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Crohn's Disease: Skyrizi Injected Starter Doses in AFFIRM Phase 3

In short: At the ACG meeting in October 2026, researchers presented Phase 3 AFFIRM results for starting risankizumab (Skyrizi) with injections instead of IV infusions in Crohn's disease. At week 12, 55% on risankizumab were in clinical remission versus 29.6% on placebo. This is a conference report, and the injected start is not yet approved.

Crohn's Disease: Skyrizi Injected Starter Doses in AFFIRM Phase 3

What was reported

Results of AFFIRM, a Phase 3 trial of 289 adults with moderate to severe Crohn's disease, were presented at the American College of Gastroenterology meeting (October 12 to 14, 2026), as reported by Healio. People were randomly assigned to injected risankizumab (191) or placebo (98).

Week 12 results

At week 12, 55% of the risankizumab group were in clinical remission versus 29.6% on placebo. An endoscopic response, meaning visible healing of the gut lining, was seen in 44% versus 14.3%.

Week 24 results

Among people who continued to week 24, clinical remission was 67.2% on risankizumab versus 29.6% on placebo. Only people who stayed in the study are counted, and the report does not give a statistical test for this comparison.

Safety and approval status

Side effects were described as similar between the groups. Skyrizi is already approved for Crohn's with an IV start. AbbVie asked the FDA in April 2026 to approve an injected start, and no decision has been reported.

Frequently asked questions

Is Skyrizi injected starter dose approved for Crohn's?

Not yet. Skyrizi is approved for Crohn's with an IV start. The injected start is under FDA review.

Is there a cure for Crohn's disease?

No. Treatments aim to calm inflammation and bring remission. This trial did not test a cure.

Does 67.2% remission mean most people get better?

That number counts only people who stayed in the study to week 24, so it likely looks better than the full group. A doctor can explain what it means for an individual.

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