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emvistegrast

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment228
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06290934Study of GS-1427 in Participants With Moderately to Severely Active Ulcerative ColitisPHASE2 ACTIVE NOT_RECRUITING 228Mar 27, 2024Apr 1, 2028Apr 9, 2026181 United States, Australia +20
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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 — 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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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT06290934primaryCompletionDate: changed
LOWMay 24, 2026NCT06290934studyFirstPostDate: changed