral solution) if unable to swallow tablet.

    Number of subjects in period 1
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years Cohort 2: High Dose Upadacitinib, 6 to < 12 years Cohort 3: Low Dose Upadacitinib, 2 < 6 years Cohort 4: High Dose Upadacitinib, 2 < 6 years
    Started
    9
    8
    9
    9
    Completed
    9
    8
    8
    8
    Not completed
    0
    0
    1
    1
         Consent withdrawn by subject
    -
    -
    1
    -
         Study drug noncompliance
    -
    -
    -
    1
    Period 2
    Period 2 title
    Part 2
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Part 2: Aged 6 to < 12 years
    Arm description
    Eligible participants, aged 6 to < 12 years, who completed Part 1 received weight-dependent low dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Low Dose: 10 < 20 kg body weight: 3 mg twice daily (BID; oral solution); 20 < 30 kg body weight: 4 mg BID (oral solution); >=30 kg body weight: 15 mg once daily (QD; tablet) or 6 mg BID (oral solution) if unable to swallow tablet.

    Arm title
    Part 2: Aged 2 to < 6 Years
    Arm description
    Eligible participants, aged 2 to < 6 years, who completed Part 1 received weight-dependent low dose of upadacitinib.
    Arm type
    Experimental

    Investigational medicinal product name
    Upadacitinib (ABT-494)
    Investigational medicinal product code
    ABT-494
    Other name
    RINVOQ
    Pharmaceutical forms
    Film-coated tablet, Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Low Dose: 10 < 20 kg body weight: 3 mg twice daily (BID; oral solution); 20 < 30 kg body weight: 4 mg BID (oral solution); >=30 kg body weight: 15 mg once daily (QD; tablet) or 6 mg BID (oral solution) if unable to swallow tablet.

    Number of subjects in period 2
    Part 2: Aged 6 to < 12 years Part 2: Aged 2 to < 6 Years
    Started
    17
    16
    Completed
    10
    9
    Not completed
    7
    7
         Consent withdrawn by subject
    1
    2
         Adverse event
    3
    1
         FDA recommended discontinuation (> 3 years)
    -
    2
         Lost to follow-up
    1
    -
         Lack of efficacy
    2
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 2: High Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent high dose of upadacitinib.

    Reporting group title
    Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 4: High Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent high dose of upadacitinib.

    Reporting group values
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years Cohort 2: High Dose Upadacitinib, 6 to < 12 years Cohort 3: Low Dose Upadacitinib, 2 < 6 years Cohort 4: High Dose Upadacitinib, 2 < 6 years Total
    Number of subjects
    9 8 9 9 35
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    8.3 ( 1.58 ) 8.0 ( 1.77 ) 4.0 ( 1.00 ) 3.2 ( 0.83 ) -
    Gender categorical
    Units: Subjects
        Female
    6 6 5 2 19
        Male
    3 2 4 7 16

    End points

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    End points reporting groups
    Reporting group title
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 2: High Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent high dose of upadacitinib.

    Reporting group title
    Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 4: High Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent high dose of upadacitinib.
    Reporting group title
    Part 2: Aged 6 to < 12 years
    Reporting group description
    Eligible participants, aged 6 to < 12 years, who completed Part 1 received weight-dependent low dose of upadacitinib.

    Reporting group title
    Part 2: Aged 2 to < 6 Years
    Reporting group description
    Eligible participants, aged 2 to < 6 years, who completed Part 1 received weight-dependent low dose of upadacitinib.

    Subject analysis set title
    Cohort 1, QD Regimen: Pharmacokinetics (PK)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 1 who received the upadacitinib tablet QD regimen.

    Subject analysis set title
    Cohort 1, BID Regimen: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 1 who received the upadacitinib solution BID regimen.

    Subject analysis set title
    Cohort 1, QD and BID Regimen Combined: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 1 who received the upadacitinib tablet QD and/or solution BID regimen.

