A Phase 3 interventional study of ABX464 and Placebo in Ulcerative Colitis, sponsored by Abivax S.A.. Completed at 264 sites in 24 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-09-10.
Sponsored by Abivax S.A. · Phase 3, Interventional, and Treatment
This is a multicenter, randomized, placebo controlled study to evaluate the efficacy and safety of ABX464 given at 25 or 50 mg QD in inducing clinical remission in subjects with moderately to severely active ulcerative colitis who have inadequate response, no response, a loss of response, or an intolerance to either conventional therapies [corticosteroids, immunosuppressant (i.e. azathioprine, 6-mercaptopurine, methotrexate)] and/or advanced therapies [biologics (TNF inhibitors, anti-integrins, anti-IL-23), and/or S1P receptor modulators, and/or JAK inhibitors].
Exclusion Criteria:
Subjects with the following hematological and biochemical laboratory parameters obtained during the screening period:
Subjects with the following conditions (infection):
Subjects will be orally dosed daily in a fed condition ideally at the same time in the morning) for 8 weeks
Drug: ABX464
Subjects will be orally dosed daily in a fed condition ideally at the same time in the morning) for 8 weeks
Drug: ABX464
Subjects will be orally dosed daily in a fed condition ideally at the same time in the morning) for 8 weeks
Drug: Placebo
Administered once daily in the morning with food
Also known as: Obefazimod
Administered once daily in the morning with food
Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8
To compare the efficacy of ABX464 versus placebo on clinical remission. Clinical remission is defined as stool frequency subscore (SFS) = 0 or 1 and rectal bleeding subscore (RBS) = 0, and Mayo Endoscopic Score (MES) = 0 or 1 (MES of 1 modified to exclude friability).
Time frame: 8 weeks
Proportion of Subjects Who Achieve Endoscopic Improvement at Week 8
To compare the efficacy of ABX464 versus placebo on endoscopic improvement. Endoscopic improvement is defined as Mayo Endoscopic Score (MES) = 0 or 1 (MES of 1 modified to exclude friability).
Time frame: 8 weeks
Proportion of Subjects Who Achieve Clinical Response Per MMS at Week 8
To compare the efficacy of ABX464 versus placebo on clinical response as per Modified Mayo Score (MMS). MMS is the Modified Mayo Score. Modified Mayo score is a composite measure of ulcerative disease activity consisting of three components: stool frequency, rectal bleeding and endoscopic subscores. Each component is scored from 0 (normal or inactive disease) to 3 (severe activity). The total range score ranges from 0 to 9, with higher scores indicating more severe disease activity. Clinical Response is defined as a reduction from baseline in MMS ≥ 2 points and a relative reduction from baseline in MMS ≥ 30%, and a reduction from baseline in Rectal Bleeding Score (RBS) ≥ 1 point and/or RBS = 0 or 1.
Time frame: 8 weeks
Proportion of Subjects With HEMI Per Geboes at Week 8
To compare the efficacy of ABX464 versus placebo on histologic-endoscopic mucosal improvement (HEMI). HEMI is defined as endoscopic improvement associated with histologic improvement per Geboes score.
Time frame: 8 weeks
| Milestone | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Started | 318 | 161 | 160 |
| Completed | 291 | 155 | 143 |
| Not completed | 27 | 6 | 17 |
| Withdrew: Adverse event | 18 | 0 | 6 |
| Withdrew: Lost to follow-up | 1 | 1 | 1 |
| Withdrew: Never dosed | 0 | 1 | 1 |
| Withdrew: Non-compliance with study drug | 2 | 0 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 1 |
| Withdrew: Physician decision | 1 | 0 | 1 |
| Withdrew: Withdrawal by subject | 4 | 4 | 7 |
To compare the efficacy of ABX464 versus placebo on clinical remission. Clinical remission is defined as stool frequency subscore (SFS) = 0 or 1 and rectal bleeding subscore (RBS) = 0, and Mayo Endoscopic Score (MES) = 0 or 1 (MES of 1 modified to exclude friability).
| Participants | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Proportion of Subjects Who Achieve Clinical Remission Per Modified Mayo Score at Week 8 | 69 | 38 | 4 |
To compare the efficacy of ABX464 versus placebo on endoscopic improvement. Endoscopic improvement is defined as Mayo Endoscopic Score (MES) = 0 or 1 (MES of 1 modified to exclude friability).
