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A Study to Assess the Efficacy and Safety of Induction and Maintenance Therapy With Afimkibart (RO7790121) in Participants With Moderately to Severely Active Crohn's Disease

RecruitingPhase 3

A Phase III, Multicenter, Double-Blind, Placebo-Controlled, Treat-Through Study to Assess the Efficacy and Safety of Induction and Maintenance Therapy With RO7790121 in Patients With Moderately to Severely Active Crohn's Disease

Who can join

Ages 16 to 80 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Confirmed diagnosis of CD
* Moderately to severely active CD
* Bodyweight \>= 40 kilogram (kg)
* Demonstrated inadequate response, loss of response and/or intolerance to at least one protocol-specified conventional or advanced CD therapy
* Males and females of childbearing potential must meet protocol criteria for contraception requirements

Exclusion Criteria:

* Current diagnosis of ulcerative colitis (UC) or indeterminate colitis, ischemic colitis, infectious colitis, radiation colitis, microscopic colitis
* Participant with a history of \>= 3 bowel resections (\> 2 missing segments of the 5 following segments: terminal ilelium, right colon, transverse colon, sigmoid and left colon, and rectum)
* Diagnosis of short gut or short bowel syndrome
* Presence of an ileostomy, colostomy or ileoanal pouch
* Participants with symptomatic bowel strictures, fulminant colitis, or toxic megacolon
* Presence of abdominal or perianal abscess
* Presence of rectovaginal, enterovaginal, high output enterocutaneous fistula, enterovesical fistulas or perianal fistulas with \>3 openings
* Current diagnosis or suspicion of primary sclerosing cholangitis
* Pregnancy or breastfeeding, or intention of becoming pregnant during the study
* Any past or current evidence of cancer of gastrointestinal tract, definite low-grade or high-grade colonic dysplasia
* History of non-gastrointestinal cancer, with the exception of adequately treated non-metastatic basal cell or squamous cell skin cancer or in situ cervical cancer
* Evidence of infection with Clostridioides difficile (C. difficile; formerly known as Clostridium difficile), cytomegalovirus (CMV), human immunodeficiency virus (HIV), Hepatitis B (HBV), Hepatitis C (HCV) during screening
* Has evidence of active tuberculosis (TB), latent TB not successfully treated (per local guidance) or inadequately treated TB
* Has received protocol-specified prohibited medicines, including known exposure to any type of anti-TL1A therapy

About the study

This Phase III, multicenter, double-blind, placebo-controlled treat-through study will evaluate the efficacy and safety of induction and maintenance therapy with Afimkibart (also known as RO7790121) in participants with moderately to severely active Crohn's disease (CD).

What is being tested

Sponsor: Hoffmann-La Roche · Participants: 600 · Started: Mar 17, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06819878

Locations in the U.S.

