Skip to content

A Study of the Efficacy and Safety of Risankizumab in Participants With Moderately to Severely Active Crohn's Disease

A Multicenter, Randomized, Double-Blind, Placebo Controlled Induction Study of the Efficacy and Safety of Risankizumab in Subjects With Moderately to Severely Active Crohn's Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03105128
Enrollment
931
Registered
2017-04-07
Start date
2017-05-10
Completion date
2021-04-14
Last updated
2022-07-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Crohn's Disease

Keywords

Crohn's Disease (CD), Risankizumab, ABBV-066, BI 655066

Brief summary

The purpose of this study is to evaluate the efficacy and safety of risankizumab versus placebo during induction therapy in participants with moderately to severely active Crohn's disease (CD).

Interventions

Placebo for risankizumab administered by intravenous infusion

Risankizumab administered by intravenous infusion

Risankizumab administered by subcutaneous (SC) injection

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
16 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female aged \>=18 to \<= 80 years, or minimum age of adult consent according to local regulations, at the Baseline Visit. Where locally permissible, participants 16 to \< 18 years of age who meet the definition of Tanner stage 5 for development at the Baseline Visit. * Diagnosis of CD for at least 3 months prior to Baseline. * Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score, and Simple Endoscopic Score for Crohn's Disease (SES-CD). * Demonstrated intolerance or inadequate response to conventional or to biologic therapy for CD. * If female, participant must meet the contraception recommendations.

Exclusion criteria

* Participant with a current diagnosis of ulcerative colitis or indeterminate colitis. * Participants with unstable doses of concomitant Crohn's disease therapy. * Receipt of Crohn's disease approved biologic agents (infliximab, adalimumab, certolizumab, vedolizumab, natalizumab within 8 weeks prior to Baseline or ustekinumab within 12 weeks prior to Baseline), or any investigational biologic or other agent or procedure within 35 days or 5 half-lives prior to Baseline, whichever is longer. * Prior exposure to p19 inhibitors (e.g., risankizumab). * Complications of Crohn's disease. * Having an ostomy or ileoanal pouch. * Known active Coronavirus Disease 2019 (COVID-19) infection.

Design outcomes

Primary

MeasureTime frameDescription
US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical RemissionWeek 12The CDAI consists of 8 components; 7 are based on participant diary entries, participant interviews, physical examinations, measurement of body weight and height and 1 is based on laboratory analysis. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.
US Specific: Percentage of Participants With Endoscopic ResponseWeek 12The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).
Global Outside of US: Percentage of Participants With Clinical RemissionWeek 12Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.
Global Outside of US: Percentage of Participants With Endoscopic ResponseWeek 12The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).

