Pharmaceutical

Abivax soars in Paris as new data on the drug Obefazimod provide reassurance

Positive indications for patients with refractory ulcerative colitis. The application for marketing authorisation is expected to be submitted in the fourth quarter

by Giuliana Licini

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

(Il Sole 24 Ore Radiocor) - Abivax soars on the Paris Stock Exchange, thanks to reassuring safety data on Obefazimod, a drug for ulcerative colitis. Shares in the French biopharmaceutical company rose by 34% to over €111, by far the biggest gainer on the SBF 120 index and the Stoxx Europe 600. Abivax has released the results of Part 2 of a Phase III trial, which is the final stage of clinical trials prior to a potential application for marketing authorisation.

The first part, published in early June, had raised serious concerns about the drug’s safety and caused the share price to plummet by 43.6 per cent, as it had been reported that a number of cancer cases had occurred at the highest dose of 50 milligrams. In the new publication, Abivax presented highly positive data for patients with refractory ulcerative colitis (UC) treated with the drug.

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Obefazimod provided “a significant clinical benefit” in a population of patients with highly refractory UC, with 37.2% of patients who had not responded to induction therapy achieving clinical remission and 34.5% who achieved endoscopic remission at week 44 following continued treatment with 50 mg of Obefazimod. Furthermore, increasing the dose of Obefazimod from 25 to 50 mg restored clinical remission in 45.5% of patients who had relapsed during the first part of the study’s maintenance phase, "supporting a practical strategy of dose escalation to regain and maintain disease control over time".

Abivax also highlighted that the additional safety data from this Part 2 expand the safety database and “provide an important context for interpreting the oncological safety data reported in the Part 1 analysis of the maintenance study”. As stated in the press release, “as part of the integrated Phase 2 and Phase 3 programme for ulcerative colitis (1,704 patient-years of exposure), the exposure-adjusted incidence rates for neoplasms, excluding non-melanoma skin cancer (NMSC), were 0.35 and 0.64 events per 100 patient-years (‘PY’), whilst for NMSC they were 0.59 and 0.64 events per 100 PY respectively in the cohorts receiving the combined active drugs (50 mg + 25 mg) and 50 mg, all consistent with the expected baseline rates for ulcerative colitis”.

Analysts at Stifel comment that the safety data provided are “reassuring”, with the incidence of malignant tumours within expected limits, and they also highlight the potential for further efficacy in patients with treatment-refractory ulcerative colitis. The published data therefore provide important clinical validation of the efficacy of Obefazimod in a population with highly refractory ulcerative colitis, particularly in patients who did not achieve a clinical response following the initial 8-week induction period.

Another positive finding is that patients who relapsed during Part 1 of the maintenance phase and whose dose was increased achieved clinical remission in 45.5% of cases and a clinical response in 66.7%. According to Stifel, which maintains its ‘buy’ recommendation with a target price of 115 euros, these results broaden the potential target patient population and reinforce the duration and flexibility of the therapeutic effect. Similar assessments have been made by Oddo BHF, which notes that the new data provide “important insights into Obefazimod’s ability to control the disease sustainably in a particularly refractory patient population”.

Analysts also point out that the main issue raised by the initial publication concerned safety, following concerns that had arisen over a number of cancer cases observed during the first part of the maintenance study. The new data appear reassuring and several factors support the absence of a causal link with the treatment. In summary, Oddo BHF explains that “the new analyses do not definitively prove the absence of risk, but in our view they provide a significantly greater level of reassurance than was available following the initial review of the maintenance study results”.

Consequently, analysts are optimistic and, in their view, the interpretation of the regulatory dossier appears more favourable. The application for marketing authorisation is expected to be submitted in the fourth quarter. The main driver for Oddo BHF is now the review by the US health authorities, followed by Phase IIb data on Crohn’s disease, expected in mid-2027. The recommendation is ‘outperform’, with a target price of €120.

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