    Subject analysis set title
    Cohort 2, QD Regimen: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 2 who received the upadacitinib tablet QD regimen.

    Subject analysis set title
    Cohort 2, BID Regimen: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 2 who received the upadacitinib solution BID regimen.

    Subject analysis set title
    Cohort 2, QD and BID Regimen Combined: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 2 who received the upadacitinib tablet QD and/or solution BID regimen.

    Subject analysis set title
    Cohort 3, BID Regimen: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 3 who received the upadacitinib solution BID regimen.

    Subject analysis set title
    Cohort 3, QD and BID Regimen Combined: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 3 who received the upadacitinib tablet QD and/or solution BID regimen.

    Subject analysis set title
    Cohort 4, BID Regimen: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 4 who received the upadacitinib solution BID regimen.

    Subject analysis set title
    Cohort 4, QD and BID Regimen Combined: PK
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Participants with viable PK data in Cohort 4 who received the upadacitinib tablet QD and/or solution BID regimen.

    Primary: Time to Maximum Observed Plasma Concentration (Tmax)

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    End point title
    Time to Maximum Observed Plasma Concentration (Tmax) [1]
    End point description
    End point type
    Primary
    End point timeframe
    Part 1, Day 7
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics planned per protocol are presented in the data table.
    End point values
    Cohort 1, QD Regimen: Pharmacokinetics (PK) Cohort 1, BID Regimen: PK Cohort 1, QD and BID Regimen Combined: PK Cohort 2, QD Regimen: PK Cohort 2, BID Regimen: PK Cohort 2, QD and BID Regimen Combined: PK Cohort 3, BID Regimen: PK Cohort 3, QD and BID Regimen Combined: PK Cohort 4, BID Regimen: PK Cohort 4, QD and BID Regimen Combined: PK
    Number of subjects analysed
    4
    5
    9
    5
    3
    8
    8
    8
    7
    7
    Units: hours
        median (full range (min-max))
    3.12 (1.00 to 4.05)
    1.00 (0.500 to 1.92)
    1.17 (0.500 to 4.05)
    2.00 (0.567 to 3.38)
    2.00 (0.250 to 4.00)
    2.00 (0.250 to 4.00)
    2.00 (1.00 to 4.07)
    2.00 (1.00 to 4.07)
    0.500 (0.317 to 1.08)
    0.500 (0.317 to 1.08)
    No statistical analyses for this end point

    Primary: Maximum Plasma Concentration (Cmax)

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    End point title
    Maximum Plasma Concentration (Cmax) [2]
    End point description
    End point type
    Primary
    End point timeframe
    Part 1, Day 7
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics planned per protocol are presented in the data table.
    End point values
    Cohort 1, QD Regimen: Pharmacokinetics (PK) Cohort 1, BID Regimen: PK Cohort 1, QD and BID Regimen Combined: PK Cohort 2, QD Regimen: PK Cohort 2, BID Regimen: PK Cohort 2, QD and BID Regimen Combined: PK Cohort 3, BID Regimen: PK Cohort 3, QD and BID Regimen Combined: PK Cohort 4, BID Regimen: PK Cohort 4, QD and BID Regimen Combined: PK
    Number of subjects analysed
    4
    5
    9
    5
    3
    8
    8
    8
    7
    7
    Units: ng/mL
        geometric mean (geometric coefficient of variation)
    47.7 ( 71.5 )
    24.7 ( 53.1 )
    33.1 ( 76.4 )
    154 ( 50.1 )
    43.2 ( 42.7 )
    95.5 ( 73.2 )
    35.9 ( 97.3 )
    35.9 ( 97.3 )
    108 ( 57.9 )
    108 ( 57.9 )
    No statistical analyses for this end point

    Primary: Area Under the Plasma Concentration-Time Curve Within a Dosing Interval (AUCtau)

