A Phase 2a Safety and Efficacy Open-Label Study of Tulisokibart (MK-7240/PRA023) in Participants With Moderately to Severely Active Crohn's Disease (MK-7240-006)
APOLLO-CD
A Phase 2a, Multi-Center, Open-Label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease
5 other identifiers
interventional
55
8 countries
37
Brief Summary
The purpose of this study is to assess the safety and efficacy of tulisokibart (MK-7240) in participants with moderately to severely active Crohn's Disease. After the completion of the 12-week Induction Period, eligible participants have the option to enter an Open-label Extension (OLE) Period for up to 170 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jul 2021
Typical duration for phase_2
37 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 28, 2021
CompletedFirst Submitted
Initial submission to the registry
August 13, 2021
CompletedFirst Posted
Study publicly available on registry
August 19, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 23, 2022
CompletedResults Posted
Study results publicly available
November 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 27, 2025
CompletedApril 21, 2026
March 1, 2026
1.2 years
August 13, 2021
September 11, 2023
March 31, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Adverse Events
Number of participants who experienced treatment-emergent adverse events (AEs)
Week 12
Serious Adverse Events
Number of participants who experienced serious adverse events (SAEs)
Week 12
Adverse Events Leading to Discontinuation
Number of participants who experienced AEs leading to discontinuation
Week 12
Endoscopic Improvement
Number of participants achieving induction of endoscopic improvement (decrease in simple endoscopy score for Crohn's disease \[SES-CD\] ≥ 50% from Baseline)
Week 12
Secondary Outcomes (11)
Clinical Remission
Week 12
Endoscopic and Clinical Improvement
Week 12
Number of Participants Achieving a Composite Response
Week 12
Normalization of C-reactive Protein
Week 12
Normalization of Fecal Calprotectin
Week 12
- +6 more secondary outcomes
Study Arms (3)
Induction Tulisokibart
EXPERIMENTALDuring the 12-week Induction Period, participants receive tulisokibart administered by intravenous (IV) infusion at 1000 mg on Day 1 of Week 0, and 500 mg on Day 1 of Weeks 2, 6, and 10.
OLE Tulisokibart 100 mg
EXPERIMENTALAfter completing the 12-week Induction Period, eligible participants have the option to enter the OLE Period for up to 170 weeks. Participants are randomized into the OLE Period to receive 100 mg tulisokibart by IV infusion every 4 weeks (q4w).
OLE Tulisokibart 250 mg
EXPERIMENTALAfter completing the 12-week Induction Period, eligible participants have the option to enter the OLE Period for up to 170 weeks. Participants are randomized into the OLE Period to receive 250 mg tulisokibart by IV infusion q4w.
Interventions
Tulisokibart administered by IV infusion as directed by the protocol
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of Crohn's disease (CD)
- Moderately to severely active CD as defined by Crohn's disease activity index (CDAI) score and centrally read endoscopy
- Must have corticosteroid dependence or have had no response, insufficient response, loss of response and/or intolerance to at least one of the following therapies: corticosteroid, immunosuppressants, or an approved anti-tumor necrosis factor (TNF), anti-integrin, or anti-interleukin (IL)12/23
- Able to provide written informed consent and understand and comply with the requirements of the study
You may not qualify if:
- Women of child bearing potential (WOCBP) and men with female partner of childbearing potential who are unwilling to use two highly effective methods of contraception to avoid pregnancy for the entire study period and up to 12 weeks after the last dose of study drug
- Diagnosis of ulcerative colitis (UC) or indeterminate colitis
- CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or illeal involvement
- Suspected or diagnosed intra-abdominal or perianal abscess at screening
- Current stoma or need for colostomy or ileostomy
