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CompletedNCT03653026U-AccomplishUpdated Mar 2, 2022Results posted

A Study of the Efficacy and Safety of Upadacitinib (ABT-494) in Participants With Moderately to Severely Active Ulcerative Colitis

A Phase 3 interventional study of Placebo and Upadacitinib in Ulcerative Colitis (UC), sponsored by AbbVie. Completed at 379 sites in 44 countries. Open to participants aged 16 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-03-02.

Sponsored by AbbVie · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
522
Allocation
Randomized
Ages
16 Years to 75 Years
Sex
All
01

Study summary

The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission (per Adapted Mayo score) in participants with moderately to severely active ulcerative colitis (UC).

Read the detailed description

Study M14-675 consists of 2 parts, Part 1 and Part 2. Part 1 is a randomized, double-blind, placebo-controlled 8-week induction period. Part 2 is an open-label, 8-week extended treatment period for participants who did not achieve clinical response at Week 8 in Part 1.

Eligible participants are randomized in a 2:1 ratio to one of the two treatment groups (upadacitinib 45 mg or matching placebo) for 8 weeks. The randomization is stratified by biologic inadequate responder (bio-IR) status (bio-IR vs non-bio-IR), corticosteroid use (yes or no), and Adapted Mayo score (≤ 7 or > 7) at Baseline. Within bio-IR, the randomization is further stratified by number of prior biologic treatments (≤ 1 or > 1). Within non-bio-IR, the randomization is further stratified by previous biologic use (yes or no).

Participants who achieve clinical response defined by Adapted Mayo Score at Week 8 or Week 16 and do not meet any study discontinuation criteria are eligible to enroll into Study M14-234 Substudy 3 (NCT02819635; 52-week maintenance study) or Study M14-533 Cohort 1 (NCT03006068; long-term follow-up study).

02

Conditions studied

  • Ulcerative Colitis (UC)

Keywords

  • Upadacitinib
  • ABT-494
  • Ulcerative Colitis
03

In context

Colitis

1,073 studies on the registry are indexed under Colitis; 131 are open to participants now.

This study's enrollment of 522 is above the median of 60 across 771 interventional studies indexed under Colitis.

Browse Colitis studies →

Lead sponsor

AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.

Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female participants ≥ 16 and ≤ 75 years of age at Baseline Note: Adolescent participants at the age of 16 or 17 years old will be eligible to participate if approved by the country or regulatory/health authorities.

Note: Adolescent participants at the age of 16 or 17 years old must weigh ≥ 40 kilograms and meet the definition of Tanner Stage 5 at the Screening Visit.

  • Diagnosis of Ulcerative Colitis (UC) for 90 days or greater prior to Baseline, confirmed by colonoscopy during the Screening Period, with exclusion of current infection, colonic dysplasia and/or malignancy. Appropriate documentation of biopsy results consistent with the diagnosis of UC, in the assessment of the Investigator, must be available.
  • Active UC with an Adapted Mayo score of 5 to 9 points and endoscopic subscore of 2 to 3.
  • Demonstrated an inadequate response, loss of response, or intolerance to at lease one of the following treatments including, oral aminosalicylates, corticosteroids, immunosuppressants, and/or biologic therapies.

Note: Participants who have had inadequate response, loss of response to conventional therapy but have not failed biologic therapy (Non-bio-IR) and have received a prior biologic for up to 1 year may be enrolled, however they must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease), and must meet criteria for inadequate response, loss of response, or intolerance as defined above.

  • Female Participants of childbearing potential must have a negative serum pregnancy test at the Screening Visit and a negative urine pregnancy test at the Baseline Visit.
  • If female, participant must meet the contraception recommendation criteria.

Exclusion criteria

Exclusion Criteria:

  • Participant with current diagnosis of Crohn's disease (CD) or diagnosis of indeterminate colitis (IC).
  • Current diagnosis of fulminant colitis and/or toxic megacolon.
  • Participant with disease limited to the rectum (ulcerative proctitis) during the Screening endoscopy.
  • Received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to Baseline.
  • Participant who received azathioprine or 6-mercaptopurine (6-MP) within 10 days of Baseline.
  • Received intravenous corticosteroids within 14 days prior to Screening or during the Screening Period.
  • Participant with previous exposure to Janus Activated Kinase (JAK) inhibitor (e.g., tofacitinib, baricitinib, filgotinib, upadacitinib).
  • Screening laboratory and other analyses show any prespecified abnormal hematologic results.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
522 participants (actual)

Study arms

  • Experimental
    Upadacitinib 45 mg

    Participants received 45 mg upadacitinib once daily (QD) for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 additional weeks in the open-label extension period.

    Drug: Upadacitinib

  • Placebo comparator
    Placebo

    Participants received placebo matching to upadacitinib once daily for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 weeks in the open-label extension period.

    Drug: Placebo · Drug: Upadacitinib

Interventions

  • DrugPlacebo

    Tablet for oral administration

  • DrugUpadacitinib

    Tablet for oral administration

    Also known as: ABT-494, RINVOQ®

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8

    The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical remission is defined as an Adapted Mayo score ≤ 2, with SFS ≤ 1 and not higher than Baseline, RBS of 0, and endoscopic subscore ≤ 1.

    Time frame: Week 8

Secondary outcomes

  1. Percentage of Participants With Endoscopic Improvement at Week 8

    Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).

    Time frame: Week 8

  2. Percentage of Participants With Endoscopic Remission at Week 8

    Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).

    Time frame: Week 8

  3. Percentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 8

    The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 with higher scores representing more severe disease. Clinical response per the Adapted Mayo Score is defined as a decrease in Adapted Mayo score ≥ 2 points and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.

    Time frame: Week 8

  4. Percentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 2

    The Partial Adapted Mayo Score is a composite score of UC disease activity based on the following 2 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). The overall Partial Adapted Mayo score ranges from 0 to 6 with higher scores representing more severe disease. Clinical response per Partial Adapted Mayo Score is defined as a decrease in Partial Adapted Mayo score ≥ 1 point and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.

    Time frame: Week 2

  5. Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8

    Histologic endoscopic mucosal improvement is defined as an endoscopic subscore of 0 or 1 and a Geboes score ≤ 3.1. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

    Time frame: Week 8

  6. Percentage of Participants Who Reported No Bowel Urgency at Week 8

    Bowel urgency was assessed by participants in a subject diary completed once a day.

    Time frame: Week 8

  7. Percentage of Participants Who Reported No Abdominal Pain at Week 8

    Abdominal pain was assessed by participants in a subject diary completed once a day.

    Time frame: Week 8

  8. Percentage of Participants Who Achieved Histologic Improvement at Week 8

    Histologic improvement is defined as a decrease from Baseline in Geboes score. The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

    Time frame: Week 8

  9. Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8

    The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with ulcerative colitis. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.

    Time frame: Baseline (Week 0) to Week 8

  10. Percentage of Participants Who Achieved Mucosal Healing at Week 8

    Mucosal healing is defined as an endoscopic score of 0 and Geboes score \< 2.0. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

    Time frame: Week 8

  11. Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8

    The FACIT fatigue questionnaire was developed to assess fatigue associated with anemia. It consists of 13 fatigue-related questions. Each question is answered on a 5-point Likert scale: 0 (not at all); 1 (a little bit); 2 (somewhat); 3 (quite a bit); and 4 (very much). The total score ranges from 0 to 52, where higher scores represent less fatigue, and a positive change from Baseline indicates improvement.

    Time frame: Baseline (Week 0) to Week 8

07

Results

Posted Nov 26, 2021

Participant flow

This study included a Screening Period of up to 5 weeks, Part 1, and Part 2. Part 1 was a randomized, double-blind, placebo-controlled 8-week induction period. Part 2 was an open-label, 8-week extended treatment period for participants who were clinical non-responders in Part 1. Participants with moderately to severely active ulcerative colitis (UC) were randomized at 204 sites in 41 countries.

