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NCT07071519PHASE3Recruiting

A Study to Learn More About How Risankizumab Works in Young Participants With Ulcerative Colitis

AbbVie

Start Date

7/28/2025

Completion Date

7/1/2034

Summary

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). This study will assess how Risankizumab moves through the body as well as how safe and effective it is in treating pediatric participants with moderate to severely active UC. Adverse events and change in disease activity will be assessed. Risankizumab is an approved medication for moderate to severe UC in multiple countries and is being developed for the treatment of UC in pediatrics. This study is comprised of 3 cohorts that may participate in 3 substudies (SS). Cohort 1 will enroll participants with ages from 6 to less than 18 years. Cohort 2 will enroll participants with ages from 2 to less than 6 years. Cohort 3 will enroll participants with ages from 2 to less than 18 years. SS1 is an open-label induction period where participants will receive a weight-based induction regimen of risankizumab. SS2 is a double-blind maintenance period where participants will be randomized to receive 1 of 2 doses of weight-based maintenance regimen of risankizumab. SS3 is an open-label extension period where participants will receive risankizumab based off of their response in SS2. Around 120 pediatric participants with UC will be enrolled at around 80 sites worldwide. Participants in SS1 will receive risankizumab intravenously during the 12-week induction period. Participants in SS2 will receive risankizumab subcutaneously during the 52-week randomized maintenance period. Participants in SS3 will receive risankizumab subcutaneously during the 208-week open label period. Participants will be followed-up for approximately 140 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Eligibility Criteria

Age Range: 2 years to 17 years

Inclusion Criteria: * Active ulcerative colitis (UC) with an modified Mayo Score (mMS) of 5 to 9 points and endoscopic subscore of 2 to 3 (confirmed by central reader). * Demonstrated intolerance or inadequate response (IR) to one or more of the following categories of drugs: aminosalicylates (except in countries where failure of this drug class is not sufficient for eligibility), oral locally acting corticosteroids, systemic steroids (prednisone or equivalent), immunomodulators (IMMs), and/or biologic therapies, as outlined in the protocol. \- Subjects must have a documented history of UC for at least 3 months prior to Baseline, confirmed by colonoscopy during the screening period, with exclusion of current infection, colonic dysplasia and/or malignancy. Documentation of pathology results consistent with the diagnosis of UC must be available. Exclusion Criteria: * Participants who have had a major surgery performed within 12 weeks prior to Baseline or planned during the conduct of the study (e.g., inguinal hernia repair, cholecystectomy, intestinal resection). * Participants who have concurrent clinically significant medical conditions other than the indication being studied or any other reason that the investigator determines would interfere with the subject's participation in this study, would make the subject an unsuitable candidate to receive study treatment, or would put the subject at risk by participating in the study.

