Accepts Healthy Volunteers
Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms
An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.
An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.
Searching Both is inclusive of interventional and observational studies.
|Eligible Ages||18 Years - 75 Years|
- - 18-75 years at date of signing informed consent - Male or female patients.
- - Diagnosis of clinical Crohn´s Disease ≥ 3 months prior to screening by clinical and endoscopic evidence and corroborated by a histopathology report - Has ≥ 1 perianal fistula(s) (≥ 4 weeks duration before enrolment, as a complication of CD, confirmed by MRI at screening*) actively draining with clinical indication for seton drainage **.
- - Additional enterocutaneous or abdominal fistulas are permitted (except rectovaginal fistulas) - Absent, mild or moderate clinical activity with CDAI < 250.
- - Demonstrated in the past inadequate response or loss of response or have had unacceptable side effects with approved doses of at least one of the following compounds: Immunesuppressive agents (e.g. thiopurines, methotrexate), TNFɑ antagonists (e.g. infliximab, adalimumab, certolizumab pegol; or respective biosimilars), vedolizumab, ustekinumab, azathioprine and / or antibiotics - Patients with family history of colorectal cancer or personal history of increased colorectal cancer risk must have had a negative ileocolorectal cancer screening within <1 year prior to screening per local guidance - Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial Gastrointestinal Exclusion Criteria (Study cohort only) - Complications of Crohn's Disease such as symptomatic strictures, functional stenosis distal from fistula(s), short gut syndrome, or any other manifestation that might require surgery, could preclude the use of the PDAI and CDAI to assess response to therapy, or would possibly confound the evaluation of benefit from treatment with BI 655130 - Rectovaginal fistulas - Anticipated to require surgical intervention for CD (except seton placement) - Has an abscess that the investigator feels requires drainage beyond fistula drainage with a seton (based on either clinical assessment or MRI) - Any kind of bowel resection or diversion within 6 months or any other intraabdominal surgery within 3 months prior to screening.
- - Ileostomy, colostomy or known fixed symptomatic stenosis of the intestine at screening - Positive stool examinations for C.
- - Faecal Microbiota transplant (FMT) within 6 months prior to randomization - Treatment with: - any non-biologic medication (incl.
- - any biologic treatment approved for CD (adalimumab, infliximab, certolizumab pegol, vedolizumab or ustekinumab) within 8 weeks prior to randomization unless these patients show an undetectable plasma concentration - any investigational or non-approved biologic for CD (including but not limited to IL-23 inhibitors) within 12 weeks prior to randomisation or etrolizumab within 8 weeks prior to randomization unless these patients show an undetectable plasma concentration - rectal 5-ASA, rectal Tacrolimus, parenteral or rectal corticosteroids (incl.
- - any antibiotics within 1 week prior to randomisation - any prior autologous or allogeneic, haematopoietic (HSC) or mesenchymal stem cell (MSC) therapy - any prior exposure to BI 655130 - any chronic use of NSAID within 2 weeks prior to randomisation (occasional use of NSAIDs and acetaminophen for headache, arthritis, myalgias, menstrual cramps, etc., and daily use of baby or low dose (81-162.5mg) aspirin for cardiovascular prophylaxis are permitted) - any life-attenuated vaccines within 6 weeks prior to randomization Infectious Disease Exclusion Criteria (Study cohort only) - Increased risk of infectious complications (e.g. due to past organ or stem cell transplantation) - Live or attenuated vaccination within 6 weeks prior to randomization - Patients with a positive QuantiFERON TB test during screening are excluded, unless: - Patient had previous diagnosis of active or latent TB and has completed appropriate treatment per local practice/guidelines within the last 3 years and at least 6 months before first administration of trial medication under this protocol (patients may be re-screened once to meet this criterion) - Patients with suspected false positive or indeterminate QuantiFERON TB result may be re-tested once - If Quantiferon not available or providing indeterminate results after repeat testing : A tuberculin skin test reaction ≥10mm (≥5mm if receiving ≥15mg/d prednisone or its equivalent) - Relevant chronic or acute infections including active tuberculosis, human immunodeficiency virus (HIV) infection or viral hepatitis.
- - Any documented active or suspected malignancy or history of malignancy within 5 years prior to screening, except appropriately treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ carcinoma of uterine cervix.
- - Major surgery (major according to the investigator's assessment) performed within 12 weeks prior to randomization or planned during study conduct, e.g. hip replacement.
- - Pathological safety lab parameters: haemoglobin < 8 g/dL, total white blood count (WBC) < 3000 cells/μl, neutrophils < 1000 cells/μl, thrombocytes < 100.000/μl, creatinine ≥ 2 mg/dL, total bilirubin > 2 x ULN with ratio of direct/indirect >1 (patients with Gilbert's syndrome are not excluded), Alkaline Phosphatase >3 x ULN.
This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.
Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.
Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.
Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.
Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.
The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.
The person who is responsible for the scientific and technical direction of the entire clinical study.
|Principal Investigator Affiliation||N/A|
Category of organization(s) involved as sponsor (and collaborator) supporting the trial.
|Countries||Austria, Belgium, Germany, Hungary, Korea, Republic of, Netherlands|
The disease, disorder, syndrome, illness, or injury that is being studied.
Placebo Comparator: Placebo
Drug: - Spesolimab
Solution for infusion
Drug: - Placebo
Solution for infusion
Contact a Trial Team
If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.