A Study of How the Medicine Called "Etrasimod" Works in Children With the Gut Disease Called Ulcerative Colitis (ELEVATE-UCkids)

A PHASE 2 OPEN-LABEL, SINGLE ARM STUDY TO EVALUATE THE EFFICACY, PHARMACOKINETICS, AND SAFETY OF ETRASIMOD IN PEDIATRIC PARTICIPANTS WITH MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS

The purpose of this study is to determine the safety, efficacy, and pharmacokinetics (PK) of etrasimod for the treatment of moderately to severely active ulcerative colitis in pediatrics participants (≥ 2 years up to < 12 years of age). Participants who will complete the total 52-week treatment period will have the opportunity to continue in a Long-Term Extension (LTE) Period of up to 4 years (5 years after study enrollment).

Study Overview

• Status: Recruiting
• Conditions: Colitis, Ulcerative
• Intervention / Treatment: Drug: Etrasimod

• Study Type: Interventional
• Enrollment (Estimated): 24
• Phase: Phase 2

Expanded Access

Available outside the clinical trial. See expanded access record.

Contacts and Locations

• Study Contact: Name: Pfizer CT.gov Call Center; Phone Number: 1-800-718-1021; Email: ClinicalTrials.gov_Inquiries@pfizer.com

Study Locations

• Canada
  • Manitoba
    • Winnipeg, Manitoba, Canada, R3A 1S1
      • Not yet recruiting
      • Health Sciences Centre Winnipeg
    • Winnipeg, Manitoba, Canada, R3E 3P4
      • Not yet recruiting
      • Children's Hospital Research Institute of Manitoba
  • Quebec
    • Québec, Quebec, Canada, G1V4G2
      • Recruiting
      • CHU de Québec - Université Laval
• France
  • Paris, France, 75015
    • Not yet recruiting
    • Hopital Universitaire Necker Enfants Malades
  • Auvergne-Rhône-Alpes
    • Bron, Auvergne-Rhône-Alpes, France, 69500
      • Recruiting
      • Hospices Civils de Lyon - Hôpital Femme Mère Enfant
• Germany
  • Tübingen, Germany, 72076
    • Recruiting
    • Universitaetsklinikum Tuebingen
  • Wuppertal, Germany, 42283
    • Recruiting
    • Helios Klinikum Wuppertal
  • North Rhine-Westphalia
    • Münster, North Rhine-Westphalia, Germany, 48149
      • Not yet recruiting
      • Universitätsklinikum Münster - Albert Schweitzer Campus
  • Saxony
    • Leipzig, Saxony, Germany, 04103
      • Not yet recruiting
      • Universitätsklinikum Leipzig
• Israel
  • Central District
    • Ramat Gan, Central District, Israel, 5262100
      • Not yet recruiting
      • Sheba Medical Center
    • Ẕerifin, Central District, Israel, 70300
      • Not yet recruiting
      • Yitzhak Shamir Medical Center
  • Jerusalem
    • Jerusalem, Jerusalem, Israel, 9013102
      • Recruiting
      • Shaare Zedek Medical Center
    • Jerusalem, Jerusalem, Israel, 9112001
      • Recruiting
      • Hadassah Medical Center
  • Northern District
    • Haifa, Northern District, Israel, 3109601
      • Not yet recruiting
      • Rambam Health Care Campus
• Italy
  • Tuscany
    • Florence, Tuscany, Italy, 50139
      • Not yet recruiting
      • Azienda Ospedaliera Universitaria Meyer IRCCS
• Japan
  • Kumamoto, Japan, 861-8520
    • Recruiting
    • Japanese Red Cross Kumamoto Hospital
  • Tokyo, Japan, 113-8431
    • Recruiting
    • Juntendo University Hospital
  • Saitama
    • Saitama-shi, Saitama, Japan, 330-8777
      • Recruiting
      • Saitama Prefectural Children's Medical Center
• Poland
  • Katowice, Poland, 40-600
    • Recruiting
    • Gyncentrum sp. z o.o. NZOZ Holsamed - oddział Libero
  • Warsaw, Poland, 04-730
    • Recruiting
    • Instytut "Pomnik - Centrum Zdrowia Dziecka"
  • Masovian Voivodeship
    • Warsaw, Masovian Voivodeship, Poland, 04-501
      • Recruiting
      • Medical Network Spółka z o.o. WIP Warsaw IBD Point Profesor Kierkuś
    • Warsaw, Masovian Voivodeship, Poland, 00-189
      • Recruiting
      • Centrum Zdrowia MDM
• United Kingdom
  • London, United Kingdom, SE1 7EH
    • Recruiting
    • Evelina London Children's Hospital
  • Sheffield, United Kingdom, S10 2TH
    • Recruiting
    • Sheffield Children's Hospital
  • London, CITY of
    • London, London, CITY of, United Kingdom, SE5 9RL
      • Not yet recruiting
      • King's College Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

Description

Inclusion criteria:

Have a diagnosis of ulcerative colitis (UC) that is moderately to severely active Participants are permitted to be receiving a therapeutic dose of select UC therapies

Exclusion criteria:

Severe extensive colitis Diagnosis of Crohn's disease (CD) or indeterminate colitis or the presence or history of a fistula consistent with CD Diagnosis of microscopic colitis, ischemic colitis, or infectious colitis

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Etrasimod; Etrasimod by mouth, once daily up to 52 weeks	Drug: Etrasimod; Once daily by mouth; Other Names: APD334

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number and percent of enrolled participants with clinical remission based on Modified Mayo Score (MMS) at Week 52	Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point (SF= 1 or 0), ES=1 or 0 and RB=0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 52

