Study on Crohn’s Disease: Evaluating Risankizumab’s Effects in Children Aged 2 to 17 with Moderate to Severe Symptoms

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What is this study about?

This clinical trial is focused on studying Crohn’s disease, a condition that causes inflammation in the digestive tract, leading to symptoms like abdominal pain, severe diarrhea, fatigue, weight loss, and malnutrition. The study is investigating the effects of a treatment called Risankizumab, which is a medication designed to help reduce inflammation and improve symptoms in patients with this disease. The medication is administered either as a solution for infusion, which means it is given directly into the bloodstream through a vein, or as a solution for injection using a pre-filled syringe, which is injected under the skin.

The purpose of this study is to evaluate how Risankizumab is processed in the body, its effectiveness, and its safety in children and teenagers aged 2 to under 18 years who have moderate to severe Crohn’s disease. The study will begin with an open-label phase, where all participants receive the medication, followed by a randomized double-blind phase, where participants will receive either the medication or a placebo without knowing which one they are getting. There will also be a long-term extension period to observe the effects over a longer time. Participants will be monitored for changes in their symptoms and any side effects they may experience.

The study is designed to last for several weeks, with regular check-ups and assessments to track the progress of the participants. The goal is to determine if Risankizumab can help achieve clinical remission, which means a significant reduction or disappearance of symptoms, and to see if it can lead to an endoscopic response, which is an improvement in the appearance of the digestive tract as seen through a camera. The study will also look at whether participants can achieve remission without the use of corticosteroids, which are often used to control inflammation but can have side effects when used long-term.

1 open-label induction period

Upon joining the study, the participant will begin the open-label induction period. During this phase, the participant will receive risankizumab through an intravenous infusion. This is a method where the medication is delivered directly into the bloodstream through a vein.

The purpose of this phase is to introduce the medication to the participant’s system and to monitor its initial effects. The specific dosage and frequency of administration will be determined by the study team based on the participant’s individual needs and health status.

2 randomized double-blind maintenance period

Following the induction period, the participant will enter the randomized double-blind maintenance period. In this phase, the participant will receive either risankizumab or a placebo through a subcutaneous injection. A placebo is a substance with no active medication, used to compare the effects of the actual drug.

Neither the participant nor the study team will know whether the participant is receiving the medication or the placebo. This is to ensure that the results are not influenced by expectations. The injections will be administered at regular intervals as specified by the study protocol.

3 long-term extension period

After completing the maintenance period, the participant may enter the long-term extension period. This phase allows for continued monitoring and treatment with risankizumab for those who qualify.

The goal of this period is to assess the long-term effects and safety of the medication. The participant will continue to receive the medication through subcutaneous injections at intervals determined by the study team.

Who Can Join the Study?

  • The patient or their legal representative must sign a consent form to participate in the study.
  • The patient must weigh at least 10 kilograms (about 22 pounds) at the start of the study.
  • The patient must have certain blood test results within specific ranges, including:
    • Serum ALT (a liver enzyme) must be less than or equal to 2 times the upper limit of normal.
    • Serum AST (another liver enzyme) must be less than or equal to 2 times the upper limit of normal.
    • Serum total bilirubin (a substance made by the liver) must be less than 2 mg/dL, except for those with a condition called Gilbert syndrome.
    • Total white blood cell count must be at least 3,000 per microliter.
    • Absolute neutrophil count (a type of white blood cell) must be at least 1,500 per microliter.
    • Platelet count (cells that help with blood clotting) must be at least 100,000 per microliter.
    • Hemoglobin (a protein in red blood cells) must be at least 8 grams per deciliter.
  • The patient must have a confirmed diagnosis of Crohn’s disease for at least 3 months before starting the study.
  • The patient must have moderately to severely active Crohn’s disease, as determined by a specific score called the PCDAI score.
  • The patient must have evidence of inflammation in the intestines, as shown by an endoscopy score called the SES-CD.
  • The patient must have shown intolerance or inadequate response to certain medications used to treat Crohn’s disease.
  • The patient must be in good general health, as determined by a doctor based on medical history, physical examination, and tests.
  • If the patient has had Crohn’s disease involving the colon for more than 9 years, they must have had a recent colonoscopy showing no signs of abnormal cell growth.
  • Females who can become pregnant must have a negative pregnancy test before starting the study and use at least one method of birth control during the study and for a period after the study ends.
  • The patient must be willing and able to follow the study procedures.
  • The patient must be between 2 and 18 years old. If they turn 18 during the study, they can continue to participate.

Who Cannot Join the Study?