Part 1: Placebo-controlled Period
Participant flow — Part 1: Placebo-controlled Period
MilestonePart 1: Upadacitinib 45 mgPart 1: PlaceboPart 2: Upadacitinib 45 mg / Upadacitinib 45 mgPart 2: Placebo / Upadacitinib 45 mg
Started34517700
Received treatment34417700
Completed33416400
Not completed111300
Withdrew: Adverse event5600
Withdrew: Withdrawal by subject6400
Withdrew: Other0300
Part 2: Open-label Extension
Participant flow — Part 2: Open-label Extension
MilestonePart 1: Upadacitinib 45 mgPart 1: PlaceboPart 2: Upadacitinib 45 mg / Upadacitinib 45 mgPart 2: Placebo / Upadacitinib 45 mg
Started0068116
Completed0065111
Not completed0035
Withdrew: Adverse event0011
Withdrew: Withdrawal by subject0012
Withdrew: Other0012

Outcome measures

PrimaryPercentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8

The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical remission is defined as an Adapted Mayo score ≤ 2, with SFS ≤ 1 and not higher than Baseline, RBS of 0, and endoscopic subscore ≤ 1.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 833.5 (28.5 to 38.5)4.1 (1.1 to 7.1)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 29.0 · 95% CI 23.2 to 34.7Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants With Endoscopic Improvement at Week 8

Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants With Endoscopic Improvement at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants With Endoscopic Improvement at Week 844.0 (38.8 to 49.3)8.3 (4.1 to 12.5)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 35.1 · 95% CI 28.6 to 41.6Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants With Endoscopic Remission at Week 8

Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants With Endoscopic Remission at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants With Endoscopic Remission at Week 818.2 (14.1 to 22.3)1.7 (0.0 to 3.7)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 15.9 · 95% CI 11.4 to 20.3Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 8

The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 with higher scores representing more severe disease. Clinical response per the Adapted Mayo Score is defined as a decrease in Adapted Mayo score ≥ 2 points and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 874.5 (69.9 to 79.1)25.4 (18.9 to 31.8)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 49.4 · 95% CI 41.7 to 57.1Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 2

The Partial Adapted Mayo Score is a composite score of UC disease activity based on the following 2 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). The overall Partial Adapted Mayo score ranges from 0 to 6 with higher scores representing more severe disease. Clinical response per Partial Adapted Mayo Score is defined as a decrease in Partial Adapted Mayo score ≥ 1 point and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.

Time frame:
Week 2
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 2
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 263.3 (58.2 to 68.5)25.9 (19.4 to 32.4)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 37.0 · 95% CI 28.8 to 45.1Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8

Histologic endoscopic mucosal improvement is defined as an endoscopic subscore of 0 or 1 and a Geboes score ≤ 3.1. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 836.7 (31.6 to 41.8)5.9 (2.3 to 9.4)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 30.1 · 95% CI 24.1 to 36.2Difference = Upadacitinib 45 mg - placebo
SecondaryPercentage of Participants Who Reported No Bowel Urgency at Week 8

Bowel urgency was assessed by participants in a subject diary completed once a day.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Reported No Bowel Urgency at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Reported No Bowel Urgency at Week 853.7 (48.4 to 59.0)25.9 (19.4 to 32.4)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 27.1 · 95% CI 19.0 to 35.3Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants Who Reported No Abdominal Pain at Week 8

Abdominal pain was assessed by participants in a subject diary completed once a day.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Reported No Abdominal Pain at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Reported No Abdominal Pain at Week 853.7 (48.4 to 59.0)24.1 (17.8 to 30.5)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 29.1 · 95% CI 20.9 to 37.4Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants Who Achieved Histologic Improvement at Week 8

Histologic improvement is defined as a decrease from Baseline in Geboes score. The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Histologic Improvement at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Achieved Histologic Improvement at Week 862.2 (57.0 to 67.3)24.5 (18.0 to 30.9)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 37.9 · 95% CI 29.8 to 46.1Difference = Upadacitinib 45 mg - Placebo
SecondaryChange From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8

The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with ulcerative colitis. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.

Time frame:
Baseline (Week 0) to Week 8
Reported as:
Least squares mean · units on a scale
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8
units on a scaleUpadacitinib 45 mgPlacebo
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 852.2 (48.57 to 55.92)21.1 (15.98 to 26.17)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Mixed-effect model repeated measurement · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Least squares (ls) mean difference: 31.2 · 95% CI 24.98 to 37.36Difference = Upadacitinib 45 mg - Placebo
SecondaryPercentage of Participants Who Achieved Mucosal Healing at Week 8

Mucosal healing is defined as an endoscopic score of 0 and Geboes score \< 2.0. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration). The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.

