60 Participants NeededMy employer runs this trial

Multiple Drugs for Ulcerative Colitis or Crohn's Disease

Recruiting at 73 trial locations
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Overseen ByThere may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests new treatments for individuals with ulcerative colitis or Crohn's disease, conditions that cause inflammation in the digestive tract. The focus is on evaluating the effectiveness and safety of these treatments for those with moderate to severe symptoms. Participants will receive either mirikizumab alone or a combination of LY4395089 (an experimental treatment) and mirikizumab. This trial may suit those who have had ulcerative colitis or Crohn's disease for at least three months and have not found success with other treatments like steroids or advanced therapies. As a Phase 2 trial, the research measures the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to significant medical advancements.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop your current medications, but it mentions that certain medications are prohibited. It's best to discuss your current medications with the trial team to see if they are allowed.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that mirikizumab, one of the treatments under study, proved safe in past trials. Studies have examined its use for up to four years in individuals with ulcerative colitis and Crohn's disease. These studies found that many patients remained symptom-free without needing steroids, and the treatment was generally well-tolerated. Importantly, no major safety issues emerged during this time.

For LY4395089, less information is available because it is still under testing and not yet approved by the FDA. This trial is in an early stage (Phase 2), meaning researchers are still assessing its safety and effectiveness. While some safety data exist, further testing is necessary to confirm its safety.

In summary, mirikizumab has shown positive safety results in past studies, while LY4395089 remains under investigation. Participants considering joining the trial should know that mirikizumab appears promising in terms of safety, while LY4395089 is still under close examination.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about these treatments for ulcerative colitis and Crohn's disease because they offer new ways to tackle these conditions. Unlike standard treatments like corticosteroids and immunosuppressants, Mirikizumab is a monoclonal antibody that targets the p19 subunit of IL-23, potentially offering a more targeted approach to inflammation. The co-administration of LY4395089 with Mirikizumab introduces an oral component to the treatment, which could enhance convenience and effectiveness. This combination approach could lead to more personalized and efficient treatment, potentially improving patient outcomes and quality of life.

What evidence suggests that this trial's treatments could be effective for ulcerative colitis or Crohn's disease?

Research has shown that mirikizumab, one of the treatments in this trial, effectively treats both ulcerative colitis and Crohn's disease. Studies indicate that about 63% of patients with ulcerative colitis experienced symptom improvement. For Crohn's disease, mirikizumab helped over 80% of patients maintain relief from symptoms like the urgent need to use the bathroom. In this trial, some participants will receive mirikizumab alone, while others will receive a combination of mirikizumab and LY4395089. Early results suggest that the combination might be more effective, as LY4395089 outperformed a placebo in other studies. Overall, mirikizumab has demonstrated long-lasting benefits and is generally well-tolerated by patients with moderate to severe conditions.16789

Who Is on the Research Team?

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Contact Lilly at 1-877-CTLILLY (1-877-285-4559) or

Principal Investigator

Eli Lilly and Company

Are You a Good Fit for This Trial?

This trial is for adults who have had Crohn's disease or ulcerative colitis for at least 3 months and whose condition is moderately to severely active. Participants must have tried certain standard treatments that didn't work well enough, stopped working, or caused side effects.

Inclusion Criteria

I did not respond well or could not tolerate at least one major treatment for my UC or CD.
I have been diagnosed with UC or Crohn's Disease for at least 3 months.
My ulcerative colitis is moderately to severely active based on recent tests.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either mirikizumab or a combination of LY4395089 and mirikizumab for at least 62 weeks

62 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4-8 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • LY4395089
  • Mirikizumab

Trial Overview

The study tests new drugs (LY4395089 and Mirikizumab given by IV or injection) in people with moderate to severe Crohn's disease or ulcerative colitis. Participants are randomly assigned to different treatment groups. The study lasts at least 62 weeks.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: LY4395089 and Mirikizumab Co-AdministrationExperimental Treatment3 Interventions
Group II: MirikizumabActive Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Eli Lilly and Company

Lead Sponsor

Trials
2,708
Recruited
3,720,000+
Dr. Daniel Skovronsky profile image

Dr. Daniel Skovronsky

Eli Lilly and Company

Chief Medical Officer since 2018

MD from Harvard Medical School

David A. Ricks profile image

David A. Ricks

Eli Lilly and Company

Chief Executive Officer since 2017

BSc from Purdue University, MBA from Indiana University

Citations

Mirikizumab in ulcerative colitis: real-world evidence from an ...

Mirikizumab was effective for inducing clinical response and well-tolerated in a substantial cohort of treatment-experienced patients with UC.

Study Details | NCT07483073 | A Master Protocol (IIBD) ...

Study Period 1: Co-administration of LY4395089 administered orally and mirikizumab administered IV. Study Period 2: Responders will stop ...

Two-Year Data Show Long-Term Benefits of Mirikizumab in ...

Following continuous treatment with mirikizumab, results showed 92.9% of patients who were in clinical remission (measured by Crohn's Disease ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/39448057/

Results From the LUCENT-3 Open-Label Extension Study

3-year continuous treatment with mirikizumab maintained clinical remission in most induction clinical responders, regardless of previous biologic failure ...

Mirikizumab Demonstrates Sustained Disease Clearance ...

Mirikizumab Demonstrates Sustained Disease Clearance Through 4 Years in Ulcerative Colitis ... Long-term results from the LUCENT clinical trial ...

Mirikizumab Trial Extension Data Show 4-Year Disease ...

LUCENT-3 trial open-label extension data show 63.5% of adults with ulcerative colitis administered mirikizumab (Omvoh) who achieved disease ...

LY4395089: Uses, Side Effects, Dosing & 2 Clinical Trials

LY4395089 is an investigational drug, meaning it is currently being studied in clinical trials and is not yet approved by the FDA for any ...

Efficacy and safety of Mirikizumab for ulcerative colitis - PMC

Mirikizumab demonstrates significant efficacy in treating UC, substaintially improving clinical, endoscopic, and histological outcomes.

Patients with Crohn's disease maintained steroid-free ...

Landmark VIVID-2 data showed more than 90% of patients who achieved steroid-free remission at one year maintained steroid-free control ...