New hope for tough ulcerative colitis cases: spesolimab trial shows promise
NCT ID NCT03482635
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug called spesolimab in 98 adults with moderate-to-severe ulcerative colitis who did not get better with other biologic treatments. The goal was to see if the drug could safely reduce symptoms and help the colon heal. The trial was completed and looked at how many patients achieved remission after 12 weeks of treatment.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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98 people
The number who actually took part.
- Started
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Mar 2018
- Finished
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May 2020
- 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: * 18 - 75 years, at date of signing informed consent, males or females * Diagnosis of ulcerative colitis ≥ 3 months prior to screening by clinical and endoscopic evidence corroborated by a histopathology report * Moderate to severe activity (total MCS 6 to 12 with a RBS ≥ 1 AND an SFS ≥ 1 AND mESS ≥ 2 within 7-28 days prior to first dose) * Endoscopic activity extending proximal to the rectum (≥ 15 cm from anal verge) * Well-documented demonstration of inadequate response or loss of response or have had unacceptable side effects with approved doses of TNFɑ antagonists (infliximab, adalimumab, golimumab) and/or vedolizumab in the past (screening of both TNFɑ antagonists-AND-Vedolizumab failure patients will be capped once 48 randomized patients in Part 1 and 117 randomized patients in Part 2 meet this criterion; patients who have already been screened at the time of the cap will continue to be randomized into the study) * Further inclusion criteria apply Exclusion Criteria: * Evidence of abdominal abscess at screening * Evidence of fulminant colitis or toxic megacolon at screening * Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine * Further exclusion criteria apply
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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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AKH - Medical University of Vienna
Vienna, 1090, Austria
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AdventHealth Orlando
Orlando, Florida, 32803, United States
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Atlanta Center for Gastroenterology, P.C.
Decatur, Georgia, 30033, United States
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Azienda Ospedaliera Universitaria di Padova
Padova, 35128, Italy
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Barnsley Hospital
Barnsley, S75 2EP, United Kingdom
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Central Clinical Hospital MSWiA, Internal Diseases, Warsaw
Warsaw, 02-507, Poland
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Centre Hospitalier Universitaire de Liège
Liège, 4000, Belgium
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Columbia University Medical Center-New York Presbyterian Hospital
New York, New York, 10032, United States
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Digestive Disease Specialists Inc
Oklahoma City, Oklahoma, 73112, United States
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Doncaster Royal Infirmary
Doncaster, DN2 5LT, United Kingdom
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Emory University
Atlanta, Georgia, 30322, United States
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FSB Instit. HC Irkutsk Scient.Cent. Sibirian Branch of Russ. Acad. Scien.
Irkutsk, 664003, Russia
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FSBMEI HPE "Military Medical Academy n.a. S.M. Kirov"
Saint Petersburg, 194044, Russia
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Federal State Budgetary Institution " State Scientific Center of Coloproctology" MOH Russia
Moscow, 123423, Russia
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Guy's Hospital
London, SE1 9RT, United Kingdom
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Health Center of Mother, Child and Youth Sp.z o.o.
Warsaw, 00-632, Poland
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Hospital Politècnic La Fe
Valencia, 46026, Spain
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Hospital Virgen del Rocío
Seville, 41013, Spain
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Hunter Holmes McGuire VA Medical Center
Richmond, Virginia, 23249, United States
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Hyogo College of Medicine Hospital
Hyogo, Nishinomiya, 663-8501, Japan
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Inje University Haeundae Paik Hospital
Busan, 48108, South Korea
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Istituto Clinico Humanitas
Rozzano (MI), 20089, Italy
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Kirov State Med.Univ. of MoH RF
Kirov, 610027, Russia
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Kitasato Institute Hospital
Tokyo, Minato-ku, 108-8642, Japan
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Klinikum Esslingen GmbH
Esslingen am Neckar, 73730, Germany
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Medical Research Center of Connecticut, LLC
Hamden, Connecticut, 06518, United States
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Medizinische Hochschule Hannover
Hanover, 30625, Germany
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Ofuna Chuo Hospital
Kanagawa, Kamakura, 247-0056, Japan
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Ordensklinikum Linz GmbH - Barmherzige Schwestern
Linz, A-4010, Austria
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Reg. Clin. Scientific Research Institute na Vladimiskiy
Moscow, 129110, Russia
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Sameshima Hospital
Kagoshima, Kagoshima, 892-0846, Japan
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Sapporo Higashi Tokushukai Hospital
Hokkaido, Sapporo, 065-0033, Japan
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Sapporo Tokushukai Hospital
Hokkaido, Sapporo, 004-0041, Japan
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Southern Star Research Institute, LLC
San Antonio, Texas, 78229, United States
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
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Texas Digestive Disease Consultants - Southlake
Southlake, Texas, 76092, United States
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The limited liability company "Clinic USI 4D"
Pyatigorsk, 357502, Russia
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Toho University Sakura Medical Center
Chiba, Sakura, 285-8741, Japan
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Tokyo Medical and Dental University
Tokyo, Bunkyo-ku, 113-8519, Japan
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Tokyo Yamate Medical Center
Tokyo, Shinjuku, 169-0073, Japan
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UZ Leuven
Leuven, 3000, Belgium
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University Hospitals of Cleveland
Cleveland, Ohio, 44106, United States
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University of Chicago
Chicago, Illinois, 60637, United States
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University of Manitoba - Health Sciences Centre
Winnipeg, Manitoba, R3A 1R9, Canada
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University of Miami
Miami, Florida, 33136, United States
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Universitätsklinikum Aachen, AöR
Aachen, 52074, Germany
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Universitätsklinikum Erlangen
Erlangen, 91054, Germany
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Universitätsklinikum Essen AöR
Essen, 45147, Germany
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Universitätsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105, Germany
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Universitätsklinikum Ulm
Ulm, 89081, Germany
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Victoria Hospital (LHSC)
London, Ontario, N6A 5W9, Canada
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Whiston Hospital
Prescot, L35 5DR, United Kingdom
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Yeungnam University Medical Center
Daegu, 42415, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new pill tame inflammatory bowel disease?
- Could a 15-Minute ultrasound replace the scope for IBD monitoring?
- Can a new injection plus a pill tame ulcerative colitis?
- Can a new biologic tame ulcerative colitis?
- Can a Real-World study reveal the staying power of guselkumab?
- Can a new biologic calm the immune attack in ulcerative colitis?