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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-001240-35 | EudraCT Number |
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The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo as induction therapy in adults with moderately and severely active Crohn's disease (CD).
This study includes two parts:
In Part 1, participants will be randomized in a 2:1 ratio to upadacitinib 45 mg once daily (QD) or matching placebo for 12 weeks. The randomization will be stratified by baseline corticosteroid use (yes or no), endoscopic disease severity (Simplified Endoscopic Score for Crohn's disease [SES-CD] < 15 and ≥ 15), and number of prior biologics with prior inadequate response or intolerance (0, 1, > 1).
Participants who do not achieve clinical response at Week 12 will be able to enroll in Part 2 to receive a double-blind extended treatment with upadacitinib until Week 24. Clinical response is defined as a ≥ 30% decrease in average daily very soft or liquid stool frequency (SF) and/or ≥ 30% decrease in average daily abdominal pain (AP) score (both not worse than Baseline).
Participants who achieve clinical response at Week 12 may be eligible to enter the 52-week, double-blind, maintenance portion of Study M14-430 (NCT03345823).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Participants will receive placebo once daily for 12 weeks in Part 1. Clinical non-responders will receive 45 mg upadacitinib once daily for 12 weeks in Part 2. |
|
| Upadacitinib | Experimental | Participants will receive 45 mg upadacitinib once daily for 12 weeks in Part 1. Clinical non-responders will receive 30 mg upadacitinib once daily for 12 weeks in Part 2. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Upadacitinib | Drug | Oral; Tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12 | The co-primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was clinical remission based on CDAI at Week 12. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as a CDAI score less than 150. | Week 12 |
| Percentage of Participants With Clinical Remission Per Patient-Reported Outcomes (PROs) at Week 12 | The co-primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was clinical remission defined based on two patient reported outcomes, average daily stool frequency (SF) and average daily abdominal pain score (APS). Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of very soft or liquid SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit. | Week 12 |
| Percentage of Participants With Endoscopic Response at Week 12 | Endoscopic response at Week 12 was a co-primary endpoint for both the US/FDA and EU/EMA regulatory purposes. Endoscopic response was defined as greater than 50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline of the induction study (or for participants with an SES-CD of 4 at Baseline, at least a 2-point reduction from Baseline), as scored by independent external and blinded central readers. The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Endoscopic Remission at Week 12 | Endoscopic remission is defined as an SES-CD ≤ 4 and at least 2 point reduction from Baseline and no subscore > 1 in any individual variable,as scored by independent external and blinded central readers. The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 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. |
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Inclusion Criteria:
Confirmed diagnosis of CD for at least 3 months prior to Baseline.
Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score.
Evidence of mucosal inflammation based on the Simplified Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader.
Demonstrated an inadequate response or intolerance to one or more conventional and/or biologic therapies (oral locally acting steroids, intravenous or oral corticosteroids, immunosuppressants or biologic therapies for CD), in the opinion of the investigator.
If female, participant must meet the contraception recommendations.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ABBVIE INC. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| East View Medical Research, LLC /ID# 171176 | Mobile | Alabama | 36606 | United States | ||
| CB Flock Research Corporation /ID# 166185 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41763462 | Derived | Panaccione R, Panes J, Peyrin-Biroulet L, Colombel JF, Lindsay JO, Baert F, Atreya R, Vermeire S, Fujii T, Dubcenco E, Klaff J, Duncan B, Suravaram S, Fish I, Lacerda AP, Vladea R, Ford S, Shah S, Anyanwu SI, Rubin DT. Long-Term Safety of Upadacitinib in Patients With Inflammatory Bowel Disease: Integrated Analysis of Phase 2/3 Studies. Clin Gastroenterol Hepatol. 2026 Feb 27:S1542-3565(26)00145-X. doi: 10.1016/j.cgh.2026.02.018. Online ahead of print. | |
| 41264726 |
| Label | URL |
|---|---|
| This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses. | View source |
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AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
In Part 1 participants were randomly assigned in a 2:1 ratio to receive upadacitinib 45 mg or placebo, with randomization stratified by Baseline corticosteroid use (yes or no), endoscopic disease severity (Simple Endoscopic Score for Crohn's disease [SES-CD] < 15 and ≥ 15), and the number of previously failed biologic therapies (0, 1, and >1).
Eligible participants with moderately to severely active Crohn's disease (CD) were randomized at 209 sites in 42 countries. The study consisted of a 12-week double-blind induction treatment period, and a 12-week extended treatment period for participants who did not achieve clinical response at the end of the induction treatment period.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: Placebo | Participants received placebo once daily for 12 weeks in Part 1. |
| FG001 | Part 1: Upadacitinib 45 mg | Participants received 45 mg upadacitinib once daily for 12 weeks in Part 1. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Part 1: Induction Period (Weeks 1-12) |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 24, 2020 | Oct 3, 2022 |
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| Placebo for Upadacitinib | Drug | Oral; Tablet |
|
| Baseline and Week 12 |
| Baseline and Week 12 |
| Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per CDAI at Week 12 | Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per CDAI at Week 12, assessed for participants taking corticosteroids for CD at Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150. | Week 12 |
| Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) at Week 12 | The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants in the previous 7 days, including physical fatigue (e.g., I feel tired), functional fatigue (e.g., trouble finishing things), emotional fatigue (e.g., frustration), and social consequences of fatigue (e.g., limits social activity). Participants respond to the questions on a scale from 0 (not at all) to 4 (very much). The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue. A positive change from Baseline indicates improvement. | Baseline and Week 12 |
| Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 12 | The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with inflammatory bowel disease. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement. | Baseline and Week 12 |
| Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 2 | Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. | Baseline and Week 2 |
| Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 12 | Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. | Baseline and Week 12 |
| Percentage of Participants With Clinical Remission Per CDAI at Week 4 | CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150. | Week 4 |
| Percentage of Participants With Hospitalizations Due to Crohn's Disease (CD) During the 12-Week Induction Period | This was assessed by reviewing participant's hospitalization data. | 12 weeks |
| Percentage of Participants With Resolution of Extra-Intestinal Manifestation (EIMs) at Week 12 | EIMs are defined as manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver. Only participants with any EIM present at Baseline were included in the analysis of resolution of EIMs. Resolution of EIMs was defined as absence of all EIMs at the Week 12 visit. | Week 12 |
| Percentage of Participants With Clinical Remission Per PROs at Week 4 | Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 4 visit. | Week 4 |
| Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per PROs at Week 12 | Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per PROs at Week 12, assessed for participants taking corticosteroids for CD at Baseline. Clinical remission per PROs was defined as average daily very soft or liquid stool frequency (SF) ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily liquid or very soft SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit. | Week 12 |
| Mobile |
| Alabama |
| 36608 |
| United States |
| Delsol Research Management, Ll /Id# 170145 | Chandler | Arizona | 85224 | United States |
| HonorHealth Research Institute - Shea /ID# 164821 | Scottsdale | Arizona | 85258 | United States |
| Arizona Arthritis & Rheumatology Research, PLLC /ID# 164803 | Sun City | Arizona | 85306 | United States |
| Southern California Res. Ctr. /ID# 169655 | Coronado | California | 92118-1408 | United States |
| Citrus Valley Gastroenterology /ID# 166173 | Covina | California | 91722-3797 | United States |
| Hoag Memorial Hosp Presbyterian /ID# 222540 | Irvine | California | 92618 | United States |
| United Medical Doctors /ID# 207449 | Los Alamitos | California | 90720-3309 | United States |
| Gastrointestinal Biosciences Clinical Trials, LLC /ID# 164762 | Los Angeles | California | 90067-2001 | United States |
| Facey Medical Foundation /ID# 203136 | Mission Hills | California | 91345 | United States |
| United Medical Doctors - Murrieta /ID# 164945 | Murrieta | California | 92563 | United States |
| Ucsd /Id# 164910 | San Diego | California | 92103 | United States |
| Medical Assoc Research Grp /ID# 169706 | San Diego | California | 92123 | United States |
| Univ of California San Francis /ID# 164944 | San Francisco | California | 94158 | United States |
| Care Access Research /ID# 167767 | San Pablo | California | 94806 | United States |
| Peak Gastroenterology Associates, PC /ID# 170143 | Colorado Springs | Colorado | 80907 | United States |
| Delta Waves, Inc. /ID# 164776 | Colorado Springs | Colorado | 80918 | United States |
| Western States Clinical Res /ID# 164760 | Wheat Ridge | Colorado | 80033-2896 | United States |
| Medical Research Center of CT /ID# 164926 | Hamden | Connecticut | 06518 | United States |
| Clinical Research of West Florida, Inc /ID# 205827 | Clearwater | Florida | 33765 | United States |
| Clinical Research of West Florida, Inc /ID# 208118 | Clearwater | Florida | 33765 | United States |
| Advanced Research - Coral Springs /ID# 218021 | Coral Springs | Florida | 33067-3173 | United States |
| Encore Borland-Groover Clinical Research /Id# 203499 | Jacksonville | Florida | 32256 | United States |
| Ctr for Advanced Gastroenterol /ID# 165353 | Maitland | Florida | 32751-6108 | United States |
| Crystal Pharmacology Research /ID# 166081 | Miami | Florida | 33165 | United States |
| Coral Research Clinic /ID# 164890 | Miami | Florida | 33186-4643 | United States |
| Advanced Research Institute, Inc /ID# 164921 | New Port Richey | Florida | 34653 | United States |
| Endoscopic Research, Inc. /ID# 206136 | Orlando | Florida | 32803 | United States |
| Omega Research Maitland, LLC /ID# 203481 | Orlando | Florida | 32808 | United States |
| Clinical Research Trials of Florida, Inc. /ID# 203485 | Tampa | Florida | 33607 | United States |
| AdventHealth Tampa /ID# 171167 | Tampa | Florida | 33613-4680 | United States |
| Gastroenterology Associates of Central Georgia, LLC /ID# 165478 | Macon | Georgia | 31201 | United States |
| Gastroenterology Consultants PC - Roswell /ID# 218220 | Roswell | Georgia | 30076-4913 | United States |
| Atlanta Gastroenterology Spec /ID# 164799 | Suwanee | Georgia | 30024 | United States |
| Treasure Valley Medical Research /ID# 215032 | Boise | Idaho | 83706 | United States |
| Rush University Medical Center /ID# 165497 | Chicago | Illinois | 60612 | United States |
| University of Chicago Medicine /ID# 165503 | Chicago | Illinois | 60637-1426 | United States |
| DuPage Medical Group /ID# 205328 | Downers Grove | Illinois | 60515-5509 | United States |
| MediSphere Medical Research Center /ID# 166175 | Evansville | Indiana | 47714-8011 | United States |
| Indianapolis Gastroenterology /ID# 164938 | Indianapolis | Indiana | 46237 | United States |
| University of Iowa Hospitals and Clinics /ID# 165436 | Iowa City | Iowa | 52242 | United States |
| Tri-State Gastroenterology /ID# 165496 | Crestview Hills | Kentucky | 41017 | United States |
| University of Louisville /ID# 165366 | Louisville | Kentucky | 40202 | United States |
| University of Louisville /ID# 168572 | Louisville | Kentucky | 40202 | United States |
| CroNOLA, LLC /ID# 164823 | Houma | Louisiana | 70360 | United States |
| Nola Research Works, LLC /ID# 164759 | New Orleans | Louisiana | 70115 | United States |
| Louisana Research Center, LLC /ID# 164894 | Shreveport | Louisiana | 71105-6800 | United States |
| Johns Hopkins University School of Medicine /ID# 211941 | Baltimore | Maryland | 21287-0010 | United States |
| MGG Group Co, Inc.Chevy Chase Clinical Research /ID# 164935 | Chevy Chase | Maryland | 20815 | United States |
| Gastro Center of Maryland /ID# 171161 | Columbia | Maryland | 21045 | United States |
| Lahey Hospital and Medical Center /ID# 214726 | Burlington | Massachusetts | 01805 | United States |
| University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 164943 | Ann Arbor | Michigan | 48109 | United States |
| Digestive Health Associates (DHA) - Farmington Hills /ID# 205793 | Farmington Hills | Michigan | 48334-3230 | United States |
| Center for Digestive Health /ID# 164822 | Troy | Michigan | 48098-6363 | United States |
| Clin Res Inst of Michigan, LLC /ID# 170133 | Troy | Michigan | 48098 | United States |
| Mayo Clinic - Rochester /ID# 164783 | Rochester | Minnesota | 55905-0001 | United States |
| Southern Therapy and Advanced Research (STAR) LLC /ID# 165343 | Jackson | Mississippi | 39216 | United States |
| Quality Clinical Research Inc. /ID# 170137 | Omaha | Nebraska | 68114-3723 | United States |
| Duplicate_CHI Nebraska d/b/a CHI Health /ID# 168578 | Omaha | Nebraska | 68124 | United States |
| Las Vegas Medical Research /ID# 168588 | Las Vegas | Nevada | 89113 | United States |
| AGA Clinical Research Associates, LLC /ID# 164769 | Egg Harbor | New Jersey | 08234 | United States |
| Rutgers Robert Wood Johnson /ID# 166073 | New Brunswick | New Jersey | 08901 | United States |
| NY Scientific /ID# 164931 | Brooklyn | New York | 11235 | United States |
| United Health Services Hospitals, Inc /ID# 217485 | Johnson City | New York | 13790-2107 | United States |
| NYU Langone Long Island Clinical Research Associates /ID# 164927 | Lake Success | New York | 11042 | United States |
| The Mount Sinai Hospital /ID# 170257 | New York | New York | 10029 | United States |
| Columbia Univ Medical Center /ID# 164782 | New York | New York | 10032-3725 | United States |
| Gastoenterology Group of Rochester /ID# 166177 | Rochester | New York | 14618-5703 | United States |
| Richmond University Medical Center /ID# 201857 | Staten Island | New York | 10310-1664 | United States |
| Montefiore Medical Center - Moses Campus /ID# 166193 | The Bronx | New York | 10467 | United States |
| Advantage Clinical Trials /ID# 168546 | The Bronx | New York | 10468 | United States |
| Atrium Health Carolinas Medical Center /ID# 164932 | Charlotte | North Carolina | 28203 | United States |
| PMG Research of Charlotte /ID# 171160 | Charlotte | North Carolina | 28209 | United States |
| Wake Radiology UNC REX Healthcare - Raleigh Office /ID# 164904 | Raleigh | North Carolina | 27612 | United States |
| Wake Forest Baptist Medical Center /ID# 164908 | Winston-Salem | North Carolina | 27157-0001 | United States |
| Plains Clinical Research Center, LLC /ID# 170140 | Fargo | North Dakota | 58104-5925 | United States |
| Gastro Health Research /ID# 164791 | Cincinnati | Ohio | 45219 | United States |
| University of Cincinnati /ID# 164825 | Cincinnati | Ohio | 45267-0585 | United States |
| Cleveland Clinic Main Campus /ID# 209231 | Cleveland | Ohio | 44195 | United States |
| The Ohio State University /ID# 170141 | Columbus | Ohio | 43210 | United States |
| Optimed Research, Ltd. /ID# 205624 | Columbus | Ohio | 43235 | United States |
| Hometown Urgent Care and Resea /ID# 201291 | Dayton | Ohio | 45424 | United States |
| Dayton Gastroenterology, Inc. /ID# 167627 | Englewood | Ohio | 45415 | United States |
| Great Lakes Medical Research, LLC /ID# 202010 | Mentor | Ohio | 44060-6211 | United States |
| Digestive Disease Specialists /ID# 201064 | Oklahoma City | Oklahoma | 73112 | United States |
| Options Health Research, LLC /ID# 164820 | Tulsa | Oklahoma | 74104 | United States |
| Healthcare Research Consultant /ID# 166195 | Tulsa | Oklahoma | 74135 | United States |
