A Study to Learn More About How Risankizumab Works in Young Participants With Ulcerative Colitis
MIGHTY
A Phase 3, Multi-Center Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of Risankizumab With Open-Label Induction, Randomized Double-Blind Maintenance, and Open-Label Long-Term Extension Periods in Pediatric Subjects (2 to < 18 Years of Age) With Moderately to Severely Active Ulcerative Colitis
1 other identifier
interventional
120
9 countries
30
Brief 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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jul 2025
Longer than P75 for phase_3
30 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
First Submitted
Initial submission to the registry
July 8, 2025
CompletedFirst Posted
Study publicly available on registry
July 17, 2025
CompletedStudy Start
First participant enrolled
July 28, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2034
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2034
February 11, 2026
February 1, 2026
8.9 years
July 8, 2025
February 9, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
PK Lead-In Cohort 1: Maximum Observed Serum Concentration (Cmax)
Maximum observed plasma concentration (Cmax)
At Week 64
PK Lead-In Cohort 2: Maximum Observed Serum Concentration (Cmax)
Maximum observed plasma concentration (Cmax)
At Week 64
PK Lead-In Cohort 1: Time to Maximum Serum Concentration (Tmax)
Time to maximum plasma concentration (Tmax)
At Week 64
PK Lead-In Cohort 2: Time to Maximum Serum Concentration (Tmax)
Time to maximum plasma concentration (Tmax)
At Week 64
PK Lead-In Cohort 1: Area Under the Serum Concentration-Time Curve Over the Dosing Interval (AUCtau)
Area under the serum concentration-time curve over the dosing interval (AUCtau)
At Week 64
PK Lead-In Cohort 2: Area Under the Serum Concentration-Time Curve Over the Dosing Interval (AUCtau)
Area under the serum concentration-time curve over the dosing interval (AUCtau)
At Week 64
Expansion Cohort 3: Achievement of Clinical Remission per Modified Mayo Score (mMS) Among Week 12 Clinical Responders per mMS
Clinical remission on the mMS is defined as defined as Stool Frequency Subscore (SFS) ≤ 1 and not greater than Baseline, Rectal Bleeding Subscore (RBS) = 0, and Mayo Endoscopic Subscore (MES) ≤ 1
At Week 64
Number of Participants With Adverse Events
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
Up to 292 Weeks
Secondary Outcomes (23)
PK Lead-In Cohort 1: Achievement of clinical remission per mMS among Week 12 responders per mMS
At Week 64
PK Lead-In Cohort 2: Achievement of clinical remission per mMS among Week 12 responders per mMS
At Week 64
PK Lead-In Cohort 1: Achievement of clinical remission per mMS
At Week 12
PK Lead-In Cohort 2: Achievement of clinical remission per mMS
At Week 12
PK Lead-In Cohort 1: Achievement of clinical response per mMS
At Week 12
- +18 more secondary outcomes
Study Arms (15)
PK Cohort 1: SS1
EXPERIMENTALCohort 1 will consist of 2 age groups (6 to \< 12 years and 12 to \< 18 years). SS1 is a 12-week induction period where participants will receive a weight-based dose of risankizumab. All participants who complete SS1 are eligible to enter SS2
PK Cohort 1: SS2 Dose A
EXPERIMENTALCohort 1 will consist of 2 age groups (6 to \< 12 years and 12 to \< 18 years). Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose A. Participants who complete SS2 will have the opportunity to enter the open-label long term extension SS3.
PK Cohort 1: SS2 Dose B
EXPERIMENTALCohort 1 will consist of 2 age groups (6 to \< 12 years and 12 to \< 18 years). Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose B. Participants who complete SS2 will have the opportunity to enter the open-label long term extension SS3.
PK Cohort 1: SS3 Dose A
EXPERIMENTALCohort 1 will consist of 2 age groups (6 to \< 12 years and 12 to \< 18 years). SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
PK Cohort 1: SS3 Dose B
EXPERIMENTALCohort 1 will consist of 2 age groups (6 to \< 12 years and 12 to \< 18 years). SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
PK Cohort 2: SS1
EXPERIMENTALCohort 2 will enroll participants aged 2 to less than 6 years. SS1 is a 12-week induction period where participants will receive a weight-based dose of risankizumab. All subjects who complete SS1 are eligible to enter SS2.
PK Cohort 2: SS2 Dose A
EXPERIMENTALCohort 2 will enroll participants aged 2 to less than 6 years. Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose A. Participants who complete SS2 will have the opportunity to enter the open-label long-term extension SS3.
PK Cohort 2: SS2 Dose B
EXPERIMENTALCohort 2 will enroll participants aged 2 to less than 6 years. Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose B. Participants who complete SS2 will have the opportunity to enter the open-label long-term extension SS3.
PK Cohort 2: SS3 Dose A
EXPERIMENTALCohort 2 will enroll participants aged 2 to less than 6 years. SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
PK Cohort 2: SS3 Dose B
EXPERIMENTALCohort 2 will enroll participants aged 2 to less than 6 years. SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
Expansion Cohort 3: SS1
EXPERIMENTALCohort 3 will enroll participants aged 2 to less than 18 years. SS1 is a 12-week induction period where participants will receive a weight-based dose of risankizumab. All participants who complete SS1 are eligible to enter SS2.
Expansion Cohort 3: SS2 Dose A
EXPERIMENTALCohort 3 will enroll participants aged 2 to less than 18 years. Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose A. Participants who complete SS2 will have the opportunity to enter the open-label long term extension SS3.
Expansion Cohort 3: SS2 Dose B
EXPERIMENTALCohort 3 will enroll participants aged 2 to less than 18 years. Participants who complete SS1 will be randomized into a 52-week maintenance phase (SS2) to receive double-blind risankizumab Dose B. Participants who complete SS2 will have the opportunity to enter the open-label long term extension SS3.
Expansion Cohort 3: SS3 Dose A
EXPERIMENTALCohort 3 will enroll participants aged 2 to less than 18 years. SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
Expansion Cohort 3: SS3 Dose B
EXPERIMENTALCohort 3 will enroll participants aged 2 to less than 18 years. SS3 is a 208-week extension period where participants receive risankizumab based on their response in SS2.
Interventions
Risankizumab intravenous (IV) infusion
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AbbVielead
Study Sites (33)
Phoenix Children's Hospital /ID# 273015
Phoenix, Arizona, 85016, 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
Goryeb Children's Hospital /ID# 271801
Morristown, New Jersey, 07962, 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
Centre Hospitalier Régional de la Citadelle /ID# 270459
Liège, Liege, 4000, Belgium
Hospital Universite Enfants Reine Fabiola /ID# 271860
Brussels, 1020, Belgium
Medizinische Universitaet Lausitz - Carl Thiem /ID# 272023
Cottbus, Brandenburg, 03048, Germany
Klinikum Kassel /ID# 271546
Kassel, Hesse, 34125, Germany
Universitaetsklinikum Muenster /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
Athens, 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 /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
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
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
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
ABBVIE INC.
AbbVie
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2025
First Posted
July 17, 2025
Study Start
July 28, 2025
Primary Completion (Estimated)
July 1, 2034
Study Completion (Estimated)
July 1, 2034
Last Updated
February 11, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/
- Access Criteria
- To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.