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ABX464

Phase 3

Ulcerative Colitis | Small molecule | Gastrointestinal |Abivax SA|Last Updated: Jul 7, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment3,220
FDA Designations
No designations recorded
Clinical trial landscape

ABX464 · 16 trials · 7 indications

Phase 3 3Phase 2 9Phase 1 4
NCT05535946ABTECT - MaintenanceUlcerative Colitis
ACTIVE NOT_RECRUITING1,116 Analytics
NCT05507216ABTECT-2 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -2Ulcerative Colitis
COMPLETED636 Analytics
NCT05507203ABTECT-1 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -1Ulcerative Colitis
COMPLETED639 Analytics
PHASE3ACTIVE NOT_RECRUITING
ABTECT - Maintenance
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
ABTECT-2 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -2
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
ABTECT-1 - ABX464 Treatment Evaluation for Ulcerative Colitis Therapy -1
Ulcerative ColitisUnlock trial analytics
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

Incidence of treatment-emergent adverse events in the ABX464 treated Patients, categorized by severity
through study completion (average of 104 weeks)

Incidence of adverse events emerging during the treatment

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 in the ABX464 Treated Patients Versus Placebo
through study completion, an average of 15 weeks

TEAE definition is undesirable events not present prior to medical treatment, or an already present event that worsens either in intensity or frequency following the treatment

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

Number of Participants With Adverse Events
Up to 4 months

Patients who had received at least one dose of the study drug, and who had at least one baseline value. An AE was classified as a TEAE if it started, or increased in severity, on or after the first date and time of medication dosing (from Day 1 up to Day 28). Any AE which occurred after Day 28 was classified as post-treatment-emergent. Events were graded according to the "Division of AIDS table for grading the severity of adult and pediatric adverse events" (Version 2.0 November 2014).

Safety and tolerability profile of ABX464 as assessed by the change from baseline in laboratory values, in vital signs and ECG parameters at week 3 and by the number of patients with adverse events.
Week 3

Number of patients with abnormal blood (hematology and biochemistry) and urinary laboratory values, abnormal vital signs and ECG parameters and the number/proportion of patients reporting any adverse event.

Incidence of adverse events (AEs) and SAEs
6 weeks

number of incidences of all adverse events (AEs) (causally related and non-related) and SAEs, will be described further categorized by severity

incidence of treatment-emergent serious adverse events
6 weeks

number of incidences of treatment-emergent serious adverse events will be described

incidence of treatment-emergent adverse events of special interest (AESIs).
6 weeks

number of incidences of treatment-emergent adverse events of special interest (AESIs) will be described.

incidence of clinically significant laboratory abnormalities
6 weeks

number of incidences of clinically significant laboratory abnormalities will be described

Area Under the Curve (AUC) of ABX464 in Sera
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Maximum Observed Concentration (Cmax) of ABX464 in Sera
Day 1, Day 28 and day 84

Pharmacokinetic parameters

Area Under the Curve (AUC) of ABX464 Metabolite (ABX464-N-Glucuronide) in Sera
Day 1, Day 28 and Day 84

Pharmacokinetics parameters

Maximum Observed Concentration (Cmax) of ABX464 Metabolite (ABX464-N-Glucuronide) in Sera
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Maximum Observed Concentration (Cmax) of ABX464 in Peripheral Blood Mononuclear Cells (PBMC)
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Area Under the Curve (AUC) of ABX464 in Peripheral Blood Mononuclear Cells (PBMC)
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Maximum Observed Concentration (Cmax) of ABX464 Metabolite (ABX464-N-Glucuronide) in Peripheral Blood Mononuclear Cells (PBMC)
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Area Under the Curve (AUC) of ABX464 Metabolite (ABX464-N-Glucuronide) in Peripheral Blood Mononuclear Cells (PBMC)
Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Concentration of ABX464 in Rectal Tissue (Measured Only at Pre-infusion Timepoint)
Day 1, Day 28, Day 56, Day 84 and Day 112

Pharmacokinetic parameters

Concentration of ABX464 Metabolite (ABX464-N-Glucuronide) in Rectal Tissue (Measured Only at Pre-infusion Timepoint)
Day 1, Day 28, Day 56, Day 84 and Day 112

Pharmacokinetic parameters

Area under the plasma concentration versus time curve (AUC) of single oral dose of 50mg of ABX464 in fed or fasted condition.
45 days
Peak Plasma Concentration (Cmax) of single oral dose of 50mg of ABX464 in fed or fasted condition.
45 days
Percentage of patients experiencing at least one Adverse Event
Up to 45 days post dosing
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
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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 50 mgEXPERIMENTALAll subjects will receive ABX464 administered at 50 mg o.d for an overall period of 2 years (104 weeks)
ABX464 100 mgEXPERIMENTALABX464 100 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 50mg + methotrexateEXPERIMENTALParticipants will receive one capsule of 50mg ABX464 plus one capsule of matching placebo once daily for 12 weeks \+ methotrexate
ABX464 100mg + methotrexateEXPERIMENTALParticipants will receive two capsules of 50mg ABX464 once daily for 12 weeks \+ methotrexate
Placebo + methotrexatePLACEBO_COMPARATORParticipants will receive two capsules of matching placebo once daily for 12 weeks \+ methotrexate
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.
ABX464EXPERIMENTALFixed dose of ABX464 50mg once daily given during 28 days in association with darunavir + ritonavir (DRV/RTV) or darunavir + cobicistat (DRV/COBI)
ABX464 Matching placeboPLACEBO_COMPARATORMatching placebo of ABX464 given at 50mg once daily in association with darunavir + ritonavir (DRV/RTV) or darunavir + cobicistat (DRV/COBI)
25 mg single doseEXPERIMENTALSubject will receive a single oral dose of ABX464 25 mg or its matching placebo
50 mg single doseEXPERIMENTALSubject will receive a single oral dose of ABX464 50 mg or its matching placebo
25 mg multiple doseEXPERIMENTALSubject will receive a daily oral dose of ABX464 25 mg or its matching placebo for 28 days
50 mg mulptiple doseEXPERIMENTALSubject will receive a daily oral dose of ABX464 50 mg or its matching placebo for 28 days
ABX464 150mgEXPERIMENTALABX464, 50mg per Capsule Three Capsules per day for 28 days
ABX464 50mg for 28 daysEXPERIMENTALABX464, 50mg per Capsule One Capsule per day for 28 days
ABX464 50mg for 84 daysEXPERIMENTALABX464, 50mg per Capsule One Capsule per day for 84 days
Fasted ConditionsEXPERIMENTAL50mg of ABX464 (two 25mg capsules) /Fasted
Fed ConditionsEXPERIMENTAL50mg of ABX464 (two 25mg capsules) /Fed
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
ABX464 50mgDRUGABX464 is a new anti-inflammatory drug
Matching PlaceboDRUGplacebo matching with ABX464
ABX464 100mgDRUGABX464 is a new anti-inflammatory drug
MethotrexateDRUGMTX ≥ 10 mg/week will be given at previous dose regimen kept stable throughout the study
Placebo oral capsuleDRUGPlacebo matching with ABX464
ABX464 150mgDRUGABX464 given orally at 150 mg per day from Day 0 to Day 28 (Cohort 1/ HIV infected subjects)
ABX464 Single doseDRUGTwo-periods, subjects received a single dose of 50mg of ABX464 in fed and fasted condition, separated by a wash-out period of at least 45 days.
ABX464 Repeated doseDRUGSubjects received 50mg of ABX464 every 3 days during 10 days in fasted or fed condition.
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Eligibility Criteria
Age Range16 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites413

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...

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Recent Changes (Last 90 Days)
LOWJul 7, 2026NCT05535946primaryCompletionDate: changed
LOWJul 7, 2026NCT05535946primaryCompletionDate: 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
MEDIUMJun 6, 2026NCT04023396TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05535946primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT05177835primaryCompletionDate: changed
LOWMay 24, 2026NCT05535946studyFirstPostDate: changed
LOWMay 24, 2026NCT05177835studyFirstPostDate: changed