CClinicalTrials.gg
Not yet recruitingNCT07846683AMETRINE-SCUpdated Sep 29, 2026

A Study to Assess the Efficacy and Safety of Afimkibart for Induction Therapy in Participants With Moderately to Severely Active Ulcerative Colitis

A Phase 3 interventional study of Afimkibart and Placebo in Moderately to Severely Active Ulcerative Colitis, sponsored by Hoffmann-La Roche. Not yet recruiting. Open to participants aged 16 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
350
Allocation
Randomized
Ages
16 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to assess the efficacy and safety of subcutaneous induction with afimkibart in participants with moderately to severely active ulcerative colitis (UC).

02

Conditions studied

  • Moderately to Severely Active Ulcerative Colitis
03

Who can participate

Ages eligible
16 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed diagnosis of UC.
  • Moderately to severely active UC assessed by modified Mayo Score (mMS).
  • Bodyweight >= 40 kilogram (kg).
  • Up to date with colorectal cancer (CRC) screening performed according to local standards.
  • Demonstrated inadequate response, loss of response and/or intolerance to at least one protocol-specified conventional or advanced UC therapy.
  • Females of childbearing potential must meet protocol criteria for contraception requirements.

Exclusion criteria

Exclusion Criteria:

  • Currently known complications of UC (e.g. fulminant colitis, toxic megacolon).
  • Current diagnosis of Crohn's disease (CD) or indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis.
  • Presence of an ostomy or ileoanal pouch.
  • Current diagnosis or suspicion of primary sclerosing cholangitis.
  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study.
  • Past or current evidence of definite low-grade or high-grade colonic dysplasia or adenomas or neoplasia not completely removed.
  • History of malignancy within 5 years, with the exception of malignancies adequately treated with resection for non-metastatic basal cell or squamous cell cancer or in situ cervical cancer.
  • Evidence of infection with Clostridioides difficile (C. difficile; formerly known as Clostridium difficile), cytomegalovirus (CMV), human immunodeficiency virus (HIV), Hepatitis B (HBV), Hepatitis C (HCV).
  • Has evidence of active tuberculosis (TB), latent TB not successfully treated (per local guidance) or inadequately treated TB.
  • Has received protocol-specified prohibited medicines, including known exposure to any type of anti-TL1A therapy.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
350 participants (estimated)

Study arms

  • Experimental
    Afimkibart

    Participants will receive afimkibart administered as subcutaneous (SC) injection.

    Drug: Afimkibart

  • Placebo comparator
    Placebo

    Participants will receive placebo adminsitered as SC injection.

    Drug: Placebo

Interventions

  • DrugAfimkibart

    Afimkibart will be administered as SC injection.

    Also known as: PF-06480605, RVT-3101, RO7790121

  • DrugPlacebo

    Placebo will be administered as SC injection.

05

What researchers measure

Primary outcomes

  1. Percentage of Participants With Clinical Remission

    Time frame: At Week 12

Secondary outcomes

  1. Change From Baseline in Stool Frequency Subscore (SFS)

    The Stool Frequency Subscore (SFS) is measured on a scale from 0 (normal number of stools) to 3 (5 or more stools than normal)

    Time frame: From Baseline up to Week 12

  2. Change From Baseline in Rectal Bleeding Subscore (RBS)

    The Rectal Bleeding Subscore (RBS) is measured on a scale from 0 (no blood seen) to 3 (blood alone passed)

    Time frame: From Baseline up to Week 12

  3. Percentage of Participants With Symptomatic Response

    Time frame: At Week 4

  4. Percentage of Participants With Endoscopic Improvement

    Time frame: At Week 12 and Week 24

  5. Percentage of Participants With Endoscopic Remission

    Time frame: At Week 12 and Week 24

  6. Percentage of Participants With Clinical Response

    Time frame: At Week 12

  7. Percentage of Participants With Histologic-Endoscopic Mucosal Improvement

    Time frame: At Week 12 and Week 24

  8. Percentage of Participants With Clinical Remission

    Time frame: At Week 24

  9. Percentage of Participants With Maintenance of Remission

    Time frame: At Week 12 and Week 24

  10. Percentage of Participants With Histologic Improvement

    Time frame: At Week 24

  11. Change From Baseline in Bowel Urgency

    Bowel urgency will be assessed using two self-reported items over the past 24 hours: presence of bowel urgency (Yes/No) and severity on an 11-point numerical rating scale from 0 (no urgency) to 10 (worst possible urgency)

    Time frame: From Baseline through Week 12 and Week 24

  12. Change From Baseline in Abdominal Pain

    Abdominal pain will be assessed using two self-reported items over the past 24 hours: presence of abdominal pain (Yes/No) and severity on an 11-point numerical rating scale from 0 (no pain) to 10 (worst possible pain)

    Time frame: From Baseline through Week 12 and Week 24

  13. Change From Baseline in Fatigue

    Change in fatigue will be assessed by Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue scale. FACIT-Fatigue is a 13-item self-reported assessment of the level and impact of fatigue. The overall FACIT-Fatigue score ranges between 0 and 52, with higher scores associated with better quality of life concerns related to fatigue

    Time frame: From Baseline through Week 12 and Week 24

  14. Change From Baseline in Health-Related Quality of Life

    Change in health-related quality of life will be assessed by Inflammatory Bowel Disease Questionnaire (IBDQ) score. IBDQ is a 32-item self-reported assessment of health-related quality of life in participants with inflammatory bowel disease. The overall IBDQ score ranges from 32 to 224, with higher scores associated with better health-related quality of life

    Time frame: From Baseline through Week 12 and Week 24

  15. Change From Baseline in Overall UC Symptoms

    Change in overall UC symptoms will be assessed by Patient Global Impression of Change (PGIC). PGIC measures overall change in ulcerative colitis symptoms from "Much better" to "Much worse"

    Time frame: Baseline, Week 2, Week 12 and Week 24

  16. Change From Baseline in Overall Severity in UC Symptoms

    Change in overall severity of UC symptoms will be assessed by Patient Global Impression of Severity (PGIS). PGIS measures severity of ulcerative colitis symptoms from "None" to "Very severe"

    Time frame: Baseline, Week 2, Week 12 and Week 24

  17. Incidence and Severity of Adverse Events (AEs)

    Time frame: From Baseline up to approximately 42 Weeks

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

08

Registry details

Key details

Study ID
NCT07846683
Lead sponsor
Hoffmann-La Roche
Collaborators
Chugai Pharmaceutical, Pfizer
Responsible party
Sponsor
First posted
Sep 29, 2026
Start date
Nov 15, 2026 (estimated)
Primary completion
May 31, 2028 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Sep 29, 2026

Study contacts

Reference Study ID Number: CA46523 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. and Canada)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

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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