Time frame:
Week 8
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Mucosal Healing at Week 8
percentage of participantsUpadacitinib 45 mgPlacebo
Percentage of Participants Who Achieved Mucosal Healing at Week 813.5 (9.9 to 17.1)1.7 (0.0 to 3.7)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Adjusted response rate difference: 11.3 · 95% CI 7.2 to 15.3Difference = Upadacitinib 45 mg - Placebo
SecondaryChange From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8

The FACIT fatigue questionnaire was developed to assess fatigue associated with anemia. It consists of 13 fatigue-related questions. Each question is answered on a 5-point Likert scale: 0 (not at all); 1 (a little bit); 2 (somewhat); 3 (quite a bit); and 4 (very much). The total score ranges from 0 to 52, where higher scores represent less fatigue, and a positive change from Baseline indicates improvement.

Time frame:
Baseline (Week 0) to Week 8
Reported as:
Least squares mean · units on a scale
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8
units on a scaleUpadacitinib 45 mgPlacebo
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 89.4 (8.38 to 10.48)3.5 (2.02 to 4.92)
Statistical analysis
  • Upadacitinib 45 mg vs Placebo · Mixed-effect model repeated measurement · p = <0.001 (The primary and ranked secondary efficacy endpoints were tested with multiplicity adjustment using a fixed-sequence multiple testing procedure to ensure a strong control of family-wise type I error rate at significance level alpha = 0.05 (2-sided).) · Ls mean difference: 6.0 · 95% CI 4.19 to 7.73Difference = Upadacitinib 45 mg - Placebo

Adverse events

Collected over Part 1: From first dose of study drug up to 30 days after the last dose (up to 12 weeks) or until first dose of study drug in Part 2 or first dose of study drug in M14-234 (NCT02819635; maintenance study) or M14-533 (NCT03006068; long term extension). Part 2: From the first dose of study drug in Part 2 up to 30 days after last dose (up to 12 weeks) or until first dose of study drug in M14-234 (maintenance study) or the first dose date of study drug in M14-533 (long-term extension study).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1: Upadacitinib 45 mg0/344 (0%)11/344 (3.2%)32/344 (9.3%)
Part 1: Placebo0/177 (0%)8/177 (4.5%)11/177 (6.2%)
Part 2: Upadacitinib 45 mg / Upadacitinib 45 mg0/68 (0%)1/68 (1.5%)10/68 (14.7%)
Part 2: Placebo / Upadacitinib 45 mg0/116 (0%)4/116 (3.4%)17/116 (14.7%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventPart 1: Upadacitinib 45 mgPart 1: PlaceboPart 2: Upadacitinib 45 mg / Upadacitinib 45 mgPart 2: Placebo / Upadacitinib 45 mg
COLITIS ULCERATIVEGastrointestinal disorders4/3443/1771/681/116
ABDOMINAL DISCOMFORTGastrointestinal disorders0/3440/1770/681/116
ABDOMINAL PAIN LOWERGastrointestinal disorders0/3440/1770/681/116
COVID-19 PNEUMONIAInfections and infestations1/3440/1770/681/116
CHRONIC OBSTRUCTIVE PULMONARY DISEASERespiratory, thoracic and mediastinal disorders0/3440/1770/681/116
ANAEMIABlood and lymphatic system disorders1/3441/1770/680/116
COLITISGastrointestinal disorders0/3441/1770/680/116
LARGE INTESTINE PERFORATIONGastrointestinal disorders0/3441/1770/680/116
ENTEROCOCCAL INFECTIONInfections and infestations0/3441/1770/680/116
ESCHERICHIA INFECTIONInfections and infestations0/3441/1770/680/116
Most frequent other events
Most frequent other events
EventPart 1: Upadacitinib 45 mgPart 1: PlaceboPart 2: Upadacitinib 45 mg / Upadacitinib 45 mgPart 2: Placebo / Upadacitinib 45 mg
ACNESkin and subcutaneous tissue disorders24/3443/1770/686/116
ANAEMIABlood and lymphatic system disorders0/3440/1774/683/116
PYREXIAGeneral disorders0/3440/1774/684/116
BLOOD CREATINE PHOSPHOKINASE INCREASEDInvestigations0/3440/1774/685/116
HEADACHENervous system disorders8/3449/1770/680/116

