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emvistegrast

Phase 2

Ulcerative Colitis | Small molecule | Gastrointestinal |Gilead Sciences, Inc.|Last Updated: Apr 9, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment228

FDA Designations

No designations recorded

Clinical trial landscape

emvistegrast · 1 trial · 1 indication

Phase 2 1
NCT06290934Study of GS-1427 in Participants With Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
ACTIVE NOT_RECRUITING228 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study of GS-1427 in Participants With Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of Participants Achieving Clinical Response at Week 12
Week 12

Clinical response is defined as a decrease from baseline in the modified Mayo Clinic Score (mMCS) of ≥ 2 points and at least a 30% reduction from baseline, and a decrease in rectal bleeding subscore of ≥ 1 from baseline or an absolute rectal bleeding subscore of 0 or 1. The mMCS is a scoring system for assessment of Ulcerative Colitis (UC) activity and is composed of subscores from endoscopy (range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease (spontaneous bleeding, ulceration)), rectal bleeding (range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes), and stool frequency (range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 or more stools more than normal). Total score for mMCS ranges from 0 to 9 (sum of all subscores), with higher scores indicating higher disease activity.

Secondary Endpoints

Incidence of Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), or Deaths.
First dose date up to 116 weeks plus 28 days
Incidence of Treatment-emergent Lab Abnormalities
First dose date up to 116 weeks plus 28 days
Proportion of Participants Achieving Clinical Remission at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A, Part B, Part C: Emvistegrast Dose AEXPERIMENTALParticipants will receive emvistegrast Dose A Day 1 through Week 12 (Part A). Participants who complete the 12-week Part A treatment period will be eligible to continue and remain on the same dose of emvistegrast through Week 52 (Part B). Participants who complete Part B of the study will continue onto Part C: Blinded treatment extension for an additional 64 weeks (through Week 116).
Part A, Part B, Part C: Emvistegrast Dose BEXPERIMENTALParticipants will receive emvistegrast Dose B Day 1 through Week 12 (Part A). Participants who complete the 12-week Part A treatment period will be eligible to continue and remain on the same dose of emvistegrast through Week 52 (Part B). Participants who complete Part B of the study will continue onto Part C: Blinded treatment extension for an additional 64 weeks (through Week 116).
Part A, Part B, Part C: Emvistegrast Dose CEXPERIMENTALParticipants will receive emvistegrast Dose C Day 1 through Week 12 (Part A). Participants who complete the 12-week Part A treatment period will be eligible to continue and remain on the same dose of emvistegrast through Week 52 (Part B). Participants who complete Part B of the study will continue onto Part C: blinded treatment extension for an additional 64 weeks (through Week 116).
Part A, Placebo; Part B, Part C: EmvistegrastEXPERIMENTALParticipants will receive Placebo to match emvistegrast Day 1 through Week 12 (Part A). Part A placebo participants will be eligible to undergo re-randomization in a double-blind manner after endoscopy assessment at Week 12 to receive one of the emvistegrast dose A, B, or C treatments. Participants will be eligible to continue and remain on the new dose through Week 52 (Part B). Participants who complete Part B of the study will continue onto Part C: blinded treatment extension for an additional 64 weeks (through Week 116).

Interventions

NameTypeDescription
emvistegrastDRUGAdministered orally
Placebo-to-match emvistegrastDRUGAdministered orally
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites181

Key Inclusion Criteria: * Individuals have Ulcerative Colitis (UC) with symptoms of at least 90 days duration before randomization, with the diagnosis confirmed by endoscopy and histology at any time prior to randomization. Documentation of endoscopy and histology consistent with the diagnosis of U...

Countries:United StatesAustraliaAustriaBelgiumCanadaCzechiaFranceGeorgiaGermanyHong KongHungaryItalyMalaysiaMoldovaNew ZealandPolandRomaniaSerbiaSouth KoreaSpainTaiwanUnited Kingdom
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Frequently asked questions about emvistegrast

What is emvistegrast used for?

Emvistegrast is an investigational small molecule being developed for the treatment of moderately to severely active ulcerative colitis. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

Who makes emvistegrast?

Emvistegrast is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol GILD. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with ulcerative colitis.

What phase is emvistegrast in?

Emvistegrast is currently in Phase 2 clinical development. It is being studied in a randomized, double-blind, controlled trial involving 228 participants with moderately to severely active ulcerative colitis. The drug remains investigational and is not yet approved for commercial use.

What clinical trials is emvistegrast in?

Emvistegrast is being evaluated in a Phase 2 clinical trial registered as NCT06290934, titled 'Study of GS-1427 in Participants With Moderately to Severely Active Ulcerative Colitis.' The trial is active but not recruiting, and it enrolls adults aged 18 years and older across multiple countries.

Is emvistegrast the same as GS-1427?

Yes, emvistegrast is also known as GS-1427. The Phase 2 clinical trial NCT06290934 uses the name GS-1427 to refer to the drug being studied in participants with moderately to severely active ulcerative colitis.