Moderately to Severely Active Crohn DiseasePhase 2ENHANCE-CDNCT06456593
Efficacy and Safety of Obefazimod in Subjects With Moderately to Severely Active Crohn's Disease
A Phase 2 study testing Obefazimod in people with Moderately to Severely Active Crohn Disease, run by Abivax S.A. at 149 sites in 12 countries.
Trial summary
This study has 3 treatment phases, a 12-Week Induction Phase, a 40-Week Maintenance Phase, and a 48-Week Extension Phase. The objective is to evaluate the efficacy and safety of obefazimod compared to placebo as induction and maintenance therapy in subjects with moderately to severely active CD after inadequate… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Moderately to Severely Active Crohn Disease
- What is being tested?
- Obefazimod
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 212 participants
- Where
- 149 sitesin 12 countries
- Study dates
- 30 Oct 2024to Apr 2028
- Phase
- Phase 2
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
- Male or female (at birth) 18 to 75 years old and able to understand, sign, and date the written voluntary informed consent at the visit prior to any protocol-specified procedures
- Able and willing to comply with study visits and procedures as per protocol.
- Confirmed and documented diagnosis of CD based on endoscopy and histology reports.
- Moderately to severely active CD as defined by 220 ≤ CDAI ≤ 450 and SES-CD ≥ 6 for ileo-colonic or colonic disease or SES-CD ≥ 4 for isolated ileal disease (per central reading).
- Documented inadequate response (defined as lack of response or loss of response or intolerance) to at least one of the following treatments: corticosteroids (CS), immunosuppressants (IS), biologic or biosimilar therapies, or janus kinase (JAK) (note: failure to only 5-aminosalicylic acid [5-ASA] is not accepted)
- Women of childbearing potential (WOCBP) and male subjects with WOCBP partner must agree to comply with contraception requirements as stated in section 4.5 (contraception) of this protocol.
- Subject should be affiliated to a health insurance policy whenever required by a participating country or state.
- Subject is able and willing to comply with usual public recommendations for sun protection.
Who cannot join
- Subjects who meet any of the following exclusion criteria will be excluded from the study:
- WOCBP subject who is pregnant or breast-feeding at screening, or intends to become pregnant during the study; or male subject with WOCBP partner who intends to be pregnant during the study.
- Current diagnosis of ulcerative colitis (UC) or indeterminate colitis
- CD without ileal and/or colonic involvement
- Untreated active external or perianal fistula or abscess. Stable fistula without abscess and with minimal or low drainage may be enrolled. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks before screening colonoscopy or 8 weeks before screening colonoscopy for intra-abdominal abscesses, if no additional surgery is anticipated.
- Symptomatic bowel stricture and/or stenosis not passable in endoscopy
Show all 48Show fewer
- Related to CD surgery:
- Current stoma or ileoanal pouch
- More than 2 missing complete segments of the following 5 segments: terminal ileum, right colon, transverse colon, left colon, and sigmoid and rectum
- Combined previous small bowel resections > 100 cm
- Surgical bowel resection within the past 3 months prior to baseline
- Any other manifestation that might require surgery while enrolled in the study
- Related to CD treatments:
- Subject who is currently treated with prohibited concomitant therapies for CD as described in the study protocol
- Subject who has previously received natalizumab (or any other α4β1 integrin agonist)
- Subject who has failed more than three advanced therapies for the treatment of CD, or two different mechanisms of action for advanced therapies of CD
- History of, or active, malignancy including nonmelanoma skin cancer (subjects with a 5-year disease-free survival are eligible)
- History of colonic cancer or colonic low grade or high grade dysplasia adenomatous polyps, and/or at the screening endoscopy, evidence of low grade or high grade dysplasia adenomatous polyps (fully removed or not)
- Subject with history of, or diagnosed with, the following during screening: primary sclerosing cholangitis, autoimmune hepatitis, or primary biliary cirrhosis
- Serious illness requiring hospitalization (not related to CD) within 4 weeks prior to screening
- Subject with the following infectious conditions:
- Chronic or recurrent Grade 3 or Grade 4 infection within the last 2 months prior to screening or history of opportunistic infection while not on immunosuppressive therapy
- Herpes zoster reactivation within the last 2 months prior to screening
- Active infection at screening or any major episode of infection that required hospitalization or treatment with IV antibiotics within 1 month of screening or during screening (fungal infection of nail beds is allowed)
- Positive assay or stool culture for pathogens (ova and parasite examination, bacteria) that required treatment per local medical practice or positive test for Clostridioides difficile (C. difficile) toxin at screening.