| Participants | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Proportion of Subjects Who Achieve Endoscopic Improvement at Week 8 | 106 | 60 | 9 |
To compare the efficacy of ABX464 versus placebo on clinical response as per Modified Mayo Score (MMS). MMS is the Modified Mayo Score. Modified Mayo score is a composite measure of ulcerative disease activity consisting of three components: stool frequency, rectal bleeding and endoscopic subscores. Each component is scored from 0 (normal or inactive disease) to 3 (severe activity). The total range score ranges from 0 to 9, with higher scores indicating more severe disease activity. Clinical Response is defined as a reduction from baseline in MMS ≥ 2 points and a relative reduction from baseline in MMS ≥ 30%, and a reduction from baseline in Rectal Bleeding Score (RBS) ≥ 1 point and/or RBS = 0 or 1.
| Participants | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Proportion of Subjects Who Achieve Clinical Response Per MMS at Week 8 | 194 | 105 | 45 |
To compare the efficacy of ABX464 versus placebo on histologic-endoscopic mucosal improvement (HEMI). HEMI is defined as endoscopic improvement associated with histologic improvement per Geboes score.
| Participants | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Proportion of Subjects With HEMI Per Geboes at Week 8 | 73 | 38 | 5 |
Collected over up to 12 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ABX464 50mg | 0/318 (0%) | 14/318 (4.4%) | 90/318 (28.3%) |
| ABX464 25mg | 0/160 (0%) | 1/160 (0.6%) | 34/160 (21.3%) |
| Placebo | 0/158 (0%) | 3/158 (1.9%) | 28/158 (17.7%) |
| Event | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| Colitis UlcerativeGastrointestinal disorders | 3/318 | 0/160 | 2/158 |
| Anal InflammationGastrointestinal disorders | 0/318 | 0/160 | 1/158 |
| AppendicitisInfections and infestations | 0/318 | 1/160 | 0/158 |
| Myocardial infarctionCardiac disorders | 1/318 | 0/160 | 0/158 |
| Type 2 diabetes mellitusMetabolism and nutrition disorders | 1/318 | 0/160 | 0/158 |
| Pancreatitis acuteGastrointestinal disorders | 1/318 | 0/160 | 0/158 |
| Prostate Cancer stage INeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/318 | 0/160 | 0/158 |
| Procedural dizzinessInjury, poisoning and procedural complications | 1/318 | 0/160 | 0/158 |
| PneumoniaInfections and infestations | 1/318 | 0/160 | 0/158 |
| PancreatitisGastrointestinal disorders | 1/318 | 0/160 | 0/158 |
| Event | ABX464 50mg | ABX464 25mg | Placebo |
|---|---|---|---|
| HeadacheNervous system disorders | 66/318 | 25/160 | 9/158 |
| AnaemiaBlood and lymphatic system disorders | 10/318 | 6/160 | 9/158 |
| NauseaGastrointestinal disorders | 18/318 | 5/160 | 1/158 |
| Colitis UlcerativeGastrointestinal disorders | 6/318 | 0/160 | 8/158 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 8/318 | 1/160 | 8/158 |
The Full Analysis Set includes all randomized participants who received at least one dose of study drug. One participant in the ABX464 25 mg group and 2 in the placebo group were randomized but did not receive any dose of study drug.
| Age, Categorical(Participants) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| <=18 years | 1 | 0 | 1 | 2 |
| Between 18 and 65 years | 292 | 148 | 146 | 586 |
| >=65 years | 25 | 12 | 11 | 48 |
| Age, Continuous(years) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 42.7 ± 14.3 | 41.5 ± 13.54 | 43.1 ± 13.59 | 42.5 ± 13.93 |
| Sex: Female, Male(Participants) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Female | 129 | 56 | 66 | 251 |
| Male | 189 | 104 | 92 | 385 |
| Race (NIH/OMB)(Participants) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 1 | 1 |
| Asian | 87 | 34 | 45 | 166 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 5 | 3 | 2 | 10 |
| White | 219 | 114 | 106 | 439 |
| More than one race | 1 | 1 | 0 | 2 |
| Unknown or Not Reported | 6 | 8 | 4 | 18 |
| Baseline weight(kg) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 72.41 ± 18.581 | 72.58 ± 17.269 | 71.28 ± 16.392 | 72.17 ± 17.713 |
| Duration of ulcerative colitis(years) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 7.98 ± 7.348 | 7.8 ± 7.151 | 7.51 ± 7.761 | 7.82 ± 7.395 |
| Number of participants with at least one prior AT-IR(Participants) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Count of participants | 149 | 70 | 69 | 288 |
| Number of participants with inadequate response to JAK inhibitors among participants with AT-IR(Participants) | ABX464 50mg | ABX464 25mg | Placebo | Total |
|---|---|---|---|---|
| Count of participants | 22 | 15 | 15 | 52 |
3 further baseline measures are reported on the registry.
Showing the first 100 of 264 sites across 24 countries.
Documents are hosted by the registry — open the source record to download them.
This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Abivax S.A.