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Obefazimod

Phase 2

Moderately to Severely Active Crohn Disease | Small molecule | Gastrointestinal |Abivax SA|Last Updated: Apr 27, 2026

Target and mechanism

Molecular targetNCBP2, NCBP1
Target classModulator
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment212

FDA Designations

No designations recorded

Clinical trial landscape

Obefazimod · 2 trials · 2 indications

Phase 2 1Phase 1 1
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

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

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
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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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Frequently asked questions about Obefazimod

What is Obefazimod used for?

Obefazimod is an investigational small molecule being studied for moderately to severely active Crohn disease. It is also being evaluated in healthy volunteers for pharmacokinetic studies. The drug is in clinical development and is not approved by regulatory authorities.

What does Obefazimod target?

Obefazimod is a modulator that targets NCBP2 and NCBP1, which are nuclear cap-binding proteins. By modulating these targets, the drug may influence gene expression pathways relevant to inflammation in Crohn disease.

Who is developing Obefazimod?

Obefazimod is being developed by Abivax SA, a biopharmaceutical company listed on the stock exchange under the ticker ABVX. The company is conducting clinical trials to evaluate the drug's safety and efficacy.

What phase is Obefazimod in?

Obefazimod is in Phase 1 clinical development. It is being studied in a Phase 1 trial for healthy volunteers and a Phase 2 trial for Crohn disease, both of which are currently recruiting participants.

What clinical trials is Obefazimod in?

Obefazimod is being studied in two clinical trials. NCT06456593 is a Phase 2 trial in patients with moderately to severely active Crohn disease, enrolling 212 participants across multiple countries. NCT07453784 is a Phase 1 trial in healthy volunteers to evaluate pharmacokinetics and palatability of a minitablet formulation.

Is Obefazimod the same as Obefazimod 50 mg Capsule?

Yes, Obefazimod 50 mg Capsule is a formulation of Obefazimod. The drug is being developed in capsule and minitablet formulations for clinical use.