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    End point title
    Area Under the Plasma Concentration-Time Curve Within a Dosing Interval (AUCtau) [3]
    End point description
    The area under the plasma concentration-time curve (AUCtau) is a method of measurement of the total exposure of a drug in plasma. For QD regimens, AUCtau = AUC0-24; for BID regimens, AUCtau = AUC0-12 and AUC0-24 = AUC0-12 × 2.
    End point type
    Primary
    End point timeframe
    Part 1, Day 7
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics planned per protocol are presented in the data table.
    End point values
    Cohort 1, QD Regimen: Pharmacokinetics (PK) Cohort 1, BID Regimen: PK Cohort 1, QD and BID Regimen Combined: PK Cohort 2, QD Regimen: PK Cohort 2, BID Regimen: PK Cohort 2, QD and BID Regimen Combined: PK Cohort 3, BID Regimen: PK Cohort 3, QD and BID Regimen Combined: PK Cohort 4, BID Regimen: PK Cohort 4, QD and BID Regimen Combined: PK
    Number of subjects analysed
    4
    5
    9
    5
    3
    8
    6
    6
    7
    7
    Units: h*ng/mL
        geometric mean (geometric coefficient of variation)
    284 ( 22.9 )
    111 ( 52.0 )
    169 ( 54.5 )
    675 ( 21.1 )
    174 ( 25.4 )
    406 ( 57.8 )
    146 ( 102 )
    146 ( 102 )
    326 ( 39.0 )
    326 ( 39.0 )
    No statistical analyses for this end point

    Primary: Apparent Oral Clearance at Steady State (CLss/F)

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    End point title
    Apparent Oral Clearance at Steady State (CLss/F) [4]
    End point description
    End point type
    Primary
    End point timeframe
    Part 1, Day 7
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics planned per protocol are presented in the data table.
    End point values
    Cohort 1, QD Regimen: Pharmacokinetics (PK) Cohort 1, BID Regimen: PK Cohort 1, QD and BID Regimen Combined: PK Cohort 2, QD Regimen: PK Cohort 2, BID Regimen: PK Cohort 2, QD and BID Regimen Combined: PK Cohort 3, BID Regimen: PK Cohort 3, QD and BID Regimen Combined: PK Cohort 4, BID Regimen: PK Cohort 4, QD and BID Regimen Combined: PK
    Number of subjects analysed
    4
    5
    9
    5
    3
    8
    6
    6
    7
    7
    Units: L/h
        geometric mean (geometric coefficient of variation)
    31.4 ( 47.5 )
    19.5 ( 30.1 )
    24.1 ( 49.2 )
    38.7 ( 37.4 )
    23.0 ( 27.2 )
    31.9 ( 44.5 )
    14.1 ( 61.3 )
    14.1 ( 61.3 )
    18.4 ( 70.6 )
    18.4 ( 70.6 )
    No statistical analyses for this end point

    Primary: Number of Participants With Treatment Emergent Adverse Events (TEAE)

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    End point title
    Number of Participants With Treatment Emergent Adverse Events (TEAE) [5]
    End point description
    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 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 participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events (TEAEs) are defined as AEs with an onset date that is after the first dose of study drug, and no more than 30 days of the drug after the last dose of study drug.
    End point type
    Primary
    End point timeframe
    Part 1: For a median of 7 days (+ 30 days of follow up for those not advancing to Part 2). Part 2: For a median of 748 days + 30 days of follow-up.
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics planned per protocol are presented in the data table.
    End point values
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years Cohort 2: High Dose Upadacitinib, 6 to < 12 years Cohort 3: Low Dose Upadacitinib, 2 < 6 years Cohort 4: High Dose Upadacitinib, 2 < 6 years Part 2: Aged 6 to < 12 years Part 2: Aged 2 to < 6 Years
    Number of subjects analysed
    9
    8
    9
    9
    17
    16
    Units: participants
        AE
    1
    1
    5
    0
    15
    14
        AE with reasonable possibility of = drug related
    0
    0
    1
    0
    2
    7
        Severe AE
    0
    0
    0
    0
    3
    1
        SAE
    0
    0
    0
    0
    3
    0
        SAE with reasonable possibility of = drug related
    0
    0
    0
    0
    1
    0
        AE leading to discontinuation of study drug
    0
    0
    0
    0
    3
    1
        AE leading to death
    0
    0
    0
    0
    0
    0
        All deaths
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Part 1: For a median of 7 days (+ 30 days of follow up for those not advancing to Part 2). Part 2: For a median of 748 days + 30 days of follow-up.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    27.0
    Reporting groups
    Reporting group title
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent low dose of upadacitinib.

