Not medical advice. Talk to your doctor and the trial team before making any decision about a clinical trial.
PSC Trial Watch
UCRecruiting

LY4268989 (MORF-057) Co-Administered With Mirikizumab in Adults With Moderately to Severely Active Ulcerative Colitis:

Phase 2 · Testing LY4268989 and Mirikizumab · 147 sites · Eli Lilly and Company

Official record & contacts on ClinicalTrials.gov ↗

In plain English

What this trial is testing

This study is testing LY4268989 (a drug) and Mirikizumab (a drug) as a possible treatment. Condition(s) listed: Ulcerative Colitis.

Participants are assigned to groups by chance (randomized).

Some participants receive a placebo or sham for comparison.

It is blinded: participants and the study team do not know who receives what.

Phase 2 studies test whether a treatment shows signs of working, and keep checking safety, in a larger group of people with the condition.

Who can join

Some of the main requirements, copied from the record:

Plus 6 more requirement(s). There are also 9 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.

What's involved

Groups in this study

Main thing being measured

In the researchers’ words

The main purpose of the study is to evaluate the effectiveness and safety of LY4268989 when given with mirikizumab compared to mirikizumab alone in adult participants with moderately to severely active ulcerative colitis (UC). Study participation will last approximately 118 weeks, including 104 weeks of treatment and may include up to 21 visits.
Words you might see
  • Placebo: a look-alike pill or injection with no active drug, used for comparison.
  • Colonoscopy: a camera exam of the large intestine (colon).
  • Endoscopy: a camera exam inside the digestive tract.
  • Mayo score: a score used to measure how active ulcerative colitis is.
  • Remission: a period when the disease is quiet or under control.
  • Anti-TNF: a group of biologic medicines (such as infliximab or adalimumab) used in IBD.
  • JAK inhibitor: a group of oral medicines that calm parts of the immune system.
  • Biologic: a medicine made from living cells, usually given by injection or infusion.

General definitions, not specific to this trial.

This summary was written automatically from the official record using fixed templates (no AI), so it only says what the record says, and may leave things out.

Questions to ask your doctor and the trial team

Official details

StatusRecruiting
PhasePhase 2
Study typeInterventional
ConditionsUlcerative Colitis
Lead sponsorEli Lilly and Company
Enrollment252 (estimated)
Start date2025-11-10
Primary completion (est.)2027-05
First posted2025-09-22
Last updated2026-10-08
Official titleA Phase 2, Multicenter, Randomized, Double-Blind, Active-Controlled Study of LY4268989 (MORF-057) Co-Administered With Mirikizumab in Adults With Moderately to Severely Active Ulcerative Colitis
ClinicalTrials.gov IDNCT07186101

Interventions

Full eligibility criteria (from the record)
Inclusion Criteria:

* Have had an established diagnosis of UC of ≥3 months in before baseline, which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC
* Have moderately to severely active UC as defined by a mMS of 5 to 9 with an ES ≥2 confirmed by central reader at screening endoscopy and RB ≥1.
* Participants with greater than 8 years of UC symptoms have documented evidence of having had a surveillance colonoscopy within 1 year, or according to local country or regional medical guidelines, to evaluate for polyps, dysplasia, or malignancy, prior to randomization
* Are up-to-date on colorectal cancer surveillance per local society guidelines
* Have an inadequate response to, loss of response to, or intolerance to at least 1 of the medications:
* Conventional-failed participants: Participants who have had an inadequate response to or a loss of response to or are intolerant to at least 1 of the following medications: corticosteroids or immunomodulators (Does not apply to US)

NOTE: After the interim analysis, participants with inadequate response, loss of response, or intolerance to conventional UC therapy without prior exposure to biologics may be enrolled if deemed appropriate (Applies to the US)

* Advanced therapy-failed participants: Participants who have an inadequate response to or a loss of response to, or are intolerant to advanced therapy for UC, defined as:

  * a biologic or biosimilar medication such as anti-tumor necrosis factor (anti-TNF) antibodies or anti-interleukin antibodies (IL-12/23, or IL-23p19), except for

    * mirikizumab.
  * Janus kinase inhibitors (JAK) such as filgotinib, tofacitinib, or upadacitinib
  * sphingosine 1-phosphate receptor 1 inhibitors (S1PR) such as etrasimod or ozanimod

Exclusion Criteria:

* Have a current diagnosis of

  * Crohn's disease
  * Inflammatory Bowel Disease (IBD) unclassified (formerly known as indeterminate colitis), or
  * primary sclerosing cholangitis
* Have had or will need bowel resection or intestinal or intra-abdominal surgery
* Have evidence of toxic megacolon, intra-abdominal abscess, or stricture or stenosis within small bowel or colon that cannot be traversed by a colonoscope or that are symptomatic
* Have any adenomatous polyp occurring in areas of the colon not involved by colitis, that has not been removed

Note: If such an adenomatous polyp has been completely removed and shows only low-grade dysplasia, this criterion would no longer apply

* Have a current or recent acute, active infection

Locations (147)

Show all 147 sites
SiteCityCountrySite status
Mayo Clinic in Arizona - ScottsdaleScottsdale, ArizonaUnited StatesRecruiting
Clinnova Research - AnaheimAnaheim, CaliforniaUnited StatesRecruiting
Om Research LLCLancaster, CaliforniaUnited StatesRecruiting
Biopharma Informatic, LLCLos Angeles, CaliforniaUnited StatesRecruiting
Peak Gastroenterology AssociatesColorado Springs, ColoradoUnited StatesRecruiting
NeoClinical ResearchHialeah, FloridaUnited StatesRecruiting
Encore Borland-Groover Clinical ResearchJacksonville, FloridaUnited StatesRecruiting
Clinical Research of OsceolaKissimmee, FloridaUnited StatesRecruiting
Florida Research InstituteLakewood Rch, FloridaUnited StatesRecruiting
Alliance Medical ResearchLighthouse PT, FloridaUnited StatesRecruiting
Atlantic Medical ResearchMargate, FloridaUnited StatesRecruiting
Digestive and Liver Center of FloridaOrlando, FloridaUnited StatesRecruiting
Center for Gastrointestinal Health - Fairview HeightsBelleville, IllinoisUnited StatesNot yet recruiting
Northwestern UniversityChicago, IllinoisUnited StatesNot yet recruiting
Midtown Gastroenterology and Liver DiseaseDes Plaines, IllinoisUnited StatesRecruiting
GI Alliance - GlenviewGlenview, IllinoisUnited StatesRecruiting
Gi Alliance - GurneeGurnee, IllinoisUnited StatesRecruiting
Gastroenterology Health PartnersNew Albany, IndianaUnited StatesRecruiting
Gastroenterology Health PartnersLouisville, KentuckyUnited StatesRecruiting
Brigham and Women's HospitalBoston, MassachusettsUnited StatesRecruiting
Clinical Research Institute of Michigan, LLCClinton Township, MichiganUnited StatesRecruiting
GI Associates - GIA and Endoscopy Center - FlowoodFlowood, MississippiUnited StatesRecruiting
Digestive Disease Medicine of Central New YorkUtica, New YorkUnited StatesRecruiting
Dayton Gastroenterology, LLCDayton, OhioUnited StatesRecruiting
University Gastroenterology - Providence - West River StreetProvidence, Rhode IslandUnited StatesRecruiting
Gastroenterology Associates, P.A. of GreenvilleGreenville, South CarolinaUnited StatesRecruiting
Gastro One - Walnut Run RoadCordova, TennesseeUnited StatesRecruiting
Texas Digestive Disease Consultants - Cedar ParkCedar Park, TexasUnited StatesRecruiting
GI Alliance - Dallas - Gaston AvenueDallas, TexasUnited StatesNot yet recruiting
GI Alliance - Fort WorthFort Worth, TexasUnited StatesRecruiting
GI Alliance - GarlandGarland, TexasUnited StatesRecruiting
GI Alliance - LubbockLubbock, TexasUnited StatesRecruiting
Southern Star Research InstituteSan Antonio, TexasUnited StatesRecruiting
Tyler Research InstituteTyler, TexasUnited StatesRecruiting
GI Alliance-WebsterWebster, TexasUnited StatesRecruiting
Care Access - OgdenOgden, UtahUnited StatesRecruiting
Clinical Research Partners, LLCRichmond, VirginiaUnited StatesRecruiting
GI Alliance - RichmondRichmond, VirginiaUnited StatesRecruiting
Carilion ClinicRoanoke, VirginiaUnited StatesRecruiting
Washington Gastroenterology - BellevueBellevue, WashingtonUnited StatesRecruiting
Medizinische Universität WienViennaAustriaRecruiting
Chronos Pesquisa ClínicaBrasíliaBrazilRecruiting
CAEP - Synvia LabsCampinasBrazilRecruiting
Fundação Universidade de Caxias do Sul (FUCS)Caxias do SulBrazilRecruiting
Centro Digestivo de CuritibaCuritibaBrazilRecruiting
Galileo Medical ResearchJuiz de ForaBrazilRecruiting
NewData Clinical Research - MaceióMaceióBrazilRecruiting
Hospital Ernesto DornellesPorto AlegreBrazilRecruiting
Centro Internacional de Pesquisa Clínica (CIPES)São José dos CamposBrazilRecruiting
CPQuali Pesquisa ClínicaSão PauloBrazilRecruiting
Solare TrialsSão PauloBrazilSuspended
Hospital Santa Catarina - PaulistaSão PauloBrazilRecruiting
Clínica Hepatogastro JKSão PauloBrazilRecruiting
BRA - Clínica Médica e Terapia AssistidaTajaíBrazilRecruiting
Universidade Federal Do Piaui - Campos UniversitarioTeresinaBrazilRecruiting
Charlton Digestive Disease CentreHamiltonCanadaRecruiting
London Health Sciences CentreLondonCanadaNot yet recruiting
London Digestive Disease InstituteLondonCanadaRecruiting
West GTA Research Inc.MississaugaCanadaRecruiting
C.I.C. Mauricie inc.Trois-RivièresCanadaRecruiting
Changzhou Second People's HospitalChangzhouChinaRecruiting
Chongqing General HospitalChongqingChinaRecruiting
The First Affiliated Hospital Of Fujian Medical UniversityFuzhouChinaRecruiting
Sir Run Run Shaw Hospital of Zhejiang University School of MedicineHangzhouChinaRecruiting
First Affiliated Hospital of Kunming Medical UniversityKunmingChinaRecruiting
Jiangsu Province HospitalNanjingChinaRecruiting
The Affiliated Hospital of Qingdao UniversityQingdaoChinaRecruiting
Shengjing Hospital of China Medical UniversityShenyangChinaRecruiting
The Second Afilliated Hospital of Hebei Medical UniversityShijiazhuangChinaRecruiting
Taian City Central HospitalTaianChinaRecruiting
Wuhan Union HospitalWuhanChinaRecruiting
Wuxi People's HospitalWuxiChinaRecruiting
Herlev and Gentofte HospitalCopenhagenDenmarkRecruiting
Aalborg Universitetshospital, SydGistrupDenmarkRecruiting
Odense UniversitetshospitalOdenseDenmarkRecruiting
Charité Universitaetsmedizin Berlin - Campus MitteBerlinGermanyRecruiting
Studienzentrum MVZ DachauDachauGermanyRecruiting
Universitaetsklinikum ErlangenErlangenGermanyNot yet recruiting
Universitätsklinikum RegensburgRegensburgGermanyNot yet recruiting
Universitaetsklinikum UlmUlmGermanyRecruiting
Óbudai Egészségügyi CentrumBudapestHungaryRecruiting
Semmelweis EgyetemBudapestHungaryRecruiting
Pannónia Magánorvosi CentrumBudapestHungaryRecruiting
Békés Megyei Központi Kórház Dr. Réthy Pál TagkórházBékéscsabaHungaryRecruiting
Clinexpert GyöngyösGyöngyösHungaryRecruiting
Komarom-Esztergom Varmegyei Szent Borbala KorhazTatabányaHungaryRecruiting
Jávorszky Ödön KórházVácHungaryRecruiting
Sardar Vallabhbhai Patel Institute of Medical Sciences and ResearchAhmedabadIndiaRecruiting
Rajiv Gandhi Government General HospitalChennaiIndiaRecruiting
Ashwin HospitalCoimbatoreIndiaRecruiting
Sushruta Multispeciality Hospital & Research CentreHubliIndiaRecruiting
Mahavir Hospital & Research Centre - HyderabadHyderabadIndiaRecruiting
All India Institute of Medical SciencesNew DelhiIndiaNot yet recruiting
Medipoint Hospitals Pvt. Ltd.PuneIndiaRecruiting
