New pill could ease ulcerative colitis symptoms
NCT ID NCT04857112
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested an oral drug called amiselimod (MT-1303) in 322 adults with mild to moderate ulcerative colitis. Participants received either a low dose, high dose, or placebo for 12 weeks, with an optional 36-week open-label period. The goal was to see if the drug could reduce disease activity and improve endoscopic findings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Amiselimod (MT-1303)
- What this could lead to
- If it works, this could point toward a new oral treatment option for people with mild to moderate ulcerative colitis.
- What could go wrong
- This is a Phase 2 trial, so it is still early. The drug may not prove effective or could have side effects. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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322 people
The number who actually took part.
- Started
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Sep 2021
- Finished
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Nov 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects will be eligible if they are male or female aged between 18 to 75 years at time of consent (inclusive) with normal vital signs and a diagnosis of active mild ulcerative colitis (UC) (modified Mayo Score of 3 or 4) or moderate UC (modified Mayo Score of 5 to 8) confirmed at least 12 weeks prior to randomization by clinical and endoscopic evidence and corroborated by a histopathology report. * Subjects must have an endoscopic subscore of ≥2 from and evidence of active UC extending ≥15 cm from the anal verge confirmed by a screening colonoscopy. * If subjects are receiving oral or rectal 5-aminosalicylates (5-ASAs) or oral corticosteroids (≤20 mg prednisolone equivalent) for treatment of their UC, they must be on a stable dose for at least 28 days prior to randomization. * Subjects who complete the Double-Blind Period of the study who, in the opinion of the Investigator, would benefit from continued treatment, may participate in the Open Label Extension (OLE) Period. Exclusion Criteria: * Any of the following: a diagnosis of Crohn's disease, indeterminate colitis, colitis (pseudomembranous, microscopic, or ischemic) or coeliac disease, current or recent (within 12 weeks prior to randomization) evidence of fulminant colitis, proctitis (defined as a rectal inflammation within 15 cm from the anal verge), abdominal abscess, toxic megacolon, bowel obstruction, or bowel perforation; a history or evidence of any colonic resection or subtotal or total colectomy, ileostomy, colostomy, known fixed symptomatic stenosis of the intestine, unresected adenomatous colonic polyps, or colonic mucosal dysplasia. * Clinically significant infections (e.g., pneumonia, pyelonephritis, or septicemia) within 4 weeks prior to randomization or previous clinically significant infections requiring hospitalization within 6 months prior to randomization, active or latent tuberculosis, infections of hepatitis B, hepatitis C, human immunodeficiency virus (HIV), or previous shingles outbreak. * Active SARS-CoV-2 infection or complications related to COVID-19. * A history of, or currently active, primary or secondary immunodeficiency, presence of progressive multifocal leukoencephalopathy (PML), or presence of demyelinating diseases. * A history or evidence of two or more failures with biologic treatment for UC. * Currently taking any medication for treatment of UC other than oral or rectal 5-ASAs (5-aminosalicylic acids) or oral corticosteroids (≤20 mg prednisolone equivalent) * Been taking enemas or suppositories (other than stable dose of 5-ASA) for treatment of UC within 2 weeks prior to the Screening Visit. * Been taking an unstable dose of probiotics or antidiarrheals 2 weeks prior to the Screening Visit. * Had recent myocardial infarction, unstable angina, stroke, transient ischemic attack, decompensated heart failure with hospitalization, Class III/IV heart failure, Mobitz Type II 2nd degree or 3rd degree atrioventricular (AV) block, sick sinus syndrome, prolonged QT interval, Wolff Parkinson White or other conduction abnormalities, low heart rate, ongoing treatment with Class I or Class III anti-arrhythmic drugs, heart-rate-lowering calcium-channel blockers, β blockers or with any other drugs which can reduce the heart rate, have known high risk for QT/QTc prolongation, or have clinically significant abnormal findings in 12-lead ECG that the Investigator considers may jeopardize the subject's health. * Forced expiratory volume in one second (FEV1) or forced expiratory vital capacity (FVC) \<70% of predicted values at screening. For sites where DLCO (diffusing capacity of the lungs for carbon monoxide) will be assessed, the value (mL/min/mmHg) is \< 80% of the predicted normal value for age, height, and gender. * Macular oedema as assessed by OCT (Optical Coherence Tomography). * History of non-response or treatment failure with MT-1303 or other sphingosine 1 phosphate (S1P) receptor modulators. * Fecal microbiota transplantation (FMT) within 12 months prior to the Screening Visit. * Any of the following laboratory abnormalities: * Hemoglobin (Hb) \<9.0 g/dL. * White blood cell (WBC) count \<3.50 × 109/L (\<3,500/µL). * Neutrophil count \<1.50 × 109/L (\<1,500/µL). * Lymphocyte count \<0.80 × 109/L (\<800/µL). * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2 × the upper limit of normal (ULN). * Bilirubin \>1.5 x the ULN; subjects with Gilbert's syndrome may be enrolled with total bilirubin up to 5.0 mg/dl. * Positive stool tests for enteric pathogens, pathogenic ova or parasites, or Clostridium difficile (C. difficile) during the Screening Period. If subject has a history of recent C. difficile infection (within 60 days prior to Screening Visit), they should not be considered for study enrollment until subject has been treated for C. difficile and is symptom free for at least 14 days prior to the Screening Visit. * Any physical or mental conditions which would interfere with the study participation, collection of data, or study completion as determined by the Investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bausch Health Site 1401
Prague, 130 00, Czechia
