Ulcerative Colitis (UC)Phase 3U-AccomplishNCT03653026
A Study of the Efficacy and Safety of Upadacitinib (ABT-494) in Participants With Moderately to Severely Active Ulcerative Colitis
A Phase 3 study testing Upadacitinib in people with Ulcerative Colitis (UC), run by AbbVie at 379 sites in 44 countries.
Trial summary
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission (per Adapted Mayo score) in participants with moderately to severely active ulcerative colitis (UC). Read more about this study
- Who is it for?
- Ages 16 to 75 years
- Conditions the study is for
- Ulcerative Colitis (UC)
- What is being tested?
- Upadacitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 522 participants
- Where
- 379 sitesin 44 countries
- Study dates
- 6 Dec 2018to 14 Jan 2021
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Male or female participants ≥ 16 and ≤ 75 years of age at Baseline Note: Adolescent participants at the age of 16 or 17 years old will be eligible to participate if approved by the country or regulatory/health authorities.
- Note: Adolescent participants at the age of 16 or 17 years old must weigh ≥ 40 kilograms and meet the definition of Tanner Stage 5 at the Screening Visit.
- Diagnosis of Ulcerative Colitis (UC) for 90 days or greater 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 UC, in the assessment of the Investigator, must be available.
- Active UC with an Adapted Mayo score of 5 to 9 points and endoscopic subscore of 2 to 3.
- Demonstrated an inadequate response, loss of response, or intolerance to at lease one of the following treatments including, oral aminosalicylates, corticosteroids, immunosuppressants, and/or biologic therapies.
- Note: Participants who have had inadequate response, loss of response to conventional therapy but have not failed biologic therapy (Non-bio-IR) and have received a prior biologic for up to 1 year may be enrolled, however they must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease), and must meet criteria for inadequate response, loss of response, or intolerance as defined above.
- Female Participants of childbearing potential must have a negative serum pregnancy test at the Screening Visit and a negative urine pregnancy test at the Baseline Visit.
- If female, participant must meet the contraception recommendation criteria.
Who cannot join
- Participant with current diagnosis of Crohn's disease (CD) or diagnosis of indeterminate colitis (IC).
- Current diagnosis of fulminant colitis and/or toxic megacolon.
- Participant with disease limited to the rectum (ulcerative proctitis) during the Screening endoscopy.
- Received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to Baseline.
- Participant who received azathioprine or 6-mercaptopurine (6-MP) within 10 days of Baseline.
- Received intravenous corticosteroids within 14 days prior to Screening or during the Screening Period.
- Participant with previous exposure to Janus Activated Kinase (JAK) inhibitor (e.g., tofacitinib, baricitinib, filgotinib, upadacitinib).
- Screening laboratory and other analyses show any prespecified abnormal hematologic results.
Trial locations and contacts
379 sites in 44 countries.
379 sites in 44 countries
United States114 sites
University of New Mexico Department of Internal Medicine /ID# 214397
Albuquerque, New Mexico, 87131-0001
University of Michigan Health Systems /ID# 206918
Ann Arbor, Michigan, 48109
Huron Gastroenterology Assoc /ID# 205109
Ann Arbor, Michigan, 48197
TX Clinical Research Institute /ID# 206718
Arlington, Texas, 76012
Digestive Health Partners, P.A /ID# 206842
Asheville, North Carolina, 28801
Inquest Clinical Research /ID# 206132
Baytown, Texas, 77521
Washington Gastroenterology Associates /ID# 206177
Bellevue, Washington, 98004
NY Scientific /ID# 206080
Brooklyn, New York, 11235
Texas Digestive Disease Consultants /ID# 209805
Cedar Park, Texas, 78613-5028
Texas Digestive Disease Consultants /ID# 209948
Cedar Park, Texas, 78613-5028
Pharmacorp Clinical Trials /ID# 206074
Charleston, South Carolina, 29412
Atrium Health Carolinas Medical Center /ID# 206085
Charlotte, North Carolina, 28203
Charlotte Gastroenterology and Hepatology, PLLC /ID# 206138
Charlotte, North Carolina, 28207
Clin Res Inst of Michigan, LLC /ID# 207078
Chesterfield, Michigan, 48047
Next Innovative Clinical Research - Chicago /ID# 217324
Chicago, Illinois, 60605-2168
The University of Chicago Medical Center /ID# 206172
Chicago, Illinois, 60637-1443
University of Cincinnati /ID# 205633
Cincinnati, Ohio, 45267-0585
Gastro Florida /ID# 206174
Clearwater, Florida, 33756
Delta Waves, Inc. /ID# 206170
Colorado Springs, Colorado, 80918
Gastro Center of Maryland /ID# 206883
Columbia, Maryland, 21045
The Ohio State University /ID# 205637
Columbus, Ohio, 43210
Optimed Research, Ltd. /ID# 205638
Columbus, Ohio, 43235
Citrus Valley Gastroenterology /ID# 205627
Covina, California, 91722-3797
Tri-State Gastroenterology /ID# 206124
Crestview Hills, Kentucky, 41017
Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 207484
Dallas, Texas, 75246
Western Connecticut Medical Group /ID# 208290
Danbury, Connecticut, 06810-6000
Hometown Urgent Care and Resea /ID# 205630
Dayton, Ohio, 45424
Universal Axon Clinical Research /ID# 213462
Doral, Florida, 33166
Carle Foundation Hospital /ID# 207397
Effingham, Illinois, 62401
AGA Clinical Research Associates, LLC /ID# 206880
Egg Harbor, New Jersey, 08234
Dayton Gastroenterology, Inc. /ID# 205639
Englewood, Ohio, 45415
MediSphere Medical Research Center /ID# 206073
Evansville, Indiana, 47714-8011
Duplicate_Plains Clinical Research Center, LLC /ID# 205111
Fargo, North Dakota, 58104
Ctr for Gastrointestinal Healt /ID# 208475
Franklin, Virginia, 23851
DHAT Research Institute /ID# 206716
Garland, Texas, 75044-2208
Gastro One /ID# 206178
Germantown, Tennessee, 38138
Gastroenterology Associates, P.A. of Greenville /ID# 206098
Greenville, South Carolina, 29615-3593
Gastroenterology Center of CT /ID# 208291
Hamden, Connecticut, 06518
Palmetto Research, LLC /ID# 208293
Hialeah, Florida, 33016
Houma Digestive Health Special /ID# 206176
Houma, Louisiana, 70360
Vilo Research Group Inc /ID# 212625
Houston, Texas, 77017-2337
Baylor College of Medicine - Baylor Medical Center /ID# 206717
Houston, Texas, 77030-3411
Centex Studies, Inc. - Houston /ID# 206168
