New hope for ulcerative colitis sufferers: experimental drug shows promise
NCT ID NCT03760003
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an experimental drug called ABX464 in 355 adults with moderate to severe ulcerative colitis who had not responded well to other treatments. The goal was to see if the drug could reduce symptoms like diarrhea, bleeding, and colon inflammation. Participants received different doses of ABX464 or a placebo daily, and their disease activity was measured using a standard scoring system.
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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355 people
The number who actually took part.
- Started
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Aug 2019
- Finished
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Apr 2021
- 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: * Men or women age 18 - 75 years; * Diagnosis of moderate to severe active UC (including ulcerative proctitis if proximal extension of disease occurs beyond 10 cm) confirmed by endoscopy and histology at least 12 Weeks prior to screening visit. Moderate to severe active UC defined by Modified Mayo Score (MMS) of 5 to 9 inclusive (on a scale of 0-9). Moderate to severe active UC should be confirmed at screening visit with a centrally read endoscopy sub-score of at least 2 (on a scale of 0-3); * Patients having either a documented inadequate response, no response, a loss of response, or an intolerance (defined as the occurrence of at least one Adverse Reaction leading to treatment discontinuation) to either immunosuppressant treatment (i.e., azathioprine, 6-mercaptopurine, methotrexate), tumor necrosis factor \[TNF\] inhibitors, vedolizumab, JAK inhibitors and/or corticosteroid treatment. Inadequate response, no response, loss of response is defined as: i. Active disease or relapse in spite of thiopurines or methotrexate given at an appropriate dose for at least 3 months (i.e. azathioprine 2-2.5 mg/kg/day or mercaptopurine 1-1.5 mg/kg/day in the absence of leukopenia), and/or ii. Active disease despite corticosteroids treatment (prednisolone up to 0.75 mg/kg/day) over a period of 4 Weeks, and/or iii. Active disease or relapse in spite of adequate treatment (as defined in the SmPC) with tumor necrosis factor \[TNF\] inhibitors or vedolizumab, and/or iv. Active disease or relapse in spite of adequate treatment with JAK inhibitors over a period of at least 6 Weeks. * Patients receiving oral corticosteroids must have been on a stable dose of prednisone or prednisone equivalent (≤20 mg/day) or on beclomethasone diproprionate (≤5mg/day) or on budesonide MMX (≤9 mg/day) for at least 2 Weeks prior to the screening visit; * Topical corticosteroids and topical 5-aminosalicylic acid preparations must have been withdrawn at least 2 Weeks prior to the screening visit; * Patients who are on oral 5-aminosalicylic acid must have been on a stable dose for at least 4 Weeks prior to the screening visit; * Patients who are receiving immunosuppressants in the form of azathioprine, 6-mercaptopurine, or methotrexate needed to be on a stable dose for at least 4 Weeks prior to screening visit. Patients taking methotrexate also are advised to take folic acid 1 mg/day (or equivalent) supplementation if there is no contraindication; * Patients on probiotics (e.g., Culturelle® \[Lactobacillus GG, i-Health, Inc.\], Saccharomyces boulardii) must be on stable doses for at least 2 Weeks prior to the screening visit; * Patients on antidiarrheals (e.g., loperamide, diphenoxylate with atropine) must be on stable doses for at least 2 Weeks prior to the screening visit; * Patients who have received tumor necrosis factor \[TNF\] inhibitors, vedolizumab or other biologics must have discontinued therapy at least 8 Weeks prior to the screening visit due to lack or insufficient efficacy or intolerance; * Patients previously treated with cyclosporine, tacrolimus or JAK inhibitors must have discontinued therapy at least 4 Weeks prior to the screening visit due to lack or insufficient efficacy or intolerance; * Patients previously treated with tube feeding, defined formula diets, or parenteral alimentation/nutrition must have discontinued treatment 3 Weeks before the screening visit and must be able to take, orally, appropriate amount of food (calories) and liquids to maintain body weight; * Patients with surveillance colonoscopy defined as per ECCO guidelines; * Patients with the following hematological and biochemical laboratory parameters obtained at screening: i. Hemoglobin \> 9.0 g dL-1; ii. Absolute neutrophil count ≥ 750 mm-3; iii. Platelets ≥ 100,000 mm-3; iv. Total serum creatinine ≤ 1.3 x ULN (upper limit of normal); v. Creatinine clearance \> 90 mL min-1 by the Cockcroft-Gault equation within 60 days prior to baseline; vi. Total serum bilirubin \< 1.5 x ULN; vii. Alkaline phosphatase, AST (SGOT) and ALT (SGPT) \< 2 x ULN; * 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 at the screening visit 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 after end of study or early termination. Contraception should be in place at least 2 Weeks prior to study participation. Women must be surgically sterile 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 an 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 participants should use condoms and not donate sperm as long as contraception is required. Exclusion Criteria: * Patients with Crohn's Disease (CD) or presence or history of fistula, indeterminate colitis (IC), infectious/ischemic colitis or microscopic colitis (lymphocytic and collagenous colitis); * History of toxic megacolon, abdominal abscess, symptomatic colonic stricture or stoma; history or imminent colectomy, colonic malignancy; * History or current evidence of colonic dysplasia or adenomatous colonic polyps. Patient with severe gastrointestinal complications; e.g., short bowel syndromes, recent or planned bowel surgery, Ileostomy and/or colostomy, recent bowel perforation; * History of more than one episode of herpes zoster or a history (single episode) of disseminated zoster; * Patients with active infections at screening such as infected abdominal abscess, Clostridium difficile (stool antigen and toxin required), CMV (positive IgM), TB and recent infectious hospitalization; * Patients previously treated with ABX464; * Acute, chronic or history of clinically relevant pulmonary, cardiovascular, hepatic, pancreatic or renal functional abnormality, encephalopathy, neuropathy or unstable CNS pathology such as seizure disorder, angina or cardiac arrhythmias, active malignancy or any other clinically significant medical problems as determined by physical examination and/or laboratory screening tests and/or medical history; * Acute, chronic or history of immunodeficiency or autoimmune disease; * History of malignancy excluding patients considered cured (5 years disease free survivors); * Serious illness requiring systemic treatment and/or hospitalization within 3 Weeks prior to baseline; * Pregnant or breast-feeding women; * Illicit drug or alcohol abuse or dependence; * Patients who received live vaccine 30 days or fewer before first dose of study treatment and/or who's planning to receive such a vaccine during the study duration; * Use of any investigational or non-registered product within 3 months or within 5 half-lives preceding baseline, whichever is longer and during the study; * Any condition, which in the opinion of the investigator, could compromise the patient's safety or adherence to the study protocol.
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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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Allen Whey Khye Lim Professional Corporation
Saskatoon, Canada
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Atlanta Center for Gastroenterology, P.C
Decatur, Georgia, 30033, United States
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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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Central Texas Clinical Research, LLC
Austin, Texas, 78705, United States
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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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Clinical Center Zvezdara
Belgrade, Serbia
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Cliniq s.r.o.
Bratislava, Slovakia
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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 "Djordje Joanovic"
Zrenjanin, Serbia
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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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Southern Star Research Institute, LLC
San Antonio, Texas, 78212, United States
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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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UCSD Health System
San Diego, California, 92103, United States
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UZ Leuven
Leuven, Belgium
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UZA
Edegem, Belgium
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Universitaetsklinikum Halle (Saale)
Halle, Germany
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Universitaetsklinikum Ulm
Ulm, Germany
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Universitair Ziekenhuis Gent
Ghent, Belgium
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University College London Hospitals
London, United Kingdom
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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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