  • Patients who have a known allergy or reaction to the study medication cannot participate.
  • Patients with a history of certain serious infections, such as tuberculosis, cannot participate.
  • Patients who have recently received certain vaccines, especially live vaccines, may not be eligible.
  • Patients with certain types of cancer or a history of cancer may not be eligible.
  • Patients with severe liver or kidney disease cannot participate.
  • Patients who are pregnant or breastfeeding cannot participate.
  • Patients who are currently participating in another clinical trial may not be eligible.
  • Patients with certain heart conditions may not be eligible.
  • Patients who have had a recent surgery or are planning to have surgery soon may not be eligible.
  • Patients with a history of drug or alcohol abuse may not be eligible.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Azienda Ospedaliera Universitaria Federico II Di Napoli Naples Italy
Centre Hospitalier Universitaire De Bordeaux Bordeaux France
Katholieke Universiteit te Leuven Leuven Belgium
Region Vaestmanland Vasteras Sweden

Other Sites

Site Name City Country Status
Instytut Pomnik Centrum Zdrowia Dziecka Warsaw Poland
Fakultni Nemocnice Hradec Kralove Novy Hradec Kralove Czechia
Karolinska University Hospital Solna Sweden
CHC MontLegia Liege Belgium
Gastromed Sp. z o.o. Torun Poland
A.O.U. Policlinico G. Martino Di Messina Messina Italy
Vseobecna Fakultni Nemocnice V Praze Prague Czechia
Hospital Femme Mere Enfant Bron France
University Multiprofile Hospital For Active Treatment Saint Georgi EAD Plovdiv Bulgaria
Centre Hospitalier Universitaire De Toulouse Toulouse France
Assistance Publique Hopitaux De Paris Paris France
IRCCS Istituto Giannina Gaslini Genoa Italy
Hospital Sant Joan De Deu Barcelona Esplugues De Llobregat Spain
Vrije Universiteit Brussel Jette Belgium
Specialized Hospital For Active Treatment Of Childrens Diseases Professor Ivan Mitev Sofia Bulgaria
Queen Silvia Childrens Hospital – Sahlgrenska University Hospital – Vaestra Goetalandsregionen Gothenburg Sweden
University Hospital St Marina Varna Varna Bulgaria
Area Sanitaria De Ferrol Ferrol Spain
Ospedale Pediatrico Bambino Gesu’ Rome Italy
Association Hospitaliere De Bruxelles Hopital Universitaire Des Enfants Reine Fabiola Brussels Belgium
Soedersjukhuset AB Stockholm Sweden
Cvlnuk Hvrlyaccuju Rlktdvpu Uwtkikpcaqetj Dt Tdyvd Tours France
Cfjpidfiu Ugydmeabsyxwxb Slacajksl Woluwe-Saint-Lambert Belgium
Fxsoikrs nduevsqjy Mbqyc a Honpdbo Prague Czechia
Lgltnz Mvlsfbivtf Ulvinpujpe Of Msigqd Munich Germany
Ugxkheqksebaitfqphyjn Mkabeedz Abt Munster Germany
Arwpubxir Uwi Amsterdam The Netherlands
Ucphmokagi Od Amwolah Edegem Belgium

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Recruiting
01.02.2024
Bulgaria Bulgaria
Recruiting
01.02.2024
Czechia Czechia
Not recruiting
01.02.2024
France France
Recruiting
01.02.2024
Germany Germany
Recruiting
01.02.2024
Italy Italy
Recruiting
01.02.2024
Poland Poland
Recruiting
01.02.2024
Spain Spain
Recruiting
01.02.2024
Sweden Sweden
Recruiting
01.02.2024
The Netherlands The Netherlands
Recruiting
01.02.2024

Trial locations

Investigated drugs:

Risankizumab is a medication being studied for its potential to help children and teenagers with Crohn’s disease, which is a condition that causes inflammation in the digestive tract. This medication works by targeting a specific protein in the body that is involved in the inflammation process. By blocking this protein, risankizumab may help reduce the symptoms of Crohn’s disease, such as stomach pain and diarrhea, and improve the overall health of the digestive system. The study aims to understand how the body processes this medication, how effective it is in treating the disease, and how safe it is for young patients to use.

Investigated diseases:

Crohn’s disease – Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract, primarily affecting the small intestine and colon. It is characterized by periods of active disease, known as flare-ups, and periods of remission. During flare-ups, individuals may experience symptoms such as abdominal pain, diarrhea, fatigue, and weight loss. The inflammation can affect different layers of the bowel wall and may lead to complications like strictures or fistulas. The disease can progress over time, with symptoms varying in severity and frequency. The exact cause of Crohn’s disease is unknown, but it involves an abnormal immune response to intestinal bacteria in genetically susceptible individuals.

Trial ID:
2022-502050-14-00
Protocol code:
M16-194
Trial Phase:
Therapeutic confirmatory (Phase III)

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