Houston, Texas, 77058
GI Specialists of Houston /ID# 206090
Houston, Texas, 77070-4347
Care Access Research /ID# 217003
Huntington Beach, California, 92648-5994
Indianapolis Gastroenterology /ID# 206381
Indianapolis, Indiana, 46237
Nature Coast Clinical Research - Inverness /ID# 206087
Inverness, Florida, 34452-4717
University of Iowa Hospitals and Clinics /ID# 206167
Iowa City, Iowa, 52242
University of Mississippi Medical Center /ID# 213116
Jackson, Mississippi, 39216-4500
Southern Therapy and Advanced Research (STAR) LLC /ID# 206069
Jackson, Mississippi, 39216
Encore Borland-Groover Clinical Research /Id# 208128
Jacksonville, Florida, 32256
East Tennessee Research Institute /ID# 206169
Johnson City, Tennessee, 37604
Moore UC San Diego Cancer Center /ID# 204919
La Jolla, California, 92093
NYU Langone Long Island Clinical Research Associates /ID# 206079
Lake Success, New York, 11042
Las Vegas Medical Research /ID# 206814
Las Vegas, Nevada, 89113
United Medical Doctors /ID# 207867
Los Alamitos, California, 90720-3309
TLC Clinical Research Inc /ID# 216831
Los Angeles, California, 90048
Gastrointestinal Biosciences Clinical Trials, LLC /ID# 205314
Los Angeles, California, 90067-2001
Caprock Gastro Research /ID# 215115
Lubbock, Texas, 79424-3017
Gastroenterology Associates of Central Georgia, LLC /ID# 216940
Macon, Georgia, 31201
Cfagi Llc /Id# 207995
Maitland, Florida, 32751-6108
Great Lakes Gastroenterology Research LLC /ID# 205631
Mentor, Ohio, 44060-6211
University of Miami /ID# 215445
Miami, Florida, 33136
Coral Research Clinic /ID# 208292
Miami, Florida, 33186-4643
Wisconsin Center for Advanced Research, a division of GI Associates, LLC /ID# 206917
Milwaukee, Wisconsin, 53215
Froedtert Memorial Lutheran Hospital /ID# 206945
Milwaukee, Wisconsin, 53226-3522
Facey Medical Foundation /ID# 205301
Mission Hills, California, 91345
East View Medical Research, LLC /ID# 216933
Mobile, Alabama, 36606
CB Flock Research Corporation /ID# 206094
Mobile, Alabama, 36608
Atlantic Digestive Health Inst /ID# 208748
Morristown, New Jersey, 07960
United Medical Doctors - Murrieta /ID# 205313
Murrieta, California, 92563
Quality Medical Research /ID# 206088
Nashville, Tennessee, 37211
Vanderbilt University Medical Center /ID# 210405
Nashville, Tennessee, 37232-0011
Rutgers Robert Wood Johnson /ID# 207382
New Brunswick, New Jersey, 08901
Advanced Research Institute, Inc /ID# 206077
New Port Richey, Florida, 34653
DiGiovanna Institute for Medical Education & Research /ID# 206885
North Massapequa, New York, 11758
Advanced Research Institute /ID# 206133
Ogden, Utah, 84403
Hightower Clinical /ID# 216336
Oklahoma City, Oklahoma, 73102
Digestive Disease Specialists /ID# 206076
Oklahoma City, Oklahoma, 73112
Endoscopic Research, Inc. /ID# 207360
Orlando, Florida, 32803
Omega Research Consultants /ID# 206066
Orlando, Florida, 32810
InSite Digestive Health Care - Oxnard /ID# 205628
Oxnard, California, 93030
Premier Medical Group - GI Division /ID# 206097
Poughkeepsie, New York, 12601
Inland Empire Clinical Trials, LLC /ID# 216164
Rialto, California, 92377
Infinite Clinical Trials /ID# 215343
Riverdale, Georgia, 30274
Mayo Clinic /ID# 205645
Rochester, Minnesota, 55905-0001
Gastro Group of Rochester /ID# 206881
Rochester, New York, 14618-5703
Clinical Associates in Research Therapeutics of America, LLC /ID# 206710
San Antonio, Texas, 78212
Southern Star Research Institute, LLC /ID# 205379
San Antonio, Texas, 78229-5390
San Diego Clinical Trials /ID# 212122
San Diego, California, 92120
Medical Assoc Research Grp /ID# 205626
San Diego, California, 92123
Guthrie Medical Group, PC /ID# 206078
Sayre, Pennsylvania, 18840
Virginia Mason - Seattle Orthapedics /ID# 206070
Seattle, Washington, 98101
Louisana Research Center, LLC /ID# 206064
Shreveport, Louisiana, 71105-6800
Revival Research Institute, LLC /ID# 207282
Southfield, Michigan, 48034-1659
Richmond University Medical Center /ID# 213185
Staten Island, New York, 10310-1664
Arizona Arthritis & Rheumatology Research, PLLC /ID# 211030
Sun City, Arizona, 85306
Atlanta Gastroenterology Spec /ID# 206173
Suwanee, Georgia, 30024
Clinical Research Trials of Florida, Inc. /ID# 206068
Tampa, Florida, 33607
University of South Florida /ID# 214495
Tampa, Florida, 33612
AdventHealth Tampa /ID# 207363
Tampa, Florida, 33613-4680
Digestive Disease Consultants, A Division of Arizona Digestive Health, P.C /ID# 211887
Tempe, Arizona, 85284-2604
Baylor Scott & White Center for Diagnostic Medicine /ID# 206096
Temple, Texas, 76508
Advantage Clinical Trials /ID# 206082
The Bronx, New York, 10468
Cotton-O'Neil Clinical Res Ctr /ID# 206175
Topeka, Kansas, 66606
Center for Digestive Health /ID# 207080
Troy, Michigan, 48098-6363
University of Arizona /ID# 208856
Tucson, Arizona, 85724
Options Health Research, LLC /ID# 206707
Tulsa, Oklahoma, 74104
Healthcare Research Consultant /ID# 206706
Tulsa, Oklahoma, 74135
Duplicate_Tyler Research Institue /ID# 206075
Tyler, Texas, 75701
The Vancouver Clinic, INC. PS /ID# 204973
Vancouver, Washington, 98664
Gastro Health & Nutrition - Victoria /ID# 205378
Victoria, Texas, 77904
Western States Clinical Res /ID# 206091
Wheat Ridge, Colorado, 80033-2896
Wake Forest Baptist Medical Center /ID# 206067
Winston-Salem, North Carolina, 27157-0001
Japan62 sites
Tokatsu Tsujinaka Hospital /ID# 214963
Abiko-shi, Chiba, 270-1168
Tokyo Medical And Dental University, Medical Hospital /ID# 206453
Bunkyo-ku, Tokyo, 113-8519
Fukuoka University Chikushi Hospital /ID# 214405
Chikushino-shi, Fukuoka, 818-8502
St.Luke's International Hospital /ID# 208076
Chuo-ku, Tokyo, 104-8560
Fukui Prefectural Hospital /ID# 210449
Fukui-shi, Fukui, 910-8526
Saiseikai Fukuoka Genaral Hospital /ID# 209482
Fukuoka, Fukuoka, 810-0001
NHO Fukuyama Medical Center /ID# 206295
Fukuyama-shi, Hiroshima, 720-8520
Tokai University Hachioji Hospital /ID# 208903
Hachioji-shi, Tokyo, 192-0032
Hamamatsu University Hospital /ID# 206459
Hamamatsu, Shizuoka, 431-3192
National Hospital Organization Higashi-Ohmi General Medical Center /ID# 210710
Higashi-ohmi-shi, Shiga, 527-8505
Hirosaki National Hospital /ID# 206387
Hirosaki-shi, Aomori, 036-8545
Hiroshima University Hospital /ID# 206464
Hiroshima, Hiroshima, 734-8551
Shimane University School of Medicine /ID# 208905
Izumo-shi, Shimane, 693-0021
Idzuro Imamura Hospital /ID# 207639
