Upadacitinib for Ulcerative Colitis

UC
Overseen ByUCSF Crohn's and Colitis Center Research Coordinator Team
Age: 18+
Sex: Any
Trial Phase: Phase 4
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this clinical trial is to learn if the oral medication upadacitinib can safely and effectively treat acute severe ulcerative colitis (ASUC) in adults who are hospitalized. It will also evaluate whether upadacitinib can be used without corticosteroids during initial treatment.

The main questions it aims to answer are:

1. Does upadacitinib reduce treatment failure by Day 14 (defined as need for colectomy or rescue therapy)?

2. What side effects and safety events occur when using upadacitinib in hospitalized patients with ASUC?

Researchers will compare outcomes in participants receiving upadacitinib to a historical group of similar patients previously treated with standard therapies, including intravenous corticosteroids and infliximab, to determine if upadacitinib improves outcomes.

Participants will:

1. Take oral upadacitinib once daily during hospitalization.

2. Undergo routine clinical monitoring, including blood tests and symptom assessments.

3. Be followed after discharge with clinic visits or phone calls for up to 12 months to assess outcomes such as need for additional treatment, surgery, and safety events

Who Is on the Research Team?

SL

Sara Lewin, MD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

Inclusion Criteria

I have had ulcerative colitis diagnosed by colonoscopy for at least 90 days.
I have never taken upadacitinib.
Capable of providing informed consent
See 2 more

Exclusion Criteria

I currently have Crohn's disease or a severe form of colitis.
Known hypersensitivity to upadacitinib or any excipients
My disease is only in my rectum.
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive oral upadacitinib 45 mg once daily during hospitalization as corticosteroid-free induction therapy

5-7 days
Daily monitoring during hospitalization

Follow-up

Participants are monitored for safety and effectiveness after discharge, with clinic visits or phone calls for up to 12 months

52 weeks
Regular clinic visits or phone calls

What Are the Treatments Tested in This Trial?

Interventions

  • Upadacitinib

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Upadacitinib Monotherapy (Corticosteroid-Free Induction)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

AbbVie

Industry Sponsor

Trials
1,079
Recruited
535,000+
Founded
2013
Headquarters
North Chicago, USA
Known For
Immunology treatments
Top Products
Humira (adalimumab), Skyrizi (risankizumab), Rinvoq (upadacitinib)