- Previous small bowel resection with a combined resected length of \>100 cm or previous colonic resection of \> 2 segments
- Surgical bowel resection within 3 months before screening
- Past or current evidence of definite low-grade or high-grade colonic dysplasia not completely removed
- Participants in the opinion of the investigator are at an unacceptable risk for participation in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (37)
Prometheus Biosciences Selected Site
Los Angeles, California, 90045, United States
Prometheus Biosciences Selected Site
Los Angeles, California, 90048, United States
Prometheus Biosciences Selected Site
Liberty, Kansas, 64098, United States
Prometheus Biosciences Selected Site
Chesterfield, Michigan, 48047, United States
Prometheus Biosciences Selected Site
Ypsilanti, Michigan, 48197, United States
Prometheus Biosciences Selected Site
St Louis, Missouri, 63141, United States
Prometheus Biosciences Selected Site
Lebanon, New Hampshire, 03756, United States
Prometheus Biosciences Selected Site
New York, New York, 10065, United States
Prometheus Biosciences Selected Site
Garland, Texas, 75044, United States
Prometheus Biosciences Selected Site
Lubbock, Texas, 79410, United States
Prometheus Biosciences Selected Site
Lubbock, Texas, 79424, United States
Prometheus Biosciences Selected Site
San Antonio, Texas, 78229, United States
Prometheus Biosciences Selected Site
Southlake, Texas, 78229, United States
Prometheus Biosciences Selected Site
Tyler, Texas, 75702, United States
Prometheus Biosciences Selected Site
Bellevue, Washington, 98004, United States
Prometheus Biosciences Selected Site
Tacoma, Washington, 98405, United States
Prometheus Biosciences Selected Site
Bankstown, New South Wales, 2146, Australia
Prometheus Biosciences Selected Site
Woolloongabba, Queensland, 4102, Australia
Prometheus Biosciences Selected Site
Adelaide, South Australia, 5000, Australia
Prometheus Biosciences Selected Site
Leuven, 3000, Belgium
Prometheus Biosciences Selected Site
Liège, 4000, Belgium
Prometheus Biosciences Selected Site
London, Ontario, N6A 5W9, Canada
Prometheus Biosciences Selected Site
Brno, Czechia
Prometheus Biosciences Selected Site
Slaný, 274 01, Czechia
Prometheus Biosciences Selected Site
Clichy, 92110, France
Prometheus Biosciences Selected Site
Nice, 06202, France
Prometheus Biosciences Selected Site
Saint-Priest-en-Jarez, 42270, France
Prometheus Biosciences Selected Site
Vandœuvre-lès-Nancy, 54511, France
Prometheus Biosciences Selected Site
Tbilisi, Georgia
Prometheus Biosciences Selected Center
Krakow, 31-501, Poland
Prometheus Biosciences Selected Site
Rzeszów, 35-326, Poland
Prometheus Biosciences Selected Site
Sopot, 81-756, Poland
Prometheus Biosciences Selected Site
Torun, 87-100, Poland
Prometheus Biosciences Selected Center
Warsaw, 00-635, Poland
Prometheus Biosciences Selected Site
Warsaw, 03-580, Poland
Prometheus Biosciences Selected Center
Warsaw, 52-416, Poland
Prometheus Biosciences Selected Site
Wroclaw, 52-416, Poland
Related Publications (1)
Feagan BG, Sands BE, Siegel CA, Dubinsky MC, Longman RS, Sabino J, Laurent O, Luo A, Lu J, Nguyen DD, Munoz-Elias EJ, Llewellyn H, Wang Y, Jang I, Bilsborough J, Marchelletta R, Towfic F, Yen M, Anderson JK, DuVall A, Kierkus J, Woynarowski M, Al Kharrat H, Targan SR, McGovern DPB. Safety and efficacy of the anti-TL1A monoclonal antibody tulisokibart for Crohn's disease: a phase 2a induction trial. Lancet Gastroenterol Hepatol. 2025 Aug;10(8):715-725. doi: 10.1016/S2468-1253(25)00071-8. Epub 2025 May 30.
PMID: 40456235DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Prometheus Biosciences, Inc.
Study Officials
- STUDY DIRECTOR
Medical Director
Merck Sharp & Dohme LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 13, 2021
First Posted
August 19, 2021
Study Start
July 28, 2021
Primary Completion
September 23, 2022
Study Completion
May 27, 2025
Last Updated
April 21, 2026
Results First Posted
November 1, 2023
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf