New hope for kids with Crohn's: oral drug trial launches
NCT ID NCT06332534
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests upadacitinib (RINVOQ), a daily oral medication, in 110 children aged 2 to 18 with moderate to severe Crohn's disease who haven't improved with other treatments. The trial has three parts: an initial 12-week open-label phase, a 52-week double-blind maintenance phase, and a 156-week open-label extension. Researchers will measure symptom improvement, endoscopic healing, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- upadacitinib (RINVOQ)
- What this could lead to
- If successful, this could provide a new oral treatment option for children with hard-to-control Crohn's disease, potentially reducing symptoms and improving quality of life.
- What could go wrong
- This is an early-phase trial in a small group of children. The drug may not work as well in kids as it does in adults, and side effects could be serious. Long-term safety is still 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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Dec 2034
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.
- Ages
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2 to 17 years
- 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: * Weight at Screening and Baseline must be \>= 10 kg * Moderate to severe Crohn's Disease (CD) defined as Pediatric Crohn's Disease Activity Index (PCDAI) \> 30 and endoscopic evidence of mucosal inflammation as documented by a centrally read SES-CD of \>= 6 (or SES-CD of \>=4 for isolated ileal disease) excluding the presence of narrowing component. * Documented diagnosis of CD 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 CD, in the assessment of the investigator, must be available * Demonstrated an inadequate response, loss of response, or intolerance to corticosteroids, immunomodulators (IMMs), and/or biologic therapy or in whom use of those therapies is medically contraindicated. For participants in the US and South Korea, participants must have demonstrated an inadequate response, loss of response, or intolerance to one or more anti-TNFs (tumor necrosis factor). Exclusion Criteria: * History of: * A diagnosis of CD prior to 2 years of age. * Currently known complications of CD such as: * Active abscess (abdominal or perianal); * Symptomatic bowel strictures; * More than 2 missing segments of the following 5 intestinal segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum; * Ostomy or ileoanal pouch; * Surgical bowel resection within the past 3 months prior to Baseline, or a history of more than 3 bowel resections. * Japan participants only: positive result of beta-D-glucan or two consecutive indeterminate results of beta-D-glucan during the Screening period (screening for Pneumocystis jiroveci infection) * History of any of the following: * Current diagnosis of ulcerative colitis (UC), indeterminate colitis, or monogenic inflammatory bowel disease (IBD); * Fulminant colitis or toxic megacolon; * Gastrointestinal (GI) perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for GI perforation per investigator judgment including history of volvulus and/or intussusception (telescoping of bowels); * Current diagnosis of any primary immune deficiency * Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery; subjects with a history of gastric banding/segmentation are not excluded.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Crohn's disease are added.
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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
81 sites in 18 countries. 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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Addenbrookes Hospital /ID# 262707
RECRUITINGCambridge, Cambridgeshire, CB2 2QQ, United Kingdom
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Agia Sofia Hospital /ID# 261792
RECRUITINGAthens, Attica, 11527, Greece
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Azienda Ospedaliera Universitaria Gaetano Martino /ID# 262380
RECRUITINGMessina, 98125, Italy
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BC Children's Hospital /ID# 262237
RECRUITINGVancouver, British Columbia, V6H 3V4, Canada
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Beijing Children's Hospital /ID# 262258
RECRUITINGBeijing, Beijing Municipality, 100045, China
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Boston Children's Hospital /ID# 262191
RECRUITINGBoston, Massachusetts, 02115, United States
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CHR de la Citadelle /ID# 261749
RECRUITINGLiège, 4000, Belgium
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CHU Sainte-Justine /ID# 262096
RECRUITINGMontreal, Quebec, H3T 1C5, Canada
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CHU de CAEN - Hopital de la Cote de Nacre /ID# 262311
RECRUITINGCaen, Calvados, 14033, France
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Children's Hospital Colorado - Aurora /ID# 262207
RECRUITINGAurora, Colorado, 80045, United States
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Children's Hospital at Westmead /ID# 262350
RECRUITINGWestmead, New South Wales, 2145, Australia
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Children's Hospital of Philadelphia - Main /ID# 262197
RECRUITINGPhiladelphia, Pennsylvania, 19104-4319, United States
