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AGMB-129

Phase 2

Fibrostenotic Crohn's Disease | Small molecule | Gastrointestinal |AgomAb Therapeutics NV|Trials Updated: Oct 29, 2026

AGMB-129 development status

Highest phase Phase 2
Registered trials 6 across 2 sponsors since May 2023

AGMB-129 target and mechanism

ModalitySmall molecule

Also known as Ontunisertib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment461

FDA Designations

No designations recorded

AGMB-129 clinical trials

AGMB-129 · 4 trials · 1 indication

Phase 2 2Phase 1 2
NCT07683325NOV-ERA - A Clinical Trial to Assess the Efficacy and Safety of Ontunisertib Compared to Placebo in Patients With Fibrostenosing Crohn's DiseaseFibrostenotic Crohn's Disease
RECRUITING320 Analytics
NCT05843578STENOVA - A Study to Evaluate Safety, Tolerability, PK and PD of AGMB-129 in Patients With Fibrostenotic Crohn's DiseaseFibrostenotic Crohn's Disease
COMPLETED103 Analytics
PHASE2RECRUITING
NOV-ERA - A Clinical Trial to Assess the Efficacy and Safety of Ontunisertib Compared to Placebo in Patients With Fibrostenosing Crohn's Disease
Fibrostenotic Crohn's DiseaseUnlock trial analytics
PHASE2COMPLETED
STENOVA - A Study to Evaluate Safety, Tolerability, PK and PD of AGMB-129 in Patients With Fibrostenotic Crohn's Disease
Fibrostenotic Crohn's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of participants achieving endoscopic passability of the ileal index stricture
At week 24

To evaluate the efficacy and dose-response relationship of multiple doses of ontunisertib

Number of participants with adverse events (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of adverse events at every visit

Number of participants with abnormal clinical laboratory values (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of abnormal laboratory parameters at every visit

Number of participants with abnormal ECG parameters (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of abnormal ECG parameters at every visit

Number of participants with abnormal vital signs (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of vital signs at every visit

Number of participants with abnormal physical exams (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of physical exams at every visit

Number of participants with abnormal 2D-echocardiography (Part A and B)
From Screening to Week 48

To evaluate the safety and tolerability of AGMB-129 between AGMB-129 participants and placebo participants in terms of echocardiography at week 12

Absolute bioavailability of ontunisertib following oral and IV administration
Through study completion, an average of 8 days

Part 1: To determine the absolute oral bioavailability of ontunisertib

Cumulative amount of total radioactivity excreted in urine and feces
Through study completion, an average of 10 days

Part 2: To determine the mass balance recovery after a single oral dose of \[14C\]ontunisertib

Chemical structure of each metabolite accounting for ≥10% of circulating total radioactivity and Metabolite profiling accounting for >80% of total radioactivity recovered in urine and/or feces
Through study completion, an average of 10 days

Part 2: To characterize the metabolite profile in plasma and excreta (urine and/or feces) after a single oral dose of \[14C\]ontunisertib

Number of participant with Adverse Events
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of adverse events (AE) at every visit

Number of participant with abnormal Physical examination
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of physical examination at every visit

Number of participant with abnormal Vital signs
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of vital signs

Number of participant with abnormal electrocardiograms (ECGs) parameters
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of abnormal electrocardiograms (ECGs) at every visit

Number of participant with abnormal 2-dimensional (2-D) echocardiography
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of abnormal 2-dimensional (2-D) echocardiography at every visit

Number of participant with abnormal clinical laboratory tests
From enrollment to the end of treatment at 42 days

To evaluate the safety and tolerability of AGMB-129 in terms of abnormal clinical laboratory parameters at every visit

Secondary Endpoints

Proportion of participants achieving endoscopic passability of the ileal index stricture
At week 52
Change in reliable MRE imaging features (stricture length, bowel wall thickness, prestenotic dilatation diameter) of the index stricture
At week 52 compared to baseline (week 1)
Change in total SES-CD (range, 0-56 points) (Reference: https://www.giejournal.org/article/S0016-5107(04)01878-4/abstract)
At week 52 compared to baseline
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ontunisertib HighEXPERIMENTALOntunisertib high dose
Ontunisertib MediumEXPERIMENTALOntunisertib medium dose
Ontunisertib LowEXPERIMENTALOntunisertib low dose
PlaceboEXPERIMENTALMatching placebo
AGMB-129 HighEXPERIMENTALAGMB-129 high dose
AGMB-129 LowEXPERIMENTALAGMB-129 low dose
OntunisertibEXPERIMENTALParticipants will receive single oral dose of ontunisertib
[14C]ontunisertib solution for infusionEXPERIMENTALParticipants will receive single IV dose of \[14C\]ontunisertib
[14C]ontunisertibEXPERIMENTALParticipants will receive single oral dose of \[14C\]ontunisertib
AGMB-129EXPERIMENTALparticipants will receive a single dose of AGMB-129 (reference cohort) for 7 consecutive days or multiple doses of AGMB-129 (cohort 1, 2, 3) for 7 consecutive days

Interventions

NameTypeDescription
OntunisertibDRUGOral capsule
PlaceboDRUGMatching oral capsule
AGMB-129DRUGOral capsule
[14C]ontunisertibDRUGIV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Diagnosis of ileal or ileocolonic CD based on clinical and endoscopic or radiological evidence established at least 12 weeks prior to signing the ICF. * Presence of at least 1 endoscopically non-passable ileal stricture. * Present stricture(s) can be naïve or anastomotic, and ...

Countries:United StatesSerbiaUnited KingdomAustriaCanadaDenmarkGermanyItalyPolandSpainBelgium
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Recent Changes (Last 90 Days)

LOWOct 29, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 29, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 19, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 19, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 19, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 5, 2026NCT07683325lastUpdatePostDate: changed
LOWOct 5, 2026NCT07683325lastUpdatePostDate: changed
LOWSep 28, 2026NCT07683325lastUpdatePostDate: changed
LOWSep 28, 2026NCT07683325lastUpdatePostDate: changed
LOWSep 11, 2026NCT07683325lastUpdatePostDate: changed
LOWSep 11, 2026NCT07672574lastUpdatePostDate: changed
LOWSep 11, 2026NCT07683325lastUpdatePostDate: changed
LOWSep 11, 2026NCT07672574lastUpdatePostDate: changed
LOWSep 4, 2026NCT07672574Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 4, 2026NCT07672574Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 24, 2026NCT07683325Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 24, 2026NCT07683325Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMAug 9, 2026NCT05843578TRIAL_REMOVED: changed
MEDIUMAug 9, 2026NCT05843578TRIAL_REMOVED: changed
MEDIUMAug 9, 2026NCT05843578TRIAL_REMOVED: changed

Frequently asked questions about AGMB-129

What is AGMB-129 used for?

AGMB-129 is being developed for fibrostenotic Crohn's disease, a form of Crohn's disease in which chronic inflammation leads to narrowing and stiffening of the intestine. It is an investigational small molecule therapeutic from AgomAb Therapeutics NV and has been studied in both healthy volunteers and patients with this condition.

Who makes AGMB-129?

AGMB-129 is developed by AgomAb Therapeutics NV, a biopharmaceutical company whose ticker is AGMB. The company is advancing the compound as a small molecule therapeutic for fibrostenotic Crohn's disease, a gastrointestinal indication, and has sponsored the clinical studies conducted to date.

What phase is AGMB-129 in?

AGMB-129 is in Phase 2 development. A Phase 2 study called STENOVA evaluated the drug in patients with fibrostenotic Crohn's disease, and a Phase 1 multiple ascending dose study was conducted in healthy participants. Both studies are listed as completed, and the drug remains investigational.

What clinical trials is AGMB-129 in?

AGMB-129 has been studied in two completed trials. NCT05843578, known as STENOVA, was a Phase 2 study of safety, tolerability, pharmacokinetics and pharmacodynamics in 103 patients with fibrostenotic Crohn's disease across the United States, Austria, Canada, Denmark, Germany, Italy, Poland and Spain. NCT07118878 was a Phase 1 multiple ascending dose study in 30 healthy participants in Belgium.

Is AGMB-129 FDA approved?

AGMB-129 is not approved and remains an investigational drug in clinical development. Its two listed studies, a Phase 1 multiple ascending dose trial in healthy volunteers and the Phase 2 STENOVA trial in patients with fibrostenotic Crohn's disease, are both completed. No regulatory approval has been granted for this compound.

How was AGMB-129 studied in clinical trials?

AGMB-129 was evaluated in randomized, double-blind, placebo-controlled trials. The Phase 2 STENOVA study enrolled 103 patients with fibrostenotic Crohn's disease, and the Phase 1 multiple ascending dose study enrolled 30 healthy participants. Together the two completed studies included 133 participants, all adults aged 18 years and older.