- Subject with human immunodeficiency virus (HIV) infection
- Acute or chronic hepatitis B infection at screening (positive for hepatitis B surface antigen [HbsAg] or negative for HbsAg and positive for anti-hepatitis B core antibody in conjunction with detectable hepatitis B virus [HBV] deoxyribonucleic acid [DNA], or detectable HBV DNA).
- Acute or chronic hepatitis C virus (HCV) infection as defined by positive for hepatitis C antibody (subjects successfully treated and without recurrence ≥ 1 year with no detectable HCV RNA [assessed centrally] are eligible)
- Active tuberculosis (TB) or untreated latent TB (For subjects with positive or intermediate QuantiFERON test)
- Subject with uncontrolled ischemic heart disease and/or a history of congestive heart failure
- Subject with a known family or personal history of congenital or acquired long QT syndrome, or subjects with a marked baseline prolongation of QT/ heart rate-corrected QT (QTc) interval
- Subject with a history of torsade de pointe (TdP)
- Acute or chronic clinically relevant pulmonary, hepatic, or renal functional abnormality, encephalopathy, neuropathy or unstable central nervous system pathology such as seizure disorder, or any other clinically significant medical problems.
- Subjects who received live vaccine within 3 months prior to screening and/or subject who is planning to receive such a vaccine during the study duration
- Acute or chronic pancreatitis
- Subject with the following hematological and biochemical laboratory parameters obtained during the screening period:
- Hemoglobin ≤ 8.0 g/dL1
- Absolute neutrophil count < 750/mm3
- Platelets < 100,000 /mm3
- eGFR < 60 mL/min/1.73 m2
- Total serum bilirubin > 1.5 x ULN (except if related to pre-existing and documented Gilbert syndrome)
- Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 2 x ULN
- Subject who does not meet the washout period requirements prior to the screening endoscopy as described in the prohibited medication section of the study protocol
- Use of any investigational or nonregistered product within 3 months or within 5 halflives preceding baseline, whichever is longer, and during the study.
- Subjects previously treated with obefazimod or with a known hypersensitivity to the active substance or to any of the excipients
- Illicit drug or alcohol abuse or dependence
- Subject who is committed to an institution by virtue of an order issued either by the judicial or the administrative authorities
- Any condition, which in the opinion of the investigator, could compromise the subject's safety or adherence to the study protocol
Trial locations and contacts
149 sites in 12 countries. Contact the study team or a site near you to ask about taking part.
149 sites in 12 countries
United States43 sites, 43 recruiting
- Not yet recruiting
Central Texas Clinical Research, LLC
Austin, Texas, 78705
Cynthia Brinson, MD
- Not yet recruiting
Inquest Clinical Research
Baytown, Texas, 77521
Haider Afzal, MD
- Recruiting
Novel Research, LLC
Bellaire, Texas, 77401
Moazzam Sana, MD
- Recruiting
Clinical Research Of Brandon, LLC
Brandon, Florida, 33511
German Alvarez, MD
- Recruiting
GI Alliance
Cedar Park, Texas, 78613
Ryan Cho, MD
- Recruiting
West Central Gastroenterology d/b/a Gastro Florida
Clearwater, Florida, 33762
Tejinder Glamour, MD
- Recruiting
Peak Gastroenterology Associates
Colorado Springs, Colorado, 80907
Bhaktasharan Patel, MD
- Recruiting
Baylor University Hospital
Dallas, Texas, 75246
Themistocles Dassopoulos, MD
- Recruiting
Henry Ford Columbus Center
Detroit, Michigan, 48202
Najwa El-Nachef, MD
- Recruiting
Northwestern University
Evanston, Illinois, 60208
Emanelle Bellaguarda, MD
- Not yet recruiting
IMC Gulf Coast Gastroenterology, PC
Fairhope, Alabama, 36532
Nathaniel Winstead, MD
- Not yet recruiting
GI Alliance - Garland
Garland, Texas, 75044
Harry Sarles, MD
- Recruiting
Texas Digestive Specialists
Harlingen, Texas, 78550
Nolan Perez, MD
- Not yet recruiting
Susquehanna Research Group, LLC
Harrisburg, Pennsylvania, 17110
Adnan Ahmad, MD
- Not yet recruiting
OSU Inflammatory Bowel Disease Center
Hilliard, Ohio, 43026
Madalina Butnariu, MD
- Not yet recruiting
Houston Methodist Hospital
Houston, Texas, 77030
Bincy Abraham, MD
- Not yet recruiting
University of Iowa Health Care
Iowa City, Iowa, 52242
Steven Polyak, MD
- Not yet recruiting
Hoag Hospital
Irvine, California, 92618
Caroline Hwang, MD
- Recruiting
Auzmer Research
Lakeland, Florida, 33813
Niaz Ausaf, MD
- Not yet recruiting
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Corey Siegel, MD
- Not yet recruiting
GI Alliance - Gurnee
Mansfield, Texas, 76063
Moustafa Youssef, MD
- Recruiting
Research Associates of South Florida, LLC
Miami, Florida, 33134
Alexander Veloso, MD
- Not yet recruiting
Wellness Clinical Research
Miami Lakes, Florida, 33016
Lucky Flores, MD
- Recruiting
United Medical Doctors
Murrieta, California, 92563
John Hong, MD
- Not yet recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37212
Audrey Bennett, MD
- Recruiting
Lucida Clinical Trials, LLC
New Bedford, Massachusetts, 02740
Jason Reich, MD
- Recruiting
Advanced Research Institute, Inc.
New Port Richey, Florida, 34653
Curtis Freedland, MD
- Recruiting
Sarkis Clinical Trials - Parent
Ocala, Florida, 34474
Vishnu Reddy, MD
- Recruiting
Orlando Health, Inc.
Orlando, Florida, 32806
Udayakumar Navaneethan, MD
- Not yet recruiting
UPMC
Pittsburgh, Pennsylvania, 15213
Marc Schwartz, MD
- Recruiting
Rapid City Medical Center, LLC
Rapid City, South Dakota, 57701
Blake Jones, MD
- Not yet recruiting
Richmond VA Medical Center
Richmond, Virginia, 23249
William Pandak, MD
- Recruiting
Gastroenterology Consultants of Southwest Virginia.
Roanoke, Virginia, 24014
Nirish Shah, MD
- Recruiting
University of Utah
Salt Lake City, Utah, 84108
John Valentine, MD
- Not yet recruiting
Southern Star Research Institute, LLC
San Antonio, Texas, 78229
Jeff Bullock, MD
- Not yet recruiting
Scottsdale Gastroenterology Specialists
Scottsdale, Arizona, 85260
S. Jaffrey Kazi, MD
- Not yet recruiting
University of Washington
Seattle, Washington, 98195
Scott Lee, MD
- Recruiting
GI Alliance -Gurnee
Sun City, Arizona, 85351
Chirag Trivedi, MD
- Recruiting
GCP Clinical Research, LLC
Tampa, Florida, 33609
Alan Weintraub, MD
- Recruiting
Theia Clinical Research Centers, LLC
Temple Terrace, Florida, 33617
Zubair Farooqui, MD
- Recruiting
Tyler Research Institute, LLC
Tyler, Texas, 75701
George Aaron DuVall, MD
- Recruiting
Frontier Clinical Research, LLC
Uniontown, Pennsylvania, 15401
Marc Happe, MD
- Not yet recruiting
University of Massachusetts, Worcester
Worcester, Massachusetts, 01655
Abbas Rupawala, MD
Poland22 sites, 22 recruiting
- Recruiting
Centrum Medyczne Medis
Bydgoszcz
Maria Klopocka, MD
- Not yet recruiting
NZOZ Centrum Medyczne KERmed
Bydgoszcz
Patryk Korga, MD
- Not yet recruiting
Santa Sp. z o.o. Sp. K Polimedica PTG Kielce
Kielce
Dariusz Solowiej, MD
- Recruiting
Mz Badania Slowik Zymla Sp J
Knurów
Maciej Zymla, MD
- Recruiting
Centrum Medyczne Plejady
Krakow
Monika Augustyn, MD
- Recruiting
Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lecznej
Łęczna
Lukasz Wolanski, MD
- Recruiting
AMICARE spółka z ograniczoną odpowiedzialnością spółka komandytowa
Lodz
Rafal Drozda, MD
- Recruiting
ALLMEDICA sp. z o. o.