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Children's Hospital of Shanghai /ID# 262356
RECRUITINGShanghai, Shanghai Municipality, 200062, China
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Christchurch Hospital. /ID# 262577
RECRUITINGChristchurch, Canterbury, 8011, New Zealand
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Clinical Research Investigator Group /ID# 262357
RECRUITINGBayamón, 00960, Puerto Rico
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Clinical Research Puerto Rico /ID# 279595
RECRUITINGSan Juan, 00909-1711, Puerto Rico
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Cliniques Universitaires UCL Saint-Luc /ID# 261741
RECRUITINGBrussels, Brussels Capital, 1200, Belgium
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Connecticut Children's Medical Center - Hartford /ID# 262256
RECRUITINGHartford, Connecticut, 06106, United States
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Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 262811
RECRUITINGLondon, Greater London, E1 2ES, United Kingdom
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Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 275276
RECRUITINGMilan, 20122, Italy
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Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 262384
RECRUITINGSan Giovanni Rotondo, Foggia, 71013, Italy
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Galileo Medical Research Ltda /ID# 262602
RECRUITINGJuiz de Fora, Minas Gerais, 36033-318, Brazil
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Gastromed Sp. z o.o /ID# 262367
RECRUITINGTorun, Kuyavian-Pomeranian Voivodeship, 87-100, Poland
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General Hospital of Chest Diseases of Athens SOTIRIA /ID# 261790
RECRUITINGAthens, Attica, 11527, Greece
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Guangzhou Medical University Affiliated Women and Children's Medical Center /ID# 262596
RECRUITINGGuangzhou, Guangdong, 510620, China
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Henan Children's Hospital Zhengzhou Children's Hospital /ID# 262300
RECRUITINGZhengzhou, Henan, 450018, China
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Hopitaux de Paris (AP-HP) - Hopital Robert Debre - CHU /ID# 262308
COMPLETEDParis, 75019, France
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Hospices Civils de Lyon - Hôpital Femme Mère Enfant /ID# 263422
RECRUITINGBron, Rhone, 69500, France
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Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 262226
RECRUITINGFerrol, A Coruna, 15405, Spain
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Hospital Clinico Universitario Lozano Blesa /ID# 262227
COMPLETEDZaragoza, 50009, Spain
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Hospital Pequeno Príncipe /ID# 262600
RECRUITINGCuritiba, Paraná, 80250-060, Brazil
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Hospital Regional Universitario de Malaga /ID# 262228
RECRUITINGMálaga, 29011, Spain
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Hospital Sant Joan de Deu /ID# 262599
COMPLETEDEsplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Sirio Libanes - Sao Paulo /ID# 262670
RECRUITINGSão Paulo, 01308-050, Brazil
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Hospital Universitario Virgen del Rocio /ID# 262712
RECRUITINGSeville, 41013, Spain
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Hospital Universite Enfants Reine Fabiola /ID# 261744
RECRUITINGBrussels, 1020, Belgium
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Hunan Children's Hospital /ID# 262512
RECRUITINGChangsha, Hunan, 410007, China
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IWK Health Center /ID# 262543
RECRUITINGHalifax, Nova Scotia, B3K 6R8, Canada
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Icahn School of Medicine at Mount Sinai /ID# 262216
RECRUITINGNew York, New York, 10029, United States
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Indiana University Health Riley Hospital for Children /ID# 262215
RECRUITINGIndianapolis, Indiana, 46202, United States
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Institute of Science Tokyo Hospital /ID# 262510
RECRUITINGBunkyo-ku, Tokyo, 113-8519, Japan
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Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 262366
RECRUITINGWarsaw, Masovian Voivodeship, 04-730, Poland
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Jiangxi Provincial Children's Hospital /ID# 262295
RECRUITINGNanchang, Jiangxi, 330006, China
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Kurume University Hospital /ID# 262455
RECRUITINGKurume-shi, Fukuoka, 830-0011, Japan
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Linkou Chang Gung Memorial Hospital /ID# 261696
RECRUITINGTaoyuan City, 333, Taiwan
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Lucile Packard Children's Hospital /ID# 262193
RECRUITINGPalo Alto, California, 94304, United States
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MNGI Digestive Health, P. A. /ID# 262204
RECRUITINGMinneapolis, Minnesota, 55413-2195, United States
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Miyagi Children's Hospital /ID# 262459
RECRUITINGSendai, Miyagi, 989-3126, Japan
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Monash Health - Monash Medical Centre - Clayton /ID# 262878
RECRUITINGClayton, Victoria, 3168, Australia
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National Center For Child Health And Development /ID# 262456
RECRUITINGSetagaya City, Tokyo, 157-8535, Japan
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National Taiwan University Hospital /ID# 261695
RECRUITINGTaipei, 100, Taiwan
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Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 262778
RECRUITINGNorwich, Norfolk, NR4 7UY, United Kingdom
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OSF St. Francis Medical Center /ID# 262192
RECRUITINGPeoria, Illinois, 61637-0001, United States
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Osaka Women's and Children's Hospital /ID# 262549
RECRUITINGIzumi-Shi, Osaka, 594-1101, Japan
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Ospedale Pediatrico Bambino Gesù /ID# 262379
RECRUITINGRome, Roma, 00165, Italy
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Perth Children'S Hospital /ID# 272905
RECRUITINGPerth, Western Australia, 6009, Australia
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Puerto Rico Health Institute /ID# 262358
RECRUITINGDorado, 00646, Puerto Rico
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Queensland Children's Hospital /ID# 262351
RECRUITINGSouth Brisbane, Queensland, 4101, Australia
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Rocco & Nazato Servicos Medicos /ID# 262485
RECRUITINGSão Paulo, São Paulo, 04543-011, Brazil
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Royal Hospital for Children and Young People /ID# 262388
RECRUITINGEdinburgh, EH16 4TJ, United Kingdom
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Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 262502
RECRUITINGShanghai, Shanghai Municipality, 200065, China
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Saga University Hospital /ID# 262753
RECRUITINGSaga, Saga-ken, 849-8501, Japan
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Saitama Children's Medical Center /ID# 262461
RECRUITINGSaitama-shi, Saitama, 330-8777, Japan
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Samsung Medical Center /ID# 262323
RECRUITINGSeoul, Seoul Teugbyeolsi, 06351, South Korea
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Santo Antônio Children's Hospital /ID# 262601
RECRUITINGPorto Alegre, Rio Grande do Sul, 90240-510, Brazil
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Seoul National University Hospital /ID# 262324
RECRUITINGSeoul, Seoul Teugbyeolsi, 03080, South Korea
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Sheffield Children's Hospital NHS Foundation Trust /ID# 261832
RECRUITINGSheffield, England, S10 2TH, United Kingdom
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Shengjing Hospital of China Medical University /ID# 262301
RECRUITINGShenyang, Liaoning, 110022, China
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Specialized Hospital For Active Treatment Of Children Diseases Prof. Ivan Mitev /ID# 262589
RECRUITINGSofia, 1606, Bulgaria
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Starship Child Health /ID# 262576
COMPLETEDGrafton, Auckland, 1023, New Zealand
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Sydney Children's Hospital /ID# 262352
RECRUITINGRandwick, New South Wales, 2031, Australia
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The Children's Hospital of Zhejiang University School of Medicine /ID# 262337
RECRUITINGHangzhou, Zhejiang, 310003, China
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The Sixth Affiliated Hospital of Sun Yat-sen University /ID# 272807
RECRUITINGGuangzhou, Guangdong, 510655, China
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Tokyo Metropolitan Children's Medical Center /ID# 262550
RECRUITINGFuchu-shi, Tokyo, 183-8561, Japan
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Toyama Prefectural Central Hospital /ID# 262739
RECRUITINGToyama, Toyama, 930-8550, Japan
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Tsujinaka Hospital - Kashiwanoha /ID# 262454
RECRUITINGKashiwa-shi, Chiba, 277-0871, Japan
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UCL Namur University Hospital, Site Sainte-Elisabeth /ID# 261750
RECRUITINGNamur, 5000, Belgium
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UCSF Benioff Children's Hospital - Oakland /ID# 262217
RECRUITINGOakland, California, 94609, United States
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UH Cleveland Medical Center /ID# 262188
RECRUITINGCleveland, Ohio, 44106, United States
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UMHAT Sveti Georgi /ID# 262590
RECRUITINGPlovdiv, 4002, Bulgaria
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Univ NC Chapel Hill /ID# 262198
RECRUITINGChapel Hill, North Carolina, 27514-4220, United States
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Universitair Ziekenhuis Leuven /ID# 261740
RECRUITINGLeuven, Vlaams-Brabant, 3000, Belgium
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University General Hospital of Heraklion PA.G.N.I /ID# 261791
RECRUITINGHeraklion, Crete, 71500, Greece
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Uza /Id# 261745
RECRUITINGEdegem, Antwerpen, 2650, Belgium
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Yonsei University Health System Severance Hospital /ID# 262721
RECRUITINGSeoul, Seoul Teugbyeolsi, 03722, South Korea
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