| University of Pennsylvania /ID# 168430 | Philadelphia | Pennsylvania | 19104-5502 | United States |
| Pharmacorp Clinical Trials /ID# 164916 | Charleston | South Carolina | 29412 | United States |
| Gastroenterology Associates, P.A. of Greenville /ID# 164771 | Greenville | South Carolina | 29615-3593 | United States |
| Rapid City Medical Center - GI Research /ID# 201735 | Rapid City | South Dakota | 57701 | United States |
| Gastro One /ID# 164826 | Germantown | Tennessee | 38138 | United States |
| East Tennessee Research Institute /ID# 203613 | Johnson City | Tennessee | 37604 | United States |
| Quality Medical Research /ID# 205263 | Nashville | Tennessee | 37211 | United States |
| Vanderbilt University Medical Center /ID# 164946 | Nashville | Tennessee | 37232-0011 | United States |
| TX Clinical Research Institute /ID# 164896 | Arlington | Texas | 76012 | United States |
| Inquest Clinical Research /ID# 164785 | Baytown | Texas | 77521-2415 | United States |
| Texas Digestive Disease Consultants /ID# 209953 | Cedar Park | Texas | 78613-5028 | United States |
| Texas Digestive Disease Consultants /ID# 209801 | Cedar Park | Texas | 78613 | United States |
| Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 170144 | Dallas | Texas | 75246 | United States |
| CliniCore International, LLC /ID# 164902 | Houston | Texas | 77027-6812 | United States |
| Baylor College of Medicine - Baylor Medical Center /ID# 164947 | Houston | Texas | 77030-3411 | United States |
| Centex Studies, Inc. - Houston /ID# 201214 | Houston | Texas | 77058 | United States |
| GI Specialists of Houston /ID# 202339 | Houston | Texas | 77070-4347 | United States |
| Caprock Gastro Research, LLC /ID# 215438 | Lubbock | Texas | 79424-3017 | United States |
| Clinical Associates in Research Therapeutics of America, LLC /ID# 164786 | San Antonio | Texas | 78212 | United States |
| Southern Star Research Institute, LLC /ID# 169755 | San Antonio | Texas | 78229-5390 | United States |
| Carl R. Meisner Medical Clinic /ID# 201061 | Sugar Land | Texas | 77478 | United States |
| Tyler Research Institute, LLC /ID# 168687 | Tyler | Texas | 75701-4464 | United States |
| Gastro Health & Nutrition - Victoria /ID# 167812 | Victoria | Texas | 77904 | United States |
| HP Clinical Research /ID# 164933 | Bountiful | Utah | 84010 | United States |
| Advanced Research Institute /ID# 164784 | Ogden | Utah | 84403 | United States |
| Duplicate_Care Access Research /ID# 164794 | Salt Lake City | Utah | 84124-1377 | United States |
| Velocity Clinical Research - Salt Lake City /ID# 166076 | West Jordan | Utah | 84088 | United States |
| Washington Gastroenterology /ID# 164824 | Bellevue | Washington | 98004 | United States |
| Virginia Mason Medical Center /ID# 164913 | Seattle | Washington | 98101 | United States |
| The Vancouver Clinic, INC. PS /ID# 164918 | Vancouver | Washington | 98664 | United States |
| Allegiance Research Specialists /ID# 165346 | Wauwatosa | Wisconsin | 53226 | United States |
| Cardio Alem /ID# 211285 | San Isidro | Buenos Aires | 1642 | Argentina |
| Hospital Italiano de Buenos Aires /ID# 215541 | Ciudad Autonoma Buenos Aires | Ciuadad Autonoma de Buenos Aires | 1199 | Argentina |
| Gedyt /ID# 210020 | Ciudad Autonoma de Buenos Aire | Ciuadad Autonoma de Buenos Aires | 1115 | Argentina |
| Cemic /Id# 169182 | Ciudad Autonoma de Buenos Aire | Ciuadad Autonoma de Buenos Aires | 1431 | Argentina |
| Hospital Provincial del Centenario /ID# 171252 | Rosario | Santa Fe Province | 2000 | Argentina |
| Hospital Privado Univesitario /ID# 169230 | Córdoba | 5016 | Argentina |
| Concord Repatriation General Hospital /ID# 171512 | Concord | New South Wales | 2139 | Australia |
| Coral Sea Clinical Research institute /ID# 212988 | North Mackay | Queensland | 4740 | Australia |
| Mater Misericordiae Limited /ID# 204909 | South Brisbane | Queensland | 4101 | Australia |
| Royal Adelaide Hospital /ID# 171514 | Adelaide | South Australia | 5000 | Australia |
| Box Hill Hospital /ID# 203736 | Box Hill | Victoria | 3128 | Australia |
| Fiona Stanley Hospital /ID# 171513 | Murdoch | Western Australia | 6150 | Australia |
| Medizinische Universitaet Wien /ID# 169465 | Vienna | State of Vienna | 1090 | Austria |
| Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 214470 | Salzburg | 5020 | Austria |
| UCL Saint-Luc /ID# 200303 | Woluwe-Saint-Lambert | Brussels Capital | 1200 | Belgium |
| CHU de Liege Sart Tilman /ID# 217534 | Liège | Liege | 4000 | Belgium |
| AZ Sint-Lucas /ID# 200302 | Ghent | 9000 | Belgium |
| University Clinical Centre of the Republic of Srpska /ID# 208051 | Banja Luka | Republika Srpska | 78000 | Bosnia and Herzegovina |
| University Clinical Center Tuzla /ID# 210325 | Tuzla | Tuzlanski | 75000 | Bosnia and Herzegovina |
| Clinical Center University of Sarajevo /ID# 203887 | Sarajevo | 71000 | Bosnia and Herzegovina |
| Polyclinic and Daily Hospital Dr. Al-Tawil /ID# 217842 | Sarajevo | 71000 | Bosnia and Herzegovina |
| Instituto Goiano de Gastroenterologia e Endoscopia Digestiva /ID# 166852 | Goiânia | Goiás | 74535-170 | Brazil |
| Hospital Nossa Senhora das Graças /ID# 166863 | Curitiba | Paraná | 80810-040 | Brazil |
| Hospital de Clinicas de Porto Alegre /ID# 166862 | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil |
| Upeclin Fmb - Unesp /Id# 166867 | Botucatu | São Paulo | 18618-686 | Brazil |
| Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto - USP /ID# 166866 | Ribeirão Preto | São Paulo | 14051-140 | Brazil |
| Faculdade de Medicina do ABC /ID# 208323 | Santo André | São Paulo | 09060-870 | Brazil |
| Kaiser Clinica e Hospital Dia /ID# 166865 | São José do Rio Preto | São Paulo | 15015-110 | Brazil |
| UMHAT Kaspela EOOD /ID# 167613 | Plovdiv | 4001 | Bulgaria |
| Duplicate_Second MHAT Sofia /ID# 167614 | Sofia | 1202 | Bulgaria |
| MHAT Trakia /ID# 201679 | Stara Zagora | 6004 | Bulgaria |
| University of Calgary /ID# 166974 | Calgary | Alberta | T2N 4Z6 | Canada |
| Allen Whey Khye Lim Professional Corporation /ID# 168044 | Edmonton | Alberta | T5R 1W2 | Canada |
| University of Alberta - Zeidler Ledcor Centre /ID# 166971 | Edmonton | Alberta | T6G 2X8 | Canada |
| South Edmonton Gastroenterology Research Clinic /ID# 166978 | Edmonton | Alberta | T6K 4B2 | Canada |
| Fraser Clinical Trials Inc /ID# 166968 | New Westminster | British Columbia | V3L 3W4 | Canada |
| GIRI Gastrointestinal Research Institute /ID# 166975 | Vancouver | British Columbia | V6Z 2K5 | Canada |
| QEII - Health Sciences Centre /ID# 169307 | Halifax | Nova Scotia | B3H 2Y9 | Canada |
| Medicor Research Inc /ID# 166979 | Greater Sudbury | Ontario | P3A 1W8 | Canada |
| London Health Sciences Center /ID# 221038 | London | Ontario | N6A 5W9 | Canada |
| Scott Shulman Medicine Professional Corporation /ID# 169066 | North Bay | Ontario | P1B 2H3 | Canada |
| Taunton Surgical Centre /ID# 168043 | Oshawa | Ontario | L1H 7K4 | Canada |
| Ottawa Hospital Research Institute /ID# 212414 | Ottawa | Ontario | K1H 8L6 | Canada |
| Toronto Digestive Disease Asso /ID# 166972 | Vaughan | Ontario | L4L 4Y7 | Canada |
| CISSS de Chaudière-Appalaches, Hôpital Hotel-Dieu de Lévis /ID# 166969 | Lévis | Quebec | G6V 3Z1 | Canada |
| Centre Hospitalier de l'Universite de Montreal - CRCHUM /ID# 170120 | Montreal | Quebec | H2X 0A9 | Canada |
| Royal Victoria Hospital / McGill University Health Centre /ID# 170119 | Montreal | Quebec | H4A 3J1 | Canada |
| CIUSSS de l'Estrie - CHUS /ID# 170940 | Sherbrooke | Quebec | J1G 2E8 | Canada |
| M y F Estudios Clínicos /ID# 169984 | Santiago | Region Metropolitana Santiago | 7750495 | Chile |
| Research Group /ID# 203179 | Santiago | Santiago Metropolitan | 2540364 | Chile |
| Hospital Guillermo Grant Benavente de Concepción /ID# 212423 | Concepción | 4070038 | Chile |
| CTR Estudios Clinicos /ID# 203941 | Providencia | 7500571 | Chile |
| Hospital Clinico Universidad De Los Andes /ID# 207466 | Santiago | 7501504 | Chile |
| Zhongshan Hospital Xiamen University /ID# 204984 | Xiamen | Fujian | 361004 | China |
| The First Affiliated Hospital, Sun Yat-sen University /ID# 205228 | Guangzhou | Guangdong | 510080 | China |
| Nanfang Hospital of Southern Medical University /ID# 204083 | Guangzhou | Guangdong | 510515 | China |
| The Sixth Affiliated Hosp Sun /ID# 204077 | Guangzhou | Guangdong | 510655 | China |
| Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 204081 | Wuhan | Hubei | 430022 | China |
| Nanjing Drum Tower Hospital /ID# 204900 | Nanjing | Jiangsu | 210008 | China |
| The First Affiliated Hospital of Nanchang University /ID# 204092 | Nanchang | Jiangxi | 330006 | China |