Nowy Targ
Mikolaj Krzyzanowski, MD
- Recruiting
Twoja Przychodnia Opolskie Centrum Medyczne
Opole
Marzena Kwinto, MD
- Not yet recruiting
Trialmed CRS
Piotrkow Trybunalski
Beata Neneman, MD
- Recruiting
Twoja Przychodnia PCM
Późna
Ewa Furmanowska-Ladorska, MD
- Not yet recruiting
NSZOZ Termedica - Centrum Badan Klinicznych
Poznan
Jacek Paszkowski, MD
- Recruiting
SOLUMED Centrum Medyczne
Poznan
Magdalena Andrzejewska, MD
- Not yet recruiting
Gabinet Lekarski Bartosz Korczowski
Rzeszów
Bartosz Korczowski, MD
- Recruiting
Kiepury Clinic MAŁGORZATA JARNOT SPECJALISTYCZNA PRAKTYKA GINEKOLOGICZNO-POŁOŻNICZA
Sosnowiec
Lukasz Firkowski, MD
- Recruiting
DC-MED
Swidnica
Witold Marczynski, MD
- Recruiting
Twoja Przychodnia-Szczecinskie Centrum Medyczne Sp. z o. o.
Szczecin
Beata Gawdis Wojnarska, MD
- Recruiting
Centrum Zdrowia MDM
Warsaw
Marek Woynarowski, MD
- Recruiting
Medical Network Spolka z o.o
Warsaw
Jaroslaw Kierkus, MD
- Recruiting
NZOZ VIVAMED Jadwiga Miecz
Warsaw
Robert Petryka, MD
- Recruiting
Melita Medical Sp. Z O. O.
Wroclaw
Jaroslaw Leszczyszyn, MD
- Not yet recruiting
ETG Zamosc
Zamość
Katarzyna Wojcik, MD
France19 sites, 19 recruiting
- Recruiting
CHU Amiens
Amiens
Mathurin Fumery, MD
- Not yet recruiting
CHU Besançon - Hôpital Jean Minjoz
Besançon
Lucine Vuitton, MD
- Recruiting
CHU Clermont Ferrand - Hopital d'Estaing
Clermont-Ferrand
Anthony Buisson, MD
- Recruiting
Hôpital Henri Mondor
Créteil
Mathieu Uzzan, MD
- Not yet recruiting
CHU Dijon - Hôpital Bocage Central
Dijon
Maeva Charkaoui, MD
- Not yet recruiting
CHU de Grenoble - Hôpital Michallon
Grenoble
Marianne Hupe, MD
- Not yet recruiting
Centre Hospitalier Départemental Vendée - Les Oudairies
La Roche-sur-Yon
Morgane Amil, MD
- Not yet recruiting
Hôpital Bicêtre
Le Kremlin-Bicêtre
Aurelien Amiot, MD
- Not yet recruiting
CHU Lille - Hôpital Claude Huriez
Lille
Maria Nachury, MD
- Not yet recruiting
Hôpital Nord - CHU Marseille
Marseille
Melanie Serrero, MD
- Recruiting
Hopital Saint Eloi
Montpellier
Romain Altwegg, MD
- Not yet recruiting
CHU Nantes - Hôtel Dieu
Nantes
Catherine Le Berre, MD
- Recruiting
Institut des MICI
Neuilly-sur-Seine
Xavier Treton, MD
- Not yet recruiting
CHU Nice - Hôpital de l'Archet 2
Nice
Adrien Nicolau, MD
- Recruiting
CHU Bordeaux - Hôpital Haut-Lévêque
Pessac
David Laharie, MD
- Recruiting
Centre Hospitalier Lyon Sud
Pierre-Bénite
Stephane Nancey, MD
- Not yet recruiting
CHU Saint Etienne - Hôpital Nord
Saint-Etienne
Xavier Roblin, MD
- Recruiting
Hopital Rangueil
Toulouse
Cyrielle Gilletta de Saint Joseph, MD
- Not yet recruiting
Hôpital de Brabois
Vandœuvre-lès-Nancy
Benedicte Caron, MD
Germany12 sites, 12 recruiting
- Not yet recruiting
Charite-Campus Benjamin Franklin Medizin.Klin.I
Berlin
Britta Siegmund, MD
- Recruiting
Krankenhaus Waldfriede e. V.
