Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
ABT-494 · 4 trials · 3 indications
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.
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.
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.
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).
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.
Blood pressure, pulse rate and body temperature
Hematology, Chemistry, and Urinalysis
ECGs done in triplicate; heart rate, PR interval, QT/QTc interval and QRS duration
Cmax, Tmax, AUC, elimination rate constant and half-life
| Arm | Type | Description |
|---|---|---|
| Upadacitinib (ABT-494) Dose B | EXPERIMENTAL | Open label dose B QD |
| Upadacitinib (ABT-494) Dose A | EXPERIMENTAL | Open label dose A once daily (QD) |
| Induction Period ABT-494 Twice Daily Medium/High Dose | ACTIVE_COMPARATOR | Induction Period ABT-494 Twice Daily Medium/High Dose orally dosed twice a day |
| Extension Phase ABT-494 High Dose | ACTIVE_COMPARATOR | Extension Phase ABT-494 High Dose orally dosed twice a day |
| Induction Period Placebo | PLACEBO_COMPARATOR | Induction Period Placebo orally dosed twice a day |
| Induction Period ABT-494 Low Dose | ACTIVE_COMPARATOR | Induction Period ABT-494 Low Dose orally dosed twice a day |
| Induction Period ABT-494 Once Daily Medium/High Dose | ACTIVE_COMPARATOR | Induction Period ABT-494 Once Daily Medium/High Dose orally dosed once a day |
| Extension Phase ABT-494 Low Dose | ACTIVE_COMPARATOR | Extension Phase ABT-494 Low Dose orally dosed twice a day |
| Induction Period ABT-494 High Dose | ACTIVE_COMPARATOR | Induction Period ABT-494 High Dose orally dosed twice a day |
| Induction Period ABT-494 Low/Medium Dose | ACTIVE_COMPARATOR | Induction Period ABT-494 Low/Medium Dose orally dosed twice a day |
| Extension Phase ABT-494 Medium Dose | ACTIVE_COMPARATOR | Extension Phase ABT-494 Medium Dose orally dosed twice a day |
| Placebo BID | PLACEBO_COMPARATOR | Placebo twice daily (BID) for 12 weeks. |
| ABT-494 3 mg BID | EXPERIMENTAL | ABT-494 3 mg twice daily (BID) for 12 weeks. |
| ABT-494 6 mg BID | EXPERIMENTAL | ABT-494 6 mg twice daily (BID) for 12 weeks. |
| ABT-494 12 mg BID | EXPERIMENTAL | ABT-494 12 mg twice daily (BID) for 12 weeks. |
| ABT-494 18 mg BID | EXPERIMENTAL | ABT-494 18 mg twice daily (BID) for 12 weeks. |
| Healthy Volunteers (ABT-494) | EXPERIMENTAL | Multiple dosing of ABT-494 in healthy volunteers |
| Rheumatoid Arthritis Patients | EXPERIMENTAL | Multiple dosing of ABT-494 in patients with rheumatoid arthritis |
| No treatment | PLACEBO_COMPARATOR | Placebo administration in healthy volunteers and patients with rheumatoid arthritis |
| Healthy Volunteers (tofa) | OTHER | Multiple dosing of tofacitinib in healthy volunteers |
| Name | Type | Description |
|---|---|---|
| ABT-494 | DRUG | Tablet: Oral |
| Placebo | DRUG | Oral Dosing |
| Tofacitinib | DRUG | Oral administration |
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...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Sanofi SA Sponsored ADR | SNY | 6 | PHASE3 | Duvakitug |
| Eli Lilly and Company | LLY | 8 | PHASE3 | Mirikizumab |
| AbbVie, Inc. | ABBV | 14 | PHASE3 | Risankizumab, Risankizumab On-Body Injector |
| Takeda Pharmaceutical Co. Ltd. Sponsored ADR | TAK | 16 | PHASE3 | Vedolizumab |
| Johnson & Johnson | JNJ | 13 | PHASE3 | Ustekinumab |
| Merck & Co., Inc. | MRK | 2 | PHASE3 | Tulisokibart |
| AstraZeneca PLC | AZN | 2 | PHASE2 | AZD7798 |
| Disc Medicine, Inc. | IRON | 1 | PHASE2 | DISC-0974 |
| Spyre Therapeutics, Inc | SYRE | 1 | PHASE2 | SPY001, SPY002, SPY003 |
| Abivax SA Sponsored ADR | ABVX | 1 | PHASE2 | Obefazimod |
| Palisade Bio, Inc. | PALI | 1 | PHASE1 | PALI-2108 |
| Novartis AG Sponsored ADR | NVS | 1 | - | Undisclosed |
| Amgen Inc. | AMGN | 1 | N/A | Undisclosed |
| TScan Therapeutics, Inc. | TCRX | 1 | - | Undisclosed |
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.
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.
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.
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.
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).
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.