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Ulcerative ColitisApril 2023Summary reviewed May 2026

What the ELEVATE UC Trials Found — Etrasimod for Ulcerative Colitis

ELEVATE UC 52 and ELEVATE UC 12 tested etrasimod, a once-daily pill that limits inflammatory immune cells from entering the gut, in 1,141 adults with moderately to severely active ulcerative colitis. It was the first oral pill of its class approved for ulcerative colitis.

What the trial was testing

The ELEVATE UC 52 enrolled 787 patients with ulcerative colitis. The study was sponsored by Pfizer and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

27% reached clinical remission at one year — vs. 7% on placebo.

The Lancet · 2023 · NCT03996369

These findings — that of patients in clinical remission at 52 weeks on etrasimod vs. placebo — were published in the The Lancet and represent the headline result of the study.

Researchers tracked outcomes across 787 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with ulcerative colitis, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Etrasimod (Velsipity) is FDA-approved for moderately to severely active ulcerative colitis in adults and available now. It is a once-daily pill — no injections or infusions. Heart-rhythm checks and a vaccination check are needed before starting. Ask your gastroenterologist whether it fits your treatment history.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.