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NCT02990325

A Safety, Pharmacokinetics, and Pharmacodynamics Study of ABX464 in HIV-1 Seronegative and Seropositive Adults

Completed Phase 1, PHASE2 Results posted Last updated 31 March 2023
What this trial tests

Phase 1, PHASE2 trial testing ABX464 150mg in HIV Infections in 36 participants. Completed in 21 October 2019.

Timeline
27 March 2017
Primary endpoint
27 December 2018
21 October 2019

Quick facts

Lead sponsorAbivax S.A.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment36
Start date27 March 2017
Primary completion27 December 2018
Estimated completion21 October 2019
Sites1 location across Spain

Drugs / interventions tested

Conditions studied

Sponsor

Abivax S.A. — full company profile →

Who can join

Adults 18 to 65, male only, with HIV Infections or Health Volunteers. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Area Under the Curve (AUC) of ABX464 in Sera Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg306.0± 46.5
ABX464 50mg for 28 Days63.7± 39.9
ABX464 50mg for 84 Days63.7± 77.4
Day 28
GroupValue95% CI
ABX464 150mg119.8± 48.7
ABX464 50mg for 28 Days17.8± 60.9
ABX464 50mg for 84 Days30.3± 68.2
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days28.9± 66.8
Maximum Observed Concentration (Cmax) of ABX464 in Sera Primary · Day 1, Day 28 and day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg106.1± 54.5
ABX464 50mg for 28 Days23.1± 45.2
ABX464 50mg for 84 Days24.5± 75.5
Day 28
GroupValue95% CI
ABX464 150mg50.9± 57.1
ABX464 50mg for 28 Days9.3± 60.3
ABX464 50mg for 84 Days13.0± 76.0
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days15.6± 65.6
Area Under the Curve (AUC) of ABX464 Metabolite (ABX464-N-Glucuronide) in Sera Primary · Day 1, Day 28 and Day 84

Pharmacokinetics parameters

Day 1
GroupValue95% CI
ABX461 150mg50115.8± 41.5
ABX464 50mg for 28 Days8282.3± 37.0
ABX464 50mg for 84 Days11209.6± 66.5
Day 28
GroupValue95% CI
ABX461 150mg48605.0± 40.6
ABX464 50mg for 28 Days4800.6± 37.0
ABX464 50mg for 84 Days13308.8± 62.5
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days14588.2± 58.3
Maximum Observed Concentration (Cmax) of ABX464 Metabolite (ABX464-N-Glucuronide) in Sera Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg9918.2± 33.5
ABX464 50mg for 28 Days1626.8± 36.9
ABX464 50mg for 84 Days2036.2± 62.8
Day 28
GroupValue95% CI
ABX464 150mg7011.1± 37.5
ABX464 50mg for 28 Days695.9± 38.6
ABX464 50mg for 84 Days1705.5± 71.8
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days2150.6± 56.1
Maximum Observed Concentration (Cmax) of ABX464 in Peripheral Blood Mononuclear Cells (PBMC) Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg463.3± 55.0
ABX464 50mg for 28 Days209.4± 54.4
ABX464 50mg for 84 Days203.8± 81.0
Day 28
GroupValue95% CI
ABX464 150mg247.8± 75.7
ABX464 50mg for 28 Days76.4± 51.7
ABX464 50mg for 84 Days72.3± 82.9
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days73.6± 57.5
Area Under the Curve (AUC) of ABX464 in Peripheral Blood Mononuclear Cells (PBMC) Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg1120.7± 52.6
ABX464 50mg for 28 Days594.2± 53.2
ABX464 50mg for 84 Days481.5± 78.9
Day 28
GroupValue95% CI
ABX464 150mg522.4± 49.2
ABX464 50mg for 28 Days156.0± 51.8
ABX464 50mg for 84 Days151.6± 74.3
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days144.9± 48.6
Maximum Observed Concentration (Cmax) of ABX464 Metabolite (ABX464-N-Glucuronide) in Peripheral Blood Mononuclear Cells (PBMC) Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg585.5± 60.3
ABX464 50mg for 28 Days39.7± 90.5
ABX464 50mg for 84 Days230.0± 153.9
Day 28
GroupValue95% CI
ABX464 150mg491.5± 73.0
ABX464 50mg for 28 Days35.6± 85.7
ABX464 50mg for 84 Days125.1± 86.1
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days153.3± 49.4
Area Under the Curve (AUC) of ABX464 Metabolite (ABX464-N-Glucuronide) in Peripheral Blood Mononuclear Cells (PBMC) Primary · Day 1, Day 28 and Day 84

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg2133.7± 42.2
ABX464 50mg for 28 Days39.2± 186.7
ABX464 50mg for 84 Days835.3± 116.0
Day 28
GroupValue95% CI
ABX464 150mg2212.3± 58.8
ABX464 50mg for 28 Days35.0± 210.1
ABX464 50mg for 84 Days697.5± 92.0
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days766.5± 57.4
Concentration of ABX464 in Rectal Tissue (Measured Only at Pre-infusion Timepoint) Primary · Day 1, Day 28, Day 56, Day 84 and Day 112

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg0.0± 0.00
ABX464 50mg for 28 Days0.0± 0.00
ABX464 50mg for 84 Days0.0± 0.00
Day 28
GroupValue95% CI
ABX464 150mg0.1± 0.11
ABX464 50mg for 28 Days0.1± 0.19
ABX464 50mg for 84 Days0.1± 0.13
Day 56
GroupValue95% CI
ABX464 150mg0.0± 0.00
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days0.1± 0.13
Day 112
GroupValue95% CI
ABX464 50mg for 84 Days0.0± 0.00
Concentration of ABX464 Metabolite (ABX464-N-Glucuronide) in Rectal Tissue (Measured Only at Pre-infusion Timepoint) Primary · Day 1, Day 28, Day 56, Day 84 and Day 112

