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TerminatedNCT05013385Updated Feb 24, 2025Results posted

A Study to Test Whether Spesolimab Helps People With Crohn's Disease Who Have Symptoms of Bowel Obstruction

A Phase 2 interventional study of Spesolimab and Placebo in Fibrostenotic Crohn´s Disease, sponsored by Boehringer Ingelheim. Terminated at 4 sites in 4 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-02-24.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Why this study was terminated
Sponsor decision
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is open to adults, between 18 and 75 years of age, who have narrowings in the small bowel (strictures) due to Crohn's disease. Strictures can lead to bowel obstruction (blockage). People whose symptoms got worse because of strictures can join the study. Participants get standard treatment for Crohn's disease and the strictures. The purpose of the study is to test whether the strictures improve further when treated with a medicine called spesolimab added to standard treatment.

Participants are in the study for about 1 year and 4 months. In the first 3 months, participants get standard treatment only. After 3 months, participants whose condition improved are put into 2 groups randomly, which means by chance. One group gets spesolimab added to their standard treatment. The other group gets placebo added to their standard treatment. Both spesolimab and placebo are given as infusions into a vein. Placebo infusions look like spesolimab infusions but do not contain any medicine. For the first 2 months, participants get the infusions every month. Thereafter, participants get the infusions every 2 months.

During the study, participants have about 11 visits to the study site. The doctors regularly check participants' health and take note of any unwanted effects. At 3 of the visits, doctors take images of the bowel using Magnetic Resonance Imaging and with an endoscope. At these visits, the doctors also take a small sample of bowel tissue (biopsy). The participants note their symptoms of Crohn's disease and how the symptoms affect daily life in an electronic diary. At the end of the study, results from the diaries and bowel imaging are compared between the spesolimab group and the placebo group.

02

Conditions studied

  • Fibrostenotic Crohn´s Disease
03

In context

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,297 studies on the registry; 56 are open to participants now.

Of its 166 completed or terminated interventional studies of FDA-regulated products, 121 (73%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 to 75 years of legal age
  • Established diagnosis of clinical Crohn's Disease
  • Suspicion of symptomatic small bowel obstruction at screening
  • 1 or 2 naïve or anastomotic stenoses in the terminal ileum, with at least one being in reach of ileocolonoscopy as defined by the CrOhN´S disease antifibrotic STRICTure Therapies (CONSTRICT) criteria, confirmed by MRE
  • Have achieved a Symptomatic Stenosis Response after optimized anti-inflammatory therapy
  • Absent, mild or moderate endoscopic activity defined by Simple Endoscopic Score in Crohn's Disease (SES-CD) ≤12 Further criteria apply

Exclusion criteria

Exclusion Criteria:

  • More than 2 small intestinal stenoses
  • No stenosis is in reach of ileocolonoscopy
  • Patients who require immediate endoscopic balloon dilation or surgical intervention as per the investigator´s discretion or who have undergone any of the two within the 6 months prior to the study
  • Failure of >2 different biological drug classes
  • Current complications of Crohn's Disease such as enterocutaneous, internal or rectovaginal fistules, short gut syndrome or abscess,
  • Use of any prohibited concomitant medications as described in the study protocol
  • Active tuberculosis (TB) or history of latent TB that has not been treated Further criteria apply
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Spesolimab

    Drug: Spesolimab

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of Patients With Maintained Symptomatic Stenosis Response at Week 48

    Time frame: At Week 48.

  2. Proportion of Patients With Radiographic Stenosis Response at Week 48

    Time frame: At Week 48.

Secondary outcomes

  1. Proportion of Patients With Maintained Symptomatic Stenosis Response at Week 24

    Time frame: At Week 24.

  2. Proportion of Patients With Radiographic Stenosis Response at Week 24

    Time frame: At Week 24

07

Results

Posted Jun 26, 2023

Participant flow

The trial was designed to have a Lead-in Period where background medication is optimized, a Randomized Blinded Treatment Period and a Follow-up Period. At the end of the Lead-in Period, if eligibility criteria were fulfilled patients would have been randomized to either spesolimab (BI 655130) or placebo for the blinded treatment period. The trial was terminated when only 5 patients had entered the lead-in period. No patient was randomized and received spesolimab or placebo.

Participant flow — Overall Study
MilestoneEnrolled Patients
Started5
Patients who entered the randomized blinded treatment period0
Completed0
Not completed5
Withdrew: Sponsor's decision to terminate the trial5

Outcome measures

PrimaryProportion of Patients With Maintained Symptomatic Stenosis Response at Week 48
Time frame:
At Week 48.

No measurements were reported for this outcome.

PrimaryProportion of Patients With Radiographic Stenosis Response at Week 48
Time frame:
At Week 48.

No measurements were reported for this outcome.

SecondaryProportion of Patients With Maintained Symptomatic Stenosis Response at Week 24
Time frame:
At Week 24.

No measurements were reported for this outcome.

SecondaryProportion of Patients With Radiographic Stenosis Response at Week 24
Time frame:
At Week 24

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Enrolled Patients———

Baseline characteristics

Enrolled patients: Fibrostenotic Crohn's Disease patients who were eligible to enter the Lead-In period of the trial.

Age, Continuous
Age, Continuous(Years)Enrolled Patients
Mean34.2 ± 10.8
Sex: Female, Male
Sex: Female, Male(Participants)Enrolled Patients
Female2
Male3
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Enrolled Patients
Hispanic or Latino0
Not Hispanic or Latino5
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Enrolled Patients
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White4
More than one race0
Unknown or Not Reported0
08

Study locations

4 sites
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
  • Heritage Medical Research Clinic
    Calgary, Alberta T2N 4Z6, Canada
  • Kitasato Institute Hospital
    Tokyo, Minato-ku, 108-8642, Japan
  • Sahlgrenska Universitetssjukhuset, Mölndal
    Mölndal, 431 80, Sweden
09

References and documents

Related links

Study documents

  • Protocol and statistical analysis plan · Oct 20, 2021

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

Individual participant data

Plan to share: No — Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datatransparency

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05013385
Responsible party
Sponsor
First posted
Aug 19, 2021
Start date
Nov 9, 2021
Primary completion
May 31, 2022
Completion
May 31, 2022
Results posted
Jun 26, 2023
Last update
Feb 24, 2025

Oversight

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

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This study is terminated, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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