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Ulcerative ColitisPhase 2NCT05370885

VE202 in Patients With Mild-to-Moderate Ulcerative Colitis

A Phase 2 study testing VE202 and Vancomycin Oral Capsule in people with Ulcerative Colitis and Colitis, Ulcerative, run by Vedanta Biosciences, Inc. at 49 sites in 10 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

A Phase 2 study to evaluate the safety, efficacy, and microbiota changes of VE202 in patients with mild to moderate ulcerative colitis (UC). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Ulcerative Colitis, Colitis, Ulcerative
What is being tested?
VE202 and Vancomycin Oral Capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
114 participants
Where
49 sitesin 10 countries
Study dates
8 May 2023to 29 Aug 2025
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 to 75 years of age
  • Documented clinical and endoscopic diagnosis of UC at least 3 months prior to randomization
  • Active mild to moderate UC, as defined by the following:
  • Disease that extends at least 15 cm from the anal verge
  • A modified Mayo score of 4 to 8 with: (i.) Mayo endoscopic subscore of ≥ 2 based on screening flexible sigmoidoscopy; (ii.) Rectal bleeding score of ≥ 1
  • Has never received a biologic agent, Janus kinase inhibitor, or sphingosine-1-phosphate modulator for the treatment of UC
  • If receiving corticosteroids, dose must be stable for at least 4 weeks before randomization
  • Doses of other allowable UC medications must be stable for at least 8 weeks before randomization

Who cannot join

  • Known history of Crohn's disease (CD) or indeterminate colitis
  • A known diagnosis of primary sclerosing cholangitis
  • Allergy to VE202 or any of its components
  • Allergy to vancomycin or any of its components
  • A diagnosis of any non-IBD diarrheal illness (eg, Clostridioides difficile, celiac disease, parasitic infection) within 3 months prior to randomization
  • Use of probiotics or herbal, botanical, or traditional medicinal preparations within the 2 weeks prior to randomization (consumption of food products such as yogurt, kefir, kombucha, and herbal teas is permissible)
Show all 9Show fewer
  • Receipt of Fecal Microbiota Transplantation (FMT) or other fecal-derived preparation within 6 months prior to randomization
  • Prior colectomy, ostomy, or other intestinal surgery (excluding cholecystectomy or appendectomy)
  • Receipt of any investigational biologic within 60 days or 5 half-lives prior to randomization, whichever is longer

Trial locations and contacts

49 sites in 10 countries.

49 sites in 10 countries

Ukraine14 sites
  • Chernivtsi Regional Clinical Hospital

    Chernivtsi, 03110

  • Regional Clinical Hospital of the Ivano-Frankivsk Regional Council

    Ivano-Frankivsk, 76000

  • Municipal Nonprofit enterprise Kyiv City Clinical Hospital # 18

    Kyiv, 01054

  • Artes Medikum, Medial Center, Llc

    Kyiv, 02002

  • Medical Center OK!Clinic+

    Kyiv, 02091

  • National Institute of Surgery and Transplantology named after O. O. Shalimova

    Kyiv, 03126

  • LLC Medical Center "Consilium Medical"

    Kyiv, 04050

  • Volyn Regional Clinical hospital

    Lutsk, 43000

  • M.Sklifosovsky Poltava Regional Clinical Hospital Regional Gastroenterology Center

    Poltava, Poltavska, 36011

  • Ternopil Regional Clinical Hospital

    Ternopil, 46002

  • Uzhgorod City Multidisciplinary Clinical Hospital

    Uzhhorod, 88009

  • Transcarpathian Regional Clinical Hospital named after Andria Novak

    Uzhhorod, 88018

  • Vinnytsia Regional Clinical Hospital named after M.I. Pirogov

    Vinnytsia, 21000

  • Vinnytsia City Clinical Hospital No. 1

    Vinnytsia, 21029

Other trials in Ukraine

United States10 sites
  • Boston Medical Center

    Boston, Massachusetts, 02118

  • University of Virginia Health System

    Charlottesville, Virginia, 22908

  • Atlanta Center for Gastroenterology, P.C. & Atlanta Endoscopy Center, LTD

    Decatur, Georgia, 30033-6146

  • Baylor College of Medicine

    Houston, Texas, 77030

  • GI Pros Research

    Naples, Florida, 34102

  • NYU IBD Center

    New York, New York, 10016

  • Cornell University Weill Cornell Medicine New York Presbyterian Hospital

    New York, New York, 10021

  • Revival Clinical Research

    Orlando, Florida, 32807

  • University of Utah Hospitals and Clinics

    Salt Lake City, Utah, 84132

  • Gastroenterology Research of America, LLC

    San Antonio, Texas, 78229

Other trials in United States

Poland8 sites
  • Vita Longa Sp. z o.o.

