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D003424: Crohn Disease

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (29)


Name (Synonyms) Correlation
drug4091 risankizumab IV Wiki 0.45
drug4092 risankizumab SC Wiki 0.45
drug3892 fsfi survey Wiki 0.32
Name (Synonyms) Correlation
drug2902 Risankizumab Wiki 0.32
drug4039 placebo for risankizumab IV Wiki 0.32
drug3896 global survey Wiki 0.32
drug958 Cytochrome P450 (CYP) Substrates Wiki 0.32
drug3591 Upadacitinib Wiki 0.32
drug3900 home care monitoring Wiki 0.32
drug3901 home spirometry Wiki 0.32
drug3903 hospitalized children with Covid19 Wiki 0.32
drug3893 further processing of health data Wiki 0.32
drug2545 Placebo for Upadacitinib Wiki 0.32
drug3912 hyperbaric oxygen therapy (HBOT) Wiki 0.32
drug2543 Placebo for Risankizumab IV Wiki 0.32
drug2336 Ontamalimab Wiki 0.32
drug726 Cannabis, Medical Wiki 0.32
drug1046 Diagnostic test for SARS-Cov2 for patients and health staff Wiki 0.32
drug2904 Risankizumab SC Wiki 0.32
drug3334 TAK-018 Wiki 0.32
drug2544 Placebo for Risankizumab SC Wiki 0.32
drug994 Darvadstrocel Wiki 0.32
drug3335 TAK-018 Placebo Wiki 0.32
drug2903 Risankizumab IV Wiki 0.32
drug4038 placebo for risankizumab Wiki 0.22
drug422 BNT162b2 Wiki 0.22
drug3882 exhaled breath sampling Wiki 0.18
drug421 BNT162b1 Wiki 0.18
drug2505 Placebo Wiki 0.04

Correlated MeSH Terms (30)


Name (Synonyms) Correlation
D000070627 Chronic Traumatic Encephalopathy NIH 0.32
D005402 Fistula NIH 0.32
D005879 Tourette Syndrome NIH 0.32
Name (Synonyms) Correlation
D000690 Amyotrophic Lateral Sclerosis NIH 0.22
D000755 Anemia, Sickle Cell NIH 0.22
D012008 Recurrence NIH 0.22
D016472 Motor Neuron Disease NIH 0.22
D001714 Bipolar Disorder NIH 0.22
D012640 Seizures NIH 0.18
D005356 Fibromyalgia NIH 0.16
D001927 Brain Diseases NIH 0.16
D010300 Parkinsonian NIH 0.12
D015212 Inflammatory Bowel Diseases NIH 0.12
D000070642 Brain Injuries, Traumatic NIH 0.11
D003092 Colitis NIH 0.11
D003093 Colitis, Ulcerative NIH 0.11
D014456 Ulcer NIH 0.11
D001930 Brain Injuries, NIH 0.10
D059350 Chronic Pain NIH 0.10
D012598 Scoliosi NIH 0.09
D009103 Multiple Sclerosis NIH 0.09
D040921 Stress Disorders, Traumatic NIH 0.06
D014947 Wounds and Injuries NIH 0.06
D013313 Stress Disorders, Post-Traumatic NIH 0.05
D004194 Disease NIH 0.05
D013577 Syndrome NIH 0.03
D003141 Communicable Diseases NIH 0.02
D007239 Infection NIH 0.02
D045169 Severe Acute Respiratory Syndrome NIH 0.01
D018352 Coronavirus Infections NIH 0.01

Correlated HPO Terms (10)


Name (Synonyms) Correlation
HP:0100280 Crohn's disease HPO 1.00
HP:0006802 Abnormal anterior horn cell morphology HPO 0.32
HP:0007354 Amyotrophic lateral sclerosis HPO 0.32
Name (Synonyms) Correlation
HP:0100754 Mania HPO 0.22
HP:0001250 Seizure HPO 0.18
HP:0001298 Encephalopathy HPO 0.16
HP:0002037 Inflammation of the large intestine HPO 0.12
HP:0002583 Colitis HPO 0.11
HP:0100279 Ulcerative colitis HPO 0.11
HP:0012532 Chronic pain HPO 0.11

Clinical Trials

Navigate: Correlations   HPO

There are 10 clinical trials


1 A Multicenter, Randomized, Double-Blind, Placebo-Controlled Induction Study to Assess the Efficacy and Safety of Risankizumab in Subjects With Moderately to Severely Active Crohn's Disease Who Failed Prior Biologic Treatment

The objective of Study M15-991 is to evaluate the efficacy and safety of risankizumab versus placebo during induction therapy in participants with moderately to severely active CD.

NCT03104413
Conditions
  1. Crohn's Disease
Interventions
  1. Drug: placebo for risankizumab IV
  2. Drug: risankizumab SC
  3. Drug: risankizumab IV
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission per average daily SF and average daily AP score.

Measure: Percentage of Participants With Clinical Remission

Time: Week 12

Description: Endoscopic response defined as decrease from Baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD).

Measure: Percentage of Participants With Endoscopic Response

Time: Week 12

Secondary Outcomes

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

Time: Week 12

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Time: Up to Week 12

Description: Clinical remission per average daily SF and average daily AP score.

Measure: Percentage of Participants With Clinical Remission

Time: Week 4

Description: The FACIT-Fatigue is a validated tool that measures an individual's level of fatigue during their usual daily activities.

Measure: Mean Change From Baseline of Induction in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue

Time: Week 12

Description: Response in IBDQ Bowel Symptom domain is defined as increase of IBDQ bowel symptom domain score >=8 from Baseline

Measure: Mean Change From Baseline of Induction in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score

Time: Week 12

Description: Enhanced clinical response defined as decrease in average daily SF and/or decrease in average daily AP score, and/or clinical remission per average daily SF and average daily AP score. Endoscopic response defined as decrease from Baseline in SES-CD.

Measure: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response

Time: Week 12

Description: Endoscopic remission is defined as decrease in SES-CD as compared to baseline

Measure: Percentage of Participants With Endoscopic Remission

Time: Week 12

Description: Enhanced clinical response defined as decrease in average daily SF and/or decrease in average daily AP score, and/or clinical remission per average daily SF and average daily AP score.

