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Budigalimab

Phase 2

Hepatocellular Carcinoma | Small molecule | Oncology |AbbVie Inc.|Last Updated: Aug 14, 2025

Target and mechanism

Molecular targetPDCD1
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment130

FDA Designations

No designations recorded

Clinical trial landscape

Budigalimab · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT05822752Study to Evaluate Adverse Events, and Change in Disease Activity, When Intravenously (IV) Infused With Livmoniplimab in Combination With IV Infused Budigalimab in Adult Participants With Hepatocellular Carcinoma (HCC)Hepatocellular Carcinoma
ACTIVE NOT_RECRUITING130 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study to Evaluate Adverse Events, and Change in Disease Activity, When Intravenously (IV) Infused With Livmoniplimab in Combination With IV Infused Budigalimab in Adult Participants With Hepatocellular Carcinoma (HCC)
Hepatocellular CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Best Overall Response (BOR) per Investigator
Through Study Completion, Up to Approximately 27 Months

BOR is defined as a subject achieving confirmed complete response (CR) or confirmed partial response (PR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as determined by investigators at any time prior to subsequent anticancer therapy.

Number of Participants Experiencing Study Drug-Related Grade 3 or Higher Adverse Events (AEs)
Up to approximately 24 weeks

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of the study drug as either having a reasonable possibility or no reasonable possibility. AEs are given a grade from 1-5 with Grade 3 being severe but not life-threatening and requiring hospitalization, Grade 4 being life-threatening requiring immediate intervention and Grade 5 being death related to an AE.

Number of Participants With Study Drug-Related Immune-Related Adverse Events (IRAE)
Up to approximately 24 weeks

Assessed using the American Society of Clinical Oncology (ASCO) IRAE management guidelines \[which utilizes the National Institutes of Health (NIH) Common Terminology Criteria for Adverse Events (CTCAE) grading scale\] but modified, as applicable, according to the NIH Division of AIDS (DAIDS) (v2.1) AE grading scale.

Maximum Serum Concentration (Cmax)
Up to approximately 24 weeks

Maximum Serum Concentration (Cmax) of Budigalimab.

Time to Maximum Observed Plasma Concentration (Tmax)
Up to approximately 24 weeks

Time to Maximum Observed Plasma Concentration (Tmax) of Budigalimab.

Area Under the Plasma Concentration-time Curve (AUC) of Budigalimab in Plasma
Up to approximately 24 weeks

Area Under the Plasma Concentration-time Curve (AUC).

Terminal Phase Elimination Half-life (t1/2) of Budigalimab in Plasma
Up to approximately 24 weeks.

Terminal phase elimination half-life (t1/2)

Secondary Endpoints

Duration of response (DOR) per Investigator
Through Study Completion, Up to Approximately 27 Months
Number of Participants with Progression-free Survival (PFS)
Through Study Completion, Up to Approximately 27 Months
Overall Survival (OS)
Through Study Completion, Up to Approximately 27 Months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1: Lenvatinib or SorafenibACTIVE_COMPARATORParticipants will receive Lenvatinib or or Sorafenib, as part of an approximately 2 year treatment period.
Arm 2: Livmoniplimab Dose A + BudigalimabEXPERIMENTALParticipants will receive Livmoniplimab Dose A in combination with budigalimab, as part of an approximately 2 year treatment period.
Arm 3: Livmoniplimab Dose B + BudigalimabEXPERIMENTALParticipants will receive Livmoniplimab Dose B in combination with budigalimab, as part of an approximately 2 year treatment period.
Group 1: Placebo SC + Placebo IVEXPERIMENTALParticipants will receive Subcutaneous (SC) Placebo, followed by Intravenous (IV) Placebo.
Group 2: Budigalimab (SC) + Placebo IVEXPERIMENTALParticipants will receive Subcutaneous (SC) Budigalimab, followed by Intravenous (IV) Placebo.
Group 3: Budigalimab SC + Placebo IVEXPERIMENTALParticipants will receive Subcutaneous (SC) Budigalimab, followed by Intravenous (IV) Placebo.
Group 4: Placebo SC + Budigalimab IVEXPERIMENTALParticipants will receive Subcutaneous (SC) Placebo, followed by IV Budigalimab.

Interventions

NameTypeDescription
BudigalimabDRUGIntravenous (IV) Infusion
LivmoniplimabDRUGIntravenous (IV) Infusion
LenvatinibDRUGOral: Capsule
SorafenibDRUGOral: Tablet
PlaceboDRUGSubcutaneous (SC)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites59

Inclusion Criteria: * Child-Pugh A classification. * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1. * Received an immune checkpoint inhibitor in first-line (1L) hepatocellular carcinoma (HCC) treatment regimen. * Adequate hematologic and end-organ function. * Tissue biopsy ...

Countries:United StatesFranceItalyJapanSouth KoreaSpainTaiwanPuerto Rico
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Frequently asked questions about Budigalimab

What is Budigalimab used for?

Budigalimab is an investigational drug being studied for the treatment of Hepatocellular Carcinoma (HCC) and Human Immunodeficiency Virus (HIV). In HCC, it is being evaluated in combination with livmoniplimab in a Phase 2 trial. For HIV, a Phase 1 study has been completed.

What does Budigalimab target?

Budigalimab targets PDCD1, also known as programmed cell death protein 1 (PD-1). It acts as an inhibitor of this target, which is a checkpoint protein on immune cells. By inhibiting PD-1, Budigalimab may enhance the immune system's ability to fight cancer cells.

Who makes Budigalimab?

Budigalimab is developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol ABBV. AbbVie is conducting clinical trials to evaluate the safety and efficacy of Budigalimab in various indications.

What phase is Budigalimab in?

Budigalimab is in Phase 2 clinical development for Hepatocellular Carcinoma, where it is being tested in combination with livmoniplimab. A Phase 1 study for HIV has been completed. Budigalimab is not FDA approved and remains an investigational agent.

What clinical trials is Budigalimab in?

Budigalimab is being studied in two clinical trials. NCT05822752 is a Phase 2 trial in Hepatocellular Carcinoma, combining Budigalimab with livmoniplimab, with 130 participants. NCT04799353 is a completed Phase 1 trial in HIV, evaluating single doses of subcutaneous and intravenous Budigalimab.

Is Budigalimab the same as livmoniplimab?

No, Budigalimab is not the same as livmoniplimab. Budigalimab is an investigational PD-1 inhibitor, while livmoniplimab is a separate investigational drug. They are being studied in combination for the treatment of Hepatocellular Carcinoma in a Phase 2 clinical trial.