Secondary

MeasureTime frameDescription
US Specific: Percentage of Participants With CDAI Clinical Response and Endoscopic ResponseWeek 12Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline. Endoscopic response was a decrease in Simplified Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for subjects with isolated ileal disease and a Baseline SES-CD of 4, at least a 2 point reduction from Baseline).
US Specific: Percentage of Participants With Stool Frequency (SF) RemissionWeek 12Stool Frequency (SF) remission is defined as an average daily SF \<= 2.8 and not worse than baseline.
US Specific: Percentage of Participants With Abdominal Pain (AP) RemissionWeek 12The Abdominal Pain rating is an assessment that is graded from 0 to 3: 0= None, 1= Mild, 2= Moderate and 3= Severe. AP remission is defined as average daily AP score \<= 1 and not worse than baseline.
US Specific: Percentage of Participants With Endoscopic RemissionWeek 12Endoscopic remission: SES-CD ≤ 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable
US Specific: Percentage of Participants With Enhanced Clinical ResponseWeek 4Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission
US Specific: Percentage of Participants With Ulcer-Free EndoscopyWeek 12Ulcer-free endoscopy: SES-CD ulcerated surface subscore of 0 in subjects with SES-CD ulcerated surface subscore ≥ 1 at Baseline
US Specific: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs atWeek 12Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.
US Specific: Percentage of Participants With CD-Related HospitalizationWeek 12Participants with at least one admission to the hospital due to Crohn's Disease.
US Specific: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at BaselineWeek 12Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.
Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical RemissionWeek 12The CDAI consists of 8 components; 6 are based on participant diary entries, participant interviews, and physical examinations, and 2 are based on laboratory analysis, and measurement of body weight and height. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.
Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical ResponseWeek 4Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.
US Specific: Percentage of Participants With Clinical RemissionWeek 12Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.
Global Outside of US: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-FatigueWeek 12The FACIT-Fatigue scale is a 13-item tool that measures an individual's level of fatigue during their usual daily activities over the past 7 days. Each of the fatigue and impact of fatigue items are measured on a four point Likert scale. The FACIT Fatigue Scale is the sum of the individual 13 scores and ranges from 0 to 52 where higher scores indicate better the quality of life. A positive change from baseline indicates improvement.
Global Outside of US: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total ScoreWeek 12The IBDQ is a 32-item (ranges 1 - 7) self-report questionnaire for patients with IBD to evaluate the patient reported outcomes across 4 dimensions: bowel symptoms (loose stools, abdominal pain), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). The IBDQ total Score ranges from 32 to 224 with a higher score indicating better outcome.
Global Outside of US: Percentage of Participants With Enhanced Clinical Response and Endoscopic ResponseWeek 12Enhanced clinical response was defined as ≥ 60% decrease in average daily Stool Frequency and/or ≥ 35% decrease in average daily Abdominal Pain score and both not worse than baseline, and/or clinical remission. Endoscopic Response was defined as a decrease in Simplified Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for subjects with isolated ileal disease and a Baseline SES-CD of 4, at least a 2 point reduction from Baseline).
Global Outside of US: Percentage of Participants With Endoscopic RemissionWeek 12Endoscopic remission: SES-CD ≤ 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable
Global Outside of US: Percentage of Participants With Enhanced Clinical ResponseWeek 4Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission
Global Outside of US: Percentage of Participants With Ulcer-Free EndoscopyWeek 12Ulcer-free endoscopy: SES-CD ulcerated surface subscore of 0 in subjects with SES-CD ulcerated surface subscore ≥ 1 at Baseline
Global Outside of US: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at BaselineWeek 12Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.
Global Outside of US: Percentage of Participants With CD-Related HospitalizationWeek 12Participants with at least one admission to the hospital due to Crohn's Disease.
Global Outside of US: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at BaselineWeek 12Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.
Global Outside of US: Change From Baseline in Work Productivity and Impairment Questionnaire - Crohn's Disease (WPAI-CD) Overall Work ImpairmentWeek 12WPAI: CD is a questionnaire used to evaluate lost productivity due to CD ; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. Total work productivity impairment takes into account both hours missed due to CD symptoms and the patient's assessment of the degree to which CD affected their productivity while working (overall work impairment \[OWI\]). WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.
Global Outside of US: Change From Baseline in Short Form-36 (SF-36) Physical Component Summary (PCS) ScoreWeek 12The Short Form-36 Health Survey determined participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 comprise the physical component of the SF-36. Scores on each item were summed and averaged (range = 0-100); a positive change from Baseline indicates improvement.
Global Outside of US: Percentage of Participants With Clinical RemissionWeek 4Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.
US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical ResponseWeek 4Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.
US Specific: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-FatigueWeek 12The FACIT-Fatigue scale is a 13-item tool that measures an individual's level of fatigue during their usual daily activities over the past 7 days. Each of the fatigue and impact of fatigue items are measured on a four point Likert scale. The FACIT Fatigue Scale is the sum of the individual 13 scores and ranges from 0 to 52 where higher scores indicate better the quality of life. A positive change from baseline indicates improvement.
US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical RemissionWeek 4Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.

Countries

Argentina, Australia, Austria, Belarus, Belgium, Bosnia and Herzegovina, Brazil, Bulgaria, Canada, Chile, China, Colombia, Croatia, Czechia, Estonia, Germany, Greece, Hong Kong, Ireland, Israel, Italy, Japan, Latvia, Lithuania, Malaysia, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russia, Serbia, Singapore, Slovakia, South Africa, South Korea, Spain, Sweden, Switzerland, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

Subjects were randomized to receive 600mg risankizumab, 1200mg risankizumab or placebo during the double-blind, placebo-controlled Period 1. At Week 12, subjects who do not achieve clinical response were randomized into Period 2 to receive 180mg risankizumab, 360mg risankizumab or 1200mg risankizumab. Subjects who received placebo received 1200mg.

Pre-assignment details

A total of 931 subjects were enrolled and included in the intent-to-treat (ITT) population; 850 of those had a baseline eligible Simple Endoscopic Score for Crohn's disease (SES-CD) of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component and were included in the ITT1A population. This population was the primary population for both the United States (US) specific as well as the Global (Outside the US) efficacy analysis' of the 12-Week Induction Period.