Interventions

DRUG

Risankizumab

DRUG

Risankizumab

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Conditions

Ulcerative Colitis

Locations

Phoenix Children's Hospital /ID# 273015

Phoenix, Arizona 85016

United States

Rady Children's Hospital /ID# 271873

San Diego, California 92123

United States

University of California San Francisco - Mission Bay /ID# 273022

San Francisco, California 94158

United States

Nicklaus Children's Hospital - Miami - Southwest 62nd Avenue /ID# 271585

Miami, Florida 33155

United States

Childrens Center For Digestive Health Care /ID# 273228

Atlanta, Georgia 30342

United States

University of Chicago Medical Center /ID# 271588

Chicago, Illinois 60637

United States

Goryeb Children's Hospital /ID# 271801

Morristown, New Jersey 07962

United States

University Hospitals Cleveland Medical Center /ID# 271831

Cleveland, Ohio 44106

United States

The Children's Hospital of Philadelphia /ID# 273222

Philadelphia, Pennsylvania 19104

United States

Upmc Children'S Hospital Of Pittsburgh /ID# 272328

Pittsburgh, Pennsylvania 15224

United States

Patewood Medical Campus /ID# 272477

Greenville, South Carolina 29615

United States

Cliniques Universitaires UCL Saint-Luc /ID# 270123

Brussels, Brussels Capital 1200

Belgium

Hospital Universite Enfants Reine Fabiola /ID# 271860

Brussels, 1020

Belgium

Centre Hospitalier Regional de la Citadelle /ID# 270459

Liège, 4000

Belgium

Galileo Medical Research /ID# 271817

Juiz de Fora, Minas Gerais 36033-318

Brazil

Hospital Pequeno Principe /ID# 271814

Curitiba, Paraná 80250-060

Brazil

Hospital Sirio Libanes - Sao Paulo /ID# 271818

São Paulo, 01308-050

Brazil

Alberta Children's Hospital /ID# 272635

Calgary, Alberta T3B 6A8

Canada

Edmonton Clinic Health Academy /ID# 271168

Edmonton, Alberta T6G 1C9

Canada

London Health Sciences Centre - Verspeeten Family Cancer Centre /ID# 271157

London, Ontario N6A 5W9

Canada

Medizinische Universitaet Lausitz - Carl Thiem /ID# 272023

Cottbus, Brandenburg 03048

Germany

Klinikum Kassel /ID# 271546

Kassel, Hesse 34125

Germany

Universitaetsklinikum Muenster - Albert Schweitzer Campus /ID# 271898

Münster, North Rhine-Westphalia 48149

Germany

General Hospital of Chest Diseases of Athens SOTIRIA /ID# 270143

Athens, Attica 11527

Greece

University General Hospital Attikon /ID# 272361

Chaïdári, Attica 12462

Greece

General Hospital of Thessaloniki Hippokrateio /ID# 271939

Thessaloniki, 54642

Greece

Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 271889

San Giovanni Rotondo, Foggia 71013

Italy

Azienda Ospedaliera Universitaria Federico II - Naples /ID# 271895

Naples, Napoli 80131

Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 272967

Rome, Roma 00168

Italy

Ospedale Infantile Burlo Garofolo /ID# 274442

Trieste, 34137

Italy

Aichi Medical University Hospital /ID# 281613

Nagakute, Aichi-ken 480-1195

Japan

Tsujinaka Hospital - Kashiwanoha /ID# 280303

Kashiwa-shi, Chiba 277-0871

Japan

Kagawa University Hospital /ID# 282010

Kita-gun, Kagawa-ken 761-0701

Japan

Osaka Women's and Children's Hospital /ID# 280789

Izumi-Shi, Osaka 594-1101

Japan

Tokyo Medical University Hospital /ID# 280850

Shinjuku-ku, Tokyo 160-0023

Japan

Nagasaki University Hospital /ID# 281241

Nagasaki, 852-8501

Japan

University Children's Hospital /ID# 269960

Belgrade, Beograd 11000

Serbia

Institut za zdravstvenu zastitu majke i deteta Srbije Dr Vukan Cupic /ID# 270696

Belgrade-Vračar, Beograd 11000

Serbia

Institute for Child and Youth Health Care of Vojvodina /ID# 269961

Novi Sad, 21000

Serbia

Pusan National University Yangsan Hospital /ID# 272769

Yangsan, Gyeongsangnam-do 50612

South Korea

Seoul National University Hospital /ID# 272852

Seoul, Seoul Teugbyeolsi 03080

South Korea

Kangbuk Samsung Hospital /ID# 273333

Seoul, Seoul Teugbyeolsi 03181

South Korea

Yonsei University Health System Severance Hospital /ID# 272894

Seoul, Seoul Teugbyeolsi 03722

South Korea

Samsung Medical Center /ID# 272862

Seoul, Seoul Teugbyeolsi 06351

South Korea

Hospital Teresa Herrera - CHUAC /ID# 271459

A Coruña, A Coruna 15006

Spain

Hospital Universitario Puerta de Hierro - Majadahonda /ID# 271466

Majadahonda, Madrid 28222

Spain

Karolinska University Hospital Solna /ID# 271679

Solna, Stockholm County 171 64

Sweden

Sodersjukhuset /ID# 271678

Stockholm, Stockholm County 118 83

Sweden

Sahlgrenska Universitetssjukhuset /ID# 271675

Gothenburg, Västra Götaland County 413 46

Sweden

Taichung Veterans General Hospital /ID# 269242

Taichung, 407

Taiwan

National Taiwan University Hospital /ID# 269244

Taipei, 100

Taiwan

Addenbrookes Hospital /ID# 271489

Cambridge, Cambridgeshire CB2 2QQ

United Kingdom

Sheffield Children's Hospital NHS Foundation Trust /ID# 271490

Sheffield, England S10 2TH

United Kingdom

Alder Hey Children's NHS Foundation Trust /ID# 271533

Liverpool, L12 2AP

United Kingdom