AlabamaDigestive Health Specialists of the Southeast (Gastroenterology Associates of Dothan) - Dothan, Dothan
ArizonaMayo Clinic Hospital, Phoenix
Arizona Digestive Health, P.C (ADH), Sun City
University of Arizona-CATS Research Center, Tucson
CaliforniaValley View Internal Medicine, Garden Grove
310 Clinical Research, Inglewood
UCSD Medical Center, La Jolla
University of California San Diego, La Jolla
Gastro Care Associates, Lancaster
Om Research LLC, Lancaster
United Gastroenterologists, Los Alamitos
Acclaim Clinical Research, Inc., San Diego
Kaiser Permanente, San Francisco
UCSF/Medical Center at Mount Zion, San Francisco
ColoradoRocky Mountain Gastroenterology, Littleton
Peak Gastroenterology Surgery Center, Lone Tree
FloridaAccess Research Institute, Brooksville
Gastro Florida, Clearwater
HealthMed Clinical Center Inc., Coral Gables
Hi Tech and Global Research, LLC, Coral Gables
NeoClinical Research, Hialeah
The Sister Life Research, Hialeah
Clinical Research of Osceola, LLC, Kissimmee
Florida Research Institute - Lakewood, Lakewood Rch
LCC Medical Research Institute, LLC, Miami
Orlando Regional Healthcare, Orlando
Guardian Angel Research Center, LLC, Tampa
Nodal Medical Center Research - NMC, Tampa
University of South Florida School of Medicine Morsani Center for Advanced Health Care, Tampa
Theia Clinical Research Centers, LLC, Temple Terrace
Cleveland Clinic Florida, Weston
Florida Medical Clinic - Orlando Health, Zephyrhills
GeorgiaAtlanta Gastroenterology Associates, Atlanta
Digestive Healthcare of Georgia, Atlanta
Gastroenterology Associates of Central Georgia, Macon
IdahoGrand Teton Research Group, PLLC, Idaho Falls
IllinoisNorthwestern Memorial Hospital, Chicago
Illinois Gastroenterology Group-Glenview powered by GI Alliance, Glenview
GI Alliance - Gurnee, Gurnee
IndianaIndiana University Health University Hospital, Indianapolis
Gastroenterology Health Partners, PLLC, New Albany
KansasKansas Gastroenterology, LLC under Clinical Trials Network, Wichita
KentuckyTri-State Gastroenterology Associates, Crestview Hills
Gastroenterology Health Partners, PLLC, Louisville
MassachusettsBoston University, Boston
Brigham and Women's Hospital, Boston
MichiganMichigan Center of Medical Research, Farmington Hills
MississippiGastroenterology Associates and Endoscopy Center of North Mississippi, Oxford
Delta Gastroenterology & Endoscopy Center, Southaven
NevadaLas Vegas Clinical Trials, LLC, North Las Vegas
New YorkLenox Hill Hospital, New York
Mount Sinai Hospital - IBD Clinical Center, New York
DiGiovanna Inst for Med Ed&Res, North Massapequa
Queens Village Medical Care, Queens Village
Mainstreet - Richmond Hill Clinic, Richmond Hill
Gastroenterology Group Of Rochester, LLP, Rochester
University of Rochester Medical Center, Rochester
North CarolinaAtrium Health, Carolinas Healthcare System, Charlotte
Omega Research North Carolina, LLC, Fuquay-Varina
Monroe Biomedical Research, Monroe
OhioDayton Gastroenterology, Inc., Beavercreek
Digestive Disease Consultants, Brunswick
University of Cincinnati Hospital, Cincinnati
Cleveland Clinic Foundation, Cleveland
Ohio Gastroenterology Group, Columbus
The Ohio State University Wexner Medical Center, Columbus
Gastro Health- Liberty, Liberty Township
Gastro Intestinal Research Institute of Northern Ohio, Westlake
OklahomaCentral Sooner Research, Norman
PennsylvaniaPenn State Milton S. Hershey Medical Center, Hershey
Frontier Clinical Re search, LLC, Uniontown
Rhode IslandUniversity Gastroenterology, Providence
South CarolinaMedical University of South Carolina, Charleston
Gastroenterology Associates, Greenville
TennesseeGastro One, Germantown
Quality Medical Research, Nashville
TexasTexas Clinical Research Institute, LLC, Arlington
Proactive El Paso,LLC, El Paso
Amel Med LLC, Georgetown
Cano Medical Center, Harlingen
Baylor College of Medicine, Houston
TDDC dba GI Alliance Research, Mansfield
SMS Clinical Research, LLC, Mesquite
Gastroenterology Research of America, LLC, San Antonio
GI Alliance - Southlake, Southlake
Baylor Scott and White Medical Center, Temple
Tyler Research Institute, LLC, Tyler
VirginiaTidewater Gastroenterology Pllc T/A Gastro. Assoc. of Tidewater, Chesapeake
Emeritas Research Group, Lansdowne Town Center
Blue Ridge Medical Research - Gastroenterology Associates of Central Virginia, Lynchburg
Gastroenterology Consultants and Endoscopy Center of Southwest Virginia, Roanoke
Tidewater Physicians Multispecialty Group (TPMG) - Clinical Research Division - Williamsburg, Williamsburg
WashingtonThe Vancouver Clinic, Vancouver

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.