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Japanese

April. 01, 2026

April. 01, 2026

jRCT2031260002

Phase 2 Platform Trial to Assess the Efficacy and Safety of Long-acting Antibodies as Single Agents and in Combinations for Moderately to Severely Active Ulcerative Colitis

Phase 2 Platform Trial of Long-acting Antibodies for Moderately to Severely Active Ulcerative Colitis

Nguyen Deanna

Spyre Therapeutics, Inc.

221 Crescent St Building 23, Suite 105 Waltham, MA 02453 USA

831-421-1450

deanna.nguyen@spyre.com

Kaji Sayaka

PSI CRO Japan K.K.

Hanshin Building 6F, 1-13-21 Nihonbashi Kayabacho, Chuo-ku, Tokyo 103-0025, Japan

+81-3-6821-2417

psij_clinical-trials@psi-cro.com

Pending

April. 01, 2026

30

Interventional

randomized controlled trial

double blind

placebo control

parallel assignment

treatment purpose

Diagnosis of UC for >=3 months before Day 1, confirmed by endoscopy and histology either previously or during Screening
Active UC with disease extent of >=15 cm from the anal verge, as confirmed by Screening endoscopy (up to approximately 15% allowed to have only proctitis)
Moderately to severely active disease as defined by a modified Mayo score of 5-9, rectal bleeding subscore of >=1, and Mayo endoscopic subscore >=2

Current diagnosis of Crohn's disease or Inflammatory Bowel Disease (IBD)-Undefined
Confirmed or suspected fulminant colitis, toxic megacolon, bowel perforation and/or other conditions that will likely require surgery during induction
Failed 4 or more approved or investigational advanced therapy classes

18age old over
No limit

Both

Ulcerative Colitis

Subjects will be randomized in a blinded manner to one of the following groups: monotherapy groups with three investigational products (SPY001, SPY002, or SPY003), combination therapy groups consisting of two of these agents, SPY120 (SPY001 + SPY002), SPY130 (SPY001 + SPY003), or SPY230 (SPY002 + SPY003) or a placebo group. Each of he three monotherapy groups includes both a high-dose group and a low-dose group.
After randomization, during the initial 12 week induction treatment period, the assigned investigational product will be administered intravenously at Weeks 0, 4, and 12. Thereafter, the same investigational product will be administered subcutaneously at Weeks 24 and 36 in 36 week maintenance treatment period.

Clinical remission at Week12

Endoscopic improvement at Week 12
Clinical response at Week 12
Histologic improvement at Week 12
HEMI at Week 12
Clinical remission at Week 48
Study drug concentration through Week 12
Percentage of participants with ADA to study drugs through Week 12
Safety and tolerability of intervention through Week 12
Safety and tolerability of intervention from Week 12 dosing through Week 48 and last follow up visit (if applicable)

Spyre Therapeutics, Inc.
Institutional Review Board, Juntendo University Urayasu Hospital
2-1-1 Tomioka, Urayasu-shi, Chiba, Chiba
Approval

No

Argentina/Australia/Austria/Belgium/Bosnia and Herzegovina/Brazil/Bulgaria/Canada/Chile/China/Croatia/Czech Republic/France/Georgia/Germany/Greece/Hungary/India/Israel/Italy/Jordan/Kazakhstan/Lithuania/Mexico/Moldova/Poland/Romania/Serbia/Slovakia/South Korea