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ABX196

Phase 2

Carcinoma, Hepatocellular | Small molecule | Oncology |Abivax SA|Trials Updated: Sep 29, 2026

ABX196 development status

Highest phase Phase 2 (NCT06456593)
Phase scored for ABVXPhase 1
Registered trials 2 across 1 sponsor since Apr 2019

ABX196 target and mechanism

Molecular targetiNKT
ModalitySmall molecule

Also known as Obefazimod

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials3
Total Enrollment266

FDA Designations

No designations recorded

ABX196 clinical trials

ABX196 · 3 trials · 3 indications

Phase 2 1Phase 1 2
NCT06456593Efficacy and Safety of Obefazimod in Subjects With Moderately to Severely Active Crohn's DiseaseModerately to Severely Active Crohn Disease
RECRUITING212 Analytics
PHASE2RECRUITING
Efficacy and Safety of Obefazimod in Subjects With Moderately to Severely Active Crohn's Disease
Moderately to Severely Active Crohn DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Induction and maintenance Phase Efficacy- Crohn's Disease Activity Index (CDAI)
Week 12 and week 52

Change from baseline in Crohn's Disease Activity Index (CDAI) score at Week 12 and Week 52 The CDAI total score ranges from 0 to over 600. Higher scores mean a worse outcome.

Maintenance Phase Efficacy - Simple Endoscopic Score for Crohn's disease (SES-CD)
Week 52

Change from baseline in Simple Endoscopic Score for Crohn's disease (SES-CD) at Week 52 The SES-CD is an endoscopic grading system that consists of a composite score based on 4 components: the size of mucosal ulcers, the extent of the ulcerated surface, the endoscopic extension, and the presence of stenosis (26). Each of the 4 SES-CD components are assessed in the 5 segments of the ileum and colon: ileum, right, transverse, left, and rectum. The SES-CD is the sum of the individual scores of each of the components across the 5 segments. The total score ranges from 0 to 60. Higher scores mean a worse outcome

Maintenance Phase Efficacy - Endoscopic response
Week 52

Proportion of subjects with endoscopic response at Week 52

Maintenance Phase Efficacy - SES-CD ulcer subscore > 1
Week 52

Proportion of subjects with no SES-CD ulcer subscore \> 1 in at least one segment at Week 52

Maintenance Phase Efficacy - CDAI clinical remission
Week 52

Proportion of subjects with CDAI clinical remission at Week 52 Proportion of subjects with sustained CDAI clinical remission at Week 52

Maintenance Phase Efficacy - PRO-2 clinical remission
Week 52

Proportion of subjects with patient reported outcome (PRO)-2 clinical remission at Week 52

Maintenance Phase Efficacy - CDAI clinical response
Week 52

Proportion of subjects with CDAI clinical response (CDAI decrease from baseline ≥ 100 points) at Week 52

Maintenance Phase Efficacy - PRO-2 clinical response
Week 52

Proportion of subjects with PRO-2 clinical response (≥ 30% decrease in average daily PRO-2 score (AP + SF) and both no higher than baseline) at Week 52

Maintenance Phase Efficacy - CDAI clinical response and endoscopic response
Week 52

Proportion of subjects with CDAI clinical response and endoscopic response at Week 52

Maintenance Phase Efficacy - endoscopic remission
Week 52

Proportion of subjects with endoscopic remission at Week 52

Extension Phase Safety- Adverse events
Weeks 64, 76, 88,100 and EOS

Incidence of all treatment-emergent adverse events (TEAEs), serious adverse events (SAEs) and causally related TEAEs/SAEs Incidence of adverse events (AEs) leading to discontinuation

Extension Phase Safety - Hematology and coagulation
Weeks 64, 76, 88,100 and EOS

Number of patients with clinically-significant abnormal laboratory parameters. Hematology: Hematocrit, hemoglobin, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular volume, platelet count, red blood cells; white blood cells Coagulation: International normalized ratio, activated partial thromboplastin time, fibrinogen, prothrombin time

Extension Phase Safety - Biochemistry
Weeks 64, 76, 88,100 and EOS

Number of patients with clinically-significant abnormal laboratory parameters. Albumin, total protein, aspartate aminotransferase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), total bilirubin, gamma glutamyl transferase (GGT), lactate dehydrogenase (LDH), lipase, amylase, creatinine, creatinine clearance, urea, chloride, bicarbonate, sodium, potassium, calcium, phosphate, uric acid, glucose, total cholesterol, LDL cholesterol (direct), HDL cholesterol, triglycerides, creatine phosphokinase (CPK), high sensitivity troponin I and T, N-terminal prohormone of brain natriuretic peptide (NT-proBNP)

