New daily pill aims to keep ulcerative colitis in check
NCT ID NCT04023396
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a daily pill called ABX464 (obefazimod) as a long-term maintenance therapy for people with moderate to severe ulcerative colitis. 217 patients who completed a prior 16-week induction study took the drug for up to 96 weeks. The main goal was to see how many patients stayed in remission at week 48.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ABX464 (obefazimod)
- What this could lead to
- If successful, this could provide a new oral maintenance option to keep ulcerative colitis under control and prevent flare-ups.
- What could go wrong
- This is a mid-stage, open-label trial with no placebo group, so results may not be definitive. Long-term safety and effectiveness are still being evaluated.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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217 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Feb 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients must have completed the 16-week induction treatment period (ABX464-103); * Patients are able and willing to comply with study visits and procedures as per protocol; * Patients should understand, sign and date the written voluntary informed consent form prior to any protocol-specific procedures are performed; * Patients should be affiliated to a social security regimen (for French sites only); * Females and males receiving the study treatment (potentially in combination with immunosuppressant) and their partners must agree to use a highly effective contraceptive method during the study and for 6 months (180 days) after end of study or early termination. Contraception should be in place at least 2 weeks prior to screening. Women must be surgically sterile (bilateral oophorectomy, bilateral salpingectomy, or hysterectomy) or in the postmenopausal state (no menses for 12 months without an alternative medical cause) or if of childbearing potential must use a highly effective contraceptive method. Women of childbearing potential (WOCBP) will enter the study after confirmed menstrual period and a negative pregnancy test. Highly effective methods of contraception include true abstinence, intrauterine device (IUD) or hormonal contraception aiming at inhibition of ovulation, intrauterine hormone releasing system, bilateral tubal ligation, vasectomized partner. True abstinence is defined when this is in line with the preferred and usual lifestyle of the patient. In each case of delayed menstrual period (over one month between menstruations) confirmation of absence of pregnancy is required. This recommendation also applies to WOCBP with infrequent or irregular menstrual cycle. Female and male patients must not be planning pregnancy during the trial and for 6 months post completion of their participation in the trial. In addition, male patients should use condom during the trial and for 6 months (180 days) post completion of their participation in the study. Male patients must not donate sperm as long as contraception is required. Criteria that should be met by patients at week 48 to be eligible for 48 additional weeks of study treatment. * Patients should be in clinical response. Clinical response is defined as: a reduction in Modified Mayo Score ≥ 2 points and ≥ 30 % from baseline (induction) with an accompanying decrease in rectal bleeding sub-score ≥ 1 point or absolute rectal bleeding sub-score ≤ 1 point. * Patients able and willing to continue the study treatment and who are compliant with study visits and procedures and who signed the update of the written voluntary informed consent. Exclusion Criteria: * Patients who had major protocol deviation(s) in the induction study; * Patients who permanently discontinued study the treatment in induction study (ABX464-103) because of an adverse event (AE) regardless of relatedness to investigational product; * Patients who have developed any major illness/condition or evidence of an unstable clinical condition (except UC) that, in the investigator's judgment, will substantially increase the risk to the participant if he or she participates in the study; * Patients with any other severe acute or chronic medical or psychiatric condition or laboratory or electrocardiogram (ECG) abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study; * Patients who are participating or plan to participate in other investigational studies (other than induction study) during the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A. Novak Transcarpathian Regional Clinical Hospital
Uzhhorod, Ukraine
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AKH - Medizinische Universität Wien
Vienna, Austria
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AZ Sint-Lucas
Bruges, Belgium
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Accout Center s.r.o.
Šahy, Slovakia
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Alian s.r.o.
Bardejov, Slovakia
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Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi
Bologna, Italy
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Azienda Ospedaliera di Padova
Padova, Italy
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Azienda Ospedaliero Universitaria Mater Domini
Catanzaro, Italy
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Azienda Ospedaliero Universitaria Pisana (Presidio di Cisanello)
Pisa, Italy
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Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, Italy
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Brandon Medical Arts Clinic
Brandon, Canada
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C. H. U. St-Pierre
Brussels, Belgium
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CCH #1 Vinnytsia M.I. Pyrogov NMU Ch of Propaedeutics of IM
Vinnytsia, Ukraine
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CHI Kharkiv City Clinical Hospital #13
Kharkiv, Ukraine
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CHU Amiens - Hopital Sud
Amiens, France
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CHU Besançon - Hôpital Jean Minjoz
Besançon, France
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CHU Clermont Ferrand - Hôpital d'Estaing
Clermont-Ferrand, France
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CHU Lille - Hôpital Claude Huriez
Lille, France
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CHU Nantes - Hôtel Dieu
Nantes, France
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CHU Nice - Hôpital de l'Archet 2
Nice, France
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CHU Reims - Hôpital Robert Debré
Reims, France
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CHU Rennes - Hôpital Pontchaillou
Rennes, France
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CHU Saint Etienne - Hôpital Nord
Saint-Etienne, France
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CHU Strasbourg - Hôpital Hautepierre
Strasbourg, France
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CHU de Grenoble - Hôpital Nord
Grenoble, France
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CHU de Rouen - Hôpital Charles Nicolle
Rouen, France
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CI City Clinical Hospital #6 Dept of Gastroenterology
Zaporizhzhia, Ukraine
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CI Kherson CCH
Kherson, Ukraine
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CNCE "City Hospital 9" Zaporizhzhia CC
Zaporizhzhia, Ukraine
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CNE Cherkasy Regional Hospital of Cherkasy Regional Council
Cherkasy, Ukraine
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CNE Prof. O.O. Shalimov Kharkiv City Clinical Hospital #2 of KCC
Kharkiv, Ukraine
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Central City Clinical Hospital Dept of Theraphy No. 2 SHEI Ivano-Frankivsk NMU
Ivano-Frankivsk, Ukraine
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Centre Hospitalier Départemental Les Oudairies
La Roche-sur-Yon, France
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Centro Médico Teknon
Barcelona, Spain
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Centrum Badan Klinicznych Piotr Napora Lekarze Spolka Partnerska
Wroclaw, Poland
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Centrum Medyczne Grunwald
Poznan, Poland
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Centrum Medyczne Oporow
Wroclaw, Poland
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Centrum Medyczne Plejady
Krakow, Poland
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Centrum Zdrowia MDM
Warsaw, Poland
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Centrum Zdrowia Tuchow Sp. z o.o.
Wierzchosławice, Poland
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Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin
Berlin, Germany
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Clinical Center " Dr Dragisa Misovic Dedinje"
Belgrade, Serbia
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Clinical Center Bezanijska Kosa
Belgrade, Serbia
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Communal Institution of Kyiv Regional Council Kyiv Regional Clinical Hospital
Kyiv, Ukraine
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Communal Non-commercial Enterprise of Kharkiv Regional Council Regional Clinical Hospital
Kharkiv, Ukraine
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DRC Gyogyszervizsgalo Kozpont Kft.
Balatonfüred, Hungary
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Debreceni Egyetem
Debrecen, Hungary
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Dr. Tasso Bieler
Riesa, Germany
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Endomed, s.r.o.
Vranov nad Topľou, Slovakia
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Fairfield General Hospital
Bury, United Kingdom
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Fakultni nemocnice Ostrava
Ostrava-Kunčice, Czechia
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Fakultni nemocnice u sv. Anny v Brne
Brno, Czechia
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Florence-Nightingale-Krankenhaus-Diakonie Kaiserswerth
Düsseldorf, Germany
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Fondazione Poliambulanza Istituto Ospedaliero
Brescia, Italy
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, Italy
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Gabinet Lekarski Bartosz Korczowski
Rzeszów, Poland
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Gastro I, s.r.o.
Prešov, Slovakia
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Gastromedic, s.r.o.
Nové Zámky, Slovakia
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General Hospital Celje
Celje, Slovenia
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General Hospital Murska Sobota
Murska Sobota, Slovenia
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General Hospital Uzice
Užice, Serbia
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Gomel Regional Clinical Hospital
Homyel, Belarus
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Guy's Hospital
London, United Kingdom
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Hepato-Gastroenterologie HK s.r.o.