Kagoshima, Kagoshima-ken, 892-0824
Sameshima Hospital /ID# 207935
Kagoshima, Kagoshima-ken, 892-0846
Kanazawa University Hospital /ID# 206316
Kanazawa, Ishikawa-ken, 920-8641
Tsujinaka Hospital Kashiwanoha /ID# 209573
Kashiwa-shi, Chiba, 277-0871
Saitama Medical Center /ID# 206393
Kawagoe-shi, Saitama, 350-8550
St. Marianna University School of Medicine Hospital /ID# 209451
Kawasaki-shi, Kanagawa, 216-8511
Aoyama Clinic /ID# 206452
Kobe, Hyōgo, 650-0015
Chikuba Hospital for Proctological and Gastrointestinal Diseases /ID# 206646
Kurashiki-shi, Okayama-ken, 710-0142
Kurume University Hospital /ID# 206385
Kurume-shi, Fukuoka, 830-0011
Kyoto University Hospital /ID# 211809
Kyoto, Kyoto, 606-8507
Asahikawa Medical University Hospital /ID# 206404
Midorigaokahiga-shi, Hokkaido, 078-8510
Iwate Medical University Uchimaru Medical Center /ID# 207051
Morioka, Iwate, 020-8505
Nagoya University Hospital /ID# 206355
Nagoya, Aichi-ken, 4668560
Nagoya City University Hospital /ID# 206058
Nagoya, Aichi-ken, 467-8602
Saiseikai Niigata Hospital /ID# 209921
Niigata, Niigata, 950-1104
Niigata University Medical & Dental Hospital /ID# 218049
Niigata, Niigata, 951-8520
Hyogo College of Medicine Hospital /ID# 206455
Nishinomiya-shi, Hyōgo, 663-8501
Obihiro kosei Hospital /ID# 210424
Obihiro-shi, Hokkaido, 080-0024
Ogaki Municipal Hospital /ID# 208227
Ogaki-shi, Gifu, 503-8502
Ishida Clinic of IBD and Gastroenterology /ID# 210119
Ōita, Oita Prefecture, 870-0823
Okayama University Hospital /ID# 217925
Okayama, Okayama-ken, 700-8558
NHO Nagasaki Medical Center /ID# 210822
Omura-shi, Nagasaki, 856-8562
Kinshukai Infusion Clinic /ID# 207865
Osaka, Osaka, 530-0011
Kitano Hospital /ID# 210397
Osaka, Osaka, 530-8480
Japanese Red Cross Osaka Hospital /ID# 209478
Osaka, Osaka, 543-8555
Osaka City University Hospital /ID# 206457
Osaka, Osaka, 545-8586
Saga University Hospital /ID# 209270
Saga, Saga-ken, 849-8501
Tokitokai Tokito clinic /ID# 206313
Saitama-shi, Saitama, 336-0963
Toho University Medical Center Sakura Hospital /ID# 207705
Sakura-shi, Chiba, 285-8741
Sapporo Tokushukai Hospital /ID# 209448
Sapporo, Hokkaido, 004-0041
Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 206059
Sapporo, Hokkaido, 060-0033
Sapporo Medical University Hospital /ID# 206314
Sapporo, Hokkaido, 060-8543
Sapporo Higashi Tokushukai Hospital /ID# 208494
Sapporo, Hokkaido, 065-0033
National Hospital Organization Sendai Medical Center /ID# 209528
Sendai, Miyagi, 983-8520
Center Hospital of the National Center for Global Health and Medicine /ID# 209532
Shinjuku-ku, Tokyo, 162-8655
Tokyo Women's Medical University Hospital /ID# 206460
Shinjuku-ku, Tokyo, 162-8666
Tokuyama Central Hospital /ID# 216994
Shunan-shi, Yamaguchi, 745-8522
NHO Shizuoka Medical Center /ID# 208785
Sunto-gun, Shizuoka, 411-8611
Teikyo University Hospital /ID# 209866
tabashi City, Tokyo, 173-8606
Shoyukai Fujita Gastroenterological Hospital /ID# 216493
Takatsuki-shi, 569-0086
Toyohashi Municipal Hospital /ID# 207625
Toyohashi, Aichi-ken, 441-8570
Toyonaka Municipal Hospital /ID# 217082
Toyonaka-shi, Osaka, 560-0055
Ieda Hospital /ID# 207479
Toyota-shi, Aichi-ken, 470-1219
Mie University Hospital /ID# 206803
Tsu, Mie-ken, 514-8507
Juntendo University Urayasu Hospital /ID# 208784
Urayasu-shi, Chiba, 279-0021
Yamagata University Hospital /ID# 206465
Yamagata, Yamagata, 990-9585
Kenseikai Dongo Hospital /ID# 208101
Yamatotakada-shi, Nara, 635-0022
Yokkaichi Hazu Medical Center /ID# 214348
Yokkaichi-shi, Mie-ken, 510-0016
Showa University Fujigaoka Hospital /ID# 208224
Yokohama, Kanagawa, 227-8501
China11 sites
The First Hospital of Jilin University /ID# 210088
Changchun, Jilin, 130021
West China Hospital, Sichuan University /ID# 205332
Chengdu, 610041
Sun Yat-sen Memorial Hospital of Sun Yat-sen University /ID# 205267
Guangzhou, Guangdong, 510120
The Sixth Affiliated Hosp Sun /ID# 205268
Guangzhou, Guangdong, 510655
The second Affiliated hospital of Zhejiang University school of Medicine /ID# 205271
Hangzhou, Zhejiang, 310009
The First Affiliated Hospital of Nanchang University /ID# 212186
Nanchang, Jiangxi, 330006
Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 205333
Shanghai, Shanghai Municipality, 200025
Affiliated Taihe Hospital of Hubei University of Medicine /ID# 216406
Shiyan, Hubei, 442700
Duplicate_Tianjin Med Univ General Hosp /ID# 205246
Tianjin, 300052
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 205266
Wuhan, Hubei, 430022
Tongji Hospital Tongji Medical College Huazhong University of Science and Techno /ID# 205265
Wuhan, 430030
Russia10 sites
Immanuel Kant Baltic Federal University /ID# 208264
Kaliningrad, Kaliningrad Oblast, 236016
Kazan State Medical University /ID# 208256
Kazan', Tatarstan, Respublika, 420012
Olla-Med Clinic /ID# 215335
Moscow, 105554
Perm Clinical Center of the Federal Medical and Biological Agency /ID# 211653
Perm, Permskiy Kray, 614109
Republican hospital named after V.A. Baranov /ID# 206507
Petrozavodsk, 185019
Euromedservice /ID# 208265
Pushkin, 196603
LLC Novaya Clinica /ID# 208260
Pyatigorsk, 357532
NW State Medical Univ na Mechn /ID# 208258
Saint Petersburg, Leningradskaya Oblast', 191015
Medical Company Hepatolog /ID# 208261
Samara, Samara Oblast, 443063
Professor Pasechnikov Gastroenterology and Pankreatology clinic /ID# 211652
Stavropol, Stavropol Kray, 355012
Spain10 sites
Hospital Universitario A Coruna - CHUAC /ID# 206907
A Coruña, 15006
Hospital Clinic de Barcelona /ID# 206906
Barcelona, 08036
Hospital Universitario Reina Sofia /ID# 204412
Córdoba, 14004
Hospital Universitario Dr. Negrin /ID# 206905
Las Palmas de Gran Canaria, Las Palmas, 35010
Hospital Universitario Ramon y Cajal /ID# 204410
Madrid, 28034
Hospital Universitario La Paz /ID# 214540
Madrid, 28046
Hospital Clinico Universitario de Salamanca /ID# 205013
Salamanca, 37007
Hospital Unversitario Marques de Valdecilla /ID# 216622
Santander, Cantabria, 39008
Hospital Clínico Universitario de Santiago-CHUS /ID# 204411
Santiago de Compostela, A Coruna, 15706
Hospital Universitario y Politecnico La Fe /ID# 206904
Valencia, 46026
Germany8 sites
Duplicate_Praxis am Bayrischen Platz /ID# 206733
Berlin, 10825
Agaplesion Markus Krankenhaus /ID# 206731
Frankfurt am Main, 60431
Gastroenterologische Gemeinschaftspraxis Herne /ID# 214576
Herne, North Rhine-Westphalia, 44623
Duplicate_Univ Hosp Schleswig-Holstein /ID# 206791
Kiel, 24105
Universitatsklinikum Mannheim /ID# 206811
Mannheim, Baden-Wurttemberg, 68167
Medizinisches Versorgungszentrum Portal 10 /ID# 207137
Münster, 48155
Zentrum für Gastroenterologie Saar MVZ GmbH /ID# 215813
Saarbrücken, Saarland, 66111
Duplicate_Universitaetsklinikum Tuebingen /ID# 206737
Tübingen, Baden-Wurttemberg, 72076
Portugal8 sites
Hospital Garcia de Orta, EPE /ID# 206143
Almada, 2805-267
CCA Braga - Hospital de Braga /ID# 206144
Braga, 4710-243
Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 205554
Guimarães, Braga District, 4835-044
Hospital Santo Antonio dos Cap /ID# 206145
Lisbon, 1150-069
Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 206117
Lisbon, 1649-035
Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 205556
Ponte de Lima, Viana do Castelo District, 4990-041
Centro Hospitalar Universitario de Sao Joao, EPE /ID# 206142
Porto, 4200-319
Centro Hospitalar de Entre Douro e Vouga /ID# 205563
Santa Maria DA Feira, Porto District, 4520-211
Serbia8 sites
Clinical Hosp Center Zvezdara /ID# 205258
Belgrade, Beograd, 11000
Military Medical Academy /ID# 205257
Belgrade, Beograd, 11000
University Clinical Center Serbia /ID# 205256
Belgrade, Beograd, 11000
Clin Hosp Ctr Bezanijska Kosa /ID# 206413
Belgrade, Beograd, 11080
University Clinical Center Kragujevac /ID# 206410
Kragujevac, Sumadijski Okrug, 34000
General Hospital Leskovac /ID# 217881
Leskovac, 16000
University Clinical Center of Nis /ID# 206411
Niš, Nisavski Okrug, 18000
Clinical Center Vojvodina /ID# 205259
Novi Sad, Vojvodina, 21000
South Africa8 sites
MD Search /ID# 208084
Boksburg North, Gauteng, 1460
Kingsbury Hospital /ID# 205281
Cape Town, Western Cape, 7708
Private Practice Dr MN Rajabally /ID# 205273
Cape Town, Western Cape, 7800
Mediclinic Milnerton /ID# 207979
CAPE TOWN Milnerton, Western Cape, 7441
Clinresco Centers /ID# 208083
Johannesburg, Gauteng, 1619
Lenasia Clinical Trial Centre /ID# 214359
Johannesburg, Gauteng, 1820
Wits Clinical Research , Wits Health Consortium (PTY) Ltd /ID# 208082
Johannesburg, Gauteng, 2193
Wits Clinical Research Site /ID# 208949
Johannesburg, Gauteng, 2193
Canada7 sites
University of Calgary - Cumming School of Medicine - Adult Cystic Fibrosis Clini /ID# 205755
Calgary, Alberta, T2N 4Z6
Allen Whey Khye Lim Professional Corporation /ID# 211167
Edmonton, Alberta, T5R 1W2
Covenant Health /ID# 205500
Edmonton, Alberta, T6K 4B2
Crchum /Id# 207387
Montreal, Quebec, H2X 0A9
CIUSSS de l'Estrie - CHUS /ID# 205499
Sherbrooke, Quebec, J1G 2E8
Duplicate_Toronto Digestive Disease Asso /ID# 205498
Vaughan, Ontario, L4L 4Y7
Percuro Clinical Research, Ltd /ID# 205501
Victoria, British Columbia, V8V 3M9
Czechia7 sites
Hepato-Gastroenterologie HK, s.r.o. /ID# 205672
Hradec Králové, 500 12
CTCenter MaVe s.r.o. /ID# 205671
Olomouc, 779 00
Artroscan s.r.o. /ID# 205668
Ostrava, 722 00
Nemocnice Pardubickeho kraje, a.s. /ID# 213540
Pardubice, 530 03
Nemocnice Milosrdnych sester sv. Karla Boromejskeho v Praze /ID# 216223
Prague, 118 33
Axon Clinical, s.r.o. /ID# 205670
Prague, 140 00
ISCARE a.s. /ID# 209240
Prague, 190 00
Italy7 sites
A.O.U. Policlinico S.Orsola-Malpighi /ID# 206351
Bologna, Emilia-Romagna, 40138
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 206349
Milan, 20122
IRCCS Ospedale Sacro Cuore Don Calabria /ID# 206354
Negrar, Verona, 37024
A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 206350
Palermo, 90146
ASST Rhodense/Presidio Ospedaliero di Rho /ID# 216611
Rho, Milano, 20017
Presidio Columbus-Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Un /ID# 206347
Rome, Roma, 00168
Istituto Clinico Humanitas /ID# 206346
Rozzano, Milano, 20089
Australia6 sites
St Vincent's Hospital Melbourne /ID# 205758
Fitzroy, Victoria, 3065
Macquarie University Hospital /ID# 211955
Macquarie University, New South Wales, 2109
Monash Medical Centre /ID# 206486
Melbourne, Victoria, 3168
Fiona Stanley Hospital /ID# 211642
Murdoch, Western Australia, 6150
Duplicate_Mater Misericordiae /ID# 212687
South Brisbane, Queensland, 4101
Griffith University /ID# 211956
Southport, Queensland, 4222
Brazil6 sites
Upeclin Fmb - Unesp /Id# 206986
Botucatu, São Paulo, 18618-686
Hospital Nossa Senhora das Graças /ID# 206981
Curitiba, Paraná, 80810-040
Hospital de Clinicas de Porto Alegre /ID# 206985
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto - USP /ID# 206504
Ribeirão Preto, São Paulo, 14051-140
Faculdade de Medicina do ABC /ID# 206984
Santo André, São Paulo, 09060-870
Kaiser Clinica e Hospital Dia /ID# 206982
São José do Rio Preto, São Paulo, 15015-110
Poland6 sites
Endoskopia Sp. z o.o. /ID# 212964
Sopot, Pomeranian Voivodeship, 81-756
Gastromed /Id# 216108
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Centrum Zdrowia MDM /ID# 205874
Warsaw, Masovian Voivodeship, 00-635
Centrum Medyczne Reuma Park w Warszawie /ID# 212913
Warsaw, Masovian Voivodeship, 02-691
NZOZ Vivamed /ID# 216697
Warsaw, Masovian Voivodeship, 03-580
Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 215070
Warsaw, Masovian Voivodeship, 04-730
South Korea6 sites
Dong-A University Hospital /ID# 206955
Busan, 49201
Pusan National University Hospital /ID# 206956
Busan, 49241
Yeungnam University Medical Center /ID# 206959
Daegu, 42415
Duplicate_CHA Bundang Medical Center /ID# 207432
Seongnam-si, Gyeonggi-do, 13496
Kangbuk Samsung Hospital /ID# 206960
Seoul, Seoul Teugbyeolsi, 03181
Yonsei University Health System, Severance hospital /ID# 206958
Seoul, 03722
Argentina5 sites
Mautalen Salud e Investigacion /ID# 206033
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1128
Hospital Britanico de Buenos Aires /ID# 209497
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1280
Gedyt /ID# 210017
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1426
Hospital Privado Univesitario /ID# 206030
Córdoba, 5016
Cardio Alem /ID# 211282
San Isidro, Buenos Aires, 1642
Bosnia and Herzegovina5 sites
University Clinical Centre of the Republic of Srpska /ID# 208053
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 208055
Banja Luka, Republika Srpska, 78000
University Clinical Hospital Mostar /ID# 208054
Mostar, 88000
Clinical Center University of Sarajevo /ID# 208058
Sarajevo, 71000
University Clinical Center Tuzla /ID# 208057
Tuzla, Tuzlanski, 75000
Chile5 sites
Hospital Guillermo Grant Benavente de Concepción /ID# 212426
Concepción, 4070038
CTR Estudios Clinicos /ID# 208036
Providencia, 7500571
Research Group /ID# 208037
Santiago, Santiago Metropolitan, 2540364
M y F Estudios Clínicos Ltda. /ID# 208035
Santiago, Santiago Metropolitan, 7750495
Hospital Clinico Universidad De Los Andes /ID# 207426
Santiago, 7501504
Slovakia5 sites
Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 205147
Banská Bystrica, 975 17
Medak s.r.o. /ID# 205191
Bratislava, Bratislava Region, 851 01
B+B MED, s.r.o. /ID# 205213
Košice, 040 01
Fakultna nemocnica s poliklini /ID# 211372
Nové Zámky, 940 34
GASTRO I., s.r.o. /ID# 205148
Prešov, 080 01
Turkey (Türkiye)5 sites
Gazi University Med. Faculty /ID# 208040
Ankara GAZI, 06500
Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty /ID# 207507
Istanbul, 34098
Umraniye Training and Res Hosp /ID# 208206
Istanbul, 34764
Erciyes University Medical Fac /ID# 207506
Melikgazi, Kayseri, 38030
Mersin University Medical /ID# 208039
Mersin, 33343
Ukraine5 sites
Communal Non-Commercial Enterprize of Kharkiv Regional Council Regional Clinical /ID# 206939
Kharkiv, Kharkiv Oblast, 61204
PE PMC Acinus, Medical and Diagnostic Center /ID# 217218
Kropyvnytskyi, 25006
Kyiv Regional Hospital /ID# 217373
Kyiv, Kyivska Oblast, 04073
Medical centre of CONSILIUM MEDICAL LLC /ID# 217447
Kyiv, 04050
Vinnytsia Regional Clinical Hospital n.a. M.I.Pyrogov /ID# 216300
Vinnytsia, 21018
United Kingdom5 sites
Basingstoke & North Hampshire /ID# 207985
Basingstoke, RG24 9NA
Queen Elizabeth University Hos /ID# 205154
Glasgow, G514TF
Huddersfield Royal Infirmary /ID# 217660
Huddersfield, HD3 3EA
St. George's Healthcare NHS /ID# 208375
London, SW17 0QT
Barts and the London NHS Trust /ID# 205153
Whitechapel, E1 1 BB
Croatia4 sites
Klinicki bolnicki centar Rijeka /ID# 208650
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki bolnicki centar Split /ID# 217027
Split, 21000
Klinicka bolnica Dubrava Zagreb /ID# 208460
Zagreb, City of Zagreb, 10000
Poliklinika Solmed /ID# 211568
Zagreb, City of Zagreb, 10000
Estonia4 sites
East Tallinn Central Hospital /ID# 207564
Tallinn, Harju, 10138
West Tallinn Central Hospital /ID# 207356
Tallinn, 10617
North Estonia Medical Centre /ID# 207357
Tallinn, 13419
Tartu University Hospital /ID# 212282
Tartu, 51014
Finland4 sites
Keski-Suomen Sairaala Nova /ID# 206159
Jyväskylä, 40620
Laakarikeskus Ikioma /ID# 205814
Mikkeli, 50100
Tampere University Hospital /ID# 206161
Tampere, Pirkanmaa, 33520
Tyks /Id# 205813
Turku, 20521
Greece4 sites
General Hospital of Athens Laiko /ID# 208671
Athens, Attica, 11527
General Hospital of Athens Evaggelismos and Ophthalmiatrio of Athens Polyclinic /ID# 206332
Athens, 10676
University General Hospital of Heraklion PA.G.N.I /ID# 207061
Heraklion, Crete, 711 10
Duplicate_General Hospital of Thessaloniki Hippokrateio /ID# 208822
Thessaloniki, 54642
Hungary4 sites
Bekes Megyei Kozponti Korhaz /ID# 205885
Békéscsaba, 5600
Semmelweis Egyetem /ID# 205883
Budapest, 1085
Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet /ID# 207992
Sopron, 9400
Mentahaz Maganorvosi Kozpont /ID# 205882
Székesfehérvár, 8000
Lithuania4 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 209052
Kaunas, 50161
Klaipeda Seamens Hospital /ID# 208791
Klaipėda, 92288
Klaipeda University Hospital /ID# 208790
Klaipėda, 92288
Vilnius University Hospital /ID# 209051
Vilnius, LT-08661
Switzerland4 sites
Universitaetsspital Basel /ID# 211381
Basel, 4031
Inselspital, Universitaetsklinik /ID# 211312
Bern, 3010
Kantonsspital St. Gallen /ID# 211310
Sankt Gallen, Canton of St. Gallen, 9007
Universitaetsspital Zuerich /ID# 211308
Zurich, 8091
Taiwan4 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 207848
Kaohsiung City, 80708
China Medical University Hosp /ID# 207845
Taichung, Taichung, 40447
Taipei Veterans General Hosp /ID# 207849
Taipei, 11217
National Taiwan University Hospital /ID# 207847
Taipei City, Taipei, 100
Austria3 sites
LKH Salzburg and Paracelsus /ID# 208788
Salzburg, 5020
Klinik Landstrasse /ID# 205764
Vienna, State of Vienna, 1030
Medical University of Vienna /ID# 205763
Vienna, State of Vienna, 1090
Colombia3 sites
Corporacion Hospitalaria Juan Cuidad Sede Denominada Hospital Universitario Mayo /ID# 208886
Bogota DC, Cundinamarca, 111221
Hospital Universitario San Vic /ID# 208888
Medellín, 50010
Instituto Medico de Alta Tecnologia Oncomédica S.A /ID# 208887
Montería, Departamento de Córdoba, 230002
Mexico3 sites
Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 208068
Guadalajara, Jalisco, 44650
Morales Vargas Centro de Investigacion S.C. /ID# 211326
León, Guanajuato, 37000
Centro Regiomontano de Estudios Clínicos ROMA S.C /ID# 208067
Monterrey, Nuevo León, 64610
Singapore3 sites
National University Hospital /ID# 209099
Singapore, 119074
Gleneagles Medical Centre /ID# 206954
Singapore, 258499
Tan Tock Seng Hospital /ID# 207663
Singapore, 308433
Belgium2 sites
AZ Maria Middelares /ID# 210928
Ghent, 9000
Universitair Ziekenhuis Leuven /ID# 205988
Leuven, Vlaams-Brabant, 3000
France2 sites
Chu de Nice-Hopital L'Archet Ii /Id# 209118
Nice, Alpes-Maritimes, 06202
Centre Hospitalier Lyon Sud /ID# 209121
Pierre-Bénite, Rhone, 69495
Ireland2 sites
Beaumont Hospital /ID# 206509
Dublin, D09 XR63
University Hospital Galway /ID# 218035
Galway, H91 YR71
Israel2 sites
Rambam Health Care Campus /ID# 206362
Haifa, 3109601
Shaare Zedek Medical Center /ID# 206365
Jerusalem, 91031
Latvia2 sites
Riga East Clinical Univ Hosp /ID# 206828
Riga, 1038
P. Stradins Clinical Univ Hosp /ID# 206827
Riga, LV-1002
Malaysia2 sites
Universiti Kebangsaan Malaysia (UKM) Medical Centre /ID# 207662
Kuala Lumpur, Selangor, 56000
Duplicate_Uni Malaya MC /ID# 208936
Kuala Lumpur, 59100
Norway2 sites
Akershus Universitetssykehus_MAIN /ID# 205293
Lorenskog, Akershus, 1478
Universitetssykehuset Nord-Norge /ID# 205691
Tromsø, Troms, 9019
Puerto Rico1 site
School of Medicine University of Puerto Rico-Medical Science Campus /ID# 209626
San Juan, 00935
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Induction Study to Evaluate the Efficacy and Safety of Upadacitinib (ABT-494) in Subjects With Moderately to Severely Active Ulcerative Colitis
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission (per Adapted Mayo score) in participants with moderately to severely active ulcerative colitis (UC).