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number and percent of enrolled participants with clinical remission based on MMS at Week 12	Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point (SF= 1 or 0), ES=1 or 0 and RB=0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 12
Number and percent of enrolled participants with clinical response based on MMS score components at Week 12	Clinical response was defined as a ≥2-point and ≥30% decrease from baseline in MMS, and a ≥1-point decrease from baseline in RB subscore or an absolute RB subscore ≤ 1. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 12
Number and percent of enrolled participants with clinical response based on MMS score components at Week 52	Clinical response was defined as a ≥2-point and ≥30% decrease from baseline in MMS, and a ≥1-point decrease from baseline in RB subscore or an absolute RB subscore ≤ 1. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 52
Number and percent of enrolled participants endoscopic improvement based on MMS score components at Week 12	Endoscopic improvement defined as ES ≤1 (excluding friability). These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 12
Number and percent of enrolled participants endoscopic improvement based on MMS score components at Week 52	Endoscopic improvement defined as ES ≤1 (excluding friability). These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 52
Number and percent of enrolled participants Clinical remission at Week 12 and who had not been receiving corticosteroids for ≥2 weeks immediately prior to Week 12	Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point (SF= 1 or 0), ES=1 or 0 and RB=0. Number of weeks off corticosteroids prior to week 12 visit will be used to determine end point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 12
Number and percent of enrolled participants Clinical remission at Week 52 and who had not been receiving corticosteroids for ≥12 weeks immediately prior to Week 52	Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point (SF= 1 or 0), ES=1 or 0 and RB=0. Number of weeks off corticosteroids prior to week 52 visit will be used to determine end point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 52
Number and percent of enrolled participants Symptomatic remission at all time points up to Week 52	Symptomatic remission was defined as SF subscore = 0 or 1 and an RB subscore = 0. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Week 52
Number and percent of enrolled participants Pediatric Ulcerative Colitis Activity Index (PUCAI) clinical remission from baseline to Week 260	Clinical remission by PUCAI is defined as a score <10. These assessments will be conducted at each visit. These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Baseline, through Week 260
Number and percent of enrolled participants PUCAI clinical response from baseline to Week 260	Clinical response by PUCAI is defined as a score ≥ 20 point reduction from baseline. These assessments will be conducted at each visit.These results will be summarized by the number and percentage of participants achieving the response, along with a two-sided 95% CI.	Baseline, through Week 260
Number and percentage of participants reporting a positive taste/palatability score	The responses to taste acceptability questionnaire on etrasimod tablets and granules will be summarized using count and percentage for SAS	Week 2
Number and percentage of participants reporting a positive taste/palatability score	The responses to taste acceptability questionnaire on etrasimod tablets and granules will be summarized using count and percentage for SAS	Week 12
Change from baseline in Z-Scores height and weight	These assessments will be conducted at each visit. The values and change from baseline will be summarized using number of observations, mean, standard deviation, minimum and maximum values by visit for SAS.	Baseline through Week 260
Number of Participants with Treatment Emergent Treatment-Related Adverse Events (AEs), including Serious Adverse Events (SAEs) and AEs leading to discontinuation.	Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to etrasimod was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.	Baseline up to 28 days after last dose of study intervention
Number of Participants with Clinically Significant Findings in Laboratory Examinations	Following parameters were analyzed for laboratory examination: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); Hepatobiliary biochemistry: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Albumin, Alkaline Phosphatase, Total Bilirubin ; Renal Function Tests: Blood Urea Nitrogen (BUN), Creatinine, Creatinine Kinase, Uric Acid ; Electrolytes: Sodium, Potassium; Glucose; Urine analysis: (decimal logarithm of reciprocal of hydrogen ion activity )[pH], Specific gravity. Clinically significant laboratory abnormality findings were based on investigator discretion.	Baseline up to 28 days after last dose of study intervention
Number of Participants with Clinically Significant Change in Vital Signs	Following vital sign parameters were assessed: diastolic blood pressure, systolic blood pressure, respiration rate, pulse rate, temperature and body weight. Number of participants with clinically significant change in any vital sign parameter compared to baseline were reported. Clinically significant change in vital signs criteria were based on investigator's discretion.	Baseline up to week 260
Plasma concentration verses time of study intervention	Samples collected prior to daily dosing of study intervention for measurement of plasma concentrations of etrasimod will be analyzed using a validated analytical method in compliance with applicable SOPs.	Baseline, Weeks 2 and 4

Collaborators and Investigators

• Sponsor: Pfizer
• Investigators: Study Director: Pfizer CT.gov Call Center, Pfizer

Publications and helpful links

Helpful Links

• To obtain contact information for a study center near you, click here.

Study record dates

Study Major Dates

• Study Start (Actual): May 28, 2026
• Primary Completion (Estimated): September 8, 2030
• Study Completion (Estimated): August 18, 2034

Study Registration Dates

• First Submitted: March 10, 2026
• First Submitted That Met QC Criteria: March 10, 2026
• First Posted (Actual): March 13, 2026

Study Record Updates

• Last Update Posted (Actual): June 26, 2026
• Last Update Submitted That Met QC Criteria: June 23, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: pediatrics; ulcerative colitis; colitis; ulcerative; etrasimod
• Additional Relevant MeSH Terms: Pathologic Processes; Intestinal Diseases; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Gastroenteritis; Inflammatory Bowel Diseases; Pathological Conditions, Signs and Symptoms; Colitis; Colitis, Ulcerative; Ulcer; etrasimod
• Other Study ID Numbers: C5041018; APD334-208 (Other Identifier: Alias Study Number); 2025-523100-77-00 (Registry Identifier: CTIS (EU))

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: Yes
• Studies a U.S. FDA-regulated device product: No