| The First Hospital of Jilin University /ID# 206868 | Changchun | Jilin | 130021 | China |
| Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 204091 | Shanghai | Shanghai Municipality | 200065 | China |
| The second Affiliated hospital of Zhejiang University school of Medicine /ID# 204073 | Hangzhou | Zhejiang | 310009 | China |
| Sir Run Run Shaw Hospital,Meical School Zhejiang University /ID# 204076 | Hangzhou | Zhejiang | 310018 | China |
| Beijing Friendship Hospital /ID# 204173 | Beijing | 100032 | China |
| The Second Xiangya Hospital of Central South University /ID# 204082 | Changsha | 410011 | China |
| Duplicate_Tianjin Med Univ General Hosp /ID# 206994 | Tianjin | 300052 | China |
| Tongji Hospital Tongji Medical College of HUST /ID# 204088 | Wuhan | 430030 | China |
| Hospital Pablo Tobon Uribe /ID# 202404 | Medellín | Antioquia | 50034 | Colombia |
| Hospital Universitario San Vic /ID# 200029 | Medellín | 50010 | Colombia |
| Clinical Hospital Dubrava /ID# 171185 | Zagreb | City of Zagreb | 10000 | Croatia |
| Klinicki bolnicki centar Sestre milosrdnice /ID# 205535 | Zagreb | City of Zagreb | 10000 | Croatia |
| Klinicki bolnicki centar Zagreb /ID# 171203 | Zagreb | City of Zagreb | 10000 | Croatia |
| Poliklinika Solmed /ID# 211519 | Zagreb | City of Zagreb | 10000 | Croatia |
| UHC Split /ID# 171191 | Split | 21000 | Croatia |
| Zadar General Hospital /ID# 205536 | Zadar | 23000 | Croatia |
| Nemocnice Ceske Budejovice a.s. /ID# 224389 | České Budějovice | 370 01 | Czechia |
| Hepato-Gastroenterologie HK, s.r.o. /ID# 171401 | Hradec Králové | 500 12 | Czechia |
| ARTROSCAN s.r.o. /ID# 200790 | Ostrava | 722 00 | Czechia |
| ResTrial s.r.o. /ID# 208653 | Prague | 143 00 | Czechia |
| Herlev Hospital /ID# 202423 | Herlev | Capital Region | 2730 | Denmark |
| Nordsjaellands Hospital /ID# 202424 | Hilleroed | Capital Region | 3600 | Denmark |
| Kobenhavns Universitet - Hvidovre Hospital (HH) /ID# 202425 | Hvidovre | Capital Region | 2650 | Denmark |
| Duplicate_Sjaellands Universitets Hospital /ID# 209445 | Roskilde | Region Sjælland | 4000 | Denmark |
| Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171012 | Alexandria | 21131 | Egypt |
| Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171013 | Alexandria | 21131 | Egypt |
| Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 209564 | Alexandria | 21131 | Egypt |
| National Hepatology and Tropical Medicine Research Institute /ID# 170989 | Cairo | 11559 | Egypt |
| Air Force Specialized Hospital /ID# 170996 | Cairo | Egypt |
| National Liver Institute /ID# 170988 | Menoufiya | 35111 | Egypt |
| West Tallinn Central Hospital /ID# 202785 | Tallinn | 10617 | Estonia |
| CHU Grenoble - Hopital Michallon /ID# 219034 | La Tronche | 38700 | France |
| Clinique Jules Verne /ID# 219073 | Nantes | 44300 | France |
| CH Valenciennes /ID# 219035 | Valenciennes | 59300 | France |
| Universitatsklinikum Mannheim /ID# 168759 | Mannheim | Baden-Wurttemberg | 68167 | Germany |
| Universitaetsklinikum Ulm /ID# 203560 | Ulm | Baden-Wurttemberg | 89081 | Germany |
| Universitaetsklinikum Erlangen /ID# 203552 | Erlangen | Bavaria | 91054 | Germany |
| Universitaetsklinikum Frankfurt /ID# 203566 | Frankfurt am Main | Hesse | 60590 | Germany |
| Zentrum für Gastroenterologie Saar MVZ GmbH /ID# 206741 | Saarbrücken | Saarland | 66111 | Germany |
| Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 168757 | Kiel | Schleswig-Holstein | 24105 | Germany |
| Gastroenterologie am Mexikoplatz /ID# 203575 | Berlin | 14163 | Germany |
| Universitaetsmedizin Essen St. Josef Krankenhaus Werden /ID# 203570 | Essen | 45239 | Germany |
| Agaplesion Markus Krankenhaus /ID# 168758 | Frankfurt am Main | 60431 | Germany |
| Universitaetsklinikum Halle (Saale) /ID# 207455 | Halle | 06120 | Germany |
| Medizinisches Versorgungszentrum Portal 10 /ID# 200214 | Münster | 48155 | Germany |
| General Hospital of Athens Ippokratio /ID# 167045 | Athens | Attica | 11527 | Greece |
| General Hospital of Chest Diseases of Athens SOTIRIA /ID# 202104 | Athens | Attica | 11527 | Greece |
| Tzaneio general hospital of Piraeus /ID# 206433 | Piraeus | Attica | 18536 | Greece |
| University General Hospital of Heraklion PA.G.N.I /ID# 167044 | Heraklion | Crete | 71500 | Greece |
| General Hospital of Thessaloniki Hippokrateio /ID# 208825 | Thessaloniki | 54642 | Greece |
| Tuen Mun Hospital /ID# 171218 | Hong Kong | Hong Kong |
| Mohacsi Korhaz /ID# 209441 | Mohács | Baranya | 7700 | Hungary |
| CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 205547 | Encs | Borsod-Abauj Zemplen county | 3860 | Hungary |
| Debreceni Egyetem Klinikai Kozpont /ID# 216419 | Debrecen | Hajdú-Bihar | 4032 | Hungary |
| Bugat Pal Korhaz /ID# 201893 | Gyöngyös | Heves County | 3200 | Hungary |
| Szent Borbala Korhaz /ID# 209897 | Tatabánya | Komárom-Esztergom | 2800 | Hungary |
| Obudai Egeszsegugyi Centrum Kft. /ID# 201892 | Budapest | Pest County | 1036 | Hungary |
| Semmelweis Egyetem /ID# 210167 | Budapest | 1085 | Hungary |
| Magyar Honvedseg Egeszsegugyi Kozpont /ID# 201724 | Budapest | 1134 | Hungary |
| Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz /ID# 201723 | Debrecen | 4031 | Hungary |
| Pest Megyei Flor Ferenc Korhaz /ID# 206154 | Kistarcsa | 2143 | Hungary |
| Mentahaz Maganorvosi Kozpont /ID# 201895 | Székesfehérvár | 8000 | Hungary |
| Mercy University Hospital /ID# 206511 | Cork | T12 WE28 | Ireland |
| Soroka University Medical Center /ID# 169913 | Beersheba | Southern District | 8443901 | Israel |
| Tel Aviv Sourasky Medical Center /ID# 204877 | Tel Aviv | Tel Aviv | 6423906 | Israel |
| Assaf Harofeh Medical Center /ID# 204872 | Be’er Ya‘aqov | 70300 | Israel |
| Hadassah Medical Center-Hebrew University /ID# 169928 | Jerusalem | 91120 | Israel |
| Rabin Medical Center /ID# 202636 | Petah Tikva | 4941492 | Israel |
| Kaplan Medical Center /ID# 170276 | Rehovot | 7661041 | Israel |
| Policlinico Universitario Campus Bio-Medico /ID# 168183 | Rome | Lazio | 00128 | Italy |
| Azienda Ospedaliera San Camillo Forlanini /ID# 168184 | Rome | Lazio | 00152 | Italy |
| Istituto Clinico Humanitas /ID# 168185 | Rozzano | Milano | 20089 | Italy |
| Fondazione PTV Policlinico Tor Vergata /ID# 168188 | Rome | Roma | 00133 | Italy |
| Presidio Columbus-Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Un /ID# 168182 | Rome | Roma | 00168 | Italy |
| IRCCS Ospedale Sacro Cuore Don Calabria /ID# 168186 | Negrar | Verona | 37024 | Italy |
| IRCCS Azienda Ospedaliero-Universitaria di Bologna /ID# 168187 | Bologna | 40138 | Italy |
| A.O. Per L'Emergenza Cannizzaro /ID# 168190 | Catania | 95126 | Italy |
| Policlinico San Martino/Univer /ID# 168191 | Genova | 16132 | Italy |
| ASST Fatebenefratelli Sacco - Ospedale Fatebenefratelli e Oftalmico /ID# 168181 | Milan | 20121 | Italy |
| ASST Grande Ospedale Metropolitano Niguarda /ID# 170849 | Milan | 20162 | Italy |
| Azienda Ospedaliero-Universitaria di Modena /ID# 201897 | Modena | 41124 | Italy |
| A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 168189 | Palermo | 90146 | Italy |
| Azienda Ospedaliero Universitaria Pisana-Stabilimento di Cisanello /ID# 202421 | Pisa | 56125 | Italy |
| Aichi Medical University Hospital /ID# 165971 | Nagakute-shi | Aichi-ken | 480-1195 | Japan |
| Nagoya University Hospital /ID# 165969 | Nagoya | Aichi-ken | 4668560 | Japan |
| Nagoya City University Hospital /ID# 165970 | Nagoya | Aichi-ken | 467-8602 | Japan |
| Toyohashi Municipal Hospital /ID# 200175 | Toyohashi | Aichi-ken | 441-8570 | Japan |
| National Hospital Organization Hirosaki General Medical Center /ID# 165961 | Hirosaki-shi | Aomori | 036-8545 | Japan |
| Toho University Sakura Medical Center /ID# 165963 | Sakura-shi | Chiba | 285-8741 | Japan |
| Fukuoka University Chikushi Hospital /ID# 214404 | Chikushino-shi | Fukuoka | 818-8502 | Japan |
| Kurume University Hospital /ID# 166012 | Kurume-shi | Fukuoka | 830-0011 | Japan |
| National Hospital Organization Takasaki General Medical Center /ID# 167127 | Takasaki-shi | Gunma | 370-0829 | Japan |
| NHO Fukuyama Medical Center /ID# 167131 | Fukuyama-shi | Hiroshima | 720-8520 | Japan |
| Hiroshima University Hospital /ID# 166014 | Hiroshima | Hiroshima | 734-8551 | Japan |
| Asahikawa Medical University Hospital /ID# 167120 | Asahikawa-shi | Hokkaido | 078-8510 | Japan |
| Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 165960 | Sapporo | Hokkaido | 060-0033 | Japan |
| Sapporo Medical University Hospital /ID# 167124 | Sapporo | Hokkaido | 060-8543 | Japan |
| Sapporo IBD Clinic /ID# 223561 | Sapporo | Hokkaido | 064-0919 | Japan |
| Aoyama Clinic /ID# 166009 | Kobe | Hyōgo | 650-0015 | Japan |