Measure: Percentage of Participants With Enhanced Clinical Response

Time: Up to Week 12

Description: Endoscopic healing was assessed using SES-CD.

Measure: Percentage of Participants With Ulcer-Free Endoscopy

Time: Week 12

Description: Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Measure: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline

Time: Week 12

Description: Participants with an event that results in admission to the hospital.

Measure: Percentage of Participants With CD-Related Hospitalization

Time: Up to Week 12

Description: Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.

Measure: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline

Time: Week 12
2 A Multicenter, Randomized, Double-Blind, Placebo Controlled 52-Week Maintenance and an Open-Label Extension Study of the Efficacy and Safety of Risankizumab in Subjects With Crohn's Disease

The study consists of 3 sub-studies, as follows: - Sub-study 1 (Randomized, double-blind, placebo controlled study) to evaluate the efficacy and safety of risankizumab versus placebo as maintenance therapy in participants with moderately to severely active Crohn's disease (CD) who responded to risankizumab induction treatment in Study M16-006 or Study M15-991 - Sub-study 2 (Randomized, exploratory maintenance study) to evaluate the efficacy and safety of two different dosing regimens for risankizumab as maintenance therapy in participants who responded to induction treatment in Study M16-006 or Study M15-991; - Sub-study 3 (Open-label, long-term extension study) to evaluate long-term safety of risankizumab in participants who completed Sub-study 1, Sub-study 2 or the Phase 2, open-label extension study M15-989, or participants who responded to induction treatment in Study M16-006 or Study M15-991 with no final endoscopy due to the Covid-19 pandemic.

NCT03105102
Conditions
  1. Crohn's Disease
Interventions
  1. Drug: Placebo for Risankizumab SC
  2. Drug: Risankizumab IV
  3. Drug: Placebo for Risankizumab IV
  4. Drug: Risankizumab SC
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission per average daily stool frequency (SF) and average daily AP score.

Measure: Sub-Study 1: Percentage of Participants With Clinical Remission

Time: Week 52

Description: Endoscopic response defined as decrease from Baseline of the induction study in Simple Endoscopic Score for Crohn's Disease (SES-CD).

Measure: Sub-Study 1: Percentage of Participants With Endoscopic Response

Time: Week 52

Description: An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent AEs are defined as any event that began or worsened in severity after the first dose of study drug. For more details on adverse events please see the Adverse Event section.

Measure: Sub-Study 3: Number of Participants With Adverse Events

Time: Up to Week 220

Secondary Outcomes

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Sub-Study 1: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

Time: Week 52

Description: Clinical remission per average daily SF and average daily AP score.

Measure: Sub-Study 1: Percentage of Participants With Clinical Remission Among Participants With Clinical Remission in Week 0

Time: Week 52

Description: Endoscopic healing was assessed using SES-CD.

Measure: Sub-Study 1: Percentage of Participants With Ulcer-Free Endoscopy

Time: Week 52

Description: Endoscopic Remission is defined as SES-CD <= 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable, as scored by a central reviewer

Measure: Sub-Study 1: Percentage of Participants With Endoscopic Remission

Time: Week 52

Description: Response in IBDQ Bowel Symptom domain is defined as increase of IBDQ bowel symptom domain score >=8 from Baseline

Measure: Sub-Study 1: Mean Change From Baseline of Induction in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score

Time: Week 52

Description: The FACIT-Fatigue is a validated tool that measures an individual's level of fatigue during their usual daily activities over the past week.

Measure: Sub-Study 1: Mean Change From Baseline of Induction in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue)

Time: Week 52

Description: Participants who discontinued corticosteroid use and achieved clinical remission per average daily SF and average daily AP score.

Measure: Sub-Study 1: Percentage of Participants Who Discontinued Corticosteroid Use for 90 Days and Achieved Clinical Remission in Participants Taking Steroids at Baseline

Time: Week 52

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Sub-Study 1: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Time: Week 52

Description: Clinical remission per average daily SF and average daily AP score. Endoscopic response defined as decrease from Baseline of the induction study in Simple Endoscopic Score for Crohn's Disease (SES-CD).

Measure: Sub-Study 1: Percentage of Participants With Clinical Remission and Endoscopic Response

Time: Week 52

Description: Enhanced clinical response defined as decrease in average daily SF and/or decrease in average daily AP score, and/or clinical remission per average daily SF and average daily AP score.

Measure: Sub-Study 1: Percentage of Participants With Enhanced Clinical Response

Time: Week 52

Description: Deep remission defined as subjects with both clinical remission (per average daily SF and average daily AP score) and endoscopic healing (assessed using SES-CD).

Measure: Sub-Study 1: Percentage of Participants With Deep Remission

Time: Week 52

Description: Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Measure: Sub-Study 1: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs) in Participants With Any EIMs at Baseline of Induction

Time: Week 52

Description: Participants with an event that results in admission to the hospital.

Measure: Sub-Study 1: Percentage of Participants With CD-Related Hospitalizations

Time: Up to Week 52

Description: Participants without draining fistulas at Week 52 in subjects with draining fistulas at baseline of the induction study.

Measure: Sub-Study 1: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline of Induction

Time: Week 52

Description: Participants who underwent surgery related to CD.

Measure: Sub-Study 1: Percentage of Participants With Crohn's Disease (CD)-Related Surgeries

Time: Up to Week 52
3 A Multicenter, Randomized, Double-Blind, Placebo Controlled Induction Study of the Efficacy and Safety of Risankizumab in Subjects With Moderately to Severely Active Crohn's Disease

The purpose of this study is to evaluate the efficacy and safety of risankizumab versus placebo during induction therapy in participants with moderately to severely active Crohn's disease (CD).

NCT03105128
Conditions
  1. Crohn's Disease
Interventions
  1. Drug: placebo for risankizumab
  2. Drug: risankizumab IV
  3. Drug: risankizumab SC
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission per average daily stool frequency (SF) and average daily abdominal pain (AP) score.

Measure: Percentage of Participants With Clinical Remission

Time: Week 12

Description: Endoscopic response defined as decrease from Baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD).

