Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 16 to 80

Afimkibart subcutaneous induction in moderately to severely active ulcerative colitis

Official title: A Phase III, Multicenter, Double-Blind Placebo-Controlled Study to Assess the Efficacy and Safety of Subcutaneous Induction Therapy With Afimkibart in Patients With Moderately to Severely Active Ulcerative Colitis

Run by Hoffmann-La Roche · NCT07846683 · Data updated 2026-11-12

This study tests whether a subcutaneous induction dose of afimkibart can help people with moderately to severely active ulcerative colitis feel better compared with placebo.

Quick facts

PhasePhase 3
Study typeInterventional
Ages16 Years to 80 Years
SexAll
Enrollment350 (estimated)
SponsorHoffmann-La Roche
Industry-sponsored
Drugs / interventionsradiation
Locations1 site (Cordova, Tennessee)
StatusRecruiting
StartedNovember 15, 2026
Main results expectedMay 31, 2028
Study endsDecember 31, 2030
Registry record updatedOctober 26, 2026
Trial IDNCT07846683 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with moderately to severely active UC (mMS-defined) who have adequate contraception if applicable and have not responded to at least one prior UC therapy.

Probably not a fit

Patients who do not respond to afimkibart induction or who experience adverse effects may not benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 interventional trial compares subcutaneous afimkibart to placebo in adults with moderately to severely active ulcerative colitis. Eligible participants have failed or intolerated at least one standard UC therapy and meet weight and screening criteria. The study aims to determine efficacy and safety during induction, with ongoing monitoring for adverse events. The trial is led by Hoffmann-La Roche with collaborators and is conducted at Gastro One in Cordova, Tennessee. Participants will be randomized to receive afimkibart or placebo and will be evaluated for changes in disease activity and safety outcomes.

Why it matters

Potential benefit: If successful, participants may experience improved UC symptoms and disease control during induction therapy.

How similar studies have gone: Prior studies of similar biologic or targeted therapies in UC have shown promising reductions in disease activity, though results can vary by agent and population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Confirmed diagnosis of UC.
* Moderately to severely active UC assessed by modified Mayo Score (mMS).
* Bodyweight \>= 40 kilogram (kg).
* Up to date with colorectal cancer (CRC) screening performed according to local standards.
* Demonstrated inadequate response, loss of response and/or intolerance to at least one protocol-specified conventional or advanced UC therapy.
* Females of childbearing potential must meet protocol criteria for contraception requirements.

Exclusion Criteria:

* Currently known complications of UC (e.g. fulminant colitis, toxic megacolon).
* Current diagnosis of Crohn's disease (CD) or indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis.
* Presence of an ostomy or ileoanal pouch.
* Current diagnosis or suspicion of primary sclerosing cholangitis.
* Pregnancy or breastfeeding, or intention of becoming pregnant during the study.
* Past or current evidence of definite low-grade or high-grade colonic dysplasia or adenomas or neoplasia not completely removed.
* History of malignancy within 5 years, with the exception of malignancies adequately treated with resection for non-metastatic basal cell or squamous cell 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).
* 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.

Where it's running

  • Gastro One
    Cordova, Tennessee, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.