Second-line treatment with upadacitinib or risankizumab for adults with Crohn's disease
Official title: Second-line Advanced Therapy in Crohn's Disease: Real-life Effectiveness and Resolution of First-line Suboptimal Control Indicators (CROHNOS - CROHN Therapy Observational Study)
Run by AbbVie · NCT07073079 · Data updated 2026-11-12
This project will test how well upadacitinib or risankizumab work as second-line treatments for adults with moderate-to-severe Crohn's disease who previously used a TNF inhibitor.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 250 (estimated) |
| Sponsor | AbbVie Industry-sponsored |
| Drugs / interventions | risankizumab, upadacitinib |
| Locations | 25 sites (Castellana Grotte, Bari and 24 other locations) |
| Status | Recruiting |
| Started | July 14, 2025 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT07073079 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with moderate-to-severe Crohn's disease who previously received a TNF inhibitor as first-line therapy for at least six months and have clinical documentation available are the intended participants.
✕Probably not a fit
Patients with contraindications from the local upadacitinib or risankizumab labels, prior exposure to upadacitinib/risankizumab or other non-TNFi bDMARDs for Crohn's disease, or those with only mild disease are unlikely to benefit from joining this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational, real-world study enrolling about 250 adults across roughly 25 sites in Italy who are prescribed upadacitinib or risankizumab by their treating physician. The study includes a retrospective review of up to 2 years of prior medical records and a prospective follow-up of up to 18 months after enrollment, with treatments given per local label and routine care. No experimental interventions or additional study-only procedures are required, and participants follow their usual clinical visits. Data collected will describe treatment responses, safety events, and treatment patterns for these two approved second-line options.
Why it matters
Potential benefit: If successful, the results could help doctors choose between upadacitinib and risankizumab as second-line options and improve real-world treatment decisions for patients who failed TNF inhibitors.
How similar studies have gone: Both upadacitinib and risankizumab have shown positive results in clinical trials and are approved for Crohn's disease, but direct real-world comparisons as second-line therapies after TNF inhibitors are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
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
Where it's running
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Ospedale Specializzato In Gastroenterologia Saverio De Bellis /ID# 275706
Castellana Grotte, Bari, Italy Recruiting -
Azienda Ospedaliero Universitaria di Cagliari - P.O. Duilio Casula /ID# 275216
Monserrato, Cagliari, Italy Recruiting -
Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 275669
San Giovanni Rotondo, Foggia, Italy Recruiting -
IRCCS Istituto Clinico Humanitas /ID# 274489
Rozzano, Lombardy, Italy Recruiting -
IRCCS Ospedale San Raffaele /ID# 274458
Milan, Milano, Italy Recruiting -
Fondazione IRCCS San Gerardo dei Tintori - Ospedale San Gerardo /ID# 274682
Monza, Monza E Brianza, Italy Recruiting
Show 19 more locations
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Azienda Ospedaliera Universitaria Federico II - Naples /ID# 274570
Naples, Napoli, Italy Recruiting -
Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 274788
Naples, Napoli, Italy Recruiting -
A.O.U. CITTA' DELLA SALUTE E DELLA SCIENZA DI TORINO - Ospedale Molinette /ID# 274461
Turin, Piedmont, Italy Recruiting -
Azienda Ospedaliera Universitaria Policlinico Tor Vergata /ID# 274654
Rome, Roma, Italy Recruiting -
Ospedale Sandro Pertini /ID# 275023
Rome, Roma, Italy Recruiting -
Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 274530
Rome, Roma, Italy Recruiting -
A.O. Ordine Mauriziano di Torino /ID# 274459
Turin, Torino, Italy Recruiting -
IRCCS Ospedale Sacro Cuore Don Calabria /ID# 274462
Negrar, Verona, Italy Recruiting -
A.O.U. Consorziale Policlinico di Bari /ID# 274662
Bari, Italy Recruiting -
IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 275161
Bologna, Italy Recruiting -
Azienda Ospedaliera G. Brotzu /ID# 275125
Cagliari, Italy Recruiting -
AOU Policlinico G. Rodolico - San Marco /ID# 274909
Catania, Italy Recruiting -
Azienda Ospedaliera di Catanzaro Pugliese Ciaccio /ID# 274571
Catanzaro, Italy Recruiting -
Ospedale San Martino /ID# 274529
Genova, Italy Recruiting -
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 274618
Milan, Italy Recruiting -
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello /ID# 274964
Palermo, Italy Recruiting -
Azienda Usl Di Pescara - Presidio Ospedaliero Di Pescara /ID# 274460
Pescara, Italy Recruiting -
Fondazione Policlinico Universitario Campus Bio-Medico /ID# 274488
Roma, Italy Recruiting -
Fatebenefratelli Isola Tiberina - Gemelli Isola /ID# 274966
Roma, Italy Recruiting
Study contacts
- Study coordinator: Caterina Golotta
- Email: caterina.golotta@abbvie.com
- Phone: +39 06 548891
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.