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NCT06588855ClinicalTrials.gov

A Study to Assess the Efficacy and Safety of Induction Therapy With Afimkibart (Also Known as RO7790121) in Participants With Moderately to Severely Active Ulcerative Colitis

A Phase III, Multicenter, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Induction Therapy With RO7790121 in Patients With Moderately to Severely Active Ulcerative Colitis

RecruitingTaking participants now, according to the registry record.
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In brief

This Phase III, multicenter, double-blind, placebo-controlled study will evaluate the efficacy and safety of induction therapy with Afimkibart (RO7790121) compared with placebo in participants with moderately to severely active ulcerative colitis (UC).

Phase 3350 participants sought200 sites30 countries

Categories

Registered in 1 registry

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Trial information is shown as published by the registry, in its original language.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2024-09-19; recorded start 2024-12-11
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 534 other studies in this databaseCounted from the lead sponsor named in the record (Hoffmann-La Roche)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding13/20

    Double-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 200 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study, international in scope: 350 participants (target), run at 200 sites, across 30 countries.

How this score is built
  • Enrolment25/40

    350 participants (target)

  • Site count25/25

    200 sites

  • Country count15/15

    30 countries

  • Planned duration10/10

    Planned over about 75 months

  • Sponsor scale10/10

    Hoffmann-La Roche has led 529 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Summary

This Phase III, multicenter, double-blind, placebo-controlled study will evaluate the efficacy and safety of induction therapy with Afimkibart (RO7790121) compared with placebo in participants with moderately to severely active ulcerative colitis (UC).

Conditions

  • Moderately to Severely Active Ulcerative Colitis

Eligibility

Eligibility
SexAll
Ages16 Years80 Years
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria: * Confirmed diagnosis of UC * Moderately to severely active UC assessed by 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 * Males and 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

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingDOUBLE (2)
Enrolment350 participants sought

Sponsor and collaborators

  • Hoffmann-La Roche Sponsor

Arms and interventions

  • AfimkibartEXPERIMENTAL

    Participants will receive afimkibart intravenously (IV) followed by afimkibart subcutaneous (SC) injection.

  • PlaceboPLACEBO_COMPARATOR

    Participants will receive placebo IV followed by placebo SC.

Interventions

  • Drug Afimkibart

    Participants will receive afimkibart IV followed by afimkibart subcutaneous SC injection.

  • Drug Placebo

    Placebo matching IV afimkibart. Placebo matching SC afimkibart.

Outcome measures

  1. Primary outcome

    Percentage of Participants with Clinical Remission

    Percentage of participants achieving Modified Mayo Score (mMS) \<=2 with stool frequency subscore (SFS) = 0 or 1 (up to 1-2 stools more than normal), rectal bleeding subscore (RBS) = 0 (no blood seen) and endoscopic subscore (ES) = 0 or 1 (normal appearance of mucosa or mild disease) at Week 12. mMS is a composite score of ulcerative colitis disease activity, given by the sum of three subscores: SFS, RBS and ES. Each subscore is measured on a scale from 0 to 3, with higher values associated with greater severity.

    Time frame At Week 12

  2. Secondary outcome

    Change in Partial Modified Mayo Score (pmMS)

    Change in pmMS from baseline to Week 2. pmMS is a composite score of ulcerative colitis signs and symptoms activity given by the sum of the SFS and RBS. SFS is measured on a scale from 0 (normal number of stools) to 3 (5 or more stools than normal). RBS is measured on a scale from 0 (no blood seen) to 3 (blood alone passed).

    Time frame From baseline to Week 2

  3. Secondary outcome

    Percentage of Participants with Endoscopic Improvement

    Percentage of participants achieving endoscopic subscore of 0 or 1 (normal appearance of mucosa or mild disease) at Week 12.

    Time frame At Week 12

  4. Secondary outcome

    Percentage of Participants with Endoscopic Remission

    Percentage of participants achieving endoscopic subscore of 0 (normal appearance of mucosa) at Week 12.

    Time frame At Week 12

  5. Secondary outcome

    Percentage of Participants with Clinical Response

    Percentage of participants achieving a decrease in mMS of at least 2 points and 30% from baseline and either a decrease in RBS \>= 1 or RBS = 0 or 1 (no blood seen or stool with streaks of blood) at Week 12. mMS is a composite score of ulcerative colitis disease activity, given by the sum of three subscores: SFS, RBS and ES. SFS is measured on a scale from 0 (normal number of stools) to 3 (5 or more stools than normal). RBS is measured on a scale from 0 (no blood seen) to 3 (blood alone passed). ES is measured on a scale from 0 (normal appearance of mucosa) to 3 (severe disease).

