A Study to Assess the Effectiveness of Second-Line Therapy of Upadacitinib and Risankizumab in Adult Participants With Crohn's Disease in a Real-World Setting
CROHNOS
Second-line Advanced Therapy in Crohn's Disease: Real-life Effectiveness and Resolution of First-line Suboptimal Control Indicators (CROHNOS - CROHN Therapy Observational Study)
1 other identifier
observational
250
1 country
25
Brief Summary
Crohn's disease (CD) is an incurable chronic inflammatory disorder of the gastrointestinal tract. This study will evaluate the second line effectiveness of upadacitinib and risankizumab in Crohn's Disease (CD) in a real-world setting. Upadacitinib and risankizumab are approved drugs for treating CD. Approximately 250 participants who are prescribed upadacitinib or risankizumab by their physician in accordance with local label will be enrolled in 25 sites across Italy. Participants will receive upadacitinib or risankizumab as prescribed by their physician according to their routine clinical practice and local label. Participants will be followed for up to 18 months. No additional burden for participants in this trial is expected.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2025
Typical duration for all trials
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 2, 2025
CompletedStudy Start
First participant enrolled
July 14, 2025
CompletedFirst Posted
Study publicly available on registry
July 18, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2027
May 19, 2026
May 1, 2026
2.4 years
June 2, 2025
May 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants who Achieve Corticosteroids (CS) Free Remission
CS free remission is defined as clinical remission with Harvey Bradshaw Index (HBI) \<4 and absence of corticosteroid use since at least three months prior to month 12.
Month 12
Study Arms (2)
Upadacitinib
Participants with Crohn's Disease prescribed upadacitinib in routine clinical practice are observed from the first dose up to 18 months.
Risankizumab
Participants with Crohn's Disease prescribed risankizumab in routine clinical practice are observed from the first dose up to 18 months.
Eligibility Criteria
Adult participants with Crohn's Disease
You may qualify if:
- Participants with a diagnosis of moderate-to-severe Crohn's Disease (CD) confirmed by clinical, and/or endoscopic/histological indexes
- Participants previously treated with Tumor Necrosis Factor inhibitor (TNF-i) as fist line (1L) therapy for at least 6 months; clinical documentation available in medical charts for the previous 2 years or since the beginning of the 1L therapy
You may not qualify if:
- Any condition included in the "warning and precautions" and "contraindications" section of the approved local upadacitinib/risankizumab label
- Participants previously exposed to upadacitinib/risankizumab or any approved or investigational non TNFi biologic Disease Modifying Antirheumatic Drug (bDMARDs) for CD
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AbbVielead
Study Sites (25)
Ospedale Specializzato In Gastroenterologia Saverio De Bellis /ID# 275706
Castellana Grotte, Bari, 70013, Italy
Azienda Ospedaliero Universitaria di Cagliari - P.O. Duilio Casula /ID# 275216
Monserrato, Cagliari, 09042, Italy
Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 275669
San Giovanni Rotondo, Foggia, 71013, Italy
Ospedale San Martino /ID# 274529
Genoa, Genova, 16132, Italy
IRCCS Istituto Clinico Humanitas /ID# 274489
Rozzano, Lombardy, 20089, Italy
IRCCS Ospedale San Raffaele /ID# 274458
Milan, Milano, 20132, Italy
Fondazione IRCCS San Gerardo dei Tintori - Ospedale San Gerardo /ID# 274682
Monza, Monza E Brianza, 20052, Italy
Azienda Ospedaliera Universitaria Federico II - Naples /ID# 274570
Naples, Napoli, 80131, Italy
Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 274788
Naples, Napoli, 80138, Italy
A.O.U. CITTA' DELLA SALUTE E DELLA SCIENZA DI TORINO - Ospedale Molinette /ID# 274461
Turin, Piedmont, 10126, Italy
Azienda Ospedaliera Universitaria Policlinico Tor Vergata /ID# 274654
Rome, Roma, 00133, Italy
Ospedale Sandro Pertini /ID# 275023
Rome, Roma, 00157, Italy
Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 274530
Rome, Roma, 00168, Italy
A.O. Ordine Mauriziano di Torino /ID# 274459
Turin, Torino, 10128, Italy
IRCCS Ospedale Sacro Cuore Don Calabria /ID# 274462
Negrar, Verona, 37024, Italy
A.O.U. Consorziale Policlinico di Bari /ID# 274662
Bari, 70124, Italy
IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 275161
Bologna, 40138, Italy
Azienda Ospedaliera G. Brotzu /ID# 275125
Cagliari, 09047, Italy
AOU Policlinico G. Rodolico - San Marco /ID# 274909
Catania, 95123, Italy
Azienda Ospedaliera di Catanzaro Pugliese Ciaccio /ID# 274571
Catanzaro, 88100, Italy
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico /ID# 274618
Milan, 20122, Italy
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello /ID# 274964
Palermo, 90146, Italy
Azienda Usl Di Pescara - Presidio Ospedaliero Di Pescara /ID# 274460
Pescara, 65124, Italy
Fondazione Policlinico Universitario Campus Bio-Medico /ID# 274488
Roma, 00128, Italy
Fatebenefratelli Isola Tiberina - Gemelli Isola /ID# 274966
Roma, 00186, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
ABBVIE INC.
AbbVie
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- OTHER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 2, 2025
First Posted
July 18, 2025
Study Start
July 14, 2025
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
May 19, 2026
Record last verified: 2026-05