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Bausch Health Site 1402
Slaný, 274 01, Czechia
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Bausch Health Site 1403
Olomouc, 779 00, Czechia
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Bausch Health Site 1404
Brno, 615 00, Czechia
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Bausch Health Site 1405
Hradec Králové, 500 12, Czechia
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Bausch Health Site 1406
Pardubice, 532 03, Czechia
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Bausch Health Site 1601
Tbilisi, 0172, Georgia
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Bausch Health Site 1602
Tbilisi, 0131, Georgia
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Bausch Health Site 1603
Tbilisi, 0160, Georgia
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Bausch Health Site 1604
Tbilisi, 0160, Georgia
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Bausch Health Site 1605
Tbilisi, 0160, Georgia
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Bausch Health Site 1606
Tbilisi, 0160, Georgia
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Bausch Health Site 1701
Tübingen, 72076, Germany
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Bausch Health Site 1702
Nordhausen, 99734, Germany
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Bausch Health Site 1703
Wipperfürth, 51688, Germany
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Bausch Health Site 1705
Berlin, 10117, Germany
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Bausch Health Site 1706
Kiel, 24105, Germany
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Bausch Health Site 1707
Frankfurt am Main, 60594, Germany
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Bausch Health Site 1708
Cologne, 51103, Germany
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Bausch Health Site 1709
Remscheid, 42589, Germany
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Bausch Health Site 1710
Dresden, 01307, Germany
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Bausch Health Site 1712
Mainz, 55122, Germany
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Bausch Health Site 1713
Mannheim, 68167, Germany
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Bausch Health Site 1714
Rostock, 18057, Germany
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Bausch Health Site 1716
Berlin, 14050, Germany
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Bausch Health Site 1717
Brandenburg, 14770, Germany
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Bausch Health Site 1718
Augsburg, 86156, Germany
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Bausch Health Site 1801
Mohács, 7700, Hungary
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Bausch Health Site 1802
Székesfehérvár, H-8000, Hungary
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Bausch Health Site 1803
Kistarcsa, H-2143, Hungary
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Bausch Health Site 1805
Békéscsaba, H-5600, Hungary
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Bausch Health Site 1901
Milan, 20157, Italy
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Bausch Health Site 1903
Turin, 10128, Italy
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Bausch Health Site 1904
Messina, 98125, Italy
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Bausch Health Site 1906
Florence, 50134, Italy
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Bausch Health Site 1907
Padova, 35128, Italy
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Bausch Health Site 1908
Monza, 20900, Italy
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Bausch Health Site 1909
Milan, 20142, Italy
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Bausch Health Site 2002
Miyagi, 983-8520, Japan
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Bausch Health Site 2003
Tokyo, 192-0032, Japan
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Bausch Health Site 2004
Chiba, 260-8677, Japan
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Bausch Health Site 2005
Hiroshima, 734-8551, Japan
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Bausch Health Site 2006
Ōita, 870-0823, Japan
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Bausch Health Site 2007
Saga, 849-8501, Japan
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Bausch Health Site 2008
Nagasaki, 852-8102, Japan
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Bausch Health Site 2009
Hokkaido, 004-0041, Japan
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Bausch Health Site 2010
Tokyo, 169-0073, Japan
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Bausch Health Site 2011
Fukuoka, 814-0180, Japan
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Bausch Health Site 2012
Tokyo, 108-8642, Japan
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Bausch Health Site 2013
Iwata, 020-8505, Japan
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Bausch Health Site 2014
Chiba, 285-8741, Japan
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Bausch Health Site 2016
Hyōgo, 663-8501, Japan
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Bausch Health Site 2017
Mie, 510-0016, Japan
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Bausch Health Site 2018
Tokyo, 113-0034, Japan
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Bausch Health Site 2019
Hokkaido, 060-8543, Japan
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Bausch Health Site 2020
Kagawa, 252-0375, Japan
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Bausch Health Site 2021
Tokyo, 181-8611, Japan
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Bausch Health Site 2022
Kamakura, 247-0056, Japan
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Bausch Health Site 2023
Takayama, 506-8550, Japan
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Bausch Health Site 2101
Seoul, 05278, South Korea
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Bausch Health Site 2102
Seoul, 06591, South Korea
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Bausch Health Site 2103
Seoul, 06973, South Korea
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Bausch Health Site 2105
Daegu, 41944, South Korea