Berlin
Carsten Buening, MD
- Not yet recruiting
Universitaetsklinikum Brandenburg an der Havel
Brandenburg an der Havel
Stefan Lueth, MD
- Recruiting
Universitaetsklinikum Erlangen
Erlangen
Raja Atreya, MD
- Not yet recruiting
Universitaetsklinikum Frankfurt Goethe-Universitaet
Frankfurt am Main
Irina Blumenstein
- Recruiting
Hamburgisches Forschungsinstitut fuer Chronisch Entzuendliche Darmerkrankungen
Hamburg
Stefanie Howaldt, MD
- Recruiting
Medizinische Hochschule Hannover
Hanover
Ursula Seidler, MD
- Not yet recruiting
Universitaetsklinikum Heidelberg
Heidelberg
Annika Gauss, MD
- Recruiting
Universitaetsklinikum Schleswig-Holstein - Campus Kiel
Kiel
Stefan Schreiber, MD
- Recruiting
St. Marienkrankenhaus
Ludwigshafen
Tanja Kuehbacher, MD
- Not yet recruiting
LMU - Campus Grosshadern
München
Helga Toeroek, MD
- Recruiting
Universitaetsklinikum Ulm
Ulm
Jochen Klaus, MD
Italy9 sites, 9 recruiting
- Not yet recruiting
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS
Bologna
Paolo Gionchetti, MD
- Not yet recruiting
Azienda Ospedaliera Universitaria Renato Dulbecco di Catanzaro
Catanzaro
Francesco Luzza, MD
- Recruiting
Ospedale San Raffaele
Milan
Silvio Danese, MD
- Not yet recruiting
Ospedale Sacro Cuore Don Calabria
Negrar
Angela Variola, MD
- Recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia
Antonio Di Sabatino, MD
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma
Antonio Gasbarrini, MD
- Recruiting
Università Campus Bio-Medico di Roma
Roma
Michele Cicala, MD
- Recruiting
Istituto Clinico Humanitas
Rozzano
Alessandro Armuzzi, MD
- Recruiting
IRCCS Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo
Fabrizio Bossa, MD
Hungary8 sites, 8 recruiting
- Recruiting
Bekes Varmegyei Kozponti Korhaz
Békéscsaba
Marta Varga, MD
- Not yet recruiting
Obudai Egeszsegugyi Centrum Kft.
Budapest
Robert Sike, MD
- Recruiting
Pannonia Maganorvosi Centrum
Budapest
Robert Schnabel, MD
- Recruiting
Semmelweis Egyetem
Budapest
Pal Miheller, MD
- Not yet recruiting
Semmelweis Egyetem
Budapest
Zsolt Tulassay, MD
- Not yet recruiting
Gyongyosi Bugat Pal Korhaz
Gyöngyös
Gabor Makai, MD
- Recruiting
Fejer Varmegyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár
Roland Fejes, MD
- Not yet recruiting
Clinfan Szolgaltato Kft.
