An Early-Stage Study in Multiple Clinics of How Afimkibart May Affect the Body's Processing of Medicines That Rely on Cytochrome P450 Enzymes in Participants With Ulcerative Colitis
Phase 1 · Testing Afimkibart, Caffeine and Warfarin · 18 sites · Hoffmann-La Roche
Official record & contacts on ClinicalTrials.gov ↗
In plain English
What this trial is testing
This study is testing Afimkibart (a drug), Caffeine (a drug), Warfarin (a drug) and Omeprazole (a drug) as a possible treatment. Condition(s) listed: Active Ulcerative Colitis.
It is open-label: participants know what they are receiving.
Phase 1 studies are early tests in a small group of people, mainly checking safety and dosing.
Who can join
- Ages 18 to 60
- Any sex
Some of the main requirements, copied from the record:
- Body weight >= 40kg
- Agreement to adhere to the contraceptive requirements
- UC Specific Inclusion Criteria:
- Confirmed diagnosis of UC with supportive clinical, endoscopic, and histopathological evidence
- Active UC confirmed by endoscopy (flexible sigmoidoscopy or colonoscopy) extending >=15 cm from the anal verge
- Moderately to severely active UC, defined as an modified Mayo score of 5 to 9 points, including a Mayo endoscopic subscore of 2 or 3, confirmed through centrally read endoscopy
There are also 8 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.
What's involved
- About 25 participants are expected to take part.
- The study has 1 group.
- Start date: 2026-06-29.
- Main results expected around 2027-07-31 (estimate from the record).
- 18 study sites listed (18 marked recruiting) in Belgium, Germany, Poland, United Kingdom and United States.
Groups in this study
- Afimkibart Treatment and CYP Cocktail Group (listed as: experimental group)
Main thing being measured
- Area Under the Plasma Concentration-time Curve Up to Time t (AUC0-t [AUC last]) of CYP Probe Substrates (Midazolam, 1-OH-Midazolam, Omeprazole, 5-OH-Omeprazole, Dextromethorphan, Dextrorphan,… (Up to approximately 13 weeks)
- Area Under the Plasma Concentration-time Curve Extrapolated to Infinity (AUCinf) of CYP Probe Substrates (Midazolam, 1-OH-Midazolam, Omeprazole, 5-OH-Omeprazole, Dextromethorphan, Dextrorphan,… (Up to approximately 13 weeks)
- Maximum Plasma Concentration (Cmax) of CYP Probe Substrates (Midazolam, 1-OH-Midazolam, Omeprazole, 5-OH-Omeprazole, Dextromethorphan, Dextrorphan, R-Warfarin, S-Warfarin, Caffeine, and Paraxanthine) (Up to approximately 13 weeks)
In the researchers’ words
The purpose of this study is to evaluate the disease-drug-drug interaction (DDDI) potential of afimkibart (also known as RO7790121). This will be assessed by the characterization of the pharmacokinetics (PK) of cytochrome P450 (CYP) enzyme substrates alone and after administration of afimkibart in participants with moderately to severely active ulcerative colitis (UC).
Words you might see
- 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.
- Fistula: an abnormal tunnel between two parts of the body, which can happen in Crohn's disease.
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
- Am I likely to qualify, given my health history?
- What would I have to do, and how often would I need to visit?
- Could I get a placebo? What happens to my current treatment?
- What are the possible risks and benefits?
- Are travel or other costs covered?
- What happens after the trial ends?
