A Study of Long-acting Antibodies Alone and in Combinations for Moderate to Severe Ulcerative Colitis
Purpose
This is a Phase 2, multicenter, proof-of-concept platform study in adult participants with moderately to severely active ulcerative colitis (UC). The primary goal of the study is to assess the efficacy and safety of multiple interventions following intravenous (IV) induction and subcutaneous (SC) maintenance treatment.
Conditions
- Ulcerative Colitis
- Inflammatory Bowel Diseases
- Colitis
- Colitis, Ulcerative
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Diagnosis of UC for ≥3 months before Day 1, confirmed by endoscopy and histology either previously or during Screening - Active UC with disease extent of ≥15 cm from the anal verge, as confirmed by Screening endoscopy (up to approximately 15% allowed to have only proctitis) - Moderately to severely active disease as defined by a modified Mayo score of 5-9, rectal bleeding subscore of ≥1, and Mayo endoscopic subscore ≥2
Exclusion Criteria
- Current diagnosis of Crohn's disease or Inflammatory Bowel Disease (IBD)-Undefined - Confirmed or suspected fulminant colitis, toxic megacolon, bowel perforation and/or other conditions that will likely require surgery during induction - Failed 4 or more approved or investigational advanced therapy classes
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Intervention Specific Appendix - SPY001: Part A |
Participants will receive open-label dose of SPY001 |
|
|
Experimental Intervention Specific Appendix - SPY002: Part A |
Participants will receive open-label dose of SPY002 |
|
|
Experimental Intervention Specific Appendix - SPY003: Part A |
Participants will receive open-label dose of SPY003 |
|
|
Experimental Intervention Specific Appendix - SPY001 Dosing Regimen 1: Part B |
Participants will receive double-blind dosing regimen 1 of SPY001 |
|
|
Experimental Intervention Specific Appendix - SPY001 Dosing Regimen 2: Part B |
Participants will receive double-blind dosing regimen 2 of SPY001 |
|
|
Experimental Intervention Specific Appendix - SPY002 Dosing Regimen 1: Part B |
Participants will receive double-blind dosing regimen 1 of SPY002 |
|
|
Experimental Intervention Specific Appendix - SPY002 Dosing Regimen 2: Part B |
Participants will receive double-blind dosing regimen 2 of SPY002 |
|
|
Experimental Intervention Specific Appendix - SPY003 Dosing Regimen 1: Part B |
Participants will receive double-blind dosing regimen 1 of SPY003 |
|
|
Experimental Intervention Specific Appendix - SPY003 Dosing Regimen 2: Part B |
Participants will receive double-blind dosing regimen 2 of SPY003 |
|
|
Experimental Intervention Specific Appendix - SPY120: Part B |
Participants will receive double-blind dose of SPY001 and SPY002 |
|
|
Experimental Intervention Specific Appendix - SPY130: Part B |
Participants will receive double-blind dose of SPY001 and SPY003 |
|
|
Experimental Intervention Specific Appendix - SPY230: Part B |
Participants will receive double-blind dose of SPY002 and SPY003 |
|
|
Placebo Comparator Placebo: Part B |
Participants will receive matching placebo |
|
Recruiting Locations
Canoga Park, California 91304
SKYLINE-UC Trial Center
La Jolla, California 92037
SKYLINE-UC Trial Center
Lancaster, California 93534
SKYLINE-UC Trial Center
Colorado Springs, Colorado 91304
SKYLINE-UC Trial Center
Kissimmee, Florida 34741
SKYLINE-UC Trial Center
Miami, Florida 33165
SKYLINE-UC Trial Center
Kansas City, Kansas 66160
SKYLINE-UC Trial Center
Marrero, Louisiana 70072
SKYLINE-UC Trial Center
Glen Burnie, Maryland 21061
Skyline-UC Trial Center
Boston, Massachusetts 02114
SKYLINE-UC Trial Center
Rochester, Minnesota 55905
SKYLINE-UC Trial Center
New York, New York 10065
SKYLINE-UC Trial Center
Chapel Hill, North Carolina 27599
SKYLINE-UC Trial Center
Durham, North Carolina 27710
SKYLINE-UC Trial Center
Winston-Salem, North Carolina 27103
SKYLINE-UC Trial Center
Providence, Rhode Island 02904
SKYLINE- UC Trial Center
Kingsport, Tennessee 37663
SKYLINE-UC Trial Center
Cedar Park, Texas 78613
SKYLINE-UC Trial Center
Garland, Texas 75246
SKYLINE-UC Trial Center
San Antonio, Texas 78229
SKYLINE-UC Trial Center
Southlake, Texas 76092
SKYLINE-UC Trial Center
Webster, Texas 77598
SKYLINE-UC Trial Center
Tacoma, Washington 98405
SKYLINE-UC Trial Center
More Details
- Status
- Recruiting
- Sponsor
- Spyre Therapeutics, Inc.
Detailed Description
This platform study will evaluate the efficacy and safety of investigational treatments, including 3 monotherapies and 3 combination therapies, for moderately to severely active UC in adults. The study will progress in two parts. Part A is the open-label portion of the study assessing safety and preliminary efficacy of monotherapies. Part B, which will be open for enrollment after Part A, is the randomized, placebo-controlled portion of the study assessing the safety and efficacy of the 6 interventions (3 monotherapies and 3 combinations) compared to placebo. Intervention arms will be added to the study over time and may complete at different times.