Measure: Percentage of Participants With Endoscopic Response

Time: Week 12

Secondary Outcomes

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

Time: Week 12

Description: The CDAI is used to evaluate disease activity in patients with Crohn's disease.

Measure: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Time: Up to Week 12

Description: Clinical remission per average daily stool frequency (SF) and average daily abdominal pain (AP) score.

Measure: Percentage of Participants With Clinical Remission

Time: Week 4

Description: The FACIT-Fatigue is a validated tool that measures an individual's level of fatigue during their usual daily activities.

Measure: Mean Change From Baseline of Induction in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue

Time: Week 12

Description: Response in IBDQ Bowel Symptom domain is defined as increase of IBDQ bowel symptom domain score >=8 from Baseline

Measure: Mean Change From Baseline of Induction in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score

Time: Week 12

Description: Enhanced clinical response defined as decrease in average daily SF and/or decrease in average daily AP score, and/or clinical remission per average daily SF and average daily AP score. Endoscopic response defined as decrease from Baseline in SES-CD.

Measure: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response

Time: Week 12

Description: Endoscopic remission is defined as decrease in SES-CD as compared to baseline

Measure: Percentage of Participants With Endoscopic Remission

Time: Week 12

Description: Enhanced clinical response defined as decrease in average daily SF and/or decrease in average daily AP score, and/or clinical remission per average daily SF and average daily AP score.

Measure: Percentage of Participants With Enhanced Clinical Response

Time: Up to Week 12

Description: Endoscopic healing was assessed using SES-CD.

Measure: Percentage of Participants With Ulcer-Free Endoscopy

Time: Week 12

Description: Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Measure: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline

Time: Week 12

Description: Participants with an event that results in admission to the hospital.

Measure: Percentage of Participants With CD-Related Hospitalization

Time: Up to Week 12

Description: Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.

Measure: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline

Time: Week 12
4 A Multicenter, Randomized, Double-Blind, Placebo-Controlled Maintenance and Long-Term Extension Study of the Efficacy and Safety of Upadacitinib (ABT-494) in Subjects With Crohn's Disease Who Completed the Studies M14-431 or M14-433

A multicenter study to evaluate the efficacy and safety of maintenance and long-term treatment administration of upadacitinib, an orally administered Janus kinase 1 inhibitor, in adult participants with Crohn's Disease.

NCT03345823
Conditions
  1. Crohn's Disease
Interventions
  1. Drug: Upadacitinib
  2. Drug: Placebo for Upadacitinib
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission is defined based on average daily stool frequency (SF) AND average daily abdominal pain (AP) score.

Measure: Sub-Study 1: Percentage of Participants with Clinical Remission per Crohn's Disease Activity Index (CDAI)

Time: Week 52

Description: Endoscopic response is defined as decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline.

Measure: Sub-Study 1: Percentage of Participants with Endoscopic Response

Time: Week 52

Description: An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. For more details on adverse events please see the Adverse Event section.

Measure: Sub-Study 2: Number of Participants with Adverse Events

Time: Through Week 240

Secondary Outcomes

Description: Clinical remission is defined based on average daily stool frequency (SF) AND average daily abdominal pain (AP) score.

Measure: Sub-Study 1: Percentage of Participants with Clinical Remission per Patient-Reported Outcomes (PROs)

Time: Week 52

Description: Decrease of at least 100 points in CDAI from Baseline.

Measure: Sub-Study 1: Percentage of Participants Achieving Clinical Response 100 (CR-100)

Time: Week 52

Description: This is assessed in participants taking corticosteroids at Baseline. Clinical remission is defined based on average daily stool frequency (SF) AND average daily abdominal pain (AP) score.

Measure: Sub-Study 1: Percentage of Participants who Discontinue Corticosteroid Use at Least 90 Days Prior to Week 52 and Achieve Clinical Remission, in Participants Taking Corticosteroids at Baseline.

Time: Week 52

Description: Clinical remission is defined based on average daily stool frequency (SF) AND average daily abdominal pain (AP) score. Endoscopic remission is defined per SES-CD.

Measure: Sub-Study 1: Percentage of Participants with Clinical Remission per CDAI and Endoscopic Remission

Time: Week 52

Description: CDAI remission is defined as CDAI < 150.

Measure: Sub-Study 1: Percentage of Participants with Clinical Remission per Crohn's Disease Activity Index (CDAI)

Time: Through Week 52

Description: Endoscopic remission is defined per Simplified Endoscopic Score for Crohn's Disease (SES-CD).

Measure: Sub-Study 1: Percentage of Participants with Endoscopic Remission

Time: Week 52

Description: The IBDQ is used to assess the quality of life of patients with inflammatory bowel disease.

Measure: Sub-Study 1: Change in Inflammatory Bowel Disease Questionnaire (IBDQ)

Time: Baseline (Week 0) to Week 52

Description: The FACIT-F questionnaire was developed to assess fatigue.

Measure: Sub-Study 1: Change in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)

Time: Baseline (Week 0) to Week 52

Description: This is assessed by reviewing participant's hospitalization data.

Measure: Sub-Study 1: Percentage of Participants with Hospitalizations due to Crohn's Disease (CD)

Time: Week 52

Description: 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.

Measure: Sub-Study 1: Percentage of Participants with Resolution of Extra-Intestinal Manifestation (EIMs) , in Participants with EIMs at Baseline

Time: Week 52
5 A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Crohn's Disease (CARMEN CD 305)

The purpose of this study is to evaluate the efficacy and safety of ontamalimab in inducing clinical remission and endoscopic response in participants with moderate to severe Crohn's Disease.

NCT03559517
Conditions
  1. Crohn's Disease
Interventions
  1. Biological: Ontamalimab
  2. Other: Placebo
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission is determined by meeting the criteria for remission using the 2-item patient reported outcome (PRO) subscores of average worst daily abdominal pain (based on 11 point numeric rating scale [NRS] ranging from 0 [No pain] to 10 [Worst imaginable pain]) and average daily stool frequency of type 6/7 as per the Bristol Stool Form Scale (BSFS) (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission at Week 16

Time: Week 16

Description: Endoscopic response is measured by a decrease from baseline in simple endoscopic score for Crohn's disease (SES-CD) (ranging from 0 to 56, with higher values indicating more severe disease). Number of participants with endoscopic response will be reported.

Measure: Number of Participants With Endoscopic Response at Week 16

Time: Week 16

Secondary Outcomes

Description: Clinical remission is defined by Crohn's Disease Activity Index CDAI score. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical remission as measured by CDAI will be reported.

Measure: Number of Participants With Clinical Remission as Measured by Crohn's Disease Activity Index (CDAI) at Week 16

Time: Week 16

Description: Enhanced endoscopic response is measured by a decrease from baseline in SES-CD (range from 0 to 56, with higher values indicating more severe disease). Number of participants with enhanced endoscopic response will be reported.

Measure: Number of Participants With Enhanced Endoscopic Response at Week 16

Time: Week 16

Description: Clinical remission is determined by meeting the criteria for clinical remission using the 2-item PRO subscores of average worst daily abdominal pain (based on the 4-point scale ranging from 0 = none to 3 = severe) and average daily stool frequency of type 6/7 (very soft stools/liquid stools) as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission by 2-item Patient Reported Outcome (PRO) at Week 16

Time: Week 16

Description: Clinical response as per 2-item PRO score is to meet at least 1 of the 2 criteria over the 7 most recent days: 1. A decrease in the average daily abdominal pain based on 11-point NRS ranging 0 (No pain) to 10 (Worst imaginable pain), with stool frequency of type 6/7 (very soft/liquid stools) either: a) not worsening from baseline and/or b) meeting the criteria for clinical remission, that is based on the average daily stool frequency of type 6/7 as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]). 2. A decrease from baseline in the average daily stool frequency of type 6/7 as per the BSFS, with the average daily worst abdominal pain either: a) not worsening from baseline and/or b) meeting the criteria for clinical remission (based on average daily abdominal pain using a 11-point NRS). Number of participants with clinical response will be reported.

Measure: Number of Participants With Clinical Response at Week 16

Time: Week 16

Description: Number of participants with both clinical remission by 2-item PRO as determined by meeting the criteria for clinical remission using the 2-item PRO subscores of average worst daily abdominal pain (based on the 4-point scale ranging from 0 = none to 3 = severe) and average daily stool frequency of type 6/7 (very soft stools/liquid stools) as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days and endoscopic response, as measured by a decrease in SES-CD (range from 0 to 56, with higher values indicating more severe disease).

Measure: Number of Participants With Clinical Remission and Endoscopic Response at Week 16

Time: Week 16

Description: Complete endoscopic healing at Week 16 as measured by SES-CD (ranging from 0 to 56, with higher values indicating more severe disease) will be assessed. Number of participants with complete endoscopic healing will be reported.

Measure: Number of Participants With Complete Endoscopic Healing at Week 16

Time: Week 16

Description: Clinical response as measured by at least a 100-point reduction in the CDAI from baseline (CDAI-100 response) will be assessed. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical response CDAI -100 at Week 16 will be reported.

Measure: Number of Participants With Clinical Response as Measured by Crohn's Disease Activity Index (CDAI) -100 at Week 16

Time: Week 16

Description: Clinical response as measured by at least a 70-point reduction in the CDAI from baseline (CDAI-70 response) will be assessed. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical response CDAI -70 at Week 16 will be reported.

Measure: Number of Participants With Clinical Response as Measured by Crohn's Disease Activity Index (CDAI) -70 at Week 16

Time: Week 16

Description: Clinical remission is determined by meeting the criteria for remission using the 2-item patient reported outcome (PRO) subscores of average worst daily abdominal pain (based on 11-point numeric rating scale [NRS] ranging from 0 [No pain] to 10 [Worst imaginable pain]) and average daily stool frequency of type 6/7 as per the Bristol Stool Form Scale (BSFS) (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission Over Time

Time: Baseline up to Week 16

Description: Patient-reported CD clinical signs and symptom data will be collected using a daily e-diary. Participants record abdominal pain severity (numeric rating scale [NRS]), very soft stool/liquid stool frequency (as shown by BSFS [ranging from type 1 {separate hard lumps-like stools} to type 7 {entirely liquid stools}] type 6/7), total stool frequency, rectal bleeding frequency, rectal urgency frequency, nausea severity (none to severe), vomiting frequency, incontinence frequency, abdominal pain used in CDAI and general wellbeing (generally well to terrible).

Measure: Change From Baseline in Individual and Total Sign/Symptom Score Based on Participant Daily e-Diary Entries at Week 16

Time: Baseline, Week 16

Description: Endoscopic healing at Week 16 measured as SES-CD (ranging from 0 to 56, with higher values indicating more severe disease) individual variables (Size of Ulcers, Ulcerated surface, Affected surface and Presence of Narrowing) will be assessed as well. Number of participants with endoscopic healing will be reported.

Measure: Number of Participants With Endoscopic Healing at Week 16

Time: Week 16

Description: The IBDQ consists of 32 items grouped into 4 domains scored as bowel (10 to 70), systemic (5 to 35), emotional (12 to 84), and social function (5 to 35). The total score ranges from 32 to 224. For each domain and the total score, a higher score indicates better health-related quality of life

Measure: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total (Absolute) Score

Time: Baseline, Week 8, Week 12, up to Week 16, or early termination

Description: The Short form-36 health survey is used to assess HRQL. It consists of 36 items that are aggregated into 8 multi-item scales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role- emotional, and mental health), with scores ranging from 0 to 100. Higher scores indicate better HRQL.

Measure: Change From Baseline in Short Form (SF)-36 at Week 16

Time: Baseline, Week 16

Description: Incidence of all cause hospitalizations will be assessed.

Measure: Incidence of Hospitalizations

Time: Baseline up to Week 32

Description: Incidence of total inpatient days will be assessed.

Measure: Incidence of Total Inpatient Days

Time: Baseline up to Week 32

Description: Incidence of Crohn's disease-related surgeries and other surgical procedures.