| Hyogo College of Medicine College Hospital /Id# 165973 | Nishinomiya-shi | Hyōgo | 663-8501 | Japan |
| Kanazawa University Hospital /ID# 169218 | Kanazawa | Ishikawa-ken | 920-8641 | Japan |
| Iwate Medical University Uchimaru Medical Center /ID# 202464 | Morioka | Iwate | 020-8505 | Japan |
| Imamura General Hospital /ID# 227137 | Kagoshima | Kagoshima-ken | 890-0064 | Japan |
| Idzuro Imamura Hospital /ID# 206654 | Kagoshima | Kagoshima-ken | 892-0824 | Japan |
| Sameshima Hospital /ID# 206675 | Kagoshima | Kagoshima-ken | 892-0846 | Japan |
| Yokohama City University Medical Center /ID# 167128 | Yokohama | Kanagawa | 232-0024 | Japan |
| Japanese Red Cross Kyoto Daiichi Hosital /ID# 165972 | Kyoto | Kyoto | 605-0981 | Japan |
| Kyoto University Hospital /ID# 169889 | Kyoto | Kyoto | 606-8507 | Japan |
| Yokkaichi Hazu Medical Center /ID# 167196 | Yokkaichi-shi | Mie-ken | 510-0016 | Japan |
| Tohoku University Hospital /ID# 167122 | Sendai | Miyagi | 9808574 | Japan |
| Nara Medical University Hospital /ID# 169219 | Kashihara-shi | Nara | 634-8522 | Japan |
| Kenseikai Dongo Hospital /ID# 208104 | Yamatotakada-shi | Nara | 635-0022 | Japan |
| Niigata University Medical & Dental Hospital /ID# 170045 | Niigata | Niigata | 951-8520 | Japan |
| Ishida Clinic of IBD and Gastroenterology /ID# 167121 | Ōita | Oita Prefecture | 870-0823 | Japan |
| Chikuba Hospital for Proctological and Gastrointestinal Diseases /ID# 166010 | Kurashiki-shi | Okayama-ken | 710-0142 | Japan |
| Okayama University Hospital /ID# 167356 | Okayama | Okayama-ken | 700-8558 | Japan |
| Kinshukai Infusion Clinic /ID# 218872 | Osaka | Osaka | 530-0011 | Japan |
| Osaka Metropolitan University Hospital /ID# 166015 | Osaka | Osaka | 545-8586 | Japan |
| Osaka University Hospital /ID# 169663 | Suita-shi | Osaka | 565-0871 | Japan |
| Osaka Medical and Pharmaceutical University Hospital /ID# 206326 | Takatsuki-shi | Osaka | 569-8686 | Japan |
| Tokitokai Tokito clinic /ID# 165962 | Saitama-shi | Saitama | 336-0963 | Japan |
| Shiga University of Medical Science Hospital /ID# 167129 | Ōtsu | Shiga | 520-2192 | Japan |
| Hamamatsu University Hospital /ID# 224352 | Hamamatsu | Shizuoka | 431-3192 | Japan |
| NHO Shizuoka Medical Center /ID# 167125 | Sunto-gun | Shizuoka | 411-8611 | Japan |
| Tokyo Medical And Dental University Hospital /ID# 165965 | Bunkyo-ku | Tokyo | 113-8519 | Japan |
| Tokai University Hachioji Hospital /ID# 165967 | Hachioji-shi | Tokyo | 192-0032 | Japan |
| The Jikei University Hospital /ID# 167130 | Minato-ku | Tokyo | 105-8471 | Japan |
| Kyorin University Hospital /ID# 165966 | Mitaka-shi | Tokyo | 181-8611 | Japan |
| Tokyo Women's Medical University Hospital /ID# 205980 | Shinjuku-ku | Tokyo | 162-8666 | Japan |
| Toyama Prefectural Central Hospital /ID# 217834 | Toyama | Toyama | 930-8550 | Japan |
| Japanese Red Cross Wakayama Medical Center /ID# 200643 | Wakayama | Wakayama | 640-8558 | Japan |
| Wakayama Medical University Hospital /ID# 169482 | Wakayama | Wakayama | 641-8510 | Japan |
| Yamagata University Hospital /ID# 200157 | Yamagata | Yamagata | 990-9585 | Japan |
| VCA Polyclinic Aura /ID# 169498 | Riga | 1035 | Latvia |
| Pauls Stradins Clinical University Hospital /ID# 169519 | Riga | LV- 1002 | Latvia |
| Digestive Disease Center Gastro /ID# 169508 | Riga | LV-1079 | Latvia |
| Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 206936 | Kaunas | 50161 | Lithuania |
| Vilnius University Hospital Santaros Klinikos /ID# 203286 | Vilnius | 08661 | Lithuania |
| Hospital Sultanah Bahiyah /ID# 202626 | Alor Star | Kedah | 05460 | Malaysia |
| Universiti Sains Malaysia /ID# 200102 | Kelantan | Kelantan | 16150 | Malaysia |
| Universiti Kebangsaan Malaysia (UKM) Medical Centre /ID# 170773 | Kuala Lumpur | Selangor | 56000 | Malaysia |
| Instituto de Investigaciones Aplicadas a la Neurociencias A.C. /ID# 207579 | Durango | Durango | 34000 | Mexico |
| Morales Vargas Centro de Investigacion S.C. /ID# 203494 | León | Guanajuato | 37000 | Mexico |
| Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 207238 | Guadalajara | Jalisco | 44650 | Mexico |
| Radboud Universitair Medisch Centrum /ID# 166928 | Nijmegen | Gelderland | 6525 GA | Netherlands |
| Zuyderland Medisch Centrum /ID# 169700 | Heerlen | Limburg | 6419 PC | Netherlands |
| Onze Lieve Vrouwe Gasthuis /ID# 166929 | Amsterdam | 1091 AC | Netherlands |
| Academisch Medisch Centrum /ID# 166927 | Amsterdam | 1105 AZ | Netherlands |
| Medisch Spectrum Twente /ID# 170298 | Enschede | 7512 KZ | Netherlands |
| Malopolskie Centrum Kliniczne /ID# 202167 | Krakow | Lesser Poland Voivodeship | 30-149 | Poland |
| Vistamed /ID# 208572 | Wroclaw | Lower Silesian Voivodeship | 53-149 | Poland |
| Centrum Zdrowia MDM /ID# 200491 | Warsaw | Masovian Voivodeship | 00-635 | Poland |
| WIP Warsaw IBD Point Profesor Kierkus /ID# 224301 | Warsaw | Masovian Voivodeship | 00-728 | Poland |
| Centrum Medyczne Reuma Park /ID# 200490 | Warsaw | Masovian Voivodeship | 02-665 | Poland |
| Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 170245 | Guimarães | Braga District | 4835-044 | Portugal |
| Hospital Egas Moniz /ID# 170253 | Lisbon | Porto District | 1349-019 | Portugal |
| Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 200607 | Ponte de Lima | Viana do Castelo District | 4990-041 | Portugal |
| Hospital Garcia de Orta, EPE /ID# 170241 | Almada | 2805-267 | Portugal |
| Centro Hospitalar Universitario de Sao Joao, EPE /ID# 170248 | Porto | 4200-319 | Portugal |
| Mindful Medical Research /ID# 203358 | San Juan | 00918-3756 | Puerto Rico |
| School of Medicine University of Puerto Rico-Medical Science Campus /ID# 166771 | San Juan | 00935 | Puerto Rico |
| Institutul Clinic Fundeni /ID# 167817 | Sector 2 | Bucharest | 022328 | Romania |
| Clinica GASTRO MED SRL /ID# 206369 | Cluj-Napoca | Cluj | 400380 | Romania |
| Cabinet Particular Policlinic Algomed /ID# 167818 | Timișoara | 300002 | Romania |
| Immanuel Kant Baltic Federal University /ID# 203811 | Kaliningrad | Kaliningrad Oblast | 236016 | Russia |
| LLC Medical Center /ID# 209236 | Novosibirsk | Novosibirsk Oblast | 630099 | Russia |
| Perm Clinical Center of the Federal Medical and Biological Agency /ID# 202990 | Perm | Permskiy Kray | 614109 | Russia |
| LLC Novaya Klinika /ID# 206616 | Pyatigorsk | Stavropol Kray | 357500 | Russia |
| Professor Pasechnikov Gastroenterology and Pankreatology clinic /ID# 202997 | Stavropol | Stavropol Kray | 355012 | Russia |
| Kazan State Medical University /ID# 169638 | Kazan' | Tatarstan, Respublika | 420012 | Russia |
| Olla-Med Clinic /ID# 208720 | Moscow | 105554 | Russia |
| P.A. Bayandin Murmansk Regiona /ID# 169639 | Murmansk | 183047 | Russia |
| Republican hospital named after V.A. Baranov /ID# 206488 | Petrozavodsk | 185019 | Russia |
| Euromedservice /ID# 206610 | Pushkin | 196603 | Russia |
| X7 Clinical Research Center /ID# 216350 | Saint Petersburg | 194156 | Russia |
| City Clinical Hospital No. 31 /ID# 208868 | Saint Petersburg | 197110 | Russia |
| Clinical Hosp Center Zvezdara /ID# 168214 | Belgrade | Beograd | 11000 | Serbia |
| Military Medical Academy /ID# 168783 | Belgrade | Beograd | 11000 | Serbia |
| University Clinical Center Serbia /ID# 168215 | Belgrade | Beograd | 11000 | Serbia |
| Clin Hosp Ctr Bezanijska Kosa /ID# 168750 | Belgrade | Beograd | 11080 | Serbia |
| University Clinical Center Kragujevac /ID# 205859 | Kragujevac | Sumadijski Okrug | 34000 | Serbia |
| Clinical Center Vojvodina /ID# 168213 | Novi Sad | Vojvodina | 21000 | Serbia |
| KL Ling Gastroenterology and Liver Clinic /ID# 217962 | Singapore | 228510 | Singapore |
| Gleneagles Medical Centre /ID# 206531 | Singapore | 258499 | Singapore |
| Tan Tock Seng Hospital /ID# 203160 | Singapore | 308433 | Singapore |
| Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 169958 | Banská Bystrica | 975 17 | Slovakia |
| KM Management, spol. s.r.o. /ID# 170201 | Nitra | 949 01 | Slovakia |
| Univ Medical Ctr Ljubljana /ID# 217795 | Ljubljana | 1000 | Slovenia |
| Farmovs (Pty) Ltd /Id# 207535 | Bloemfontein | Free State | 9301 | South Africa |
| Lenasia Clinical Trial Centre /ID# 205145 | Johannesburg | Gauteng | 1820 | South Africa |
| Wits Clinical Research Site /ID# 170852 | Johannesburg | Gauteng | 2193 | South Africa |
| Allergy & Immunology (AIU) /ID# 171431 | Cape Town | Western Cape | 7700 | South Africa |
| Dr JP Wright /ID# 170887 | Cape Town | Western Cape | 7708 | South Africa |
| Private Practice Dr MN Rajabally /ID# 169853 | Cape Town | Western Cape | 7800 | South Africa |
| Hayang University GuriHospital /ID# 167587 | Guri-si | Gyeonggido | 11923 | South Korea |