    Reporting group title
    Part 2: Aged 2 to < 6 Years
    Reporting group description
    Eligible participants, aged 2 to < 6 years, who completed Part 1 received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 4: High Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent high dose of upadacitinib.

    Reporting group title
    Part 2: Aged 6 to < 12 years
    Reporting group description
    Eligible participants, aged 6 to < 12 years, who completed Part 1 received weight-dependent low dose of upadacitinib.

    Reporting group title
    Cohort 2: High Dose Upadacitinib, 6 to < 12 years
    Reporting group description
    Participants, 6 to <12 years of age, received weight-dependent high dose of upadacitinib.

    Reporting group title
    Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Reporting group description
    Participants, 2 to <6 years of age, received weight-dependent low dose of upadacitinib.

    Serious adverse events
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years Part 2: Aged 2 to < 6 Years Cohort 4: High Dose Upadacitinib, 2 < 6 years Part 2: Aged 6 to < 12 years Cohort 2: High Dose Upadacitinib, 6 to < 12 years Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    3 / 17 (17.65%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    0
    Psychiatric disorders
    MAJOR DEPRESSION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    COVID-19
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OPHTHALMIC HERPES ZOSTER
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Cohort 1: Low Dose Upadacitinib, 6 to < 12 years Part 2: Aged 2 to < 6 Years Cohort 4: High Dose Upadacitinib, 2 < 6 years Part 2: Aged 6 to < 12 years Cohort 2: High Dose Upadacitinib, 6 to < 12 years Cohort 3: Low Dose Upadacitinib, 2 < 6 years
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 9 (11.11%)
    14 / 16 (87.50%)
    0 / 9 (0.00%)
    14 / 17 (82.35%)
    1 / 8 (12.50%)
    5 / 9 (55.56%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    SKIN PAPILLOMA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    General disorders and administration site conditions
    PAIN
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    FATIGUE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    CYST
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    PYREXIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    4
    0
    0
    0
    0
    SWELLING
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    Immune system disorders
    HYPERSENSITIVITY
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    ASTHMA
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 16 (18.75%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    6
    0
    0
    0
    1
    COUGH
         subjects affected / exposed
    0 / 9 (0.00%)
    5 / 16 (31.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    5
    0
    0
    0
    0
    RHINORRHOEA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    PRODUCTIVE COUGH
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    COUGH VARIANT ASTHMA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    DYSPNOEA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    EPISTAXIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    2 / 17 (11.76%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    0
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    Investigations
    BLOOD CREATINE PHOSPHOKINASE INCREASED
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    ELECTROCARDIOGRAM ST SEGMENT ELEVATION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    HEART RATE IRREGULAR
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    Injury, poisoning and procedural complications
    ANIMAL BITE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    FALL
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    FOOT FRACTURE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    SKIN WOUND
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    Cardiac disorders
    LEFT VENTRICULAR HYPERTROPHY
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    Nervous system disorders
    HEADACHE
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    3 / 17 (17.65%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    7
    0
    0
    Blood and lymphatic system disorders
    LYMPHADENITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    LYMPHADENOPATHY
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    NEUTROPENIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    THROMBOCYTOSIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    THROMBOCYTOPENIA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    Gastrointestinal disorders
    ABDOMINAL DISCOMFORT
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    2 / 17 (11.76%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    2
    0
    0
    DENTAL CARIES
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    GASTRITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    NAUSEA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    TOOTH DISORDER