    Time frame At Week 12

  6. Secondary outcome

    Percentage of Participants with Histologic Improvement

    Percentage of participants achieving a histologic improvement, defined as Geboes \<=3.1 at Week 12. Geboes is a grading system for histologic ulcerative colitis disease activity with scores ranging from 0 (no activity) to 5.4 (ulcer or granulation tissue).

    Time frame At Week 12

  7. Secondary outcome

    Percentage of Participants with Histologic Remission

    Percentage of participants achieving a histologic remission, defined as Geboes \<2B at Week 12. Geboes is a grading system for histologic ulcerative colitis disease activity with scores ranging from 0 (no activity) to 5.4 (ulcer or granulation tissue).

    Time frame At Week 12

  8. Secondary outcome

    Participants with Histologic-Endoscopic Mucosal Improvement

    Percentage of participants achieving Geboes \<= 3.1 and ES = 0 or 1 (normal appearance of mucosa or mild disease) at Week 12. Geboes is a grading system for histologic ulcerative colitis disease activity with scores ranging from 0 (no activity) to 5.4 (ulcer or granulation tissue).

    Time frame At Week 12

  9. Secondary outcome

    Percentage of Participants with Histologic-Endoscopic Remission

    Percentage of participants achieving Geboes \< 2 and ES = 0 or 1 (normal appearance of mucosa or mild disease) at Week 12. Geboes is a grading system for histologic ulcerative colitis disease activity with scores ranging from 0 (no activity) to 5.4 (ulcer or granulation tissue).

    Time frame At Week 12

  10. Secondary outcome

    Percentage of Participants with Clinical Remission: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving mMS \<= 2 with SFS = 0 or 1 (up to 1-2 stools more than normal), RBS = 0 (no blood seen) and ES = 0 or 1 (normal appearance of mucosa or mild disease) at Week 12 in biomarker-defined subgroups. mMS is a composite score of ulcerative colitis disease activity, given by the sum of three subscores: SFS, RBS and ES. Each subscore is measured on a scale from 0 to 3, with higher values associated with greater severity.

    Time frame At Week 12

  11. Secondary outcome

    Percentage of Participants with Endoscopic Improvement: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving endoscopic subscore of 0 or 1 (normal appearance of mucosa or mild disease) at Week 12 in biomarker-defined subgroups.

    Time frame At Week 12

  12. Secondary outcome

    Change in Bowel Urgency

    Change in bowel urgency from baseline through Week 12. Bowel urgency is measured on a scale from 0 (None) to 4 (Severe).

    Time frame Baseline through Week 12

  13. Secondary outcome

    Change in Abdominal Pain

    Change in abdominal pain from baseline through Week 12. Abdominal pain is measured on a scale from 0 (None) to 4 (Severe).

    Time frame Baseline through Week 12

  14. Secondary outcome

    Change in Fatigue

    Change in fatigue as measured by the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) from baseline to Week 12. FACIT-Fatigue is a 13-item self-reported assessment of the level and impact of fatigue. The overall FACIT-Fatigue score ranges between 0 and 52, with higher scores associated with better quality of life concerns related to fatigue.

    Time frame Baseline to Week 12

  15. Secondary outcome

    Change in Health-Related Quality of Life

    Change in Inflammatory Bowel Disease Questionnaire (IBDQ) score from baseline to Week 12. IBDQ is a 32-item self-reported assessment of health-related quality of life in participants with inflammatory bowel disease. The overall IBDQ score ranges from 32 to 224, with higher scores associated with better health-related quality of life.

    Time frame Baseline to Week 12

  16. Secondary outcome

    Overall Change in UC Symptoms

    Patient Global Impression of Change (PGIC) from baseline to Weeks 2 and 12. PGIC measures overall change in ulcerative colitis symptoms from "Much better" to"Much worse".

    Time frame Baseline to Week 2 and Week 12

  17. Secondary outcome

    Overall Severity in UC Symptoms

    Patient Global Impression of Severity (PGIS) from baseline to Weeks 2 and 12. PGIS measures severity of ulcerative colitis symptoms from "None" to "Very severe".

    Time frame Baseline to Week 2 and Week 12

  18. Secondary outcome

    Incidence and Severity of Adverse Events (AEs)

    Incidence and severity of AEs, including serious AEs, AEs leading to treatment discontinuation and AEs of special interest.