Pharmacokinetic parameters

Day 1
GroupValue95% CI
ABX464 150mg0.0± 0.00
ABX464 50mg for 28 Days0.1± 0.08
ABX464 50mg for 84 Days0.0± 0.00
Day 28
GroupValue95% CI
ABX464 150mg0.1± 0.04
ABX464 50mg for 28 Days0.1± 0.11
ABX464 50mg for 84 Days0.1± 0.09
Day 56
GroupValue95% CI
ABX464 150mg0.0± 0.00
Day 84
GroupValue95% CI
ABX464 50mg for 84 Days0.2± 0.11
Day 112
GroupValue95% CI
ABX464 50mg for 84 Days0.0± 0.00
Mean Change From Baseline in Plasma Viral Load (Ultrasensitive Assay) Secondary · Day 28, Day 56, Day 84 and Day 112

Viral Load Assessments (HIV-1 RNA copies/ml)

Day 28
GroupValue95% CI
ABX464 150mg-0.9-1.9 – 0.1
ABX464 50mg-2.0-4.3 – 0.2
Day 56
GroupValue95% CI
ABX464 150mg-0.4-1.5 – 0.7
Day 84
GroupValue95% CI
ABX464 50mg-0.9-3.0 – 1.2
Day 112
GroupValue95% CI
ABX464 50mg-1.1-3.7 – 1.5
CD4+ Counts (Cell/mm^3) Secondary · Day 28, Day 35, Day 56, Day 84, Day 91 and Day 112

T-cell determinations

Day 28
GroupValue95% CI
ABX464 150mg-130.6-217.5 – -43.6
ABX464 50mg-34.6-167.7 – 98.5
Day 35
GroupValue95% CI
ABX464 150mg-125.6-266.2 – 15.1
Day 56
GroupValue95% CI
ABX464 150mg29.6-202.4 – 261.5
Day 84
GroupValue95% CI
ABX464 50mg8.3-90.2 – 106.9
Day 91
GroupValue95% CI
ABX464 50mg23.3-122.5 – 169.0
Day 112
GroupValue95% CI
ABX464 50mg161.859.5 – 264.2

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline up to 112 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ABX464 150mg
Serious: 0/11 (0%)
Deaths: 0/11
ABX464 50mg for 28 Days
Serious: 0/12 (0%)
Deaths: 0/12
ABX464 50mg for 84 Days
Serious: 0/13 (0%)
Deaths: 0/13
Other adverse events (25 terms — click to expand)

ReactionSystemABX464 150mgABX464 50mg for 28 DaysABX464 50mg for 84 Days
HeadacheNervous system disorders
Back painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AsthemiaGeneral disorders
HyperamylasaemiaMetabolism and nutrition disorders
HyperlipaseamiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Chest painGeneral disorders
Feeling abnormalGeneral disorders
MalaiseGeneral disorders
ThirstGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
MigraineNervous system disorders
NightmarePsychiatric disorders
FolliculitisSkin and subcutaneous tissue disorders
Rash erythematousSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02990325 adverse events section.

Sponsor's own description

The purpose of the ABX464-005 study is to characterize the systemic and mucosal immunological sequelae associated with exposure to ABX464 and to explore selected immunological endpoints, compartmental pharmacokinetics, and pharmacodynamics.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Innovation and trends in the development and approval of antiviral medicines: 1987-2017 and beyond.
    Chaudhuri S, Symons JA, Deval J. · · 2018 · cited 136× · PMID 29758235 · DOI 10.1016/j.antiviral.2018.05.005
  2. Strategies to Modulate MicroRNA Functions for the Treatment of Cancer or Organ Injury.
    Lee TJ, Yuan X, Kerr K, Yoo JY, et al · · 2020 · cited 55× · PMID 32554488 · DOI 10.1124/pr.119.019026
  3. ABX464 Decreases the Total Human Immunodeficiency Virus (HIV) Reservoir and HIV Transcription Initiation in CD4+ T Cells From Antiretroviral Therapy-Suppressed Individuals Living With HIV.
    Moron-Lopez S, Bernal S, Wong JK, Martinez-Picado J, et al · · 2022 · cited 13× · PMID 34436569 · DOI 10.1093/cid/ciab733
  4. MicroRNAs in T Cell-Immunotherapy.
    Dosil SG, Rodríguez-Galán A, Sánchez-Madrid F, Fernández-Messina L. · · 2022 · cited 10× · PMID 36613706 · DOI 10.3390/ijms24010250
  5. Non-nucleoside structured compounds with antiviral activity-past 10 years (2010-2020).
    Denel-Bobrowska M, Olejniczak AB. · · 2022 · cited 5× · PMID 35085926 · DOI 10.1016/j.ejmech.2022.114136
  6. Impact of Obefazimod on Viral Persistence, Inflammation, and Immune Activation in People With Human Immunodeficiency Virus on Suppressive Antiretroviral Therapy.
    Bernal S, Puertas MC, Morón-López S, Cranston RD, et al · · 2023 · cited 4× · PMID 37395474 · DOI 10.1093/infdis/jiad251
  7. Development and characterization of a double-fluorescent HIV-1 reporter cellular model to tackle the Rev-dependent export pathway.
    Wadas J, Ali H, Osiecka A, Dorman A, et al · · 2025 · PMID 39902983 · DOI 10.1128/spectrum.01903-24
  8. Abstracts of the 9th HIV Persistence During Therapy Workshop : 10–13 December 2019, Miami, Florida, USA

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing