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SPY001

Phase 2

Ulcerative Colitis | Small molecule | Immunology |Spyre Therapeutics, Inc.|Last Updated: Jun 8, 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_CONTROLLEDDMC
Total Trials1
Total Enrollment645
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07012395A Study of Long-acting Antibodies Alone and in Combinations for Moderate to Severe Ulcerative ColitisPHASE2 RECRUITING 645May 27, 2025Mar 1, 2028Jun 8, 2026223 United States, Argentina +32
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Study Endpoints
Primary Endpoints
Part A: Change in Robarts Histopathology Index (RHI)
Week 12

Change in Robarts Histopathology Index (RHI) from baseline at Week 12 will be assessed. The RHI is used to quantify and assess histological activity of UC, comprising of scores for inflammatory infiltrates, neutrophils, erosions or ulceration. Scores are assigned to each of these features, with a total ranging from 0 (no disease activity) to 33 (most severe disease activity). Higher score indicates more severe disease.

Part B: Percentage of participants with clinical remission
Week 12

Percentage of participants with clinical remission at Week 12 will be assessed. Clinical remission is based on the modified Mayo subscores, which consist of a rectal bleeding subscore (ranging from 0 to 3), stool frequency subscore (ranging from 0 to 3), and endoscopic subscore (ranging from 0 to 3), as assessed by central reading. Higher scores indicate more severe disease.

Secondary Endpoints
Part A: Percentage of participants with clinical remission
Week 12
Part A: Percentage of participants with endoscopic improvement
Week 12
Part B: Percentage of participants with endoscopic improvement
Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Intervention Specific Appendix - SPY001: Part AEXPERIMENTALParticipants will receive open-label dose of SPY001
Intervention Specific Appendix - SPY002: Part AEXPERIMENTALParticipants will receive open-label dose of SPY002
Intervention Specific Appendix - SPY003: Part AEXPERIMENTALParticipants will receive open-label dose of SPY003
Intervention Specific Appendix - SPY001 Dosing Regimen 1: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 1 of SPY001
Intervention Specific Appendix - SPY001 Dosing Regimen 2: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 2 of SPY001
Intervention Specific Appendix - SPY002 Dosing Regimen 1: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 1 of SPY002
Intervention Specific Appendix - SPY002 Dosing Regimen 2: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 2 of SPY002
Intervention Specific Appendix - SPY003 Dosing Regimen 1: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 1 of SPY003
Intervention Specific Appendix - SPY003 Dosing Regimen 2: Part BEXPERIMENTALParticipants will receive double-blind dosing regimen 2 of SPY003
Intervention Specific Appendix - SPY120: Part BEXPERIMENTALParticipants will receive double-blind dose of SPY001 and SPY002
Intervention Specific Appendix - SPY130: Part BEXPERIMENTALParticipants will receive double-blind dose of SPY001 and SPY003
Intervention Specific Appendix - SPY230: Part BEXPERIMENTALParticipants will receive double-blind dose of SPY002 and SPY003
Placebo: Part BPLACEBO_COMPARATORParticipants will receive matching placebo
Interventions
NameTypeDescription
SPY001DRUGExperimental
SPY002DRUGExperimental
SPY003DRUGExperimental
PlaceboOTHERPlacebo
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites223

Inclusion Criteria: * 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) * ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBosnia and HerzegovinaBulgariaCanadaChileCroatiaCzechiaFranceGeorgiaGermanyGreeceHungaryIndiaIsraelItalyJapanJordanLithuaniaMexicoMoldovaPolandRomaniaSerbiaSlovakiaSouth KoreaSpainSwitzerlandTaiwanTurkey (Türkiye)Ukraine
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT07012395lastUpdatePostDate: changed
LOWMay 26, 2026NCT07012395primaryCompletionDate: changed
LOWMay 24, 2026NCT07012395studyFirstPostDate: changed