    Katowice, 40748

  • Bonifraterskie Centrum Medyczne Sp. z o.o

    Lodz, Łódź Voivodeship, 93-357

  • Medrise Sp. z o.o.

    Lublin, Lublin Voivodeship, 20-582

  • Clinical Research Center Spółka z ograniczoną odpowiedzialnością Medic-R Spółka komandytowa

    Poznan, Greater Poland Voivodeship, 61-731

  • Solumed Centrum Medyczne

    Poznan, 60-529

  • Centrum Medyczne "MEDYK"

    Rzeszów, Podkarpackie Voivodeship, 35-326

  • Endoskopia Sp. z o.o.

    Sopot, Pomeranian Voivodeship, 81-756

  • MEDICAL NETWORK Sp. z o.o. WIP Warsaw IBD Point

    Warsaw, Masovian Voivodeship, 04-501

Other trials in Poland

United Kingdom4 sites
  • UHB NHSFT Queen Elizabeth Hospital

    Birmingham, West Midlands, B15 2TH

  • Barts Health NHS TrustThe Royal London Hospital

    London, E1 2AJ

  • King's College Hospital

    London, SE5 9RS

  • Imperial College Healthcare NHS Trust - St Mary's Hospital

    London, W2 1NY

Other trials in United Kingdom

Australia3 sites
  • Concord Repatriation General Hospital

    Concord, New South Wales, 2139

  • St Vincent's Hospital Melbourne Department of Gastroenterology

    Fitzroy, Victoria, 3065

  • Mater Misericordiae Ltd and Mater Research Ltd

    South Brisbane, Queensland, 4101

Other trials in Australia

Hungary3 sites
  • Semmelweis Egyetem Belgyógyászati és Hematológiai Klinika

    Budapest, 1088

  • Pannónia Magánorvosi Centrum Kft

    Budapest, 1136

  • Dept. Gastroenterology, Univ. Debrecen

    Debrecen, H-4032

Other trials in Hungary

Bulgaria2 sites
  • UMHAT Medica Ruse OOD

    Rousse, 7013

  • Medical Centre Asklepion Main

    Sofia, 1303

Other trials in Bulgaria

Czechia2 sites
  • Vojenská nemocnice Brno, Interní oddělení

    Brno, 61500

  • PreventaMed s.r.o, Vila zdraví

    Olomouc, 77900

Other trials in Czechia

Netherlands2 sites
  • Leiden University Medical Center

    Leiden, 2333 ZA

  • Radboud Universitair Medisch Centrum

    Nijmegen, Gelderland, 6525 GA

Other trials in Netherlands

Lithuania1 site
  • Vilnius University Hospital Santaros klinikos

    Vilnius, LT-08661

Other trials in Lithuania

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study of VE202 in Patients With Mild-to-Moderate Ulcerative Colitis

A Phase 2 study to evaluate the safety, efficacy, and microbiota changes of VE202 in patients with mild to moderate ulcerative colitis (UC).

Read the detailed description

A Phase 2 double-blind, placebo-controlled, randomized study to evaluate the safety, efficacy, and microbiota changes of VE202 in biologic-naïve patients with mild to moderate UC. In Parts 1 and 2 of the study, patients will receive VE202 or placebo for 8 weeks or 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.

Being tested
VE202, Vancomycin Oral Capsule, VE202 Placebo, Vancomycin Placebo
Keywords
Ulcerative Colitis, VE202, Vedanta, Clostridia
Medical subject headings
Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VE202Biological

    VE202 is a rationally defined, live biotherapeutic product for oral administration.

  • Vancomycin Oral CapsuleDrug

    Vancomycin is an antibiotic used to treat or prevent infection

  • VE202 PlaceboOther

    VE202 Placebo

  • Vancomycin PlaceboOther

    Vancomycin Placebo

Study groups in NCT05370885
Study groupRoleWhat they receive
Group A: Part 1 Active and Part 2 Placebo Treatment with Vancomycin pretreatment.OtherIn Part 1 of the study, patients in Group A will receive VE202 for 8 weeks. In Part 2 of the study, patients in Group A will receive VE202 placebo for 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.
Receives: Biological: VE202; Drug: Vancomycin Oral Capsule; Other: VE202 Placebo; Other: Vancomycin Placebo
Group B: Part 1 Placebo and Part 2 Active Treatment with Vancomycin pretreatment.OtherIn Part 1 of the study, patients in Group B will receive VE202 placebo for 8 weeks. In Part 2 of the study, patients in Group B will receive VE202 for 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.
Receives: Biological: VE202; Drug: Vancomycin Oral Capsule; Other: VE202 Placebo; Other: Vancomycin Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of participants with endoscopic response on flexible sigmoidoscopy after 8 weeks of treatment with VE202 or placebo.

