Evidence map›Paper›PMID 40417999›Full record

Trial reportJournal of Crohn's & colitis2025

Obefazimod in patients with moderate-to-severely active ulcerative colitis: efficacy and safety analysis from the 96-week open-label maintenance phase 2b study.

Severine Vermeire, Josianne Nitcheu, Paul Gineste, Aurélien Flatres, Julien Santo, Didier Scherrer, Laurent Peyrin-Biroulet, Parambir S Dulai, Silvio Danese, Marla Dubinsky and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04023396 (A Phase 2b, Open-label, Efficacy and Safety Study of ABX464 as Maintenance Therapy in Patients With Moderate to Severe Ulcerative Colitis), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04023396 phase2completednot on this map

A Phase 2b, Open-label, Efficacy and Safety Study of ABX464 as Maintenance Therapy in Patients With Moderate to Severe Ulcerative Colitis

TypeinterventionalSponsorAbivax S.A.Ran2020 to 2023Enrolled217ConditionsUlcerative ColitisArmsABX464
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Advanced Combination Therapy in Inflammatory Bowel Disease: What Does the Future Hold?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  7. Review
  8. Review
  9. Advancing therapeutic frontiers: a pipeline of novel drugs for UC management.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Severine VermeireDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0001-9942-3019
Josianne NitcheuAbivax S.A., Paris, France.
Paul GinesteAbivax S.A., Paris, France.
Aurélien FlatresAbivax S.A., Montpellier, France.
Julien SantoAbivax S.A., Montpellier, France.
Didier ScherrerAbivax S.A., Montpellier, France.
Laurent Peyrin-BirouletDepartment of Gastroenterology, INFINY Institute, INSERM NGERE, CHRU Nancy, Vandœuvre-lès-Nancy, France.
Parambir S DulaiFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.
Silvio DaneseGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0001-7341-1351
Marla DubinskyPediatric GI and Nutrition, Mount Sinai Kravis Children's Hospital, New York, NY, United States.ORCID 0000-0003-4968-5795
Herbert TilgDepartment of Gastroenterology, Hepatology, Endocrinology and Metabolism, Medical University of Innsbruck, Innsbruck, Austria.
Britta SiegmundDepartment of Gastroenterology, Infectiology and Rheumatology, Charité-Universitaetsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-0055-958X
Tadakazu HisamatsuDepartment of Gastroenterology and Hepatology, Kyorin University Hospital, Tokyo, Japan.ORCID 0000-0002-1178-3536
Kejia ShanAbivax S.A., Paris, France.
Christopher J RabbatAbivax S.A., Paris, France.
Bruce E SandsDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Funding

Abivax S.A
6 · The paper itself

Abstract

BACKGROUND AND

aimsObefazimod is an oral small molecule that selectively enhances the expression of a single micro-RNA (miRNA), miR-124. Obefazimod has demonstrated safety and efficacy in patients with moderate-to-severely active ulcerative colitis (UC) in a phase 2b induction trial. This analysis presents the 2-year outcome data of the open-label maintenance (OLM) study.

methodsPatients received placebo or obefazimod 25, 50, or 100 mg once-daily (od) during the induction trial and, irrespective of their clinical response, could enter the 96-week OLM study with obefazimod 50 mg od. Safety was monitored through monthly visits in the first year and quarterly visits in the second year. Efficacy was assessed at weeks 48 and 96 using nonresponder imputation (NRI) for missing data.

resultsOf 222 eligible patients, 217 were enrolled and 164 (75.6%) completed week 96 of the OLM study. Clinical response was achieved at weeks 48 and 96 in 177 (81.6%) and 158 (72.8%) patients and clinical remission in 119 (54.8%) and 114 (52.5%) of patients. A total of 133 (61.3%) and 128 (59.0%) patients showed endoscopic improvement, and 72 (33.2%) and 78 (35.9%) endoscopic remission. In total, 148/217 patients (68.2%) reported at least 1 treatment-emergent adverse event (TEAE). The most frequent TEAEs were COVID-19 (14.3%), headache (11.5%), UC (7.8%), and nasopharyngitis (6.9%). No new safety risks emerged over 96 weeks.

conclusionsThe 96-week OLM study supports the long-term efficacy and favorable safety profile of obefazimod 50 mg od. A phase 3 program with obefazimod in patients with moderate-to-severe UC is ongoing. TRIAL REGISTRATION NAME/NUMBER: A phase 2b, open-label, efficacy and safety study of ABX464 as maintenance therapy in patients with moderate-to-severe UC. NCT04023396.

Indexed as

Colitis, UlcerativeAdultDose-Response Relationship, DrugFemaleHumansMaintenance ChemotherapyMaleMiddle AgedRemission InductionSeverity of Illness IndexTreatment OutcomemaintenancemiR-124obefazimodulcerative colitis

Identifiers

PMID40417999
PMCPMC12124117

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.