| CHA University Bundang Medical Center /ID# 167592 | Seongnam-si | Gyeonggido | 13496 | South Korea |
| Kangbuk Samsung Hospital /ID# 167586 | Seoul | Seoul Teugbyeolsi | 03181 | South Korea |
| Yonsei University Health System Severance Hospital /ID# 167590 | Seoul | Seoul Teugbyeolsi | 03722 | South Korea |
| Inje University Haeundae Hospital /ID# 202630 | Busan | 48108 | South Korea |
| Dong-A University Hospital /ID# 167591 | Busan | 49201 | South Korea |
| Pusan National University Hospital /ID# 167589 | Busan | 49241 | South Korea |
| Kyungpook National University Hospital /ID# 207019 | Daegu | 41944 | South Korea |
| Samsung Medical Center /ID# 167588 | Seoul | 06351 | South Korea |
| Chung-Ang University Hostipal /ID# 207018 | Seoul | 06973 | South Korea |
| Hospital Universitari Son Espases /ID# 201998 | Palma de Mallorca | Balearic Islands | 07120 | Spain |
| Hospital Universitario de Navarra /ID# 202355 | Pamplona | Navarre | 31008 | Spain |
| Hospital Universitario A Coruna - CHUAC /ID# 203910 | A Coruña | 15006 | Spain |
| Hospital Clinic de Barcelona /ID# 201990 | Barcelona | 08036 | Spain |
| Hospital Universitario de Girona Doctor Josep Trueta /ID# 202645 | Girona | 17007 | Spain |
| Hospital Juan Ramon Jimenez /ID# 201995 | Huelva | 21005 | Spain |
| Hospital Universitario La Paz /ID# 201994 | Madrid | 28046 | Spain |
| Hospital Universitario de Salamanca /ID# 206358 | Salamanca | 37711 | Spain |
| Hospital Universitario Virgen Macarena /ID# 201993 | Seville | 41009 | Spain |
| Hospital Clinico Universitario de Valencia /ID# 209657 | Valencia | 46010 | Spain |
| Hospital Universitario y Politecnico La Fe /ID# 201992 | Valencia | 46026 | Spain |
| Hallands Hospital Halmstad /ID# 170828 | Halmstad | Halland County | 302 33 | Sweden |
| Karolinska University Hospital Solna /ID# 224488 | Solna | Stockholm County | 171 64 | Sweden |
| Alingsas lasarett /ID# 170826 | Alingsås | Västra Götaland County | 441 33 | Sweden |
| Sodra Alvsborgs sjukhus /ID# 203077 | Borås | Västra Götaland County | 501 82 | Sweden |
| Sahlgrenska University Hospital /ID# 169171 | Gothenburg | Västra Götaland County | 413 46 | Sweden |
| Universitätsspital Zürich /ID# 170998 | Zurich | Canton of Zurich | 8091 | Switzerland |
| Inselspital, Universitätsspital Bern /ID# 170997 | Bern | 3010 | Switzerland |
| China Medical University Hospital /ID# 169791 | Taichung | 40447 | Taiwan |
| Taichung Veterans General Hospital /ID# 169790 | Taichung | 40705 | Taiwan |
| National Taiwan University Hospital /ID# 169792 | Taipei | 100 | Taiwan |
| Acibadem Kozyatagi Hospital /ID# 209406 | Kadıköy | Istanbul | 34742 | Turkey (Türkiye) |
| Erciyes University Medical Fac /ID# 171331 | Melikgazi | Kayseri | 38030 | Turkey (Türkiye) |
| Ankara Univ Medical Faculty /ID# 206409 | Ankara | 06590 | Turkey (Türkiye) |
| Inonu Universitesi Turgut Ozal /ID# 201268 | Battalgazi/malatya | 44280 | Turkey (Türkiye) |
| Mustafa Kemal University Medic /ID# 171336 | Hatay | 31001 | Turkey (Türkiye) |
| Istanbul University Istanbul Medical Faculty /ID# 171364 | Istanbul | 34093 | Turkey (Türkiye) |
| Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi /ID# 171332 | Istanbul | 34899 | Turkey (Türkiye) |
| Mersin University Medical /ID# 171338 | Mersin | 33343 | Turkey (Türkiye) |
| Sisli Etfal Train & Res Hosp /ID# 171334 | Şişli | 34371 | Turkey (Türkiye) |
| Gazi Universitesi Tip Fakultes /ID# 217444 | Yenimahalle | 06560 | Turkey (Türkiye) |
| Medical Centre of "Ukrainian German Antiulcer Gastroenterology Centre BYK-KYIV" /ID# 203738 | Kyiv | Kyivska Oblast | 01030 | Ukraine |
| Kharkiv City Clinical Hospital No.2 n.a. Prof. O.O. Shalimov /ID# 167907 | Kharkiv | 61037 | Ukraine |
| Kyiv Municipal Clinical Hospital #18 /ID# 207889 | Kyiv | 01030 | Ukraine |
| MNI KRC Kyiv Regional Clinical Hospital /ID# 202454 | Kyiv | 04107 | Ukraine |
| Lviv Railway Clinical Hospital of branch Healthcare Centers of Public Joint Stoc /ID# 167908 | Lviv | 79000 | Ukraine |
| CNE Vinnytsya Regional Clinical Hospital named after N.I.Pirogov /ID# 222110 | Vinnytsia | 21028 | Ukraine |
| South Eastern Health and Social Care Trust /ID# 205323 | Belfast | Antrim | BT16 1RH | United Kingdom |
| Warrington and Halton Hospitals NHS Foundation Trust /ID# 171383 | Warrington | Cheshire West And Chester | WA5 1QG | United Kingdom |
| Warrington and Halton Hospitals NHS Foundation Trust /ID# 209086 | Warrington | Cheshire West And Chester | WA5 1QG | United Kingdom |
| Royal United Hospitals Bath /ID# 169074 | Bath | BA1 3NG | United Kingdom |
| University Hospitals Birmingham NHS Foundation Trust /ID# 169070 | Birmingham | B15 2TH | United Kingdom |
| The Dudley Group NHS Foundation Trust /ID# 169069 | Dudley | DY1 2HQ | United Kingdom |
| King's College Hospital NHS Foundation Trust /ID# 169072 | London | SE5 9RS | United Kingdom |
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 169075 | Newcastle upon Tyne | NE7 7DN | United Kingdom |
| Stockport NHS foundation trust /ID# 208719 | Stockport | SK2 7JE | United Kingdom |
| Taunton and Somerset NHS Foundation Trust /ID# 209665 | Taunton | TA1 5DA | United Kingdom |
| St George's University Hospitals NHS Foundation Trust /ID# 205552 | Tooting | SW17 0QT | United Kingdom |
| The Royal Wolverhampton NHS Trust /ID# 171382 | Wolverhampton | WV10 0QP | United Kingdom |
| Derived |
| Vermeire S, Colombel JF, Danese S, Panaccione R, Peyrin-Biroulet L, Beck K, Chaparro M, Gisbert JP, Dubcenco E, Klaff J, Naling G, Ford S, Remple V, Joshi N, Suravaram S, Duncan B, Wang Y, Wick-Urban B, Loftus EV. Benefit-risk profile of upadacitinib: exploratory post hoc analysis of phase 2b/3 studies in patients with moderately to severely active ulcerative colitis or Crohn's disease. J Crohns Colitis. 2026 Jan 9;20(1):jjaf198. doi: 10.1093/ecco-jcc/jjaf198. |
| 41189093 | Derived | Dubinsky MC, D'Haens G, Dewit O, Juillerat P, Panaccione R, Fujii T, Dubcenco E, Lacerda AP, Anyanwu SI, Ford S, Cunneen C, Fish I, Joshi N, Garrison A, Loftus EV. Efficacy and Safety with Upadacitinib by Baseline Corticosteroid Use in Patients with Moderately to Severely Active Crohn's Disease. Inflamm Bowel Dis. 2026 Mar 1;32(3):498-511. doi: 10.1093/ibd/izaf250. |
| 39231444 | Derived | Panes J, Louis E, Bossuyt P, Joshi N, Lee WJ, Lacerda AP, Kligys K, Xuan S, Shukla N, Loftus EV Jr. Induction of Endoscopic Response, Remission, and Ulcer-Free Endoscopy With Upadacitinib Is Associated With Improved Clinical Outcomes and Quality of Life in Patients With Crohn's Disease. Inflamm Bowel Dis. 2025 Feb 6;31(2):394-403. doi: 10.1093/ibd/izae200. |
| 38982567 | Derived | Bhatnagar S, Schlachter L, Eckert D, Stodtmann S, Liu W, Lacerda AP, Mohamed MF. Pharmacokinetics and Exposure-Response Analyses to Support Dose Selection of Upadacitinib in Crohn's Disease. Clin Pharmacol Ther. 2024 Nov;116(5):1240-1251. doi: 10.1002/cpt.3359. Epub 2024 Jul 9. |
| 38835235 | Derived | Ghosh S, Feagan BG, Parra RS, Lopes S, Steinlauf A, Kakuta Y, Joshi N, Lee WJ, Lacerda AP, Zhou Q, Xuan S, Kligys K, Shukla N, Louis E. Impact of Upadacitinib Induction and Maintenance Therapy on Health-related Quality of Life, Fatigue, and Work Productivity in Patients with Moderately-to-severely Active Crohn's Disease. J Crohns Colitis. 2024 Nov 4;18(11):1804-1818. doi: 10.1093/ecco-jcc/jjae083. |
| 38492904 | Derived | Peyrin-Biroulet L, Panaccione R, Louis E, Atreya R, Rubin DT, Lindsay JO, Siffledeen J, Lukin DJ, Wright J, Watanabe K, Ford S, Remple VP, Lacerda AP, Dubcenco E, Garrison A, Zhou Q, Berg S, Anyanwu SI, Schreiber S. Upadacitinib Achieves Clinical and Endoscopic Outcomes in Crohn's Disease Regardless of Prior Biologic Exposure. Clin Gastroenterol Hepatol. 2024 Oct;22(10):2096-2106. doi: 10.1016/j.cgh.2024.02.026. Epub 2024 Mar 15. |
| 38492903 | Derived | Colombel JF, Hisamatsu T, Atreya R, Bresso F, Thin L, Panaccione R, Parra RS, Ford S, Remple VP, Lacerda AP, Anyanwu SI, Mallick M, Garrison A, Regueiro M. Upadacitinib Reduces Crohn's Disease Symptoms Within the First Week of Induction Therapy. Clin Gastroenterol Hepatol. 2024 Aug;22(8):1668-1677. doi: 10.1016/j.cgh.2024.02.027. Epub 2024 Mar 15. |
| 37224198 | Derived | Loftus EV Jr, Panes J, Lacerda AP, Peyrin-Biroulet L, D'Haens G, Panaccione R, Reinisch W, Louis E, Chen M, Nakase H, Begun J, Boland BS, Phillips C, Mohamed MF, Liu J, Geng Z, Feng T, Dubcenco E, Colombel JF. Upadacitinib Induction and Maintenance Therapy for Crohn's Disease. N Engl J Med. 2023 May 25;388(21):1966-1980. doi: 10.1056/NEJMoa2212728. |
| FG002 | Part 2: Placebo / Upadacitinib 45 mg | Participants who received placebo during Part 1 and did not achieve clinical response at Week 12 received induction treatment with 45 mg upadacitinib once daily from Week 12 to Week 24. |
| FG003 | Part 2: Upadacitinib 45 mg / Upadacitinib 30 mg | Participants who received upadacitinib during Part 1 and did not achieve clinical response at Week 12 received 30 mg upadacitinib once daily from Week 12 to Week 24. |
| Received Study Drug |
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| COMPLETED |
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| NOT COMPLETED |
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| Part 2: Extended Treatment (Weeks 12-24) |
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Intention-to-treat (ITT) population for the 12-week double-blind induction period includes all randomized participants who received at least one dose of double-blind study drug during Part 1.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received placebo once daily for 12 weeks in Part 1. |
| BG001 | Upadacitinib 45 mg | Participants received 45 mg upadacitinib once daily for 12 weeks in Part 1. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Baseline Corticosteroid Use | Count of Participants | Participants |
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| Number of Previously Failed Biologics | Zero previously failed biologics includes those who never used biologics previously, and/or who have used and stopped due to reasons other than inadequate response and/or intolerance. Failed treatment includes an inadequate response or intolerance to treatment. | Count of Participants | Participants |
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| Endoscopic Disease Severity | Endoscopic disease severity was scored using the Simplified Endoscopic Score for Crohn's Disease (SES-CD). 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. | Count of Participants | Participants |
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| Duration of Crohn's Disease | Mean | Standard Deviation | years |
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| Crohn's Disease Activity Index (CDAI) Score | The Crohn's Disease Activity Index (CDAI) is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as physical and laboratory findings. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. | Participants with available data | Mean | Standard Deviation | score on a scale |
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| Average Daily Abdominal Pain Score | Participants were asked to rate their abdominal pain on a daily basis in an electronic diary using the following scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The average daily abdominal pain score was calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Baseline visit. | Mean | Standard Deviation | score on a scale |
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| Average Daily Very Soft or Liquid Stool Frequency | Participants were asked to record the number of very soft or liquid stools on a daily basis in an electronic diary. The average daily very soft or liquid stool frequency was calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Baseline visit. | Mean | Standard Deviation | stools/day |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12 | The co-primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was clinical remission based on CDAI at Week 12. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as a CDAI score less than 150. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
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| Primary | Percentage of Participants With Clinical Remission Per Patient-Reported Outcomes (PROs) at Week 12 | The co-primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was clinical remission defined based on two patient reported outcomes, average daily stool frequency (SF) and average daily abdominal pain score (APS). Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of very soft or liquid SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
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| Primary | Percentage of Participants With Endoscopic Response at Week 12 | Endoscopic response at Week 12 was a co-primary endpoint for both the US/FDA and EU/EMA regulatory purposes. Endoscopic response was defined as greater than 50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline of the induction study (or for participants with an SES-CD of 4 at Baseline, at least a 2-point reduction from Baseline), as scored by independent external and blinded central readers. The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 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. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and Week 12 |
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| Secondary | Percentage of Participants With Endoscopic Remission at Week 12 | Endoscopic remission is defined as an SES-CD ≤ 4 and at least 2 point reduction from Baseline and no subscore > 1 in any individual variable,as scored by independent external and blinded central readers. The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 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. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and Week 12 |
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| Secondary | Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per CDAI at Week 12 | Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per CDAI at Week 12, assessed for participants taking corticosteroids for CD at Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population) who were taking corticosteroids for Crohn's disease at Baseline. Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
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| Secondary | Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) at Week 12 | The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants in the previous 7 days, including physical fatigue (e.g., I feel tired), functional fatigue (e.g., trouble finishing things), emotional fatigue (e.g., frustration), and social consequences of fatigue (e.g., limits social activity). Participants respond to the questions on a scale from 0 (not at all) to 4 (very much). The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue. A positive change from Baseline indicates improvement. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population); missing data were handled using a mixed-effect model with repeated measurements (MMRM). The Overall Number of Participants Analyzed presented below is based on the number of participants with non-missing Baseline and Week 12 values. | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | Baseline and Week 12 |
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| Secondary | Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 12 | The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with inflammatory bowel disease. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population); missing data were handled using a mixed-effect model with repeated measurements (MMRM). The Overall Number of Participants Analyzed presented below is based on the number of participants with non-missing Baseline and Week 12 values. | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | Baseline and Week 12 |
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| Secondary | Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 2 | Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 2 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and Week 2 |
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| Secondary | Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 12 | Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and Week 12 |
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| Secondary | Percentage of Participants With Clinical Remission Per CDAI at Week 4 | CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 4 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 4 |
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| Secondary | Percentage of Participants With Hospitalizations Due to Crohn's Disease (CD) During the 12-Week Induction Period | This was assessed by reviewing participant's hospitalization data. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). | Posted | Number | 95% Confidence Interval | percentage of participants | 12 weeks |
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| Secondary | Percentage of Participants With Resolution of Extra-Intestinal Manifestation (EIMs) at Week 12 | EIMs are defined as manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver. Only participants with any EIM present at Baseline were included in the analysis of resolution of EIMs. Resolution of EIMs was defined as absence of all EIMs at the Week 12 visit. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population) with any EIM at Baseline. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