Measure: Incidence of Crohn's Disease (CD)-related and Other Surgeries

Time: Baseline up to Week 32
6 A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Crohn's Disease (CARMEN CD 306)

The purpose of this study is to evaluate the efficacy and safety of Ontamalimab in inducing clinical remission and endoscopic response in participants with moderate to severe Crohn's Disease.

NCT03566823
Conditions
  1. Crohn's Disease
Interventions
  1. Biological: Ontamalimab
  2. Other: Placebo
MeSH:Crohn Disease
HPO:Crohn's disease

Primary Outcomes

Description: Clinical remission is determined by meeting the criteria for remission using the 2-item patient reported outcome (PRO) subscores of average worst daily abdominal pain (based on 11 point numeric rating scale [NRS] ranging from 0 [No pain] to 10 [Worst imaginable pain]) and average daily stool frequency of type 6/7 as per the Bristol Stool Form Scale (BSFS) (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission at Week 16

Time: Week 16

Description: Endoscopic response is measured by a decrease from baseline in simple endoscopic score for Crohn's disease (SES-CD) (ranging from 0 to 56, with higher values indicating more severe disease). Number of participants with endoscopic response will be reported.

Measure: Number of Participants With Endoscopic Response at Week 16

Time: Week 16

Secondary Outcomes

Description: Clinical remission is defined by Crohn's Disease Activity Index CDAI score. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical remission as measured by CDAI will be reported.

Measure: Number of Participants With Clinical Remission as Measured by Crohn's Disease Activity Index (CDAI) at Week 16

Time: Week 16

Description: Enhanced endoscopic response is measured by a decrease from baseline in SES-CD (range from 0 to 56, with higher values indicating more severe disease). Number of participants with enhanced endoscopic response will be reported.

Measure: Number of Participants With Enhanced Endoscopic Response at Week 16

Time: Week 16

Description: Clinical remission is determined by meeting the criteria for clinical remission using the 2-item PRO subscores of average worst daily abdominal pain (based on the 4-point scale ranging from 0 = none to 3 = severe) and average daily stool frequency of type 6/7 (very soft stools/liquid stools) as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission by 2-item Patient Reported Outcome (PRO) at Week 16

Time: Week 16

Description: Clinical response as per 2-item PRO score is to meet at least 1 of the 2 criteria over the 7 most recent days: 1. A decrease in the average daily abdominal pain based on 11-point NRS ranging 0 (No pain) to 10 (Worst imaginable pain), with stool frequency of type 6/7 (very soft/liquid stools) either: a) not worsening from baseline and/or b) meeting the criteria for clinical remission, that is based on the average daily stool frequency of type 6/7 as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]). 2. A decrease from baseline in the average daily stool frequency of type 6/7 as per the BSFS, with the average daily worst abdominal pain either: a) not worsening from baseline and/or b) meeting the criteria for clinical remission (based on average daily abdominal pain using a 11-point NRS). Number of participants with clinical response will be reported.

Measure: Number of Participants With Clinical Response at Week 16

Time: Week 16

Description: Number of participants with both clinical remission by 2-item PRO as determined by meeting the criteria for clinical remission using the 2-item PRO subscores of average worst daily abdominal pain (based on the 4-point scale ranging from 0 = none to 3 = severe) and average daily stool frequency of type 6/7 (very soft stools/liquid stools) as per the BSFS (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days and endoscopic response, as measured by a decrease in SES-CD (range from 0 to 56, with higher values indicating more severe disease).

Measure: Number of Participants With Clinical Remission and Endoscopic Response at Week 16

Time: Week 16

Description: Complete endoscopic healing at Week 16 as measured by SES-CD (ranging from 0 to 56, with higher values indicating more severe disease) will be assessed. Number of participants with complete endoscopic healing will be reported.

Measure: Number of Participants With Complete Endoscopic Healing at Week 16

Time: Week 16

Description: Clinical response as measured by at least a 100-point reduction in the CDAI from baseline (CDAI-100 response) will be assessed. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical response CDAI -100 at Week 16 will be reported.

Measure: Number of Participants With Clinical Response as Measured by Crohn's Disease Activity Index (CDAI) -100 at Week 16

Time: Week 16

Description: Clinical response as measured by at least a 70-point reduction in the CDAI from baseline (CDAI-70 response) will be assessed. CDAI is used to assess CD which range from 0-149 points: Asymptomatic remission, 150-220 points: Mild to moderate active CD, 221-450 points: Moderate to severe active CD, >451 points: Severely active to fulminant disease. Number of participants with clinical response CDAI -70 at Week 16 will be reported.

Measure: Number of Participants With Clinical Response as Measured by Crohn's Disease Activity Index (CDAI) -70 at Week 16

Time: Week 16

Description: Clinical remission is determined by meeting the criteria for remission using the 2-item patient reported outcome (PRO) subscores of average worst daily abdominal pain (based on 11-point numeric rating scale [NRS] ranging from 0 [No pain] to 10 [Worst imaginable pain]) and average daily stool frequency of type 6/7 as per the Bristol Stool Form Scale (BSFS) (ranging from type 1 [separate hard lumps-like stools] to type 7 [entirely liquid stools]) over the 7 most recent days. Number of participants with clinical remission will be reported.

Measure: Number of Participants With Clinical Remission Over Time

Time: Baseline up to Week 16

Description: Patient-reported CD clinical signs and symptom data will be collected using a daily e-diary. Participants record abdominal pain severity (numeric rating scale [NRS]), very soft stool/liquid stool frequency (as shown by BSFS [ranging from type 1 {separate hard lumps-like stools} to type 7 {entirely liquid stools}] type 6/7), total stool frequency, rectal bleeding frequency, rectal urgency frequency, nausea severity (none to severe), vomiting frequency, incontinence frequency, abdominal pain used in CDAI and general wellbeing (generally well to terrible).

Measure: Change From Baseline in Individual and Total Sign/Symptom Score Based on Participant Daily e-Diary Entries at Week 16

Time: Baseline, Week 16

Description: Endoscopic healing at Week 16 measured as SES-CD (ranging from 0 to 56, with higher values indicating more severe disease) individual variables (Size of Ulcers, Ulcerated surface, Affected surface and Presence of Narrowing) will be assessed as well. Number of participants with endoscopic healing will be reported.