Maximum Plasma Concentration (Cmax)
Up to 336 hours post-dose (Day 15) at each period

Cmax of obefazimod in the Minitablet and Capsule regimens

Area under the plasma concentration versus time curve from time zero up to the last measurable concentration (AUC (0-last)
Up to 336 hours post-dose (Day 15) at each period

AUC (0-last) of obefazimod in the Minitablet and Capsule regimens

Area under the plasma concentration versus time curve up from time zero to infinity [AUC(0-inf)]
Up to 336 hours post-dose (Day 15) at each period

AUC(0-inf) of obefazimod in the Minitablet and Capsule regimens

Incidence and Severity of Adverse Events (AEs)
From first day of treatment (randomization visit) up to 64 weeks of treatment + up to 30 days of safety follow-up (total: up to 478 days)

Incidence and severity of adverse events evaluated according to CTC-AE

Secondary Endpoints

Induction Phase Efficacy - SES-CD
Week 12
Induction Phase Efficacy - Endoscopic response
Week 12
Induction Phase Efficacy-SES-CD ulcer subscore > 1
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Obefazimod 50mgEXPERIMENTALObefazimod 50mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD)
Obefazimod 25mgEXPERIMENTALObefazimod 25mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD)
Obefazimod 12.5mgEXPERIMENTALObefazimod 12.5mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD)
PlaceboPLACEBO_COMPARATORPlacebo given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD)
Obefazimod 50 mg Capsule Adult FormulationEXPERIMENTALParticipants will receive a single oral dose of obefazimod Capsule administered with water
Obefazimod Minitablet 50 mgEXPERIMENTALParticipants will receive a single oral dose of obefazimod Minitablet with either Apple sauce, Chocolate pudding, Yogurt, Water
Dose Escalation for ABX196EXPERIMENTALDose escalation: ABX196 at 0.1, 0.2, or 0.4 µg i.m. was administered after completion of nivolumab infusion on Day 1 of every other 28-day treatment cycle (i.e., every 8 weeks). Nivolumab 240 mg i.v. was administered on Days 1 and 15 of each 28-day cycle.

Interventions

NameTypeDescription
ObefazimodDRUGObefazimod is administered once-daily in fed condition (ideally at the same time in the morning).
PlaceboOTHERMatching placebo will be administered QD in fed condition (ideally at the same time in the morning).
Obefazimod 50 mg CapsuleDRUGAdult formulation
Obefazimod Minitablet 50 mgDRUGPediatric formulation
ABX196DRUGABX196 is a synthetic agonist of invariant Natural Killer T (iNKT) cells
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites149

Inclusion Criteria: 1. Male or female (at birth) 18 to 75 years old and able to understand, sign, and date the written voluntary informed consent at the visit prior to any protocol-specified procedures 2. Able and willing to comply with study visits and procedures as per protocol. 3. Confirmed and ...

Countries:United StatesBelgiumCzechiaFranceGermanyHungaryItalyNetherlandsPolandRomaniaSlovakiaSpainUnited Kingdom
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Recent Changes (Last 90 Days)

HIGHSep 29, 2026NCT03897543Status: RECRUITING → COMPLETED
HIGHSep 29, 2026NCT03897543Status: RECRUITING → COMPLETED

Frequently asked questions about ABX196

What is ABX196 used for?

ABX196 is an investigational small molecule being studied for hepatocellular carcinoma, a form of liver cancer. It has been evaluated in a Phase 1 clinical trial in adults with this condition. It is not an approved therapy and remains in clinical development.

What does ABX196 target?

ABX196 targets invariant natural killer T cells, or iNKT cells. It is a small molecule designed to act on this immune cell population. This mechanism is being explored in the context of hepatocellular carcinoma.

Who is developing ABX196?

ABX196 is being developed by Abivax SA, which trades under the ticker ABVX. The company is the sponsor of the clinical program for this asset.

What phase is ABX196 in?

ABX196 is in Phase 1 clinical development. The program has completed one Phase 1 trial. It is an investigational agent and has not been approved for any indication.

What clinical trials is ABX196 in?

ABX196 has been studied in a Phase 1 trial, NCT03897543, titled ABX196 in Combination With Nivolumab in Patients With Hepatocellular Carcinoma. The trial was conducted in the United States, enrolled 10 patients, and is now completed.

Is ABX196 FDA approved?

No, ABX196 is not approved. It is an investigational small molecule in Phase 1 clinical development for hepatocellular carcinoma. The only recorded trial, NCT03897543, has completed, and the drug remains unapproved.