Recent Updates
Recently added Catalysts

ABX464

Phase 3

Ulcerative Colitis | Small molecule | Immunology |Abivax SA|Last Updated: May 6, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials8
Total Enrollment3,220
FDA Designations
No designations recorded
Clinical Trials (8)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05535946ABTECT - MaintenancePHASE3 ACTIVE NOT_RECRUITING 1,116Jan 16, 2023May 1, 2030Oct 24, 2025554 United States, Argentina +32
NCT05507216ABTECT-2 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -2PHASE3 COMPLETED 636Dec 21, 2022Jul 15, 2025Oct 24, 2025273 United States, Argentina +23
NCT05507203ABTECT-1 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -1PHASE3 COMPLETED 639Oct 10, 2022Jun 25, 2025Oct 24, 2025320 United States, Argentina +22
NCT05177835Long-term Safety and Efficacy Profile of ABX464 in Subjects With Moderate to Severe Active Ulcerative ColitisPHASE2 ACTIVE NOT_RECRUITING 203Dec 3, 2021Apr 1, 2028Apr 27, 202646 Austria, Belgium +12
NCT04023396Efficacy and Safety Study of ABX464 as Maintenance Therapy in Patients With Moderate to Severe Ulcerative ColitisPHASE2 COMPLETED 217Jan 13, 2020Feb 23, 2023May 6, 2026120 Austria, Belarus +14
NCT03760003Dose-Ranging Phase 2b Study of ABX464 in Moderate to Severe Ulcerative ColitisPHASE2 COMPLETED 355Aug 13, 2019Apr 16, 2021Nov 28, 2025130 United States, Austria +15
NCT03368118Study Evaluating the Long-term Safety and Efficacy of ABX464 in Active Ulcerative ColitisPHASE2 COMPLETED 22Jan 20, 2018Aug 15, 2022May 29, 20251 Belgium
NCT03093259ABX464 in Subjects With Moderate to Severe Active Ulcerative ColitisPHASE2 COMPLETED 32Nov 16, 2017Feb 4, 2019Jun 3, 202419 Austria, Belgium +6
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Rate of subjects in clinical remission at Week 44
Week 44

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.

Number and percentage of all treatment-emergent adverse events (TEAEs)
Week 44

The Part 2 primary objective is safety

Number and percentage of all serious adverse events (SAEs)
Week 44

The Part 2 primary objective is safety

Number and percentage of all causally related TEAEs/SAEs
Week 44

The Part 2 primary objective is safety

Proportion of subjects who achieve clinical remission per Modified Mayo Score at week 8
8 weeks

To compare the efficacy of ABX464 versus placebo on clinical remission

Number of adverse events in ABX464 treated subjects
From Baseline to a maximum period of 78 months

To evaluate the long-term safety of ABX464 given at 25 mg once daily in subjects with Moderate to Severe Active Ulcerative Colitis.

Proportion of Patients With Clinical Remission at Week 48 Compared to Baseline of Induction Study (ABX464-103)
week 48

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) at Week 8
Week 8

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
Through subject study treatment, up to 48 months

Number of treatment-emergent adverse events in ABX464 treated subjects

Number of Subjects With Treatment-emergent Adverse Events
Week 8

Number of treatment-emergent adverse events in the ABX464 treated subjects compared to placebo

Secondary Endpoints
Proportion of subjects with endoscopic improvement at Week 44
Week 44
Proportion of subjects with corticosteroid-free clinical remission
Week 44
Proportion of subjects with sustained clinical remission at Week 44
Week 44
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ABX464 50mg - Responder subjects at the end of inductionPLACEBO_COMPARATORSubjects will be orally dosed during 44 weeks
ABX464 25mg - Responder subjects at the end of inductionPLACEBO_COMPARATORSubjects will be orally dosed during 44 weeks
Placebo - Responder subjects at the end of inductionPLACEBO_COMPARATORSubjects will be orally dosed during 44 weeks
ABX464 50mg - Non responder subjects at the end of inductionEXPERIMENTALSubjects will be orally dosed during 44 weeks
ABX464 25mg - Non responder subjects at the end of inductionEXPERIMENTALSubjects will be orally dosed during 44 weeks
Long Term ExtensionEXPERIMENTALAt 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 50mgEXPERIMENTALSubjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks
ABX464 25mgEXPERIMENTALSubjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks
PlaceboPLACEBO_COMPARATORSubjects will be orally dosed daily in a fed condition (ideally at the same time in the morning) for 8 weeks
ABX464 -25mgEXPERIMENTALAll subjects will receive ABX464 given at 25 mg QD.
ABX464 100 mgEXPERIMENTALABX464 100 mg was administered orally (capsules) once daily for 16 weeks
ABX464 50 mgEXPERIMENTALABX464 50 mg was administered orally (capsules) once daily for 16 weeks
ABX464 25 mgEXPERIMENTALABX464 25 mg was administered orally (capsules) once daily for 16 weeks
Matching PlaceboPLACEBO_COMPARATORMatching placebo was administered orally (capsules) once daily for 16 weeks
ABX464 Treatment armEXPERIMENTALAll subjects will receive ABX464 at 50 mg o.d for an overall period of 48 months.
ABX464 matching placebo Treatment ArmPLACEBO_COMPARATORSubjects will receive 50 mg of ABX464 matching Placebo orally once daily for 56 days.
Interventions
NameTypeDescription
ABX464DRUGAdministered once daily, preferably in the morning, with food
PlaceboDRUGAdministered once daily, preferably in the morning, with food
ABX464 100 mgDRUGABX464 100 mg (two capsules of ABX464 50 mg) once daily for 16 weeks
ABX464 50 mgDRUGABX464 50 mg (one capsule of ABX464 50 mg + one capsule of placebo) once daily for 16 weeks
ABX464 25 mgDRUGABX464 25 mg (one capsule of ABX464 25 mg + one capsule of placebo) once daily for 16 weeks
Placebo oral capsuleDRUGPlacebo matching with ABX464
Unlock Study Design Details
Eligibility Criteria
Age Range16 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites554

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...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChinaCroatiaCzechiaFranceGermanyGreeceHungaryIndiaIrelandIsraelItalyJapanLithuaniaMexicoNetherlandsNew ZealandPolandPortugalRomaniaSerbiaSlovakiaSouth KoreaSpainSwitzerlandTurkey (Türkiye)United KingdomUkraineSloveniaBelarus
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05535946primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT05177835primaryCompletionDate: changed
LOWMay 24, 2026NCT05535946studyFirstPostDate: changed
LOWMay 24, 2026NCT05177835studyFirstPostDate: changed