ClinicalTrials.gg
Not yet recruitingNCT07832435ROCKETEERUpdated Sep 22, 2026

A Phase 2, Placebo-Controlled Study of Oral RXC008 for Crohn's Strictures

A Phase 2 interventional study of High Dose and Low Dose in Strictures Due to Crohn's Disease, sponsored by Redx Pharma Ltd. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Redx Pharma Ltd · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Crohn's disease (CD) is chronic inflammatory bowel disease where any part of the Gastrointestinal (GI) tract can become inflamed and develop fibrotic strictures. Intestinal strictures cause abdominal distension, cramping, dietary restrictions, nausea, vomiting, abdominal pain, and postprandial abdominal pain, which significantly impact patient quality of life.

Rho-associated coiled-coil kinase (ROCK) family of proteins including ROCK1 and ROCK2 have been shown to play an important role in these fibrotic strictures. The investigational agent, RXC008, is an inhibitor of the activity of ROCK1 and ROCK2.

The study will assess efficacy, safety, PK and PD of RXC008 in comparison with placebo for up to 48 weeks in participants with fibrotic strictures who are also receiving standard-of care background anti-inflammatory therapy.

Read the detailed description

RXC008 is an investigational GI-restricted inhibitor of ROCK1 and ROCK2 for the treatment of fibrostenosis due to CD. The study will assess efficacy, safety, systemic PK and PD of RXC008 versus placebo in participants with strictures due to CD.

This multi-centre, randomized, double-blind, placebo-controlled Phase 2 study will evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of orally administered RXC008 compared to a matching placebo over a treatment period of up to 48 weeks.

Following a formal screening period to confirm eligibility, participants on stable background anti-inflammatory therapy will be randomized 1:1:1 to receive either a high dose of RXC008, a low dose of RXC008, or a matched placebo, administered orally.

Key study procedures and protocol-specified assessments will be performed at designated intervals throughout the trial. Radiographic changes in stricture anatomy will be monitored via central reads of Magnetic Resonance Enterography (MRE) scans. while stricture passability will be evaluated via ileocolonoscopy.

Additionally, daily patient-reported outcome (S-PRO2) diaries will be utilized to track the severity and frequency of obstructive symptoms directly from the participant's perspective. Regular blood sampling will also be conducted to characterize systemic drug exposure and safety profiles.

RXC008 is presented for oral administration. Matched placebo will be presented in identical containers and stored / packaged the same as RXC008. Packaging, labelling and preparation of the study medication will be performed in a way that will ensure blinding throughout the cohort.

Primary Objective: To assess the safety and efficacy of RXC008 administered orally daily for up to 24 weeks in participants with strictures due to Crohn's disease who are on stable background anti-inflammatory therapy.

Secondary Objective: Characterise the PK and evaluate RXC008 safety and efficacy administered daily for 48 weeks for Crohn's patients on stable background anti-inflammatory therapy.

Approximately 180 participants will be randomized 1:1:1 to RXC008 High dose: RXC008 Low dose or placebo.

02

Conditions studied

  • Strictures Due to Crohn's Disease

Keywords

  • Strictures
  • Crohn's disease
  • Inflammatory Bowel Disease (IBD)
  • Rho-associated Coiled Coil Kinase (ROCK)
03

In context

Constriction, Pathologic

456 studies on the registry are indexed under Constriction, Pathologic; 109 are open to participants now.

This study's planned enrollment of 180 is above the median of 72 across 295 interventional studies indexed under Constriction, Pathologic.

Browse Constriction, Pathologic studies →

Lead sponsor

Redx Pharma Ltd is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • >16 to ≤40 kg/m2; written .
  • Symptomatic strictures based on S-PRO2 criteria.
  • ≤2 small bowel strictures (naïve, native or anastomotic) confirmed by central MRE read; primary lesion is most distal and reachable by ileocolonoscopy.
  • MRE features consistent with stricture, including:

    • Luminal narrowing (≥50%).
    • Bowel wall thickening (≥25%).
    • Pre-stenotic dilatation (≥25 mm).
  • Stable background Crohn's therapy after induction with no planned changes for study duration (biologics must be stable for ≥12 weeks prior to screening, with shorter windows for other medication classes as defined in the protocol).
  • Screening labs and vital signs within protocol-defined limits; pregnancy prevention requirements met.

Exclusion criteria

Exclusion Criteria:

  • Severe disease activity as measured by Crohn's Disease Activity Index (CDAI).
  • Other colitis diagnoses (e.g. ulcerative, indeterminate, ischaemic, NSAID-induced, microscopic, radiation).
  • Intestinal dysplasia/.
  • Likely to require endoscopic balloon dilation or surgery within 6 months, in the opinion of the investigator.
  • Received either endoscopic balloon dilation or intestinal surgery within the past 6 months.
  • Major surgery within 8 weeks pre-randomisation or planned during the study; extensive resections/proctocolectomy; short gut syndrome (≤200 cm small bowel).
  • Active septic/penetrating complications of CD (e.g., fistulas, abscess, phlegmon), pouches/ostomies, anal/perianal strictures, toxic megacolon, inability to eat, or current hospitalisation for Crohn's disease.
  • Prohibited concomitant medications; prior RXC008 exposure; recent/concurrent participation in another interventional study (per protocol windows).
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
180 participants (estimated)

Study arms

  • Experimental
    High dose

    Drug: High Dose

  • Experimental
    Low dose

    Drug: Low Dose

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugHigh Dose

    RXC008 High dose

  • DrugLow Dose

    RXC008: low dose

  • DrugPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Absolute change from baseline in primary stricture.

    Absolute change from baseline in primary stricture at Week 24, measured by Magnetic Resonance Enterography (MRE).

    Time frame: At week 24.

Secondary outcomes

  1. Change from baseline in stricture passability.

    Change from baseline in stricture passability (passable or non-passable) via ileocolonoscope.

    Time frame: At week 24 and at week 48.

  2. Radiographic stenosis response.

    Radiographic stenosis response (≥25% improvement in primary stricture length or ≥50% improvement in pre-stenotic dilation without worsening of primary stricture length AND no new small bowel stenosis, no new stricture associated fistula, and no new stenotic abscess).

    Time frame: At week 24 and at week 48.

  3. Treatment-Emergent Adverse Events.

    The incidence of Treatment-Emergent Adverse Events (TEAEs).

    Time frame: At week 24 and week 48.

  4. Serious Adverse Events.

    The incidence of Serious Adverse Events (SAEs).

    Time frame: At week 24 and week 48.

  5. Adverse Events.

    The incidence of discontinuations due to Adverse Events (AEs).

    Time frame: At week 24 and at week 48.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2026; primary completion for Aug 2028, 22 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2026
First posted
Sep 22, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Feb 22, 2029
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07832435
Lead sponsor
Redx Pharma Ltd
Responsible party
Sponsor
First posted
Sep 22, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Feb 22, 2029 (estimated)
Last update
Sep 22, 2026

Study contacts

Head of Clinical Operations
Contact
ctilston@redxpharma.com
+44(0)7787 983 638

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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