Baseline characteristics

Age, Continuous
Age, Continuous(years)Upadacitinib 45 mgPlaceboTotal
Mean42.2 ± 14.7342.2 ± 14.4442.2 ± 14.62
Age, Customized
Age, Customized(Participants)Upadacitinib 45 mgPlaceboTotal
< 18 years639
≥ 18 years to < 40 years16081241
≥ 40 years to < 65 years14679225
≥ 65 years331447
Sex: Female, Male
Sex: Female, Male(Participants)Upadacitinib 45 mgPlaceboTotal
Female12967196
Male216110326
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Upadacitinib 45 mgPlaceboTotal
Hispanic or Latino261642
Not Hispanic or Latino319161480
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Upadacitinib 45 mgPlaceboTotal
White238127365
Black or African American11617
Asian9441135
American Indian or Alaska Native011
Native Hawaiian or Other Pacific Islander011
Multiple213
Biologic-inadequate Responder (Bio-IR) Status
Biologic-inadequate Responder (Bio-IR) Status(Participants)Upadacitinib 45 mgPlaceboTotal
Bio-IR17591266
Non-Bio-IR17086256
Baseline Corticosteroid Use
Baseline Corticosteroid Use(Participants)Upadacitinib 45 mgPlaceboTotal
Yes12375198
No222102324
Adapted Mayo Score Strata
Adapted Mayo Score Strata(Participants)Upadacitinib 45 mgPlaceboTotal
≤ 7205104309
> 713873211
Missing202

7 further baseline measures are reported on the registry.

