Abivax posts strong Phase 3 UC maintenance results
Abivax reported positive Phase 3 ABTECT 44-week maintenance results for obefazimod, its once-daily oral miR-124 enhancer, in moderately to severely active ulcerative colitis.
Rhea-AI Filing Summary
Abivax reported positive Phase 3 ABTECT 44-week maintenance results for obefazimod, its once-daily oral miR-124 enhancer, in moderately to severely active ulcerative colitis. Among 580 induction responders, clinical remission at Week 44 reached 50.8% on 25 mg and 51.3% on 50 mg, versus 10.4% on placebo, with placebo-adjusted differences of 39.3% and 40.3% (p<0.0001 for both doses).
Both doses met all key secondary endpoints, including endoscopic improvement, endoscopic remission, HEMI, corticosteroid-free clinical remission and sustained clinical remission. Safety was generally favorable, with no deaths and similar rates of serious treatment-emergent adverse events to placebo. Abivax intends to submit a New Drug Application for obefazimod in ulcerative colitis in late fourth quarter 2026, while the ENHANCE-CD Phase 2b Crohn’s induction trial continues with topline data expected mid-2027.
Positive
- Landmark Phase 3 efficacy: Week 44 clinical remission reached 50.8% (25 mg) and 51.3% (50 mg) versus 10.4% on placebo, with placebo-adjusted differences of 39.3% and 40.3% (p<0.0001), and all key secondary endpoints were met.
- Regulatory path defined: Based on these maintenance data, Abivax plans to submit a New Drug Application for obefazimod in ulcerative colitis in late fourth quarter 2026, progressing the program toward potential commercialization.
Negative
- None.
Insights
Pivotal UC maintenance success supports NDA plans for obefazimod.
The Phase 3 ABTECT maintenance trial showed obefazimod 25 mg and 50 mg achieved placebo-adjusted clinical remission at Week 44 of 39.3% and 40.3% (p<0.0001). Absolute remission was 50.8% and 51.3% versus 10.4% on placebo, a substantial separation in a maintenance setting.
All key secondary endpoints, including endoscopic remission and HEMI, were met, indicating broad disease control. Safety data showed comparable serious treatment-emergent adverse event rates to placebo and no deaths, with low incidences of serious infections and malignancies reported across arms in this 44-week period.
Management plans a New Drug Application filing for obefazimod in ulcerative colitis in late Q4 2026, positioning this dataset as a core component of the regulatory package. The ongoing ENHANCE-CD Phase 2b induction trial, with topline data expected around mid-2027, will inform the drug’s potential in Crohn’s disease, adding another possible indication.
Key Figures
Key Terms
clinical remission medical
Histologic-Endoscopic Mucosal Improvement (HEMI) medical
treatment-emergent adverse events (TEAEs) medical
New Drug Application regulatory
ulcerative colitis medical
Phase 2b induction trial medical
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
What did Abivax (ABVX) announce in its June 2026 Form 6-K?
How effective was obefazimod in the Phase 3 ABTECT maintenance trial for ulcerative colitis?
What safety profile did obefazimod show in Abivax’s Phase 3 UC maintenance trial?
When does Abivax (ABVX) plan to submit an NDA for obefazimod in ulcerative colitis?
What are the key secondary endpoints obefazimod met in the ABTECT maintenance trial?
What future milestones did Abivax outline for obefazimod beyond ulcerative colitis?
AI-generated analysis. How Rhea-AI works. Not financial advice.