Read the detailed description
Study M14-675 consists of 2 parts, Part 1 and Part 2. Part 1 is a randomized, double-blind, placebo-controlled 8-week induction period. Part 2 is an open-label, 8-week extended treatment period for participants who did not achieve clinical response at Week 8 in Part 1.
Eligible participants are randomized in a 2:1 ratio to one of the two treatment groups (upadacitinib 45 mg or matching placebo) for 8 weeks. The randomization is stratified by biologic inadequate responder (bio-IR) status (bio-IR vs non-bio-IR), corticosteroid use (yes or no), and Adapted Mayo score (≤ 7 or > 7) at Baseline. Within bio-IR, the randomization is further stratified by number of prior biologic treatments (≤ 1 or > 1). Within non-bio-IR, the randomization is further stratified by previous biologic use (yes or no).
Participants who achieve clinical response defined by Adapted Mayo Score at Week 8 or Week 16 and do not meet any study discontinuation criteria are eligible to enroll into Study M14-234 Substudy 3 (NCT02819635; 52-week maintenance study) or Study M14-533 Cohort 1 (NCT03006068; long-term follow-up study).
- Conditions
- Ulcerative Colitis (UC)
- Being tested
- Placebo, Upadacitinib
- Keywords
- Upadacitinib, ABT-494, Ulcerative Colitis
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Tablet for oral administration
UpadacitinibDrug
Also called ABT-494, RINVOQ®
Tablet for oral administration
| Study group | Role | What they receive |
|---|---|---|
| Upadacitinib 45 mg | Experimental | Participants received 45 mg upadacitinib once daily (QD) for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 additional weeks in the open-label extension period. Receives: Drug: Upadacitinib |
| Placebo | Placebo comparator | Participants received placebo matching to upadacitinib once daily for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 weeks in the open-label extension period. Receives: Drug: Placebo; Drug: Upadacitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease.
Clinical remission is defined as an Adapted Mayo score ≤ 2, with SFS ≤ 1 and not higher than Baseline, RBS of 0, and endoscopic subscore ≤ 1.
Measured: Week 8
Secondary outcomes (11)
Percentage of Participants With Endoscopic Improvement at Week 8
Endoscopic improvement is defined as an endoscopic subscore of 0 or 1. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: Week 8
Percentage of Participants With Endoscopic Remission at Week 8
Endoscopic remission is defined as an endoscopic subscore of 0. Endoscopies were assessed by a blinded central reader and scored according to the following scale: 0 = Normal or inactive disease; 1 = Mild disease (erythema, decreased vascular pattern); 2 = Moderate disease (marked erythema, lack of vascular pattern, any friability, erosions); 3 = Severe disease (spontaneous bleeding, ulceration).
Measured: Week 8
Percentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
- Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The overall Adapted Mayo score ranges from 0 to 9 with higher scores representing more severe disease.
Clinical response per the Adapted Mayo Score is defined as a decrease in Adapted Mayo score ≥ 2 points and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.
Measured: Week 8
Percentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 2
The Partial Adapted Mayo Score is a composite score of UC disease activity based on the following 2 subscores:
- Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal).
- Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed).
The overall Partial Adapted Mayo score ranges from 0 to 6 with higher scores representing more severe disease.
Clinical response per Partial Adapted Mayo Score is defined as a decrease in Partial Adapted Mayo score ≥ 1 point and ≥ 30% from Baseline, plus a decrease in RBS ≥ 1 or an absolute RBS ≤ 1.
Measured: Week 2
Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8
Histologic endoscopic mucosal improvement is defined as an endoscopic subscore of 0 or 1 and a Geboes score ≤ 3.1.
The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: Week 8
Percentage of Participants Who Reported No Bowel Urgency at Week 8
Bowel urgency was assessed by participants in a subject diary completed once a day.
Measured: Week 8
Percentage of Participants Who Reported No Abdominal Pain at Week 8
Abdominal pain was assessed by participants in a subject diary completed once a day.
Measured: Week 8
Percentage of Participants Who Achieved Histologic Improvement at Week 8
Histologic improvement is defined as a decrease from Baseline in Geboes score. The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: Week 8
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8
The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with ulcerative colitis. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.
Measured: Baseline (Week 0) to Week 8
Percentage of Participants Who Achieved Mucosal Healing at Week 8
Mucosal healing is defined as an endoscopic score of 0 and Geboes score < 2.0. The endoscopic subscore ranges from 0 (normal or inactive disease) to 3 (severe disease with spontaneous bleeding, ulceration).
The Geboes histologic index includes seven histological features (architectural change, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in epithelium, crypt destruction and erosion or ulcers). The Geboes score has 6 grades, each with 3-5 subgrades: Grade 0, structural change only; Grade 1, chronic inflammation; Grade 2, lamina propria neutrophils and eosinophils; Grade 3, neutrophils in epithelium; Grade 4, crypt destruction; and Grade 5, erosions or ulceration.
Measured: Week 8
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8
The FACIT fatigue questionnaire was developed to assess fatigue associated with anemia. It consists of 13 fatigue-related questions. Each question is answered on a 5-point Likert scale: 0 (not at all); 1 (a little bit); 2 (somewhat); 3 (quite a bit); and 4 (very much). The total score ranges from 0 to 52, where higher scores represent less fatigue, and a positive change from Baseline indicates improvement.
Measured: Baseline (Week 0) to Week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Aug 2018
- Study start6 Dec 2018
- Primary completion14 Jan 2021
- Study completion14 Jan 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Ulcerative Colitis (UC)Studies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 522 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03653026
- Sponsor's protocol ID
- M14-675
- Other IDs
- 2016-000642-62, 2016
- Acronym
- U-Accomplish
- Status last verified
- Feb 2022
- First submitted
- 28 Aug 2018
- Last updated
- 2 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Publications
Wei SC, Nakase H, Ye BD, Chao K, Wu HY, Eccleston J, Yao X, Palac H, Mohamed MF, Ponce-Bobadilla AV, Suravaram S, Barrachina EM, Hisamatsu T, Gao X. Efficacy, Safety, and Pharmacokinetics of Upadacitinib Among Patients in East Asia With Moderately to Severely Active Ulcerative Colitis: A Post Hoc Subanalysis of Randomized Phase 3 Studies. J Gastroenterol Hepatol. 2026 Aug 19. doi: 10.1111/jgh.70634. Online ahead of print.
PubMed 42613995Vermeire S, Colombel JF, Danese S, Panaccione R, Peyrin-Biroulet L, Beck K, Chaparro M, Gisbert JP, Dubcenco E, Klaff J, Naling G, Ford S, Remple V, Joshi N, Suravaram S, Duncan B, Wang Y, Wick-Urban B, Loftus EV. Benefit-risk profile of upadacitinib: exploratory post hoc analysis of phase 2b/3 studies in patients with moderately to severely active ulcerative colitis or Crohn's disease. J Crohns Colitis. 2026 Jan 9;20(1):jjaf198. doi: 10.1093/ecco-jcc/jjaf198.
PubMed 41264726Panes J, Dubinsky MC, Ishiguro Y, Shukla N, Dubcenco E, Remple V, Sharma D, Panaccione R. Achievement of long-term treatment goals in upadacitinib-treated patients with moderately to severely active ulcerative colitis: a post hoc analysis of phase 3 trial data. J Crohns Colitis. 2025 Jul 3;19(7):jjaf095. doi: 10.1093/ecco-jcc/jjaf095.
