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Crohn DiseasePhase 2/3NCT03905109

Phase 2b/3 Study of ABX464 in Moderate to Severe Active Crohn's Disease Patients

A Phase 2/3 study testing ABX464 in people with Crohn Disease, run by Abivax S.A. at 1 site in Belgium.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a multicenter, randomized, placebo controlled study to evaluate the efficacy and safety of ABX464, administered once daily (QD), in inducing clinical remission and endoscopic response in patients with moderate to severe active Crohn's disease (CD) who have inadequate response, loss of response, or intolerance… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Crohn Disease
What is being tested?
ABX464
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 siteBelgium
Study dates
19 Sep 2022to 19 Sep 2022
Phase
Phase 2/3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women age 18-75 years;
  • Patients must have a documented diagnosis (endoscopic with histology) of CD for ≥ 3 months before screening;
  • Patients must have active moderate to severe ileal, ileocolic, or colonic CD at baseline as defined by 220 ≤ CDAI > 450,
  • Patients must have a SES-CD score > 6 (≥4 if isolated ileal disease) at screening, assessed by ileocolonoscopy and confirmed by a central reading.
  • Patients must be willing and able to undergo endoscopy during screening after all other inclusion criteria have been met and at the end of Week 16.
  • Patients must have had 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 amino-salicylates, immunosuppressant treatment (i.e., azathioprine, 6-mercaptopurine, methotrexate, biologics (i.e. tumor necrosis factor inhibitors, vedolizumab, ustekinumab), and/or corticosteroid treatment.
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  • Patients should be 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 being performed;
  • Patients should be affiliated to a social security regimen (for French sites only);
  • Females and males receiving the study treatment and their partners must agree to use a highly effective contraceptive method during the study and for 3 months after end of study or early termination.

Who cannot join

  • Patients with indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis or clinical/histologic findings suggestive of ulcerative colitis;
  • Patients with colonic dysplasia or neoplasia or adenomatous colonic polyp;
  • Patients with presence of fistulae;
  • Patients with current symptomatic diverticulitis or diverticulosis;
  • Patients with obstructive colonic stricture/stenosis, past medical history of colonic resection, a history of bowel surgery within 6 months before screening, or who are likely to require surgery for CD during the treatment period;
  • Patients with past medical history of clinically significant short bowel syndrome;
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  • Patients requiring parenteral nutrition;
  • Patients with past medical history of bowel surgery resulting in an existing or current stoma;
  • Patients with active infections at screening such as infected abdominal abscess, Clostridium difficile (stool antigen and toxin required), cytomegalovirus, tuberculous colitis and recent infectious hospitalization;
  • Acute, chronic or history of clinically relevant pulmonary, cardiovascular, hepatic, pancreatic or renal functional abnormality, encephalopathy, neuropathy or unstable central nervous system pathology such as seizure disorder, angina or cardiac arrhythmias, 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 cure (5 years disease free survivors);
  • Active malignancy that may require chemotherapy or radiation therapy;
  • Serious illness requiring systemic treatment and/or hospitalization within 3 Weeks prior to baseline;
  • Pregnant or breast-feeding woman;
  • Illicit drug or alcohol abuse or dependence;
  • Use of any investigational or non-registered product within 3 months or within 5 half-lives preceding baseline, whichever is longer;
  • Any condition, which in the opinion of the investigator, could compromise the patient's safety or adherence to the study protocol.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • University Hospitals Leuven - campus Gasthuisberg

    Leuven, 3000

Other trials in Belgium

About this study

Official title: Phase 2b/3, Randomized, Double Blind, Placebo Controlled Induction Phase Followed by a Maintenance Phase to Evaluate the Efficacy & Safety of ABX464 in Patients With Moderate to Severe Active Crohn's Disease & to Determine the Optimal Dose

This is a multicenter, randomized, placebo controlled study to evaluate the efficacy and safety of ABX464, administered once daily (QD), in inducing clinical remission and endoscopic response in patients with moderate to severe active Crohn's disease (CD) who have inadequate response, loss of response, or intolerance to prior corticosteroid and/or immunosuppressant treatment and/or biologics. This study consists of a 28 day Screening Period, a 52 week Treatment Period; including a 12 week double blinded (Cohort 1) or open label (Cohort 2) Induction Phase and a 40 week double blinded (responders) or open label (nonresponders) Maintenance Phase; and a 4 week Follow up Period, which will consist of an End of Study (EOS) visit

Read the detailed description

This is a multicenter, randomized, placebo controlled study to evaluate the efficacy and safety of ABX464, administered once daily (QD), in inducing clinical remission and endoscopic response in patients with moderate to severe active Crohn's disease (CD) who have inadequate response, loss of response, or intolerance to prior corticosteroid and/or immunosuppressant treatment and/or biologics. This study consists of a 28 day Screening Period, a 52 week Treatment Period; including a 12 week double blinded (Cohort 1) or open label (Cohort 2) Induction Phase and a 40 week double blinded (responders) or open label (nonresponders) Maintenance Phase; and a 4 week Follow up Period, which will consist of an End of Study (EOS) visit

Patient eligibility will be determined during a 4 week (28 days) Screening Period. Entry criteria will be based on confirmation of active moderate to severe ileal, ileocolic, or colonic CD. Approximately 930 patients will participate in this study (ABX464 Dose A N = 380, ABX464 Dose B N = 380, placebo N = 170).

On Day 0, eligible patients will be randomized into 2 cohorts:

  • Cohort 1: Double blinded Induction Phase according to a 1:1:1 ratio into 3 treatment groups as follows:
  • ABX464 - Dose A QD: 170 patients
  • ABX464 - Dose B QD: 170 patients
  • Matching Placebo: 170 patients
  • Cohort 2: Open-label Induction Phase according to a 1:1 ratio into 2 treatment groups as follows:
  • ABX464 - Dose A QD: 210 patients

At the end of the 12-week Induction Phase, all patients will be evaluated for the co-primary endpoints, namely induction of clinical remission and endoscopic improvement in addition to the secondary and exploratory endpoints. All patients will also be evaluated for treatment response. The determination of whether patients will be considered treatment responders versus nonresponders, responders being defined as patients with a reduction from baseline in Crohn's Disease Activity Index (CDAI) of ≥ 70 points.

Patients will be allocated to the different maintenance treatment regimens according to the following rules:

  • Patients who received ABX464 in the Induction Phase (coming from Cohort 1 and 2) and who were responders at Week 12 will be randomized 1:1:1 to receive either ABX464 Dose A QD, ABX464 Dose B QD, or placebo in a double-blinded manner, for an additional 40 weeks. Stratification factors used for re-randomization in the Maintenance Phase are previous failure to biologics and current corticosteroid treatment use.
  • Patients who received ABX464 or placebo in the Induction Phase (coming from Cohort 1 and 2) but who were not responders at Week 12 will be allocated to open label ABX464 Dose A QD. They will be evaluated 12 weeks later, and they will continue only if they have achieved clinical response at that timepoint.
  • Patients who received placebo (coming from Cohort 1) in the Induction Phase and who were responders at Week 12 will be allocated to receive placebo as part of their double blinded maintenance treatment.

At Week 24, nonresponders who received open label ABX464 Dose A QD in the Maintenance Phase will be assessed for treatment response. If patients have not achieved treatment response at Week 24, patients should discontinue study drug. All patients, including those who have had treatment response in Week 12, can be discontinued due to disease worsening.

Patients will also be evaluated for safety and efficacy throughout the Induction and Maintenance Phases. From Day 0 onwards, all eligible patients will be followed at the investigational site on Week 1, Week 2, Week 4, Week 8, Week 12, and every 4 weeks until Week 52. Ileocolonoscopy will be performed in accordance with the Schedule of Activities.

Conditions
Crohn Disease
Being tested
ABX464, Placebo
Keywords
Inflammatory Bowel Disorders, ABX464
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ABX464Drug

    ABX464 is a new anti-inflammatory drug. In the treatment arm, patients will receive dose A or Dose B of ABX464 orally once daily for 52 weeks.