Hradec Králové, Czechia
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Hopital Rangueil
Toulouse, France
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Hopital Saint Eloi
Montpellier, France
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Hospital Quironsalud Malaga
Málaga, Spain
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Hospital Universitario Reina Sofia
Córdoba, Spain
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Hospital Universitario de Gran Canaria Dr. Negrin
Las Palmas de Gran Canaria, Spain
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Hôpital Beaujon
Clichy, France
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Hôpital Nord - CHU Marseille
Marseille, France
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Hôpital de Brabois Adultes
Vandœuvre-lès-Nancy, France
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I.I.Mechnykov Dnipropetrovsk Regional Clinical Hospital
Dnipro, Ukraine
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I.R.C.C.S Policlinico San Donato
Milan, Italy
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Istituto Clinico Humanitas
Rozzano, Italy
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Johanna-Etienne-Krankenhaus
Neuss, Germany
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KO-MED Centra Kliniczne Pulawy
Puławy, Poland
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Khmelnytska Regional Hospital
Khmelnytskyi, Ukraine
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Klinikum Klagenfurt am Wörthersee
Klagenfurt, Austria
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Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt, Germany
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LHSC - Victoria Hospital
London, Canada
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LexMedica
Wroclaw, Poland
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Lviv Regional Clinical Hospital D.Halytskyi Lviv NMU
Lviv, Ukraine
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M.I. Pyrogov VRCH Dept of Gastroenterology M.I. Pyrogov VNMU
Vinnytsia, Ukraine
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MCIC MC LLC Health Clinic
Vinnytsia, Ukraine
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MUDr. GREGAR s.r.o.
Olomouc, Czechia
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Medizinische Hochschule Hannover
Hanover, Germany
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Medizinische Universität Innsbruck
Innsbruck, Austria
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Minsk city diagnostic center
Minsk, Belarus
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Mount Sinai Hospital
Toronto, Canada
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Nemocnice Na Bulovce
Prague, Czechia
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Nemocnice Slany
Slaný, Czechia
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Nottingham University Hospitals Queen's Medical Centre
Nottingham, United Kingdom
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Nzoz Vivamed
Warsaw, Poland
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Obudai Egeszsegugyi Centrum Kft.
Budapest, Hungary
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Ordensklinikum Linz GmbH - Barmherzige Schwestern
Linz, Austria
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Ospedale Sacro Cuore Don Calabria
Negrar, Italy
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Pannonia Maganorvosi Centrum
Budapest, Hungary
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Petz Aladar Megyei Oktato Korhaz
Győr, Hungary
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Regional Clinical Hospital
Minsk, Belarus
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Santa Familia Centrum Badan, Profilaktyki i Leczenia
Lodz, Poland
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Semmelweis Egyetem
Budapest, Hungary
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South Edmonton Gastroenterology
Edmonton, Canada
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Studiengesellschaft BSF Unternehmergesellschaft haftungsbeschraenkt
Halle, Germany
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Szpital Uniwersytecki nr 2 im.dr J. Biziela
Bydgoszcz, Poland
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Ternopil University Hospital
Ternopil, Ukraine
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The Ottawa Hospital - General Campus
Ottawa, Canada
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Thomayerova nemocnice
Prague, Czechia
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Trialmed CRS
Piotrkow Trybunalski, Poland
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Tumorzentrum Nordthueringen MVZ GmbH
Nordhausen, Germany
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Universitaetsklinikum Halle (Saale)
Halle, Germany
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Universitaetsklinikum Ulm
Ulm, Germany
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University College London Hospitals
London, United Kingdom
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University Hospitals Leuven - campus Gasthuisberg
Leuven, 3000, Belgium
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University Medical Centre Maribor
Maribor, Slovenia
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Uniwersyteckie Centrum Kliniczne
Gdansk, Poland
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Vasutegeszsegugyi Kft. - Debreceni Egeszsegugyi Kozpont
Debrecen, Hungary
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Vitebsk Regional Clinical Hospital
Vitebsk, Belarus
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Vitebsk regoinal clinical specialized center
Vitebsk, Belarus
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Wojskowy Szpital Kliniczny w Lublinie
Lublin, Poland
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