| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT05535946 | ABTECT - Maintenance | PHASE3 | ACTIVE NOT_RECRUITING | 1,116 | — | — | Jan 16, 2023 | May 1, 2030 | Oct 24, 2025 | 554 | United States, Argentina +32 |
| NCT05507216 | ABTECT-2 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -2 | PHASE3 | COMPLETED | 636 | — | — | Dec 21, 2022 | Jul 15, 2025 | Oct 24, 2025 | 273 | United States, Argentina +23 |
| NCT05507203 | ABTECT-1 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -1 | PHASE3 | COMPLETED | 639 | — | — | Oct 10, 2022 | Jun 25, 2025 | Oct 24, 2025 | 320 | United States, Argentina +22 |
| NCT05177835 | Long-term Safety and Efficacy Profile of ABX464 in Subjects With Moderate to Severe Active Ulcerative Colitis | PHASE2 | ACTIVE NOT_RECRUITING | 203 | — | — | Dec 3, 2021 | Apr 1, 2028 | Apr 27, 2026 | 46 | Austria, Belgium +12 |
| NCT04023396 | Efficacy and Safety Study of ABX464 as Maintenance Therapy in Patients With Moderate to Severe Ulcerative Colitis | PHASE2 | COMPLETED | 217 | — | — | Jan 13, 2020 | Feb 23, 2023 | May 6, 2026 | 120 | Austria, Belarus +14 |
| NCT03760003 | Dose-Ranging Phase 2b Study of ABX464 in Moderate to Severe Ulcerative Colitis | PHASE2 | COMPLETED | 355 | — | — | Aug 13, 2019 | Apr 16, 2021 | Nov 28, 2025 | 130 | United States, Austria +15 |
| NCT03368118 | Study Evaluating the Long-term Safety and Efficacy of ABX464 in Active Ulcerative Colitis | PHASE2 | COMPLETED | 22 | — | — | Jan 20, 2018 | Aug 15, 2022 | May 29, 2025 | 1 | Belgium |
| NCT03093259 | ABX464 in Subjects With Moderate to Severe Active Ulcerative Colitis | PHASE2 | COMPLETED | 32 | — | — | Nov 16, 2017 | Feb 4, 2019 | Jun 3, 2024 | 19 | Austria, Belgium +6 |
The Part 1 primary objective is to compare the efficacy of ABX464 versus placebo on the proportion of subjects in clinical remission \[SFS = 0 or 1, RBS = 0 and endoscopy sub-score = 0 or 1\] at Week 44.
The Part 2 primary objective is safety
The Part 2 primary objective is safety
The Part 2 primary objective is safety
To compare the efficacy of ABX464 versus placebo on clinical remission
To evaluate the long-term safety of ABX464 given at 25 mg once daily in subjects with Moderate to Severe Active Ulcerative Colitis.
Clinical remission (based on the Mayo scoring system) is defined as: a rectal bleeding sub-score = 0, and an endoscopy sub-score ≤1 (excluding friability), and at least 1-point decrease in stool frequency sub-score from baseline to achieve a stool frequency sub-score ≤1
Reduction from baseline in Modified Mayo Score (MMS) MMS is a composite score of UC disease activity based on the following 3 subscores: 1. Stool frequency subscore (SFS), scored from 0 (normal number of stools) to 3 (5 or more stools more than normal). 2. Rectal bleeding subscore (RBS), scored from 0 (no blood seen) to 3 (blood alone passed). 3. Endoscopic subscore, scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The overall MMS ranges from 0 to 9 where higher scores represent more severe disease.
Number of treatment-emergent adverse events in ABX464 treated subjects
Number of treatment-emergent adverse events in the ABX464 treated subjects compared to placebo
| Arm | Type | Description |
|---|---|---|
| ABX464 50mg - Responder subjects at the end of induction | PLACEBO_COMPARATOR | Subjects will be orally dosed during 44 weeks |
| ABX464 25mg - Responder subjects at the end of induction | PLACEBO_COMPARATOR | Subjects will be orally dosed during 44 weeks |
| Placebo - Responder subjects at the end of induction | PLACEBO_COMPARATOR | Subjects will be orally dosed during 44 weeks |
| ABX464 50mg - Non responder subjects at the end of induction | EXPERIMENTAL | Subjects will be orally dosed during 44 weeks |
| ABX464 25mg - Non responder subjects at the end of induction | EXPERIMENTAL | Subjects will be orally dosed during 44 weeks |
| Long Term Extension | EXPERIMENTAL | At the end of the maintenance phase (week 44), subjects can continue their allocated treatment for up to 4 years. Once the maintenance phase is unblinded, subjects receiving placebo in the maintenance phase will be allocated to obefazimod 25 mg or can terminate the study. |
| ABX464 50mg | EXPERIMENTAL | Subjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks |
| ABX464 25mg | EXPERIMENTAL | Subjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks |
| Placebo | PLACEBO_COMPARATOR | Subjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks |
| ABX464 -25mg | EXPERIMENTAL | All subjects will receive ABX464 given at 25 mg QD. |
| ABX464 100 mg | EXPERIMENTAL | ABX464 100 mg was administered orally (capsules) once daily for 16 weeks |
| ABX464 50 mg | EXPERIMENTAL | ABX464 50 mg was administered orally (capsules) once daily for 16 weeks |
| ABX464 25 mg | EXPERIMENTAL | ABX464 25 mg was administered orally (capsules) once daily for 16 weeks |
| Matching Placebo | PLACEBO_COMPARATOR | Matching placebo was administered orally (capsules) once daily for 16 weeks |
| ABX464 Treatment arm | EXPERIMENTAL | All subjects will receive ABX464 at 50 mg o.d for an overall period of 48 months. |
| ABX464 matching placebo Treatment Arm | PLACEBO_COMPARATOR | Subjects will receive 50 mg of ABX464 matching Placebo orally once daily for 56 days. |
| Name | Type | Description |
|---|---|---|
| ABX464 | DRUG | Administered once daily, preferably in the morning, with food |
| Placebo | DRUG | Administered once daily, preferably in the morning, with food |
| ABX464 100 mg | DRUG | ABX464 100 mg (two capsules of ABX464 50 mg) once daily for 16 weeks |
| ABX464 50 mg | DRUG | ABX464 50 mg (one capsule of ABX464 50 mg + one capsule of placebo) once daily for 16 weeks |
| ABX464 25 mg | DRUG | ABX464 25 mg (one capsule of ABX464 25 mg + one capsule of placebo) once daily for 16 weeks |
| Placebo oral capsule | DRUG | Placebo matching with ABX464 |
Inclusion Criteria in maintenance phase: * Subjects must have completed the induction treatment study (ABX464-105 or ABX464-106), and patients' clinical response status must be available. * Subjects with a valid endoscopy performed at the end of the induction study and results from central reader a...