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NCT Number: NCT07298421

A Study to Assess the Pharmacokinetics, Effectiveness and Safety of Afimkibart for Induction and Maintenance Therapy in Children With Moderately to Severely Active Crohn's Disease

This phase III, double-blind, multi-center treat-through study will evaluate the efficacy and safety of Afimkibart (also known as RO7790121) in children with moderately to severely active Crohn's Disease (CD).

Recruiting

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Key information

Age range

2 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Royal Children's Hospital, Parkville, Victoria, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Body weight >= 10 kilogram (kg)
  • Active CD confirmed by endoscopy (ileocolonoscopy)
  • Moderately to severely active CD, defined as a Pediatric Crohn's Disease Activity Index (PCDAI) score >= 30, and Simple Endoscopic Score Crohn's Disease (SES-CD) >=6 (or >=4 for isolated ileal disease) confirmed through centrally-read ileocolonoscopy
  • Inadequate response, loss of response, and/or intolerance to at least one of the following conventional therapies (aminosalicylates, corticosteroids and/or immunosuppressants) or advanced therapies (including anti-tumor necrosis factor, anti-interleukin, anti-integrin, or Janus Kinase (JAK) inhibitors)

Exclusion criteria

  • Monogenic disorder pertaining to infant onset Inflammatory Bowel Disease (IBD)
  • History of >= 3 bowel resections: > 2 missing segments of the following five segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum
  • Current diagnosis of ulcerative colitis (UC), abdominal/intraabdominal/perianal fistula and/or abscess, indeterminant colitis, IBD-unclassified, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, or active diverticular disease.
  • Symptomatic bowel strictures, fulminant colitis, or toxic megacolon
  • Presence of abdominal or perianal abscess
  • Current diagnosis or suspicion of primary sclerosing cholangitis

Treatment and study plan

Afimkibart

Drug

Afimkibart will be administered as IV infusion. Afimkibart will be administered as SC injection.

Other names: RO7790121, PF-06480605, RVT-3101

Primary outcomes

  1. Percentage of Participants With Clinical Remission per Pediatric Crohn's Disease Activity Index (PCDAI)

    Time frame: At Week 52

  2. Percentage of Participants With Endoscopic Response

    Time frame: At Week 52

Secondary outcomes

  1. Percentage of Participants With Clinical Remission

    Time frame: At Week 12 and Week 52

  2. Percentage of Participants With Clinical Response

    Time frame: At Week 12 and Week 52

  3. Percentage of Participants With CDAI Remission

    Time frame: At Week 12 and Week 52

  4. Change From Baseline in Fecal Calprotectin

    Time frame: Baseline, Week 12 and Week 52

  5. Change From Baseline in Mucosal Inflammation Noninvasive Index (MINI) Score

    Time frame: Baseline, Week 12 and Week 52

  6. Percentage of Participants With Endoscopic Remission

    Time frame: At Week 52

  7. Percentage of Participants With Corticosteroid-Free Clinical Remission

    Time frame: At Week 52

  8. Percentage of Participants with Maintenance of Remission

    Time frame: At Week 12 and Week 52

  9. Percentage of Participants With Histologic Improvement

    Time frame: At Week 52

  10. Percentage of Participants With Ulcer-Free Endoscopy

    Time frame: At Week 52

  11. Incidence and Severity of Adverse Events (AEs)

    Time frame: Up to Approximately 5.5 Years

  12. Serum Concentration of Afimkibart

    Time frame: Up to Approximately 5.5 Years

Study contacts

Contact information is provided by the study sponsor or research team.

Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry

CONTACT

Reference Study ID Number: CP45906 https://forpatients.roche.com/ No attachments to email below.

CONTACT

[email protected]

888-662-6728 (U.S. and Canada)

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Phase III Randomized Double-Blind Multi-Center Treat-Through Study to Evaluate the Pharmacokinetics, Safety and Efficacy of Induction and Maintenance Therapy With Afimkibart (RO7790121) in Children Aged 2-17 Years With Moderately to Severely Active Crohn's Disease

Acronym: SIBERITE-PEDS

Important dates

Study start
2026
Primary completion
2030
Study completion
2031
First posted
Dec 23, 2025
Registry last updated
Jul 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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