Measure: Number of Participants With Endoscopic Healing at Week 16

Time: Week 16

Description: The IBDQ consists of 32 items grouped into 4 domains scored as bowel (10 to 70), systemic (5 to 35), emotional (12 to 84), and social function (5 to 35). The total score ranges from 32 to 224. For each domain and the total score, a higher score indicates better health-related quality of life

Measure: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total (Absolute) Score

Time: Baseline, Week 8, Week 12, up to Week 16, or early termination

Description: The Short form-36 health survey is used to assess HRQL. It consists of 36 items that are aggregated into 8 multi-item scales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role- emotional, and mental health), with scores ranging from 0 to 100. Higher scores indicate better HRQL.

Measure: Change From Baseline in Short Form (SF)-36 at Week 16

Time: Baseline, Week 16

Description: Incidence of all cause hospitalizations will be assessed.

Measure: Incidence of Hospitalizations

Time: Baseline up to Week 32

Description: Incidence of total inpatient days will be assessed.

Measure: Incidence of Total Inpatient Days

Time: Baseline up to Week 32

Description: Incidence of Crohn's disease-related surgeries and other surgical procedures.

Measure: Incidence of Crohn's Disease (CD)-related and Other Surgeries

Time: Baseline up to Week 32
7 A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Phase 2a Study to Evaluate the Safety, Tolerability, and Early Proof of Concept of TAK-018 for the Prevention of Postoperative Crohn's Disease Recurrence

The purpose of this study is to evaluate the efficacy of TAK-018 in reducing endoscopic recurrence of intestinal inflammation in postoperative participants with CD after a planned laparoscopic ileocecal resection with primary anastomosis.

NCT03943446
Conditions
  1. Crohn Disease
Interventions
  1. Drug: TAK-018
  2. Drug: TAK-018 Placebo
MeSH:Crohn Disease Recurrence
HPO:Crohn's disease

Primary Outcomes

Description: Endoscopic recurrence is defined as a Rutgeerts' score greater than or equal to (>=) i2. The Rutgeerts scoring is a 5-point scale used to assess endoscopic recurrence at the ileocolonic anastomosis and preanastomotic ileum. The scale ranges from i0 to i4; where i0 equal to (=) no lesions, i1= less than or equal to (<=) 5 aphthous ulcers, i2= greater than (>) 5 aphthous ulcers with normal mucosa between lesions or lesions are confined to the anastomosis, i3= diffuse aphthous ileitis with diffusely inflamed mucosa and i4= diffuse inflammation with larger ulcers, nodules, and/or narrowing.

Measure: Percentage of Participants With Endoscopic Recurrence of CD as Assessed by Rutgeerts Grading Scale at Week 26

Time: Week 26

Secondary Outcomes

Description: Stool samples will be collected for analysis of fecal calprotectin, a biomarker of intestinal inflammatory activity.

Measure: Percentage of Participants With Fecal Calprotectin (FCP) >135 Microgram per Gram (mcg/g) at Weeks 3, 6, 12, 18, 26 and 30

Time: Weeks 3, 6, 12, 18, 26 and 30

Measure: Ctrough: Observed Plasma Trough Concentrations of TAK-018

Time: Week 3 pre-dose and at multiple time points (up to 12 hours) post-dose
8 Outcomes Mandate National Integration With Cannabis as Medicine for Prevention and Treatment of COVID-19

This will be a multistate, multicenter clinical study to determine the efficacy and safety of medical cannabis for a wide variety of chronic medical conditions.

NCT03944447
Conditions
  1. Chronic Pain
  2. Chronic Pain Syndrome
  3. Chronic Pain Due to Injury
  4. Chronic Pain Due to Trauma
  5. Fibromyalgia
  6. Seizures
  7. Hepatitis C
  8. Cancer
  9. Crohn Disease
  10. HIV/AIDS
  11. Multiple Sclerosis
  12. Traumatic Brain Injury
  13. Sickle Cell Disease
  14. Post Traumatic Stress Disorder
  15. Tourette Syndrome
  16. Ulcerative Colitis
  17. Glaucoma
  18. Epilepsy
  19. Inflammatory Bowel Diseases
  20. Parkinson Disease
  21. Amyotrophic Lateral Sclerosis
  22. Chronic Traumatic Encephalopathy
  23. Anxiety
  24. Depression
  25. Insomnia
  26. Autism
  27. Opioid-use Disorder
  28. Bipolar Disorder
  29. Covid19
  30. SARS-CoV Infection
  31. COVID-19
  32. Corona Virus Infection
  33. Coronavirus
Interventions
  1. Drug: Cannabis, Medical
MeSH:Infection Communicable Diseases Coronavirus Infections Severe Acute Respiratory Syndrome Fibromyalgia Crohn Disease Inflammatory Bowel Diseases Parkinson Disease Multiple Sclerosis Brain Injuries Brain Injuries, Traumatic Seizures Moto Motor Neuron Disease Amyotrophic Lateral Sclerosis Brain Diseases Tourette Syndrome Chronic Traumatic Encephalopathy Anemia, Sickle Cell Disease Syndrome Sclerosis Chronic Pain Wounds and Injuries Stress Disorders, Traumatic Bipolar Disorder Stress Disorders, Post-Traumatic
HPO:Abnormal anterior horn cell morphology Amyotrophic lateral sclerosis Bilateral tonic-clonic seizure Bipolar affective disorder Chronic pain Crohn's disease Encephalopathy Focal-onset seizure Generalized-onset seizure Inflammation of the large intestine Mania Seizure

Primary Outcomes

Description: Covid-19 infection rates in cannabis users will be compared to rates in the general population. Our online questionnaire responses will compare infection rates of cannabis users in this study against the Johns Hopkins University Coronavirus Research Center data (https://coronavirus.jhu.edu).

Measure: Prevention of COVID-19

Time: Five years

Description: Severity of persistent symptoms in cannabis users testing positive for active infection and/or antibodies will also be compared to the general population. Patients will answer the widely used FLU-PRO questionnaire, which asks about flu symptoms and severity, to capture diagnoses, symptoms, and medical interventions related to COVID-19. The data from cannabis user patients will be compared with national and international data surveys, such as the Covid Symptom Study (https://covid.joinzoe.com/us-2).