  • PlaceboDrug

    In the placebo group, patients will receive dose A or B ABX464-matching-placebo orally once daily for 52 weeks.

Study groups in NCT03905109
Study groupRoleWhat they receive
ABX464 dose AExperimentalDose A QD
Receives: Drug: ABX464
ABX464 Dose BExperimentalDose B QD
Receives: Drug: ABX464
PlaceboPlacebo comparatorMatching dose
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The co-primary objectives of the study are to determine the efficacy of ABX464 in inducing clinical remission and endoscopic improvement after 12 weeks of study treatment in patients with moderate to severe active CD who have inadequate response, loss of

    Percentage of patients in clinical remission at Week 12, defined as CDAI of ≤ 150

    Measured: from baseline, at Week 12

  2. Co-primary objectives of the study are to determine the efficacy of ABX464 in inducing clinical remission and endoscopic improvement after 12 weeks of study treatment in patients with moderate to severe active CD who have inadequate response, loss of

    Percentage of patients with endoscopic improvement at Week 12, defined as a decrease from baseline of ≥ 50% in the global SES-CD (SES CD 50)

    Measured: from baseline, at Week 12

Secondary outcomes (8)
  1. To evaluate the safety of ABX464

    • Number and rate of all adverse events, causally related adverse events, all Serious Adverse Events (SAEs), and causally-related SAEs classified by severity
    • Incidence of treatment-emergent SAEs
    • Incidence of adverse events leading to investigational medicinal product discontinuation
    • The number of clinically-significant laboratory abnormalities

    Measured: from baseline, at week 12

  2. To evaluate the effect of ABX464 as measured by Patient-Reported-Outcome-based remission (PRO) at Week 12

    Number and rates of patients with the following:

    PRO-based remission at Week 12, defined as abdominal pain ≤ 1 and liquid/soft Stool Frequence (SF) score of ≤ 3, averaged over the 7 days prior to visit

    Measured: from baseline, at week 12

  3. To evaluate the effect of ABX464 on C reactive protein (CRP) and fecal calprotectin levels

    Change from Week 0 to Week 12 in CRP and fecal calprotectin levels

    Measured: from baseline, at week 12

  4. To evaluate the effect of ABX464 on patients' quality of life

    The scores and changes from Week 0 to Week 12 in Inflammatory Bowel Disease Questionnaire (IBDQ)

    Measured: from baseline to week 12

  5. To evaluate the effect of ABX464 on micro RNA (miR) 124 expression in whole blood and in tissue

    Change from Week 0 to Week 12 in microRNA-124 levels in total blood (PAXgene®) and in tissue (RNA later)

    Measured: from baseline to week 12

  6. To assess the pharmacokinetics of ABX464 and ABX464-N-Glu

    Serum concentration of ABX464 and its main metabolite ABX464-N-Glu levels

    Measured: from baseline, at week 12

  7. To evaluate the effect of ABX464 as measured by endoscopic remission at Week 12

    Number and rates of patients with the following:

    Endoscopic remission at Week 12 defined as SES CD ≤ 4 with at least a 2 point reduction from baseline

    Measured: from baseline, at week 12

  8. To evaluate the effect of ABX464 as measured by clinical response at Week 12

    Number and rates of patients with the following:

    Clinical response at Week 12, defined as a reduction from baseline in CDAI of ≥ 100 points

    Measured: from baseline, at week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2019
  2. Study start19 Sep 2022 (estimated)
  3. Primary completion19 Sep 2022 (estimated)
  4. Study completion19 Sep 2022 (estimated)

Why it stopped: Study design revised and to be found under new NCT06456593 ABX464-202

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blind, placebo-controlled, randomized study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03905109
Sponsor's protocol ID
ABX464-201
Status last verified
Jul 2024
First submitted
3 Apr 2019
Last updated
31 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing ABX464 in people with Crohn Disease, run by Abivax S.A. at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 31 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The co-primary objectives of the study are to determine the efficacy of ABX464 in inducing clinical remission and endoscopic improvement after 12 weeks of study treatment in patients with moderate to severe active CD who have inadequate response, loss of (time frame: from baseline, at Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2024.

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