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Budigalimab

Phase 2

Hepatocellular Carcinoma | Monoclonal antibody | Oncology |AbbVie Inc.|Trials Updated: Aug 14, 2025

Budigalimab development status

Highest phase Phase 2
Registered trials 27 across 2 sponsors since Sep 2013

Budigalimab target and mechanism

Molecular targetPDCD1
Target classInhibitor
ModalityMonoclonal antibody

Also known as ABBV-181

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment389

FDA Designations

No designations recorded

Budigalimab clinical trials

Budigalimab · 4 trials · 5 indications

Phase 2 1Phase 1 3
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 Who Experienced Dose-Limiting Toxicities (DLTs)
7 day load + 1 cycle (1 cycle is 28 days)

A DLT was defined as the occurrence of any of the following toxicities within the DLT Evaluation Period if judged by the Investigator and Sponsor to be possibly, probably, or definitely related to TTX-030 or budigalimab.

The Incident of Adverse Events
Through study completion, an average of 1 year

Number of study subjects experiencing adverse events (AEs) and serious adverse events (SAEs). Safety profile will be assessed through laboratory evaluations, vital signs, and physical examinations.

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)

Number of Participants with Study Drug-Related Adverse Events Grade 3 or Higher
Up to approximately 44 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 Adverse Events (AEs) Corresponding to Retroviral Rebound Syndrome
Up to approximately 44 weeks

Adverse Events (AEs) Corresponding to Retroviral Rebound Syndrome.

Maximum Observed Concentration (Cmax)
Up to approximately 36 weeks

Maximum Observed Concentration (Cmax) of ABBV-181.

Time to Cmax (Tmax)
Up to approximately 36 weeks

Time to Cmax (Tmax) of ABBV-181.

Observed Concentration (Ctrough)
Up to approximately 36 weeks

Observed Concentration (Ctrough) at the end of the dosing intervals for ABBV-181.

Area Under the Curve (AUCtau)
Up to approximately 36 weeks

Area Under the Curve (AUCtau) during the dosing intervals for ABBV-181.

Half-life (t1/2)
Up to approximately 36 weeks

Half-life (t1/2) of ABBV-181 following the last dose.

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.
Combo 1EXPERIMENTALTTX-030 plus budigalimab plus mFOLFOX6
Combo 2EXPERIMENTALTTX-030 plus budigalimab plus docetaxel
Combo 3EXPERIMENTALTTX-030 plus mFOLFOX6
Combo 4EXPERIMENTALTTX-030 plus pembrolizumab
Combo 5EXPERIMENTALTTX-030 plus budigalimab (selected tumors evaluated in expansion)
Combo 6EXPERIMENTALTTX-030 plus budigalimab plus nab-paclitaxel + gemcitabine
Combo 7EXPERIMENTALTTX-030 plus nab-paclitaxel + gemcitabine
Combo 8EXPERIMENTALBudigalimab plus mFOLFOX6
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.
Stage 1: Arm APLACEBO_COMPARATORParticipants will receive placebo.
Stage 1: Arm BEXPERIMENTALParticipants will receive ABBV-181 dose A.
Stage 1: Arm CEXPERIMENTALParticipants will receive ABBV-181 dose B.
Stage 2: Arm DPLACEBO_COMPARATORParticipants will receive Placebo.
Stage 2: Arm EEXPERIMENTALParticipants will receive ABBV-181 dose C.

Interventions

NameTypeDescription
BudigalimabDRUGIntravenous (IV) Infusion
LivmoniplimabDRUGIntravenous (IV) Infusion
LenvatinibDRUGOral: Capsule
SorafenibDRUGOral: Tablet
TTX-030, budigalimab and mFOLFOX6COMBINATION_PRODUCTDose and schedule per protocol
TTX-030, budigalimab and docetaxelCOMBINATION_PRODUCTDose and schedule per protocol
TTX-030 and mFOLFOX6COMBINATION_PRODUCTDose and schedule per protocol
TTX-030 and budigalimabCOMBINATION_PRODUCTDose and schedule per protocol
TTX-030, budigalimab, nab-paclitaxel and gemcitabineCOMBINATION_PRODUCTDose and schedule per protocol
TTX-030 and pembrolizumabCOMBINATION_PRODUCTDose and schedule per protocol
TTX-030, nab-paclitaxel and gemcitabineCOMBINATION_PRODUCTDose and schedule per protocol
Budigalimab and mFOLFOX6COMBINATION_PRODUCTDose and schedule per protocol
PlaceboDRUGSubcutaneous (SC)
ABBV-181DRUGIntravenous (IV) Infusion
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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 RicoAustraliaCanada
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Frequently asked questions about Budigalimab

What is Budigalimab?

Budigalimab is an investigational monoclonal antibody being developed by AbbVie Inc. (ticker: ABBV). It is being studied in oncology and HIV, with clinical programs in hepatocellular carcinoma, HIV, and advanced solid tumors in adults. It is not yet approved and remains in clinical development.

What is Budigalimab used for in hepatocellular carcinoma?

Budigalimab is being studied in adults with hepatocellular carcinoma, where it is given intravenously in combination with livmoniplimab. This combination is being evaluated in a Phase 2 trial that has completed enrollment and is no longer recruiting. Budigalimab is investigational and has not been approved for hepatocellular carcinoma.

What does Budigalimab target?

Budigalimab targets PDCD1, also known as PD-1. It is an inhibitor of this target, which is a checkpoint receptor on immune cells. By binding PDCD1, budigalimab is designed to interfere with PD-1 mediated signaling in the tumor microenvironment.

Who makes Budigalimab?

Budigalimab is developed by AbbVie Inc., which trades under the ticker ABBV. AbbVie is running the clinical program for budigalimab across oncology and HIV indications.

What phase is Budigalimab in?

Budigalimab is in Phase 2 development. The lead study in hepatocellular carcinoma is a Phase 2 trial, while earlier Phase 1 studies have been completed in HIV and in advanced solid tumors. Budigalimab is investigational and has not been approved by the FDA.

What clinical trials is Budigalimab in?

Budigalimab has been studied in three trials. NCT05822752 is a Phase 2 trial in hepatocellular carcinoma combining budigalimab with livmoniplimab. NCT04799353 is a completed Phase 1 study of subcutaneous and intravenous budigalimab in HIV. NCT04306900 is a completed Phase 1 study in advanced solid tumors.