New hope for Crohn's patients: second-line drugs tested in real-world study
NCT ID NCT07073079
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tracks 250 people with moderate-to-severe Crohn's disease who are switching to either upadacitinib or risankizumab after a first treatment didn't work well enough. Researchers will see if these drugs help patients achieve remission without needing steroids over 18 months. The goal is to understand how well these approved drugs work in everyday medical practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- upadacitinib and risankizumab
- What this could lead to
- If successful, this study could show that switching to these drugs helps more people with Crohn's disease achieve remission without needing steroids.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be less reliable. It only follows people for 18 months, so long-term effects are unknown.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult participants with Crohn's Disease
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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 Exclusion Criteria: * 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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
25 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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A.O. Ordine Mauriziano di Torino /ID# 274459
RECRUITINGTurin, Torino, 10128, Italy
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A.O.U. CITTA' DELLA SALUTE E DELLA SCIENZA DI TORINO - Ospedale Molinette /ID# 274461
RECRUITINGTurin, Piedmont, 10126, Italy
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A.O.U. Consorziale Policlinico di Bari /ID# 274662
RECRUITINGBari, 70124, Italy
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AOU Policlinico G. Rodolico - San Marco /ID# 274909
RECRUITINGCatania, 95123, Italy
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Azienda Ospedaliera G. Brotzu /ID# 275125
RECRUITINGCagliari, 09047, Italy
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Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello /ID# 274964
RECRUITINGPalermo, 90146, Italy
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Azienda Ospedaliera Universitaria Federico II - Naples /ID# 274570
RECRUITINGNaples, Napoli, 80131, Italy
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Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 274788
RECRUITINGNaples, Napoli, 80138, Italy
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Azienda Ospedaliera Universitaria Policlinico Tor Vergata /ID# 274654
RECRUITINGRome, Roma, 00133, Italy
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Azienda Ospedaliera di Catanzaro Pugliese Ciaccio /ID# 274571
RECRUITINGCatanzaro, 88100, Italy
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Azienda Ospedaliero Universitaria di Cagliari - P.O. Duilio Casula /ID# 275216
RECRUITINGMonserrato, Cagliari, 09042, Italy
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Azienda Usl Di Pescara - Presidio Ospedaliero Di Pescara /ID# 274460
RECRUITINGPescara, 65124, Italy
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Fatebenefratelli Isola Tiberina - Gemelli Isola /ID# 274966
RECRUITINGRoma, 00186, Italy
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Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 274618
RECRUITINGMilan, 20122, Italy
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Fondazione IRCCS San Gerardo dei Tintori - Ospedale San Gerardo /ID# 274682
RECRUITINGMonza, Monza E Brianza, 20052, Italy
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 274530
RECRUITINGRome, Roma, 00168, Italy
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Fondazione Policlinico Universitario Campus Bio-Medico /ID# 274488
RECRUITINGRoma, 00128, Italy
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Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 275669
RECRUITINGSan Giovanni Rotondo, Foggia, 71013, Italy
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IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 275161
RECRUITINGBologna, 40138, Italy
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IRCCS Istituto Clinico Humanitas /ID# 274489
RECRUITINGRozzano, Lombardy, 20089, Italy
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IRCCS Ospedale Sacro Cuore Don Calabria /ID# 274462
RECRUITINGNegrar, Verona, 37024, Italy
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IRCCS Ospedale San Raffaele /ID# 274458
RECRUITINGMilan, Milano, 20132, Italy
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Ospedale San Martino /ID# 274529
RECRUITINGGenova, 16132, Italy
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Ospedale Sandro Pertini /ID# 275023
RECRUITINGRome, Roma, 00157, Italy
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Ospedale Specializzato In Gastroenterologia Saverio De Bellis /ID# 275706
RECRUITINGCastellana Grotte, Bari, 70013, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Lab-Grown gut patches made from Patients' own cells tested against Crohn's ulcers
- Staph bacteria may hold clues to painful skin rashes in IBD patients on Anti-TNF therapy
- Swallow a camera pill to diagnose Crohn's? trial puts it to the test
- Can a drug plus surgery heal Crohn's fistulas for good?
- Do vegan yogurts and meat substitutes really boost your gut?
- AI reads scans to forecast Crohn's complications