Study on Multiple Investigational Substances Administered Together and Separately to Patients with Ulcerative Colitis
Descrizione riassuntiva dello studio
This study evaluates the safety and efficacy of three monoclonal antibodies for the treatment of ulcerative colitis (UC) – a form of intestinal inflammation. These proteins resemble human antibodies in structure and may need to be administered less frequently. This part of the study is part of a larger study that also includes the evaluation of other monoclonal antibodies. The study consists of 2 parts (Part A and B). In this part of the study, the effect of treatment with individual active substances is assessed, and participants will receive SPY001, SPY002, or SPY003 as sole treatment. The total treatment duration is approximately 48 weeks. Treatment success will be assessed based on changes in disease activity in biopsies and the rate of clinical remissions at week 12. It will be examined whether colonoscopies and participants' responses to questionnaires show improvement. Safety will be monitored by collecting reports of side effects. Eligible to participate are adults aged 18 and older with moderate to severe UC who have previously received other medications without achieving sufficient results. During the study, treatment will be administered in the form of infusions (drips) or injections (shots). Regular examinations will take place, including symptom observations, blood tests, and colonoscopies. On one hand, the new treatment may offer benefits as it targets inflammatory proteins. On the other hand, the new treatment may also carry risks – including infections, allergic reactions, or liver damage. All participants will be closely monitored throughout the study. Other medications for UC may only be used with restrictions during the study. The aim of this study is to improve treatment options for people with UC.
(BASEC)
Intervento studiato
This is a platform study to assess the safety and efficacy of several investigational products, initially individually (SPY001, SPY002, SPY003) and subsequently in combination with each other and compared to placebo. In this part of the study, the effect of treatment with individual active substances is evaluated. Only SPY001, SPY002, and SPY003 are tested, separately and as individual products.
(BASEC)
Malattie studiate
Ulcerative Colitis
(BASEC)
Men and women with moderate to severe UC who are at least 18 years old and have previously attempted therapy with conventional or novel medications for UC, where at least one of these medications has not worked sufficiently, has lost its effectiveness, or has caused side effects, are eligible to participate in the study. (BASEC)
Criteri di esclusione
Individuals who have another chronic inflammatory bowel disease other than UC (e.g., Crohn's disease or an unspecified IBD), who have already tried four or more novel therapies without success, or who have tried two or more therapies without success that are similar to the treatments being tested in this study, are not allowed to participate in this study. (BASEC)
Luogo dello studio
Basilea, Berna, San Gallo
(BASEC)
Sponsor
SPONSOR: Spyre Therapeutics, Inc. 221 Crescent St Building 23, Suite 105 Waltham, MA 02453 USA SPONSOR REPRESENTATIVE: PSI CRO AG Baarerstr. 113a 6300 Zug Switzerland
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
PD Dr. med. Pascal Juillerat
+41 313023234
juilleratp@clutterintesto.chIntesto BE,
(BASEC)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica Berna
(BASEC)
Data di approvazione del comitato etico
18.02.2026
(BASEC)
ID di studio ICTRP
CTIS2025-521242-26-00 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Phase 2 Platform Trial to Assess the Efficacy and Safety of Long-acting Antibodies as Single Agents and in Combinations for Moderately to Severely Active Ulcerative Colitis (BASEC)
Titolo accademico
Phase 2 Platform Trial to Assess the Efficacy and Safety of Long-acting Antibodies as Single Agents and in Combinations for Moderately to Severely Active Ulcerative Colitis - SPY123-201 (ICTRP)
Titolo pubblico
A Study of Long-acting Antibodies Alone and in Combinations for Moderate to Severe Ulcerative Colitis (ICTRP)
Malattie studiate
Moderately to Severely Active Ulcerative Colitis
MedDRA version: 20.1Level: LLTClassification code: 10045365Term: Ulcerative colitis Class: 10017947Therapeutic area: Diseases [C] - Digestive System Diseases [C06] (ICTRP)
Intervento studiato
Product Name: SPYPBO-102, Product Code:N/A, Pharmaceutical Form: N/A, Other descriptive name: N/A , Strength: , Pharmaceutical form of the placebo: N/A , Product Name: SPYPBO-101, Product Code:N/A, Pharmaceutical Form: N/A, Other descriptive name: N/A , Strength: , Pharmaceutical form of the placebo: N/A , Product Name: SPY002, Product Code:PRD12626919, Pharmaceutical Form: SOLUTION FOR INJECTION, Other descriptive name: , Strength: , Product Name: SPY002, Product Code:PRD12626916, Pharmaceutical Form: SOLUTION FOR INFUSION, Other descriptive name: , Strength: , Product Name: SPY001-001, Product Code:PRD12458650, Pharmaceutical Form: SOLUTION FOR INJECTION, Other descriptive name: , Strength: , Product Name: SPY001-001, Product Code:PRD12458649, Pharmaceutical Form: SOLUTION FOR INFUSION, Other descriptive name: , Strength: (ICTRP)
Tipo di studio
Interventional clinical trial of medicinal product (ICTRP)
Disegno dello studio
Controlled: no Randomised: no Open: no Single blind: no Double blind: no Parallel group: no Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: no Number of treatment arms in the trial: (ICTRP)
Criteri di inclusione/esclusione