Measure: Treatment of COVID-19

Time: Five years

Description: The primary objective is to assess the efficacy and safety of medical cannabis as medicine for treatment of chronic pain and other chronic debilitating diseases. Pain will be measured by Brief Pain Inventory (BPI) numeric scale. Change from baseline in BPI will be assessed at 3-month intervals. For prospective associations between cannabis use and outcomes, use of a lagged mixed-effects models will examine temporal associations between cannabis use and pain severity, opioid sparing, and patient satisfaction. Data will be analyzed from baseline and the annual follow-up waves.

Measure: Treatment of Symptoms

Time: Five years

Secondary Outcomes

Description: Secondary objectives include evaluating increases or decreases in quality of life, and increases or decreases in concomitant opioid use. Satisfaction with treatment will be measured by a Visual Analog Score (VAS). Change From baseline in Satisfaction with treatment measured by (VAS) be assessed at 3-month intervals.

Measure: Cannabis Impact on Quality of Life

Time: Five years

Description: Tertiary objectives will examine preferences for routes of administration, and preferences for THC / CBD ratios. Categorical factors will be summarized using frequencies and percentages, while continuous measure distributions will be described using means, standard deviations, and quartiles of interest.

Measure: Cannabis Route and Dosing

Time: Five years

Description: Incidence of Treatment-Related Adverse Events will be measured by Physician Global Assessment (PGA) numeric scale. Number of participants with Treatment-Related Adverse Events will be assessed by CTCAE v4.0.

Measure: Monitoring Adverse Events

Time: Five years
9 Postauthorization Safety Study of the Long-Term Safety and Efficacy of Repeat Administration of Darvadstrocel in Patients With Crohn's Disease and Complex Perianal Fistula

The purpose of this study is to evaluate the long-term safety and efficacy of repeat administration of darvadstrocel in participants with Crohn's Disease (CD) and complex perianal fistula by evaluation of adverse events (AEs), serious adverse events (SAEs), adverse events of special interest (AESIs), and special situation reports (SSRs).

NCT04118088
Conditions
  1. Crohn's Disease
  2. Complex Perianal Fistula
Interventions
  1. Biological: Darvadstrocel
MeSH:Crohn Disease Fistula
HPO:Crohn's disease

Primary Outcomes

Description: An AE is any untoward medical occurrence in a participant administered a medicinal product and which does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an AE with an onset that occurs after receiving study drug.

Measure: Percentage of Participants with at Least 1 Treatment-Emergent Adverse Event (TEAE)

Time: From administration of repeat dose up to 156 weeks post-repeat administration

Description: An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Measure: Percentage of Participants with at Least 1 Treatment Emergent Serious Adverse Event (TESAE)

Time: From administration of repeat dose up to 156 weeks post-repeat administration

Description: An SSR includes pregnancy, any case in which a pregnant participant is exposed to a study product or in which a female participant or female partner of a male participant becomes pregnant following treatment with a study product. Exposure is considered either through maternal exposure or via semen following paternal exposure or infant exposure from breast milk.

Measure: Percentage of Participants with Special Situation Reports (SSRs)

Time: From administration of repeat dose up to 156 weeks post-repeat administration

Description: AESI includes immunogenicity/alloimmune reactions, hypersensitivity, transmission of infectious agents, tumorgenicity, ectopic tissue formation, medication errors.

Measure: Percentage of Participants with Adverse Event of Special Interest (AESI)

Time: From administration of repeat dose up to 156 weeks post-repeat administration

Secondary Outcomes

Description: Combined remission is defined as the closure of all treated external openings that were draining at baseline (i.e., baseline visit), despite gentle finger compression and absence of collection(s) >2 cm (in at least 2 dimensions) of the treated perianal fistula(s) confirmed by central magnetic resonance imaging (MRI) assessment.

Measure: Percentage of Participants who Achieve Combined Remission of Perianal Fistula(s)

Time: At Week 24 and at Week 156 post-repeat administration

Description: Clinical remission is defined as closure of all treated external fistula openings that were draining at baseline despite gentle finger compression.

Measure: Percentage of Participants who Achieve Clinical Remission

Time: At Weeks 6, 24, 52, 104, and 156 post-repeat administration

Description: Clinical response is defined as closure of at least 50% of all treated external fistula openings that were draining at baseline despite gentle finger compression.

Measure: Percentage of Participants who Achieve Clinical Response

Time: At Weeks 6, 24, 52, 104, and 156 post-repeat administration

Description: Relapse is defined as reopening of any of the treated fistula(s) external openings with active drainage as clinically assessed that were in the combined remission at Week 24 or the development of a collection >2 cm (in at least 2 dimensions) confirmed by centrally read MRI assessment.

Measure: Percentage of Participants with Relapse From Week 24 Combined Remission

Time: From Week 24 to Week 156 post-repeat administration

Description: Time to Relapse is defined as the time in days to reopening of any of the treated fistula(s) external openings with active drainage as clinically assessed, relative to Week 24.

Measure: Time to Relapse

Time: From Week 24 to the Day of relapse post-repeat administration

Measure: Percentage of Participants with New Perianal Abscess in Treated Fistula

Time: Up to Week 156 post-repeat administration

Description: The PDAI is a scoring system to evaluate the severity of perianal lesion associated with Crohn's disease. It includes the following 5 items: (a) discharge; (b) pain; (c) restriction of sexual activity; (d) type of perianal disease; and (e) degree of induration. Each item is graded on a 5-point scale ranging from no symptoms (score of 0) to severe symptoms (score of 4) and total range of score is from 0 to 20. Higher score means more severe disease.