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Bausch Health Site 2106
Wŏnju, 26426, South Korea
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Bausch Health Site 2107
Seoul, 03080, South Korea
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Bausch Health Site 2108
Seoul, South Korea
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Bausch Health Site 2109
Busan, 48108, South Korea
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Bausch Health Site 2110
Seoul, 06351, South Korea
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Bausch Health Site 2112
Daegu, 41404, South Korea
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Bausch Health Site 2113
Suwon, 442-723, South Korea
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Bausch Health Site 2114
Daegu, 42601, South Korea
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Bausch Health Site 2201
Chisinau, MD2025, Moldova
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Bausch Health Site 2202
Chisinau, 2005, Moldova
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Bausch Health Site 2203
Chisinau, MD2025, Moldova
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Bausch Health Site 2204
Chisinau, MD2025, Moldova
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Bausch Health Site 2205
Chisinau, MD-2068, Moldova
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Bausch Health Site 2301
Krakow, 30-363, Poland
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Bausch Health Site 2302
Szczecin, 71-434, Poland
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Bausch Health Site 2303
Warsaw, 00-728, Poland
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Bausch Health Site 2304
Sopot, 81-756, Poland
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Bausch Health Site 2305
Oświęcim, 32-600, Poland
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Bausch Health Site 2306
Krakow, 31-156, Poland
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Bausch Health Site 2307
Wroclaw, 51-162, Poland
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Bausch Health Site 2308
Warsaw, 03-580, Poland
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Bausch Health Site 2309
Bydgoszcz, 85-794, Poland
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Bausch Health Site 2310
Wierzchosławice, 33-122, Poland
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Bausch Health Site 2311
Warsaw, 00-635, Poland
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Bausch Health Site 2313
Wroclaw, 50-414, Poland
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Bausch Health Site 2314
Lodz, 93-357, Poland
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Bausch Health Site 2315
Tychy, 43-100, Poland
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Bausch Health Site 2316
Rzeszów, 35-302, Poland
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Bausch Health Site 2317
Wroclaw, 50-449, Poland
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Bausch Health Site 2318
Nowy Targ, 34-400, Poland
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Bausch Health Site 2319
Wroclaw, 60-309, Poland
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Bausch Health Site 2320
Bialystok, 15-322, Poland
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Bausch Health Site 2321
Staszów, 28-200, Poland
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Bausch Health Site 2322
Warsaw, 02-665, Poland
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Bausch Health Site 2323
Elblag, 82-300, Poland
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Bausch Health Site 2401
Veliky Novgorod, 173008, Russia
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Bausch Health Site 2402
Saint Petersburg, 197110, Russia
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Bausch Health Site 2403
Barnaul, 656015, Russia
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Bausch Health Site 2405
Nizhny Novgorod, 603140, Russia
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Bausch Health Site 2406
Moscow, 115516, Russia
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Bausch Health Site 2408
Saint Petersburg, 191015, Russia
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Bausch Health Site 2409
Saint Petersburg, 191015, Russia
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Bausch Health Site 2410
Tomsk, 634050, Russia
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Bausch Health Site 2411
Novosibirsk, 630005, Russia
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Bausch Health Site 2413
Pyatigorsk, 357502, Russia
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Bausch Health Site 2415
Saint Petersburg, 195257, Russia
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Bausch Health Site 2416
Chelyabinsk, 454076, Russia
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Bausch Health Site 2417
Chita, 672090, Russia
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Bausch Health Site 2419
Moscow, 115419, Russia
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Bausch Health Site 2421
Orenburg, 460050, Russia
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Bausch Health Site 2422
Samara, 443041, Russia
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Bausch Health Site 2423
Yekaterinburg, 620109, Russia
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Bausch Health Site 2501
Belgrade, 11 000, Serbia
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Bausch Health Site 2502
Belgrade, 11 000, Serbia
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Bausch Health Site 2503
Belgrade, 11 000, Serbia
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Bausch Health Site 2504
Pančevo, 260 00, Serbia
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Bausch Health Site 2505
Kragujevac, 34 000, Serbia
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Bausch Health Site 2601
Banská Bystrica, 975 17, Slovakia
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Bausch Health Site 2602
Prešov, 080 01, Slovakia
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Bausch Health Site 2603
Košice, 040 13, Slovakia
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Bausch Health Site 2604
Bratislava, 820 07, Slovakia
