Can a higher dose of upadacitinib rescue ulcerative colitis patients when standard treatment fails?

NCT ID NCT07700446

First seen Jul 14, 2026 · Last updated Jul 17, 2026 · Updated 2 times

Summary

This study tests whether a temporary higher dose of upadacitinib (45 mg daily) can bring ulcerative colitis back under control in adults whose disease flared up while on the standard 30 mg maintenance dose. Participants receive the higher dose for 8 to 16 weeks, then may step down to the maintenance dose if their symptoms and colon inflammation improve. The goal is to see if this re-induction approach can recapture clinical response without needing to switch to a different medication.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
upadacitinib (Rinvoq), a JAK1 inhibitor, given as a 45 mg daily re-induction dose
What this could lead to
If successful, this re-induction strategy could offer a way to regain disease control for ulcerative colitis patients without switching to a different drug.
What could go wrong
This is a single-arm, open-label study with no placebo group, so results may be less definitive. Higher doses of upadacitinib carry increased risks of infection and other side effects.

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Conditions

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