Clinical trial Recruiting at 25 sites Observational Ages 18 and up

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.

More Crohn's Disease trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorAbbVie
Industry-sponsored
Drugs / interventionsrisankizumab, upadacitinib
Locations25 sites (Castellana Grotte, Bari and 24 other locations)
StatusRecruiting
StartedJuly 14, 2025
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedJune 24, 2026
Trial IDNCT07073079 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

  • 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
  • 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

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Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.