Participants by arm

ArmCount
Risankizumab 600mg (Period 1)
Participants randomized to receive risankizumab 600mg administered by intravenous (IV) infusion. risankizumab IV: Risankizumab administered by intravenous infusion
373
Risankizumab 1200mg (Period 1)
Participants randomized to receive risankizumab 1200mg administered by intravenous (IV) infusion. risankizumab IV: Risankizumab administered by intravenous infusion
372
Placebo (Period 1)
Participants randomized to receive placebo for risankizumab administered by intravenous (IV) infusion. placebo for risankizumab: Placebo for risankizumab administered by intravenous infusion
186
Total931

Baseline characteristics

CharacteristicRisankizumab 600mg (Period 1)Risankizumab 1200mg (Period 1)Placebo (Period 1)Total
Age, Categorical
<=18 years
3 Participants4 Participants2 Participants9 Participants
Age, Categorical
>=65 years
15 Participants18 Participants9 Participants42 Participants
Age, Categorical
Between 18 and 65 years
355 Participants350 Participants175 Participants880 Participants
Age, Continuous38.5 years
STANDARD_DEVIATION 13.22
37.6 years
STANDARD_DEVIATION 13.55
37.5 years
STANDARD_DEVIATION 13.51
37.9 years
STANDARD_DEVIATION 13.4
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants18 Participants10 Participants41 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
360 Participants354 Participants176 Participants890 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
68 Participants75 Participants32 Participants175 Participants
Race (NIH/OMB)
Black or African American
10 Participants13 Participants9 Participants32 Participants
Race (NIH/OMB)
More than one race
4 Participants4 Participants0 Participants8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants1 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
291 Participants279 Participants144 Participants714 Participants
Sex: Female, Male
Female
168 Participants173 Participants93 Participants434 Participants
Sex: Female, Male
Male
205 Participants199 Participants93 Participants497 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
2 / 1860 / 3730 / 3720 / 7450 / 670 / 680 / 670 / 760 / 278
other
Total, other adverse events
35 / 18667 / 37358 / 372125 / 7454 / 677 / 684 / 6712 / 7627 / 278
serious
Total, serious adverse events
28 / 18627 / 37314 / 37241 / 7453 / 673 / 684 / 674 / 7614 / 278

Outcome results

Primary

Global Outside of US: Percentage of Participants With Clinical Remission

Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission21.7 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission43.5 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission41.0 percentage of participants
p-value: <0.00195% CI: [13.8, 29.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [10.8, 26.8]Cochran-Mantel-Haenszel
Primary

Global Outside of US: Percentage of Participants With Endoscopic Response

The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Response12.0 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Response40.3 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Response32.1 percentage of participants
p-value: <0.00195% CI: [21.2, 35.4]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [13.6, 27.1]Cochran-Mantel-Haenszel
Primary

US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

The CDAI consists of 8 components; 7 are based on participant diary entries, participant interviews, physical examinations, measurement of body weight and height and 1 is based on laboratory analysis. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission24.6 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission45.2 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission41.6 percentage of participants
p-value: <0.00195% CI: [12.4, 29]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [8.5, 24.9]Cochran-Mantel-Haenszel
Primary

US Specific: Percentage of Participants With Endoscopic Response

The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Endoscopic Response12.0 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Endoscopic Response40.3 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Endoscopic Response32.1 percentage of participants
p-value: <0.00195% CI: [21.2, 35.4]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [13.6, 27.1]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score

The IBDQ is a 32-item (ranges 1 - 7) self-report questionnaire for patients with IBD to evaluate the patient reported outcomes across 4 dimensions: bowel symptoms (loose stools, abdominal pain), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). The IBDQ total Score ranges from 32 to 224 with a higher score indicating better outcome.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (MEAN)
Placebo (Period 1)Global Outside of US: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score23.6 units on a scale
Risankizumab 600mg (Period 1)Global Outside of US: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score44.3 units on a scale
Risankizumab 1200mg (Period 1)Global Outside of US: Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score43.0 units on a scale
p-value: <0.00195% CI: [14.3, 27.1]Mixed-Effect Model Repeat Measurement
p-value: <0.00195% CI: [13.1, 25.8]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Change From Baseline in Short Form-36 (SF-36) Physical Component Summary (PCS) Score