Measure: Change From Baseline in Score of Discharge and Pain Items of Perianal Disease Activity Index (PDAI) Score

Time: Baseline to Weeks 6, 24, 52, 104, and 156 post-repeat administration
10 A Phase 1 Study to Evaluate the Effect of Multiple IV Infusions of Risankizumab on the Pharmacokinetics of Cytochrome P450 Substrates Administered Orally in Subjects With Moderately to Severely Active Ulcerative Colitis or Crohn's Disease

Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine).Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. CD may cause tiredness, loose stools with or without bleeding, abdominal pain, weight loss, and fever. This study will evaluate the effect of repeated infusions of risankizumab on the pharmacokinetics of sensitive probe substrates of Cytochrome P450 (CYP) enzymes in participants with moderately to severely active UC or CD. Risankizumab is an investigational drug being developed to treat trial participants with inflammatory diseases such as UC and CD. The study is split into two periods. In Period 1, participants will receive single oral doses of CYP sensitive probes and in Period 2, participants will receive risankizumab followed by single oral doses of CYP sensitive probes. Around 20 adult participants with moderately to severely active CD or UC will be enrolled in the study across multiple sites worldwide. In Period 1, participants will receive oral doses of CYP sensitive probes on Day 1. In Period 2, participants will receive risankizumab by intravenous (IV) infusion on Days 1, 29 and 57 followed by oral CYP sensitive probes on Day 64. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests and checking for side effects.

NCT04254783
Conditions
  1. Ulcerative Colitis (UC)
  2. Crohn's Disease
Interventions
  1. Drug: Risankizumab
  2. Drug: Cytochrome P450 (CYP) Substrates
MeSH:Crohn Disease Colitis Colitis, Ulcerative Ulcer
HPO:Colitis Crohn's disease Ulcerative colitis

Primary Outcomes

Description: Maximum observed plasma concentration (Cmax) of Midazolam

Measure: Maximum Observed Plasma Concentration (Cmax) of Midazolam

Time: Up to 71 Days

Description: Time to maximum plasma concentration (Tmax) of Midazolam

Measure: Time to Maximum Observed Plasma Concentration (Tmax) of Midazolam

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

Measure: Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Midazolam

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

Measure: AUC From Time 0 to Infinity (AUCinf) of Midazolam

Time: Up to 71 Days

Description: Terminal phase elimination rate constant (β) for Midazolam

Measure: Terminal Phase Elimination Rate Constant (β) of Midazolam

Time: Up to 71 Days

Description: Terminal phase elimination half-life (t1/2) of Midazolam

Measure: Terminal Phase Elimination Half-Life (t1/2) of Midazolam

Time: Up to 71 Days

Description: Maximum observed plasma concentration (Cmax) of Caffeine

Measure: Maximum Observed Plasma Concentration (Cmax) of Caffeine

Time: Up to 71 Days

Description: Time to maximum plasma concentration (Tmax) of Caffeine

Measure: Time to Maximum Observed Plasma Concentration (Tmax) of Caffeine

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

Measure: Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Caffeine

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

Measure: AUC From Time 0 to Infinity (AUCinf) of Caffeine

Time: Up to 71 Days

Description: Terminal phase elimination rate constant (β) for Caffeine

Measure: Terminal Phase Elimination Rate Constant (β) of Caffeine

Time: Up to 71 Days

Description: Terminal phase elimination half-life (t1/2) of Caffeine

Measure: Terminal Phase Elimination Half-Life (t1/2) of Caffeine

Time: Up to 71 Days

Description: Maximum observed plasma concentration (Cmax) of Warfarin

Measure: Maximum Observed Plasma Concentration (Cmax) of Warfarin

Time: Up to 71 Days

Description: Time to maximum plasma concentration (Tmax) of Warfarin

Measure: Time to Maximum Observed Plasma Concentration (Tmax) of Warfarin

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

Measure: Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Warfarin

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

Measure: AUC From Time 0 to Infinity (AUCinf) of Warfarin

Time: Up to 71 Days

Description: Terminal phase elimination rate constant (β) for Warfarin

Measure: Terminal Phase Elimination Rate Constant (β) of Warfarin

Time: Up to 71 Days

Description: Terminal phase elimination half-life (t1/2) of Warfarin

Measure: Terminal Phase Elimination Half-Life (t1/2) of Warfarin

Time: Up to 71 Days

Description: Maximum observed plasma concentration (Cmax) of Omeprazole

Measure: Maximum Observed Plasma Concentration (Cmax) of Omeprazole

Time: Up to 71 Days

Description: Time to maximum plasma concentration (Tmax) of Omeprazole

Measure: Time to Maximum Observed Plasma Concentration (Tmax) of Omeprazole

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

Measure: Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Omeprazole

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

Measure: AUC From Time 0 to Infinity (AUCinf) of Omeprazole

Time: Up to 71 Days

Description: Terminal phase elimination rate constant (β) for Omeprazole

Measure: Terminal Phase Elimination Rate Constant (β) of Omeprazole

Time: Up to 71 Days

Description: Terminal phase elimination half-life (t1/2) of Omeprazole

Measure: Terminal Phase Elimination Half-Life (t1/2) of Omeprazole

Time: Up to 71 Days

Description: Maximum observed plasma concentration (Cmax) of Metoprolol

Measure: Maximum Observed Plasma Concentration (Cmax) of Metoprolol

Time: Up to 71 Days

Description: Time to maximum plasma concentration (Tmax) of Metoprolol

Measure: Time to Maximum Observed Plasma Concentration (Tmax) of Metoprolol

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to time of the last measurable concentration

Measure: Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Time of the Last Measurable Concentration (AUCt) of Metoprolol

Time: Up to 71 Days

Description: Area Under the Plasma Concentration-time Curve (AUC) from time 0 to infinity

Measure: AUC From Time 0 to Infinity (AUCinf) of Metoprolol

Time: Up to 71 Days

Description: Terminal phase elimination rate constant (β) for Metoprolol

Measure: Terminal Phase Elimination Rate Constant (β) of Metoprolol

Time: Up to 71 Days

Description: Terminal phase elimination half-life (t1/2) of Metoprolol

Measure: Terminal Phase Elimination Half-Life (t1/2) of Metoprolol

Time: Up to 71 Days

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials

Reports

Data processed on September 26, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

Drug Reports   MeSH Reports   HPO Reports  

Interventions

4,180 reports on interventions/drugs

MeSH

691 reports on MeSH terms

HPO

263 reports on HPO terms

All Terms

Alphabetical index of all Terms

Google Colab

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