Official details
| Status | Recruiting |
|---|---|
| Phase | Phase 1 |
| Study type | Interventional |
| Conditions | Active Ulcerative Colitis |
| Lead sponsor | Hoffmann-La Roche |
| Enrollment | 25 (estimated) |
| Start date | 2026-06-29 |
| Primary completion (est.) | 2027-07-31 |
| First posted | 2026-06-24 |
| Last updated | 2026-10-16 |
| Official title | A Phase I, Multicenter, Open-Label, Single-Agent Study to Assess the Pharmacokinetics of Cytochrome P450 Substrates After Treatment With Afimkibart in Participants With Moderately to Severely Active Ulcerative Colitis |
| ClinicalTrials.gov ID | NCT07665723 |
Interventions
- Afimkibart (Drug)
Afimkibart will be administered as per the schedule defined in the protocol. - Caffeine (Drug)
Caffeine will be administered orally as part of a CYP cocktail per the schedule defined in the protocol. - Warfarin (Drug)
Warfarin will be administered orally as part of a CYP cocktail per the schedule defined in the protocol. - Omeprazole (Drug)
Omeprazole will be administered orally as part of a CYP cocktail per the schedule defined in the protocol. - Dextromethorphan (Drug)
Dextromethorphan will be administered orally as part of a CYP cocktail per the schedule defined in the protocol. - Midazolam (Drug)
Midazolam will be administered orally as part of a CYP cocktail per the schedule defined in the protocol. - Vitamin K (Other)
Vitamin K will be administered orally as a rescue medication following warfarin administration per the schedule outlined in the protocol.
Full eligibility criteria (from the record)
Inclusion Criteria: * Body weight >= 40kg * Agreement to adhere to the contraceptive requirements UC Specific Inclusion Criteria: * Confirmed diagnosis of UC with supportive clinical, endoscopic, and histopathological evidence * Active UC confirmed by endoscopy (flexible sigmoidoscopy or colonoscopy) extending >=15 cm from the anal verge * Moderately to severely active UC, defined as an modified Mayo score of 5 to 9 points, including a Mayo endoscopic subscore of 2 or 3, confirmed through centrally read endoscopy Exclusion Criteria: Inflammatory Bowel Disease (IBD) Exclusion Criteria: * Current diagnosis of Crohn's disease (CD),abdominal/intrabdominal/perianal fistula and/or abscess, indeterminant colitis, IBD-unclassified, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, or active diverticular disease * Presence of an ostomy or ileoanal pouch * Current diagnosis or suspicion of primary sclerosing cholangitis Medical History Exclusion Criteria: * Lack of peripheral venous access * Any major surgery within 6 weeks prior to screening or a major surgery planned during the study * History of alcohol, drug, or chemical abuse < 1 year prior to screening
Locations (18)
| Site | City | Country | Site status |
|---|---|---|---|
| Erick H. Alayo Medical Corporation - Gastro SB Clinic | Chula Vista, California | United States | Recruiting |
| Allied Biomedical Research Institute, Inc | Miami, Florida | United States | Recruiting |
| Gastro Health Research | Miami, Florida | United States | Recruiting |
| UZ Leuven Gasthuisberg | Leuven | Belgium | Recruiting |
| AZ Delta (Campus Rumbeke) | Roeselare | Belgium | Recruiting |
| Charite Research Organisation GmbH | Berlin | Germany | Recruiting |
| Centrum Medyczne "Medis" | Bydgoszcz | Poland | Recruiting |
| Amicare Sp. z o.o. S.K. | Lodz | Poland | Recruiting |
| Medrise sp z o.o | Lublin | Poland | Recruiting |
| Allmedica Badania Kliniczne Sp z o.o. Sp K. | Nowy Targ | Poland | Recruiting |
| NZOZ Eskulap Pabianice | Pabianice | Poland | Recruiting |
| SOLUMED Centrum Medyczne | Późna | Poland | Recruiting |
| Centralny Szpital Kliniczny MSW w Warszawie | Warsaw | Poland | Recruiting |
| WIP Warsaw IBD Point Profesor Kierkus | Warsaw | Poland | Recruiting |
| PlanetMed sp. z o.o. | Wroc?aw | Poland | Recruiting |
| Royal Liverpool University Hospital | Liverpool | United Kingdom | Recruiting |
| University College London Hospitals | London | United Kingdom | Recruiting |
| Royal Victoria Infirmary | Newcastle upon Tyne | United Kingdom | 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.