The Short Form-36 Health Survey determined participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 comprise the physical component of the SF-36. Scores on each item were summed and averaged (range = 0-100); a positive change from Baseline indicates improvement.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (Period 1)Global Outside of US: Change From Baseline in Short Form-36 (SF-36) Physical Component Summary (PCS) Score5.482 units on a scaleStandard Error 0.5985
Risankizumab 600mg (Period 1)Global Outside of US: Change From Baseline in Short Form-36 (SF-36) Physical Component Summary (PCS) Score8.394 units on a scaleStandard Error 0.4107
Risankizumab 1200mg (Period 1)Global Outside of US: Change From Baseline in Short Form-36 (SF-36) Physical Component Summary (PCS) Score8.756 units on a scaleStandard Error 0.4071
p-value: <0.00195% CI: [1.512, 4.313]Mixed-Effect Model Repeat Measurement
p-value: <0.00195% CI: [1.877, 4.672]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Change From Baseline in Work Productivity and Impairment Questionnaire - Crohn's Disease (WPAI-CD) Overall Work Impairment

WPAI: CD is a questionnaire used to evaluate lost productivity due to CD ; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. Total work productivity impairment takes into account both hours missed due to CD symptoms and the patient's assessment of the degree to which CD affected their productivity while working (overall work impairment \[OWI\]). WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (Period 1)Global Outside of US: Change From Baseline in Work Productivity and Impairment Questionnaire - Crohn's Disease (WPAI-CD) Overall Work Impairment-8.344 units on a scaleStandard Error 3.564
Risankizumab 600mg (Period 1)Global Outside of US: Change From Baseline in Work Productivity and Impairment Questionnaire - Crohn's Disease (WPAI-CD) Overall Work Impairment-17.930 units on a scaleStandard Error 2.3446
Risankizumab 1200mg (Period 1)Global Outside of US: Change From Baseline in Work Productivity and Impairment Questionnaire - Crohn's Disease (WPAI-CD) Overall Work Impairment-20.485 units on a scaleStandard Error 2.3112
p-value: 0.02495% CI: [-17.89, -1.282]Mixed-Effect Model Repeat Measurement
p-value: 0.00495% CI: [-20.39, -3.892]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue

The FACIT-Fatigue scale is a 13-item tool that measures an individual's level of fatigue during their usual daily activities over the past 7 days. Each of the fatigue and impact of fatigue items are measured on a four point Likert scale. The FACIT Fatigue Scale is the sum of the individual 13 scores and ranges from 0 to 52 where higher scores indicate better the quality of life. A positive change from baseline indicates improvement.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo (Period 1)Global Outside of US: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue6.0 units on a scale
Risankizumab 600mg (Period 1)Global Outside of US: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue11.2 units on a scale
Risankizumab 1200mg (Period 1)Global Outside of US: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue10.1 units on a scale
p-value: <0.00195% CI: [3.2, 7.2]Mixed-Effect Model Repeat Measurement
p-value: <0.00195% CI: [2.1, 6.1]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Percentage of Participants With CD-Related Hospitalization

Participants with at least one admission to the hospital due to Crohn's Disease.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With CD-Related Hospitalization12.0 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With CD-Related Hospitalization3.3 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With CD-Related Hospitalization1.8 percentage of participants
p-value: <0.00195% CI: [-13.9, -3.5]Mixed-Effect Model Repeat Measurement
p-value: <0.00195% CI: [-15.2, -5.2]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Percentage of Participants With Clinical Remission

Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission9.1 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission21.0 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Clinical Remission21.2 percentage of participants
p-value: <0.00195% CI: [5.4, 17.5]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [5.7, 17.8]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

The CDAI consists of 8 components; 6 are based on participant diary entries, participant interviews, and physical examinations, and 2 are based on laboratory analysis, and measurement of body weight and height. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission24.6 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission45.2 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission41.6 percentage of participants
p-value: <0.00195% CI: [12.4, 29]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [8.5, 24.9]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response36.7 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response59.7 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response64.9 percentage of participants
p-value: <0.00195% CI: [14.2, 31.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [19, 36.4]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response25.2 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response40.8 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response37.2 percentage of participants
p-value: <0.00195% CI: [7.2, 23.7]Cochran-Mantel-Haenszel
p-value: 0.00795% CI: [3.1, 19.2]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Endoscopic Remission

Endoscopic remission: SES-CD ≤ 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Remission9.1 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Remission24.2 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Endoscopic Remission23.9 percentage of participants
p-value: <0.00195% CI: [9, 21.2]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [9.4, 21.4]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Enhanced Clinical Response

Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response41.9 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response62.8 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response64.3 percentage of participants
p-value: <0.00195% CI: [12.2, 29.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [12.8, 30.4]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Enhanced Clinical Response

Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response31.0 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response46.0 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response43.4 percentage of participants
p-value: 0.00195% CI: [6.2, 23.5]Cochran-Mantel-Haenszel
p-value: 0.00795% CI: [3.2, 20.3]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response

Enhanced clinical response was defined as ≥ 60% decrease in average daily Stool Frequency and/or ≥ 35% decrease in average daily Abdominal Pain score and both not worse than baseline, and/or clinical remission. Endoscopic Response was defined as a decrease in Simplified Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for subjects with isolated ileal disease and a Baseline SES-CD of 4, at least a 2 point reduction from Baseline).

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response8.0 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response30.9 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Enhanced Clinical Response and Endoscopic Response23.2 percentage of participants
p-value: <0.00195% CI: [16.8, 29.6]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [9.3, 21.2]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline

Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline22.2 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline27.8 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline29.2 percentage of participants
p-value: 195% CI: [-28.6, 39.7]Mixed-Effect Model Repeat Measurement
p-value: 195% CI: [-25.7, 39.6]Mixed-Effect Model Repeat Measurement
Secondary

Global Outside of US: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline

Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline20.5 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline38.1 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at Baseline43.7 percentage of participants
p-value: 0.02295% CI: [2.1, 27]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [11.1, 36.3]Cochran-Mantel-Haenszel
Secondary

Global Outside of US: Percentage of Participants With Ulcer-Free Endoscopy

Ulcer-free endoscopy: SES-CD ulcerated surface subscore of 0 in subjects with SES-CD ulcerated surface subscore ≥ 1 at Baseline

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)Global Outside of US: Percentage of Participants With Ulcer-Free Endoscopy7.6 percentage of participants
Risankizumab 600mg (Period 1)Global Outside of US: Percentage of Participants With Ulcer-Free Endoscopy21.0 percentage of participants
Risankizumab 1200mg (Period 1)Global Outside of US: Percentage of Participants With Ulcer-Free Endoscopy16.4 percentage of participants
p-value: <0.00195% CI: [7.9, 19.5]Cochran-Mantel-Haenszel
p-value: 0.00195% CI: [3.7, 14.5]Cochran-Mantel-Haenszel
Secondary

US Specific: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue

The FACIT-Fatigue scale is a 13-item tool that measures an individual's level of fatigue during their usual daily activities over the past 7 days. Each of the fatigue and impact of fatigue items are measured on a four point Likert scale. The FACIT Fatigue Scale is the sum of the individual 13 scores and ranges from 0 to 52 where higher scores indicate better the quality of life. A positive change from baseline indicates improvement.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo (Period 1)US Specific: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue6.0 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue11.2 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Change From Baseline of Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue10.1 percentage of participants
p-value: <0.00195% CI: [3.2, 7.2]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [2.1, 6.1]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Abdominal Pain (AP) Remission

The Abdominal Pain rating is an assessment that is graded from 0 to 3: 0= None, 1= Mild, 2= Moderate and 3= Severe. AP remission is defined as average daily AP score \<= 1 and not worse than baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Abdominal Pain (AP) Remission38.5 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Abdominal Pain (AP) Remission59.6 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Abdominal Pain (AP) Remission58.1 percentage of participants
p-value: <0.00195% CI: [12.4, 30]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [10.1, 27.8]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With CDAI Clinical Response and Endoscopic Response

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline. Endoscopic response was a decrease in Simplified Endoscopic Score for Crohn's Disease (SES-CD) \> 50% from Baseline (or for subjects with isolated ileal disease and a Baseline SES-CD of 4, at least a 2 point reduction from Baseline).

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With CDAI Clinical Response and Endoscopic Response5.7 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With CDAI Clinical Response and Endoscopic Response30.0 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With CDAI Clinical Response and Endoscopic Response23.0 percentage of participants
p-value: <0.00195% CI: [18.5, 30.5]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [11.8, 22.9]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With CD-Related Hospitalization

Participants with at least one admission to the hospital due to Crohn's Disease.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With CD-Related Hospitalization12.0 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With CD-Related Hospitalization3.3 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With CD-Related Hospitalization1.8 percentage of participants
p-value: <0.00195% CI: [-13.9, -3.5]Chi-squared
p-value: <0.00195% CI: [-15.2, -5.2]Chi-squared
Secondary

US Specific: Percentage of Participants With Clinical Remission

Clinical remission is defined as using the average daily Stool Frequency (SF) ≤ 2.8 and not worse than Baseline AND average daily Abdominal Pain (AP) score ≤ 1 and not worse than Baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Clinical Remission21.7 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Clinical Remission43.5 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Clinical Remission41.0 percentage of participants
p-value: <0.00195% CI: [13.8, 29.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [10.8, 26.8]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical remission of Crohn's disease is defined as CDAI \< 150.