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| Secondary | Percentage of Participants With Clinical Remission Per PROs at Week 4 | Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 4 visit. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population). Participants with missing data or who withdrew prior to Week 4 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 4 |
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| Secondary | Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per PROs at Week 12 | Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per PROs at Week 12, assessed for participants taking corticosteroids for CD at Baseline. Clinical remission per PROs was defined as average daily very soft or liquid stool frequency (SF) ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline. Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe). The average daily liquid or very soft SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit. | Randomized participants who received at least one dose of double-blind study drug during Part 1 (intention-to-treat population) who were taking corticosteroids for Crohn's disease at Baseline. Participants with missing data or who withdrew prior to Week 12 were counted as non-responders (non-responder imputation); missing data due to COVID-19 infection or logistical restriction were handled by multiple imputation. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
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Part 1: 12 weeks Part 2: 12 weeks
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: Placebo | Participants received placebo once daily for 12 weeks in Part 1. | 0 | 176 | 12 | 176 | 37 | 176 |
| EG001 | Part 1: Upadacitinib 45 mg | Participants received 45 mg upadacitinib once daily for 12 weeks in Part 1. | 0 | 350 | 24 | 350 | 92 | 350 |
| EG002 | Part 2: Placebo / Upadacitinib 45 mg | Participants who received placebo during Part 1 and did not achieve clinical response at Week 12 received induction treatment with 45 mg upadacitinib once daily from Week 12 to Week 24. | 0 | 57 | 4 | 57 | 14 | 57 |
| EG003 | Part 2: Upadacitinib 45 mg / Upadacitinib 30 mg | Participants who received upadacitinib during Part 1 and did not achieve clinical response at Week 12 received 30 mg upadacitinib once daily from Week 12 to Week 24. | 1 | 59 | 6 | 59 | 13 | 59 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 24.0 | Systematic Assessment |
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| IRON DEFICIENCY ANAEMIA | Blood and lymphatic system disorders | MedDRA 24.0 | Systematic Assessment |
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| ABDOMINAL PAIN | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| ANAL FISTULA | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| CONSTIPATION | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| CROHN'S DISEASE | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| ENTERITIS | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| ILEAL STENOSIS | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| ILEUS | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| INTESTINAL OBSTRUCTION | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| INTESTINAL PERFORATION | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| LARGE INTESTINAL STENOSIS | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| LARGE INTESTINE PERFORATION | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| LOWER GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| SMALL INTESTINAL OBSTRUCTION | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| PYREXIA | General disorders | MedDRA 24.0 | Systematic Assessment |
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| CHOLECYSTITIS ACUTE | Hepatobiliary disorders | MedDRA 24.0 | Systematic Assessment |
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| ANAL ABSCESS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| APPENDICITIS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| COVID-19 | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| COVID-19 PNEUMONIA | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| GASTROENTERITIS ROTAVIRUS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| GASTROENTERITIS VIRAL | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| OSTEOMYELITIS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| PNEUMONIA | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| RECTAL ABSCESS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| FALL | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| FEMORAL NECK FRACTURE | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| HYPOKALAEMIA | Metabolism and nutrition disorders | MedDRA 24.0 | Systematic Assessment |
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| FLANK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| CEREBROVASCULAR ACCIDENT | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| PARAESTHESIA | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| SEIZURE | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| ACUTE KIDNEY INJURY | Renal and urinary disorders | MedDRA 24.0 | Systematic Assessment |
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| NEPHROLITHIASIS | Renal and urinary disorders | MedDRA 24.0 | Systematic Assessment |
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| ACUTE RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
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| METASTATIC CUTANEOUS CROHN'S DISEASE | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 24.0 | Systematic Assessment |
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| CROHN'S DISEASE | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| PYREXIA | General disorders | MedDRA 24.0 | Systematic Assessment |
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| COVID-19 | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| NASOPHARYNGITIS | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| ACNE | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| RASH | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | AbbVie | 800-633-9110 | abbvieclinicaltrials@abbvie.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 22, 2022 | Oct 31, 2022 | SAP_002.pdf |
Not provided
| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000613732 | upadacitinib |
Not provided
Not provided
Not provided
| Withdrawal by Subject |
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| Lack of Efficacy |
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| Coronavirus Disease-2019 (COVID-19) Infection |
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| COVID-19 Logistical Restrictions |
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| Other |
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| Superiority |
The overall type I error rate of the co-primary and ranked secondary endpoints were strongly controlled using a fixed sequence multiple-testing procedure as well as a Holm procedure. The testing utilized the sequence of hypothesis testing for the co-primary endpoints using two-sided α of 0.05 followed by a set of ranked key secondary endpoints, defined separately for US/FDA and European Union/European Medicines Agency regulatory purposes. |
Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1.
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Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1.
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| Units | Counts |
|---|---|
| Participants |
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| OG001 | Upadacitinib 45 mg QD | Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1. |
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Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1.
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| Units | Counts |
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| Participants |
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Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1.
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Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1.
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| Units | Counts |
|---|---|
| Participants |
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| Upadacitinib 45 mg QD |
Participants received 45 mg upadacitinib once daily (QD) for 12 weeks in Part 1. |
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