    Endoscopic response is defined as a reduction from baseline of 1 point or more in Mayo endoscopic subscore. The Mayo endoscopic subscore is evaluated on a scale of 0 to 3, with a higher score representing more severe disease.

    Measured: 8 Weeks

  2. Percentage of participants with Grade ≥ 3 Treatment-Emergent Adverse Events (TEAEs) that are treatment-related or Serious Adverse Events (SAEs) that are treatment-related in Part 1 and Part 2 of the study.

    The safety of VE202 and placebo in Parts 1 and 2 of the study, which include an 8-week and 2-week course of treatment, respectively, will be evaluated.

    Measured: 16 Weeks

Secondary outcomes (16)
  1. Percentage of participants with endoscopic response on flexible sigmoidoscopy at Week 8, following treatment with VE202 for 2 weeks.

    Endoscopic response is defined as a reduction from baseline of 1 point or more in Mayo endoscopic subscore. The Mayo endoscopic subscore is evaluated on a scale of 0 to 3, with a higher score representing more severe disease.

    Measured: 8 Weeks

  2. Number of participants with TEAEs, SAEs, and Adverse Events of Special Interest (AESIs) in Parts 1, 2, and 3 of the study.

    The safety of VE202 and placebo in Parts 1, 2, and 3 of the study, which include an 8-week and 2-week course of treatment followed by a long-term follow-up period, will be evaluated. AESIs are defined as treatment-related Grade ≥2 TEAEs that are gastrointestinal or bacterial infections.

    Measured: 52 Weeks

  3. Percentage of participants with clinical remission at Week 8 of Part 1 and Week 8 of Part 2.

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. Clinical remission is defined as attaining a Mayo stool frequency subscore of ≤1 and an improvement in stool frequency subscore of ≥1 point from baseline, a rectal bleeding subscore of 0 and an endoscopic subscore ≤1. Each component of the Mayo score is evaluated on a scale of 0 to 3, with a higher score representing more severe disease.

    Measured: 8 Weeks

  4. Percentage of participants with clinical response at Week 8 of Part 1 and Week 8 of Part 2.

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. Clinical response is defined as having met the definition of clinical remission or having a decrease from baseline of ≥2 points and a decrease of ≥30% in modified Mayo score, with either a rectal bleeding score of 0 or a decrease in rectal bleeding of ≥1 point. Each component of the modified Mayo score (stool frequency, rectal bleeding, endoscopy findings) is evaluated on a scale of 0 to 3, with a higher score representing more severe disease.

    Measured: 8 Weeks

  5. Percentage of participants with endoscopic remission on flexible sigmoidoscopy at Week 8 of Part 1 and Week 8 of Part 2.

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. Endoscopic response is defined as a Mayo endoscopic subscore of 0 or 1 point. The Mayo endoscopic subscore is evaluated on a scale of 0 to 3, with a higher score representing more severe disease.

    Measured: 8 Weeks

  6. Change in Mayo score compared with baseline at Week 8 of Part 1 and Week 8 of Part 2.

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. The Mayo score is calculated as the sum of 4 subscores (stool frequency, rectal bleeding, endoscopy findings, and physician global assessment), with each parameter evaluated on a scale of 0 to 3. The total score ranges from 0 to 12, and a higher score represents more severe disease.

    Measured: 8 Weeks

  7. Histologic improvement at Week 8 of Part 1 and Week 8 of Part 2 as measured by Geboes score.

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. The Geboes score encompasses 6 dimensions, each with 4 subcategories: architectural changes, chronic inflammatory infiltrate, lamina propria neutrophils and eosinophils, neutrophils in the epithelium, crypt destruction, and erosions or ulcerations. The Geboes score ranges from grade 0 to 5.4. A higher Geboes score represents more severe disease.

    Measured: 8 Weeks

  8. Histologic improvement at Week 8 of Part 1 and Week 8 of Part 2 as measured by the Robarts Histopathology Index (RHI).

    Participants will receive 8 weeks of VE202/placebo in Part 1 and 2 weeks of VE202/placebo in Part 2. The RHI provides a score between 0 and 33, based on the levels of chronic inflammatory infiltrate, neutrophils in lamina propria and epithelium, and erosion/ulceration. A higher RHI score represents more severe disease.