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    VOMITING
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 16 (18.75%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    3
    0
    2
    0
    0
    Skin and subcutaneous tissue disorders
    DERMATITIS ATOPIC
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    2 / 17 (11.76%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    2
    0
    0
    ALOPECIA AREATA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    SKIN EROSION
         subjects affected / exposed
    1 / 9 (11.11%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    RASH
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    ERYTHEMA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    ECZEMA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    2
    0
    0
    URTICARIA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    Renal and urinary disorders
    URINARY INCONTINENCE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    Infections and infestations
    CONJUNCTIVITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    1 / 8 (12.50%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    1
    0
    CELLULITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    BACTERIAL INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    COVID-19
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    3 / 17 (17.65%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    3
    0
    0
    EAR INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    ECZEMA HERPETICUM
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    HAND-FOOT-AND-MOUTH DISEASE
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    HERPES ZOSTER
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    OTITIS EXTERNA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    MOLLUSCUM CONTAGIOSUM
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    INFLUENZA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    0
    IMPETIGO
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    HORDEOLUM
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    NASOPHARYNGITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    RESPIRATORY SYNCYTIAL VIRUS INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    1 / 9 (11.11%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    SCARLET FEVER
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    SINUSITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    4
    0
    0
    0
    0
    SKIN INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    0
    STAPHYLOCOCCAL INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    SWEATING FEVER
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    2 / 17 (11.76%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    2
    0
    5
    0
    0
    VIRAL INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 16 (6.25%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    VIRAL UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 16 (12.50%)
    0 / 9 (0.00%)
    0 / 17 (0.00%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    0
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 9 (0.00%)
    1 / 17 (5.88%)
    0 / 8 (0.00%)
    0 / 9 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    21 Dec 2018
    The purpose of this amendment is to correct minor clerical errors for consistency throughout the protocol in addition to the following: - Add pharmacodynamic assessment and palatability evaluation of upadacitinib oral solution to Part 1 objectives in Section 1 (Synopsis) and Section 3.1 (Objectives). - Add statistical analyses of palatability evaluation to Section 7.5 - Add minimum enrollment of 4 subjects to each bodyweight category to Section 1 (Synopsis) and Section 4.1 (Investigational Plan). - Add additional details regarding limiting subject discomfort in Section 4.2 (Discussion of Study Design), on discontinuation of subjects in Section 5.6 (Withdrawal of Subjects and Discontinuation of Study), on QTc criterion in Section 6.2 (Toxicity Management and on end of study in Section 11 (Completion of Study). - Section 5.2 Contraception Requirements for Females. Additional description for females of childbearing potential. - Section 6.1 (Complaints and Adverse Events). Updated information on CTCAE and pregnancy. - Removed "in a blinded manner" from cardiovascular paragraph. Section 6.2 (Toxicity Management). - Added Section 6.3 (Data Monitoring Committee and Cardiovascular Adjudication Committee)" to Section 6.4. - Update abbreviations in Appendix A (Study Specific Abbreviations and Terms). - Update Appendix D (Study Activities Table) to clarify study activities including addition of a ± 7 day window to study visits in Part 2 - Operations Manual. Section 3.16, Follow-Up. Remove telephone follow-up. - Operations Manual. Section 3.18, Dispense Study Drug. Move section and add additional details. - Operations Manual. Section 5.2, Packaging and Labeling. Specified that upadacitinib oral solution should be protected from freezing and add temperature excursion information. - Operations Manual. Section 5.3, Method of Assigning Subjects to Treatment Groups. Update the subject identification number from 6 to 8 digits.