08

Study locations

379 sites
  • East View Medical Research, LLC /ID# 216933
    Mobile, Alabama 36606, United States
  • CB Flock Research Corporation /ID# 206094
    Mobile, Alabama 36608, United States
  • Arizona Arthritis & Rheumatology Research, PLLC /ID# 211030
    Sun City, Arizona 85306, United States
  • Digestive Disease Consultants, A Division of Arizona Digestive Health, P.C /ID# 211887
    Tempe, Arizona 85284-2604, United States
  • University of Arizona /ID# 208856
    Tucson, Arizona 85724, United States
  • Citrus Valley Gastroenterology /ID# 205627
    Covina, California 91722-3797, United States
  • Care Access Research /ID# 217003
    Huntington Beach, California 92648-5994, United States
  • Moore UC San Diego Cancer Center /ID# 204919
    La Jolla, California 92093, United States
  • United Medical Doctors /ID# 207867
    Los Alamitos, California 90720-3309, United States
  • TLC Clinical Research Inc /ID# 216831
    Los Angeles, California 90048, United States
  • Gastrointestinal Biosciences Clinical Trials, LLC /ID# 205314
    Los Angeles, California 90067-2001, United States
  • Facey Medical Foundation /ID# 205301
    Mission Hills, California 91345, United States
  • United Medical Doctors - Murrieta /ID# 205313
    Murrieta, California 92563, United States
  • InSite Digestive Health Care - Oxnard /ID# 205628
    Oxnard, California 93030, United States
  • Inland Empire Clinical Trials, LLC /ID# 216164
    Rialto, California 92377, United States
  • San Diego Clinical Trials /ID# 212122
    San Diego, California 92120, United States
  • Medical Assoc Research Grp /ID# 205626
    San Diego, California 92123, United States
  • Delta Waves, Inc. /ID# 206170
    Colorado Springs, Colorado 80918, United States
  • Western States Clinical Res /ID# 206091
    Wheat Ridge, Colorado 80033-2896, United States
  • Western Connecticut Medical Group /ID# 208290
    Danbury, Connecticut 06810-6000, United States
  • Gastroenterology Center of CT /ID# 208291
    Hamden, Connecticut 06518, United States
  • Gastro Florida /ID# 206174
    Clearwater, Florida 33756, United States
  • Universal Axon Clinical Research /ID# 213462
    Doral, Florida 33166, United States
  • Palmetto Research, LLC /ID# 208293
    Hialeah, Florida 33016, United States
  • Nature Coast Clinical Research - Inverness /ID# 206087
    Inverness, Florida 34452-4717, United States
  • Encore Borland-Groover Clinical Research /Id# 208128
    Jacksonville, Florida 32256, United States
  • Cfagi Llc /Id# 207995
    Maitland, Florida 32751-6108, United States
  • University of Miami /ID# 215445
    Miami, Florida 33136, United States
  • Coral Research Clinic /ID# 208292
    Miami, Florida 33186-4643, United States
  • Advanced Research Institute, Inc /ID# 206077
    New Port Richey, Florida 34653, United States
  • Endoscopic Research, Inc. /ID# 207360
    Orlando, Florida 32803, United States
  • Omega Research Consultants /ID# 206066
    Orlando, Florida 32810, United States
  • Clinical Research Trials of Florida, Inc. /ID# 206068
    Tampa, Florida 33607, United States
  • University of South Florida /ID# 214495
    Tampa, Florida 33612, United States
  • AdventHealth Tampa /ID# 207363
    Tampa, Florida 33613-4680, United States
  • Gastroenterology Associates of Central Georgia, LLC /ID# 216940
    Macon, Georgia 31201, United States
  • Infinite Clinical Trials /ID# 215343
    Riverdale, Georgia 30274, United States
  • Atlanta Gastroenterology Spec /ID# 206173
    Suwanee, Georgia 30024, United States
  • Next Innovative Clinical Research - Chicago /ID# 217324
    Chicago, Illinois 60605-2168, United States
  • The University of Chicago Medical Center /ID# 206172
    Chicago, Illinois 60637-1443, United States
  • Carle Foundation Hospital /ID# 207397
    Effingham, Illinois 62401, United States
  • MediSphere Medical Research Center /ID# 206073
    Evansville, Indiana 47714-8011, United States
  • Indianapolis Gastroenterology /ID# 206381
    Indianapolis, Indiana 46237, United States
  • University of Iowa Hospitals and Clinics /ID# 206167
    Iowa City, Iowa 52242, United States
  • Cotton-O'Neil Clinical Res Ctr /ID# 206175
    Topeka, Kansas 66606, United States
  • Tri-State Gastroenterology /ID# 206124
    Crestview Hills, Kentucky 41017, United States
  • Houma Digestive Health Special /ID# 206176
    Houma, Louisiana 70360, United States
  • Louisana Research Center, LLC /ID# 206064
    Shreveport, Louisiana 71105-6800, United States
  • Gastro Center of Maryland /ID# 206883
    Columbia, Maryland 21045, United States
  • University of Michigan Health Systems /ID# 206918
    Ann Arbor, Michigan 48109, United States
  • Huron Gastroenterology Assoc /ID# 205109
    Ann Arbor, Michigan 48197, United States
  • Clin Res Inst of Michigan, LLC /ID# 207078
    Chesterfield, Michigan 48047, United States
  • Revival Research Institute, LLC /ID# 207282
    Southfield, Michigan 48034-1659, United States
  • Center for Digestive Health /ID# 207080
    Troy, Michigan 48098-6363, United States
  • Mayo Clinic /ID# 205645
    Rochester, Minnesota 55905-0001, United States
  • University of Mississippi Medical Center /ID# 213116
    Jackson, Mississippi 39216-4500, United States
  • Southern Therapy and Advanced Research (STAR) LLC /ID# 206069
    Jackson, Mississippi 39216, United States
  • Las Vegas Medical Research /ID# 206814
    Las Vegas, Nevada 89113, United States
  • AGA Clinical Research Associates, LLC /ID# 206880
    Egg Harbor Township, New Jersey 08234, United States
  • Atlantic Digestive Health Inst /ID# 208748
    Morristown, New Jersey 07960, United States
  • Rutgers Robert Wood Johnson /ID# 207382
    New Brunswick, New Jersey 08901, United States
  • University of New Mexico Department of Internal Medicine /ID# 214397
    Albuquerque, New Mexico 87131-0001, United States
  • Advantage Clinical Trials /ID# 206082
    Bronx, New York 10468, United States
  • NY Scientific /ID# 206080
    Brooklyn, New York 11235, United States
  • NYU Langone Long Island Clinical Research Associates /ID# 206079
    Lake Success, New York 11042, United States
  • DiGiovanna Institute for Medical Education & Research /ID# 206885
    North Massapequa, New York 11758, United States
  • Premier Medical Group - GI Division /ID# 206097
    Poughkeepsie, New York 12601, United States
  • Gastro Group of Rochester /ID# 206881
    Rochester, New York 14618-5703, United States
  • Richmond University Medical Center /ID# 213185
    Staten Island, New York 10310-1664, United States
  • Digestive Health Partners, P.A /ID# 206842
    Asheville, North Carolina 28801, United States
  • Atrium Health Carolinas Medical Center /ID# 206085
    Charlotte, North Carolina 28203, United States
  • Charlotte Gastroenterology and Hepatology, PLLC /ID# 206138
    Charlotte, North Carolina 28207, United States
  • Wake Forest Baptist Medical Center /ID# 206067
    Winston-Salem, North Carolina 27157-0001, United States
  • Duplicate_Plains Clinical Research Center, LLC /ID# 205111
    Fargo, North Dakota 58104, United States
  • University of Cincinnati /ID# 205633
    Cincinnati, Ohio 45267-0585, United States
  • The Ohio State University /ID# 205637
    Columbus, Ohio 43210, United States
  • Optimed Research, Ltd. /ID# 205638
    Columbus, Ohio 43235, United States
  • Hometown Urgent Care and Resea /ID# 205630
    Dayton, Ohio 45424, United States
  • Dayton Gastroenterology, Inc. /ID# 205639
    Englewood, Ohio 45415, United States
  • Great Lakes Gastroenterology Research LLC /ID# 205631
    Mentor, Ohio 44060-6211, United States
  • Hightower Clinical /ID# 216336
    Oklahoma City, Oklahoma 73102, United States
  • Digestive Disease Specialists /ID# 206076
    Oklahoma City, Oklahoma 73112, United States
  • Options Health Research, LLC /ID# 206707
    Tulsa, Oklahoma 74104, United States
  • Healthcare Research Consultant /ID# 206706
    Tulsa, Oklahoma 74135, United States
  • Guthrie Medical Group, PC /ID# 206078
    Sayre, Pennsylvania 18840, United States
  • Pharmacorp Clinical Trials /ID# 206074
    Charleston, South Carolina 29412, United States
  • Gastroenterology Associates, P.A. of Greenville /ID# 206098
    Greenville, South Carolina 29615-3593, United States
  • Gastro One /ID# 206178
    Germantown, Tennessee 38138, United States
  • East Tennessee Research Institute /ID# 206169
    Johnson City, Tennessee 37604, United States
  • Quality Medical Research /ID# 206088
    Nashville, Tennessee 37211, United States
  • Vanderbilt University Medical Center /ID# 210405
    Nashville, Tennessee 37232-0011, United States
  • TX Clinical Research Institute /ID# 206718
    Arlington, Texas 76012, United States
  • Inquest Clinical Research /ID# 206132
    Baytown, Texas 77521, United States
  • Texas Digestive Disease Consultants /ID# 209805
    Cedar Park, Texas 78613-5028, United States
  • Texas Digestive Disease Consultants /ID# 209948
    Cedar Park, Texas 78613-5028, United States
  • Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 207484
    Dallas, Texas 75246, United States
  • DHAT Research Institute /ID# 206716
    Garland, Texas 75044-2208, United States
  • Vilo Research Group Inc /ID# 212625
    Houston, Texas 77017-2337, United States
  • Baylor College of Medicine - Baylor Medical Center /ID# 206717
    Houston, Texas 77030-3411, United States
  • Centex Studies, Inc. - Houston /ID# 206168
    Houston, Texas 77058, United States