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission10.3 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission18.4 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Remission18.9 percentage of participants
p-value: 0.01595% CI: [1.5, 13.7]Cochran-Mantel-Haenszel
p-value: 0.00795% CI: [2.3, 14.6]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response25.2 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response40.8 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response37.2 percentage of participants
p-value: <0.00195% CI: [7.2, 23.7]Cochran-Mantel-Haenszel
p-value: 0.00795% CI: [3.1, 19.2]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response

Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Higher CDAI scores indicate more severe disease. CDAI clinical response is defined as reduction of CDAI ≥ 100 points from baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response36.7 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response59.7 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Crohn's Disease Activity Index (CDAI) Clinical Response64.9 percentage of participants
p-value: <0.00195% CI: [14.2, 31.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [19, 36.4]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Endoscopic Remission

Endoscopic remission: SES-CD ≤ 4 and at least a 2 point reduction versus baseline and no subscore greater than 1 in any individual variable

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Endoscopic Remission9.1 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Endoscopic Remission24.2 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Endoscopic Remission23.9 percentage of participants
p-value: <0.00195% CI: [9, 21.2]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [9.4, 21.4]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Enhanced Clinical Response

Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission

Time frame: Week 4

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response31.0 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response46.0 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response43.4 percentage of participants
p-value: 0.00195% CI: [6.2, 23.5]Cochran-Mantel-Haenszel
p-value: 0.00795% CI: [3.2, 20.3]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Enhanced Clinical Response

Enhanced clinical response: ≥ 60% decrease in average daily SF and/or ≥ 35% decrease in average daily AP score and both not worse than Baseline, and/or clinical remission

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response41.9 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response62.8 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Enhanced Clinical Response64.3 percentage of participants
p-value: <0.00195% CI: [12.2, 29.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [12.8, 30.4]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline

Participants without draining fistulas at Week 12 in participants who had draining fistulas at baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1 and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline22.2 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline27.8 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants Without Draining Fistulas in Participants With Draining Fistulas at Baseline29.2 percentage of participants
p-value: 195% CI: [-28.6, 39.7]Chi-squared
p-value: 125% CI: [-25.7, 39.6]Chi-squared
Secondary

US Specific: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at

Manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at20.5 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at38.1 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Resolution of Extra-Intestinal Manifestations (EIMs), in Participants With EIMs at43.7 percentage of participants
p-value: 0.02295% CI: [2.1, 27]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [11.1, 36.3]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Stool Frequency (SF) Remission

Stool Frequency (SF) remission is defined as an average daily SF \<= 2.8 and not worse than baseline.

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Stool Frequency (SF) Remission29.8 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Stool Frequency (SF) Remission54.2 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Stool Frequency (SF) Remission54.0 percentage of participants
p-value: <0.00195% CI: [15.1, 32.1]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [15.7, 32.7]Cochran-Mantel-Haenszel
Secondary

US Specific: Percentage of Participants With Ulcer-Free Endoscopy

Ulcer-free endoscopy: SES-CD ulcerated surface subscore of 0 in subjects with SES-CD ulcerated surface subscore ≥ 1 at Baseline

Time frame: Week 12

Population: Intent to Treat 1A Population: all randomized subjects who received at least one dose of study drug during the Induction Period 1, and had baseline eligible SES-CD of ≥ 6 (≥ 4 for isolated ileal disease) excluding the narrowing component.

ArmMeasureValue (NUMBER)
Placebo (Period 1)US Specific: Percentage of Participants With Ulcer-Free Endoscopy7.6 percentage of participants
Risankizumab 600mg (Period 1)US Specific: Percentage of Participants With Ulcer-Free Endoscopy21.0 percentage of participants
Risankizumab 1200mg (Period 1)US Specific: Percentage of Participants With Ulcer-Free Endoscopy16.4 percentage of participants
p-value: <0.00195% CI: [7.9, 19.5]Cochran-Mantel-Haenszel
p-value: 0.00195% CI: [3.7, 14.5]Cochran-Mantel-Haenszel

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026