Inclusion criteria: 1. Male or female =18 years of age., 2. Adult participants must have had a diagnosis of UC for =3 months before Day 1, confirmed by endoscopy and histology either previously or during Screening., 3. Active UC with disease extent of =15 cm from the anal verge, as confirmed by Screening endoscopy, with the exception of up to approximately 15% of the total population permitted to have only proctitis (<15 cm from the anal verge)., 4. Moderately to severely active disease as defined by a modified Mayo score of 5 to 9, rectal bleeding subscore of =1, and Mayo endoscopic subscore =2., 5. History of corticosteroid dependence, OR inadequate response, OR loss of response OR intolerance to 1 of the following: a) conventional therapy only (oral locally acting or systemic corticosteroids, or immunosuppressants) (target of approximately 40%-60% of the planned sample size) OR b) approved advanced therapies, i.e.: anti-TNF, anti-a47, anti-IL-12/IL-23, anti-IL-23, JAK inhibitors, or S1P receptor antagonists) (target of approximately 40%-60% of the planned sample size)., 6. Participants taking oral corticosteroids (up to 20 mg/day prednisone or equivalent, 9 mg/day budesonide, or 5 mg/day beclomethasone) must be on a stable dose for =2 weeks prior to Day 1 and be willing to stay on the same dose during the ITP (for Part A participants), or through Week 6 and initiate taper at Week 6 (for Part B participants). (ICTRP)
Exclusion criteria: 1. Failed (inadequate, lack, or loss of response or intolerance to) 4 or more approved or investigational advanced therapy classes (anti-TNF, anti-a47, anti-IL-12/IL-23, anti-IL-23, JAK inhibitors, and S1P receptor antagonists) at the approved labeled dose or higher, if applicable., 2. Failed (inadequate response, loss of response, or intolerance to) 2 or more of the following classes (whether drug is approved or investigational) at an approved labeled dose or higher, if applicable: anti-a47 (e.g., vedolizumab), anti-TL1A, or anti-IL-23 (eg, mirikizumab, guselkumab, risankizumab). Note that ustekinumab failure is not applicable to this exclusion criterion., 3. Current diagnosis of Crohns disease or IBD-Undefined., 4. History of colectomy (total, subtotal, partial) or ileostomy., 5. If female, pregnant (including those with positive pregnancy test prior to randomization), breastfeeding, or lactating., 6. History and/or current symptoms of infections, including TB, Chronic Hepatitis B or C, COVID-19, HIV, Clostridioides difficile toxin, herpes zoster and Cytomegalovirus., 7. Intervention Specific Appendix-SPY001, Part A Only: Failure (inadequate response, loss of response, or intolerance) of vedolizumab as defined in Master Protocol Appendix 2.
Endpoint primari e secondari
Main Objective: Part A: To assess the effects of intervention on histologic disease activity following 12 weeks of treatment;
Part B: To assess the efficacy of intervention in inducing clinical remission following 12 weeks of treatment.;Secondary Objective: Part A: 1. To assess the efficacy of intervention in inducing clinical remission following 12 weeks of treatment., Part A: 2. To assess the efficacy of intervention in inducing endoscopic improvement following 12 weeks of treatment., Part A: 3. To assess the efficacy of intervention in improving clinical disease activity following 12 weeks of treatment., Part A: 4. To evaluate pharmacokinetics of intervention during the Induction Treatment Period (ITP)., Part A: 5. To evaluate the presence of anti-drug antibodies (ADA) during the ITP., Part B: 1. To assess the efficacy of intervention in inducing endoscopic improvement following 12 weeks of treatment., Part B: 2. To assess the efficacy of intervention in inducing clinical response following 12 weeks of treatment., Part B: 3. To assess the efficacy of intervention in inducing histologic improvement following 12 weeks of treatment., Part B: 4. To assess the efficacy of intervention in inducing histologic endoscopic mucosal improvement (HEMI) following 12 weeks of treatment., Part B: 5. To assess the efficacy of intervention in achieving clinical remission at the end of the MTP., Part B: 6. To evaluate pharmacokinetics of study drug(s) during the Induction Treatment Period (ITP)., Part B: 7. To evaluate the presence of anti-drug antibodies (ADA) during the ITP.;Primary end point(s): Part A: Change in RHI from baseline at Week 12., Part B: Clinical remission at Week 12. (ICTRP)
Secondary end point(s):Part A: 1. Clinical remission at Week 12.;Secondary end point(s):Part A: 2. Endoscopic improvement at Week 12.;Secondary end point(s):Part A: 3. Change in modified Mayo score from baseline at Week 12.;Secondary end point(s):Part A: 4. Study drug concentration through Week 12.;Secondary end point(s):Part A: 5. Percentage of participants with ADAs to study drug(s) through Week 12.;Secondary end point(s):Part B: 1. Endoscopic improvement at Week 12.;Secondary end point(s):Part B: 2. Clinical response at Week 12.;Secondary end point(s):Part B: 3. Histologic improvement at Week 12.;Secondary end point(s):Part B: 4. HEMI at Week 12.;Secondary end point(s):Part B: 5. Clinical remission at Week 48.;Secondary end point(s):Part B: 6. Study drug concentration through Week 12.;Secondary end point(s):Part B: 7. Percentage of participants with ADA to study drug(s) through Week 12. (ICTRP)
Data di registrazione
21.07.2025 (ICTRP)
Inclusione del primo partecipante
04.12.2025 (ICTRP)
Sponsor secondari
non disponibile
Contatti aggiuntivi
SKYLINE-UC Trial Center, info@skyline-uc.com, +16504024238, Spyre Therapeutics Inc. (ICTRP)
ID secondari
NCT07012395, U1111-1319-5758 (ICTRP)
Risultati-Dati individuali dei partecipanti
No (ICTRP)
Ulteriori informazioni sullo studio
https://euclinicaltrials.eu/search-for-clinical-trials/?lang=en&EUCT=2025-521242-26-00 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile