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tofacitinib

Phase 3

Ulcerative Colitis | Small molecule | Immunology |Pfizer, Inc.|Last Updated: Jun 2, 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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment1,474
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04624230Evaluation of Oral Tofacitinib in Children Aged 2 to 17 Years Old Suffering From Moderate to Severe Ulcerative ColitisPHASE3 ACTIVE NOT_RECRUITING 118Aug 12, 2021Jul 4, 2029Jun 2, 202668 United States, Australia +14
NCT01458951A Study To Evaluate Both The Efficacy and Safety Profile of CP-690,550 In Patients With Moderately to Severely Active Ulcerative ColitisPHASE3 COMPLETED 547Jun 1, 2012Jun 1, 2015Jun 1, 2016182 United States, Australia +27
NCT01465763A Study Evaluating The Efficacy And Safety Of CP-690,550 In Patients With Moderate To Severe Ulcerative ColitisPHASE3 COMPLETED 614Apr 1, 2012May 1, 2015Jun 7, 2016178 United States, Australia +26
NCT00787202A Study To Investigate The Safety And Efficacy Of CP- 690,550 In Patients With Moderate And Severe Ulcerative Colitis.PHASE2 COMPLETED 195Dec 1, 2008Sep 1, 2010Apr 16, 201359 Belgium, Brazil +15
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Study Endpoints
Primary Endpoints
Remission by central read Mayo score following 44 weeks in the maintenance phase.
Outcome measured at the end of the 44 weeks of the maintenance phase.

Remission is defined by central endoscopy read Mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. The primary outcome Mayo score is the summation of 4 subscores as listed below : * patient reported stool frequency (scored 0 to 3) * patient reported rectal bleeding (scored 0 to 3) * central read findings on endoscopy (scored 0 to 3) * physician's global assessment (scored 0 to 3) The Mayo score has a scale from 0 to 12 points, with the lower score indicating lower ulcerative colitis (UC) disease activity.

Percentage of Participants With Remission at Week 8
Week 8

Remission in participants was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of Ulcerative Colitis . It consisted of 4 subscores: stool frequency, rectal bleeding, findings of centrally read flexible proctosigmoidoscopy and physician global assessment (PGA), each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.

Percentage of Participants With Clinical Response
Week 8

Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Secondary Endpoints
Response by Mayo score
Outcome measured at induction Week 8, induction Week 16, and maintenance Week 44
Remission by Mayo score
Outcome measured at induction Week 8, induction Week 16, and maintenance Week 44
Change from baseline in Mayo score.
Outcome measured at induction Week 8, induction Week 16, and maintenance Week 44
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
tofacitinibEXPERIMENTALOpen label tofacitinib 5 mg BID weight based adult equivalent with the option for individual dose increase to 10 mg BID weight based adult equivalent for a limited time if dose escalation criteria are met, prior to returning to 5 mg BID.
tofacitinib 10 mg BIDEXPERIMENTAL -
Placebo BIDPLACEBO_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
15 mg BIDEXPERIMENTAL -
10 mg BIDEXPERIMENTAL -
3 mg BIDEXPERIMENTAL -
0.5 mg BIDEXPERIMENTAL -
Interventions
NameTypeDescription
tofacitinibDRUGOpen label tofacitinib 5 mg BID weight based adult equivalent with the option for individual dose increase to 10 mg BID weight based adult equivalent for a limited time if dose escalation criteria are met, prior to returning to 5 mg BID.
PlaceboDRUGPlacebo oral BID
CP- 690 550DRUGAdministration via oral route twice daily for the duration of treatment
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Eligibility Criteria
Age Range2 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites68

Inclusion Criteria: * Evidence of a personally signed and dated informed consent document and assent document. * Males and females 2 to less than18 years old and weighing at least 10 kg. * Having a pathology report that confirms colonic inflammation consistent with UC with a clinical diagnosis of U...

Countries:United StatesAustraliaBelgiumCanadaFinlandFranceGermanyHungaryIsraelItalyJapanNetherlandsPolandSlovakiaSwedenUnited KingdomAustriaBrazilColombiaCroatiaCzechiaDenmarkEstoniaLatviaNew ZealandRomaniaRussiaSerbiaSouth AfricaSouth KoreaSpainTaiwanUkraineChileMexico
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT04624230primaryCompletionDate: changed
LOWJun 2, 2026NCT04624230primaryCompletionDate: changed
LOWJun 2, 2026NCT04624230primaryCompletionDate: changed
LOWMay 26, 2026NCT04624230primaryCompletionDate: changed
LOWMay 24, 2026NCT04624230studyFirstPostDate: changed