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Bausch Health Site 2605
Brezno, 97701, Slovakia
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Bausch Health Site 2606
Rimavská Sobota, 979 01, Slovakia
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Bausch Health Site 2701
Taichung, 404327, Taiwan
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Bausch Health Site 2702
Taichung, 40201, Taiwan
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Bausch Health Site 2703
Kaohsiung City, 807377, Taiwan
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Bausch Health Site 2704
Tainan, 704302, Taiwan
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Bausch Health Site 2801
Khmelnytskyi, 29000, Ukraine
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Bausch Health Site 2802
Zhytomyr, 10008, Ukraine
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Bausch Health Site 2803
Kharkiv, 61037, Ukraine
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Bausch Health Site 2804
Kyiv, 01030, Ukraine
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Bausch Health Site 2805
Odesa, 65025, Ukraine
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Bausch Health Site 2806
Kyiv, 04078, Ukraine
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Bausch Health Site 2807
Kyiv, 02091, Ukraine
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Bausch Health Site 2808
Zaporizhia, 69065, Ukraine
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Bausch Health Site 2810
Lviv, 79010, Ukraine
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Bausch Health Site 2811
Lutsk, 43005, Ukraine
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Bausch Health Site 2812
Zaporizhia, 69005, Ukraine
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Bausch Health Site 2814
Kyiv, Ukraine
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Bausch Health Site 2815
Ivano-Frankivsk, 76008, Ukraine
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Bausch Health Site 2816
Vinnytsia, 21028, Ukraine
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Bausch Site 008
Lafayette, Louisiana, 70503, United States
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Bausch Site 011
Chicago, Illinois, 60637, United States
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Bausch Site 012
Suffolk, Virginia, 23435, United States
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Bausch Site 013
Maitland, Florida, 32751, United States
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Bausch Site 014
El Paso, Texas, 79905, United States
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Bausch Site 017
Mentor, Ohio, 44060, United States
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Bausch Site 018
Houston, Texas, 77030, United States
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Bausch Site 019
Houston, Texas, 77030, United States
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Bausch Site 020
Glenview, Illinois, 60026, United States
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Bausch Site 021
Oklahoma City, Oklahoma, 73101, United States
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Bausch Site 022
Metairie, Louisiana, 70006, United States
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Bausch Site 024
Miami, Florida, 33174, United States
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Bausch Site 025
Chandler, Arizona, 85225, United States
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Bausch Site 1101
Homyel, 246029, Belarus
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Bausch Site 1103
Mogilev, 212018, Belarus
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Bausch Site 1104
Minsk, 220096, Belarus
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Bausch Site 1105
Vitebsk, 210002, Belarus
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Bausch Site 1301
Sofia, 1233, Bulgaria
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Bausch Site 1302
Sofia, 1527, Bulgaria
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Bausch Site 1303
Sofia, 1784, Bulgaria
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Bausch Site 1304
Sofia, 1407, Bulgaria
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Bausch Site 1305
Stara Zagora, 6000, Bulgaria
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Bausch Site 1306
Varna, 9002, Bulgaria
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Bausch Site 1307
Sofia, 1680, Bulgaria
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Bausch Site 1501
Tallinn, 10138, Estonia
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Bausch Site 1502
Tallinn, 10617, Estonia
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Bausch Site 1503
Pärnu, 80010, Estonia
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Bausch site 026
Orlando, Florida, 32807, United States
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Bausch site 1001
Brisbane, 4010, Australia
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Bausch site 1002
South Brisbane, 4101, Australia
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Bausch site 1005
Adelaide, 5112, Australia
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Bausch site 1006
Epping, 3076, Australia
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Bausch site 1007
Woolloongabba, 4102, Australia
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Salix Site 001
Shreveport, Louisiana, 71103, United States
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Salix Site 002
Freehold, New Jersey, 07728, United States
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Salix Site 003
Rancho Cucamonga, California, 91730, United States
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Salix Site 004
Los Angeles, California, 90048, United States
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Salix Site 005
Miramar, Florida, 33027, United States
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Salix Site 006
Ventura, California, 93003, United States
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Salix Site 007
Rialto, California, 92377, United States
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Salix Site 010
Snellville, Georgia, 30078, United States
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