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NCT03648541

BI 655130 Long-term Treatment in Patients With moderate-to Severe Ulcerative Colitis

Completed Phase 2 Results posted Last updated 20 October 2025
What this trial tests

Phase 2 trial testing Spesolimab in Colitis, Ulcerative in 79 participants. Completed in 3 May 2023.

Timeline
29 October 2018
Primary endpoint
3 May 2023
3 May 2023

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment79
Start date29 October 2018
Primary completion3 May 2023
Estimated completion3 May 2023
Sites38 locations across Italy, Japan, Russia, Belgium, Austria, United Kingdom, Germany, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Colitis, Ulcerative. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Exposure Adjusted Rate of Participants Reporting a Treatment Emergent Adverse Event (TEAE) Primary · From first maintenance treatment until last maintenance treatment, plus residual effect period (REP) of 112 days, up to 1550 days.

Exposure adjusted rate of participants reporting a treatment emergent adverse event (TEAE). The exposure adjusted incidence rate (per 100 subject years) of a selected treatment emergent adverse event is defined as the number of subjects experiencing the adverse event per treatment group during time at risk divided by the total time of subjects at risk in that treatment group to contribute the event to the analysis multiplied by 100 (per 100 subject years). Only participants receiving maintenance treatment were analysed for this endpoint.

GroupValue95% CI
300 mg Spesolimab s.c. Maintenance Treatment [q4w] for 336 Weeks260.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Re-induction period: From first re-induction treatment until last re-induction treatment plus residual effect period (REP) of 112 days, up to 184 days for patients who did not participate in the maintenance treatment and from first re-induction treatment until first maintenance treatment minus 1 minute, up to 78 days for patients who continued with maintenance treatment. Maintenance period: From first maintenance treatment until last, plus REP of 112 days, up to 1550 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

1200 mg Spesolimab i.v. Re-induction Treatment [q4w] for 12 Weeks
Serious: 3/57 (5%)
Deaths: 0/57
300 mg Spesolimab s.c. Maintenance Treatment [q4w] for 336 Weeks
Serious: 6/34 (18%)
Deaths: 1/34

Serious adverse events (11 terms)

ReactionSystem1200 mg Spesolimab i.v. Re…300 mg Spesolimab s.c. Mai…
Colitis ulcerativeGastrointestinal disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Adrenal insufficiencyEndocrine disorders
COVID-19 pneumoniaInfections and infestations
GastroenteritisInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Generalised tonic-clonic seizureNervous system disorders
Guillain-Barre syndromeNervous system disorders
Deep vein thrombosisVascular disorders
Other adverse events (22 terms — click to expand)

ReactionSystem1200 mg Spesolimab i.v. Re…300 mg Spesolimab s.c. Mai…
Colitis ulcerativeGastrointestinal disorders
NasopharyngitisInfections and infestations
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HaemorrhoidsGastrointestinal disorders
NauseaGastrointestinal disorders
DepressionPsychiatric disorders
EczemaSkin and subcutaneous tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Anorectal discomfortGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
COVID-19Infections and infestations
ConjunctivitisInfections and infestations
Urinary tract infectionInfections and infestations
Viral infectionInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders
DermatitisSkin and subcutaneous tissue disorders
HypertensionVascular disorders

Most-reported serious reactions: Colitis ulcerative, Iron deficiency anaemia, Adrenal insufficiency, COVID-19 pneumonia, Gastroenteritis, Staphylococcal bacteraemia, Upper respiratory tract infection, Colon cancer.

Data from ClinicalTrials.gov NCT03648541 adverse events section.

Sponsor's own description

To evaluate the long-term safety of BI 655130 (SPESOLIMAB) in patients with moderate to severely active ulcerative colitis, who have completed treatment in previous trials To evaluate the long-term efficacy of BI 655130 (SPESOLIMAB) in patients with moderate to severely active ulcerative colitis, who have completed treatment in previous trials

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. IL-36 in chronic inflammation and fibrosis - bridging the gap?
    Elias M, Zhao S, Le HT, Wang J, et al · · 2021 · cited 93× · PMID 33463541 · DOI 10.1172/jci144336
  2. Spesolimab: First Approval.
    Blair HA. · · 2022 · cited 61× · PMID 36418672 · DOI 10.1007/s40265-022-01801-4
  3. Interleukin 36 receptor-inducible matrix metalloproteinase 13 mediates intestinal fibrosis.
    Koop K, Enderle K, Hillmann M, Ruspeckhofer L, et al · · 2023 · cited 12× · PMID 37207229 · DOI 10.3389/fimmu.2023.1163198
  4. New insights on IL‑36 in intestinal inflammation and colorectal cancer (Review).
    Li M, Jiang W, Wang Z, Lu Y, et al · · 2023 · cited 7× · PMID 37206554 · DOI 10.3892/etm.2023.11974
  5. Advancing therapeutic frontiers: a pipeline of novel drugs for UC management.
    Bertin L, Massano A, Redavid C, Scarpa M, et al · · 2026 · PMID 41822012 · DOI 10.3389/fgstr.2026.1747118

Verify or expand the search:

Other trials of Spesolimab

Trials testing the same drug.

Other recruiting trials for Colitis, Ulcerative

Currently open trials in the same condition.

Other Boehringer Ingelheim trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing