> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/an-induction-study-to-investigate-the-efficacy-and-safety-of-48123390-77ff-40b1-b72e-7d2ebeee305b
> Record changed: 2026-11-04

# An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's Disease

NCT07184931

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Participants

980

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Lead sponsor

Sanofi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Start date

2025-10-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

Number of sites

461

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Title and summary

**Summary**

This is a multinational, multicenter, randomized, double-blind, placebo-controlled, Phase 3 induction study, comprised of 3 sub-studies, to evaluate the efficacy and safety of duvakitug in participants with moderately to severely active CD. Study details include: The study duration may be up to 35 weeks with: \* Up to 5-week Screening Period. \* 12-week Sub-Study 1 (Single Arm Open-Label Feeder Induction) or Sub-Study 2 (Pivotal Induction). \* 12-week Sub-Study 3 (Extended Induction for non-responders). \* 6 weeks (45 days) follow-up period for participants who do not enroll into the Pivotal Maintenance Study (EFC18327). The treatment duration will be up to 12 weeks in each sub-study. The number of scheduled study visits for participants who continue to the Pivotal Maintenance Study (EFC18327) will be up to 8 (Sub-Study 1 and Sub-Study 2) and up to 15 for participants who enroll in Sub-Study 3.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Acronym**

STARSCAPE-1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Short title**

An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's Disease

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Official title**

A Multicenter, Multinational, Randomized, Double-blind, Placebo-controlled Phase 3, Induction Study to Evaluate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's Disease

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Dates

**Completion date**

2029-05-14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**First posted**

2025-09-22

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Registry last updated**

2026-10-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Primary completion date**

2029-05-14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Start date**

2025-10-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Size and sites

**Participants**

980

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Planned participants**

980

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Protocol amendments**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Number of sites**

461

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Lead sponsor**

Sanofi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Identifiers

**Registry ID**

NCT07184931

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**ClinicalTrials.gov ID**

NCT07184931

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Outcomes

### Primary outcomes

1. Sub-Study 2: Co-primary endpoints US/FDA: Proportion of participants achieving clinical remission per Crohn's Disease Activity Index (CDAI) at Week 12  
Timeframe: Week 12  
Clinical Remission by CDAI: CDAI score \\<150\. The CDAI is a measure of disease activity based on symptoms, signs, and a laboratory test. Scores on the CDAI scale range from 0 to 600, with scores below 150 indicating relative disease quiescence (remission), 150 to 219 indicating mild disease activity, 220 to 450 indicating moderate activity, and scores exceeding 450 indicating severe disease.
2. Sub-Study 2: Co-primary endpoints US/FDA: Proportion of participants achieving endoscopic response (Simple Endoscopic Score for Crohn&#x0027;s Disease \[SES-CD\]) at Week 12  
Timeframe: Week 12  
Endoscopic Response is defined as decrease in SES-CD ≥50% from baseline (or a decrease of at least 2 points for participants with a baseline score of 4 or more, and isolated ileal disease) based on central reading. The SES-CD is a standardized method for evaluating disease activity. The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores represent more severe disease.
3. Sub-Study 2: Co-primary endpoints EU/EMA: Proportion of participants achieving clinical remission per 2-item patient-reported outcome (PRO-2) at Week 12  
Timeframe: Week 12  
Clinical Remission per PRO-2: average daily stool frequency (SF) ≤3 and not worse than the Baseline, and average daily abdominal pain (AP) ≤1 and not worse than the Baseline.
4. Sub-Study 2: Co-primary endpoints EU/EMA: Proportion of participants achieving endoscopic response (SES-CD) at Week 12  
Timeframe: Week 12  
Endoscopic Response is defined as decrease in SES-CD ≥50% from baseline (or a decrease of at least 2 points for participants with a baseline score of 4 or more, and isolated ileal disease) based on central reading. The SES-CD is a standardized method for evaluating disease activity. The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores represent more severe disease.