    Time frame Up to 30 Weeks after Baseline

Dates

Dates
Start dateDecember 11, 2024 (actual)
Primary completionJanuary 30, 2027 (estimated)
CompletionJanuary 30, 2031 (estimated)
First postedSeptember 19, 2024 (actual)
Last updatedAugust 5, 2026
Results postedNot stated in the registry record
Status last verifiedAugust 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

162 sites are recruiting

Argentina

Argentina
FacilityCityState or regionStatus
Hospital BritanicoCiudad Autonoma Bs AsRecruiting
Instituto Medico CERQuilmesRecruiting

Australia

Australia
FacilityCityState or regionStatus
Footscray HospitalFootscrayVictoriaWithdrawn
Coral Sea Clinical Research InstituteMackayQueenslandWithdrawn
Macquarie University HospitalMacquarie ParkNew South WalesActive, not recruiting
Royal Melbourne HospitalParkvilleVictoriaActive, not recruiting

Austria

Austria
FacilityCityState or regionStatus
Ordensklinikum Linz Barmherzige SchwesternLinzActive, not recruiting
Klinikum Wels-GrieskirchenWelsWithdrawn

Belgium

Belgium
FacilityCityState or regionStatus
AZORG Campus Aalst-MoorselbaanAalstWithdrawn
CHU St Pierre (St Pierre)BrusselsActive, not recruiting
Cliniques Universitaires St-LucBrusselsActive, not recruiting
AZ OostendeOstendWithdrawn

Brazil

Brazil
FacilityCityState or regionStatus
Newdata Clinical TrialsAracajuSergipeRecruiting
CECIP - Centro de Estudos Clínicos do Interior PaulistaJaúSão PauloRecruiting
Hospital Moinhos de VentoPorto AlegreRio Grande do SulRecruiting
Hospital Sírio-LibanêsSão PauloSão PauloWithdrawn
Centro Paulista de Investigacao Clinica - CEPICSão PauloSão PauloRecruiting
Instituto Lobus Unimed Volta RedondaVolta RedondaRio de JaneiroRecruiting

Bulgaria

Bulgaria
FacilityCityState or regionStatus
MC " Sveti Ivan Rilski Chudotvorets- 2010PlovdivRecruiting
"City Clinic UMHAC" EOODSofiaRecruiting
Second Multiprofile Hospital For Active Treatment-SofiaSofia TownSofiaWithdrawn

Canada

Canada
FacilityCityState or regionStatus
Barrie GI AssociatesBarrieOntarioRecruiting
GNRR Digestive Clinics and Research Center Inc.BramptonOntarioWithdrawn
LDDI Clinical Trials Inc.LondonOntarioRecruiting
London Health Sciences Centre Uni CampusLondonOntarioRecruiting
CIUSSS-de-l?Est-de-l?Île-de-MontréalMontrealQuebecRecruiting
TIDHI Innovation Inc.TorontoOntarioRecruiting

Chile

Chile
FacilityCityState or regionStatus
Centro de Investigación Clínica UC-CICUCSantiagoRecruiting

China

China
FacilityCityState or regionStatus
Beijing No.6 HospitalBeijingBeijing MunicipalityRecruiting
Third Xiangya Hospital Centrel South UniversityChangshaRecruiting
West China Hospital of Sichuan UniversityChengduRecruiting
The second Affiliated Hospital of Guangzhou Medical UniversityGuangzhouRecruiting
Guangzhou First People's HospitalGuangzhouRecruiting
Sir Run Run Shaw Hospital Zhejiang UniversityHangzhouRecruiting
Huizhou Central People's HospitalHuizhouRecruiting
The First Affilliated Hospital of Kunming Medical UniversityKunmingYunnanRecruiting
The Second Affiliated Hospital of Nanchang UniversityNanchangRecruiting
The First Affiliate Hospital of Guangxi Medical UniversityNanningRecruiting
The First Affiliated Hospital of Ningbo UniversityNingboRecruiting
The Affiliated Hospital of Medical College Qingdao UniversityQingdaoRecruiting
Ruijin Hospital Shanghai Jiaotong University School of MedicineShanghaiRecruiting
Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghaiRecruiting
Shengjing Hospital of China Medical UniversityShenyangRecruiting
First Affiliated Hospital of Soochow UniversitySuzhouRecruiting
The First Affiliated Hospital of Xiamen UniversityXiamenActive, not recruiting
Zhongshan Hospital Xiamen UniversityXiamenRecruiting

Croatia

Croatia
FacilityCityState or regionStatus
Borzan PolyclinicOsijekRecruiting
Clinical Hospital Center Sestre MilosrdniceZagrebWithdrawn

Czechia

Czechia
FacilityCityState or regionStatus
Hepato-Gastroenterologie HK, s.r.o.Hradec KrálovéRecruiting
Fakultni nemocnice OstravaOstrava - PorubaWithdrawn

150 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

No changes have been recorded since we first ingested this record.

A change is recorded each time the sponsor updates the registry record. Status, dates, enrolment and sites appear here as they move.