Recent Updates
Recently added Catalysts

Darvadstrocel

Phase 3

Complex Perianal Fistulas in Adult Participants With Crohn's Disease | Monoclonal antibody | Gastrointestinal |Takeda Pharmaceutical Company Limited|Last Updated: Apr 23, 2025

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment22

FDA Designations

No designations recorded

Clinical trial landscape

Darvadstrocel · 2 trials · 3 indications

Phase 3 2
NCT04075825Long-term Follow-up Study With Darvadstrocel in the Treatment of Complex Perianal FistulaCrohn's Disease
COMPLETED150 Analytics
NCT03706456Phase 3 Study of Cx601 in Participants With Complex Perianal Fistulising Crohn's DiseaseComplex Perianal Fistulas in Adult Participants With Crohn's Disease
COMPLETED22 Analytics
PHASE3COMPLETED
Long-term Follow-up Study With Darvadstrocel in the Treatment of Complex Perianal Fistula
Crohn's DiseaseUnlock trial analytics
PHASE3COMPLETED
Phase 3 Study of Cx601 in Participants With Complex Perianal Fistulising Crohn's Disease
Complex Perianal Fistulas in Adult Participants With Crohn's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Baseline (Week 0) up to Week 104 of this study (Week 52 up to Week 156 in relation to ADMIRE-CD II)

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered an investigational medicinal product; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is defined as any event emerging or manifesting at or after the initiation of treatment with a study intervention or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the study intervention or medicinal product.

Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs)
Baseline (Week 0) up to Week 104 of this study (Week 52 up to Week 156 in relation to ADMIRE-CD II)

TEAE is defined as: any adverse event emerging/manifesting at or after the initiation of treatment with a study intervention/medicinal product or any existing event that worsens in either intensity/frequency following exposure to the study intervention/medicinal product. Serious adverse event (SAE) is an untoward medical occurrence, significant hazard, contraindication, side effect/precaution that at any dose: results in death, is life-threatening, required in-patient hospitalization/prolongation of existing hospitalization, results in persistent/significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

Number of Participants With Specific Adverse Events of Special Interest (AESIs)
Baseline (Week 0) up to Week 104 of this study (Week 52 up to Week 156 in relation to ADMIRE-CD II)

AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that require close monitoring and prompt reporting to the sponsor. Protocol pre-specified AESIs included immunogenicity/allo-immunoreactions, tumorigenicity, ectopic tissue formation and fistula/abscess. In addition, ad hoc AESIs of anaphylactic reaction, hypersensitivity, and malignancy.

Percentage of Participants With Combined Remission of Perianal Fistulising Crohn's Disease (CD) at Week 24
Week 24

Combined remission of perianal fistulising CD is defined as the clinically confirmed closure of all treated external openings that were draining at Screening despite gentle finger compression, and absence of collections \>2 cm in the treated fistulas, confirmed by central magnetic resonance imaging (MRI) assessment at Week 24 visit. In case of missing values, last observation carried forward (LOCF) method was applied. Percentages are rounded off to the nearest decimal point.

Secondary Endpoints

Percentage of Participants Who Achieve Clinical Remission at Weeks 104 and 156 (After IMP Administration in ADMIRE-CD II Study)
At Weeks 52 and 104 of this study (Weeks 104 and 156 in relation to ADMIRE-CD II, respectively)
Percentage of Participants Who Achieve Clinical Response at Weeks 104 and 156 (After IMP Administration in ADMIRE-CD II Study)
At Weeks 52 and 104 of this study (Weeks 104 and 156 in relation to ADMIRE-CD II, respectively)
Percentage of Participants With Relapse at Week 156 After Achieving Combined Remission at Week 52 of ADMIRE-CD II
At Week 104 of this study (Week 156 in relation to ADMIRE-CD II)
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants who received darvadstrocel placebo-matching expanded adipose-derived stem cells (eASCs) intralesional injection previously in the ADMIRE-CD II study were observed for efficacy and safety. No drug was administered in this study.
DarvadstrocelEXPERIMENTALParticipants who received a single dose of darvadstrocel, 120 million cells, intralesionally previously in the ADMIRE-CD II study were observed for efficacy and safety. No drug was administered in this study.
Darvadstrocel 24 mLEXPERIMENTALDarvadstrocel (Cx601) 24 mL suspension of 120 million cells of expanded allogeneic adipose-derived stem cells (eASC) as an intralesional injection, once on Day 1.

Interventions

NameTypeDescription
PlaceboOTHERDarvadstrocel placebo-matching eASCs intralesional injection received in previous ADMIRE-CD II study. No drug administration in this study.
DarvadstrocelBIOLOGICALAllogenic expanded adipose-derived stem cells (eASCs) 5 million cells/ml - suspension for injection darvadstrocel received in previous ADMIRE-CD II study. No drug administration in this study.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites58

Inclusion Criteria: 1\. Has participated in and completed the ADMIRE-CD II (NCT03279081) study (i.e., did not discontinue). Exclusion Criteria: 1\. Has been more than 3 months since the participant completed the ADMIRE-CD II study.

Countries:United StatesBelgiumCzechiaFranceHungaryIsraelItalyPolandSpainJapan
Unlock Eligibility Criteria

Frequently asked questions about Darvadstrocel

What is Darvadstrocel used for?

Darvadstrocel is used for the treatment of complex perianal fistulas in adult participants with Crohn's disease. It is being developed for this gastrointestinal condition and is currently in Phase 3 clinical development.

Who makes Darvadstrocel?

Darvadstrocel is being developed by Takeda Pharmaceutical Company Limited, which is listed on the stock exchange under the ticker symbol TAK.

What phase is Darvadstrocel in?

Darvadstrocel is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. It has completed Phase 3 trials for complex perianal fistulas in Crohn's disease.

What clinical trials is Darvadstrocel in?

Darvadstrocel has been studied in two completed Phase 3 trials. NCT03706456 enrolled 22 participants in Japan, and NCT04075825 enrolled 150 participants across the United States, Belgium, Czechia, France, Hungary, Israel, Italy, Poland, and Spain.

Is Darvadstrocel a monoclonal antibody?

Yes, Darvadstrocel is a monoclonal antibody. It is being investigated for the treatment of complex perianal fistulas in adult patients with Crohn's disease.