### Secondary outcomes

1. Sub-Study 2: Proportion of participants achieving CDAI clinical response at Week 12  
Timeframe: Week 12  
CDAI clinical response is defined as decrease in CDAI score of 100 points or more from baseline.
2. Sub-study 2: Proportion of participants achieving CDAI clinical response and endoscopic response (SES-CD) at Week 12  
Timeframe: Week 12  
CDAI clinical response is defined as decrease in CDAI score of 100 points or more from baseline. Endoscopic Response by SES-CD was defined as a decrease in SES-CD ≥50% from baseline (or a decrease of at least 2 points for participants with a baseline score of 4 or more, and isolated ileal disease) based on central reading.
3. Sub-study 2: Proportion of participants achieving endoscopic SES-CD remission at Week 12  
Timeframe: Week 12  
Endoscopic Remission by SES-CD is defined as SES-DC ≤4 points (SES-CD ≤2 points for isolated ileal disease) and a SES-CD decrease ≥2 points with no SES-CD sub score \\>1 point from baseline
4. Sub-study 2: US/FDA: Proportion of participants achieving clinical remission per PRO-2 at Week 12  
Timeframe: Week 12  
Clinical Remission per PRO-2: average daily SF ≤3 and not worse than the Baseline, and average daily AP ≤1 and not worse than the Baseline.
5. Sub-study 2: EU/EMA: Proportion of participants achievingclinical remission per CDAI at Week 12  
Timeframe: Week 12  
Clinical Remission by CDAI: CDAI score \\<150\. The CDAI is a measure of disease activity based on symptoms, signs, and a laboratory test. Scores on the CDAI scale range from 0 to 600, with scores below 150 indicating relative disease quiescence (remission), 150 to 219 indicating mild disease activity, 220 to 450 indicating moderate activity, and scores exceeding 450 indicating severe disease.
6. Sub-study 2: Proportion of participants achieving ulcer-free endoscopy (in the subset of participants with ulcers at baseline) at Week 12  
Timeframe: Week 12  
Ulcer-free endoscopy: SES-CD ulcerated surface sub-score of 0 in participants with SES-CD ulcerated surface sub-score ≥1 at Baseline, as scored by a central reader.
7. Sub-study 2: Change from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS)-Fatigue Short Form 7a T-score at Week 12  
Timeframe: Baseline, Week 12  
The PROMIS Fatigue Short Form 7a uses a 5-point Likert scale for each of its 7 items, resulting in a raw score range of 7 to 35\. This raw score is then converted into a T-score, with a mean of 50 and a standard deviation of 10, based on US national norms. Higher T-scores indicate greater fatigue.
8. Sub-study 2: Proportion of participants achieving CDAI clinicalresponse at Week 4  
Timeframe: Week 4  
CDAI clinical response is defined as decrease in CDAI score of 100 points or more from baseline.
9. Sub-study 2: US/FDA: Proportion of participants achievingcorticosteroid free remission (in the subset ofparticipants with corticosteroids at baseline) perCDAI at Week 12  
Timeframe: Week 12  
Corticosteroid free remission per CDAI: proportion of participants who discontinue corticosteroid use for CD and achieve clinical remission per CDAI (CDAI score \\<150) at Week 12, in participants taking corticosteroids for CD at Baseline.
10. Sub-study 2: EU/EMA: Proportion of participants achievingcorticosteroid free remission per PRO-2 (in thesubset of participants with corticosteroids atbaseline) at Week 12  
Timeframe: Week 12  
Corticosteroid free remission by PRO-2: proportion of participants who discontinue corticosteroid use for CD and achieve clinical remission per PRO-2 (average daily SF ≤3 and not worse than the baseline, and average daily AP ≤1 and not worse than the baseline) at Week 12, in participants taking corticosteroids for CD at Baseline.
11. Sub-study 2: Proportion of participants achieving CDAI clinical remission and endoscopic remission (SES-CD) at Week 12  
Timeframe: Week 12  
Clinical Remission by CDAI: CDAI score \\<150\. Endoscopic Remission: SES-CD ≤4 points (SES-CD ≤2 points for isolated ileal disease) and a SES-CD decrease ≥2 points with no SES-CD sub score \\>1 point from baseline.
12. Sub-study 2: Change from baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) total score at Week 12  
Timeframe: Baseline, Week 12  
IBDQ instrument consist of 32 items exploring 4 dimensions: "bowel symptoms" (10 items), "systemic symptoms" (5 items), "emotional function" (12 items) and "social function" (5 items). The total IBDQ total score ranges from 32 to 224 with higher score indicating better quality of life.
13. Sub-study 2: Proportion of participants with no bowel urgency byNumeric Rating Scale (NRS) at Week 12  
Timeframe: Week 12  
The NRS for bowel urgency is a well-defined and reliable instrument to evaluate treatment benefits in participants with CD. The NRS for bowel urgency measures the severity of bowel urgency-the sudden or immediate need to have a bowel movement-experienced in the past 24 hours. This tool utilizes an 11-point scale for evaluation, from 0 (no urgency) to 10 (worst possible urgency).
14. Sub-study 2: Proportion of participants with CD-related hospitalizations by Week 12  
Timeframe: Baseline through Week 12
15. Sub-study 2: Number of participants with any Treatment Emergent Adverse Events (TEAEs), TEAE of special interest (TEAESIs), TE serious adverse event (TESAEs), and TEAEs leading to permanent study intervention discontinuation  
Timeframe: Baseline through 45 days after the last dose
16. Sub-study 2: Serum concentrations of duvakitug  
Timeframe: Baseline to Week 12
17. Sub-study 2: Incidence of treatment-emergent Anti-drug Antibodies (ADA) against duvakitug  
Timeframe: Baseline to Week 12