PubMed 40488552Panaccione R, Danese S, Zhou W, Klaff J, Ilo D, Yao X, Levy G, Higgins PDR, Loftus EV Jr, Chen S, Gonzalez YS, Leonard C, Hebuterne X, Lindsay JO, Cao Q, Nakase H, Colombel JF, Vermeire S. Efficacy and safety of upadacitinib for 16-week extended induction and 52-week maintenance therapy in patients with moderately to severely active ulcerative colitis. Aliment Pharmacol Ther. 2024 Feb;59(3):393-408. doi: 10.1111/apt.17816. Epub 2023 Nov 27.
PubMed 38010661Raine T, Ishiguro Y, Rubin DT, Finney-Hayward T, Vladea R, Liu J, Phillips C, Cheng E, Targownik L, Loftus EV Jr. Impact of Baseline Corticosteroid Use on the Efficacy and Safety of Upadacitinib in Patients with Ulcerative Colitis: A Post Hoc Analysis of the Phase 3 Clinical Trial Programme. J Crohns Colitis. 2024 May 31;18(5):695-707. doi: 10.1093/ecco-jcc/jjad190.
PubMed 37942921Danese S, Tran J, D'Haens G, Rubin DT, Aoyama N, Zhou W, Ilo D, Yao X, Sanchez Gonzalez Y, Panaccione R. Upadacitinib Induction and Maintenance Therapy Improves Abdominal Pain, Bowel Urgency, and Fatigue in Patients With Ulcerative Colitis: A Post Hoc Analysis of Phase 3 Data. Inflamm Bowel Dis. 2023 Nov 2;29(11):1723-1729. doi: 10.1093/ibd/izad016.
PubMed 36790041Panes J, Loftus EV, Higgins PDR, Lindsay JO, Zhou W, Yao X, Ilo D, Phillips C, Tran J, Sanchez Gonzalez Y, Vermeire S. Induction and Maintenance Treatment With Upadacitinib Improves Health-Related Quality of Life in Patients With Moderately to Severely Active Ulcerative Colitis: Phase 3 Study Results. Inflamm Bowel Dis. 2023 Sep 1;29(9):1421-1430. doi: 10.1093/ibd/izac260.
PubMed 36645051Ponce-Bobadilla AV, Stodtmann S, Eckert D, Zhou W, Liu W, Mohamed MF. Upadacitinib Population Pharmacokinetics and Exposure-Response Relationships in Ulcerative Colitis Patients. Clin Pharmacokinet. 2023 Jan;62(1):101-112. doi: 10.1007/s40262-022-01191-6. Epub 2022 Dec 26.
PubMed 36571701Loftus EV Jr, Colombel JF, Takeuchi K, Gao X, Panaccione R, Danese S, Dubinsky M, Schreiber S, Ilo D, Finney-Hayward T, Zhou W, Phillips C, Gonzalez YS, Shu L, Yao X, Zhou Q, Vermeire S. Upadacitinib Therapy Reduces Ulcerative Colitis Symptoms as Early as Day 1 of Induction Treatment. Clin Gastroenterol Hepatol. 2023 Aug;21(9):2347-2358.e6. doi: 10.1016/j.cgh.2022.11.029. Epub 2022 Dec 1.
PubMed 36464141Danese S, Vermeire S, Zhou W, Pangan AL, Siffledeen J, Greenbloom S, Hebuterne X, D'Haens G, Nakase H, Panes J, Higgins PDR, Juillerat P, Lindsay JO, Loftus EV Jr, Sandborn WJ, Reinisch W, Chen MH, Sanchez Gonzalez Y, Huang B, Xie W, Liu J, Weinreich MA, Panaccione R. Upadacitinib as induction and maintenance therapy for moderately to severely active ulcerative colitis: results from three phase 3, multicentre, double-blind, randomised trials. Lancet. 2022 Jun 4;399(10341):2113-2128. doi: 10.1016/S0140-6736(22)00581-5. Epub 2022 May 26.
PubMed 35644166
Study at a glance
From the registry record, last updated by the sponsor on 2 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled Induction Study to Evaluate the Efficacy and Safety of Upadacitinib (ABT-494) in Subjects With Moderately to Severely Active Ulcerative Colitis
- ClinicalTrials.gov ID
- NCT03653026
- Acronym / sponsor ID
- U-Accomplish / M14-675
- Conditions
- Ulcerative Colitis (UC)
- Keywords
- Upadacitinib, ABT-494, Ulcerative Colitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 522 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 6 Dec 2018 (actual)
- Primary completion
- 14 Jan 2021 (actual)
- Study completion
- 14 Jan 2021 (actual)
- First posted
- 31 Aug 2018 (actual)
- Results
- Posted 26 Nov 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo in inducing clinical remission (per Adapted Mayo score) in participants with moderately to severely active ulcerative colitis (UC).
Detailed description
Study M14-675 consists of 2 parts, Part 1 and Part 2. Part 1 is a randomized, double-blind, placebo-controlled 8-week induction period. Part 2 is an open-label, 8-week extended treatment period for participants who did not achieve clinical response at Week 8 in Part 1.
Eligible participants are randomized in a 2:1 ratio to one of the two treatment groups (upadacitinib 45 mg or matching placebo) for 8 weeks. The randomization is stratified by biologic inadequate responder (bio-IR) status (bio-IR vs non-bio-IR), corticosteroid use (yes or no), and Adapted Mayo score (≤ 7 or > 7) at Baseline. Within bio-IR, the randomization is further stratified by number of prior biologic treatments (≤ 1 or > 1). Within non-bio-IR, the randomization is further stratified by previous biologic use (yes or no).
Participants who achieve clinical response defined by Adapted Mayo Score at Week 8 or Week 16 and do not meet any study discontinuation criteria are eligible to enroll into Study M14-234 Substudy 3 (NCT02819635; 52-week maintenance study) or Study M14-533 Cohort 1 (NCT03006068; long-term follow-up study).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Upadacitinib 45 mg | Experimental | Drug: UpadacitinibParticipants received 45 mg upadacitinib once daily (QD) for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 additional weeks in the open-label extension period. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: UpadacitinibParticipants received placebo matching to upadacitinib once daily for 8 weeks. Participants who did not achieve clinical response per Adapted Mayo score at Week 8 received upadacitinib 45 mg once daily for 8 weeks in the open-label extension period. |
Who may qualify
- Ages
- 16 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Male or female participants ≥ 16 and ≤ 75 years of age at Baseline Note: Adolescent participants at the age of 16 or 17 years old will be eligible to participate if approved by the country or regulatory/health authorities.
- Note: Adolescent participants at the age of 16 or 17 years old must weigh ≥ 40 kilograms and meet the definition of Tanner Stage 5 at the Screening Visit.
- Diagnosis of Ulcerative Colitis (UC) for 90 days or greater 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 UC, in the assessment of the Investigator, must be available.
- Active UC with an Adapted Mayo score of 5 to 9 points and endoscopic subscore of 2 to 3.
- Demonstrated an inadequate response, loss of response, or intolerance to at lease one of the following treatments including, oral aminosalicylates, corticosteroids, immunosuppressants, and/or biologic therapies.
Key exclusion criteria (8 listed)
- Participant with current diagnosis of Crohn's disease (CD) or diagnosis of indeterminate colitis (IC).
- Current diagnosis of fulminant colitis and/or toxic megacolon.
- Participant with disease limited to the rectum (ulcerative proctitis) during the Screening endoscopy.
- Received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to Baseline.
