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Monoclonal Antibodies

A Study of LY3471851 in Adult Participants With Moderately to Severely Active Ulcerative Colitis (UC) (INSTRUCT-UC Trial)

Phase 2
Waitlist Available
Research Sponsored by Nektar Therapeutics
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 12

Summary

This trial is testing a new medicine called LY3471851 to see if it is safe and effective for adults with active ulcerative colitis. The medicine aims to help by boosting immune cells that reduce inflammation in the colon.

Eligible Conditions
  • Ulcerative Colitis

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and week 12 for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Percentage of Participants Who Achieved Clinical Remission at Week 12
Secondary study objectives
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) - Total Score
Percentage of Participants Who Achieved Clinical Response at Week 12
Percentage of Participants Who Achieved Endoscopic Remission at Week 12
+6 more

Side effects data

From 2023 Phase 2 trial • 291 Patients • NCT04433585
16%
Injection site reaction
15%
Pyrexia
8%
Fatigue
7%
Arthralgia
7%
Nasopharyngitis
5%
Injection site pain
5%
Anaemia
5%
Injection site erythema
5%
Alanine aminotransferase increased
5%
Urinary tract infection
4%
Injection site pruritus
4%
Asthenia
4%
Myalgia
4%
Bronchitis
4%
COVID-19
4%
Gamma-glutamyltransferase increased
4%
Erythema
4%
Pruritus
3%
Heavy menstrual bleeding
3%
Injection site rash
3%
Dyspepsia
3%
Dermatitis contact
3%
Aspartate aminotransferase increased
3%
Headache
3%
Pain
3%
Pharyngitis
3%
Drug hypersensitivity
3%
Nausea
3%
Pityriasis rosea
3%
Pain in extremity
3%
Injection site swelling
3%
Back pain
3%
Influenza
3%
Rash
3%
Urticaria
1%
Depression
1%
Bundle branch block right
1%
Injection site hypersensitivity
1%
Dysaesthesia
1%
Eosinophilia
1%
Iron deficiency anaemia
1%
Hypotension
1%
Erythema of eyelid
1%
Pollakiuria
1%
Nasal obstruction
1%
Furuncle
1%
Oedema peripheral
1%
Pharyngitis bacterial
1%
Skin infection
1%
Application site reaction
1%
Influenza like illness
1%
Injection site erosion
1%
Diarrhoea
1%
Dental caries
1%
Haemorrhoids
1%
Mouth ulceration
1%
Groin pain
1%
Neck pain
1%
Eczema
1%
Heart rate increased
1%
Dizziness
1%
Sinusitis
1%
Memory impairment
1%
Post procedural oedema
1%
Lymphadenitis
1%
Cough
1%
Delusion
1%
Chills
1%
Injection site exfoliation
1%
Nasal dryness
1%
Swelling face
1%
Dysuria
1%
Dry eye
1%
Myopia
1%
Ophthalmic migraine
1%
Feeling abnormal
1%
Joint dislocation
1%
Rash maculo-papular
1%
Systemic lupus erythematosus
1%
Neutropenia
1%
Thermal burn
1%
Post procedural complication
1%
Chest pain
1%
Sensation of foreign body
1%
Arthritis
1%
Rhinorrhoea
1%
Seasonal allergy
1%
Abdominal pain
1%
Oesophageal motility disorder
1%
Ligament sprain
1%
Oropharyngeal pain
1%
Vomiting
1%
Localised oedema
1%
Gastritis
1%
Vertigo
1%
Fungal infection
1%
Otitis externa
1%
Upper respiratory tract infection
1%
Pyelonephritis
1%
COVID-19 pneumonia
1%
Rhinitis
1%
Oral candidiasis
1%
Viral infection
1%
Procedural pain
1%
Hypertension
1%
Urine protein/creatinine ratio increased
1%
Urinary sediment
1%
Limb injury
1%
Vaccination complication
1%
Hot flush
1%
Soft tissue injury
1%
Vision blurred
100%
80%
60%
40%
20%
0%
Study treatment Arm
LY3471851 High Dose
LY3471851 Mid Dose
LY3471851 Low Dose
Placebo

Trial Design

3Treatment groups
Experimental Treatment
Placebo Group
Group I: Low dose LY3471851Experimental Treatment1 Intervention
Participants received a subcutaneous injection of low dose LY3471851 every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.
Group II: High dose LY3471851Experimental Treatment1 Intervention
Participants received a subcutaneous injection of high dose LY3471851 every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.
Group III: PlaceboPlacebo Group2 Interventions
Participants received a subcutaneous injection of placebo every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
LY3471851
2021
Completed Phase 2
~670

Find a Location

Who is running the clinical trial?

Eli Lilly and CompanyIndustry Sponsor
2,680 Previous Clinical Trials
3,466,303 Total Patients Enrolled
11 Trials studying Ulcerative Colitis
4,406 Patients Enrolled for Ulcerative Colitis
Nektar TherapeuticsLead Sponsor
58 Previous Clinical Trials
10,235 Total Patients Enrolled
Study DirectorStudy DirectorNektar Therapeutics
1,289 Previous Clinical Trials
502,292 Total Patients Enrolled
25 Trials studying Ulcerative Colitis
9,720 Patients Enrolled for Ulcerative Colitis
Study DirectorEli Lilly and Company
1,391 Previous Clinical Trials
428,760 Total Patients Enrolled
9 Trials studying Ulcerative Colitis
4,156 Patients Enrolled for Ulcerative Colitis
~17 spots leftby Dec 2025