Szekszárd
Agnes Salamon, MD
Spain8 sites, 8 recruiting
- Recruiting
Centro Medico Teknon
Barcelona
Miquel Sans Cuffi, MD
- Not yet recruiting
Hospital Universitario Reina Sofia
Córdoba
Eva Maria Iglesias Flores
- Not yet recruiting
Hospital Universitario de Fuenlabrada
Fuenlabrada
Fernando Bermejo San Jose, MD
- Recruiting
Hospital General Juan Ramon Jimenez
Huelva
Elena Gomez Delgado, MD
- Recruiting
Hospital Universitario de Gran Canaria Dr. Negrin
Las Palmas de Gran Canaria
Daniel Sebastian Ceballos Santos, MD
- Recruiting
Clinica Gaias - Santiago
Santiago de Compostela
Ana Alvarez Castro, MD
- Not yet recruiting
Hospital Universitario Virgen del Rocio
Seville
Eduardo Leo Carnerero, MD
- Not yet recruiting
Hospital Clinico Universitario de Valencia
Valencia
Carles Suria Bolufer, MD
Belgium6 sites, 6 recruiting
- Recruiting
Hopital Universitaire de Bruxelles - Hopital Erasme
Brussels
Denis Franchimont, MD
- Recruiting
AZ Maria Middelares
Ghent
Nele Deprez, MD
- Not yet recruiting
Universitair Ziekenhuis Gent
Ghent
Triana Lobaton Ortega, MD
- Recruiting
UZ Leuven
Leuven
Bram Verstockt, MD
- Not yet recruiting
Centre Wallonie Picarde
Tournai
Lena Capirchio, MD
- Recruiting
CHU UCL Namur
Yvoir
Jean-François Rahier, MD
Czechia6 sites, 6 recruiting
- Recruiting
SurGal Clinic s.r.o.
Brno
Jan Ulbrych, MD
- Recruiting
Vojenska nemocnice Brno
Brno
David Stepek, MD
- Not yet recruiting
Hepato-Gastroenterologie HK s.r.o.
Hradec Králové
Miroslava Volfova, MD
- Recruiting
PreventaMed s.r.o.
Olomouc
Jiri Pumprla, MD
- Not yet recruiting
ISCARE a.s.
Prague
Milan Lukas, MD
- Recruiting
Nemocnice Slany
Slaný
Martin Peterka, MD
Slovakia6 sites, 6 recruiting
- Recruiting
Fakultna nemocnica s poliklinikou F.D. Roosevelta
Banská Bystrica
Jozef Balaz, MD
- Recruiting
Cliniq s.r.o.
Bratislava
Tibor Hlavaty, MD
- Recruiting
Endomed, s.r.o.
Košice
Miroslav Fedurco, MD
- Recruiting
KM Management spol. s r.o.
Nitra
Milos Gregus, MD
- Recruiting
Gastro I, s.r.o.
Prešov
Bohus Bunganic, MD
- Recruiting
Penta hospitals SK, a.s.
Rimavská Sobota
Jan Zachar, MD
Netherlands5 sites, 5 recruiting
- Recruiting
Amsterdam UMC, Locatie AMC
Amsterdam
Geert D'Haens, MD
- Not yet recruiting
Maastricht University Medical Center
Maastricht
Marieke Pierik, MD
- Not yet recruiting
Radboud UMC
Nijmegen
Marjolijn Duijvestein, MD
- Recruiting
ETZ Elisabeth
Tilburg
Maurice Lutgens, MD
- Not yet recruiting
Bernhoven Uden
Uden
Moniek Gorter, MD
Romania5 sites, 5 recruiting
- Recruiting
S.C Delta Health Care S.R.L
Bucharest
Camelia Chioncel, MD
- Recruiting
SC Centrul Medical Medicum SRL, Specialitatea Gastroenterologie
Bucharest
Theodor Alexandru Voiosu, MD
- Not yet recruiting
Spitalul Clinic Colentina
Bucharest
Radu-Bogdan Mateescu, MD
- Not yet recruiting
S.C Pelican Impex S.R.L
Oradea
Alin-Horea Suta, MD
- Recruiting
Valahia Medical SRL
Ploieşti
George Stancu, MD
About this study
Official title: A Phase 2b, Multicenter, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Obefazimod in Subjects With Moderately to Severely Active Crohn's Disease
This study has 3 treatment phases, a 12-Week Induction Phase, a 40-Week Maintenance Phase, and a 48-Week Extension Phase.
