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Rheumatoid ArthritisPhase 2NCT04049448

Study Evaluating the Long-Term Safety and Efficacy of ABX464 in Patients With Moderate to Severe Rheumatoid Arthritis

A Phase 2 study testing ABX464 in people with Rheumatoid Arthritis, run by Abivax S.A. at 14 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A phase 2a open-label study to evaluate the long-term safety and efficacy of ABX464 50mg as maintenance therapy in patients with moderate to severe rheumatoid arthritis. Read more about this study

Who is it for?
Ages 18 to 76 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
ABX464
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
14 sitesin 4 countries
Study dates
25 Oct 2019to 23 Jan 2023
Phase
Phase 2
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 76 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients previously enrolled in the ABX464-301 clinical study who have completed the initial 12 weeks of treatment period;
  • Criteria that should be met by patients at week 52 to be eligible for 52 additional weeks of study treatment:
  • Patients should be in clinical response. Clinical response is defined as: DAS28-CRP ≤ 2,6 for anti-TNFα naïve patients or DAS-28-CRP ≤ 3,2 for patients previously treated by anti-TNFα.

Who cannot join

  • 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

14 sites in 4 countries.

14 sites in 4 countries

Poland6 sites
  • ClinicMed Daniluk, Nowak Sp. J.

    Bialystok

  • Pratia MCM

    Krakow

  • Zespół Poradni Specjalistycznych REUMED

    Lublin

  • NZOZ Lecznica MAK-MED S.C.

    Nadarzyn

  • Medyczne Centrum Hetmańska

    Poznan

  • National Institute of Geriatrics

    Warsaw

Other trials in Poland

France3 sites
  • CHU de Brest - Hôpital Cavale Blanche

    Brest

  • CHU DE MONTPELLIER - Hôpital Lapeyronie

    Montpellier

  • CHR d'Orléans

    Orléans

Other trials in France

Hungary3 sites
  • Complex Medical Centre - Déli Klinika

    Budapest

  • CRU Hungary Ltd.

    Miskolc

  • CMed Rehabilitációs és Diagnosztikai Központ

    Székesfehérvár

Other trials in Hungary

Belgium2 sites
  • Cliniques Universitaires Saint-Luc

    Brussels

  • UZ Gent

    Ghent

Other trials in Belgium

About this study

Official title: A Follow-up Phase 2a Open-label Study to Evaluate the Long-term Safety and Efficacy Profile of ABX464 in Patients With Moderate to Severe Active Rheumatoid Arthritis

A phase 2a open-label study to evaluate the long-term safety and efficacy of ABX464 50mg as maintenance therapy in patients with moderate to severe rheumatoid arthritis.

Read the detailed description

This Phase 2a open-label study aims at investigating the long-term safety and efficacy of an oral dose of ABX464 in patients who have been previously enrolled in the ABX464-301 clinical study and who are willing to continue their treatment.

All patients will receive ABX464 given at 50mg o.d. irrespectively of their previous treatment received in the ABX464-301 study (i.e. ABX464 or Placebo).

The enrolment in this follow-up study will be based on the willingness of the subject to carry on his/her participation and also based on investigator's judgement.

Patients will be treated with ABX464 for a period of 52 weeks. If they achieve a clinical response on Week 52 (defined as DAS28-CRP ≤ 2,6 for anti-TNFα naïve patients or DAS-28-CRP ≤ 3,2 for patients previously treated by anti-TNFα), they will be eligible to continue treatment for up to 104 weeks.Patients will be followed up at week , week 2 and then, on a monthly basis the first year (up to W52), and quaterly the second year (up to W104).

Being tested
ABX464
Keywords
moderate to severe Rheumatoid Arthritis
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • ABX464Drug

    All subjects will receive ABX464 administered at 50 mg o.d for an overall period of 2 years (104 weeks).

Study groups in NCT04049448
Study groupRoleWhat they receive
ABX464 50 mgExperimentalAll subjects will receive ABX464 administered at 50 mg o.d for an overall period of 2 years (104 weeks)
Receives: Drug: ABX464

What is being measured

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

  1. Incidence of treatment-emergent adverse events in the ABX464 treated Patients, categorized by severity

    Incidence of adverse events emerging during the treatment

    Measured: through study completion (average of 104 weeks)

Secondary outcomes (8)
  1. Proportion of patients achieving Low Disease Activity (LDA)

    Low Disease Activity (LDA) is defined as DAS28-ESR <=3.2

    Measured: Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  2. Proportion of patients achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean remission

    The ACR/EULAR boolean-based remission is a validated criteria based on: Tender/painful Joint Count (28), Swollen Joint Count (28), C-Reactive Protein, patient global assessment of disease, All ≤ 1

    Measured: Week 4, Week 12, Week24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  3. Proportion of patients achieving Simplified Disease Activity Score (SDAI) remission

    The SDAI remission is considered achieved if the SDAI score ≤ 3.3

    Measured: Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  4. Proportion of patients achieving Clinical Disease Activity (CDAI) remission

    The CDAI remission is considered achieved if the CDAI score ≤ 2.8

    Measured: Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  5. Proportion of patients achieving ACR20/50/70 response

    The categorical American College of Rheumatology 20% or 50% or 70% (ACR20/50/70) response is a validated index of rheumatoid arthritis disease activity, defined by the number of patients who achieved at least 20% or 50% or 70% improvement in the ACR response.

    Measured: Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  6. Proportion of patients achieving categorical Disease Activity Scores (DAS) (measured on 28 joints) - C-Reactive Protein (DAS28-CRP) response

    Proportion of patients achieving categorical Disease Activity Score (DAS) DAS28-C-Reactive Protein (CRP) [DAS28-CRP] response will be measured as moderate/good European League Against Rheumatism (EULAR) response

    Measured: Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104

  7. Time to onset of the Low Disease Activity (LDA) remission

    time when DAS28-ESR <=3.2

    Measured: up to 104 weeks

  8. Time to onset of the American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean remission

    The ACR/EULAR remission is a validated criteria based on: Tender/painful Joint Count (28), Swollen Joint Count (28), C-Reactive Protein, patient global assessment of disease, All ≤ 1.

    Time to onset will be when this criteria will be ≤ 1

    Measured: up to 104 weeks

Timeline

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

  1. First posted8 Aug 2019
  2. Study start25 Oct 2019
  3. Primary completion23 Jan 2023
  4. Study completion23 Jan 2023

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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Open-label, follow-up study
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04049448
Sponsor's protocol ID
ABX464-302
Status last verified
Nov 2025
First submitted
6 Aug 2019
Last updated
17 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ABX464 in people with Rheumatoid Arthritis, run by Abivax S.A. at 14 sites in 4 countries.

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 3 inclusion and 1 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: finished, as of the sponsor's last update on 17 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Poland, France, Hungary, 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this 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.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Incidence of treatment-emergent adverse events in the ABX464 treated Patients, categorized by severity (time frame: through study completion (average of 104 weeks)). 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 17 Nov 2025.

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