LY4268989 in Adults With Moderately to Severely Active Ulcerative Colitis

What this study is about

The main purpose of this study is to evaluate the safety and effectiveness of LY4268989 when compared to placebo in adult participants with moderately to severely active ulcerative colitis (UC). The study drug will be administered orally. The study will last up to approximately 108 weeks, excluding screening.

Who can join (things the study team will check)

✅ You may be able to join if…

• Have had an established diagnosis of ulcerative colitis (UC) for ≥3 months prior to randomization, which includes endoscopic evidence of UC
• Have moderately to severely active UC defined by a Modified Mayo Score (mMS) of 5 to 9 with an Endoscopic Score (ES)≥2 confirmed by central reader and rectal bleeding (RB)≥1
• Have evidence of UC extending proximal to the rectum
• Have documented evidence of having had a surveillance colonoscopy within 1 year, or according to local guidelines, to evaluate for polyps, dysplasia, or malignancy, prior to randomization, if the participant has a history of UC symptoms for more than 8 years
• Have an inadequate response to, loss of response to, or intolerance to at least one conventional medication (including corticosteroids) or one advanced therapy (including biologics, Janus Kinase (JAK) inhibitors, or sphingosine-1-phosphate (S1P) immunomodulators). Participants with inadequate response to vedolizumab are excluded
• Must meet contraception requirements

🚫 You may not be able to join if…

• Have a current diagnosis of
  • Crohn's disease
  • Inflammatory Bowel Disease (IBD unclassified) (formerly known as indeterminate colitis), or
  • primary sclerosing cholangitis
• Have an inherited immunodeficiency syndrome or known monogenic cause of UC-like colonic inflammation
• Have had or will need bowel resection or intestinal or intra-abdominal surgery
• Have evidence of toxic megacolon, intra-abdominal abscess, or stricture or stenosis within small bowel or colon that cannot be traversed by a colonoscope or that are symptomatic
• Have any prior or current evidence of cancer gastrointestinal (GI) tract, or specified lesions with increased risk of GI malignancies
• Have a diagnosis or history of malignant disease within 5 years prior to randomization

Where this trial is running

• Valleywise Health Medical Center, Phoenix, Arizona, United States
• One of a Kind Clinical Research Center, Scottsdale, Arizona, United States
• Clinnova Research, Anaheim, California, United States
• GMC Clinical Research, Folsom, California, United States
• Om Research LLC, Temple City, California, United States
• Om Research LLC, Victorville, California, United States
• Peak Gastroenterology Associates, Colorado Springs, Colorado, United States
• Advanced Research Institute - Denver, Denver, Colorado, United States
• Rocky Mountain Gastroenterology Associates - Lakewood, Lakewood, Colorado, United States
• Medical Research Center of Connecticut, Hamden, Connecticut, United States
• K2 Medical Research - Daytona Beach, Daytona Beach, Florida, United States
• Clinical Research of Osceola, Kissimmee, Florida, United States

+ 244 more sites.

Who to contact

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or · 1-317-615-4559 · LillyTrials@Lilly.com

It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT07415044.