The objective is to evaluate the efficacy and safety of obefazimod compared to placebo as induction and maintenance therapy in subjects with moderately to severely active CD after inadequate response (no response, loss of response, or intolerance) to conventional therapies and/or advanced therapies.
The primary objective for the 48-Week Extension Phase is to evaluate the safety and tolerability of obefazimod compared with placebo in subjects who are enrolled in the Extension Phase.
- Being tested
- Obefazimod, Placebo
- Keywords
- Crohn Disease
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ObefazimodDrug
Obefazimod is administered once-daily in fed condition (ideally at the same time in the morning).
PlaceboOther
Matching placebo will be administered QD in fed condition (ideally at the same time in the morning).
| Study group | Role | What they receive |
|---|---|---|
| Obefazimod 50mg | Experimental | Obefazimod 50mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD) Receives: Drug: Obefazimod |
| Obefazimod 25mg | Experimental | Obefazimod 25mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD) Receives: Drug: Obefazimod |
| Obefazimod 12.5mg | Experimental | Obefazimod 12.5mg given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD) Receives: Drug: Obefazimod |
| Placebo | Placebo comparator | Placebo given once-daily (QD) in subjects with moderately to severely active Crohn's disease (CD) Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Induction and maintenance Phase Efficacy- Crohn's Disease Activity Index (CDAI)
Change from baseline in Crohn's Disease Activity Index (CDAI) score at Week 12 and Week 52 The CDAI total score ranges from 0 to over 600. Higher scores mean a worse outcome.
Measured: Week 12 and week 52
Maintenance Phase Efficacy - Simple Endoscopic Score for Crohn's disease (SES-CD)
Change from baseline in Simple Endoscopic Score for Crohn's disease (SES-CD) at Week 52
The SES-CD is an endoscopic grading system that consists of a composite score based on 4 components: the size of mucosal ulcers, the extent of the ulcerated surface, the endoscopic extension, and the presence of stenosis (26). Each of the 4 SES-CD components are assessed in the 5 segments of the ileum and colon: ileum, right, transverse, left, and rectum. The SES-CD is the sum of the individual scores of each of the components across the 5 segments. The total score ranges from 0 to 60. Higher scores mean a worse outcome
Measured: Week 52
Maintenance Phase Efficacy - Endoscopic response
Proportion of subjects with endoscopic response at Week 52
Measured: Week 52
Maintenance Phase Efficacy - SES-CD ulcer subscore > 1
Proportion of subjects with no SES-CD ulcer subscore > 1 in at least one segment at Week 52
Measured: Week 52
Maintenance Phase Efficacy - CDAI clinical remission
Proportion of subjects with CDAI clinical remission at Week 52 Proportion of subjects with sustained CDAI clinical remission at Week 52
Measured: Week 52
Maintenance Phase Efficacy - PRO-2 clinical remission
Proportion of subjects with patient reported outcome (PRO)-2 clinical remission at Week 52
Measured: Week 52
Maintenance Phase Efficacy - CDAI clinical response
Proportion of subjects with CDAI clinical response (CDAI decrease from baseline ≥ 100 points) at Week 52
Measured: Week 52
Maintenance Phase Efficacy - PRO-2 clinical response
Proportion of subjects with PRO-2 clinical response (≥ 30% decrease in average daily PRO-2 score (AP + SF) and both no higher than baseline) at Week 52
Measured: Week 52
Maintenance Phase Efficacy - CDAI clinical response and endoscopic response
Proportion of subjects with CDAI clinical response and endoscopic response at Week 52
Measured: Week 52
Maintenance Phase Efficacy - endoscopic remission
Proportion of subjects with endoscopic remission at Week 52
Measured: Week 52
Extension Phase Safety- Adverse events
Incidence of all treatment-emergent adverse events (TEAEs), serious adverse events (SAEs) and causally related TEAEs/SAEs Incidence of adverse events (AEs) leading to discontinuation
Measured: Weeks 64, 76, 88,100 and EOS
Extension Phase Safety - Hematology and coagulation
Number of patients with clinically-significant abnormal laboratory parameters. Hematology: Hematocrit, hemoglobin, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular volume, platelet count, red blood cells; white blood cells Coagulation: International normalized ratio, activated partial thromboplastin time, fibrinogen, prothrombin time
Measured: Weeks 64, 76, 88,100 and EOS
Extension Phase Safety - Biochemistry
Number of patients with clinically-significant abnormal laboratory parameters. Albumin, total protein, aspartate aminotransferase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), total bilirubin, gamma glutamyl transferase (GGT), lactate dehydrogenase (LDH), lipase, amylase, creatinine, creatinine clearance, urea, chloride, bicarbonate, sodium, potassium, calcium, phosphate, uric acid, glucose, total cholesterol, LDL cholesterol (direct), HDL cholesterol, triglycerides, creatine phosphokinase (CPK), high sensitivity troponin I and T, N-terminal prohormone of brain natriuretic peptide (NT-proBNP)
Measured: Weeks 64, 76, 88,100 and EOS
Secondary outcomes (9)
Induction Phase Efficacy - SES-CD
Change from baseline in Simple Endoscopic Score for Crohn's disease (SES-CD) at Week 12
Measured: Week 12
Induction Phase Efficacy - Endoscopic response
Proportion of subjects with endoscopic response at Week 12
Measured: Week 12
Induction Phase Efficacy-SES-CD ulcer subscore > 1
Proportion of subjects with no SES-CD ulcer subscore > 1 in at least one segment at Week 12
Measured: Week 12
Induction Phase Efficacy-CDAI clinical remission
Proportion of subjects with Crohn's Disease Activity Index (CDAI) clinical remission (CDAI score < 150) at Week 12 The total CDAI score ranges from 0 to over 600. Higher scores mean a worse outcome
Measured: Week 12
Induction Phase Efficacy-PRO-2 clinical remission
Proportion of subjects with patient reported outcome (PRO)-2 clinical remission (Combination of average daily abdominal pain score ≤ 1.0 plus average daily soft or liquid stool frequency ≤ 2.8 and both no higher than baseline) at Week 12
Measured: Week 12
Induction Phase Efficacy-CDAI clinical response
Proportion of subjects with CDAI clinical response (CDAI decrease from baseline ≥ 100 points) at Week 12 The total CDAI score ranges from 0 to over 600. Higher scores mean a worse outcome
Measured: Week 12
Induction Phase Efficacy-PRO-2 clinical response
Proportion of subjects with PRO-2 clinical response at Week 12
Measured: Week 12
Induction Phase Efficacy-CDAI clinical response and endoscopic response
Proportion of subjects with CDAI clinical response (CDAI decrease from baseline ≥ 100 points) and endoscopic response (Simple Endoscopic Score for Crohn's disease (SES-CD) decrease from baseline ≥ 50%) at Week 12
The total CDAI score ranges from 0 to over 600. Higher scores mean a worse outcome The total SES-CD score ranges from 0 to 60. Higher scores mean a worse outcome.
Measured: Week 12
Induction Phase Efficacy - endoscopic remission
Proportion of subjects with endoscopic remission at Week 12
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jun 2024
- Study start30 Oct 2024
- Primary completionDec 2026 (estimated)
- Study completionApr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Moderately to Severely Active Crohn DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 212 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Abivax S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06456593
- Sponsor's protocol ID
- ABX464-202
- Acronym
- ENHANCE-CD
- Status last verified
- Apr 2026
- First submitted
- 16 May 2024
- Last updated
- 27 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No