- Participant who received azathioprine or 6-mercaptopurine (6-MP) within 10 days of Baseline.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboTablet for oral administration | Drug | Placebo |
| UpadacitinibAlso: ABT-494, RINVOQ®Tablet for oral administration | Drug | Placebo, Upadacitinib 45 mg |
Primary outcome
Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8
Time frame: Week 8
The Adapted Mayo Score is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The overall Adapted Mayo score ranges from 0 to 9 where higher scores represent more severe disease. Clinical remission is defined as an Adapted Mayo score ≤ 2, with SFS ≤ 1 and not higher than Baseline, RBS of 0, and endoscopic subscore ≤ 1.
11 secondary outcomes
Percentage of Participants With Endoscopic Improvement at Week 8
Time frame: Week 8
Percentage of Participants With Endoscopic Remission at Week 8
Time frame: Week 8
Percentage of Participants Who Achieved Clinical Response Per Adapted Mayo Score at Week 8
Time frame: Week 8
Percentage of Participants Who Achieved Clinical Response Per Partial Adapted Mayo Score at Week 2
Time frame: Week 2
Percentage Of Participants Who Achieved Histologic-Endoscopic Mucosal Improvement at Week 8
Time frame: Week 8
Percentage of Participants Who Reported No Bowel Urgency at Week 8
Time frame: Week 8
Percentage of Participants Who Reported No Abdominal Pain at Week 8
Time frame: Week 8
Percentage of Participants Who Achieved Histologic Improvement at Week 8
Time frame: Week 8
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 8
Time frame: Baseline (Week 0) to Week 8
Percentage of Participants Who Achieved Mucosal Healing at Week 8
Time frame: Week 8
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score at Week 8
Time frame: Baseline (Week 0) to Week 8
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42613995Wei SC, Nakase H, Ye BD, Chao K, Wu HY, Eccleston J, Yao X, Palac H, Mohamed MF, Ponce-Bobadilla AV, Suravaram S, Barrachina EM, Hisamatsu T, Gao X. Efficacy, Safety, and Pharmacokinetics of Upadacitinib Among Patients in East Asia With Moderately to Severely Active Ulcerative Colitis: A Post Hoc Subanalysis of Randomized Phase 3 Studies. J Gastroenterol Hepatol. 2026 Aug 19. doi: 10.1111/jgh.70634. Online ahead of print.
- Derived from this study: PubMed 41264726Vermeire S, Colombel JF, Danese S, Panaccione R, Peyrin-Biroulet L, Beck K, Chaparro M, Gisbert JP, Dubcenco E, Klaff J, Naling G, Ford S, Remple V, Joshi N, Suravaram S, Duncan B, Wang Y, Wick-Urban B, Loftus EV. Benefit-risk profile of upadacitinib: exploratory post hoc analysis of phase 2b/3 studies in patients with moderately to severely active ulcerative colitis or Crohn's disease. J Crohns Colitis. 2026 Jan 9;20(1):jjaf198. doi: 10.1093/ecco-jcc/jjaf198.
- Derived from this study: PubMed 40488552Panes J, Dubinsky MC, Ishiguro Y, Shukla N, Dubcenco E, Remple V, Sharma D, Panaccione R. Achievement of long-term treatment goals in upadacitinib-treated patients with moderately to severely active ulcerative colitis: a post hoc analysis of phase 3 trial data. J Crohns Colitis. 2025 Jul 3;19(7):jjaf095. doi: 10.1093/ecco-jcc/jjaf095.
- Derived from this study: PubMed 38010661Panaccione R, Danese S, Zhou W, Klaff J, Ilo D, Yao X, Levy G, Higgins PDR, Loftus EV Jr, Chen S, Gonzalez YS, Leonard C, Hebuterne X, Lindsay JO, Cao Q, Nakase H, Colombel JF, Vermeire S. Efficacy and safety of upadacitinib for 16-week extended induction and 52-week maintenance therapy in patients with moderately to severely active ulcerative colitis. Aliment Pharmacol Ther. 2024 Feb;59(3):393-408. doi: 10.1111/apt.17816. Epub 2023 Nov 27.
- Derived from this study: PubMed 37942921Raine T, Ishiguro Y, Rubin DT, Finney-Hayward T, Vladea R, Liu J, Phillips C, Cheng E, Targownik L, Loftus EV Jr. Impact of Baseline Corticosteroid Use on the Efficacy and Safety of Upadacitinib in Patients with Ulcerative Colitis: A Post Hoc Analysis of the Phase 3 Clinical Trial Programme. J Crohns Colitis. 2024 May 31;18(5):695-707. doi: 10.1093/ecco-jcc/jjad190.
- Derived from this study: PubMed 36790041Danese S, Tran J, D'Haens G, Rubin DT, Aoyama N, Zhou W, Ilo D, Yao X, Sanchez Gonzalez Y, Panaccione R. Upadacitinib Induction and Maintenance Therapy Improves Abdominal Pain, Bowel Urgency, and Fatigue in Patients With Ulcerative Colitis: A Post Hoc Analysis of Phase 3 Data. Inflamm Bowel Dis. 2023 Nov 2;29(11):1723-1729. doi: 10.1093/ibd/izad016.
- Derived from this study: PubMed 36645051Panes J, Loftus EV, Higgins PDR, Lindsay JO, Zhou W, Yao X, Ilo D, Phillips C, Tran J, Sanchez Gonzalez Y, Vermeire S. Induction and Maintenance Treatment With Upadacitinib Improves Health-Related Quality of Life in Patients With Moderately to Severely Active Ulcerative Colitis: Phase 3 Study Results. Inflamm Bowel Dis. 2023 Sep 1;29(9):1421-1430. doi: 10.1093/ibd/izac260.
- Derived from this study: PubMed 36571701Ponce-Bobadilla AV, Stodtmann S, Eckert D, Zhou W, Liu W, Mohamed MF. Upadacitinib Population Pharmacokinetics and Exposure-Response Relationships in Ulcerative Colitis Patients. Clin Pharmacokinet. 2023 Jan;62(1):101-112. doi: 10.1007/s40262-022-01191-6. Epub 2022 Dec 26.
- Derived from this study: PubMed 36464141Loftus EV Jr, Colombel JF, Takeuchi K, Gao X, Panaccione R, Danese S, Dubinsky M, Schreiber S, Ilo D, Finney-Hayward T, Zhou W, Phillips C, Gonzalez YS, Shu L, Yao X, Zhou Q, Vermeire S. Upadacitinib Therapy Reduces Ulcerative Colitis Symptoms as Early as Day 1 of Induction Treatment. Clin Gastroenterol Hepatol. 2023 Aug;21(9):2347-2358.e6. doi: 10.1016/j.cgh.2022.11.029. Epub 2022 Dec 1.
- Derived from this study: PubMed 35644166Danese S, Vermeire S, Zhou W, Pangan AL, Siffledeen J, Greenbloom S, Hebuterne X, D'Haens G, Nakase H, Panes J, Higgins PDR, Juillerat P, Lindsay JO, Loftus EV Jr, Sandborn WJ, Reinisch W, Chen MH, Sanchez Gonzalez Y, Huang B, Xie W, Liu J, Weinreich MA, Panaccione R. Upadacitinib as induction and maintenance therapy for moderately to severely active ulcerative colitis: results from three phase 3, multicentre, double-blind, randomised trials. Lancet. 2022 Jun 4;399(10341):2113-2128. doi: 10.1016/S0140-6736(22)00581-5. Epub 2022 May 26.
- This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
379 sites in 44 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Upadacitinib in people with Ulcerative Colitis (UC), run by AbbVie at 379 sites in 44 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 379 sites in United States, Japan, China, Russia, Spain and 39 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Nov 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Achieved Clinical Remission Per Adapted Mayo Score at Week 8 (time frame: Week 8). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03653026, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Mar 2022.