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NCT Number: NCT07535489

Efficacy and Safety of IPG11406 in Moderately to Severely Active Ulcerative Colitis (Phase 2)

This is a Phase 2, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy, safety, and pharmacokinetics of IPG11406, an investigational oral drug, in adult patients with moderately to severely active ulcerative colitis (UC).

UC is a chronic inflammatory bowel disease that causes long-term inflammation and ulcers in the colon, leading to symptoms like frequent diarrhea, rectal bleeding, abdominal pain, and urgent bowel movements. IPG11406 works by targeting the GPR183 receptor, which helps reduce immune cell migration to the inflamed colon, potentially easing UC symptoms and promoting mucosal healing.

In this study, 144 eligible adult patients will be randomly assigned (1:1:1:1) to receive one of three doses of IPG11406 (10 mg, 20 mg, or 40 mg, taken twice daily by mouth) or a matching placebo for 12 weeks. Neither the patients nor their study doctors will know who is receiving the active drug or placebo to ensure unbiased results.

The main goal of the study is to see how well IPG11406 works to achieve clinical remission (reduced or no UC symptoms) at 12 weeks, measured by the modified Mayo Score. Additional goals include evaluating other efficacy measures (such as clinical response, endoscopic remission, and histological improvement), long-term safety, how the drug is absorbed and processed in the body (pharmacokinetics), and changes in inflammatory biomarkers like fecal calprotectin and hsCRP.

All participants will undergo regular study visits for safety assessments, including physical exams, laboratory tests, colonoscopies, and monitoring for any side effects throughout the 12-week treatment period and a 2-week follow-up. This study will help determine the optimal dose of IPG11406 for future larger clinical trials in UC patients.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

1.Males and females aged ≥18 and ≤70 years at randomization 2.Diagnosis of moderately to severely active UC with mMS 5-9, mMES 2-3, SF ≥1, RB ≥1 3.Documented UC diagnosis for ≥3 months prior to screening 4.Inadequate response, loss of response, or intolerance to conventional or advanced therapies 5.Stable background UC therapy for specified intervals before baseline 6.Willingness to use effective contraception throughout the study and for 1 month after last dose 7.Ability to comply with study visits and procedures 8.Signed informed consent

Exclusion criteria

  • Diagnosis of indeterminate colitis or Crohn's disease
  • History of bowel surgery for UC or likely requiring surgery during study
  • Ulcerative proctitis only (distal ≤15 cm)
  • History of colonic dysplasia or adenomatous polyps not completely removed
  • Active intestinal infection (including C. difficile) within 30 days
  • HBV, HCV, HIV, or untreated latent/active TB
  • Significant cardiovascular disease or uncontrolled hypertension
  • Clinically significant abnormal ECG or QTcF prolongation
  • Treatment with prohibited medications within specified windows
  • Abnormal laboratory values at screening
  • History of malignancy (except non-melanoma skin cancer or in situ cervical cancer)
  • Pregnancy, breastfeeding, or plan to become pregnant
  • Alcohol or drug abuse within 6 months
  • Prior participation in an IPG11406 study
  • Other conditions deemed inappropriate by the investigator

Treatment and study plan

IPG11406

Drug

This intervention refers to IPG11406, an investigational oral tablet being evaluated in a Phase 2, randomized, double-blind, placebo-controlled, dose-ranging study in adult patients with moderately to severely active ulcerative colitis (UC).

IPG11406 is administered twice daily (BID) at three dose levels (10 mg, 20 mg, or 40 mg) for 12 weeks. The formulation is intended for oral administration, with matching placebo used as the control. The primary objective is to assess clinical remission based on the modified Mayo Score at Week 12. Secondary and exploratory endpoints include clinical response, endoscopic/histologic improvement, pharmacokinetics, safety, and changes in inflammatory biomarkers.

Placebo

Drug

This intervention refers to matching placebo oral tablets, identical in appearance, shape, size, and color to the IPG11406 investigational product, used as the control in this Phase 2, randomized, double-blind, placebo-controlled study in adult patients with moderately to severely active ulcerative colitis.

The placebo is administered twice daily (BID) for 12 weeks, following the same dosing schedule as the active IPG11406 treatment arms, to maintain the double-blind study design. It contains no active pharmaceutical ingredient (API) and is formulated to be indistinguishable from IPG11406 tablets for participants, investigators, and study staff.

Primary outcomes

  1. Proportion of participants achieving clinical remission at Week 12, as assessed by the modified Mayo Score (mMS)

    Time frame: week 12

    Clinical remission: mMS ≤2 with all subscores ≤1; stool frequency subscore 0 or 1 and ≥1 point decrease from baseline; rectal bleeding subscore 0; modified Mayo endoscopic subscore 0 or 1 (without friability for score 1)

Secondary outcomes

  1. Proportion of participants achieving clinical response based on mMS at Week 12

    Time frame: Week 12

  2. Proportion of participants achieving clinical response based on full Mayo Score at Week 12

    Time frame: Week 12

  3. Proportion of participants achieving clinical remission based on full Mayo Score at Week 12

    Time frame: Week 12

  4. Proportion of participants achieving combined PRO2 remission and endoscopic remission at Week 12

    Time frame: Week 12

  5. Proportion of participants achieving endoscopic remission at Week 12

    Time frame: Week 12

Study contacts

Contact information is provided by the study sponsor or research team.

Filipe Huang

CONTACT

[email protected]

+86-21-34782827

Sponsors and collaborators

Lead sponsor

Nanjing Immunophage Biotech Co., Ltd

Industry

Collaborators

  • Peking Union Medical College

Registry information

Official study title

A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Efficacy and Safety of IPG11406 Tablets in Adult Patients With Moderately to Severely Active Ulcerative Colitis

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Apr 17, 2026
Registry last updated
Apr 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.