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ABT-494

Phase 2

Crohn's Disease | Small molecule | Gastrointestinal |AbbVie Inc.|Last Updated: Aug 13, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment220

FDA Designations

No designations recorded

Clinical trial landscape

ABT-494 · 4 trials · 3 indications

Phase 2 3Phase 1 1
NCT02782663A Study to Evaluate the Long-Term Efficacy, Safety, and Tolerability of Repeated Administration of Upadacitinib (ABT-494) in Participants With Crohn's DiseaseCrohn's Disease (CD)
COMPLETED107 Analytics
NCT02365649A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of ABT-494 for the Induction of Symptomatic and Endoscopic Remission in Subjects With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Immunomodulators or Anti-TNF TherapyCrohn's Disease
COMPLETED220 Analytics
NCT01960855A Study Investigating the Efficacy and Safety of ABT-494 Given With Methotrexate in Subjects With Rheumatoid Arthritis Who Failed Anti-Tumor Necrosis Factor (TNF) Biologic TherapyRheumatoid Arthritis
COMPLETED276 Analytics
PHASE2COMPLETED
A Study to Evaluate the Long-Term Efficacy, Safety, and Tolerability of Repeated Administration of Upadacitinib (ABT-494) in Participants With Crohn's Disease
Crohn's Disease (CD)Unlock trial analytics
PHASE2COMPLETED
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of ABT-494 for the Induction of Symptomatic and Endoscopic Remission in Subjects With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Immunomodulators or Anti-TNF Therapy
Crohn's DiseaseUnlock trial analytics
PHASE2COMPLETED
A Study Investigating the Efficacy and Safety of ABT-494 Given With Methotrexate in Subjects With Rheumatoid Arthritis Who Failed Anti-Tumor Necrosis Factor (TNF) Biologic Therapy
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving Endoscopic Remission at Month 12
Month 12

Endoscopic remission was based on Simplified Endoscopic Score for Crohn's disease (SES-CD). The SES-CD assessed the size of mucosal ulcers, the ulcerated surface, the endoscopic extension and the presence of stenosis. SES-CD was based on endoscopic findings in 5 bowel segments (Ileum, right colon, transverse colon, left colon/sigmoid, and rectum). Each item was scored 0 to 3 per segment. The sum of the scores for each endoscopic variable ranged from 0 to 15, except for stenosis, where it varied between 0 and 11; total score ranged from 0 to 56. A lower score indicated better outcome. Endoscopic remission was defined as SES-CD ≤4 and at least two-point reduction versus Baseline of Study M13-740 and no subscore \>1 in any individual variable.

Percentage of Participants Achieving Clinical Remission at Month 12
Month 12

Clinical remission was defined as average daily stool frequency ≤1.5 and not worse than Baseline and average daily abdominal pain score ≤1.0 and not worse than baseline in Study M13-740. Abdominal pain was assessed using the CDAI component "abdominal pain" rated as none \[0\], mild \[1\], moderate \[2\], and severe \[3\]) (cumulative total over the past 7 days) as per the CDAI to calculate abdominal pain score; total score range from 0 to 105.

Percentage of Participants Who Achieve Endoscopic Remission at Week 12/16
Up to Week 16. (At Baseline, participants were allocated by randomization 1:1 to have their end of induction colonoscopy done at either Week 12 or Week 16; this endpoint combines the two time points.)

Endoscopic remission was determined using Simplified Endoscopic Score for Crohn's Disease (SES-CD). SES-CD subscores assess the following: presence and size of ulcers in 5 visualized bowel segments; extent of ulcerated surface in 5 visualized bowel segments; extent of affected surface in 5 visualized bowel segments; presence and type of narrowings in 5 visualized bowel segments. Subscores range from 0 to 15, and are summed for a total SES-CD score ranging from 0 to 56; higher scores indicate greater severity of mucosal inflammation. Endoscopic remission: SES-CD ≤ 4 and at least 2-point reduction versus Baseline and no subscore \> 1 in any individual variable.

Percentage of Participants Who Achieve Clinical Remission at Week 16
Week 16

Clinical remission: average daily stool frequency ≤ 1.5 and not worse than Baseline AND average daily abdominal pain ≤ 1.0 and not worse than Baseline. The very soft/liquid stool frequency and abdominal pain scores at a visit were the average of the daily values reported during the 7 usable days preceding the scheduled assessment visit. Abdominal Pain was rated on a 4-point scale from 0 (none) to 3 (severe).

Number of Subjects Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
Baseline (Week 0) and Week 12

Response defined as at least 20% reduction (improvement) compared with baseline in tender joint count (TJC68), swollen joint count (SJC66), and at least 3 of the 5 remaining ACR core set measures: patient's assessment of pain, patient's global assessment of disease activity (PtGA); physician's global assessment of disease activity (PGA), Health Assessment Questionnaire - Disability Index (HAQ-DI), and high-sensitivity C-reactive protein (hs CRP). Last observation carried forward (LOCF) was used for missing data.

Number and percentage of participants with Adverse Events
From first dose up to 28 days after the last dose of study drug
Vital Signs
From first dose up to 28 days after the last dose of study drug

Blood pressure, pulse rate and body temperature

Clinical Lab testing
From date of first dose up to 28 days after the last dose of study drug

Hematology, Chemistry, and Urinalysis

Electrocardiogram (ECG)
Prior to first dose, during first dose interval, prior to last dose and until 24 hours post last dose

ECGs done in triplicate; heart rate, PR interval, QT/QTc interval and QRS duration

Pharmacokinetics of ABT-494
Prior to first dose up to 72 hours after the last dose of ABT-494

Cmax, Tmax, AUC, elimination rate constant and half-life

Secondary Endpoints

Percentage of Participants Achieving Endoscopic Remission
Week 0 (Baseline), Months 24, 36, 48, 60, 72, 84, and 96
Percentage of Participants Achieving Clinical Remission
Week 0 (Baseline), Months 12, 24, 36, 48, 60, 72, 84, and 96
Percentage of Participants Achieving Modified Clinical Remission
Week 0 (Baseline), Months 12, 24, 36, 48, 60, 72, 84, and 96
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Upadacitinib (ABT-494) Dose BEXPERIMENTALOpen label dose B QD
Upadacitinib (ABT-494) Dose AEXPERIMENTALOpen label dose A once daily (QD)
Induction Period ABT-494 Twice Daily Medium/High DoseACTIVE_COMPARATORInduction Period ABT-494 Twice Daily Medium/High Dose orally dosed twice a day
Extension Phase ABT-494 High DoseACTIVE_COMPARATORExtension Phase ABT-494 High Dose orally dosed twice a day
Induction Period PlaceboPLACEBO_COMPARATORInduction Period Placebo orally dosed twice a day
Induction Period ABT-494 Low DoseACTIVE_COMPARATORInduction Period ABT-494 Low Dose orally dosed twice a day
Induction Period ABT-494 Once Daily Medium/High DoseACTIVE_COMPARATORInduction Period ABT-494 Once Daily Medium/High Dose orally dosed once a day
Extension Phase ABT-494 Low DoseACTIVE_COMPARATORExtension Phase ABT-494 Low Dose orally dosed twice a day
Induction Period ABT-494 High DoseACTIVE_COMPARATORInduction Period ABT-494 High Dose orally dosed twice a day
Induction Period ABT-494 Low/Medium DoseACTIVE_COMPARATORInduction Period ABT-494 Low/Medium Dose orally dosed twice a day
Extension Phase ABT-494 Medium DoseACTIVE_COMPARATORExtension Phase ABT-494 Medium Dose orally dosed twice a day
Placebo BIDPLACEBO_COMPARATORPlacebo twice daily (BID) for 12 weeks.
ABT-494 3 mg BIDEXPERIMENTALABT-494 3 mg twice daily (BID) for 12 weeks.
ABT-494 6 mg BIDEXPERIMENTALABT-494 6 mg twice daily (BID) for 12 weeks.
ABT-494 12 mg BIDEXPERIMENTALABT-494 12 mg twice daily (BID) for 12 weeks.
ABT-494 18 mg BIDEXPERIMENTALABT-494 18 mg twice daily (BID) for 12 weeks.
Healthy Volunteers (ABT-494)EXPERIMENTALMultiple dosing of ABT-494 in healthy volunteers
Rheumatoid Arthritis PatientsEXPERIMENTALMultiple dosing of ABT-494 in patients with rheumatoid arthritis
No treatmentPLACEBO_COMPARATORPlacebo administration in healthy volunteers and patients with rheumatoid arthritis
Healthy Volunteers (tofa)OTHERMultiple dosing of tofacitinib in healthy volunteers

Interventions

NameTypeDescription
ABT-494DRUGTablet: Oral
PlaceboDRUGOral Dosing
TofacitinibDRUGOral administration
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: * Participant must have completed Study M13-740 through Week 52. * If female, participant must be postmenopausal, surgically sterile or on using a birth control method. Exclusion Criteria: * For any reason participant is considered by the investigator to be an unsuitable candi...

Countries:United StatesBelgiumCanadaCzechiaDenmarkFranceGermanyHungaryIsraelItalyNetherlandsNew ZealandNorwayPolandRomaniaSlovakiaSpainUnited Kingdom
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Frequently asked questions about ABT-494

What is ABT-494 used for?

ABT-494 is an investigational small molecule being studied for the treatment of Crohn's disease and rheumatoid arthritis. In Crohn's disease, it is evaluated for induction of symptomatic and endoscopic remission in patients with moderately to severely active disease who have inadequately responded to or are intolerant to immunomodulators or anti-TNF therapy.

Who makes ABT-494?

ABT-494 is being developed by AbbVie Inc. (NYSE: ABBV). The company has conducted clinical trials of the drug in rheumatoid arthritis and Crohn's disease.

What phase is ABT-494 in?

ABT-494 is in Phase 2 clinical development. It has completed Phase 2 trials in both Crohn's disease and rheumatoid arthritis, and it remains an investigational drug that is not yet approved by regulatory authorities.

What clinical trials is ABT-494 in?

ABT-494 has completed several clinical trials, including NCT01960855, a Phase 2 study in rheumatoid arthritis patients who failed anti-TNF biologic therapy, and NCT02365649, a Phase 2 study in Crohn's disease. A long-term study, NCT02782663, evaluated repeated administration of the drug in Crohn's disease participants.

Is ABT-494 the same as upadacitinib?

Yes, ABT-494 is also known as upadacitinib. In clinical trials, including the long-term Crohn's disease study NCT02782663, the drug is referred to as upadacitinib (ABT-494).

How does ABT-494 work?

ABT-494 is a small molecule that targets the Janus kinase (JAK) pathway. By inhibiting JAK enzymes, it is designed to modulate inflammatory signaling involved in autoimmune and inflammatory conditions such as rheumatoid arthritis and Crohn's disease.