New antibody aims to calm ulcerative colitis when other treatments fail
NCT ID NCT04882007
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests whether OSE-127, an antibody that blocks a key immune signal, can reduce disease activity in people with moderate to severe ulcerative colitis who have not responded to or cannot tolerate previous treatments. Participants are randomly assigned to receive either OSE-127 or a placebo, and neither they nor their doctors know which they receive. The main goal is to see if the drug improves a combined score of symptoms and endoscopic findings after 10 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- OSE-127 (a monoclonal antibody that blocks the IL-7 receptor)
- What this could lead to
- If successful, OSE-127 could offer a new treatment option for people with ulcerative colitis who have not been helped by existing therapies.
- What could go wrong
- This is an early phase 2 study with a small number of participants, so results may not apply to everyone. The drug may not work better than placebo or could cause unexpected side effects.
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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136 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Jan 2025
- 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: 1. Provision of signed and dated informed consent document indicating that the patient has been informed of all the pertinent aspects of the trial prior to enrollment 2. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures 3. Willingness to refrain from live or attenuated vaccines during the study and for 12 weeks after last dose 4. Male or female 18 to 75 years of age, inclusive 5. Diagnosis of moderate to severe active UC made at least 3 months before the screening visit. The diagnosis of UC must have been confirmed by endoscopy, with a minimal extent of 15 cm from anal margin and histology (Moderate to severe active UC is defined by a modified Mayo score between 4 and 9, inclusive. The modified Mayo score is defined by the addition of the rectal bleeding subscore, the stool frequency sub-score, and the endoscopic sub-score. Thus, to be included, a patient must have the following: 1. a rectal bleeding score ≥ 1, 2. a stool frequency score ≥ 1 (sub-score calculated before bowel preparation), and 3. an endoscopic sub-score ≥ 2 6. No previous biologic therapy (i.e., TNF antagonists, vedolizumab or ustekinumab) and prior or current UC documented medication history that includes at least 1 of the following: 1. Corticosteroids 2. Immunosuppressive agents OR Previous or current biologic therapy Exclusion Criteria: 1. Stoma, proctocolectomy, or subtotal colectomy 2. Physician judgment that patient is likely to require any surgery for UC during the study duration, or double-blind phase duration at least 3. Evidence of fulminant colitis, toxic megacolon, or perforation 4. Current or recent (within 4 weeks prior to screening) hospitalization for UC care and/or treatment with IV steroids 5. The following laboratory results at screening: 1. Elevation at screening of aminotransferase (AST), alanine aminotransferase (ALT) \> 3 × the upper limit of normal (ULN) or total bilirubin \> 2 × ULN (unless due to Gilbert's disease) or evidence of chronic liver disease 2. Platelet count \< 100,000/mm3 3. Hemoglobin (Hgb) \< 8.5 g/dL 4. Neutrophils \< 1500/mm3 5. Lymphocytes \< 800/mm3 6. Absolute white blood cell (WBC) count \< 3000/mm3 6. Crohn's disease or indeterminate colitis or any other diagnosis not consisting with UC 7. History or evidence of incompletely resected colonic dysplasia or unconventional lesion at risk of colonic adenocarcinoma 8. Stool culture or other examination positive for enteric pathogen, including Clostridium difficile (C. diff) toxin. If positive, the patient should be treated and rescreening is allowed. 9. Men or women with childbearing potential not willing to use adequate birth control during the study. Adequate birth control includes surgical sterilization, intrauterine device, oral contraceptive, contraceptive patch, long-acting injectable contraceptive, partner's vasectomy, double-barrier method (condom, diaphragm with spermicide), or abstinence during study and 30 days following the last follow-up visit. Women of childbearing potential will enter the study after a negative pregnancy test. 10. Breastfeeding 11. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) from screening through the end of the study 12. Use of topical steroids and/or topical 5-aminosalicylic acid preparations within 2 weeks before the screening visit (all such medications should be withdrawn at least 2 weeks prior to the screening visit) 13. Use of antidiarrheals within 2 weeks before the screening visit (all such medications should be withdrawn at least 2 weeks prior to the screening visit) 14. Treatment with azathioprine, 6-MP, methotrexate (MTX), cyclosporin, tacrolimus, sirolimus, leflunomide and/or mycophenolate mofetil within 4 weeks before the screening visit (all such medications should be withdrawn at least 4 weeks prior to the screening visit)
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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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301 Fairfield Medical Suite
Cape Town, South Africa
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Acibadem City Clinic University Multiprofile Hospital for Active Treatment - EOOD, Clinic of Gastroenterology
Sofia, Bulgaria
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Andrii Novak Transcarpathian Regional Clinical Hospital
Uzhhorod, Ukraine
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Brest Regional Hospital
Brest, Belarus
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CHU Liège
Liège, Belgium
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Centrum Medyczne Med-Gastr
Lodz, Poland
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Centrum Medyczne Medyk
Rzeszów, Poland
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Centrum Opieki Zdrowotnej Orkan-med
Ksawerów, Poland
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City Clinical Emergency Hospital
Minsk, Belarus
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Clinexpert SMO
Budapest, Hungary
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Digestive Diseases Centre GASTRO
Riga, Latvia
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Dnipropetrovsk I.I. Mechnikov Regional Clinical Hospital - Dnipropetrovsk Regional Council
Dnipro, Ukraine
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EVEX Hospitals JSC
Kutaisi, Georgia
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Ekaterinburg City Clinical Hospital No. 14
Yekaterinburg, Russia
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Gomel Regional Clinical Hospital
Homyel, Belarus
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Grodno University Hospital
Grodno, Belarus
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Groupe Santé CHC - Clinique du Mont Légia
Liège, Belgium
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II. Sz Belgyogyasztai Intezet, Gasztroenterologia Debreceni Egyetem
Debrecen, Hungary
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II. Sz. Belgyogyaszati Klinika, Semmelweis Egyetem
Budapest, Hungary
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Institute of Clinical Cardiology
Tbilisi, Georgia
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Israel-Georgia Medical Research Clinic Helsicore Ltd
Tbilisi, Georgia
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JSC Clinic Jerarsi
Tbilisi, Georgia
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Kryvyi Rih City Clinical Hospital #2
Kryvyi Rih, Ukraine
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Kyiv Regional Clinical Hospital - Kyiv Regional Council
Kyiv, Ukraine
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LLC Novosibirskiy Gastrocenter
Novosibirsk, Russia
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Liepāja Regional Hospital
Liepāja, Latvia
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Medical Center Asklepion
Sofia, Bulgaria
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Medical Center Asklepion - Researches in humane medicine (EOOD)
Sofia, Bulgaria
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Medical Center Healthy Family LLC
Novosibirsk, Russia
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Medical Center Hera
Sofia, Bulgaria
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Medical Center Hera EOOD
Sofia, Bulgaria
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Medical Center Medconsult Pleven
Pleven, Bulgaria
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Medical Center Medconsult Pleven - OOD
Pleven, Bulgaria
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Medical Center OK!Clinic+ of International Institute of Clinical Studies LLC
Kyiv, Ukraine
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Medical Center VIP Clinic
Varna, Bulgaria
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Medical center VIP Clinic - OOD
Varna, Bulgaria
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Medicome Sp. z o.o.
Oświęcim, Poland
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Melita Medical
Wroclaw, Poland
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Multiprofile Clinic Consilium Medulla Ltd
Tbilisi, Georgia
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Municipal Institution City Clinical Hospital #6 - Therapeutic Department
Zaporizhzhya, Ukraine
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Oddział Kliniczny Gastroenterologii Ogólnej i Onkologicznej
Lodz, Poland
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Pauls Stradins Clinical University Hospital
Riga, Latvia
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Polana-D
Daugavpils, Latvia
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Prof. O.O. Salimov City Clinical Hospital #2 - Kharkiv City Council
Kharkiv, Ukraine
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Prof. S.V. Ochapovskiy Regional Clinical Hospital No.1
Krasnodar, Russia
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Ryzhikh State Coloproctology Research Center
Moscow, Russia
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Saratov State Medical University
Saratov, Russia
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State Budgetary Healthcare Institution of the Stavropol Region - Pyatigorsk Oncology Dispensary
Pyatigorsk, Russia
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Ternopil University Hospital - Ternopil Regional Council
Ternopil, Ukraine
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UMHAT Tsaritsa Yoanna - ISUL - EAD
Sofia, Bulgaria
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UZ Leuven - Department of Gastroenterology and Hepatology
Leuven, Belgium
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University Hospital Center Split
Split, Croatia
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Vitebsk Regional Clinical Hospital
Vitebsk, Belarus
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WIP Warsaw IBD Point Profesor Kierkus
Warsaw, Poland
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West Regional Center of Modern Medical Technologies Ltd
Kutaisi, Georgia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a cheap Anti-Inflammatory drug calm ulcerative colitis?
- Which IBD therapy works best for kids? researchers compare two approaches
- Can trained peer mentors ease the mental toll of IBD?
- Can a new infusion drug calm ulcerative colitis?
- A breath test for gut disease? researchers hunt for invisible clues