Showing the first 100 of 379 sites across 44 countries.

09

References and documents

Publications

  • Danese S, Vermeire S, Zhou W, Pangan AL, Siffledeen J, Greenbloom S, Hebuterne X, D'Haens G, Nakase H, Panes J, Higgins PDR, Juillerat P, Lindsay JO, Loftus EV Jr, Sandborn WJ, Reinisch W, Chen MH, Sanchez Gonzalez Y, Huang B, Xie W, Liu J, Weinreich MA, Panaccione R. Upadacitinib as induction and maintenance therapy for moderately to severely active ulcerative colitis: results from three phase 3, multicentre, double-blind, randomised trials. Lancet. 2022 Jun 4;399(10341):2113-2128. doi: 10.1016/S0140-6736(22)00581-5. Epub 2022 May 26. Erratum In: Lancet. 2022 Sep 24;400(10357):996. doi: 10.1016/S0140-6736(22)01069-8. PubMed 35644166 ↗

Study documents

  • Study protocol · Jul 31, 2020
  • Statistical analysis plan · Jan 19, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Supporting information: Study protocol, Sap, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 2, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03653026
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Aug 31, 2018
Start date
Dec 6, 2018
Primary completion
Jan 14, 2021
Completion
Jan 14, 2021
Results posted
Nov 26, 2021
Last update
Mar 2, 2022

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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