ONO-6414 in Colitis, Ulcerative: NCT07749768 Clinical Landscape Report 2026

16 September 2026
9 min read

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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.

Data snapshot: 16 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.

Phase 1

Clinical phase

Recruiting

Recruitment status

90

Planned enrollment

2027-12-31

Primary-completion proxy

Executive view

NCT07749768 evaluates ONO-6414 in Colitis, Ulcerative. The disclosed sponsor is Ono Pharmaceutical Co., Ltd., the design is Interventional, and the geographic footprint is United States. The first listed primary endpoint is Safety and tolerability: Number of Participants with Adverse Events (AEs), assessed over Up to 168 hours post-dose.

The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.

PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.

How the MCP evidence stack was assembled

Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT07749768 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Colitis, Ulcerative landscape. Drug & Asset MCP drug_fetch was queried for ONO-6414, while Company & Deal Intelligence MCP organization_fetch was queried for Ono Pharmaceutical Co., Ltd..

This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.

Trial landscape table

TrialAsset / interventionPhase / statusSponsorGeographyPrimary endpointReadout proxy
NCT07749768ONO-6414Phase 1 / RecruitingOno Pharmaceutical Co., Ltd.United StatesSafety and tolerability: Number of Participants with Adverse Events (AEs)
Up to 168 hours post-dose
2027-12-31
NCT07773948MesalaminePhase 4 / Not yet recruitingLinköping University HospitalSwedenAny event of pouchitis at two years follow up defined as a Pouchitis Disease Activity Index (PDAI) of ≥7.
Within two years of functioning restorative proctocolectomy
2031-03-31
NCT07767370MesalamineEarly Phase 1 / RecruitingSecond Affiliated Hospital of Nanjing Medical UniversityChinaFecal calprotectin of patients 14 days after treatment compared to the baseline level
baseline, 14 days post-drug administration
2028-08-31
NCT07760077QLS1510Phase 1 / Not yet recruitingShanghai Qilu Pharmaceutical Research Center Co., Ltd.Geography not reportedNumber of Participants with treatment-emergent adverse events (TEAEs)
Up to Week 4
2027-01-30
NCT07760831HRS-7085Phase 1 / Not yet recruitingJiangsu Hengrui Pharmaceuticals Co., Ltd.MoldovaAdverse events (AEs)
at Week 12
2027-04-01

The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.

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Protocol design and endpoint interpretation

NCT07749768 is a Phase 1, recruiting study with 90 planned participants. Allocation is Randomized, masking is Double, and the intervention model is Parallel Assignment.

The primary endpoint is “Safety and tolerability: Number of Participants with Adverse Events (AEs)” over “Up to 168 hours post-dose.” The retrieved endpoint description is: All parts.

Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 90 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.

No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.

Indexed readouts in the surrounding landscape

5 recent result records were selected as contextual evidence for Colitis, Ulcerative. These records do not establish direct evidence for NCT07749768 unless the registration number matches.

A Randomized, Double-blind, Placebo-controlled, Multicenter Phase III Study to Evaluate the Efficacy and Safety of ABX464 Once Daily for Induction Treatment in Subjects With Moder…

Phase 3; n=636; Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8 = 10 Participants ; Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8 = 63 Participants Source: https://clinicaltrials.gov/ct2/show/results/NCT05507216

A Randomized, Double-blind, Placebo-controlled, Multicenter Phase III Study to Evaluate the Efficacy and Safety of ABX464 Once Daily for Induction Treatment in Subjects With Moder…

Phase 3; n=639; Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8 = 4 Participants ; Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8 = 69 Participants Source: https://clinicaltrials.gov/ct2/show/results/NCT05507203

A Phase 2, Multicenter, Open-Label Extension (OLE) Study to Observe the Long-Term Efficacy, Safety, and Tolerability of Repeated Administration of Upadacitinib (ABT-494) in Subjec…

Phase 2; n=107; Percentage of Participants Achieving Endoscopic Remission at Month 12 = 46.9 percentage of participants ; Percentage of Participants Achieving Endoscopic Remission at Month 12 = 54.5 percentage of participants Source: https://clinicaltrials.gov/ct2/show/results/NCT02782663

Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.

Asset and sponsor context

ONO-6414 is indexed as Small molecule drug with target not reported biology and a global stage of Phase 1. The asset profile lists Ono Pharmaceutical Co., Ltd. as an originator or developer.

Ono Pharmaceutical Co., Ltd. is indexed in Japan with the website https://www.ono-pharma.com. ONO Pharmaceutical is focused on the production, purchase, and sale of pharmaceuticals and diagnostic reagents. The record lists 102 development-stage drug assets.

For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.

Development white space

  1. Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
  2. Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
  3. Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
  4. Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
  5. Sequencing white space. Clarify whether ONO-6414 is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.

White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.

Strategic implications and next readouts

For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.

For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.

Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.

Source trail and bottom line

Anchor trial: NCT07749768
Protocol source: https://clinicaltrials.gov/study/NCT07749768
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 16 September 2026.

ONO-6414 in Colitis, Ulcerative is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes Safety and tolerability: Number of Participants with Adverse Events (AEs) and 2027-12-31 the leading decision points.

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