Shree Giriraj Multispeciality HospitalRajkotIndiaRecruiting
ASST Grande Ospedale Metropolitano NiguardaMilanItalyRecruiting
Fondazione IRCCS Cà Granda Ospedale Maggiore PoliclinicoMilanItalyRecruiting
Ospedale San RaffaeleMilanItalyRecruiting
Fondazione Policlinico Universitario Agostino GemelliRomaItalyRecruiting
HumanitasRozzanoItalyNot yet recruiting
Fukuoka University HospitalFukuokaJapanRecruiting
Gokeikai Ofuna Chuo HospitalKamakuraJapanRecruiting
Tsujinaka Hospital - KashiwanohaKashiwaJapanRecruiting
National Hospital Organization Osaka National HospitalOsakaJapanRecruiting
Toho University Sakura Medical CenterSakuraJapanRecruiting
Sapporo Tokushukai HospitalSapporoJapanRecruiting
Scientia Investigacion Clinica S.C.Chihuahua CityMexicoRecruiting
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.DurangoMexicoRecruiting
Boca Clinical Trials Mexico S.C.GuadajalaraMexicoRecruiting
Clinica de Investigacion en Reumatologia y Obesidad S. C.GuadalajaraMexicoNot yet recruiting
Centro de Investigación y Gastroenterología - S.C.Mexico CityMexicoRecruiting
Centro de Investigación Clinica ChapultepecMexico CityMexicoNot yet recruiting
Instituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranMexico CityMexicoNot yet recruiting
Servicios de Oncología Médica Integral - MonterreySan Pedro Garza GarcíaMexicoRecruiting
Scientia Investigacion Clinica S.C.TijuanaMexicoRecruiting
Clinical Research Institute S.C.TlalnepantlaMexicoRecruiting
Medimanage ResearchTlalpanMexicoRecruiting
FAICIC S. de R.L. de C.V.VeracruzMexicoRecruiting
RadboudumcNijmegenNetherlandsRecruiting
Elisabeth-TweeSteden ZiekenhuisTilburgNetherlandsRecruiting
Gyncentrum sp. z o.o. NZOZ Holsamed - oddział LiberoKatowicePolandRecruiting
IRMEDPiotrkow TrybunalskiPolandRecruiting
Pratia PoznańPoznanPolandRecruiting
Uniwersyteckie Centrum Stomatologii i Medycyny SpecjalistycznejPoznanPolandRecruiting
Twoja Przychodnia SCMSzczecinPolandRecruiting
Sonomed Sp. z o. o.SzczecinPolandRecruiting
WSD MEDIWarsawPolandRecruiting
Medical Network Spółka z o.o. WIP Warsaw IBD Point Profesor KierkuśWarsawPolandRecruiting
ETG ZamośćZamośćPolandRecruiting
Delta Health CareBucharestRomaniaRecruiting
Spitalul Clinic ColentinaBucharestRomaniaRecruiting
Constanta County Emergency Clinical Hospital Sf.Ap.AndreiConstanțaRomaniaRecruiting
Spital Judetean de UrgentaSatu MareRomaniaRecruiting
S.C Centrul de Gastroenterologie Dr. Goldis S.R.LTimișoaraRomaniaRecruiting
Centro Médico TeknonBarcelonaSpainRecruiting
Hospital Universitario de FuenlabradaFuenlabradaSpainRecruiting
Hospital de CabueñesGijónSpainRecruiting
Hospital Universitario La PazMadridSpainRecruiting
Adana City HospitalAdanaTurkey (Türkiye)Recruiting
Gazi University Health Research and Application Center Gazi HospitalAnkaraTurkey (Türkiye)Recruiting
Antalya Egitim ve Arastırma HastanesiAntalyaTurkey (Türkiye)Not yet recruiting
Eskisehir Osmangazi UniversityEskişehirTurkey (Türkiye)Recruiting
Mustafa Kemal UniversitesiHatayTurkey (Türkiye)Recruiting
İnönü Üniversitesi Turgut Özal Tıp Merkezi Eğitim ve Araştırma HastanesiMalatyaTurkey (Türkiye)Recruiting
Mersin UniversityMersinTurkey (Türkiye)Recruiting
Dicle ÜniversitesiSurTurkey (Türkiye)Recruiting
Kocaeli University Medical Faculty HospitalİzmitTurkey (Türkiye)Recruiting

For contacts at each site, use the official record.

Information only, not medical advice. Talk to your doctor and the trial team before making any decision about a clinical trial.