    Measured: 8 Weeks

  9. Change in fecal calprotectin levels after 2- and 8-week courses of VE202.

    The change in fecal calprotectin level from baseline will be evaluated.

    Measured: 52 Weeks

  10. Change in colonization with VE202 strains detected in feces at various time points in patients treated with 2- and 8-week courses of VE202.

    VE202 colonization will be characterized in patients treated with 2- and 8-week courses of VE202.

    Measured: 52 Weeks

  11. Change in the total percent of relative abundance of VE202 strains in feces at various time points in patients treated with 2- and 8-week courses of VE202.

    VE202 colonization will be characterized in patients treated with 2- and 8-week courses of VE202.

    Measured: 52 Weeks

  12. Change in taxonomic composition of gut microbiome in patients treated with 2- and 8-week courses of VE202.

    Microbiome composition will be evaluated by measuring the sum of species and the genera or higher-level taxonomic groupings at baseline and at subsequent time points in patients treated with 2- and 8-week courses of VE202 or placebo.

    Measured: 52 Weeks

  13. Change in fecal metabolite profiles at baseline and post-VE202 or placebo at various time points.

    Short-chain fatty acid and bile acid concentrations will be evaluated at baseline and at subsequent time points in patients treated with 2- and 8-week courses of VE202 or placebo.

    Measured: 52 Weeks

  14. Number of participants with hospitalization or surgical procedure related to UC after 2- and 8-week courses of VE202.

    To evaluate the impact of 2- and 8-week courses of VE202 on Inflammatory bowel disease (IBD) specific healthcare resource utilization.

    Measured: 52 weeks

  15. Change in patient-reported outcome measures using the Inflammatory Bowel Disease Questionnaire (IBDQ) to evaluate the impact of 2- and 8-week courses of VE202 IBD-specific health-related quality of life.

    The 32-item IBDQ uses a 7-point scale to assess disease-specific health-related quality of life across 4 dimensions: bowel symptoms, systemic symptoms, emotional wellbeing, and social function. The total IBDQ score is calculated by adding the scores within each domain. Scores can range from 32 to 224, with a higher score indicating a better outcome.

    Measured: 52 Weeks

  16. Change in patient-reported outcome measures using the EuroQoL-5D Health Assessment Questionnaire (EQ-5D) scores to evaluate the impact of 2- and 8-week courses of VE202 IBD-specific health-related quality of life.

    The EuroQoL-5D Health Assessment Questionnaire (EQ-5D) is a standardized, self-administered, non-disease-specific instrument for measuring generic health status for routine clinical outcome measurement in the delivery of operational healthcare. Scores range from 0 to 100, with a higher score indicating better outcome.

    Measured: 52 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2022
  2. Study start8 May 2023
  3. Primary completion29 Aug 2025
  4. Study completion29 Aug 2025

Why it stopped: Following review of Part 1 study data, the Sponsor decided to terminate the study with immediate effect. Results indicated that VE202 was not superior to placebo on the primary or any of the secondary endpoints. No new safety concerns were observed.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05370885
Sponsor's protocol ID
VE202-002
Other IDs
2021-001280-24
Status last verified
Sep 2025
First submitted
30 Mar 2022
Last updated
17 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Silber JL, Norman JM, Kanno T, Crossette EM, Szabady R, Menon R, Marko M, Hao LY, Tomsho L, Bhagat S, Yuan A, Olle B, Lamouse-Smith E. A randomized, double-blind, placebo-controlled, single- and multiple-dose phase 1 study of VE202, a defined bacterial consortium for treatment of inflammatory bowel disease: safety and colonization dynamics of a novel live biotherapeutic product in healthy adults. Eur J Gastroenterol Hepatol. 2026 Apr 1;38(4):437-441. doi: 10.1097/MEG.0000000000003098. Epub 2025 Oct 23.

    PubMed 41342324

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VE202 and Vancomycin Oral Capsule in people with Ulcerative Colitis and Colitis, Ulcerative, run by Vedanta Biosciences, Inc. at 49 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 17 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in Ukraine, United States, Poland, United Kingdom, Australia and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Following review of Part 1 study data, the Sponsor decided to terminate the study with immediate effect. Results indicated that VE202 was not superior to placebo on the primary or any of the secondary endpoints. No new safety concerns were observed.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants with endoscopic response on flexible sigmoidoscopy after 8 weeks of treatment with VE202 or placebo. (time frame: 8 Weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05370885, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Dec 2025.

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