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Etrasimod

Phase 3

Ulcerative Colitis | Small molecule | Gastrointestinal |Pfizer, Inc.|Last Updated: Jul 9, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials9
Total Enrollment2,323
FDA Designations
No designations recorded
Clinical trial landscape

Etrasimod · 15 trials · 7 indications

Phase 3 4Phase 2 10Phase 1 1
NCT03996369Etrasimod Versus Placebo as Induction Therapy in Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
COMPLETED354 Analytics
NCT03945188Etrasimod Versus Placebo for the Treatment of Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
COMPLETED433 Analytics
NCT04706793Oral Etrasimod Versus Placebo for the Treatment of Moderately to Severely Active Ulcerative Colitis in Adult Japanese Participants (ELEVATE UC 40 JAPAN)Ulcerative Colitis
COMPLETED42 Analytics
NCT03950232An Extension Study for Treatment of Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
ACTIVE NOT_RECRUITING896 Analytics
PHASE3COMPLETED
Etrasimod Versus Placebo as Induction Therapy in Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
Etrasimod Versus Placebo for the Treatment of Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
Oral Etrasimod Versus Placebo for the Treatment of Moderately to Severely Active Ulcerative Colitis in Adult Japanese Participants (ELEVATE UC 40 JAPAN)
Ulcerative ColitisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
An Extension Study for Treatment of Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
Study Endpoints
Primary Endpoints
Percentage of Participants Achieving Clinical Remission at Week 40 of Study APD334-308
Week 40 of APD334-308

Clinical remission was based on the modified Mayo score (MMS). The MMS is a composite score of 3 assessments consisting of participant-reported symptoms using daily electronic (e)-diary and centrally read endoscopy: stool frequency (SF), rectal bleeding (RB) and endoscopic score (ES). Clinical remission was defined as SF sub-score = 0 (or = 1 with a greater than or equal to \[\>=\] 1-point decrease from Baseline), RB sub-score = 0, and ES less than or equal to (\<=) 1 (excluding friability). Each component sub-score ranged from 0 to 3 and total score range of the MMS was from 0 to 9, with higher scores indicating more severe disease.

Number and Severity of Safety Measures
Up to approximately 8 years

Safety as assessed by the evaluation of adverse events

Proportion of participants with at least 1 episode of acute pouchitis
48 weeks

The proportion of patients with at least 1 episode of acute pouchitis during the 48 weeks of treatment. Acute Pouchitis defined as: modified pouchitis disease activity index (mPDAI) score ≥ 5 points OR an increase of ≥ 2 points vs. baseline, AND Endoscopic component of the mPDAI Score \>= 2 points (within 7 days prior or post the collection date of the symptomatic component of the mPDAI score)

Number and percent of enrolled participants with clinical remission based on Modified Mayo Score (MMS) at Week 52
Week 52

Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point (SF= 1 or 0), ES=1 or 0 and RB=0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.

Proportion of Participants Achieving Clinical Remission as Assessed by Modified Mayo Score (MMS) at Week 52
Week 52
Percentage of Participants Who Achieved Clinical Remission at Week 12
Week 12

Clinical remission:Participants with stool frequency (SF)subscore=0(or of 1 with greater than or equal to(\>=)1 point decrease from baseline,rectal bleeding(RB)subscore=0 and endoscopic score(ES)less than or equal to(\<)=1(excluding friability).SF subscore:number of stools in 24-hours relative to normal number of stools for that participant in same period,score ranged from 0(normal number of stools) to 3(5 or more stools than normal),higher scores=more severity.RB subscore:most severe amount of blood passed per rectum in 24-hours,score ranged from 0(no blood seen)to 3(blood alone passes),higher scores=more severity.ES:reported worst appearance of mucosa on flexible sigmoidoscopy or colonoscopy,score ranged from 0(normal or inactive disease) to 3(severe disease \[spontaneous bleeding,ulceration\]),higher scores=more severity.Modified Mayo score:measure disease activity for UC,score:0(normal) to 9(maximum severity),comprised subscores for SF,RB,ES.higher score=more severe disease activity.

Percentage of Participants Achieving Clinical Remission (CR) at Week 52 Using Modified Mayo Score (MMS)
Week 52

MMS is used to assess disease activity in participants with UC and has following components: endoscopic score(ES),rectal bleeding(RB),stool frequency(SF).Each component score ranges from 0 to 3(0=normal,1=mild,2=moderate,3=severe); higher scores indicating more severe disease.ES reported worst appearance of mucosa on flexible sigmoidoscopy or colonoscopy,scores ranged from 0(normal or inactive disease) to 3(severe disease \[spontaneous bleeding, ulceration\]).RB reported most severe amount of blood passed per rectum in 24-hour period,scores ranged from 0(no blood seen) to 3(blood alone passes).SF reported number of stools in 24-hour period relative to normal number of stools for that participant in same period,scores ranged from 0(normal number of stools) to 3(5 or more stools than normal).CR per FDA draft guidance defined as:SF=0 or 1 and no greater than baseline, RB=0,ES less than or equal to (\<=)1(excluding friability).Percentage of participants achieving CR at Week 52 was evaluated.

Percent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16
Baseline, Week 16

Eosinophils was counted in the areas of greatest eosinophil density. Counts were reported as the number of eosinophils/high power field (eos/hpf) and multiple hpfs analyzed until the PEC was clearly identified after taking into account all biopsies from all esophageal levels.

