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ABP-450

Phase 2

Cervical Dystonia | Small molecule | Neurology |AEON Biopharma, Inc.|Last Updated: Sep 4, 2024

Development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Apr 2021

Target and mechanism

Molecular targetbotulinum toxin
Target classToxin
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment112

FDA Designations

No designations recorded

Clinical trial landscape

ABP-450 · 3 trials · 2 indications

Phase 2 3
NCT04871451Extension Study of ABP-19000 to Evaluate Safety and Efficacy of Repeat Treatments of ABP-450 in Cervical DystoniaCervical Dystonia
COMPLETED51 Analytics
NCT04849988A Phase 2 Study to Evaluate the Safety and Efficacy of ABP-450 in the Treatment of Cervical DystoniaCervical Dystonia
COMPLETED61 Analytics
NCT04845178Investigation of Safety and Efficacy of ABP-450 for Migraine Prevention in AdultsMigraine
COMPLETED797 Analytics
PHASE2COMPLETED
Extension Study of ABP-19000 to Evaluate Safety and Efficacy of Repeat Treatments of ABP-450 in Cervical Dystonia
Cervical DystoniaUnlock trial analytics
PHASE2COMPLETED
A Phase 2 Study to Evaluate the Safety and Efficacy of ABP-450 in the Treatment of Cervical Dystonia
Cervical DystoniaUnlock trial analytics
PHASE2COMPLETED
Investigation of Safety and Efficacy of ABP-450 for Migraine Prevention in Adults
MigraineUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-related Serious Adverse Events
Up to 52 weeks

The primary safety endpoint will be the incidence of treatment-related serious adverse events since the start of treatment by Treatment Group when dosed with ABP-450 between Low Dose and High Dose.

Change in Monthly Migraine Days
Baseline to Weeks 21 to 24 Treatment period.

The primary efficacy endpoint will be the change in mean Monthly Migraine Days (MMD) from the 4-week Baseline period to Weeks 21 to 24 Treatment period.

Incidence of Treatment Emergent Adverse Events
Baseline to Week 28 - End of Study.

The primary safety endpoint will be the incidence of TEAEs throughout the study when dosed with placebo, ABP-450 (low dose), or ABP-450 (high dose).

Secondary Endpoints

Mean Change in Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) Total Score
Four weeks after the dose of each cycle (4 cycles)
Mean Change in the Subscale Score of Severity of the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)
Four weeks after the dose of each cycle (4 cycles)
Mean Change in the Subscale Score of Disability of the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) Spasmodic Torticollis Rating Scale (TWSTRS)
Four weeks after the dose of each cycle (4 cycles)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ABP-450 - Between Low Dose and High DoseEXPERIMENTALABP-450 Between Low Dose and High Dose - Intramuscular injections into affected neck muscles with investigator's determined dose within the range of low dose and high dose - 4 injection cycles at 3-month intervals.
ABP-450 - Low DoseEXPERIMENTALABP-450 Low Dose - Intramuscular injections into affected neck muscles.
ABP-450 - Medium DoseEXPERIMENTALABP-450 Mid Dose - Intramuscular injections into affected neck muscles.
ABP-450 - High DoseEXPERIMENTALABP-450 High Dose - Intramuscular injections into affected neck muscles.
PlaceboPLACEBO_COMPARATORPlacebo (0.9% saline, sterile, unpreserved, USP/Ph.Eur.) - Intramuscular injections into affected neck muscles.

Interventions

NameTypeDescription
ABP-450DRUGABP-450 (prabotulinumtoxinA) contains a 900kDA botulinum toxin type-A complex produced by the bacterium Clostridium botulinum.
PlaceboDRUG0.9% sodium chloride, sterile, unpreserved, USP/Ph.Eur.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: 1. Qualified for and had their initial dose of study drug in the ABP-19000 study. 2. Provided written informed consent to being treated for cervical dystonia with ABP-450. 3. Were a male or female patient between 18 and 75 years of age (inclusive) when they entered the ABP-19000...

Countries:United StatesAustraliaCanada
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Frequently asked questions about ABP-450

What is ABP-450?

ABP-450 is an investigational small molecule botulinum toxin therapy being developed by AEON Biopharma, Inc. for neurologic conditions. It is in Phase 2 clinical development for cervical dystonia and migraine prevention. ABP-450 has been studied in placebo-controlled, double-blind, randomized trials.

What is ABP-450 used for in cervical dystonia?

ABP-450 is being evaluated as a treatment for cervical dystonia, a neurologic movement disorder. Two completed Phase 2 trials studied ABP-450 in adults with cervical dystonia, including a repeat-treatment extension study. Both trials enrolled adults 18 years and older in the United States.

What does ABP-450 target?

ABP-450 is a botulinum toxin therapy. Botulinum toxin works by blocking acetylcholine release at neuromuscular junctions, which reduces muscle contraction. This mechanism underlies its evaluation in cervical dystonia and migraine prevention.

Who is developing ABP-450?

ABP-450 is being developed by AEON Biopharma, Inc., which trades under the ticker AEON. The company is advancing the asset in neurology, with cervical dystonia and migraine as its lead indications.

What phase is ABP-450 in?

ABP-450 is in Phase 2 clinical development. It is investigational and has not been approved by the FDA. All three of its listed trials are completed Phase 2 studies, and no active trials are currently listed.

What clinical trials is ABP-450 in?

ABP-450 has been studied in three completed Phase 2 trials. NCT04849988 and NCT04871451 evaluated ABP-450 in cervical dystonia in the United States. NCT04845178 studied ABP-450 for migraine prevention in adults across the United States, Australia, and Canada, enrolling 797 participants.