    21 Dec 2018
    (continued) - Operations Manual. Section 5, Study Drug, Subsections 5.4, 5.5 and 5.6. Provide additional information regarding study drug procedures. - Operations Manual. Replace TB RISK ASSESSMENT FORM EXAMPLE and TANNER STAGES. - Operations Manual. Update the definitions in ECZEMA AREA AND SEVERITY INDEX (EASI) SCORING EXAMPLE. - Added two appendices to Operations Manual ORAL SOLUTION DOSING INFORMATION WITH REQUIRED SYRINGE SIZE and INSTRUCTIONS FOR USE: ORAL SOLUTION. - Operations Manual. Added to appendices of protocol.
    26 Feb 2020
    The purpose of this amendment is to correct minor clerical errors for consistency throughout the protocol in addition to the following: - Update the study design to include an additional group of subjects 6 months to less than 2 years of age. - Add a new oral upadacitinib formulation of 0.5 mg/mL. - Update the safety related language throughout the protocol. - Update language for moderate/strong inhibitors. - Update Section 5.6: Treatment Compliance in the Operations Manual.
    11 Feb 2021
    The purpose of this amendment is to correct minor clerical errors for consistency throughout the protocol in addition to the following: - Updated sponsor/emergency medical contact. - Updated dose levels and body weight categories in Table 2 for subjects 2 to < 12 years of age and added dosing recommendations for subjects 6 months to < 2 years in cohorts 5 and 6 in Table 3. - Added citation to selection of doses discussion. - Added summary of conclusions on efficacy and safety from the available Phase 3 AD studies in Section 2.1, Benefits and Risks to Subjects. - Updated Eligibility Criterion 3 to have separate weight limits based on age. - Added information regarding development of oral solutions. - Added information regarding COVID-19 procedures throughout the document. - Replace PF 04965842 with abrocitinib in JAK inhibitor list in Prior/Concomitant Therapy - Added information regarding adjudication committee used to assess potential gastrointestinal perforation AEs. - Updated language regarding study drug withdrawal criterion and toxicity management related to gastrointestinal perforation. - Added a study stopping criteria related to elevations in creatinine phosphokinase: Two or more subjects administered study drug experience a confirmed symptomatic creatinine phosphokinase (CPK) elevation ≥ 4x upper limit of normal considered related to study drug. - Updated sample size estimation. - Added additional text regarding dose adjustment for subjects in Part 1 of the study. - Updated text for re-screening procedure in Appendix F, Section 3.2 - Added text to collect full date of birth to Appendix F, Section 3.3. - Removed home urine pregnancy test paragraph from Appendix F, Section 3.13, Clinical Laboratory Tests. - Added information regarding at self-scoring of Tanner stage in Appendix F, Section 3.12. - Updated table in Operations Manual Appendix G with new weight categories.
    19 Jul 2021
    The purpose of this amendment is to correct minor clerical errors for consistency throughout the protocol in addition to the following: - Clarified that for the calculation of the EASI score, the age at the respective visit is used (Appendix E of the Operations Manual). - Changed the contact information for reporting protocol deviations and product complaints in the operations manual.
    15 Dec 2021
    The purpose of this amendment is to correct minor clerical errors for consistency throughout the protocol in addition to the following: - SPONSOR/EMERGENCY MEDICAL CONTACT updated. - Updated the safety team's email address. - Changed central laboratory to Labcorp Central Laboratory Services Limited Partnership. - In Eligibility criterion number 3, updated minimum age to 3 years of age starting with protocol version 6.0. - In Eligibility criteria number 12, added "history of retinopathy of prematurity, congenital structural abnormalities of the eye (e.g., Marfan's Syndrome), inherited vitreoretinal degenerations or vitreoretinopathies (e.g., Stickler syndrome) or prior history of retinal detachment" as exclusionary conditions. - Throughout the document updated minimum age of subjects in study to 2 years of age - Removed Cohorts 5 and 6 from the study design and all language related to these cohorts throughout the document. - Added ophthalmology assessment every 3 months to check visual acuity of subjects that are < 3 years old until they reach their third year of age, or as needed for subjects ≥ 3 years of age.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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