Percent Change From Baseline in Severity of Alopecia Tool I (SALT I) at Week 24: DB Treatment Period
DB Treatment Period: Baseline (before dose on Day 1), Week 24

SALT I is a well-validated metric used to determine the degree of hair loss based on the percentage (%) of scalp surface area involved on the top (40%), back (24%), left side (18%) and right side (18%) of the scalp for AA. Investigator determines the % scalp hair loss in a given quadrant, multiply this by the total scalp area delineated by that quadrant, and sum the resultant numbers for each quadrant to give the total % scalp hair loss with a maximum score of 100. Score range from 0% (no scalp hair loss) to 100% (complete scalp hair loss), higher scores indicated more scalp hair loss. Percent change from baseline in SALT I is reported in terms of Least square mean and standard error.

Area under the etrasimod concentration-time curve in breast milk
Baseline (Day -1), Day 1, Day 7 and Day 8.
Maximum observed concentration of etrasimod in breast milk
Baseline (Day -1), Day 1, Day 7 and Day 8.
Amount of etrasimod excreted in breast milk
Baseline (Day -1), Day 1, Day 7 and Day 8.
Percent of etrasimod dose excreted in breast milk
Baseline (Day -1), Day 1, Day 7 and Day 8.
Breast milk clearance of etrasimod
Baseline through Day 8

Baseline (Day -1), Day 1, Day 7 and Day 8.

Time to maximum observed concentration of etrasimod
Baseline (Day -1), Day 1, Day 7 and Day 8.
Secondary Endpoints
Percentage of Participants Achieving Endoscopic Improvement at Week 40 of Study APD334-308
Week 40 of APD334-308
Percentage of Participants Achieving Symptomatic Remission at Week 40 of Study APD334-308
Week 40 of APD334-308
Percentage of Participants With Mucosal Healing at Week 40 of Study APD334-308
Week 40 of APD334-308
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Study Design & Arms
Treatment Arms
ArmTypeDescription
Etrasimod 2 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
etrasimodACTIVE_COMPARATORstudy drug etrasimod 2 mg once daily for 48 weeks
Etrasimod Dose 1EXPERIMENTAL -
Etrasimod Dose 2EXPERIMENTAL -
Placebo and EtrasimodPLACEBO_COMPARATORParticipants will receive etrasimod matching placebo tablet during the Double-Blind Treatment Period and etrasimod tablet during the Extension Treatment Period.
Etrasimod 3 mgEXPERIMENTAL -
healthy breast feeding volunteersEXPERIMENTAL -
Interventions
NameTypeDescription
EtrasimodDRUGEtrasimod 2 mg tablet by mouth, once daily up to 12-Week Induction Treatment Period
PlaceboDRUGEtrasimod matching placebo tablet by mouth, once daily up to 12-Week Induction Treatment Period
Etrasimod 1 mgDRUGEtrasimod 1 mg tablet taken by mouth, once daily
Etrasimod 2 mgDRUGEtrasimod 2 mg tablet taken by mouth, once daily.
Etrasimod matching placeboDRUGEtrasimod matching placebo tablet by mouth, once daily.
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Eligibility Criteria
Age Range16 Years to 80 Years
SexALL

Inclusion Criteria: Participants with moderately to severely active ulcerative colitis (UC) are eligible to enroll into this study if they fulfill all of the following: * Must have completed the Week 12 visit of Study APD334-302 * Ability to provide written informed consent or assent (parent or le...

Countries:JapanUnited StatesArgentinaAustraliaAustriaBelarusBelgiumBulgariaCanadaChileCroatiaCzechiaDenmarkEstoniaFranceGeorgiaGermanyHungaryIndiaIsraelItalyLatviaLebanonLithuaniaMexicoMoldovaPolandPortugalRomaniaRussiaSerbiaSlovakiaSouth AfricaSouth KoreaSpainThailandTurkey (Türkiye)UkraineUnited KingdomNetherlandsSwitzerland
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Recent Changes (Last 90 Days)
LOWJul 9, 2026NCT03950232lastUpdatePostDate: changed
LOWJul 9, 2026NCT03950232lastUpdatePostDate: changed
LOWJul 8, 2026NCT05287126lastUpdatePostDate: changed
LOWJul 8, 2026NCT05287126lastUpdatePostDate: changed
LOWJun 26, 2026NCT07470879primaryCompletionDate: changed
LOWJun 26, 2026NCT07470879primaryCompletionDate: changed
LOWJun 8, 2026NCT05287126lastUpdatePostDate: changed
LOWJun 8, 2026NCT05287126lastUpdatePostDate: changed
LOWJun 8, 2026NCT05287126lastUpdatePostDate: changed
LOWMay 26, 2026NCT07153159primaryCompletionDate: changed
LOWMay 26, 2026NCT07470879Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMMay 26, 2026NCT05287126primaryCompletionDate: changed
LOWMay 26, 2026NCT03950232primaryCompletionDate: changed
LOWMay 24, 2026NCT07153159studyFirstPostDate: changed
LOWMay 24, 2026NCT05287126studyFirstPostDate: changed
LOWMay 24, 2026NCT07470879studyFirstPostDate: changed
LOWMay 24, 2026NCT03950232studyFirstPostDate: changed