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RecruitingUlcerative Colitis (UC)Ulcerative Colitis, Active ModerateUlcerative Colitis, Active Severe

LY4268989 in Adults With Moderately to Severely Active Ulcerative Colitis

Eligible age

18–80 yrs

Accepts

All genders

Locations

25 states

Healthy volunteers

No

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About this study

The main purpose of this study is to evaluate the safety and effectiveness of LY4268989 when compared to placebo in adult participants with moderately to severely active ulcerative colitis (UC). The study drug will be administered orally. The study will last up to approximately 108 weeks, excluding screening.

Sponsor: Eli Lilly and Company

You may qualify if…

  • Have had an established diagnosis of ulcerative colitis (UC) for ≥3 months prior to randomization, which includes endoscopic evidence of UC
  • Have moderately to severely active UC defined by a Modified Mayo Score (mMS) of 5 to 9 with an Endoscopic Score (ES)≥2 confirmed by central reader and rectal bleeding (RB)≥1
  • Have evidence of UC extending proximal to the rectum
  • Have documented evidence of having had a surveillance colonoscopy within 1 year, or according to local guidelines, to evaluate for polyps, dysplasia, or malignancy, prior to randomization, if the participant has a history of UC symptoms for more than 8 years
  • Have an inadequate response to, loss of response to, or intolerance to at least one conventional medication (including corticosteroids) or one advanced therapy (including biologics, Janus Kinase (JAK) inhibitors, or sphingosine-1-phosphate (S1P) immunomodulators). Participants with inadequate response to vedolizumab are excluded
  • Must meet contraception requirements

You may not qualify if…

  • Have a current diagnosis of
  • Crohn's disease
  • Inflammatory Bowel Disease (IBD unclassified) (formerly known as indeterminate colitis), or
  • primary sclerosing cholangitis
  • Have an inherited immunodeficiency syndrome or known monogenic cause of UC-like colonic inflammation
  • Have had or will need bowel resection or intestinal or intra-abdominal surgery
  • Have evidence of toxic megacolon, intra-abdominal abscess, or stricture or stenosis within small bowel or colon that cannot be traversed by a colonoscope or that are symptomatic
  • Have any prior or current evidence of cancer gastrointestinal (GI) tract, or specified lesions with increased risk of GI malignancies

Where it's recruiting

Arizona

Phoenix · Scottsdale

California

Anaheim · Folsom · Temple City · Victorville

Colorado

Colorado Springs · Denver · Lakewood

Florida

Daytona Beach · Kissimmee · Lakewood Rch · Orlando

Idaho

Boise · Idaho Falls

Illinois

Chicago · Des Plaines · Springfield

Indiana

New Albany

Kentucky

Louisville

Louisiana

Mandeville

Michigan

Wyoming

Minnesota

Rochester

Source: ClinicalTrials.gov · NCT07415044 · last updated 2026-08-06

LY4268989 in Adults With Moderately to Severely Active Ulcerative Coli · TrialPath