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Eligibility

**Sex**

All

**Age groups**

Children, Adults, Older adults

**Minimum age**

16 Years

**Maximum age**

80 Years

**Healthy volunteers**

No

### Inclusion criteria

- Participants aged ≥18 and ≤80 years of age at Screening. Where permitted locally, participants 16 to <18 years of age who meet the definition of Tanner Stage 5 for development
- Confirmed diagnosis of moderately to severely active Crohn's Disease (CD) for at least 3 months prior to baseline
- Demonstrated inadequate response, have shown loss of response or intolerance to conventional therapies or advanced therapies (ATs)

### Exclusion criteria

- Participants with Ulcerative Colitis (UC) or indeterminate colitis
- Participants with two entire missing segments of the: terminal ileum, right colon transverse colon, sigmoid and left colon, and rectum
- Prior or current high-grade gastrointestinal (GI) dysplasia
- Participants on treatment with but not on stable doses of conventional therapy prior to baseline
- Participants receiving prohibited medications or therapies
- Participants with previous exposure to anti-TL1A investigational therapy

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Sites

- Onyx Clinical Research - Site Number:8400021Peoria, United StatesRecruiting
- One of a Kind Clinical Research Center AZ, LLC-Site Number: 8400061Scottsdale, United StatesRecruiting
- Scottsdale Clinical Trials-Site Number: 8400145Scottsdale, United StatesRecruiting
- Del Sol Research Management, LLC-Site Number: 8400012Tucson, United StatesRecruiting
- Preferred Research Partners-Site Number: 8400018Little Rock, United StatesRecruiting
- Alliance Research Institute-Site Number: 8400008Canoga Park, United StatesRecruiting
- Southern California GI & Liver Centers-Site Number: 8400062Coronado, United StatesRecruiting
- Gastroenterology and Liver Institute - Escondido-Site Number: 8400146Escondido, United StatesRecruiting
- GMC Clinical Research, LLC-Site Number: 8400113Folsom, United StatesRecruiting
- Om Research, LLC - Lancaster-Site Number: 8400148Lancaster, United StatesRecruiting
- TLC Clinical Research Inc.-Site Number: 8400030Los Angeles, United StatesRecruiting
- GastroIntestinal Bioscience - Los Angeles-Site Number: 8400019Los Angeles, United StatesRecruiting
- United Medical Doctors CA-Site Number: 8400044Murrieta, United StatesRecruiting
- Om Research, LLC - Oxnard-Site Number: 8400150Oxnard, United StatesRecruiting
- Prospective Research Innovations Inc.-Site Number: 8400017Rancho Cucamonga, United StatesRecruiting
- UC Davis Health System-Site Number: 8400071Sacramento, United StatesRecruiting
- Clinical Applications Laboratories Inc-Site Number: 8400056San Diego, United StatesRecruiting
- Medical Associates Research Group-Site Number:8400063San Diego, United StatesRecruiting
- Valiance Clinical Research - Tarzana-Site Number: 8400023Tarzana, United StatesRecruiting
- Clinical Trials Management Services-Site Number: 8400047Thousand Oaks, United StatesRecruiting
- Amicis Research Center - Valencia-Site Number: 8400064Valencia, United StatesRecruiting
- Om Research, LLC - Victorville-Site Number: 8400022Victorville, United StatesRecruiting
- UCHealth Digestive Health Center - Anschutz Medical Campus-Site Number: 8400085Aurora, United StatesRecruiting
- Peak Gastroenterology Associates - Colorado Springs-Site Number: 8400039Colorado Springs, United StatesRecruiting
- Gastroenterology of the Rockies - Denver-Site Number: 8400122Denver, United StatesRecruiting

And 436 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## References

- Related resource (sanofi.trialsummaries.com)  
Source: [sanofi.trialsummaries.com](https://sanofi.trialsummaries.com/Study/StudyDetails?id=26861&tenant=MT%5FSNY%5F9011)
- Related resource (euclinicaltrials.eu)  
Source: [euclinicaltrials.eu](https://euclinicaltrials.eu/search-for-clinical-trials/?lang=en&EUCT=2025-521036-11-00)

### Other registry identifiers (3)

- 2025
- 2025-521036-11
- U1111-1314-5319

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07184931)

## Related records

### Drugs (1)

- [Duvakitug](https://trialight.com/data/asset/duvakitug-ac3c4efd-b6b2-4fdb-ac05-e2c892d58ae7.md)

### Collaborators (1)

- [Teva Branded Pharmaceutical Products R&D, Inc.](https://trialight.com/data/company/teva-branded-pharmaceutical-products-r-d-inc-eb709623-d4a9-423d-9161-7b0540fb1b17.md)

### Lead sponsors (1)

- [Sanofi](https://trialight.com/data/company/sanofi-241d6a3a-4341-499a-adf8-1c63e9a2e2fd.md)

### Conditions (1)

- [Crohn disease](https://trialight.com/data/condition/crohn-disease-f7aa2cd8-9680-56b5-858c-2b75f88fb0d0.md) Primary condition

---

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