Head-to-head evidence

mirikizumab vs SPY003

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Ulcerative Colitis

Shared mechanism: IL-23 p19 · full Ulcerative Colitis pipeline

mirikizumab · Omvoh

Marketed by Eli Lilly

Approved in Ulcerative Colitismonoclonal antibody
Reliable signal

NCT03524092 · Phase 3 · completed

Randomized (re-randomization of induction responders), double-blind, placebo-controlled, adequately powered (n=544 in the key comparison), hard composite clinical/endoscopic primary endpoint that was statistically significant in the favorable direction (p<0.001) — meeting the 'strong' definition's full test.

Next expected readout: May 2027 · NCT07186101 (registry estimate)

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SPY003

Developed by Spyre Therapeutics

Phase 2 in Ulcerative Colitismonoclonal antibody (anti-IL-23)
not yet graded

No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.

Next expected readout: June 2027 · NCT07012395 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: mirikizumab's landscape · SPY003's landscape